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HomeMy WebLinkAboutMS Pay By Mobile Device SystemAgenda Item No: 4. d Meeting Date: February 2, 2015 SAN RAFAEL CITY COUNCIL AGENDA REPORT Department: Management Services — Parking Services Prepared by: Jim Myhers, Parking Services City Manager Approval- ' SUBJECT: RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL APPROVING AN AGREEMENT BETWEEN THE CITY OF SAN RAFAEL AND PARKMOBILE USA FOR A PAY BY MOBILE DEVICE SYSTEM RECOMMENDATION: Adopt the resolution BACKGROUND: In 2013, the Council approved the purchase of parking meters that accepted credit cards in addition to coins. The process leading up to Council approval included meetings with the Economic Development Subcommittee and other interested community groups to explain the technological changes that accompanied the new meters and the potential that these next generation credit card meters offered for easing the burden on the downtown parker. Items such as paying for parking by your mobile device and utilizing smart phone applications to better inform the downtown parker about space availability, parking rates and payment options were discussed. A common theme in those meetings was the request for staff to integrate the pay by mobile device option after the meter installation. The pay by mobile device feature is commonly used by loading an application on a smart phone and preregistering. Customers wishing to extend their stay in San Rafael can access the application and add more time without ever leaving their downtown business. The application will notify them via their mobile device as their session starts and also notify them approximately 15 minutes before their time ends to avoid any potential enforcement actions. In addition, merchants wishing to participate in a validation program can arrange to purchase promotional electronic coupons that will allow their customer to park with no charge to the customer. FOR CITY CLERK ONLY File No.: A— q-3 Council Meeting: Disposition: k171C, '7 ADv 1,3911/ SAN RAFAEL CITY COUNCIL AGENDA REPORT / Page: 2 ANALYSIS: The acquisition of a pay by mobile device system required bidding under the City's purchasing ordinance. Staff evaluated each potential bidder using criteria defined in the RFP. Three bidders were interviewed by staff and after a thorough review of material submitted by each bidder combined with information from the interview process, Parkmobile USA was selected. FISCAL IMPACT: Staff anticipates no fiscal impact to the City for implementation. The pay by mobile device system is designed to be cost neutral to the City. Any transaction costs associated with utilizing the pay by mobile device system are designed to be borne by the customer and any marketing material, although subject to the approval of the city, is the responsibility of Parkmobile USA. ACTION REQUIRED: Adopt the resolution approving the agreement between the City of San Rafael and Parkmobile USA for the installation of a pay by mobile device system for parking meters and related parking revenue control systems. CITY COUNCIL OF THE CITY OF SAN RAFAEL RESOLUTION NO. 13874 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL APPROVING AN AGREEMENT BETWEEN THE CITY OF SAN RAFAEL AND PARKMOBILE USA FOR A PAY BY MOBILE DEVICE PARKING SYSTEM WHEREAS, the City of San Rafael operates parking meters and parking revenue control systems in the downtown business district with multiple methods of payment; and WHEREAS, the City desires a pay by mobile device system that will allow users to pay for selected parking revenue control equipment using a mobile device; and WHEREAS, Section 2.55.190 of the San Rafael Municipal Code requires the CITY COUNCIL to authorize the purchase of equipment or services by competitive negotiation; and WHEREAS, City staff has reviewed proposals and conducted interviews and concluded that Parkmobile USA is best suited to provide the type of service the City desires. NOW, THEREFORE BE IT RESOLVED that the SAN RAFAEL CITY COUNCIL hereby authorizes the City Manager to enter into an agreement with Parkmobile USA, Inc. for a pay by mobile device system for parking meters and related parking revenue control equipment, in the form attached hereto as Exhibit A. BE IT FURTHER RESOLVED that this Resolution shall take immediate effect upon adoption. I, ESTHER 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 City Council held on the 2nd day of February, 2015 by the following vote, to wit: AYES: COUNCILMEMBERS: Bushey, Colin, Gamblin, McCullough & Mayor Phillips NOES: COUNCILMEMBERS: None ABSENT: COUNCILMEMBERS: None ESTHER C. BEIRNE, City Clerk AGREEMENT FOR PAYMENT BY CELL PHONE SYSTEM AT PARKING METERS/REVENUE CONTROL EQUIPMENT This Agreement is made and entered into thisZct day of FEF2vAQY , 20LS', by and between the CITY OF SAN RAFAEL (hereinafter "CITY"), and Parkmobile USA, Inc., a Georgia corporation authorized to do and doing business on California (hereinafter "CONTRACTOR"). RFCITALS WHEREAS, City is seeking a qualified mobile payment vendor to provide a mobile payment solution to customers using existing on street parking meters and selected revenue control equipment under the city's control; and WHEREAS, an RFP was issued to obtain bids from qualified for this service; and WHEREAS, CONTRACTOR submitted an acceptable bid for the desired service; AGREEMENT NOW, THEREFORE, the parties hereby agree as follows: PROJECT COORDINATION. A. CITY'S Project Manager. The Parking Services Manager is hereby designated the PROJECT MANAGER for the CITY, and said PROJECT MANAGER shall supervise all aspects of the progress and execution of this Agreement. B. CONTRACTOR'S Project Director. CONTRACTOR shall assign a single PROJECT DIRECTOR to have overall responsibility for the progress and execution of this Agreement for CONTRACTOR. Cherie Fuzzell is hereby designated as the PROJECT DIRECTOR for CONTRACTOR. Should circumstances or conditions subsequent to the execution of this Agreement require a substitute PROJECT DIRECTOR, for any reason, the CONTRACTOR shall notify the CITY within ten (10) business days of the substitution. 2. DUTIES OF CONTRACTOR. A. CONTRACTOR shall perform the duties and/or provide services as specified in the RFP dated May 27, 2014 and submittal by Parkmobile Inc. dated June 20, 2014. B. CONTRACTOR shall receive CITY's approval for all marketing materials and plans utilized and CONTRACTOR shall maintain such materials during agreement and will remove all materials, including signs/stickers, upon completion of agreement. Rev. Date: 130/14 3. DUTIES OF CITY. A. CITY shall pay CONTRACTOR the compensation specified in Paragraph 4 and shall notify contractor of any changes to meter rates, time limits, holidays or other issues affecting operation of meters and associated revenue control equipment. 4. COMPENSATION. For the full performance of the services described herein by CONTRACTOR, CITY shall pay CONTRACTOR as follows: A. CITY shall act as merchant of record and all parking payments and transaction fees paid by parking customers will be deposited into city accounts. B. CONTRACTOR shall submit monthly detailed invoices to CITY's project manager for CONTRACTOR's transaction fees that were charged to CITY'S parking customers and remitted by CONTRACTOR along with parking payments to CITY's processing agency, and CITY shall pay such invoices out of remittances of such fees within 45 days following receipt of the invoices. No interest will become due and owing on such fees remitted to CITY. C. CONTRACTOR'S sole compensation for the services performed under this agreement shall be the CONTRACTOR'S transaction fees paid by CITY's parking customers and remitted to CITY as provided in subparagraph B. 5. TERM OF AGREEMENT. The term of this Agreement shall be for one year commencing on the date first herein written. Upon mutual agreement of the parties, and subject to the approval of the City Manager, this Agreement may be extended for up to two (2) additional four (4) year terms. 6. TERMINATION. A. Discretionary. Either party may terminate this Agreement without cause upon thirty (30) days written notice mailed or personally delivered to the other party. B. Cause. Either party may terminate this Agreement for cause upon fifteen (15) days written notice mailed or personally delivered to the other party, and the notified party's failure to cure or correct the cause of the termination, to the .reasonable satisfaction of the party giving such notice, within such fifteen (15) day time period. C. Effect of Termination. Upon receipt of notice of termination, neither party shall incur additional obligations under any provision of this Agreement without the prior written consent of the other. D. Return of Documents. Upon termination, any and all CITY documents or materials provided to CONTRACTOR and any and all of CONTRACTOR's documents and Rev. date: 1/30/14 2 materials prepared for or relating to the performance of its duties under this Agreement, shall be delivered to CITY as soon as possible, but not later than thirty (30) days after termination. 7. OWNERSHIP OF DOCUMENTS. The written documents and materials prepared by the CONTRACTOR in connection with the performance of its duties under this Agreement, shall be the sole property of CITY. CITY may use said property for any purpose, including projects not contemplated by this Agreement. 8. INSPECTION AND AUDIT. Upon reasonable notice, CONTRACTOR shall make available to CITY, or its agent, for inspection and audit, all documents and materials maintained by CONTRACTOR in connection with its performance of its duties under this Agreement. CONTRACTOR shall fully cooperate with CITY or its agent in any such audit or inspection. 9. ASSIGNABILITY. The parties agree that they shall not assign or transfer any interest in this Agreement nor the performance of any of their respective obligations hereunder, without the prior written consent of the other party, and any attempt to so assign this Agreement or any rights, duties or obligations arising hereunder shall be void and of no effect. 10. INSURANCE. A. Scope of Coverage. During the term of this Agreement, CONTRACTOR shall maintain, at no expense to CITY, the following insurance policies: 1. A commercial general liability insurance policy in the minimum amount of one million dollars ($1,000,000) per occurrence/two million dollars ($2,000,000) aggregate, for death, bodily injury, personal injury, or property damage. 2. An automobile liability (owned, non -owned, and hired vehicles) insurance policy in the minimum amount of one million dollars ($1,000,000) dollars per occurrence. 3. If any licensed professional performs any of the services required to be performed under this Agreement, a professional liability insurance policy in the minimum amount of two million dollars ($2,000,000) per occurrence/four million dollars ($4,000,000) aggregate, to cover any claims arising out of the CONTRACTOR's performance of services under this Agreement. Where CONTRACTOR is a professional not required to have a professional license, CITY reserves the right to require CONTRACTOR to provide professional liability insurance pursuant to this section. 4. If it employs any person, CONTRACTOR shall maintain worker's compensation and employer's liability insurance, as required by the State Labor Code and other applicable laws and regulations, and as necessary to protect both CONTRACTOR and CITY Rev. date: 1/30/14 against all liability for injuries to CONTRACTOR's officers and employees. CONTRACTOR'S worker's compensation insurance shall be specifically endorsed to waive any right of subrogation against CITY. B. Other Insurance Requirements. The insurance coverage required of the CONTRACTOR m subparagraph A of this section above shall also meet the following requirements: 1. Except for professional liability insurance, the insurance policies shall be specifically endorsed to include the CITY, its officers, agents, employees, and volunteers, as additionally named insureds under the policies. 2. The additional insured coverage under CONTRACTOR'S insurance policies shall be primary with respect to any insurance or coverage maintained by CITY and shall not call upon CITY's insurance or self-insurance coverage for any contribution. The "primary and noncontributory" coverage in CONTRACTOR'S policies shall be at least as broad as ISO form CG20 0104 13. 3. Except for professional liability insurance, the insurance policies shall include, in their text or by endorsement, coverage for contractual liability and personal injury. 4. The insurance policies shall be specifically endorsed to provide that the insurance carrier shall not cancel, terminate or otherwise modify the terms and conditions of said insurance policies except upon ten (10) days written notice to the PROJECT MANAGER. 5. If the insurance is written on a Claims Made Form, then, following termination of this Agreement, said insurance coverage shall survive for a period of not less than five years. 6. The insurance policies shall provide for a retroactive date of placement coinciding with the effective date of this Agreement. 7. The limits of insurance required in this Agreement may be satisfied by a combination of primary and umbrella or excess insurance. Any umbrella or excess insurance shall contain or be endorsed to contain a provision that such coverage shall also apply on a primary and noncontributory basis for the benefit of CITY (if agreed to in a written contract or agreement) before CITY'S own insurance or self-insurance shall be called upon to protect it as a named insured. 8. It shall be a requirement under this Agreement that any available insurance proceeds broader than or in excess of the specified minimum insurance coverage requirements and/or limits shall be available to CITY or any other additional insured party. Furthermore, the requirements for coverage and limits shall be: (1) the minimum coverage and limits specified in this Agreement; or (2) the broader coverage and maximum limits of coverage of any insurance policy or proceeds available to the named insured; whichever is greater. Rev. date: 1/30114 4 C. Deductibles and SIR's. Any deductibles or self-insured retentions in CONTRACTOR's insurance policies must be declared to and approved by the PROJECT MANAGER and City Attorney, and shall not reduce the limits of liability. Policies containing any self-insured retention (SIR) provision shall provide or be endorsed to provide that the SIR may be satisfied by either the named insured or CITY or other additional insured party. At CITY's option, the deductibles or self-insured retentions with respect to CITY shall be reduced or eliminated to CITY's satisfaction, or CONTRACTOR shall procure a bond guaranteeing payment of losses and related investigations, claims administration, attorney's fees and defense expenses. D. Proof of Insurance. CONTRACTOR shall provide to the PROJECT MANAGER or CITY'S City Attorney all of the following: (1) Certificates of Insurance evidencing the insurance coverage required in this Agreement; (2) a copy of the policy declaration page and/or endorsement page listing all policy endorsements for the commercial general liability policy, and (3) excerpts of policy language or specific endorsements evidencing the other insurance requirements set forth in this Agreement. CITY reserves the right to obtain a full certified copy of any insurance policy and endorsements from CONTRACTOR. Failure to exercise this right shall not constitute a waiver of the right to exercise it later. The insurance shall be approved as to form and sufficiency by PROJECT MANAGER and the City Attorney. 11. INDEMNIFICATION. A. Except as otherwise provided in Paragraph B., CONTRACTOR shall, to the fullest extent permitted by law, indemnify, release, defend with counsel approved by CITY, and hold harmless CITY, its officers, agents, employees and volunteers (collectively, the "City Indemnitees"), from and against any claim, demand, suit, judgment, loss, liability or expense of any kind, including but not limited to attorney's fees, expert fees and all other costs and fees of litigation, (collectively "CLAIMS"), arising out of CONTRACTOR'S performance of its obligations or conduct of its operations under this Agreement. The CONTRACTOR's obligations apply regardless of whether or not a liability is caused or contributed to by the active or passive negligence of the City Indemnitees. However, to the extent that liability is caused by the active negligence or willful misconduct of the City Indemnitees, the CONTRACTOR's indemnification obligation shall be reduced in proportion to the City Indemnitees' share of liability for the active negligence or willful misconduct. In addition, the acceptance or approval of the CONTRACTOR's work or work product by the CITY or any of its directors, officers or employees shall not relieve or reduce the CONTRACTOR's indemnification obligations. In the event the City Indemnitees are made a party to any action, lawsuit, or other adversarial proceeding arising from CONTRACTOR'S performance of or operations under this Agreement, CONTRACTOR shall provide a defense to the City Indemnitees or at CITY'S option reimburse the City Indemnitees their costs of defense, including reasonable attorneys' fees, incurred in defense of such claims. B. Where the services to be provided by CONTRACTOR under this Agreement are design professional services to be performed by a design professional as that term is defined under Civil Code Section 2782.8, CONTRACTOR shall, to the fullest extent permitted by law, indemnify, release, defend and hold harmless the City Indemnitees from and against any Rev. date: 1/30/14 5 CLAIMS that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of CONTRACTOR in the performance of its duties and obligations under this Agreement or its failure to comply with any of its obligations contained in this Agreement, except such CLAIM which is caused by the sole negligence or willful misconduct ofCITY. C. The defense and indemnification obligations of this Agreement are undertaken in addition to, and shall not in any way be limited by, the insurance obligations contained in this Agreement, and shall survive the termination or completion of this Agreement for the full period of time allowed by law. 12. NONDISCRIMINATION. CONTRACTOR shall not discriminate, inany way, against any person on the basis of age, sex, race, color, religion, ancestry, national origin or disability in connection with or related to the performance of its duties and obligations under this Agreement. 13. COMPLIANCE WITH ALL LAWS. CONTRACTOR shall observe and comply with all applicable federal, state and local laws, ordinances, codes and regulations, in the performance of its duties and obligations under this Agreement. CONTRACTOR shall perform all services under this Agreement in accordance with these laws, ordinances, codes and regulations. CONTRACTOR shall release, defend, indemnify and hold harmless CITY, its officers, agents and employees from any and all damages, liabilities, penalties, fines and all other consequences from any noncompliance or violation of any laws, ordinances, codes or regulations. 14. NO THIRD PARTY BENEFICIARIES. CITY and CONTRACTOR do not intend, by any provision of this Agreement, to create in any third party, any benefit or right owed by one party, under the terms and conditions of this Agreement, to the other party. 15. NOTICES. All notices and other communications required or permitted to be given under this Agreement, including any notice of change of address, shall be in writing and given by personal delivery, or deposited with the United States Postal Service, postage prepaid, addressed to the parties intended to be notified. Notice shall be deemed given as of the date of personal delivery, or if mailed, upon the date of deposit with the United States Postal Service. Notice shall be given as follows: TO CITY's Project Manager: Jim Myhers City of San Rafael 1400 Fifth. Avenue P.O. Box 151560 Rev. date: 1/30/14 San Rafael, CA 94915-1560 TO CONTRACTOR's Project Director: Cherie Fuzzell Parkmobile, LLC 3200 Cobb Galleria Parkway SE, Suite 100 Atlanta, Georgia 30339 16. INDEPENDENT CONTRACTOR. For the purposes, and for the duration, of this Agreement, CONTRACTOR, its officers, agents and employees shall act in the capacity of an Independent Contractor, and not as employees of the CITY. CONTRACTOR and CITY expressly intend and agree that the status of CONTRACTOR, its officers, agents and employees be that of an Independent Contractor and not that of an employee of CITY. 17. ENTIRE AGREEMENT -- AMENDMENTS. A. The terms and conditions of this Agreement, all exhibits attached, and all documents expressly incorporated by reference, represent the entire Agreement of the parties with respect to the subject matter of this Agreement. B. This written Agreement shall supersede any and all prior agreements, oral or written, regarding the subject matter between the CONTRACTOR and the CITY. C. No other agreement, promise or statement, written or oral, relating to the subject matter of this Agreement, shall be valid or binding, except by way of a written amendment to this Agreement. D. The terms and conditions of this Agreement shall not be altered or modified except by a written amendment to this Agreement signed by the CONTRACTOR and the CITY. E. If any conflicts arise between the terms and conditions of this Agreement, and the terms and conditions of the attached exhibits or the doc.uments expressly incorporated by reference, the terms and conditions of this Agreement shall control. 18. SET-OFF AGAINST DEBTS. CONTRACTOR agrees that CITY may deduct from any payment due to CONTRACTOR under this Agreement, any monies which CONTRACTOR owes CITY under any ordinance, agreement, contract or resolution for any unpaid taxes, fees, licenses, assessments, unpaid checks or other amounts. 19. WAIVERS. The waiver by either party of any breach or violation of any term, covenant or condition of this Agreement, or of any ordinance, law or regulation, shall not be deemed to be a waiver of any Rev. date: 1/30/14 7 other term, covenant, condition, ordinance, law or regulation, or of any subsequent breach or violation of the same or other term, covenant, condition, ordinance, law or regulation. The subsequent acceptance by either party of any fee, performance, or other consideration which may become due or owing under this Agreement, shall not be deemed to be a waiver of any preceding breach or violation by the other party of any term, condition, covenant of this Agreement or any applicable law, ordinance orregulation. 20. COSTS AND ATTORNEY'S FEES. The prevailing party in any action brought to enforce the terms and conditions of this Agreement, or arising out of the performance of this Agreement, may recover its reasonable costs (including claims administration) and attorney's fees expended in connection with such action. 21. CITY BUSINESS LICENSE / OTHER TAXES. CONTRACTOR shall obtain and maintain during the duration of this Agreement, a CITY business license as required by the San Rafael Municipal Code CONTRACTOR shall pay any and all state and federal taxes and any other applicable taxes. CITY shall not be required to pay for any work performed under this Agreement, until CONTRACTOR has provided CITY with a completed Internal Revenue Service Form W-9 (Request for Taxpayer Identification Number and Certification). 22. APPLICABLE LAW. The laws of the State of California shall govern thisAgreement. IN WITNESS WHEREOF, the parties have executed this Agreement as of the day, month and year first above written. CITY OF SAN RAFAEL NANCY MACKLE, City Manager ATTEST: /Z 5'tk�jz C - 9.. SPL c ESTHER C. BEIRNE, City Clerk Rev. date: 1/30/14 8 CONTRACTOR Name: 04. r Ie- t V? -e. d Title: C EL APPROVED AS TO FORM: -f-- e: -- ROBERT F. EPSTEIN, City Attorney Rev. date: 1/30/14 PROFESSIONAL SERVICES AGREEMENT/CONTRACT COMPLETION CHECKLIST AND ROUTING SLIP Below is the process for getting your professional services agreements/contracts finalized and executed. Please attach this "Completion Checklist and Routing Slip" to the front of your contract as you circulate it for review and signatures. Please use this form for all professional services agreements/contracts (not just those requiring City Council approval). This process should occur in the order presented below. Step Responsible Description Completion Department Date 1 City Attorney Review, revise, and comment on draft agreement. C / i _-/3 2 Contracting Department Forward final agreement to contractor for is their signature. Obtain at least two signedil originals from contractor. 3 Contracting Department Agendize contractor -signed agreement for Council approval, if Council approval necessary (as defined by City Attorney/City Ordinance*). 4 City Attorney Review and approve form of agreement; e", 11-4sy bonds, and insurance certificates and endorsements. 5 City Manager / Mayor / or Agreement executed by Council authoriz d '4J[ Department Head official. 6 City Clerk City Clerk attests signatures, retains 6riginal �g agreement and forwards copies to the I t}`fit contracting department. To be completed by Contracting Department: Project Manager: -3-vnr\ ry\yher5 Project Name: pnyrrv,,,j !Nc-k� Agendized for City Council Meeting of (if necessary): r 1 or If you have questions on this process, please contact the City Attorney's Office at 485-3080. * Council approval is required if contract is over $20,000 on a cumulative basis. c o k - ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYW) 2/6/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONAME:T CT Lauren Merkel PH0IAIC.N o E -2 -9090 AA/C Nol:404-261-5440 Pritchard & Jerden, Inc. 950 East Paces Ferry Road, NE Suite 2000 a oRlL eke s co INSURERS AFFORDING COVERAGE NAIC # ATLANTA GA 30326 INSURERA:LLOYDS OF LONDON33634 CLAIMS -MADE OCCUR INSURED PARMO-1 INSURER 8: INSURERC: Parkmobile, LLC; Parmobile USA, Inc; Parkmobile International, BV; Parkmobile International Holdin Holdings, BV 3200 Cobb Galleria Parkway Suite 100 INSURER D'. INSURER E INSURER F: Atlanta GA 30339 COVERAGES CERTIFICATE NUMBER: 451611008 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1400 Fifth Avenue INSR ADDL S 8R POLICY EFF POLICY EXP P. O. Box 151560 TYPE OF INSURANCE LTR INSR WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ POLICYPRO LOC $ AUTOMOBILE LIABILITY Ea accident ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB=OCCUR EACH OCCURRENCE $ EXCESS LIAB AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN r ANY PROPRIETORIPARTNER/EXECUTIVE❑ E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Cyber/Professional N N ASC14C001460 1/20/2015 /20/2016 Each Claim $5,000,000 Aggregate $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) There is a 10 day notice of cancellation in favor of City of San Rafael on the professional liability policy. FEB 10 209 Time: City Clerk's Office afael CERTIFICATE HOLDER CANCELLATION ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of San Rafael ACCORDANCE WITH THE POLICY PROVISIONS. 1400 Fifth Avenue P. O. Box 151560 San Rafael CA 94915-1560 AUTHORIZED REPRESENTATIVE !.� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ,acoRo® CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDDNYYY) F12/23/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Daly Merritt Insurance 100 Maple Wyandotte MI 48192 CONTACT Cath Stannis-REP NAME: y PHONE (734)283-1400 , No:(734)283-1197 E-MAIL s: Cathy. Stannis@dalymerritt.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Travelers Prop Cas Co of Am INSURED Parkmobile USA, Inc. 3200 Cobb Galleria Parkway Suite 100 Atlanta GA 30339 INSURERB:Phoenix Insurance Company 5674 INSURERC:Indian Harbor Insurance CO an INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:CL144906727 REVISION NUMRER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL7R TYPE OF INSURANCE ADO 1UL. BR Ma POLICY NUMBER POLICY EFF MMNDY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_x1 OCCUR ZLP14R175641415 /23/2014 /23/2015 DAMAGE O R NTED 300 000 PREMISES Ea occurrence S r MED EXP (Any one person) S 10,000 PERSONAL 8 ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS - COMP/OP AGG S 2,000,000 X POLICY PRO LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) S B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 7B11284513 4/23/2014 /23/2015. BODILY INJURY (Per accident) 5 X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE S Per accident Hired Physical Damage S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 2,000,000 AGGREGATE S 2,000,000 A EXCESS LIAR CLAIMS -MADE DED I X I RETENTIONS 10,00C S ZUP141R1758813115 /23/2014 /23/2015 WORKERS COMPENSATIONWC STATU- I OTH- TRY AND EMPLOYERS' LIABILITY Y / NLIM ANY PROPRIETOR/PARTNER[EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? F—] N I A ER_ EACH ACCIDENT $ E.L DISEASE - EA EMPLOYE S (Mandatory In NH) it yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S C Cyber 14TP003399802 1/20/2014 /20/2015 Limit 2,000,000 Professional Liability Limit 4,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) City of San Rafael, its officers, agents, employees and volunteers are listed as additional insured with respects to the General Liability as required by written contract on a primary and non contributory basis. 10 days notice of cancellation afforded. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn95 r7mnnsi m Thn ernvn nmmn en.1 Inn.. ere —mato-- m 11ra of hf`n!Pn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of San Rafael ACCORDANCE WITH THE POLICY PROVISIONS. 1400 Fifth Avenue AUTHORIZED REPRESENTATIVE P.O. BOX 151560 San Rafael, CA 94915-1560 Kyle O'Malley/STANNI ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn95 r7mnnsi m Thn ernvn nmmn en.1 Inn.. ere —mato-- m 11ra of hf`n!Pn ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYYI CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 2/4/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: ,,,,,,,..... rED_..I � )... Pritchard & PHONE 4-2$$-3090_ rL Neh404-261,5440 950 East Paces Ferry Road, NE Paces y _m _ _._ ....m m E-MAIL Suite 2000 ADDRESS: ATLANTA GA 30326 INSURERtS1 AFFORDING COVERAGE NAIC # . -- NAIC POLICY.... PRO.. !, LOC A: Ce .I,J_ nderw ift. ..._ ..-.. ..., ¢ ........ INSURED PARMO-1 INSURER B: Parkmobile, LLC; Parmobile USA, Inc; Parkmobile INSURER C: International, BV; Parkmobile International Holdin BODILY INJURY (Per person) $ Holdings, BV INSURERD: ----- tw_ 3200 Cobb Galleria Parkway Suite 100 INSURER E: Atlanta GA 30339 INSURER F: COVERAGES CERTIFICATE NUMBER: 1484671359 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ...,. ...... _...... EFF EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDY MMIDDI LIMITS GENERAL LIABILITY EACH OCCURRENCE S AUTHORIZED REPRESENTATIVE r DAMAGE TORENTED 'COMMERCIAL GENERAL LIABILITY +.- ,,..,,. _..., PREMISES jE.a occunenc $ ,,, .. w. m. CLAIMS -MADE OCCUR MED EXP (Any one person) I $ I PERSONAL. & ADV INJURY $ 11111111-11 GENERAL AGGREGATE �. S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPfOP AGG + $ POLICY.... PRO.. !, LOC ..., ... ,,. S ...., ,. AUTOMOBILE LIABILITY COMBIKED SI NGLE LIMIT LEa,. ANY AUTO BODILY INJURY (Per person) $ ALL OWNED " SCHEDULED ,... AUTOS;, AUTOS BODILY INJURY (Per accident) $ 'NON -OWNED PROPERTY DAMAGE $ ..a HIRED AUTOS _( AUTOS LPer accidents $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _.... EXCESS LIAB a 1 CLAIMS•MADE� AGGREGATE $ DED RETENTION $ _ $ WORKERS COMPENSATIONmm WC STATU- '.OTH- AND EMPLOYERS' LIABILITY Y / N .. _..... TQRY.LIMff.a �.M i ANY PROPRIETORJPARTNERIEXECUTME N / A E.L. EACH ACCIDENT $ - -- - (( - OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEEv $ If yes, describe under ..... .... DESCRIPTION OF OPERATIONS below j E.L. DISEASE - POLICY LIMIT, $ A ProfessionaPLiability IN N IASC14C001460 1/20/2015 41/20/2016 Each Claim $5,000,000 Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) There is a 10 day notice of cancellation in favor of City of San Rafael on the professional liability policy. CERTIFICATE HOLDER CANCELLATION ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of San Rafael ACCORDANCE WITH THE POLICY PROVISIONS. 1400 Fifth Avenue P. O. Box 151560 AUTHORIZED REPRESENTATIVE San Rafael CA 94915-1560 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD --,-N ® DATE (MMODD/YYYY' ACORO CERTIFICATE OF LIABILITY INSURANCE 0115;2015 , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). Aon Risk Services Northeast, Inc. New York NY Office 199 Water Street New York, NY 10038-3551 TriNet HR Corporation and all its affiliates and Subsidiaries' Labor Contractor for Farkmobile, LLC 900 own Center Parkway Bradenton, FL 34202 NAME: Risk ADDRESS: wark.com @hinet cam POLICY INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Commerce & Industry Ins Co 19410 INSURER B: Illinois National Ins Co 23817 INSURER C: Ins Co State of Penn 19429 INSURER I]: Nat'l Union Fire Ins Co of Pittsburgh, PA 19445 INSURER E: New Hampshire Ins Co 23841 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: _ ... .. .. PHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ,ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, XCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as reques INSR `. TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR j } INSR j WVD I MMt� DD9YYYYMMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL. LIABILITY DAMAGE TO RENTED PREMISES (Ea accu"ma) $ V CLAIMS -MADE. OCCUR MED EXP (hey ani persany $ PERSONAL & ADV INJURY $ ''.. GEN'L AGGREGATE LIMIT APPLIES PERT POLICY PROJECTLOC AUTOMOBILE LIABILITY ANY AUTO _ '.. ALL OWNED SCHEDULED .AUTOS AUTOS NON OWNED HIRED AUTOS j.... L ...,. AUTOS UMBRELLA LIAR OCCUR EXCESS LIAR CLAIMS MADE DED RETENTION $ B 'WORKERS COMPENSATION � `AND EMPLOYERS' LIABILITY Y I N X ANY PROPRIVORtPARTNERIEXECUTNE E OFNCER!MEMBER EXCLUDED? N I A E (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below 060324470 (AZ) 07/01/2014 ' 07/01/2015. 9 CA) :0913/2014 d .07/01/2015 33067 07/01/2014 07/01/2015 060334260 (PA) 09/22/2014 07/01/2015 PRODUCTS-COMROP AGG $ C M INE° SINGLE LIMIT IEach accident}.___._........._ .................... $ BODILY INJURY IPer personl $ BODILY INJURY (Per accident), $ PROPERTY DAMAGE (Per accYdenty $ EACH OCCURRENCE $ AGGREGATE $ WC STATIJ- OTH- ^'� TORY LIMITS ER rEmL LACH ACCIDENT $2,000,000 IE LDISEASE EA EMPLOYEE $2,000,000 E . DISEASE POLICY LIMIT $2,000,000 See attached Waiver of Subrogation In favor of certificate holder OF OPERATIONS! LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required): 970J / DGT TriNet HR II, Inc. and TriNet HR V, Inc. CERTIFICATE HOLDER City of San Rafael 1400 Fifth Avenue P.O. Box 151560 San Rafael, CA 94915-1560 name ana Joao are CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Aon Risk Services Northeast, Inc. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/2Y) ACO/eO 01115/2015P1s/015ols THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ALL OWNED NAME: Risk Management Department Aon Risk Services Northeast, Inc. PHONE FAX New York NY Office (A/C, No, Ext): 866 443-8489 (A/C, No): 800) 889-0021 ADDRESS: work.com @Innel.com 199 Water Street I PROPERTY DAMAGE i New York, NY 10038-3551 .. I IPer accldentl INSURER(S) AFFORDING COVERAGE NAIC # INSURED TriNet HR Corporation and all its affiliates and subsidiaries' Parkmobile, LLC (Endorsed as alternate employer) 9000 Town Center Parkway Bradenton, FL 34202 INSURER A: Commerce & Industry Ins Co 19410 INSURER B: Illinois National Ins Co 23817 INSURER C: Ins Co State of Penn 19426 INSURER D: NaCl Union Fire Ins Co of Pittsburgh, PA 19445 INSURER E: New Hampshire Ins Co 23841 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE'LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR POLICY EFF POLICY EXP TYPE OF INSURANCE POLICY NUMBER LIMITS LTR GENERAL LIABILITY_ ._..-.. INSR WVD t EACH OCCURRENCE $ f ) DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occur —) $ i CLAIMS MADE 1. OCCUR I 1 MED EXP IAny one person) $ 1 f I PERSONAL. & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG AUTOMOBILE LIABILITY I Each accident L ANY AUTO BODILY INJURY IPer ALL OWNED ISCHEDULED BODILY INJURY IPer J AUTOS d AUTOS awedent ____. HIRED AUTOS NON-OWNEDI I PROPERTY DAMAGE i i AUTOS .. I IPer accldentl UMBRELLA LIAB OCCUR EXCESS LIAR CLAIMS MADE WORKDED RETENTION $ A.. -ERS COMPENSATION E AND EMPLOYERS' LIABILITY Y N XANY PROPRIETORPARTNER'EXECUTIVE E OFrICERdMEMBER EXCLUDED? N / A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 060324204 (FL) 10/31/2014 ' 07/01/2015 � XWCStATu- 060324205 (GA) 07/01/2014 07/01/2015 TORYLIMITS 060324214 (MI) 07/01/2014 07/01/2015 E t._ EACH AccIDE E.. L. DISEASE -POLICY LIMIT i See attached Waiver of Subrogation In '.. favor of certificate holder ;DESCRIPTION OF OPERATIONS / LOCATIONS ,+ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required): 97QJ / DGT TriNet HR II, Inc. and TriNet HR V, Inc. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of San Rafael BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE 1400 Fifth Avenue DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 151560 AUTHORIZED REPRESENTATIVE San Rafael, CA 94915-1560 Aon Risk Services Northeast, Inc. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ®1988-2010 ACORD CORPORATION. All rights reserved. 00 ® CERTIFICATE OF LIABILITY INSURANCE DATE(M5/2015YYY' ACORO out.rzols THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Risk Man a ement De artment Aon Risk Services Northeast, Ince PHONE Fax New York NY Office (AIC, No, Ext): (866) 443-a4B9 (,vc, No): (eao) ees-ooze M -KE199 Water Street ADDRESS: work.com @tdnelcam New York, NY 10038-3551 TriNet HR Corporation and all its affiliates and subsidiaries' Labor Contractor for Parkmobile, LLC 9000 Town Center Parkway Bradenton, FL 34202 INSURER A: Commerce & Industry Ins Co 19410 INSURER B: Illinois National Ins Co 23817 INSURER C: Ins Co State of Penn 19429 INSURER D: Nat'l Union Fire Ins Co of Pittsburgh, PA 19445 INSURER E: New Hampshire Ins Co 23841 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: HIS lS TO CERTIFY THAT THE. POLICIES OF INSURANCE LISTED BELOW HAVE. BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR .._ ..... __.. ...i INSR-.-„...WVD T._... ....... (MMIDDIYYYY).....I (MM(DD(YYYY) ...... ................ .. _ . _._. .,. ,.. GENERAL LIABILITY EACH OCCURRENCE $ ,..... t ..,,.......-__...._.._.._-. _ ...... _. ......... DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Eanccunencel $ CLAIMS -MADE OCCUR MED EXPIAny une persany $ 1 PERSONAL & ADV INJURY $ . GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMRIOP AGG $ a ;POLICY PROJECT , jLOC AUTOMOBILE LIABILITY G MO BINE061NGLE t.9MYT"�' (Each accident) $ ANY AUTO BODILY INJURY IPer ersran) $ ALL, OWNED ISCHEDUL.ED BODILY INJURY IPer AUTOS ! ! AUTOS r accident) $ NON OWNED HIRED AUTOS PROPERTY DAMAGE i AUTOS ''. i6Per alcEd9p!P $ UMBRELLA LIAR - OCCUR !EACH OCCUflflENCE $ EXCESS LIAR ! ;CLAIMS MADELl (AGGREGATE '$ $__, I- mm —,3-4-WWWWwKERS COMPENSATION 060324470 (A7) ,.... 'f4 07/01 /2014 ......., .. /0VyCSTATU OTH 07/01 /2015 �( AND EMPLOYERS' LIABILITY YIN D -+ X 060334519 (CA) 10/31`2014 TORY LIMITS ER 07/01/2015 ANY PROPRIETORIPARTNER/EXECUTIVE E OPPICERVEMBER EXCLUDED? N I A 060330671 (NY) 07/0112014 $2,000„000' 07/01/2015 C_E L. EACH AccIDENT NH) E (Mandatoryes, 060334260 (PA) ” 09/2262014 07/01/2015 L L DISEASE EA EMPLOYEE $2,0130,000 descrdIn $2,000,000 DESCRIPTION OF OPERATIONS below E.L.. DISEASE -POLICY LIMIT See attached Waiver of Subrogation in favor of certificate holder DESCRIPTION OF OPERATIONS Ir LOCATIONS,, VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space is required): 970J I DGT ” TriNet HR II, Inc. and TriNet HR V, Inc CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of San Rafael BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE 1400 Fifth Avenue DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 151560 AUTHORIZED REPRESENTATIVE San Rafael, CA 94915-1560 Aon Risk Services Northeast, Inc. 25 (2010105) The ACORD name and logo are registered marks of ACORD 0 1 988-201 0 ACORD CORPORATION. All rights reserved. DATE (MM/DD/YYYY) Ro CERTIFICATE OF LIABILITY INSURANCE 01/15/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT COMPIOP AGS NAME: Risk Management Department Aon Risk Services Northeast, Inc. PHONE FAX New York NY Office 199 Water Street (A/C, No, Ext): (866) 443 8489 (AIC, No): (800) 889-0021 ADDRESS: mrk.comp@trinel.com New York, NY 10038-3551 COMBINED SINGLE. LIMIT INSURER(S) AFFORDING COVERAGE NAIC If INSURED TriNet HR Corporation and all its affiliates and subsidiaries' Parkmobile, LLC (Endorsed as alternate employer) 9000 Town Center Parkway INSURER A: Commerce & Industry Ins Co 19410 INSURER B: Illinois National Ins Co 23817 INSURER C: Ins Co Stale of Penn 19429 INSURER D: Nat'l Union Fire Ins Co of Pittsburgh, PA 19445 Bradenton, FL 34202 INSURER E: New Hampshire Ins Co 23841 "BODILY INJURY QPer AUTOS �- - !AUTOS i INSURER F: COVERAGES CERTIFICATE NUMBER: _ REVISION NUMBER: HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR ADDL I SUER POLICY EFF POLICY EXP 4 LTR TYPE OF INSURANCE INSR WVD I POLICY NUMBER IMM/DD/YYYYI (MM/DD/YYYYI OMITS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 1 r 1 I PREMISES QEa aeaerrene CLAIMS MADE OCCUR I MED EXP IAny ane p— ... ..._ ..,. ,... GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: ',PROJECT)LOC I!PRODUCTS COMPIOP AGS POLICY p AUTOMOBILE LIABIUTY ! COMBINED SINGLE. LIMIT f- Each accident,_„_� ANY AUTO BODILY INJURY IPer person) ALL OWNED :SCHEDULED "BODILY INJURY QPer AUTOS �- - !AUTOS i acc¢dentd �... _,......_. . ..........._.._._..,........ , HIRED AUTOS ' NOWOWNED PROPERTY DAMAGE AUTOS _. .)......_.... _...y. ,......... , . +..--- -------- �. ” 'UMBRELLA LIAB OCCUR._.._...... EACH OCCURRENCE EXCESS UAB CLAIMS MADE AGGREGATE DED $ _RETENTION A WORKERS COMPENSATION _ 060324204 (FL) _ ' 10/31!2014 07/01/2015 WC STATU- OTF X .. AND EMPLOYERS'LIABILITY YIN, .' E r X 060324205 (GA) 07/01/2014 07/01/2015 TORY LIMITS ER ANY PROPRIETORPARTNEWEXFCUTIVE E OFFICERIMEMBER FALUDED1 N r A i 060324214 (MI) 07/0112014 07/01/2015 E L. EACH ACCIDENT (Mandatory In NH) - E.L.DISEASE-EA EMPLOYEE U yes, describe under .. ... DESCRIPTION OF OPERATIONS belowE.L DISEASE -POLICY LIMIT See attached Waiver of Subrogation in '.. favor of certificate holder DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required): 97QJ I DGT TriNet HR II, Inc. and TriNet HR V, Inc. CERTIFICATE HOLDER City of San Rafael 1400 Fifth Avenue P.O. Box 151560 San Rafael, CA 94915-1560 name and logo are CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Aon Risk Services Northeast, Inc. CI CW A01 1011 CERTIFICATE OF INSURANCE This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Certificate Holder. CITY OF SAN RAFAEL PO BOX 151560 SAN RAFAEL, CA 94915 Named Insured: MURRAY BUILDING INC PO BOX 2201 SONOMA, CA 95476-2201 Automobile Liability Insurer Name: Allstate Insurance Company Poli Number. 648570929 1 —Any Auto 2 — Owned Autos Only 3 — Owned Priv. Pass. Autos Only 4 — Owned Autos Other Than Priv. 5 — Owned Autos Subject to No 6 — Owned Autos Subject to a Compulsory UM Law Pass. Autos Only Fault 7 — SDecificallv Described Autos 8 — Hired Autos Only X 9 — Nonowned Autos Only Policy Effective Date: 12/15/2014 Policy Expiration Date: 12/15/2015 Limits of $2,000,000 Combined Single Limit (each accident) Insurance: BI Per Person BI Per Accident PD Per Accident Description of Operations/Locations/Vehicles/Endorsements/Special Provisions CERTIFICATE HOLDER IS ADDITIONAL INSURED PER ENDORSEMENT AACW201011 TERRA LINDA POOL HOUSE RENOVATION 670 DEL GANADO RD SAN RAFAEL, CA 94915 Interested Party Type: Arl)[7T"1''IGN L:1'1y1S UTtt:,ID THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. Cancellation In the event of cancellation of any policy described above, the insurer will attempt to mail 0 days written notice to the certificate holder prior to the effective date of cancellation. However, failure to do so will not impose any duty or liability upon the insurer, its agents or representatives, nor will it delay cancellation. Producer. LEHR rNSURANCFt AGCY 12/31/2014 Authorized Representative:Date: CI CW A01 1011 Includes copyrighted material of Insurance Services Office, Inc., with its permission Allstate Insurance Company certificate Copy Page 1 of 1 M W Aw0 s TRAVELERS) U N O a Ln r v N O 0 U 0 w fid COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS One Tower Square, Hartford, Connecticut 06183 POLICY NO.: ZLP-14R17564-14-15 ISSUE DATE: 05/02/14 INSURING COMPANY: TRAVELERS PROP CASUALTY CO OF AMERICA DECLARATIONS PERIOD; From 04/23/14 to 04/23/15 12:01 A.M. Standard Time at your mailing address shown in the Common Policy Declarations. The Commercial General Liability Coverage Part consists of these Declarations and the Coverage Form shown below. 1. COVERAGE AND LIMITS OF INSURANCE: COMMERCIAL GENERAL LIABILITY COVERAGE FORM General Aggregate Limit (Other than Products -Completed Operations) Products -Completed Operations Aggregate Limit Personal & Advertising Injury Limit Each Occurrence Limit Damage To Premises Rented to You Limit (any one premises) Medical Expense Limit (any one person) 2. AUDIT PERIOD: ANNUAL 3. FORM OF BUSINESS: CORPORATION LIMITS OF INSURANCE $2,000,000 $2,000,000 $1,000,000 $1,000,000 $300,000 $10,000 4. NUMBERS OF FORMS, SCHEDULES AND ENDORSEMENTS FORMING PART OF THIS COVERAGE PART ARE ATTACHED AS A SEPARATE LISTING. SEE IL T8 01. COMMERCIAL GENERAL LIABILITY COVERAGE IS SUBJECT TO A GENERAL AGGREGATE LIMIT PRODUCER: DALY-MERRITT INC rr, TO Al 11 M OFFICE: TAMPA Paan 1 nf 1 TRAVELERS JM POLICY NUMBER: ZLP-14817564-14-15 EFFECTIVE DATE: 04/23/14 ISSUE DATE: 05/02/14 LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS This listing shows the number of forms, schedules and endorsements by line of business. IL T8 01 10 93 IL TO 02 11 89 IL T3 18 05 11 IL TO 03 04 96 IL T3 68 05 10 IL 00 21 09 08 IL T9 16 09 07 IL T3 76 10 10 PROPERTY IL T3 79 01 08 DX TO 00 11 12 DX 00 04 11 12 DX T1 00 11 12 DX T1 01 11 12 DX T4 15 11 12 DX T4 16 11 12 DX T4 17 11 12 DX T3 59 03 98 DX T3 79 11 12 DX T4 02 01 08 DX 01 94 11 12 DX T3 98 04 02 FORKS, ENDORSEMENTS AND SCHEDULE NUMBERS COMMON POLICY DECLARATIONS COMMON POLICY CONDITIONS - DELUXE LOCATION SCHEDULE FEDERAL TERRORISM RISK INSURANCE ACT DISCLOSURE NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT GEORGIA CHANGES - CANCELLATION AND NONRENEWAL CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM DELUXE PROPERTY COVERAGE PART DECLARATIONS TABLE OF CONTENTS DELUXE PROPERTY COVERAGE FORM DELUXE BUSINESS INCOME (AND EXTRA EXPENSE) COVERAGE FORM CRIME ADDITIONAL COVERAGES TECHNOLOGY INDUSTRY DIRECT DAMAGE AND CAUSE OF LOSS EXTENSIONS TECHNOLOGY INDUSTRY BUSINESS INCOME AND EXTRA EXPENSE EXTENSIONS SELLING PRICE - STOCK HELD FOR SALE LOSS PAYABLE PROVISIONS TERRORISM RISK INSURANCE ACT OF 2002 DISCLOSURE GEORGIA CHANGES ELECTRONIC VANDALISM LIMITATION ENDORSEMENT COMMERCIAL GENERAL LIABILITY CG 21 70 01 08 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM CG TO 01 11 03 COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS CG T1 01 07 86 EMPLOYEE BENEFIT LIABILITY COVERAGE FORM CG TO 07 09 87 DECLARATIONS PREMIUM SCHEDULE CG TO 08 11 03 KEY TO DECLARATIONS PREMIUM SCHEDULE CG TO 09 09 93 EMPLOYEE BENEFITS LIABILITY COVERAGE PART DECLARATIONS CG TO 34 11 03 TABLE OF CONTENTS COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG 00 01 10 01 CG 00 01 10 01 COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG D2 55 11 03 AMENDMENT OF COVERAGE - POLLUTION CG D4 19 07 08 AMENDMENT OF PROPERTY DAMAGE DEFINITION CG D4 20 07 08 AMENDMENT - OTHER INSURANCE CONDITION & MEANING OF OTHER INSURANCE, OTHER INSURER AND INSURER CG D4 22 07 08 AMENDMENT OF SUPPLEMENTARY PAYMENTS - TAXED COSTS AND APPEAL BONDS CG D4 25 07 08 OTHER INSURANCE - ADDITIONAL INSUREDS - PRIMARY AND NON-CONTRIBUTORY WITH RESPECT TO CERTAIN OTHER INSURANCE CG D4 37 07 08 AMENDMENT OF COVERAGE B - LIMITED PERSONAL AND ADVERTISING INJURY LIABILITY - TECHNOLOGY CG D2 03 12 97 AMENDMENT - NON CUMULATION OF EACH OCCURRENCE LIMIT OF LIABILITY AND NON CUMULATION OF PERSONAL & ADVERTISING INJURY LIM �XG D4 17 01 12 TECHNOLOGY XTEND ENDORSEMENT CG D2 43 01 02 FUNGI OR BACTERIA EXCLUSION CG D2 88 11 03 EMPLOYMENT-RELATED PRACTICES EXCLUSION CG D3 26 10 11 EXCLUSION - UNSOLICITED COMMUNICATION CG D3 56 01 05 MOBILE EQUIPMENT REDEFINED EXCLUSION OF VEHICLES SUBJECT TO MOTOR VEHICLE LAWS CG D4 21 07 08 AMENDMENT OF CONTRACTUAL LIABILITY EXCLUSION -EXCEPTION FOR DAMAGES ASSUMED IN AN INSURED CONTRACT APPLIES ONLY TO NAMED CG D1 42 01 99 EXCLUSION - DISCRIMINATION CG D2 42 01 02 EXCLUSION - WAR CG T4 78 02 90 EXCLUSION - ASBESTOS CG TO 43 11 88 TABLE OF CONTENTS EMPLOYEE BENEFITS LIABILITY COVERAGE FORM CG T1 01 CLAIMS MADE CG DO 38 03 95 EXCLUSION - IRC VIOLATIONS CG T4 85 11 88 ADDITIONAL EXCLUSION - EMPLOYEE BENEFITS LIABILITY CG D4 09 04 08 AMENDMENT OF BODILY INJURY DEFINITION CG D4 13 04 08 AMENDMENT OF COVERAGE - POLLUTION - COOLING, DEHUMIDIFYING AND WATER HEATING EQUIPMENT EXCEPTION CG D6 18 10 11 EXCLUSION - VIOLATION OF CONSUMER FINANCIAL PROTECTION LAWS CG T5 30 06 89 AMENDMENT - EMPLOYEE BENEFITS LIABILITY Page 2 of 2. IL T8 01 10 93 m co o COMMERCIAL GENERAL LIABILITY 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TECHNOLOGY XTEND ENDORSEMENT _ This endorsement modifies insurance provided under the following: $ COMMERCIAL GENERAL LIABILITY COVERAGE PART t. V UP r v N 0 0 U 0 GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. However, cover- age for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Reasonable Force Property Damage - Exception To Expected Or Intended In- jury Exclusion B. Non -Owned Watercraft Less Than 75 Feet C. Aircraft Chartered With Pilot D. Damage To Premises Rented To You E. Increased Supplementary Payments F. Who Is An Insured - Employees And Volunteer Workers - First Aid G. Who Is An Insured - Employees - Su= pervisory Positions H, Who Is An Insured - Newly Acquired Or Formed Organizations 1. Blanket Additional Insured - Owners, Managers Or Lessors Of Premises PROVISIONS A. REASONABLE FORCE PROPERTY DAMAGE — EXCEPTION TO EXPECTED OR INTENDED INJURY EXCLUSION J. Blanket Additional Insured - Lessors Of Leased Equipment K. Blanket Additional Organizations For tions As Required Or Agreement Insured - Persons Or Your Ongoing Opera - By Written Contract L Blanket Additional Insured - Broad Form Vendors M. Who Is An Insured - Unnamed Subsidi- aries N. Who Is An Insured - Liability For Con- duct Of Unnamed Partnerships Or Joint Ventures 0. Medical Payments - Increased limits p, Contractual Liability - Railroads 0. Knowledge And Notice Of Occurrence Or Offense R. Unintentional Omission The following replaces Exclusion a., Ex— pected Or Intended Injury, in Paragraph 2., B. of SECTION I — COVERAGES — COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: a. Expected Or Intended Injury Or Damage "Bodily injury" or "property dam- S. Blanket Waiver Of Subrogation age" expected or intended from the standpoint of the insured. This exclu- sion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect any person or property. NON—OWNED WATERCRAFT LESS THAN 75 FEET The following replaces Paragraph (2) of Exclusion g., Aircraft. Auto Or Watercraft, in Paragraph 2. of SECTION 1 — COVERAGES — COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: (_C; r)d 17 01 12 9% '2nl'J 'M- All .;-k.- ----...-a Pana 1 of A (2) A watercraft you do not own that is: (a) Less than 75 feet long; and (b) Not being used to carry any per- son or property for a charge. C. AIRCRAFT CHARTERED WITH PILOT The following is added to Exclusion g., Aircraft, Auto Or Watercraft, in Paragraph 2. of SECTION I - COVERAGES - COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: This exclusion does not apply to an aircraft that is: (a) Chartered with a pilot to any in- sured; (b) Not owned by any insured; and (c) Not being used to carry any person or property for a charge. 0. DAMAGE TO PREMISES RENTED TO YOU 1. The first paragraph of the excep- tions in Exclusion j., Damage To Property, in Paragraph 2. of SECTION I - COVERAGES - COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY is deleted. 2. The following replaces the last paragraph of Paragraph 2., Exclu- sions, of SECTION 1 - COVERAGES - COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: Exclusions c., g. and h., and Para- graphs (1), (3) and (4) of Exclusion j., do not applyy to "premises damage". Exclusion f.11)(a) does not apply to "premises damage" caused by fire unless Exclusion f. of Section I - Coverage A - Bodily Injury And Property Damage Liability is re- placed by another endorsement to this Coverage Part that has Exclu- sion - All Pollution Injury Or Dam- age or Total Pollution Exclusion in its title. A separate limit of insur- ance applies to "premises damage" as described in Paragraph 6. of Sec- tion III - Limits Of Insurance. 3. The following replaces Paragraph 6. of SECTION III - LIMITS OF INSURANCE: a The amount shown for the Damage To Premises Rented To You Limit on the Declarations of this Coverage Part; or b. $300,000 if no amount is shown for the Damage To Premises Rented To You Limit on the Declarations of this Coverage Part. 4. The following replaces Paragraph a. of the definition of "insured contract" in the DEFINITIONS Section: a A contract for a lease of premises. However, that portion of the con- tract for a lease of premises that indemnifies any person or organiza- tion for "premises damage" is not an "insured contract"; 5. The following is added to the DEFINITIONS Section: "Premises damage" means "property damage" to: a Any premises while rented to you or temporarily occupied by you with permission of the owner; or b. The contents of any premises while such premises is rented to you, if you rent such premises for a pe- riod of seven or fewer consecutive days. 6. The following replaces Paragraph 41.(10) of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: (b) That is insurance for "premises damage"; or 7. Paragraph 4.b.0)(c) of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is deleted. E. INCREASED SUPPLEMENTARY PAYMENTS 1. The following replaces Paragraph 111. of SUPPLEMENTARY PAYMENTS - COVERAGES A AND B of SECTION I - COVERAGES: b. Up to $2,500 for cost of bail bonds required because of acci- dents or traffic law violations aris- ing out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 6. Subject to 5. above, the Damage 2. The following replaces Paragraph 1.d. To Premises Rented To You of SUPPLEMENTARY PAYMENTS - Limit is the most we will pay COVERAGES A AND B of SECTION I - under Coverage A for damages COVERAGES: because of "premises damage" to any one premises. d All reasonable expenses incurred by The Damage To Premises Rented the insured at our request to assist g us in the investigation or defense To You Limit will be: Page 2 of 6 0 2012 The Travelers Indemnity Company. All rights reserved. CG D4 17 01 12 W C0 to O U U t� U) n N IT to In r oc N 0 0 U O of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. F. WHO IS AN INSURED - EMPLOYEES AND VOLUNTEER WORKERS - FIRST AID 1. The following is added to the defi- nition of "occurrence" in the DEFINITIONS Section: Unless you are in the business or occupation of providing professional health care services, "occurrence" also means an act or omission committed by any of your "em- ployees" or "volunteer workers", other than an employed or volunteer doctor, in providing or failing to provide first aid or "Good Samari- tan services" to a person. 2. The following is added to Paragraph 2.0) of SECTION 11 - WHO IS AN INSURED: Unless you are in the business or occupation of providing professional health care services, Paragraphs (1 )(a), (b), (c) and (d) above do not ap- ply to "bodily injury" arising out of providing or failing to provide first aid or "Good Samaritan services" by any of your "employees" or "volunteer workers", other than an employed or volunteer doctor. Any of your "employees" or "volunteer workers" providing or failing to provide first aid or "Good Samari- tan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing duties related to the conduct of your business. 3. The following is added to Paragraph S. of SECTION III - LIMITS OF INSURANCE: For the purposes of determining the applicable Each Occurrence Limit, all related acts or omissions commit- ted by any of your "employees" or "volunteer workers" in providing or failing to provide first aid or "Good Samaritan services" to any one per- son will be deemed to be one "oc- currence". G. WHO IS AN INSURED - EMPLOYEES - SUPERVISORY POSITIONS The following is added to Paragraph 2.0) of SECTION 11 - WHO IS AN INSURED: Paragraphs (1)(a), (b) and (c) above do not apply to "bodily injury" or "personal in- jury" to a co -"employee" in the course of the co -"employee's" employment by you arising out of work by any of your "em- ployees" who hold a supervisory position. H. WHO IS AN INSURED - NEWLY ACQUIRED OR FORMED ORGANIZATIONS The following replaces Paragraph 4. of SECTION II - WHO IS AN INSURED of the Commercial General Liability Coverage Form, and Paragraph 3. of SECTION 11 - WHO IS AN INSURED of the Global Com- panion Commercial General Liability Cov- erage Form, to the extent such coverage forms are part of your policy: Any organization you newly acquire or form, other than a partnership or joint venture, of which you are the sole owner or in which you maintain the majority ownership interest, will qualify as a Named Insured if there is no other insur- ance which provides similar coverage to that organization. However: a Coverage under this provision is af- forded only: (1) Until the 180th day after you ac- quire or form the organization or the and of the policy period, whichever is earlier, if you do not report such organization in writing to us within 180 days after you acquire or form it; or (2) Until the end of the policy period, when that date is later than 180 days after you acquire or form such organization, if you report such organization in writing to us within 180 days after you acquire or form it, and we agree in writing that it will continue to be a Named Insured until the end of the policy period; b. Coverage A does not apply to "bodily injury" or "property damage" that oc- curred before you acquired or formed the organization; and 4. The following is added to the c. Coverage B does not apply to "per„ DEFINITIONS Section: sonal injury or advertising injury arising out of an offense committed "Good Samaritan services" means before you acquired or formed the or - any emergency medical services for ganization. which no compensation is demanded or received. CG D4 17 01 12 0 2012 The Travelers Indemnity Company. All rights reserved. Page 3 of 6 1. BLANKET ADDITIONAL INSURED — OWNERS, MANAGERS OR LESSORS OF PREMISES The following is added to SECTION 11 — WHO IS AN INSURED: Any person or organization that is a premises owner, manager or lessor is an insured, but only with respect to li- ability arising out of the ownership, maintenance or use of that part of any premises leased to you. The insurance provided to such prem- ises owner, manager or lessor does not apply to: a. Any "bodily injury" or "property damage" caused by an "occurrence" that takes place, or "personal in- jury" or "advertising injury" caused by an offense that is committed, after you cease to be a tenant in that premises; or b. Structural alterations, new construc- tion or demolition operations per- formed by or on behalf of such premises owner, manager or lessor. J. BLANKET ADDITIONAL INSURED - LESSORS OF LEASED EQUIPMENT The following is added to SECTION 1F - WHO IS AN INSURED: Any person or organization that is an equipment lessor is an insured, but only with respect to liability for "bodily in- jury", "property damage", "personal in- jury" or "advertising injury" caused, in whole or in part, by your acts or omis- sions in the maintenance, operation or use by you of equipment leased to you by such equipment lessor. The insurance provided to such equipment lessor does not apply to any "bodily in- jury" or "property damage" caused by an "occurrence" that takes place, or "per- sonal injury" or "advertising injury" caused by an offense that is committed, after the equipment lease expires. K. BLANKET ADDITIONAL INSURED - PERSONS OR ORGANIZATIONS FOR YOUR ONGOING OPERATIONS AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that is not otherwise an insured under this Cover- age Part and that you have agreed in a written contract or agreement to in- clude as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily in- jury" or "property damage" that: a Is caused by an "occurrence" that takes place after you have signed Page 4 of 6 and executed that contract or agree- ment; and b. Is caused, in whole or in part, by your acts or omissions in the performance of your ongoing operations to which that contract or agreement applies or the acts or omissions of any person or organization performing such opera- tions on your behalf. The limits of insurance provided to such insured will be the limits which you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. L. BLANKET ADDITIONAL INSURED - BROAD FORM VENDORS The following is added to SECTION 11 — WHO IS AN INSURED: Any person or organization that is a ven- dor and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to li- ability for "bodily injury" or "property damage" that: a Is caused by an "occurrence" that takes place after you have signed and exe- cuted that contract or agreement, and b. Arises out of "your products" which are distributed or sold in the regular course of such vendor's business. The insurance provided to such vendor is subject to the following provisions: a The limits of insurance provided to such vendor will be the limits which you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. b. The insurance provided to such vendor does not apply to: (1) Any express warranty not author- ized by you; (2) Any change in "your products" made by such vendor; (3) Repackaging, unless unpacked solely for the purpose of inspec- tion, demonstration, testing, or the substitution of parts under instruc- tions from the manufacturer, and then repackaged in the original con- tainer; (4) Any failure to make such inspec- tions, adjustments, tests or servic- ing as vendors agree to perform or normally undertake to perform in the regular course of business, in connection with the distribution or sale of "your products"; 0 2012 The Travelers Indemnity Company. All rights reserved. CG D4 17 01 12 M N 0 N IT to U) 0 N 0 0 U 0 (5) Demonstration, installation, ser- vicing or repair operations, ex- cept such operations performed at such vendor's premises in connection with the sale of "your products"; or (6) "Your products" which, after dis- tribution or sale by you, have been labeled or relabeled or used as a container, part or in- gredient of any other thing or substance by or on behalf of such vendor. Coverage under this provision does not apply to: L Any person or organization from whom you have acquired "your products", or any ingredient, part or container entering into, accompany- ing or containing such products; or b. Any vendor for which coverage as an additional insured specifically is scheduled by endorsement. M. WHO IS AN INSURED - UNNAMED SUBSIDIARIES The following is added to SECTION II - WHO IS AN INSURED: rent or past partnership or joint venture that is not shown as a Named Insured in the Declarations. This paragraph does not apply to any such partnership or joint venture that otherwise qualifies as an in- sured under Section If - Who Is An In- sured. 0. MEDICAL PAYMENTS - INCREASED LIMITS The following replaces Paragraph 7. of SECTION 111 - LIMITS OF INSURANCE: 7. Subject to 5. above, the Medical Ex- pense Limit is the most we will pay under Coverage C for all medical ex- penses because of "bodily injury" sus- tained by any one person, and will be the higher of: (a) $10,000; or (b) The amount shown on the Declara- tions of this Coverage Part for Medical Expense Limit. P. CONTRACTUAL LIABILITY - RAILROADS 1. The following replaces Paragraph c. of the definition of "insured contract" in the DEFINITIONS Section: c. Any easement or license agree- ment; Any of your subsidiaries, other than a 2, Paragraph f.(1) of the definition of "in - partnership or joint venture, that is not sured contract" in the DEFINITIONS Sec - shown as a Named Insured in the Dec- tion is deleted. larations is a Named Insured if: a You maintain an ownership interest 0. KNOWLEDGE AND NOTICE OF OCCURRENCE OR of more than 50% in such subsidi- OFFENSE ary on the first day of the policy The following is added to Paragraph 2., period; and Duties In The Event of Occurrence, Offense, b. Such subsidiary is not an insured Claim or Suit, of SECTION IV - COMMERCIAL under similar other insurance. GENERAL LIABILITY CONDITIONS: No such subsidiary is an insured for "bodily injury" or "property damage" that occurred, or "personal injury" or "advertising injury" caused by an of- fense committed: a Before you maintained an ownership interest of more than 50% in such subsidiary; or b. After the date, if any, during the policy period that you no longer maintain an ownership interest of more than 50% in such subsidiary. N. WHO IS AN INSURED - LIABILITY FOR CONDUCT OF UNNAMED PARTNERSHIPS OR JOINT VENTURES The following replaces the last para- graph of SECTION II - WHO IS AN INSURED: No person or organization is an insured with respect to the conduct of any cur- e. The following provisions apply to Paragraph a above, but only for the purposes of the insurance provided under this Coverage Part to you or any insured listed in Paragraph 1. or 2. of Section II - Who Is An Insured: (1) Notice to us of such "occurrence" or offense must be given as soon as practicable only after the "oc- currence" or offense is known to you (if you are an individual), any of your partners or members who is an individual (if you are a part- nership or joint venture), any of your managers who is an individual if you are a limited liability com- pany), any of your trustees who is an individual (if you are a trust), any of your "executive officers" or directors (if you are an organiza- tion other than a partnership, joint venture, limited liability company or trust) or any "employee" author - CIS D4 17 01 12 m 2012 The Travelers Indemnity Company. All rights reserved. Page 5 of 6 ized by you to give notice of an "occurrence" or offense. (2) If you are a partnership, joint venture, limited liability company or trust, and none of your part- ners, joint venture members, managers or trustees are indi- viduals, notice to us of such "occurrence" or offense must be given as soon as practicable only after the "occurrence" or offense is known by: (a) Any individual who is: (i) A partner or member of any partnership or joint venture; (11) A manager of any limited liability company; (ill) A trustee of any trust; or (iv) An executive officer or director of any other or- ganization; that is your partner, joint venture member, manager or trustee; or (b) Any "employee" authorized by such partnership, joint venture, limited liability com- pany, trust or other organiza- tion to give notice of an "occurrence" or offense. (3) Notice to us of such "occur- rence" or offense will be deemed to be given as soon as practicable if it is given in good faith as soon as practicable to your workers' compensation in- surer. This applies only if you subsequently give notice to us of the "occurrence" or offense as soon as practicable after any of the persons described in Paragraphs e. (1) or (2) above discovers that the "occurrence" or offense may result in sums to which the insurance provided under this Coverage Part may apply. However, if this policy includes an en- dorsement that provides limited cover- age for "bodily injury" or "property damage" or pollution costs arising out of a discharge, release or escape of "pollutants" which contains a require- ment that the discharge, release or es- cape of "pollutants" must be reported to us within a specific number of days after its abrupt commencement, this Paragraph e. does not affect that requirement. R. UNINTENTIONAL OMISSION The following is added to Paragraph 6., Representations, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: The unintentional omission of, or uninten- tional error in, any information provided by you which we relied upon in issuing this policy will not prejudice your rights under this insurance. However, this pro- vision does not affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. S. BLANKET WAIVER OF SUBROGATION The following is added to Paragraph B., Transfer Of Rights Of Recovery Against Oth— ers To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If the insured has agreed in a contract or agreement to waive that insured's right of recovery against any person or organiza- tion, we waive our right of recovery against such person or organization, but only for payments we make because of: a. "Bodily injury" or "property damage" caused by an "occurrence" that takes place; or b. "Personal injury" or "advertising in- jury" caused by an offense that is committed; subsequent to the execution of the con- tract or agreement. Page 6 of 6 0 2012 The Travelers Indemnity Company. All rights reserved. CG 04 17 01 12 Ln m W O 0 8 U U 0 0 M n 0 U) W I- n COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE - ADDITIONAL INSUREDS - PRIMARY AND NON-CONTRIBUTORY WITH RESPECT TO CERTAIN OTHER INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Paragraph 4. a., Primary Insurance, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: However, if you specifically agree in a writ- ten contract or agreement that the insurance afforded to an additional insured under this Coverage Part must apply on a primary ba- sis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a CG D4 25 07 08 named insured, and we will not share with that other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought is caused by an "occurrence" that takes place; and (2) The "personal injury" or "advertising in- jury" for which coverage is sought arises out of an offense that is committed; subsequent to the signing and execution of that contract or agreement by you. m 2008 The Travelers Companies, Inc. Page 1 of 1 0 0 N O o� r N v c7 oc v N 0 0 U 0 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FUNGI OR BACTERIA EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2., Exclusions of Section 1 — Coverage A - Bodily Injury And Property Damage: 2. Exclusions This insurance does not apply to: Fungi or Bacteria a b. "Bodily injury" or "property dam- age" which would not have oc- curred, in whole or in part, but for the actual, alleged or threatened inhalation of, ingestion of, contact with, exposure to, existence of, or presence of, any "fungi" or bacte- ria on or within a building or structure, including its contents, regardless of whether any other cause, event, material or product contributed concurrently or in any sequence to such injury or dam- age. Any loss, cost or expenses arising out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or dispos- ing of, or in any way responding to, or assessing the effects of, "fungi" or bacteria, by any insured or by any other person or entity. This exclusion does not apply to any "fungi" or bacteria that are, are on, or are contained in, a good or prod- uct intended for consumption. B. The following exclusion is added to Paragraph 2., Exclusions of Section I — Coverage B — Personal And Advertising In— jury Liability: 2. Exclusions This insurance does not apply to: Fungi or Bacteria a "Personal injury" or "advertising injury" which would not have taken place, in whole or in part, but for the actual, alleged or threatened inhalation of, ingestion of, contact with, exposure to, exis- tence of, or presence of any "fungi" or bacteria on or within a building or structure, including its contents, regardless of whether any other cause, event, material or product contributed concurrently or in any sequence to such injury. b. Any loss, cost or expenses arising out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or dispos- ing of, or in any way responding to, or assessing the effects of, "fungi" or bacteria, by any insured or by any other person or entity. C. The following definition is added to the Definitions Section: "Fungi" means any type or form of fun- gus, including mold or mildew and any mycotoxins, spores, scents or byproducts produced or released by fungi. CG D2 43 01 02 ® 2002 The Travelers Indemnity Comnanv. Page 1 of 1 N N 0 0 m co m Ln r oc v 04 0 0 U R Ate► TRAVELERS J One Tower Square, Hartford, Connecticut 06183 POLICY DECLARATIONS COMMERCIAL EXCESS LIABILITY (UMBRELLA) INSURANCE POLICY POLICY NO: zUP-14817588-14-15 ISSUE DATE: 05/02/14 INSURING COMPANY: TRAVELERS PROPERTY CASUALTY CO. OF AMERICA 1. NAMED INSURED AND MAILING ADDRESS: PARKMOBILE USA, INC. 3200 COBB GALLERIA PARKWAY SUITE 100 ATLANTA GA 30339 2. THE NAMED INSURED IS A ® CORPORATION F-1 SOLE PROPRIETOR ❑ PARTNERSHIP OR JOINT VENTURE [:) OTHER 3. POLICY PERIOD: From 04/23/14 to 04/23/15 Ing address. 4• PREMIUM: $1,912 ® Flat Charge DIRECT BILL 25% AND 5 PAYMENTS 5. LIMITS OF INSURANCE: COVERAGES AGGREGATE LIMITS OF LIABILITY COVERAGE A -Bodily Injury and Property Damage Liability COVERAGE B - Personal and Advertising Injury ttt� Liability $2,000,000 $2,000,000 $2,000,000 $2,000,000 RETAINED LIMIT $10,000 6. SCHEDULE OF UNDERLYING INSURANCE POLICY LIMITS (000 omitted) SEE CG DO 23. 12:01 A.M. Standard Time at your mail - Adjustable (See premium schedule) LIMITS OF LIABILITY Products/Completed Operations Aggregate General Aggregate any one occurrence subject to the Products! Completed Operations and the General Aggregate Limits any one person or organization sub- ject to the General Aggregate Limit of Liability any one occurrence or offense COVERAGE COMPANY 7. On the effective date shown in item 3, the Commercial Excess Liability (Umbrella) Insur- ance Policy numbered above includes this Declarations Page and the Policy Jacket (Form Um 00 76 which contains the Nuclear Energy Liability Exclusion) and any endorsements listed hereafter: SEE IL T8 01. NAME AND ADDRESS OF AGENT OR BROKER COUNTERSIGNED BY: DALY-MERRITT INC 100 MAPLE ST Authorized Representative WYANDOTTE MI 48192 Date: OFFICE: TAMPA CHANGE EFFECTIVE DATE: 04-23-14 AIM TRAVELERS One Tower Square, Hartford, Connecticut 06183 CHANGE ENDORSEMENT Named Insured: PARKMOBILE USA, INC. AND AS PER IL T8 03 Policy Number: BA-7B112845-14rTEC Policy Effective Date: 04/23/14 Issue Date: 6-1/30/15 Premium $ 0 INSURING COMPANY: THE PHOENIX INSURANCE COMPANY Effective from 04/23/14 at the time of day the policy becomes effective. THIS INSURANCE IS AMENDED AS FOLLOWS: THE COMMERCIAL AUTOMOBILE COVERAGE PART IS AMENDED AS FOLLOWS: THE ACTUAL EFFECTIVE DATE OF THIS ENDORSEMENT IS 12/23/2014. ADD DESIGNATED ENTITY: CITY OF SAN RAFAEL THE FOLLOWING FORM(S) AND/OR ENDORSEMENT(S) IS/ARE ADDED TO THE POLICY AS PER FORM(S) ATTACHED: IL T3 54 03 98 NAME AND ADDRESS OF AGENT OR BROKER: DALY-MERRITT INC (WA712) 100 MAPLE ST WYANDOTTE, MI 48192 IL TO 07 09 87 PAGE 1 OF 1 OFFICE: BLUE BELL COUNTERSIGNED BY: Authorized Representative DATE: CHANGE EFFECTIVE DATE: 04-23-14 TRAVELERSJ� POLICY NUMBER: BA -7B112845 -14 -TEC EFFECTIVE DATE: 04-23-14 ISSUE DATE: 01-30-15 LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS BY LINE OF BUSINESS. IL TO 07 09 87 CHANGE ENDORSEMENT IL T8 01 10 93 FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS INTERLINE ENDORSEMENTS IL T3 54 03 98 DESIGNATED ENTITY - NOTICE CANC/NONRENW IL T8 0110 93 PAGE: 1 OF 1 POLICY NUMBER: BA -7B112845 -14 -TEC ISSUE DATE: 01-30-15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED ENTITY - EARLIER NOTICE OF CANCELLATION/NONRENEWAL PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice: 10 WHEN WE DO NOT RENEW (Nonrenewal): Number of Days Notice: 10 NAME: CITY OF SAN RAFAEL ADDRESS:ATTN: JIM MYHERS 1400 FIFTH AVENUE, P.O. BOX 151560 SAN RAFAEL CA 949151560 A. For any statutorily permitted reason other than nonpayment of premium, the number of days re- quired for notice of cancellation, as provided in the CONDITIONS Section of this insurance, or as amended by any applicable state cancellation endorsement applicable to this insurance, is in- creased to the number of days shown in the SCHEDULE above. B. For any statutorily permitted reason other than nonpayment of premium, the number of days re- quired for notice of When We Do Not Renew (Nonrenewal), as provided in the CONDITIONS Section of this insurance, or as amended by any applicable state When We Do Not Renew (Nonrenewal) endorsement applicable to this in- surance, is increased to the number of days shown in the SCHEDULE above. C. We will mail notice of cancellation or nonrenewal rr material limitation of those coverage forms to the person or organization shown in the schedule above. We will mail the notice at least the Num- `ber of Days indicated above before the effective date to our action. IL T3 54 03 98 Copyright, The Travelers Indemnity Company, 1998 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule City of San Rafael: 1400 Fifth Avenue P.O. Box 151560 San Rafael CA 94915-1560 TriNet Client Number: 97QJ / DGT Client Name: Parkmobile USA, Inc. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective See Accompanying Certificate Policy No. Endorsement No. Insured: TriNet HR Corp. See Accompanying Certificate Premium $ and all its affiliates & subsidiaries Insurance Company: See Accompanying Certificate WC 00 03 13 (Ed. 4-84) 1983 National Council on Compensation Insurance. Counter Signed By BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following" attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective See Accompanying Certificate 12:01 AM forms a part of Policy No. See Accompanying Certificate Issued to TriNet HR, Corp. and all its affiliates & subsidiaries` By See Accompanying Certificate We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be for this policy. City of San Rafael 1400 Fifth Avenue P.O. Box 151560 San Rafael, CA 94915-1560 TriNet Client Number: 97QJ / DGT Client Name: Parkmobile, LLC --- % of the total estimated workers compensation premium Schedule WC 04 03 61 Countersigned by aa --o (Ed. 11-90) Muthorized Representative Regulatory Office Indian Harbor Insurance Company 505 Eagleview Blvd. Suite 100 Premium $18,065.00 Dept: Regulatory State Tax $722.60 Exton, PA 19341-0636 Telephone: 800-688-1840 Total $18,787.60 XL ECLIPSE PRO 2.0 TECHNOLOGY AND MISCELLANEOUS PROFESSIONAL SERVICES, TECHNOLOGY PRODUCTS, NETWORK SECURITY, PRIVACY, AND MEDIA COMMUNICATIONS INSURANCE DECLARATIONS THIS IS A CLAIMS MADE AND REPORTED INSURANCE POLICY. PLEASE READ IT CAREFULLY. PRODUCER: Travis -Pedersen and Associates, Inc. 200 S. Wacker Drive, Ste. 1500 Chicago, IL 60606 POLICY NO.: MTP003399803 PRODUCER NO.: 06452 RENEWAL OF: MTP003399802 THIS IS A CLAIMS MADE AND REPORTED POLICY. THIS POLICY APPLIES ONLY TO THOSE CLAIMS THAT ARE FIRST MADE AGAINST THE INSURED AND REPORTED IN WRITING TO THE COMPANY DURING THE POLICY PERIOD. CLAIM EXPENSES ARE WITHIN AND REDUCE THE LIMIT OF LIABILITY. PLEASE REVIEW THIS POLICY CAREFULLY. Item 1. NAMED INSURED: PARKMOBILE USA, INC. 3200 COBB GALLERIA PARKWAY Item 2. ADDRESS: SUITE 100 City/State/Zip Code: ATLANTA, GA 30339 Item 3. POLICY PERIOD: FROM: January 20, 2014 TO: January 20, 2015 12:01 A.M. Standard Time at the address of the Named Insured as stated herein. This contract is registered and delivered as a surplus line coverage under the Surplus Line Insurance Law O.C.G.A. Chapter 33-5. Timothy Pedersen Lic. #337275 MTP -EP -DEC 0112 © 2012 X.L. America, Inc. All Rights Reserved. Page 1 May not be copied without permission. Item 4. LIMITS OF LIABILITY (Inclusive of claim expenses): (a) $ 2,000,000 Each Claim (b) $ 4,000,000 Policy Aggregate — subject to the following Aggregate sublimits: for all privacy notification costs as per Insuring Agreements (i) $ 250,000 I.E.2 and II.D. for all regulatory fines and claim expenses for Privacy Liability as (ii) $ 250,000 per Insuring Agreement I.E.2. Item 6. PREMIUM: e Item 7. PROFESSIONAL SERVICES: N/A January 20, 2009 for $1,000,000; November 1, 2011 for $1,000,000 each Claim & Aggregate excess of $1,000,000 RETROACTIVE DATE (if each Claim & Aggregate; $2,000,000 Aggregate excess of Item 8. applicable): $2,000,000 each Claim & Aggregate Item 9. CONTINUITY DATE: January 20, 2010 MTP -EP -DEC 0112 © 2012 X.L. America, Inc. All Rights Reserved. Page 2 May not be copied without permission. for all extortion damages for extortion threat as per Insuring (ill) $ 2,000,000 Agreement Il. A. for all crisis management expenses as per Insuring Agreement (iv) $ 2,000,000 II. B.. for all reduction in business income caused by Business (v) $ 2,000,000 Interruption as per Insuring Agreement II.C. Item 5. DEDUCTIBLES (inclusive of claim expenses) and WAITING PERIOD: (a) $ 25,000 Each claim (except as designated in 5 (b) through 5 (f)) For privacy notification costs from each data breach as (b) $ 25,000 per Insuring Agreements I.E.2. and II.D. Each claim for regulatory fines as per Insuring Agreement (c) $ 25,000 I.E.2. Each extortion threat and extortion damages as per (d) $ 25,000 Insuring Agreement II.A. For crisis management expenses from each network breach (e) $ 25,000 or privacy wrongful act as per Insuring Agreement II.B. Each network breach causing Business Interruption and reduction in business income as per Insuring Agreement (f) $ 25,000 II.C. (g) 10 hour waiting period For Business Interruption for Insuring Agreement II.C. Item 6. PREMIUM: e Item 7. PROFESSIONAL SERVICES: N/A January 20, 2009 for $1,000,000; November 1, 2011 for $1,000,000 each Claim & Aggregate excess of $1,000,000 RETROACTIVE DATE (if each Claim & Aggregate; $2,000,000 Aggregate excess of Item 8. applicable): $2,000,000 each Claim & Aggregate Item 9. CONTINUITY DATE: January 20, 2010 MTP -EP -DEC 0112 © 2012 X.L. America, Inc. All Rights Reserved. Page 2 May not be copied without permission. CITY OF SAN RAFAEL ROUTING SLIP / APPROVAL FORM INSTRUCTIONS: USE THIS FORM WITH EACH SUBMITTAL OF A CONTRACT, AGREEMENT, ORDINANCE OR RESOLUTION BEFORE APPROVAL BY COUNCIL / AGENCY. SRSA / SRCC AGENDA ITEM NO. ' k (A - FROM:- DATE OF MEETING: 2/2/15 FROM: Jim Myhers DEPARTMENT: Parking Services DATE: 1/27/15 TITLE OF DOCUMENT: RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL APPROVING AN AGREEMENT BETWEEN THS CITY OF SAN RAFAEL AND PARKMOBILE USA FOR A PAY BY MOBILE DEVICE SYSTEM �� Der)art"ent Head (LOWER HALF OF FORM FOR APPROVALS ONLY) APPROVED AS COUNCIL / AGENCY AGENDA ITEM: City Wanager (sign ture) NOT APPROVED REMARKS: APPROVED AS TO FORM: .�.. m Kilt - City Attorney (si gnat e) w