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HomeMy WebLinkAboutCM Hire Climate Corps 2015Agenda Item No: 3. i
Meeting Date: June 15, 2015
SAN RAFAELCITY COUNCIL AGENDA REPORT
Department: City Manager
Prepared by: Cory Bytof, Sustainability and City Manager Approval
Volunteer Program Coordinator
SUBJECT: A RESOLUTION APPROVING A PROFESSIONAL SERVICES
AGREEMENT WITH STRATEGIC ENERGY INNOVATIONS TO EMPLOY ONE
CLIMATE CORPS BAY AREA FELLOW FOR SUSTAINABILITY PROGRAMS
RECOMMENDATION: Staff recommends the City Council approve the Resolution.
BACKGROUND: Strategic Energy Innovations ("SEI") has successfully placed fellows with
college degrees in sustainability -related fields with local governments throughout the Bay Area
since 2010. These fellows are part of the Climate Corps Bay Area ("CCBA") program, which
endeavors to assist local governments with greenhouse gas emissions reduction strategies. The
City has participated in this program since 2012 using funding from our annual Marin County
Household Hazardous and Solid Waste Joint Powers Authority ("JPA") grant. We recommend
using this funding for one fellow from this program again this year.
The fellow will conduct outreach for our Resilient Neighborhoods residential sustainability
program and zero waste programs such as California's Mandatory Commercial Recycling Law,
residential and commercial organics programs, and the Food to Energy program, which are
identified as priority programs in our Climate Change Action Plan ("CCAP").
The fellow will be an employee of SEI. The City will be the host agency, and will direct the
activities of the fellow. The fellow will work directly with our service providers in doing specific
outreach tasks that correspond to the CCBA Scope of Service. These activities include preparing
outreach materials, presenting to clubs, businesses, organizations and residents, conducting waste
audits, tracking GHG emissions data, preparing reports, and helping develop and revise program
materials among other things. The term of service is 10 months during the period from August
2015 through July 2016.
ANALYSIS: San Rafael's Climate Change Action Plan, adopted by the City Council in April
2009, incorporates programs to achieve reductions in community greenhouse gas emissions,
including Programs LF 11 adopting a Zero Waste Goal and Strategic Plan, Program LF 13
FOR CITY CLERK ONLY
File No.: 4--.g-Gat,
Council Meeting: � s Q )-0/
Disposition: ieES0L0 -('(0-J / � �C
SAN RAFAELCITY COUNCIL AGENDA REPORT / Page: 2
encouraging the creation of programs to convert organic waste to energy, and Program CO2 to
work with community organizations to promote sustainability efforts to residents and businesses.
In addition, the City's General Plan calls for programs to engage the community and implement
zero waste programs. General Plan program SU -9 calls for activities to reduce material
consumption and waste generation, including nine actions to increase recycling, to promote
composting and the Food to Energy program, and to promote reuse. General Plan program SU -10
calls for activities to increase community education and engagement in sustainability programs,
including SU -1 OB, to implement Resilient Neighborhoods and Businesses programs to encourage
behavioral changes to reduce carbon emissions through education and peer group support.
This fellowship program will help us implement these CCAP and General Plan programs. It
provides an opportunity to support our community partners in Zero Waste activities and the
state's mandatory commercial recycling law, while providing the City with valuable GIIG
emissions reduction data. The City Attorney's office has reviewed the agreement and has
determined it to be in aligmnent with City policies and procedures.
FISCAL IMPACT: The cost to the City is $27,000 plus a $750 travel stipend for a total of
$27,750, which will be paid for through the JPA grant funds.
OPTIONS: Approve the Resolution
Reject the Resolution
ACTION REQUIRED: Adopt the Resolution
ATTACHMENTS:
Attachment A: Resolution with Agreement attached
RESOLUTION NO. 13945
A RESOLUTION APPROVING A PROFESSIONAL SERVICES AGREEMENT WITH
STRATEGIC ENERGY INNOVATIONS TO EMPLOY ONE CLIMATE CORPS BAY AREA
FELLOW FOR SUSTAINABILITY PROGRAMS
WHEREAS, on April 6, 2009 the City Council of the City of San Rafael adopted the San Rafael
Climate Change Action Plan ("CCAP"), which incorporates programs to achieve reductions in
community greenhouse gas emissions, including Programs LF11 adopting a Zero Waste Goal and
Strategic Plan, Program LF13 encouraging the creation of programs to convert organic waste to
energy, and Program CO2 to work with community organizations to promote sustainability efforts to
residents and businesses; and
WHEREAS, the City of San Rafael is the recipient of annual grant funds by the Marin County
Household Hazardous and Solid Waste Joint Powers Authority ("Marin County HHW JPA"),
including $61,318.30 in Fiscal Year 2015, to enact Zero Waste programs such as described in the
City's CCAP; and
WHEREAS, the City of San Rafael currently works with Sustainable Marin to promote the
Resilient Neighborhoods residential sustainability program, and wishes to expand the program to more
residents; and
WHEREAS, the City of San Rafael currently works with its refuse hauler, Marin Sanitary
Service, on outreach to local businesses regarding Zero Waste programs, and wishes to work with
them to conduct outreach specific to participation in the commercial recycling, residential composting,
and Food to Energy programs; and
WHEREAS, Strategic Energy Innovations provides highly skilled fellows with college degrees in
sustainability -related fields through the Climate Corps Bay Area ("CCBA") program, has a proven
track record of providing valuable fellows for similar work in other cities in the Bay Area for several
years, including the past three years with the City of San Rafael, and wishes to place one CCBA
fellow with the City of San Rafael between August 2015 and July 2016; and
WHEREAS, the City of San Rafael wishes to employ the services of one CCBA fellow in the
Resilient Neighborhoods, commercial recycling, residential composting, and Food to Energy
programs to help with public outreach, program coordination, and greenhouse gas emissions tracking
and reporting; and
WHEREAS, the fellow stipend of $27,000 plus $750 travel expenses will be paid through the
Marin County HHW JPA Grant Program;
NOW, THEREFORE, BE IT RESOLVED that the City Council hereby approves and authorizes the
City Manager to execute the attached Professional Services Agreement with Strategic Energy
Innovations for the work specified in Exhibit A to the Agreement, and other documents related to the
CCBA fellowship program, in a final form to be approved by the City Attorney.
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
Monday, June 15, 2015, by the following vote, to wit:
AYES: COUNCILMEMBERS: Bushey, Gamblin, McCullough & Mayor Phillips
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: Colin
® sgu R.,
Esther Beirne, City Clerk
AGREEMENT FOR PROFESSIONAL SERVICES
FOR CLIMATE CHANGE BAY AREA FELLOWSHIP PROGRAM
This Agreement is made and entered into this`2!�',—ns day of -,::ru /0€ , 2015, by
and between the CITY OF SAN RAFAEL (hereinafter "CITY"), and STRATEGIC ENERGY
INNOVATIONS, a corporation authorized to do business in California (hereinafter
"CONTRACTOR").
RECITALS
WHEREAS, the City of San Rafael's General Plan Program SU -10 calls for
implementation of programs to increase community education and engagement in sustainability
programs, including SU -1013, to implement Resilient Neighborhoods and Businesses programs to
encourage behavioral changes to reduce carbon emissions through effective education and peer
group support; and
WHEREAS, the CITY is the recipient of a grant from the Marin County Hazardous and
Solid Waste JPA for implementation of Zero Waste programs and activities, including the Resilient
Neighborhoods Program, AB341 California's Mandatory Commercial Recycling Law, and
residential and commercial composting programs; and
WHEREAS, CONTRACTOR collaborates with public and nonprofit organizations in
the San Francisco Bay Area to recruit, train, and place Climate Corps Bay Area fellows
("Fellows") at public and nonprofit organizations, where they will assist in implementing
greenhouse gas reduction programs; and
WHEREAS, the CITY desires to employ the services of one fellow for a 10 -month
program to solicit participation in and track progress of the City's Zero Waste programs and
activities and Resilient Neighborhoods program in conjunction with its authorized refuse agent
("Program"); and
WHEREAS, CONTRACTOR has a proven track record of providing valuable interns and
fellows for similar work to other cities in the Bay Area for several years, including the City of San
Rafael for the past three years;
AGREEMENT
NOW, THEREFORE, the parties hereby agree as follows:
1. PROJECT COORDINATION.
A. CITY'S Project Manager. The Sustainability and Volunteer Program Coordinator
Cory Bytof is hereby designated the PROJECT MANAGER for the CITY, and said PROJECT
Rev. bate: 1/30/14 1' ORIGiNAL
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. Deputy Director Stephen Miller 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 CONTRACTO
CONTRACTOR shall perform the duties as outlined in Exhibit A, Scope of Work
Proposal, attached hereto and incorporated herein by reference.
DUTIES OF CITY.
CITY shall pay the compensation as provided in Paragraph 4, and perform the Host Agency
duties as outlined in Exhibit A, Scope of Work Proposal, attached hereto and incorporated herein by
reference.
4. COMPENSATION.
For the full performance of the sei vices described herein by CONTRACTOR, CITY shall
pay CONTRACTOR a total amount not to exceed $27,750, which includes the $27,000 program
fee and a $750 travel stipend.
Payment will be made upon receipt by PROJECT MANAGER of invoices submitted by
CONTRACTOR twice per year, on or about September 5, 2015 and January 5, 2016. The parties
agree that if the CITY fails to make any payments within 90 days after an invoice is received
and marked "due," CONTRACTOR may immediately assess a late payment penalty of 1.5% of
the unpaid amount.
5. TERM OF AGREEMENT.
The term of this Agreement shall commence as of the date first set forth above, and shall
continue in full force and effect through July 31, 2016, unless earlier terminated as set forth in
Section 6. Upon mutual agreement of the parties, and subject to the approval of CITY's City
Manager the term of this Agreement may be extended for an additional period of up to (6) month(s).
6. TERMINATION.
A. Discretionary. Either party may terminate this Agreement without cause upon
thirty (30) days written notice mailed or personally delivered to the other party.
B. Cause. Either party may terminate this Agreement for cause upon fifteen (15) days
written notice mailed or personally delivered to the other party, and the notified party's failure to
Rev. date: 5/6/15
cure or correct the cause of the termination, to the reasonable satisfaction of the party giving such
notice, within such fifteen (15) day time period.
C. Effect of Termination. Upon receipt of notice of termination, neither party shall
incur additional obligations under any provision of this Agreement without the prior written consent
of the other.
D. Return of ;Documents. Upon termination, any and all CITY documents or
materials provided to CONTRACTOR and any and all of CONTRACTOR's documents and
materials prepared for or relating to the performance of its duties under this Agreement, shall be
delivered to CITY as soon as possible, but not later than thirty (30) days after termination.
E. CONTRACTOR Obligations on Early Termination.
The parties acknowledge that the compensation payable by CITY hereunder
is fully committed to all Program expenses, including but not limited to
Program costs for recruitment and training development prior to the
Fellow's start date, Fellow stipends, benefits, training, and ongoing
programmatic costs, on or before May 1, 2016. In the event that this
Agreement is terminated prior to May 1, 2016, CONTRACTOR shall
reimburse CITY for compensation received from CITY hereunder but
unspent, based on an 8 -month spend -down that equates to $85/day for 237
days between September 8, 2015 — May 1, 2016.
ii. If a Fellow is hired on by the CITY, then the reimbursement will be
calculated by looking at the avoided costs in unspent Fellow stipend
payments for balance of the invoice period (so either the Fall or Spring
Semester,) subtracting out a buyout contingency the equates to 15% of the
total program fee associated with the Fellow if before the end of Fall
Semester, or equaling 10% of the total program fee associated with the
Fellow if after the close of the Fall Semester.
iii. In the event that a Fellow terminates his or her program participation
early, CONTRACTOR will work with the CITY to:
a. Recruit for a replacement should the Fellow leave prior to the late
January/ early February spring semester registration into Climate
Corps certificate courses; or
b. Work with the Program Partner to transition the Fellow's work
internally (to other Fellows/ staff) and to reimburse the partner for
unexpended funds as detailed in the above paragraph.
7. OWNERSHIP OF DOCUMENTS.
The written documents and materials prepared by the CONTRACTOR in connection with
Rev. date: 516/15
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 covering
any use of an automobile by a Fellow in connection with the performance of his or her duties for
CITY during the term of this Agreement.
3. CONTRACTOR shall provide proof of a professional liability insurance
policy in the miniunum amount of one million dollars ($1,000,000) per occurrence/one million
dollars ($1,000,000) aggregate, to cover any claims arising out of the CONTRACTOR's
perfonmance of services under this Agreement.
4. If it employs any person, CONTRACTOR shall maintain worker's
compensation and employer's liability insurance, as required by the State Labor Code and other
applicable laws and regulations, and as necessary to protect both CONTRACTOR and CITY
against all liability for injuries to CONTRACTOR's officers and employees. CONTRACTOR'S
worker's compensation insurance shall be specifically endorsed to waive any right of subrogation
against CITY.
B. Other Insurance Requirements. The insurance coverage required of the
CONTRACTOR in subparagraph A of this section above shall also meet the following
requirements:
Rev. date: 5/6/15
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.
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
Rev. date: 5/6/15 5
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 pennitted 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. I Iowever, 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 perfonnance of or operations under this
Agreement, CONTRACTOR shall provide a defense to the City Indemnitees or at CITY'S
option reimburse the City Indemnitees their costs of defense, including reasonable attorneys'
fees, incurred in defense of such claims.
B. Where the services to be provided by CONTRACTOR under this Agreement are
design professional services to be performed by a design professional as that term is defined
under Civil Code Section 2782.8, CONTRACTOR shall, to the fullest extent permitted by law,
indemnify, release, defend and hold harmless the City Indemnitees from and against any
CLAIMS that arise out of, pertain to, or relate to the negligence, recklessness, or willful
misconduct of CONTRACTOR in the performance of its duties and obligations under this
Agreement or its failure to comply with any of its obligations contained in this Agreement,
except such CLAIM which is caused by the sole negligence or willful misconduct of CITY.
C. The defense and indemnification obligations of this Agreement are undertaken in
addition to, and shall not in any way be limited by, the insurance obligations contained in this
Rev. date: 5/6/15 6
Agreement, and shall survive the termination or completion of this Agreement for the full period
of time allowed by law.
12. NONDISCRIMINATION.
CONTRACTOR shall not discriminate, in any way, against any person on the basis of age,
sex, race, color, religion, ancestry, national origin or disability in connection with or related to the
performance of its duties and obligations under this Agreement.
13. COMPLIANCE WITH ALL LAWS.
CONTRACTOR shall observe and comply with all applicable federal, state and local laws,
ordinances, codes and regulations, in the performance of its duties and obligations under this
Agreement. CONTRACTOR shall 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 TI1I'RD 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 teens and conditions of this
Agreement, to the other party.
15. NOTICES.
All notices and other communications required or permitted to be given under this
Agreement, including any notice of change of address, shall be in writing and given by personal
delivery, or deposited with the United States Postal Service, postage prepaid, addressed to the
parties intended to be notified. Notice shall be deemed given as of the date of personal delivery, or
if mailed, upon the date of deposit with the United States Postal Service. Notice shall be given as
follows:
TO CITY's Project Manager:
TO CONTRACTOR's Project Director:
Rev. date: 5/6/15
Cory Bytof
Sustainability & Volunteer Prg. Coordinator
City of San Rafael
1400 Fifth Avenue
P.O. Box 151560
San Rafael, CA 94915-1560
Stephen Miller
Deputy Director
Strategic Energy Innovations
899 Northgate Dr. Suite 410
San Rafael CA 94903
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 ten -ns and conditions of this Agreement shall not be altered or modified except
by a written amendment to this Agreement signed by the CONTRACTOR and the CITY.
E. If any conflicts arise between the terms and conditions of this Agreement, and the
terms and conditions of the attached exhibits or the documents expressly incorporated by reference,
the tenns and conditions of this Agreement shall control.
18. SET-OFF AGAINST DEBTS.
CONTRACTOR agrees that CITY may deduct from any payment due to
CONTRACTOR under this Agreement, any monies which CONTRACTOR owes CITY under
any ordinance, agreement, contract or resolution for any unpaid taxes, fees, licenses, assessments,
unpaid checks or other amounts.
19. WAIVERS.
The waiver by either party of any breach or violation of any term, covenant or condition of
this Agreement, or of any ordinance, law or regulation, shall not be deemed to be a waiver of any
other tenn, covenant, condition, ordinance, law or regulation, or of any subsequent breach or
violation of the same or other tern, 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 tern, condition, covenant of this Agreement or any
applicable law, ordinance or regulation.
Rev. date: 5/6/15 8
Exhibit A
Scope of Work Proposal for
Strategic Energy Innovations and City of San Rafael
August 1, 2015 — July 31, 2016
SUBJECT: Climate Corps Bay Area
ARTICLE I — BACKGROUND AND OBJECTIVES
SEI is collaborating with public, non-profit, and for-profit organizations in the San Francisco Bay Area
to recruit, train, and place Climate Corp Bay Area Fellows with Host Agencies where they will be
provided with experiential learning opportunities as they assist in implementing climate change
resiliency programs. The Fellows' term of service runs from August 31, 2015 through June 30, 2016,
during which Fellows are expected to complete their program hours commitment of 1500 site hours
and an additional 170 hours in program training activities. The first day after the program orientation
and training week that Fellows will be available to work is Tuesday, Septepmber 8, 2105. During their
term of service, Fellows are expected to implement programs that provide significant professional
development experience through the implementation of climate resiliency projects. Fellows are
expected to devote approximately 90% of their site hours to experiential learning activities, and up to
10% of these site hours for specific training and coaching as approved by their Host Agency. If a
Fellow is unable to complete their full 1500 site how's by June 30 due to any unforeseen circumstances
during their teen, they may, at the discretion of SEI and the agency, be allowed time to complete their
hours at the agency, or at another approved agency where there are service opportunities available.
The mission of Climate Corps Bay Area is to deliver a 10 -month Fellowship program that provides
professional development opportunities for emerging climate protection leaders through
implementation of climate change resiliency projects with local governments, non -profits, and for-
profit businesses. CCBA Fellows:
• Receive unparalleled experiential learning opportunities through placements with regional
climate protection leaders.
• See first hand how to address climate change by implementing assessment, education, and
mitigation projects that have measurable benefits.
• Build critical real-world project management skills as they measure, track, and report outcomes
to community partners.
Fellows participate in a comprehensive training program that gives an overview of climate change
issues, strategies for tackling climate change, and approaches to building community resiliency in
California.
The Parties will work in partnership to promote the agreement, and its benefits to the Project and
community at large.
ARTICLE II — STATEMENT OF PROJECT ACTIVITIES
Though Climate Corps Bay Area, SEI agrees to:
• Recruit and assist in selection of a CCBA Fellow for a commitment of 1500 hours over a
period of 10 months.
Exhibit A
• Train and support the selected Fellow with a comprehensive training program that includes a
training manual, a multi -day orientation led by an array of experts, monthly trainings, a mid-
year two-day retreat, and two Professional Development Assessment reviews.
• Work with the Host Agency to develop a specific Fellowship Scope for specific Host Agency
initiatives that aligns with CCBA goals and defines the Training Plan for the Fellow.
• Provide assistance in defining and developing metrics for the Fellow to measure and track the
progress of project activities throughout their Fellowship.
• Provide monthly follow-ups to review progress with Site Supervisor and Fellows.
• Define and implement any corrections to Fellow's plan determined to be necessary based on
feedback collected from Fellow and Host Agency.
Rost Agency agrees to:
• Take part in the recruitment and interview process to identify a Fellow best fitted for the
specific projects' needs.
• Provide one to three specific climate resiliency initiatives that their Fellow can work on during
their term of service.
o Initiatives must be well-defined, approved for implementation, and include specific
learning objectives.
o Host Agency will work with SEI to finalize a mutually agreed-upon Fellowship Scope
no later than one month after the Fellow arrives on site.
• Assign a Site Supervisor who will be available to meet at least weekly with the Fellow for one-
on-one project meeting time, coordinate other neccesary staff supervision needed for successful
implementation of the Fellowship Scope, gather and report on in-kind supervisory hours (at
least 15 hours/month) across all relevant staff within the organization with Fellow.
• Support Fellow to complete monthly reporting to SEI indicating whether progress is being
made on the initiatives.
• Provide feedback on Program and Fellow effectiveness by:
o filling out and submiting a Professional Development Assessment providing feedback
on Fellow activities two times a year;
o participating in program wide -conference calls to discuss program progress; and
o responding to Host Agency feedback surveys as requested.
• Attend or send a representative to Partner Orientation.
• Not to hire Fellow for projects related to SEI community service programs during the
Fellowship term (if the Agency decides to hire the Fellow for like projects prior to the
completion of the program year of service, the MOU will be considered terminated, and SEI
will be due estimated program costs as set forth below).
• Refrain from using the Fellow for displacement of a host agency employee during the
Fellowship term.
• Allow SEI to share results from this program through grant reporting and other means as SEI
deems appropriate.
• Provide program -wide support through either:
o sponsoring a venue and staff presentations a monthly training event for all Fellows; or
o participating in a program sponsored training session or professional development
event.
0,
20. COSTS AND ATTORNEY'S FEES.
The prevailing party in any action brought to enforce the terms and conditions of this
Agreement, or arising out of the performance of this Agreement, may recover its reasonable costs
(including claims administration) and attorney's fees expended in connection with such action.
21. CITY BUSINESS LICENSE / OTHER TAXES.
CONTRACTOR shall obtain and maintain during the duration of this Agreement, a CITY
business license as required by the San Rafael Municipal Code CONTRACTOR shall pay any and
all state and federal taxes and any other applicable taxes. CITY shall not be required to pay for any
work performed under this Agreement, until CONTRACTOR has provided CITY with a
completed Internal Revenue Service Form W-9 (Request for Taxpayer Identification Number and
Certification).
22. APPLICABLE LAW.
The laws of the State of California shall govern this Agreement.
IN WITNESS WHEREOF, the parties have executed this Agreement as of the day, month
and year first above written.
CITY OF SAN RAFAEL
NANCY MAC E, City Manager
ATTEST:
ESTI IER C. BEIRNE, City Clerk
APPROVED AS TO FORM:
Ld
ROBERT F. EPSTEIN, City AftPey
Rev. date: 5/6/15
By
Name:Z
CERTIFI(A i�,"E OF LIABILITY INSURANCE DATE (M IDDM'
12/24/2014
THIS CERTIFICATE IS ISSUED ASA MATTER F Ii (FORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY 0A;1, NEQATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE � � 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 CONNAMEACT Vanessa Weidauer / Denise J. Billings
Anixter & OSeT, Inc. PHONE (415) B98-1600 FAX
License OE28888 E-MAIL A/C No: (415)898-3922
ADDRESS:vanessa@properlyinsured. com
205 San Marin Drive
INSURERS AFFORDING COVERAGE NAIC #
Novato CA 94945-1227 INSURERA:Travelers Insurance Co
INSURED
INSURERS:Travelers Indemnit Co of Ill 5674
Strategic Energy Innovations INSURERC:L10 ds of London
899 Northgate Dr INSURER D:
Ste 410
INSURER E
San Rafael CA 94903 INSURER F:
COVERAGES CERTIFICATE NUMBER:CL1412910520 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.
(NSR AD L S BR J= WVD
LTR TYPE OF INSURANCE POLICY NUMBER MM/DIDYY MM/DDYY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES u a occurrence) $ 100,000
A CLAIMS -MADE a OCCUR X 660435X121A 6/12/2014 6/12/2015 MED EXP (Any one person) $ 5,000
PERSONAL BADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRO- PRODUCTS-COMP/OPAGG $ 2,000,000
X POLICY LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea accident 1,000,000
A ANY AUTO BODILY INJURY (Per person) $
ALL OS SCHEDULED 660435X121A 6/12/2014 6/12/2015
AUTOS AUTOS BODILY INJURY (Per accident) $
X HIRED AUTOSX NON -OWNED
AUTOS PROPERTY DAMAGE $
Per accident
UMBRELLA LIIAB HOCCUR
EACH OCCURRENCE $
EXCESS LIAB CLAIMS -MADE
DED I I RETENTIONS AGGREGATE $
B WORKERS COMPENSATION $
AND EMPLOYERS' LIABILITY Y / N X WC STATU- OTH,
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑ N/A EL EACH ACCIDENT $ 1 000 000
(Mandatory in NH) B0955B201 1/1/2015 1/1/2016
If yes, describe under E L DISEASE EA EMPLOYE $ 1 000 000
DESCRIPTION OF OPERATIONS below
E L DISEASE- POLICY LIMIT $ 1,000,00
C Errors & Omissions LOO -53-0196-2014 4/4/2014 /4/2015 EachClarn
Professional Liability 1,000,000
Aggregate 1,000,000
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 named as additional insured per
form CG D4 43 07 08. Coverage is primary per form CG DO 37 04 05.
CERTIFICATE HOLDER CANCELLATION
cory.bytof@cityofsanrafael SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of San Rafael ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Cory Bytof, Project Manager
P.O. BOX 151560 AUTHORIZED REPRESENTATIVE
San Rafael, CA 94915-1560
V I Weidauer/NESSA
ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved.
INS17125rgmnn5tm Thn Art'%Pn nomu onri Innn nrn rcniefornrl mnrlre of Ar t'%pn
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOT-FOR-PROFIT ENTITY AMENDATORY ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any
injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or
limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to
the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover-
age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en-
dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.
A. Not -For -Profit Invitee Property Damage
Legal Liability
B. Special Event Premium Rating
C. Special Event Designated Products
D. Malicious Prosecution — Exception To
Knowing Violation Of Rights Of Another
Exclusion
E. Who Is An Insured — Your Liability For
Your Conduct Of Unnamed Partnership
Or Joint Venture — (Excess Basis)
PROVISIONS
A. NOT-FOR-PROFIT INVITEE PROPERTY DAM-
AGE LEGAL LIABILITY
1. The following is added to Exclusion j., Dam-
age To Property, in Paragraph 2. of SEC-
TION I — COVERAGES — COVERAGE A
BODILY INJURY AND PROPERTY DAM-
AGE LIABILITY:
Paragraph (4) of this exclusion does not apply
to "not-for-profit invitee property damage"
caused by fire; explosion; lightning; smoke
resulting from such fire, explosion, or light-
ning; water; or vandalism or malicious mis-
chief:
(a) On premises you own or rent or on ways
next to premises you own or rent; and
F. Blanket Additional Insured — Mortgagees,
Assignees, Successors Or Receivers
G. Blanket Additional Insured — States Or Political
Subdivisions — Permits Relating To Premises
H. Blanket Additional Insured — States Or Political
Subdivisions — Permits Relating To Operations
I. Blanket Additional Insured — Persons Or
Organizations Where Required By Written Con-
tract Or Agreement
(ii) Rupture or bursting due to expansion or
swelling of the contents of any building or
structure, caused by or resulting from wa-
ter; or
(fit) Explosion of any steam boiler, steam
pipe, steam engine, or steam turbine.
2. The following is added to SECTION III — LIM-
ITS OF INSURANCE:
Subject to Paragraph 5. above, the most we
will pay under Coverage A for the sum of all
damages because of "not-for-profit property
damage" sustained by all "not-for-profit invit-
ees" is $15,000.
3. The following are added to the DEFINITIONS
Section:
(b) Because of your operations. "Not-for-profit invitee":
This exception does not apply to "not -for- a. Includes any of your clients, customers,
profit property damage" caused by: guests, members, patrons, supporters
(i) Rupture, bursting, or operation of any and "volunteer workers".
pressure relief device;
CG D4 43 07 08 fl 2008 The Travelers Companies, Inc. Page 1 of 4
COMMERCIAL GENERAL LIABILITY
b. Does not include any person who is your
"employee", "temporary worker" or "inde-
pendent contractor".
"Not-for-profit invitee property damage"
means "property damage" to personal prop-
erty owned or rented by a "not-for-profit in-
vitee", other than any of the following prop-
erty:
a. Accounts, bills, currency, deeds, money,
notes, securities or debt instruments;
b. Mechanical drawings, blueprints, docu-
ments, records, manuscripts or valuable
papers; or
c. Contraband or other property in the
course of illegal transportation or trade.
B. SPECIAL EVENT PREMIUM RATING
The following is added to SECTION IV — COM-
MERCIAL GENERAL LIABILITY CONDITIONS:
Special Event Premium Rating
a. The Not -For -Profit Entity Amendatory En-
dorsement includes the following:
(1) All indoor events with less than 1000 at-
tendees and shorter than 24 hours in du-
ration; and
(2) All outdoor events with less than 500 at-
tendees and shorter than 24 hours in du-
ration.
b. The following events will be rated separately
for additional premium:
(1) Any event that exceeds the attendees or
duration described in a.(1) or a.(2) above;
(2) Any parade, fair or carnival; or
(3) Any athletic, sporting or motor vehicle
event including walks, runs, tournaments,
demonstrations, rallies or competitive ac-
tivities.
C. SPECIAL EVENT DESIGNATED PRODUCTS
1. The following is added to the definition of
"products -completed operations hazard" in
the DEFINITIONS Section:
Includes all "bodily injury" and 'property dam-
age" arising out of your "designated products"
on premises you own or rent, on premises
used by you for a special event related to
your business, or on the ways next to any
such premises you own or rent, or use for a
special event.
2. The following is added to the DEFINTIONS
Section:
"Designated products" means apparel, but-
tons, CDs, DVDs, tapes, posters, stickers and
other similar products used to promote a spe-
cial event related to your business.
D. MALICIOUS PROSECUTION — EXCEPTION TO
KNOWING VIOLATION OF RIGHTS OF AN-
OTHER EXCLUSION
The following is added to Exclusion a., Knowing
Violation Of Rights Of Another, in Paragraph 2.
of SECTION I — COVERAGES — COVERAGE B
PERSONAL AND ADVERTISING INJURY:
This exclusion does not apply to 'personal injury"
caused by malicious prosecution.
E. WHO IS AN INSURED — YOUR LIABILITY FOR
YOUR CONDUCT. OF UNNAMED PARTNER-
SHIP OR JOINT VENTURE (EXCESS BASIS)
1. The following replaces the last paragraph of
SECTION 11— WHO IS AN INSURED:
No person or organization is an insured with
respect to the conduct of any current or past
partnership, joint venture, limited liability
company or trust that is not shown as a
Named Insured in the Declarations. This sub-
paragraph does not apply to your liability with
respect to your conduct of the business of
any current or past partnership or joint ven-
ture that is not shown as a Named Insured in
the Common Policy Declarations.
2. The following is added to Paragraph 4.b., Ex-
cess Insurance, of SECTION IV — COM-
MERCIAL GENERAL LIABILITY CONDI-
TIONS:
The insurance is excess over any valid and
collectible other insurance, whether primary,
excess, contingent or on any other basis,
which is available to you for your liability with
respect to your conduct of the business of
any current or past partnership or joint ven-
ture that is not shown as a Named Insured in
the Common Policy Declarations and which is
issued to such partnership or joint venture.
F. BLANKET ADDITIONAL INSURED - MORT-
GAGEES, ASSIGNEES, SUCCESSORS OR
RECEIVERS
The following is added to SECTION II — WHO IS
AN INSURED:
Any person or organization that is a mortgagee,
assignee, successor or receiver and that you
Page 2 of 4 © 2008 The Travelers Companies, Inc. CG D4 43 07 08
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 its li-
ability as mortgagee, assignee, successor or re-
ceiver for "bodily injury", "property damage", "per-
sonal injury" or "advertising injury" that:
a. Is "bodily injury" or "property damage" that
occurs, or is "personal injury" or "advertising
injury" caused by an offense committed, after
you have signed and executed that contract
or agreement; and
b. Arises out of the ownership, maintenance or
use of the premises for which that mortgagee,
assignee, successor or receiver is required
under that contract or agreement to be in-
cluded as an additional insured on this Cov-
erage Part.
The insurance provided to such mortgagee, as-
signee, successor or receiver is subject to the fol-
lowing provisions:
(1) The limits of insurance provided to such
mortgagee, assignee, successor or receiver
will be the limits which you agreed to provide
in the written contract or agreement, or the
limits shown in the Declarations for this Cov-
erage Part, whichever are less; and
(2) Coverage under this provision does not apply
to:
(a) Any "bodily injury" or "property damage"
that occurs, or any "personal injury" or
"advertising injury" caused by an offense.
committed;after such contract or agree-
ment is no longer in effect; or
(b) Any "bodily injury", "property damage",
"personal injury" or "advertising injury"
arising out of any structural alterations,
new construction or demolition operations
performed by or on behalf of such mort-
gagee, assignee, successor or receiver.
G. BLANKET ADDITIONAL INSURED — STATES
OR POLITICAL SUBDIVISIONS — PERMITS
RELATING TO PREMISES
The following is added to SECTION II — WHO IS
AN INSURED:
Any state or political subdivision that has issued a
permit in connection with premises owned or oc-
cupied by, or rented or loaned to, you is an in-
sured, but only with respect to liability for "bodily
injury", "property damage", "personal injury" or
"advertising injury" arising out of the existence,
COMMERCIAL GENERAL LIABILITY
ownership, use, maintenance, repair, construc-
tion, erection or removal of advertising signs,
awnings, canopies, cellar entrances, coal holes,
driveways, manholes, marquees, hoist away
openings, sidewalk vaults, elevators, street ban-
ners or decorations for which that state or political
subdivision has issued such permit.
H. BLANKET ADDITIONAL INSURED — STATES
OR POLITICAL SUBDIVISIONS — PERMITS
RELATING TO OPERATIONS
The following is added to SECTION II — WHO IS
AN INSURED:
Any state or political subdivision that has issued a
permit in connection with operations performed by
you or on your behalf Is an insured, but only with
respect to liability for "bodily injury", "property
damage", "personal injury" or "advertising injury"
arising out of such operations.
Coverage under this provision does not apply to:
1. Any "bodily injury", "property damage", "per-
sonal injury" or "advertising injury" arising out
of operations performed for that state or po-
litical subdivision; or
2. Any "bodily injury" or "property damage" in-
cluded in the "products — completed opera-
tions hazard".
I. BLANKET ADDITIONAL INSURED — PERSONS
OR ORGANIZATIONS WHERE REQUIRED BY
WRITTEN CONTRACT OR AGREEMENT
The following is added to SECTION II — WHO IS
AN INSURED:
Any person or organization 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 liability for "bodily
injury" or "property damage" that:
1. Occurs after you have signed and executed
that contract or agreement; and
2. Is caused, in whole or in part, by your acts or
omissions in the performance of your ongoing
operations to which the written contract or
agreement applies or the acts or omissions of
any person or organization performing such
operations on your behalf.
The insurance provided to such person or organi-
zation where required by written contract or
agreement is subject to the following provisions:
(1) The limits of insurance provided to such in-
sured will be the limits which you agreed to
CG D4 43 07 08 0 2008 The Travelers Companies, Inc. Page 3 of 4
COMMERCIAL GENERAL LIABILITY
provide in the written contract or agreement,
or the limits shown in the Declarations for this
Coverage Part, whichever are less;
(2) If such insured is an architect, engineer or
surveyor, the insurance provided to such in-
sured does not apply to "bodily injury" or
"property damage" arising out of such in-
sured's providing or failing to provide any pro-
fessional services, including:
(a) The preparing, approving or failing to
prepare or approve, maps, shop draw-
ings, opinions, reports, surveys, field or-
ders or change orders, or the preparing,
approving or failing to prepare or ap-
prove, drawings and specifications; and
(b) Supervisory or inspection activities per-
formed as part of any related architectural
or engineering activities; and
(3) Coverage under this provision does not apply
to:
(a) Any person or organization that has been
added as an additional insured by at-
tachment of an endorsement under this
Coverage Part which names such person
or organization in the endorsement's
schedule;
(b) Any person or organization who distrib-
utes or sells "your product" in the regular
course of that person's or organization's
business; or
(c) Any person or organization from whom
you have acquired "your product", or any
ingredient of, or that contains, "your prod-
uct".
Page 4 of 4 0 2008 The Travelers Companies, Inc. CG D4 43 07 08
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
OTHER INSURANCE - ADDITIONAL INSUREDS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROVISIONS
COMMERCIAL GENERAL LIABILITY CONDITIONS
(Section IV), Paragraph 4. (Other Insurance), is
amended as follows:
1. The following is added to Paragraph a. Primary
Insurance:
However, if you specifically agree in a written con-
tract or written agreement that the insurance pro-
vided to an additional insured under this
Coverage Part must apply on a primary basis, or
a primary and non-contributory basis, this insur-
ance is primary to other insurance that is avail-
able to such additional insured which covers such
additional insured as a named insured, and we
will not share with that other insurance, provided
that:
a. The "bodily injury" or "property damage" for
which coverage is sought occurs; and
b. The "personal injury" or "advertising injury" for
which coverage is sought arises out of an of-
fense committed
subsequent to the signing and execution of that
contract or agreement by you.
2. The first Subparagraph (2) of Paragraph b. Ex-
cess Insurance regarding any other primary in-
surance available to you is deleted.
3. The following is added to Paragraph b. Excess
Insurance, as an additional subparagraph under
Subparagraph (1):
That is available to the insured when the insured
is added as an additional insured under any other
policy, including any umbrella or excess policy.
CG DO 37 04 05 Copyright 2005 The St. Paul Travelers Companies, Inc. All rights reserved. Page 1 of 1
A� V CERTIFICATE OF LIABILITY INSURANCE ®A61'41DDIY2015
6/4/5
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: Vanessa Weidauer / Denise J. Billings
Anixter & Oser, Inc.
PHONE (415) 898-1600 AJAX Not (415)898 3922
-AALicense
OE28888
E-MAIL insured.com
ADDRESS: vanes sa ro erl
-.. ....... - . . 1 11 . ....... - ,,,,, ...
205 San Marin Drive
INSURER(SjfAFFORDING COVERAGE NAIL k
Novato CA 94945-1227
INSURERA:Travelers Insurance Co
100 000
X 660435X121A
..
INSURED
INSURERB:Travelers Indemnity Co„ of I,ll 25674 _
Strategic Energy Innovations
INSURERC:Travelers Cas & Surety Co of A_ x31194
899 Northgate Dr
INSURERD:
Ste 410
INSURER_E:
San Rafael CA 94903
INSURER F:
COVERAGES
CERTIFICATE NUMBER:CL156411678
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 CLAIMSN
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
.i . ..... ......... ...... """'ADIJL'St7BRl .........
SR.
ILTR V TYPE OF INSURANCE 1 �, POLICY NUMBER
POLICY .. POLICY EXP
I EFF
MMIDDIYYYY MMIDD/YYYY) LIMITS
P.O. Box 151560
j X COMMERCIAL GENERAL LIABILITY -
EACH OCCURRENCE 5
1,000,000
.
A 1 -MADE X OCCUR
I DAMAGE TO RENTED ..
REVI(Anyonepa�,®e� S
100 000
X 660435X121A
..
6/12/2015 6/12/2016 MED ny $
r
5,000
..,
,PERSONINJL'PRY , �,S ..
AL 8ADV .....
1, 000, 000 I
..
Ui AGGREGATE LIMIT APPLIES PER
GENERAL AGGREGATE 5
2 , 000 , 000
9 X POLICY JECT LOC
PRODUCTS - COMP/OP AGO ij 8
2,000 , 000
OTHER
S
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT S
_(Ea azadentp
$1,000,000
A ANY AUTO
INJURYBODILY LPerper.,on) 9
1I
ALLOWNEDSCHEDULED 660435X121A
]AUTOS AUTOS
6/12/2015 6/12/2016 BODILY INJURY GPeraccident�l S
- -- . r-
X X'. NON -OWNED
,..� HIRED AUTOS 4 AUTOS
jEer accider) )�hat�aE �5
�,
UMBRELLA LIAR !OCCUR
EACH OCCURRENCE 5
EXCESS LIAR CLAIMSMADE j
AGGREGATE'_,., ...
i I S
_..i
I
DEC I RETENTYONS t
1 S
WORKERS COMPENSATION
X PERTE OTH-
IACCIDENT F.R
YIN
AND PROPRIETTORfP RBINF..RYEXECUTIVE
f
p
E,,.L EACH S
,._
1,000 OOO
�
B (Mandatory
OIf FF CERIMEMBE) EXCLUDED
In
NIA{ I
111 UB0955B201
j 1/1/2015 1/1/2016
E L DISEASE EA EMPLOYE S
.,
1, 000 000
under
,DESCRIPTION OF OPERATIONS below
E L DISEASE: - POLICY LIMIT 5
1,000,000
C Errors & Omissions
106255921
-. 4/4/2015 4/4/2016 1.,eachClaim, not toexceed
$1,000,000
1 Professional Liability
Iorall Claims
i
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
City of San Rafael, its officers, agents, employees,
and volunteers are named as additional insured per
form CG D4 43 07 08. Coverage is primary per form CG
DO 37 04 05.
CERTIFICATE HOLDER CANCELLATION
cory.bytof@cityofsanrafael
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of San Rafael
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Attn: Cory Bytof, Project Manager
ACCORDANCE WITH THE POLICY PROVISIONS.
P.O. Box 151560
AUTHORIZED REPRESENTATIVE
San Rafael, CA 94915-1560
V I Weidauer/NESSA
ACORD 25 (2014/01)
INS025 9m4nn
©1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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.
2
Contracting Department
Forward final agreement to contractor for
their signature. Obtain at least two signed
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;
bonds, and insurance certificates and
endorsements. J&
5
City Manager / Mayor / or
Agreement executed by Council authorized
Department Head
official.��f
6
City Clerk
City Clerk attests signatures, retains original
agreement and forwards copies to the
'
contracting department.
9.611
To be completed by Contracting Department:
Project Manager: Cory Bytof Project Name: CCBA Agreement
Agendized for City Council Meeting of (if necessary): TBD '4 I s, 20 J '�_
If you have questions on
* ouncil approval is required if c
ZaA o tic
I
�I
ess, please contact the City Attorney's Office at 485-3080.
is over $20,000 on a cumulative basis.
IN
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.
SRRA / SRCC AGENDA ITEM NO. J.1
DATE OF MEETING: June 15, 2015
FROM: Cory Bytof
DEPARTMENT: City Manager
DATE: June 5, 2014
TITLE OF DOCUMENT:
A RESOLUTION APPROVING A CONTRACT WITH STRATEGIC ENERGY INNOVATIONS TO
EMPLOY ONE CLIMATE CORPS BAY AREA FELLOW FOR SUSTAINABILITY PROGRAMS
Department Head (signature)
lr** *-** *** *** *** *** *** *** *** *** *** *k** *** *k*
(LOWER HALF OF FORM FOR APPROVALS ONLY)
APPROVED AS COUNCIL / AGENCY
AGENDA ITEM:
City`'` manager (signature)
NOT APPROVED
APPROVED AS TO FORM:
City Attorney (signature)
WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 04 03 06 (01) — 003
POLICY NUMBER: (IJUB-0955B20-1-15)
J
OF OUR RIGHT TO RECOVER FROM OTHERS
ENDORSEMENT -CALIFORNIA
�ight recover our payments from anyone liable for an injury covered by this policy. We will not
ag,,,,,dnst the person or organization named in the Schedule. (This agreement applies only to the
work under a written contract that requires you to obtain this agreement from us.)
M, Hi records accurately segregating the remuneration of your employees while engaged in
ibin ffie Schedule.
REM' i..)M FOR THIS ENDORSEMENT SHALL BE 000 % OF THE CALIFORNIA WORKERS'
1",,REW1,.JM OTHERWISE DUE ON SUCH REMUNERATION.
RGANIZATION
Nl: nager
CA 94915-1560
SCHEDULE
§5�31
JOB DESCRIPTION
DATE
CERTIFICATE OF LIABILITY INSURANCE --DATE (MMIDDNYYY)
6/30/2015
THIS CER flFK",A'1'F' lS 9SSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICA I -E DOES NO 1[ AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, 'I"HITS CERTFIEP A TIE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENI A T WE OR PRODUCER, AND THE CERTIFICATE HOLDER.
---TM—PORT,6T�TT' R'tii—ec'e' al-Ifl"ca-te-holder
is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the teirins and condiOons
of the I certain policies may require an endorsement. A statement on this certificate does not confer rights to the
I;erfificat ;i, heu
uch endorsement(s).
PROPERTY DAMAGE -$
CONTACT Vanessa Weidauer / Denise J. Billings
NAME:PHONE
FAX( ) -
No.].,..
iper acdclentl
-1415)898-3922
ADP RE -MAIL E.s S; vanes s a@properlylinsu,red..com-
205 San fllz6�ir
... ... ... ... ... . .....
INSURERS R R AFFORDINGCOVERAGE NAIC #
ff .n_-
$
CA 94945-1227 INSURER A:Travelers Insurance Co
.... ................. . .... . ..... ...... .. ..
INSURED
INSURER B:Travelers Indemnity Co of Ill 25674
.. . .... . ..
Y ay
INSURER C:Travelers Cas & Suretv Co of A 31194
.. . . ............ ......... . .... ..... ... .. .
899 Nortll[gCj;'R. :)r
IiN§UR.E.9-13:
AGGREGATE $
INSURER E :
.. . ...... ....... . ........ .. ..... . .
S'l n 'Pa
CA 94903 INSURER F:
(.0"I"ERAGIFS
t I:.:.: IRTIFICATE NUMBER -CL1 5 6 4116 7 8 REVISION NUMBER:
THIS 13 T 1
111U III OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
S
AN�Y 1311EQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
C'TI1114ICA'
M?"( PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
)(01 US 01W A'
I I POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ll �)O WAY
.. . . .... .......
"Alaft §U--BJR J56Q&Y--EXP.---
WVD POLICY NUMBER (MMIDDIYYYY), (MMIDDIYYYYI LIMITS
VO
y-
f.ACt OCCURRENCE $ 1,000,000
1/1/2015
DAMAGETO
- RENTED - 100, - 0 . 00
-PR ?ESJ[ cqqj�trL $
-q. 9- q@1
7X
F.L DISEASE - FA EMPLOYE[ $
66043SX121A 6/12/2015 6/12/2016 MED EXP (Any one person) $ 5,000
PERSONAL. & ADV INJURY $ 1,000,000
G EN E RAL R EGATE $ 2 000,000
X
2,
AGG PRODUCTSAGG COMPIOP$ ,000,000
. ... . ... . . . ...... .... ...... ... ... ....
$
Wl�(JMOHI 1YCOMElfNED
SINGLE L.]MIT
Ea accident
$ $1,000,000
BODILY INJURY (Per person)
$
A
660435XI21A
6/12/2015
6/12/2016
BODILY INJURY (Per accident) $
PROPERTY DAMAGE -$
iper acdclentl
$
EAC) 9 i
AGGREGATE $
X PER OTH-
LSTAI I.ER_
IF .1
F L.. EACH ACCIDENT $
.... .. . .....
1
UI309558201
1/1/2015
1/1/2016
F.L DISEASE - FA EMPLOYE[ $
0.000
106255921 4/4/2015 4/4/2016 I Ioeach 0aim; not to exceed $1,000,000
for
all Claims $1,000,000
'AF a VMICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
off.'cers, agents, employees, and volunteers are named as additional insured per
,.'wrerage is primary per form CG DO 37 04 05. Workers Compensation Waiver of
form WC
04 03 06.
c,c)Ky.bytof0cityofsaintrafael
tof, Project Manager
94:915-1560
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
iV I Weidauer/NESSA
©1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
COMMERCIAL GENERAL LIABILITY
n,t
ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
,`HER SURANCE - ADDITIONAL INSUREDS
nrEodifies insurance provided under the following:
r hl f , I''fAL GENERAL LIABILITY COVERAGE PART
I il�#? fd,ERAL LIABILITY CONDITIONS
4. (Other Insurance), is
9'nr added to Paragraph a. Primary
T CY,"
/res„ specifically agree in a written con-
:r�i�r fr agreement that the insurance pro -
"r rtr additional insured under this
must apply on a primary basis, or
+ion -contributory basis, this insur-
��"�r to other insurance that is avail-
.. Gbitional insured which covers such
�� gyred as a named insured, and we
n,a with that other insurance, provided
injury" or "property damage" for
c wage is sought occurs; and
b. The "personal injury" or "advertising injury" for
which coverage is sought arises out of an of-
fense committed
subsequent to the signing and execution of that
contract or agreement by you.
2. The first Subparagraph (2) of Paragraph b. Ex-
cess Insurance regarding any other primary in-
surance available to you is deleted.
3. The following is added to Paragraph b. Excess
Insurance, as an additional subparagraph under
Subparagraph (1):
That is available to the insured when the insured
is added as an additional insured under any other
policy, including any umbrella or excess policy.
Copyright 2005 The St. Paul Travelers Companies, Inc. All rights reserved. Page 1 of 1
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOT-FOR-PROFIT ENTITY AMENDATORY ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any
injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or
limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to
the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover-
age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en-
dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.
A. Not -For -Profit Invitee Property Damage
Legal Liability
B. Special Event Premium Rating
C. Special Event Designated Products
D. Malicious Prosecution — Exception To
Knowing Violation Of Rights Of Another
Exclusion
E. Who Is An Insured — Your Liability For
Your Conduct Of Unnamed Partnership
Or Joint Venture — (Excess Basis)
PROVISIONS
A. NOT-FOR-PROFIT INVITEE PROPERTY DAM-
AGE LEGAL LIABILITY
1. The following is added to Exclusion j., Dam-
age To Property, in Paragraph 2. of SEC-
TION I — COVERAGES — COVERAGE A
BODILY INJURY AND PROPERTY DAM-
AGE LIABILITY:
Paragraph (4) of this exclusion does not apply
to "not-for-profit invitee property damage"
caused by fire; explosion; lightning; smoke
resulting from such fire, explosion, or light-
ning; water; or vandalism or malicious mis-
chief:
(a) On premises you own or rent or on ways
next to premises you own or rent; and
F. Blanket Additional Insured — Mortgagees,
Assignees, Successors Or Receivers
G. Blanket Additional Insured — States Or Political
Subdivisions — Permits Relating To Premises
H. Blanket Additional Insured — States Or Political
Subdivisions — Permits Relating To Operations
I. Blanket Additional Insured — Persons Or
Organizations Where Required By Written Con-
tract Or Agreement
(11) Rupture or bursting due to expansion or
swelling of the contents of any building or
structure, caused by or resulting from wa-
ter; or
(iii) Explosion of any steam boiler, steam
pipe, steam engine, or steam turbine.
2. The following is added to SECTION III — LIM-
ITS OF INSURANCE:
Subject to Paragraph 5. above, the most we
will pay under Coverage A for the sum of all
damages because of "not-for-profit property
damage" sustained by all "not-for-profit invit-
ees" Is $15,000.
3. The following are added to the DEFINITIONS
Section:
(b) Because of your operations. "Not-for-profit invitee":
This exception does not apply to "not -for- a. Includes any of your clients, customers,
profit property damage" caused by:
guests, members, patrons, supporters
(i) Rupture, bursting, or operation of any and "volunteer workers".
pressure relief device;
CG D4 43 07 08 © 2008 The Travelers Companies, Inc. Page 1 of 4
COMMERCIAL GENERAL LIABILITY
b. Does not include any person who is your
"employee", "temporary worker" or "inde-
pendent contractor".
"Not-for-profit invitee property damage"
means "property damage" to personal prop-
erty owned or rented by a "not-for-profit in-
vitee", other than any of the following prop-
erty:
a. Accounts, bills, currency, deeds, money,
notes, securities or debt instruments;
b. Mechanical drawings, blueprints„ docu-
ments, records, manuscripts or valuable
papers; or
c. Contraband or other property in the
course of illegal transportation or trade.
B. SPECIAL EVENT PREMIUM RATING
The following is added to SECTION IV — COM-
MERCIAL GENERAL LIABILITY CONDITIONS:
Special Event Premium Rating
a. The Not -For -Profit Entity Amendatory En-
dorsement includes the following:
(1) All indoor events with less than 1000 at-
tendees and shorter than 24 hours in du-
ration; and
(2) All outdoor events with less than 500 at-
tendees and shorter than 24 hours in du-
ration.
b. The following events will be rated separately
for additional premium:
(1) Any event that exceeds the attendees or
duration described in a.(1) or a.(2) above;
(2) Any parade, fair or carnival; or
(3) Any athletic, sporting or motor vehicle
event including walks, runs, tournaments,
demonstrations, rallies or competitive ac-
tivities.
C. SPECIAL EVENT DESIGNATED PRODUCTS
1. The following is added to the definition of
"products -completed operations hazard" in
the DEFINITIONS Section:
Includes all "bodily injury" and "property dam-
age" arising out of your "designated products"
on premises you own or rent, on premises
used by you for a special event related to
your business, or on the ways next to any
such premises you own or rent, or use for a
special event.
2. The following is added to the DEFINTIONS
Section:
"Designated products" means apparel, but-
tons, CDs, DVDs, tapes, posters, stickers and
other similar products used to promote a spe-
cial event related to your business.
D. MALICIOUS PROSECUTION — EXCEPTION TO
KNOWING VIOLATION OF RIGHTS OF AN-
OTHER EXCLUSION
The following is added to Exclusion a., Knowing
Violation Of Rights Of Another, in Paragraph 2.
of SECTION I — COVERAGES — COVERAGE B
PERSONAL AND ADVERTISING INJURY:
This exclusion does not apply to "personal injury"
caused by malicious prosecution.
E. WHO IS AN INSURED — YOUR LIABILITY FOR
YOUR CONDUCT OF UNNAMED PARTNER-
SHIP OR JOINT VENTURE (EXCESS BASIS)
1. The following replaces the last paragraph of
SECTION II — WHO IS AN INSURED:
No person or organization is an insured with
respect to the conduct of any current or past
partnership, joint venture, limited liability
company or trust that is not shown as a
Named Insured in the Declarations. This sub-
paragraph does not apply to your liability with
respect to your conduct of the business of
any current or past partnership or joint ven-
ture that is not shown as a Named Insured in
the Common Policy Declarations.
2. The following is added to Paragraph 4.b., Ex-
cess Insurance, of SECTION IV — COM-
MERCIAL GENERAL LIABILITY CONDI-
TIONS:
The insurance is excess over any valid and
collectible other insurance, whether primary,
excess, contingent or on any other basis,
which is available to you for your liability with
respect to your conduct of the business of
any current or past partnership or joint ven-
ture that is not shown as a Named Insured in
the Common Policy Declarations and which is
issued to such partnership or joint venture.
F. BLANKET ADDITIONAL INSURED - MORT-
GAGEES, ASSIGNEES, SUCCESSORS OR
RECEIVERS
The following is added to SECTION 11 — WHO IS
AN INSURED:
Any person or organization that is a mortgagee,
assignee, successor or receiver and that you
Page 2 of 4 © 2008 The Travelers Companies, Inc. CG D4 43 07 08
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 its li-
ability as mortgagee, assignee, successor or re-
ceiver for "bodily injury", "property damage", "per-
sonal injury" or "advertising injury" that:
a. Is "bodily injury" or "property damage" that
occurs, or is "personal injury" or "advertising
injury" caused by an offense committed, after
you have signed and executed that contract
or agreement; and
b. Arises out of the ownership, maintenance or
use of the premises for which that mortgagee,
assignee, successor or receiver is required
under that contract or agreement to be in-
cluded as an additional insured on this Cov-
erage Part.
The insurance provided to such mortgagee, as-
signee, successor or receiver is subject to the fol-
lowing provisions:
(1) The limits of insurance provided to such
mortgagee, assignee, successor or receiver
will be the limits which you agreed to provide
in the written contract or agreement, or the
limits shown in the Declarations for this Cov-
erage Part, whichever are less; and
(2) Coverage under this provision does not apply
to:
(a) Any "bodily injury" or "property damage"
that occurs, or any "personal injury" or
"advertising injury" caused by an offense
committed, after such contract or agree-
ment is no longer in effect; or
(b) Any "bodily injury", "property damage",
"personal injury" or "advertising injury"
arising out of any structural alterations,
new construction or demolition operations
performed by or on behalf of such mort-
gagee, assignee, successor or receiver.
G. BLANKET ADDITIONAL INSURED — STATES
OR POLITICAL SUBDIVISIONS — PERMITS
RELATING TO PREMISES
The following is added to SECTION II — WHO IS
AN INSURED:
Any state or political subdivision that has issued a
permit in connection with premises owned or oc-
cupied by, or rented or loaned to, you is an in-
sured, but only with respect to liability for "bodily
injury", "property damage", "personal injury" or
"advertising injury" arising out of the existence,
COMMERCIAL GENERAL LIABILITY
ownership, use, maintenance, repair, construc-
tion, erection or removal of advertising signs,
awnings, canopies, cellar entrances, coal holes,
driveways, manholes, marquees, hoist away
openings, sidewalk vaults, elevators, street ban-
ners or decorations for which that state or political
subdivision has issued such permit.
H. BLANKET ADDITIONAL INSURED — STATES
OR POLITICAL SUBDIVISIONS — PERMITS
RELATING TO OPERATIONS
The following is added to SECTION II — WHO IS
AN INSURED:
Any state or political subdivision that has issued a
permit in connection with operations performed by
you or on your behalf is an insured, but only with
respect to liability for "bodily injury", "property
damage", "personal injury" or "advertising injury"
arising out of such operations.
Coverage under this provision does not apply to:
1. Any "bodily injury", "property damage", "per-
sonal injury" or "advertising injury" arising out
of operations performed for that state or po-
litical subdivision; or
2. Any "bodily injury" or "property damage" in-
cluded in the "products — completed opera-
tions hazard".
I. BLANKET ADDITIONAL INSURED — PERSONS
OR ORGANIZATIONS WHERE REQUIRED BY
WRITTEN CONTRACT OR AGREEMENT
The following is added to SECTION II — WHO IS
AN INSURED:
Any person or organization 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 liability for "bodily
injury" or "property damage" that:
1. Occurs after you have signed and executed
that contract or agreement; and
2. Is caused, in whole or in part, by your acts or
omissions in the performance of your ongoing
operations to which the written contract or
agreement applies or the acts or omissions of
any person or organization performing such
operations on your behalf.
The insurance provided to such person or organi-
zation where required by written contract or
agreement is subject to the following provisions:
(1) The limits of insurance provided to such In-
sured will be the limits which you agreed to
CG D4 43 07 08 02008 The Travelers Companies, Inc. Page 3 of 4
COMMERCIAL GENERAL LIABILITY
provide in the written contract or agreement,
or the limits shown in the Declarations for this
Coverage Part, whichever are less;
(2) If such insured is an architect, engineer or
surveyor, the insurance provided to such in-
sured does not apply to "bodily injury" or
"property damage" arising out of such in-
sured's providing or failing to provide any pro-
fessional services, including:
(a) The preparing, approving or failing to
prepare or approve, maps, shop draw-
ings, opinions, reports, surveys, field or-
ders or change orders, or the preparing,
approving or failing to prepare or ap-
prove, drawings and specifications; and
(b) Supervisory or inspection activities per-
formed as part of any related architectural
or engineering activities; and
(3) Coverage under this provision does not apply
to:
(a) Any person or organization that has been
added as an additional insured by at-
tachment of an endorsement under this
Coverage Part which names such person
or organization in the endorsement's
schedule;
(b) Any person or organization who distrib-
utes or sells "your product" in the regular
course of that person's or organization's
business; or
(c) Any person or organization from whom
you have acquired "your product", or any
ingredient of, or that contains, "your prod-
uct".
Page 4 of 4 0 2008 The Travelers Companies, Inc. CG D4 43 07 08