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HomeMy WebLinkAboutCD Building Divisions Code Enforcement ServicesAGREEMENT FOR PROFESSIONAL SERVICES WITH CSG CONSULTANTS, INC.
FOR CODE ENFORCEMENT CONTRACT SERVICES FOR THE BUILDING DIVISION
This Agreement is made and entered into this / 974 day of , 20 /sr,
by and between the CITY OF SAN RAFAEL (hereinafter "CITY"), and CS`G Consultants Inc.
(hereinafter "CONTRACTOR").
RECITALS
WHEREAS, during the Great Recession the Code Enforcement Division of the Community
Development Department experienced substantial staff reductions; and
WHEREAS, at present, the Building Division has insufficient staffing to adequately
investigate and follow up on illegal and unpennitted construction activities which had historically
been administered by the Code Enforcement Division; and
WHEREAS, there is a large backlog of cases involving illegal and/or unpennitted
construction activities that need to be administered; and
WHEREAS, CSG Consultants, Inc. has demonstrated the ability to manage code
enforcement assignments on the City's behalf related to other services with efficiency and
professionalism.
AGREEMENT
NOW, THEREFORE, the parties hereby agree as follows:
PROJECT COORDINATION.
A. CITY'S Project Manager. The CHIEF BUILDING OFFICIAL 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,. ROBERT CUSHING 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.
Rev. Date: 1%3W14 1 ORIGINAL
2. DUTIES OF CONTRACTOR.
CONTRACTOR shall perform the duties and/or provide services as follows:
Provide the services of a Senior Code Enforcement Officer, who shall perform the duties
described in attached Exhibit "A" under the direction of the Chief Building Official or the Senior
Building Inspector as assigned. The Senior Code Enforcement Officer to be provided by
CONTRACTOR under this Agreement shall be Lamont Mack, except as otherwise agreed in
writing by the parties.
3. DUTIES OF CITY.
City will provide a workspace, computer, phone, and usual office equipment and supplies
necessary for the Code Enforcement officer to perform their duties as directed.
4. COMPENSATION.
For the full performance of the services described herein by CONTRACTOR, CITY shall
pay CONTRACTOR for the hours worked by the Senior Code Enforcement Officer at the rate of
$93per hour, for a total amount not to exceed $20,000.
City will not pay for any travel time to or from City offices.
City will not pay other reimbursable expenses except as agreed in writing between the parties.
No additional compensation shall be paid to CONTRACTOR for any time spent by the
CONTRACTOR's Code Enforcement Manager in performing any of the functions identified in
EXHIBIT A, such time being covered by the compensation to be paid for the services of the Senior
Code Enforcement Officer except as agreed in writing by the parties.
Payment will be made monthly upon receipt by PROJECT MANAGER of itemized
invoices submitted by CONTRACTOR.
5. TERM OF AGREEMENT.
The term of this Agreement shall be for one (1) year commencing on August 19, 2015 and
ending on August 19, 2016.
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
Rev. date: 1 30+' 1 4
incur additional obligations under any provision of this Agreement without the prior written consent
of the other.
D. Return of Documents. Upon termination, any and all CITY documents or
materials provided to CONTRACTOR and any and all of CONTRACTOR's documents and
materials prepared for or relating to the performance of its duties under this Agreement, shall be
delivered to CITY as soon as possible, but not later than thirty (30) days after termination.
7. OWNERSHIP OF DOCUMENTS.
The written documents and materials prepared by the CONTRACTOR in connection with
the performance of its duties under this agreement, shall be the sole property of CITY. CITY may
use said property for any purpose, including projects not contemplated by this Agreement.
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 perfonnance 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:
I. 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/three million dollars ($3,000,000) 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
Rev. date: 1/30/14
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
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 tine
CONTRACTOR in 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 01 04 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 tenns 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
Rev. date: 1,3&' 14 4
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
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
evidencine the other insurance reauirements set forth in this Aereement. 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.
Rev. date: 1/30'14 5
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
Agreement, and shall survive the tennination 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 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:
Rev. date: 1 30' 14
TO CITY's Project Manager:
TO CONTRACTOR's Project Director:
16. INDEPENDENT CONTRACTOR.
Thomas Ahrens
City of San Rafael
1400 Fifth Avenue
San Rafael, CA 94901
(415) 485-3357
Robert Cushing
CSG Consultants, Inc.
1700 South Amphlett Blvd. 3`d Floor
San Mateo, CA 94402
(650) 522-2500
robertc@csgengr.com
For the purposes, and for the duration, of this Agreement, CONTRACTOR, its officers,
agents and employees shall act in the capacity of an Independent Contractor, and not as employees
of the CITY. CONTRACTOR and CITY expressly intend and agree that the status of
CONTRACTOR, its officers, agents and employees be that of an Independent Contractor and not
that of an employee of CITY.
17. ENTIRE AGREEMENT -- AMENDMENTS.
A. The terms and conditions of this Agreement, all exhibits attached, and all documents
expressly incorporated by reference, represent the entire Agreement of the parties with respect to the
subject matter of this Agreement.
B. This written Agreement shall supersede any and all prior agreements, oral or written,
regarding the subject matter between the CONTRACTOR and the CITY.
C. No other agreement, promise or statement, written or oral, relating to the subject
matter of this Agreement, shall be valid or binding, except by way of a written amendment to this
Agreement.
D. The terms and conditions of this Agreement shall not be altered or modified except
by a written amendment to this Agreement signed by the CONTRACTOR and the CITY.
E. If any conflicts arise between the terms and conditions of this Agreement, and the
terms and conditions of the attached exhibits or the documents expressly incorporated by reference,
the terms and conditions of this Agreement shall control.
18. SET-OFF AGAINST DEBTS.
CONTRACTOR agrees that CITY may deduct from any payment due to
CONTRACTOR under this Agreement, any monies which CONTRACTOR owes CITY wider
Rev. date: 1 /M 14
any ordinance, agreement, contract or resolution for any unpaid taxes, fees, licenses, assessments,
unpaid checks or other amounts.
19. WAIVERS.
The waiver by either party of any breach or violation of any term, covenant or condition of
this Agreement, or of any ordinance, law or regulation, shall not be deemed to be a waiver of any
other term, covenant, condition, ordinance, law or regulation, or of any subsequent breach or
violation of the same or other term, covenant, condition, ordinance, law or regulation. The
subsequent acceptance by either party of any fee, performance, or other consideration which may
become due or owing under this Agreement, shall not be deemed to be a waiver of any preceding
breach or violation by the other party of any term, condition, covenant of this Agreement or any
applicable law, ordinance or regulation.
20. COSTS AND ATTORNEY'S FEES.
The prevailing party in any action brought to enforce the terms and conditions of this
Agreement, or arising out of the performance of this Agreement, may recover its reasonable costs
(including claims administration) and attorney's fees expended in connection with such action.
21. CITY BUSINESS LICENSE / OTHER TAXES.
CONTRACTOR shall obtain and maintain during the duration of this Agreement, a CITY
business license as required by the San Rafael Municipal Code CONTRACTOR shall pay any and
all state and federal taxes and any other applicable taxes. CITY shall not be required to pay for any
work performed under this Agreement, until CONTRACTOR has provided CITY with a
completed Internal Revenue Service Form W-9 (Request for Taxpayer Identification Number and
Certification).
22. 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.
0
Rev. date: 130!14
By:
Na1ne: IGY US U, P.E , PLs.
ATTEST:
ESTHER C. BEIRNE, City Clerk
APPROVED AS TO FORM:
2
ROBERT F. EPSTEIN, City Attomey
Rev. date: 1'30114
UT :11.3 r 9_1
Scope of Work
To address the Chief Building Official's (CBO) needs, CSG proposes to provide a Senior Code
Enforcement Officer, who will work under the direction of the CBO to supplement the Building
Division's Point of Sale" housing resale inspection program. As the Building Division's single point of
contact for Stop Work Orders and Point of Sale issues, the officer will initially focus on inspecting and
resolving code violations discovered in the resale program during inspection and eliminating a
significant backlog of cases. This officer will be called upon to use a variety of professional skills
resulting in the elimination of health and safety violations and correction of other code violations as
well as recovering permit revenue and will emphasize a constructive, customer friendly approach
designed to promote cooperation between the City and property owner.
The officer will work with staff and Management to formalize these programs and to develop a
tracking program to manage them. The officer is expected to utilize existing databases including CRW
Trakit to ensure that cases and data are managed efficiently and to provide easy access to case
information for all involved parties. In many cases, the information will cross division lines, especially
where related to planning and finance. The officer will ensure that the system has sufficient
protections and protocol to ensure protection of sensitive information.
As a starting point, the officer will be available two (2) days a week, one of which will be a full day and
one a half day. This schedule will be determined at the discretion of the City and will not exceed
twelve hours (12) per week initially. If the program and workload require more hours per week, the
City will notify CSG and arrange for the officer's available hours to be expanded to meet those needs.
The program will commence on August 1, 2015 or on the date determined by the City and continue for
a period of time as stated in the contract. The City will determine if the program should be developed
into a longer term program.
CSG's Code Enforcement Manager (Manager) will review staff performance, conducting frequent
reviews of the officer's performance, progress, and case management. With input from the CBO, the
manager will help initiate solutions that address specific problems or that will produce a more efficient
and effective program for the City. The manager will participate in team meetings with members of
City departments as needed and will be available to accompany the officer on field visits when needed.
Additionally, the manager may be called upon to attend department meetings, committee meetings,
and City Council meetings as the Program progresses.
DATE (MM/DD/YYYY)
A� o® CERTIFICATE OF LIABILITY INSURANCE 8/12/2015
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 (CONTACT
NAME:
Arthur J. Gallagher & Co. IPHONN F_,,. 415-536-8617 Fo c- Ivm- 415-536-8627
Insurance Brokers of CA, Inc. LIC #0726293 1 E-MAIL
1255 Battery Street, Suite 450
San Francisco CA 94111 INSURER(S) AFFORDING COVERAGE NAIC #
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required)
re: Agreement for Professional Services for Code Enforcement Contract Services for the Building Division. City of San Rafael, its officers,
agents, employees and volunteers are included as additional insureds on a Primary & Non -Contributory basis on GL & Auto with 30 Day
Notice of Cancellation per attached. Waiver of Subrogation on WC and 30 Day Notice of Cancellation on Professional per attached. 30 Day
Notice of Cancellation is not available on WC.
CERTIFICATE HOLDER CANCELLATION
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
San Rafael CA 94901 AUTHORIZED REPRESENTATIVE
I I :�" I L__,)
©1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
INSURER A: Berkshire Hathaway Homestate Insura
20044
INSURED CSGCONS-01
INSURERB:Arch Insurance Company
11150
CSG Consultants, Inc.
INSURERC:American Fire and Casualty Company
24066
1700 S. Amphlett Blvd., 3rd Floor
I
San Mateo, CA 94402
INSURER D:
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: 411907072
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR AUDL SUER
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER
POLICY EFF POLICY EXP
(MMIDD/YYYYI (MMIDD/YYYY) LIMITS
C X COMMERCIAL GENERAL LIABILITY Y BKA1556382766
12/4/2014 12/4/2015 EACH OCCURRENCE
I
$1,000,000
DAMAGE TO
CLAIMS -MADE FX OCCUR
I PREMISES Ea occurrence)
$500,000
MED EXP (Any one person)
$5,000
PERSONAL & ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
POLICY 0 PRO FX]LOC
JECT
PRODUCTS - COMP/OP AGG
$2,000,000
OTHER:
$
C AUTOMOBILE LIABILITY Y BAA1556382766
12/4/2014 12/4/2015 COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
_
X ANY AUTO
I BODILY INJURY (Per person)
$
AUTOS�ED SCHEDULED
I BODILY INJURY (Per acc dent)
$
NON -OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
I (Per accident)
$
$
C X UMBRELLA LIARI X I USA1556382766
OCCUR
12/4/2014 12/4/2015 EACH OCCURRENCE
$5,000,000
Ir --ll
EXCESS LIAB CLAIMS MADE
I AGGREGATE
$5,000,000
I I
DED RETENTIONS
$
A WORKERS COMPENSATION Y CSWC501194
12/4/2014 12/4/2015 X I PER I 1OTH-
STATUTE ER
AND EMPLOYERS' LIABILITYY
ANY PROPRIETOR/PARTNER EXECUTIVE
EL EACH ACCIDENT
$1,000,000
� NIA
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
EL DISEASE - EA EMPLOYEE
$1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
EL DISEASE - POLICYLMIT
$1,000,000
B Professional Liability AEP004731503
12/4/2014 12/4/2015 Each Claim
$3,000,000
retrodate: 1/1/1991
Aggregate
$3,000,000
Deductible:
$50,000
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required)
re: Agreement for Professional Services for Code Enforcement Contract Services for the Building Division. City of San Rafael, its officers,
agents, employees and volunteers are included as additional insureds on a Primary & Non -Contributory basis on GL & Auto with 30 Day
Notice of Cancellation per attached. Waiver of Subrogation on WC and 30 Day Notice of Cancellation on Professional per attached. 30 Day
Notice of Cancellation is not available on WC.
CERTIFICATE HOLDER CANCELLATION
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
San Rafael CA 94901 AUTHORIZED REPRESENTATIVE
I I :�" I L__,)
©1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
Policy #13KA1556382766
COMMERCIAL GENERAL LIABILITY
CG 88 10 10 09
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL GENERAL LIABILITY EXTENSION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
INDEX
SUBJECT
PAG E
NON -OWNED AIRCRAFT
2
NON -OWNED WATERCRAFT
2
PROPERTY DAMAGE LIABILITY— ELEVATORS
2
EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage)
2
MEDICAL PAYMENTS EXTENSION
3
EXTENSION OF SUPPLEMENTARY PAYMENTS — COVERAGES A AND B
3
ADDITIONAL INSUREDS — BY CONTRACT, AGREEMENT OR PERMIT
3
PRIMARY AND NON-CONTRIBUTORY- ADDITIONAL INSURED EXTENSION
5
ADDITIONAL INSUREDS- EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE"
5
WHO IS AN INSURED — INCIDENTAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN INSURED —
6
FELLOW EMPLOYEE EXTENSION — MANAGEMENT EMPLOYEES
NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES
6
FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES
7
KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT
7
LIBERALIZATION CLAUSE
7
BODILY INJURY REDEFINED
7
EXTENDED PROPERTY DAMAGE
7
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US -
8
WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU
©2010 Liberty Mutual Insurance Company. All rights reserved.
CG 88 10 10 09 Includes copyrighted material of Insurance Services Office, Inc., with is permission. Page 1 of 7
With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement.
A. NON -OWNED AIRCRAFT
Under Paragraph 2. Exclusions of Section I — Coverage A - Bodily Injury And Property Damage Liability,
exclusion g. Aircraft, Auto Or Watercraft does not apply to an aircraft provided:
1. It is not owned by any insured;
2. It is hired, chartered or loaned with a trained paid crew;
3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the
United States of America or Canada, designating her or him a commercial or airline pilot; and
4. It is not being used to carry persons or property for a charge.
However, the insurance afforded by this provision does not apply if there is available to the insured other valid and
collectible insurance, whether primary, excess (other than insurance written to apply specifically in excess of this
policy), contingent or on any other basis, that would also apply to the loss covered under this provision.
B. NON -OWNED WATERCRAFT
Under Paragraph 2. Exclusions of Section I — Coverage A - Bodily Injury And Property Damage Liability,
Subparagraph (2) of exclusion g. Aircraft, Auto Or Watercraft is replaced by the following:
This exclusion does not apply to:
(2) A watercraft you do not own that is:
(a) Less than 52 feet long; and
(b) Not being used to carry persons or property for a charge.
C. PROPERTY DAMAGE LIABILITY — ELEVATORS
1. Under Paragraph 2. Exclusions of Section I - Coverage A — Bodily Injury And Property Damage Liability,
Subparagraphs (3), (4) and (6) of exclusion j. Damage To Property do not apply if such "property damage"
results from the use of elevators. For the purpose of this provision, elevators do not include vehicle lifts.
Vehicle lifts are lifts or hoists used in automobile service or repair operations.
2. The following is added to Section IV— Commercial General Liability Conditions, Condition 4. Other
Insurance, Paragraph b. Excess Insurance:
The insurance afforded by this provision of this endorsement is excess over any property insurance, whether
primary, excess, contingent or on any other basis.
D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage)
If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part:
1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury and Property Damage Liability:
a. The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the following:
Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by
fire, lightning, explosion, smoke, or leakage from an automatic fire protection system) to:
(i) Premises rented to you for a period of 7 or fewer consecutive days; or
(ii) Contents that you rent or lease as part of a premises rental or lease agreement for a period of
more than 7 days.
Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" to contents of premises rented
to you for a period of 7 or fewer consecutive days.
A separate limit of insurance applies to this coverage as described in Section III — Limits of Insurance
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b. The last paragraph of subsection 2. Exclusions is replaced by the following:
Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or leakage from
automatic fire protection systems to premises while rented to you or temporarily occupied by you with
permission of the owner. A separate limit of insurance applies to Damage To Premises Rented To
You as described in Section III — Limits Of Insurance.
2. Paragraph 6, under Section III — Limits Of Insurance is replaced by the following:
6. Subject to Paragraph S. above, the Damage To Premises Rented To You Limit is the most we will pay
under Coverage A for damages because of "property damage" to:
a. Any one premise:
(1) While rented to you; or
(2) While rented to you or temporarily occupied by you with permission of the owner for
damage by fire, lightning, explosion, smoke or leakage from automatic protection
systems; or
b. Contents that you rent or lease as part of a premises rental or lease agreement.
3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU
(Tenant's Property Damage) - Paragraph 9.a. of Definitions is replaced with the following:
9.a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that
indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or leakage
from automatic fire protection systems to premises while rented to you or temporarily occupied by you
with the permission of the owner, or for damage to contents of such premises that are included in your
premises rental or lease agreement, is not an "insured contract".
E. MEDICAL PAYMENTS EXTENSION
If Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are
amended as follows:
Under Paragraph 1. Insuring Agreement of Section I — Coverage C — Medical Payments, Subparagraph (b) of
Paragraph a. is replaced by the following:
(b) The expenses are incurred and reported within three years of the date of the accident; and
F. EXTENSION OF SUPPLEMENTARY PAYMENTS — COVERAGES A AND B
1. Under Supplementary Payments — Coverages A and B, Paragraph 1.b. is replaced by the following:
b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of
the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish
these bonds.
2. Paragraph 1.d. is replaced by the following:
d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or
defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off
from work.
G. ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT
1. Paragraph 2. under Section II — Who Is An Insured is amended to include as an insured any person or
organization whom you have agreed to add as an additional insured in a written contract, written agreement or
permit. Such person or organization is an additional insured but only with respect to liability for "bodily injury",
"property damage" or "personal and advertising injury" caused in whole or in part by:
a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of
your on going operations for the additional insured that are the subject of the written contract or written
agreement provided that the "bodily injury" or "property damage" occurs, or the "personal and
advertising injury" is committed, subsequent to the signing of such written contract or written
agreement; or
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b. Premises or facilities rented by you or used by you; or
C. The maintenance, operation or use by you of equipment rented or leased to you by such person or
organization; or
d. Operations performed by you or on your behalf for which the state or political subdivision has issued a
permit subject to the following additional provisions:
(1) This insurance does not apply to "bodily injury", "property damage", or "personal and
advertising injury" arising out of the operations performed for the state or political subdivision;
(2) This insurance does not apply to "bodily injury" or "property damage" included within the
"completed operations hazard".
(3) Insurance applies to premises you own, rent, or control but only with respect to the following
hazards:
(a) The existence, maintenance, repair, construction, erection, or removal of advertising
signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes,
marquees, hoist away openings, sidewalk vaults, street banners, or decorations and
similar exposures; or
(b) The construction, erection, or removal of elevators; or
(c) The ownership, maintenance, or use of any elevators covered by this insurance.
With respect to Paragraph 1.a. above, a person's or organization's status as an additional insured under this
endorsement ends when:
(1) All work, including materials, parts or equipment furnished in connection with such work, on
the project (other than service, maintenance or repairs) to be performed by or on behalf of the
additional insured(s) at the location of the covered operations has been completed; or
(2) That portion of "your work" out of which the injury or damage arises has been put to its
intended use by any person or organization other than another contractor or subcontractor
engaged in performing operations for a principal as a part of the same project.
With respect to Paragraph 1.b. above, a person's or organization's status as an additional insured under this
endorsement ends when their written contract or written agreement with you for such premises or facilities
ends.
With respects to Paragraph 1.c. above, this insurance does not apply to any "occurrence" which takes place
after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor
The insurance provided by this endorsement applies only if the written contract or written agreement is signed
prior to the "bodily injury" or "property damage".
We have no duty to defend an additional insured under this endorsement until we receive written notice of a
"suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In the Event Of
Occurrence, Offense, Claim Or Suit under Section IV — Commercial General Liability Conditions.
With respect to the insurance provided by this endorsement, the following are added to Paragraph 2.
Exclusions under Section I - Coverage A - Bodily Injury And Property Damage Liability:
This insurance does not apply to:
a. "Bodily injury" or "property damage" arising from the sole negligence of the additional insured.
b. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the location
where such "bodily injury" or "property damage" occurs.
C. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of,
or the failure to render, any professional architectural, engineering or surveying services, including:
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(1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions,
reports, surveys, field orders, change orders or drawings and specifications; or
(2) Supervisory, inspection, architectural or engineering activities.
d. "Bodily injury" or "property damage" occurring after:
(1) All work, including materials, parts or equipment furnished in connection with such work, on
the project (other than service, maintenance or repairs) to be performed by or on behalf of the
additional insured(s) at the location of the covered operations has been completed; or
(2) That portion of "your work" out of which the injury or damage arises has been put to its
intended use by any person or organization other than another contractor or subcontractor
engaged in performing operations for a principal as a part of the same project.
e. Any person or organization specifically designated as an additional insured for ongoing operations by
a separate ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS endorsement
issued by us and made a part of this policy.
H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION
This provision applies to any person or organization who qualifies as an additional insured under any form or
endorsement under this policy.
Condition 4. Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as
follows:
a. The following is added to Paragraph a. Primary Insurance:
If an additional insured's policy has an Other Insurance provision making its policy excess, and you have
agreed in a written contract or written agreement to provide the additional insured coverage on a primary and
noncontributory basis, this policy shall be primary and we will not seek contribution from the additional
insured's policy for damages we cover.
b. The following is added to Paragraph b. Excess Insurance:
When a written contract or written agreement, other than a premises lease, facilities rental contract or
agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political
subdivision between you and an additional insured does not require this insurance to be primary or primary
and non-contributory, this insurance is excess over any other insurance for which the additional insured is
designated as a Named Insured.
Regardless of the written agreement between you and an additional insured, this insurance is excess over any
other insurance whether primary, excess, contingent or on any other basis for which the additional insured has
been added as an additional insured on other policies.
ADDITIONAL INSUREDS- EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE"
This provision applies to any person or organization who qualifies as an additional insured under any form or
endorsement under this policy.
The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim or Suit:
An additional insured under this endorsement will as soon as practicable:
a. Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this
insurance to us;
b Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance
available to the additional insured; and
C. Agree to make available any other insurance which the additional insured has for a loss we cover
under this Coverage Part.
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d. We have no duty to defend or indemnify an additional insured under this endorsement until we receive
written notice of a "suit" by the additional insured.
2. The limits of insurance applicable to the additional insured are those specified in a written contract or written
agreement or the limits of insurance as stated in the Declarations of this policy and defined in Section III —
Limits of Insurance of this policy, whichever are less. These limits are inclusive of and not in addition to the
limits of insurance available under this policy.
WHO IS AN INSURED- INCIDENTAL MEDICAL ERRORS / MALPRACTICE WHO IS AN INSURED - FELLOW
EMPLOYEE EXTENSION- MANAGEMENT EMPLOYEES
Paragraph 2.a.(1) of Section II - Who Is An Insured is replaced with the following:
(1) "Bodily injury" or "personal and advertising injury":
(a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if
you are a limited liability company), to a co -"employee" while in the course of his or her employment or
performing duties related to the conduct of your business, or to your other "volunteer workers" while
performing duties related to the conduct of your business;
(b) To the spouse, child, parent, brother or sister of that co -"employee" or "volunteer worker" as a
consequence of Paragraph (1) (a) above;
(c) For which there is any obligation to share damages with or repay someone else who must pay
damages because of the injury described in Paragraphs (1) (a) or (b) above; or
(d) Arising out of his or her providing or failing to provide professional health care services. However, if
you are not in the business of providing professional health care services or providing professional
health care personnel to others, or if coverage for providing professional health care services is not
otherwise excluded by separate endorsement, this provision (Paragraph (d)) does not apply.
Paragraphs (a) and (b) above do not apply to "bodily injury" or "personal and advertising injury" caused by an
"employee" who is acting in a supervisory capacity for you. Supervisory capacity as used herein means the
"employee's" job responsibilities assigned by you, includes the direct supervision of other "employees" of yours.
However, none of these "employees" are insureds for "bodily injury" or "personal and advertising injury" arising out of
their willful conduct, which is defined as the purposeful or willful intent to cause "bodily injury" or "personal and
advertising injury", or caused in whole or in part by their intoxication by liquor or controlled substances.
The coverage provided by provision J. is excess over any other valid and collectable insurance available to your
"employee".
K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES
Paragraph 3. of Section II - Who Is An Insured is replaced by the following:
3. Any organization you newly acquire or form and over which you maintain ownership or majority
interest, will qualify as a Named Insured if there is no other similar insurance available to that
organization. However:
a. Coverage under this provision is afforded only until the expiration of the policy period in which
the entity was acquired or formed by you;
b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you
acquired or formed the organization; and
C. Coverage B does not apply to "personal and advertising injury" arising out of an offense
committed before you acquired or formed the organization.
d. Records and descriptions of operations must be maintained by the first Named Insured.
No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or
limited liability company that is not shown as a Named Insured in the Declarations or qualifies as an insured under this
provision.
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L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES
Under Section IV — Commercial General Liability Conditions, the following is added to Condition 6.
Representations:
Your failure to disclose all hazards or prior "occurrences" existing as of the inception date of the policy shall
not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior
"occurrences" is not intentional.
M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT
Under Section IV — Commercial General Liability Conditions, the following is added to Condition 2. Duties In The
Event of Occurrence, Offense, Claim Or Suit:
Knowledge of an "occurrence", offense, claim or "suit" by an agent, servant or "employee" of any insured shall
not in itself constitute knowledge of the insured unless an insured listed under Paragraph 1. of Section II —
Who Is An Insured or a person who has been designated by them to receive reports of "occurrences",
offenses, claims or "suits" shall have received such notice from the agent, servant or "employee".
N. LIBERALIZATION CLAUSE
If we revise this Commercial General Liability Extension Endorsement to provide more coverage without additional
premium charge, your policy will automatically provide the coverage as of the day the revision is effective in your state.
O. BODILY INJURY REDEFINED
Under Section V — Definitions, Definition 3, is replaced by the following:
3. "Bodily Injury" means physical injury, sickness or disease sustained by a person. This includes mental
anguish, mental injury, shock, fright or death that results from such physical injury, sickness or
disease.
P. EXTENDED PROPERTY DAMAGE
Exclusion a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the
following:
a. Expected Or Intended Injury
"Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion
does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect
persons or property.
Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US — WHEN REQUIRED IN A
CONTRACT OR AGREEMENT WITH YOU
Under Section IV — Commercial General Liability Conditions, the following is added to Condition 8. Transfer Of
Rights Of Recovery Against Others To Us:
We waive any right of recovery we may have against a person or organization because of payments we make for
injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or
organization and included in the "products -completed operations hazard" provided:
You and that person or organization have agreed in writing in a contract or agreement that you waive such
rights against that person or organization; and
The injury or damage occurs subsequent to the execution of the written contract or written agreement
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Policy #BKA1556382766
COMMERCIAL GENERAL LIABILITY
CG 89 70 05 11
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED — AMENDMENT OF CANCELLATION PROVISIONS
OR COVERAGE CHANGE
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Any term or provision of the Cancellation Conditions of the policy or any endorsement amending or replacing such Conditions
is amended by the following:
If you have agreed in a written contract or written agreement to provide a person or organization who qualifies as an
additional insured under this policy a notice of cancellation and/or material change that reduces or restricts the
insurance afforded by this Coverage Part we agree to the following:
a. Provide 30 days prior written cancellation notice for reasons other than nonpayment of premium
and/or 30 days prior written notice of coverage change per schedule of additional insureds provided to
us.
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Policy #BAA1556382766
COMMERCIAL AUTO
CA 88 10 01 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement.
COVERAGEINDEX
SUBJECT PROVISION NUMBER
ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT
3
ACCIDENTAL AIRBAG DEPLOYMENT
12
AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS
19
AMENDED FELLOW EMPLOYEE EXCLUSION
5
AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE
13
BROAD FORM INSURED
1
BODILY INJURY REDEFINED
22
EMPLOYEES AS INSUREDS (including employee hired auto)
2
EXTENDED CANCELLATION CONDITION
23
EXTRA EXPENSE — BROADENED COVERAGE
10
GLASS REPAIR — WAIVER OF DEDUCTIBLE
15
HIRED AUTO PHYSICAL DAMAGE (including employee hired auto and loss of use)
6
HIRED AUTO COVERAGE TERRITORY
20
LOAN / LEASE GAP
14
PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE)
16
PERSONAL EFFECTS COVERAGE
11
PHYSICAL DAMAGE — ADDITIONAL TRANSPORTATION EXPENSE COVERAGE
8
RENTAL REIMBURSEMENT
9
SUPPLEMENTARY PAYMENTS
4
TOWING AND LABOR
7
TWO OR MORE DEDUCTIBLES
17
UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS
18
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
20
SECTION II — LIABILITY COVERAGE is amended as follows:
1. BROAD FORM INSURED
SECTION II — LIABILITY COVERAGE, paragraph A.1. —WHO IS AN INSURED is amended to include the
following as an insured:
d. Any legally incorporated entity of which you own more than 50 percent of the voting stock during the
policy period. However, "insured" does not include any organization that:
(1) Is a partnership or joint venture; or
(2) Is an insured under any other automobile policy; or
(3) Has exhausted its Limit of Insurance under any other automobile policy.
Paragraph d. (2) of this provision does not apply to a policy written to apply specifically in excess of
this policy.
e. Any organization you newly acquire or form, other than a partnership or joint venture, of which you
own more than 50 percent of the voting stock. This automatic coverage is afforded only for 180 days
from the date of acquisition or formation. However, coverage under this provision does not apply:
(1) If there is similar insurance or a self-insured retention plan available to that organization;
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(2) If the Limits of Insurance of any other insurance policy have been exhausted; or
(3) To "bodily injury" or "property damage" that occurred before you acquired or formed the
organization.
2. EMPLOYEES AS INSUREDS
SECTION II — LIABILITY COVERAGE, paragraph A.1. —WHO IS AN INSURED is amended to include the
following as an insured:
f. Any "employee" of yours while using a covered "auto" you do not own, hire or borrow, but only for acts
within the scope of their employment by you. Insurance provided by this endorsement is excess over
any other insurance available to any "employee".
g. An "employee" of yours while operating an "auto" hired or borrowed under a written contract or
agreement in that "employee's" name, with your permission, while performing duties related to the
conduct of your business and within the scope of their employment. Insurance provided by this
endorsement is excess over any other insurance available to the "employee".
3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT
SECTION II — LIABILITY COVERAGE, paragraph A.I. —WHO IS AN INSURED is amended to include the
following as an insured:
h. Any person or organization with respect to the operation, maintenance or use of a covered "auto",
provided that you and such person or organization have agreed in a written contract, agreement, or
permit issued to you by governmental or public authority, to add such person, or organization, or
governmental or public authority to this policy as an "insured".
However, such person or organization is an "insured":
(1) Only with respect to the operation, maintenance or use of a covered "auto";
(2) Only for "bodily injury" or "property damage" caused by an "accident' which takes
place after you executed the written contract or agreement, or the permit has been
issued to you; and
(3) Only for the duration of that contract, agreement or permit
4. SUPPLEMENTARY PAYMENTS
SECTION II — LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments, paragraphs (2)
and (4) are replaced by the following:
(2) Up to $3,000 for cost of bail bonds (including bonds for related traffic violations) required because of
an "accident" we cover. We do not have to furnish these bonds.
(4) All reasonable expenses incurred by the insured at our request, including actual loss of earnings up to
$500 a day because of time off from work.
S. AMENDED FELLOW EMPLOYEE EXCLUSION
In those jurisdictions where, by law, fellow employees are not entitled to the protection afforded to the
employer by the workers compensation exclusivity rule, or similar protection, the following provision is added:
SECTION II — LIABILITY, exclusion B.S. FELLOW EMPLOYEE does not apply if the "bodily injury" results from
the use of a covered "auto" you own or hire.
SECTION III — PHYSICAL DAMAGE COVERAGE is amended as follows:
6. HIRED AUTO PHYSICAL DAMAGE
Paragraph A.4. Coverage Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE, is amended by
adding the following:
If hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified Causes of Loss or
Collision coverage are provided under the Business Auto Coverage Form for any "auto" you own, then the
Physical Damage coverages provided are extended to "autos":
You hire, rent or borrow; or
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b. Your "employee" hires or rents under a written contract or agreement in that "employee's" name, but
only if the damage occurs while the vehicle is being used in the conduct of your business,
subject to the following limit and deductible:
A. The most we will pay for "loss" in any one "accident" or "loss" is the smallest of:
(1) $50,000; or
(2) The actual cash value of the damaged or stolen property as of the time of the "loss'; or
(3) The cost of repairing or replacing the damaged or stolen property with other property of like
kind and quality, minus a deductible.
B. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage.
C. Subject to the limit, deductible and excess provisions described in this provision, we will provide
coverage equal to the broadest coverage applicable to any covered "auto" you own.
D. Subject to a maximum of $1,000 per "accident", we will also cover the actual loss of use of the hired
"auto" if it results from an "accident", you are legally liable and the lessor incurs an actual financial
loss.
E. This coverage extension does not apply to:
(1) Any "auto" that is hired, rented or borrowed with a driver; or
(2) Any "auto" that is hired, rented or borrowed from your "employee".
For the purposes of this provision, SECTION V — DEFINITIONS is amended by adding the following:
"Total loss" means a "loss" in which the cost of repairs plus the salvage value exceeds the actual cash value.
TOWING AND LABOR
SECTION III — PHYSICAL DAMAGE COVERAGE, paragraph A.2. Towing, is amended by the addition of the
following:
We will pay towing and labor costs incurred, up to the limits shown below, each time a covered "auto"
classified and rated as a private passenger type, "light truck" or "medium truck" is disabled:
a. For private passenger type vehicles, we will pay up to $50 per disablement.
b. For "light trucks", we will pay up to $50 per disablement. "Light trucks" are trucks that have a gross
vehicle weight (GVW) of 10,000 pounds or less.
For "medium trucks" , we will pay up to $150 per disablement. "Medium trucks" are trucks that have a
gross vehicle weight (GVW) of 10,001 — 20,000 pounds.
However, the labor must be performed at the place of disablement.
PHYSICAL DAMAGE - ADDITIONAL TRANSPORTATION EXPENSE COVERAGE
Paragraph AA.a., Coverage Extension of SECTION III — PHYSICAL DAMAGE COVERAGE, is amended to
provide a limit of $50 per day and a maximum limit of $1,500
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9. RENTAL REIMBURSEMENT
SECTION III — PHYSICAL DAMAGE COVERAGE, A. COVERAGE, is amended by adding the following:
a. We will pay up to $75 per day for rental reimbursement expenses incurred by you for the rental of an
"auto" because of "accident" or "loss", to an "auto" for which we also pay a "loss" under
Comprehensive, Specified Causes of Loss or Collision Coverages. We will pay only for those
expenses incurred after the first 24 hours following the "accident" or "loss" to the covered "auto."
b. Rental Reimbursement will be based on the rental of a comparable vehicle, which in many cases may
be substantially less than $75 per day, and will only be allowed for the period of time it should take to
repair or replace the vehicle with reasonable speed and similar quality, up to a maximum of 30 days.
C. We will also pay up to $500 for reasonable and necessary expenses incurred by you to remove and
replace your tools and equipment from the covered "auto".
d. This coverage does not apply unless you have a business necessity that other "autos" available for
your use and operation cannot fill.
e. If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under
this coverage only that amount of your rental reimbursement expenses which is not already provided
under Paragraph 4. Coverage Extension.
f. No deductible applies to this coverage_
For the purposes of this endorsement provision, materials and equipment do not include "personal effects" as
defined in provision 11.
10. EXTRA EXPENSE - BROADENED COVERAGE
Under SECTION III — PHYSICAL DAMAGE COVERAGE, A. COVERAGE, we will pay for the expense of
returning a stolen covered "auto" to you. The maximum amount we will pay is $1,000.
11. PERSONAL EFFECTS COVERAGE
A. SECTION III — PHYSICAL DAMAGE COVERAGE, A. COVERAGE, is amended by adding the
following:
If you have purchased Comprehensive Coverage on this policy for an "auto" you own and that "auto" is stolen,
we will pay, without application of a deductible, up to $600 for "personal effects" stolen with the "auto."
The insurance provided under this provision is excess over any other collectible insurance.
B. SECTION V — DEFINITIONS is amended by adding the following:
For the purposes of this provision, "personal effects" mean tangible property that is worn or carried by an
insured." "Personal effects" does not include tools, equipment, jewelry, money or securities.
12. ACCIDENTAL AIRBAG DEPLOYMENT
SECTION III — PHYSICAL DAMAGE COVERAGE, B. EXCLUSIONS is amended by adding the following:
If you have purchased Comprehensive or Collision Coverage under this policy, the exclusion for "loss" relating
to mechanical breakdown does not apply to the accidental discharge of an airbag.
Any insurance we provide shall be excess over any other collectible insurance or reimbursement by
manufacturer's warranty. However, we agree to pay any deductible applicable to the other coverage or
warranty.
13. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE
SECTION III — PHYSICAL DAMAGE COVERAGE, B. EXCLUSIONS, exception paragraph a. to exclusions
4.c. and 4.d. is deleted and replaced with the following:
© 2013 Liberty Mutual Insurance
CA 88 10 01 13 Includes copyrighted material of Insurance Services office, Inc., with its permission. Page 4 of 7
Exclusion 4.c. and 4.d. do not apply to:
a. Electronic equipment that receives or transmits audio, visual or data signals, whether or not designed
solely for the reproduction of sound, if the equipment is permanently installed in the covered "auto" at
the time of the "loss" and such equipment is designed to be solely operated by use of the power from
the "auto's" electrical system, in or upon the covered "auto" and physical damage coverages are
provided for the covered "auto"; or
If the "loss" occurs solely to audio, visual or data electronic equipment or accessories used with this
equipment, then our obligation to pay for, repair, return or replace damaged or stolen property will be reduced
by a $100 deductible.
14. LOAN / LEASE GAP COVERAGE
A. Paragraph C., LIMIT OF INSURANCE of SECTION III — PHYSICAL DAMAGE COVERAGE is
amended by adding the following:
The most we will pay for a "total loss" to a covered "auto" owned by or leased to you in any one
"accident" is the greater of the:
Balance due under the terms of the loan or lease to which the damaged covered "auto" is
subject at the time of the "loss" less the amount of:
a. Overdue payments and financial penalties associated with those payments as of the
date of the "loss",
b. Financial penalties imposed under a lease due to high mileage, excessive use or
abnormal wear and tear,
C. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability
Insurance purchased with the loan or lease,
d. Transfer or rollover balances from previous loans or leases,
e. Final payment due under a "Balloon Loan",
f. The dollar amount of any unrepaired damage which occurred prior to the "total loss" of
a covered "auto",
g. Security deposits not refunded by a lessor,
h. All refunds payable or paid to you as a result of the early termination of a lease
agreement or as a result of the early termination of any warranty or extended service
agreement on a covered "auto",
L Any amount representing taxes,
j. Loan or lease termination fees; or
The actual cash value of the damage or stolen property as of the time of the "loss".
An adjustment for depreciation and physical condition will be made in determining the actual cash
value at the time of the "loss". This adjustment is not applicable in Texas.
B. ADDITIONAL CONDITIONS
This coverage applies only to the original loan for which the covered "auto" that incurred the loss
serves as collateral, or lease written on the covered "auto" that incurred the loss.
C. SECTION V — DEFINTIONS is changed by adding the following:
As used in this endorsement provision, the following definitions apply:
"Total loss" means a "loss" in which the cost of repairs plus the salvage value exceeds the actual cash
value.
A "balloon loan" is one with periodic payments that are insufficient to repay the balance over the term
of the loan, thereby requiring a large final payment.
© 2013 Liberty Mutual Insurance
CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 7
15. GLASS REPAIR -WAIVER OF DEDUCTIBLE
Paragraph D. Deductible of SECTION III — PHYSICAL DAMAGE COVERAGE is amended by the addition of
the following:
No deductible applies to glass damage if the glass is repaired rather than replaced.
16. PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE)
Paragraph D. Deductible of SECTION III — PHYSICAL DAMAGE COVERAGE is amended by the addition of
the following:
The deductible does not apply to "loss" caused by collision to such covered "auto" of the private passenger
type or light weight truck with a gross vehicle weight of 10,000 lbs. or less as defined by the manufacturer as
maximum loaded weight the "auto" is designed to carry while it is:
a. In the charge of an "insured";
b. Legally parked; and
C. Unoccupied.
The "loss" must be reported to the police authorities within 24 hours of known damage.
The total amount of the damage to the covered "auto" must exceed the deductible shown in the Declarations.
This provision does not apply to any "loss" if the covered "auto" is in the charge of any person or organization
engaged in the automobile business.
17. TWO OR MORE DEDUCTIBLES
Under SECTION III PHYSICAL DAMAGE COVERAGE, if two or more company policies or coverage forms
apply to the same accident, the following applies to paragraph D. Deductible:
a. If the applicable Business Auto deductible is the smaller (or smallest) deductible it will be waived; or
b. If the applicable Business Auto deductible is not the smaller (or smallest) deductible it will be reduced
by the amount of the smaller (or smallest) deductible; or
C. If the loss involves two or more Business Auto coverage forms or policies the smaller (or smallest)
deductible will be waived.
For the purpose of this endorsement company means any company that is part of the Liberty Mutual Group.
SECTION IV — BUSINESS AUTO CONDITIONS is amended as follows:
18. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS
SECTION IV- BUSINESS AUTO CONDITIONS, Paragraph B.2. is amended by adding the following:
If you unintentionally fail to disclose any hazards, exposures or material facts existing as of the inception date
or renewal date of the Business Auto Coverage Form, the coverage afforded by this policy will not be
prejudiced_
However, you must report the undisclosed hazard of exposure as soon as practicable after its discovery, and
we have the right to collect additional premium for any such hazard or exposure.
19. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT, OR LOSS
SECTION IV — BUSINESS AUTO CONDITIONS, paragraph A.2.a. is replaced in its entirety by the following:
In the event of "accident", claim, "suit" or "loss", you must promptly notify us when it is known to:
1. You, if you are an individual;
2. A partner, if you are a partnership;
3. Member, if you are a limited liability company;
4. An executive officer or the "employee" designated by the Named Insured to give such notice,
if you are a corporation -
0
2013 Liberty Mutual Insurance
CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 7
To the extent possible, notice to us should include:
(1) How, when and where the "accident" or "loss" took place;
(2) The "insureds" name and address; and
(3) The names and addresses of any injured persons and witnesses.
20. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
SECTION IV — BUSINESS AUTO CONDITIONS, paragraph A.5., Transfer of Rights of Recovery Against
Others to Us, is amended by the addition of the following:
If the person or organization has waived those rights before an "accident" or "loss", our rights are waived also.
21. HIRED AUTO COVERAGE TERRITORY
SECTION IV — BUSINESS AUTO CONDITIONS, paragraph B.7., Policy Period, Coverage Territory, is
amended by the addition of the following:
f. For "autos" hired 30 days or less, the coverage territory is anywhere in the world, provided that the
insured's responsibility to pay for damages is determined in a "suit", on the merits, in the United
States, the territories and possessions of the United States of America, Puerto Rico or Canada or in a
settlement we agree to.
This extension of coverage does not apply to an "auto" hired, leased, rented or borrowed with a driver.
SECTION V — DEFINITIONS is amended as follows:
22. BODILY INJURY REDEFINED
Under SECTION V — DEFINTIONS, definition C_ is replaced by the following:
"Bodily injury" means physical injury, sickness or disease sustained by a person, including mental anguish,
mental injury, shock, fright or death resulting from any of these at any time.
COMMMON POLICY CONDITIONS
23. EXTENDED CANCELLATION CONDITION
COMMON POLICY CONDITIONS, paragraph A.— CANCELLATION condition applies except as follows:
If we cancel for any reason other than nonpayment of premium, we will mail to the first Named Insured written
notice of cancellation at least 60 days before the effective date of cancellation. This provision does not apply
in those states which require more than 60 days prior notice of cancellation.
© 2013 Liberty Mutual Insurance
CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7
POLICY NUMBER: BAA1556382766 COMMERCIAL AUTO
CA 20 48 02 99
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi-
fied by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi-
sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated
below.
Effective Date: 12/4/14
Named Insured: CSG Consultants, Inc.; Precision Inspection -CSG
SCHEDULE
Name of Person(s) or Organization(s): as required by written contract
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applicable to the endorsement.)
Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent
that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained
in Section II of the Coverage Form.
CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 0
Policy #BAA1556382766
COMMERCIAL AUTO
CA 88 66 06 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED — NONCONTRIBUTING
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this
endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the
Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
Schedule
Name of Person(s) or Organization(s): Any entity with respect to a covered "auto" provided that you and such entity have
agreed in a written contract, agreement, or permit to add such entity as an "insured".
Regarding Designated Contract or Project: N/A
Each person or organization shown in the Schedule of this endorsement is an "insured" for Liability Coverage, but only to the
extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the
Coverage Form.
The following is added to the Other Insurance Condition:
If you have agreed in a written agreement that this policy will be primary and without night of contribution from any
insurance in force for an Additional Insured for liability arising out of your operations, and the agreement was executed
prior to the "bodily injury" or "property damage", then this insurance will be primary and we will not seek contribution
from such insurance.
2013 Liberty Mutual Insurance. All rights reserved.
CA 88 66 06 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1
Policy #BAA1556382766
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AMENDMENT OF CANCELLATION PROVISIONS
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
GARAGE COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the policy apply unless modified by this endorsement.
Any term or provision of the Cancellation Conditions of the policy or any endorsement emending or replacing such Conditions is
amended by the following:
If you have agreed in a written contract or written agreement to provide a person or organization notice of cancellation we
agree to the following:
Provide a 30 days prior written cancellation notice to such persons or organization for reasons other than
nonpayment of premium, but only if we are provided with a schedule of persons or organizations with whom
you have agreed to provide notification more than 30 days before the cancellation is to take effect.
As a condition of this endorsement, you must notify your agent of any written contract or agreement where you have agreed to
provide notice of cancellation, other than nonpayment of premium, to a specific person or organization.
Failure to provide to a person or organization in accordance with the terms of this endorsement shall not extend the effective
date of the cancellation or otherwise affect cancellation of the policy as to any insured.
CA 88 76 03 14 © 2013 Liberty Mutual Insurance. All rights reserved. Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 04 10A (Ed 07-07)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA
BLANKET BASIS
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.)
The additional premium for this endorsement shall be 2.00 % of the total policy premium otherwise due on such
remuneration.
The minimum premium for this endorsement is $ 35n nn
Schedule
Person or Organization Job Description
ALL ORGANIZATIONS FOR WHOM THE WAIVER OF SUBROGATION IS ALL CALIFORNIA OPERATIONS
ISSUED
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 12/4/14 Policy No. CSWC501194
Insured CSG CONSULTANTS, INC. Premium $
Insurance Company Berkshire Hathaway Homestate Insurance Company
WC 99 04 10A
(Ed 07-07)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION — CERTIFICATE HOLDERS
This endorsement modifies insurance provided under the Design Professional Liability Policy.
The person(s) or organization(s) listed or described in the Schedule below have requested that they
receive not less than thirty (30) days written notice of cancellation when this policy is cancelled by us. We
will endeavor to mail or deliver to the Person(s) or Organization(s) listed or described in the Schedule a
copy of the written notice of cancellation that we sent to you. Such copies of the notice will be mailed as
soon as practicable to the address or addresses provided by your broker or agent.
This notification of cancellation of the policy is intended as a courtesy only. Our failure to provide such
notification to the person(s) or organization(s) shown in the Schedule will not extend any policy
cancellation date or impact or negate any cancellation of the policy. This endorsement does not entitle
the person(s) or organization(s) listed or described in the Schedule below to any benefit, rights or
protection under this policy.
Any provision of this endorsement that is in conflict with a statute or rule is hereby amended to conform to
that statute or rule.
Schedule
Person(s) or Organization(s) including mailing address:
All certificate holders where written notice of the cancellation of this policy is required by written
contract, permit or agreement with the Named Insured and whose names and addresses will be
provided by the broker or agent listed in the Declarations page of this policy for the purpose of
complying with such request.
All other terms and conditions of this policy remain unchanged.
Policy Number: APP0047315- 03
Named Insured: CSG Consultants
This endorsement is effective on the inception date of this Policy unless otherwise stated herein:
00 ML0086 00 11 10 Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AMENDMENT OF SECTION V. B. OPTIONAL EXTENDED CLAIMS REPORTING PERIOD
This endorsement modifies insurance provided under the Design Professional Liability Policy.
In consideration of the premium charged, it is agreed that Section V. EXTENDED REPORTING PERIOD,
Paragraph B. Optional Extended CLAIMS Reporting Period is deleted in its entirety and replaced with the
following:
B. Optional Extended CLAIMS Reporting Period
If YOU do not renew this Policy, or YOU do not purchase other insurance that covers professional
liability, or if WE cancel or refuse to renew this Policy for reasons other than (1) nonpayment of
premium or Deductible; (2) noncompliance with the terms and conditions of this Policy; or (3)
fraud or material misrepresentation, YOU shall have the option to extend the period by which a
CLAIM can be made against YOU and reported to US.
The premium for the Optional Extended CLAIMS Reporting Period shall be determined by
charging (1) 100% of the annual premium for twelve (12) months, (2) 150% for twenty-four (24)
months, (3) 200% for thirty-six (36) months, or (4) 250% for sixty (60) months. The purchase of
an Optional Extended CLAIMS Reporting Period shall be endorsed herein.
YOUR right to purchase the Optional Extended CLAIMS Reporting Period must be exercised by
notice in writing not later than thirty (30) days after the cancellation or termination date of this
policy. Effective notice must indicate the total Optional Extended CLAIMS Reporting Period
desired AND MUST INCLUDE PAYMENT OF PREMIUM FOR SUCH PERIOD. If such notice
and the premium are not mailed to US within thirty (30) days, then YOU shall not at a later date
be entitled to purchase an Optional Extended CLAIMS Reporting Period.
At the commencement of any Optional Extended CLAIMS Reporting Period, the entire premium
therefore shall be deemed earned, and in the event YOU terminate the Optional Extended
CLAIMS Reporting Period before its term for any reason, WE shall not be obligated to return to
YOU any portion of the premium.
The fact that the period during which CLAIMS can be made against YOU and reported to US is
extended by virtue of the Optional Extended CLAIMS Reporting Period shall not in any way
increase the Limits of Liability of this policy.
OUR liability shall further be limited to cover only those CLAIMS or CLAIM EXPENSES which
arise out of YOUR providing or failure to have provided PROFESSIONAL SERVICES prior to the
expiration date of the POLICY PERIOD or any earlier termination date, if applicable, and prior to
the Optional Extended CLAIMS Reporting Period.
All other terms and conditions of this Policy remain unchanged.
Issued By: Arch Insurance Company
Policy Number: AEP0047315-03
Named Insured: CSG Consultants, Inc
Endorsement Effective Date: December 04, 2014
00 ML0207 00 11 03 Page 1 of 1
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 aereements/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
g g
o y
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;
0
bonds, and insurance certificates and
endorsements.�r-
5
City Manager / Mayor / or
I Agreement executed by Council authorized
Department Head
official.
19
6
City Clerk
City Clerk attests signatures, retains original.
agreement and forwards copies to the
�7
contracting department.
$
To be completed by Contracting Department:
41
Project Manager:. °W' 1�"°�..:� Project Name:
w''.i�"':� .
r
Agendized for City Council Meeting of (if necessary): FPPC: ❑ , check if required
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.