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HomeMy WebLinkAboutED 750 Grand Ave. Environmental Assessment; GeologicaAGREEMENT FOR PROFESSIONAL SERVICES
FOR PHASE 1 ENVIRONMENTAL SITE ASSESSMENT OF 750 GRAND AVENUE, A
Portion of 375 FRANCISCO BLVD WEST, AND A PORTION OF 409 THIRD STREET IN
SAN RAFAEL
This Agreement is made and entered into this':7g, day of , 20 /S ,
by and between the CITY OF SAN RAFAEL (hereinafter "CITY"), and GEOLOGICA, INC.
(hereinafter "CONTRACTOR").
RECITALS
WHEREAS, the City of San Rafael is considering the purchase of real property located at
750 Grand Avenue, and a portion of the properties located at 375 Francisco Blvd West, and 409
Third Street; and
WHEREAS, the City of San Rafael seeks an environmental site assessment of said
properties in order to determine the history of their usage as part of standard pre -purchase due
diligence;
AGREEMENT
NOW, THEREFORE, the parties hereby agree as follows:
1. PROJECT COORDINATION.
A. CITY'S Project Manager. The Economic Development Special, Tom Adams 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. David Klimberg is hereby designated as the PROJECT
DIR:f"CTOR for CONTRACTOR. Should circumstances or conditions subsequent to the
execution of this Agreement require a substitute PROJECT DIRECTOR, for any reason, the
CONTRACTOR shall notify the CITY within ten (10) business days of the substitution.
2. DUTIES OF CONTRACTOR.
CONTRACTOR shall perform the duties and/or provide services as set forth in the
Proposal for Phase 1 Environmental Site Assessment attached hereto as Exhibit A and incorporated
herein by reference. CONTRACTOR warrants that its services are performed, within the limits
prescribed by CITY, in a manner consistent with the level of care and skill ordinarily exercised by
members of the same professions currently practicing in the same locality under similar conditions.
No other warranty or representation, either expressed or implied, is included or intended in its
proposals, contracts, or reports.
Rev. Date: 1,30/14 1 ORIGINAL
DUTIES OF CITY.
CITY shall pay the compensation as provided in Paragraph 4.
4. COMPENSATION.
For the fiill performance of the services described herein by CONTRACTOR, CITY shall
pay CONTRACTOR as set forth in the CONTRACTOR's Proposal for Phase 1 Environmental
Site Assessment attached hereto as Exhibit A and incorporated herein by reference, in a lump sum
amount of $3,500. Payment will be made upon receipt by PROJECT MANAGER OF itemized
invoices submitted by CONTRACTOR.
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 six (6) months commencing on the date of this
agreement. Upon mutual agreement of the parties, and subject to the approval of the City Manager
the term of this Agreement may be extended for an additional period of three (3) months.
6. TERMINATION.
A. Discretionary. Either party may terminate this Agreement without cause upon
thirty (30) days written notice mailed or personally delivered to the other party.
B. Cause. Either party may terminate this Agreement for cause upon fifteen (15) days
written notice mailed or personally delivered to the other party, and the notified party's failure to
cure or correct the cause of the termination, to the reasonable satisfaction of the party giving such
notice, within such fifteen (15) day time period.
C. Effect of Termination. Upon receipt of notice of termination, neither party shall
incur additional obligations under any provision of this Agreement without the prior written consent
of the other.
D. Return of Documents. Upon tennination, 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.
Rev. date: 1/30/14
8. INSPECTION AND AUDIT.
Upon reasonable notice, CONTRACTOR shall make available to CITY, or its agent, for
inspection and audit, all documents and materials maintained by CONTRACTOR in connection
with its performance of its duties under this Agreement. CONTRACTOR shall fully cooperate
with CITY or its agent in any such audit or inspection.
9. ASSIGNABILITY.
The parties agree that they shall not assign or transfer any interest in this Agreement nor the
performance of any of their respective obligations hereunder, without the prior written consent of
the other party, and any attempt to so assign this Agreement or any rights, duties or obligations
arising hereunder shall be void and of no effect.
10. INSURANCE.
A. Scope of Coverage. During the term of this Agreement, CONTRACTOR shall
maintain, at no expense to CITY, the following insurance policies:
1. A commercial general liability insurance policy in the minimum amount of
one million dollars ($1,000,000) per occurrence/two million dollars ($2,000,000) aggregate, for
death, bodily injury, personal injury, or property damage.
2. An automobile liability (owned, non -owned, and hired vehicles) insurance
policy in the minimum amount of one million dollars ($1,000,000) dollars per occurrence.
3. If any licensed professional performs any of the services required to be
performed under this Agreement, a professional liability insurance policy in the minimum amount
of two million dollars ($2,000,000) per occurrence/four million dollars ($4,000,000) aggregate, to
cover any claims arising out of the CONTRACTOR's performance of services under this
Agreement. Where CONTRACTOR is a professional not required to have a professional license,
CITY reserves the right to require CONTRACTOR to provide professional liability insurance
pursuant to this section.
4. If it employs any person, CONTRACTOR shall maintain worker's
compensation and employer's liability insurance, as required by the State Labor Code and other
applicable laws and regulations, and as necessary to protect both CONTRACTOR and CITY
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:
1. Except for professional liability insurance, the insurance policies shall be
specifically endorsed to include the CITY, its officers, agents, employees, and volunteers, as
Rev. date: 1/30/14
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, tenninate 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
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
Rev. date: 1/30/14 4
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 volicv lan2ua2e or specific endorsements
evidencinii the other insurance requirements set forth in this Agreement. CITY reserves the
right to obtain a full certified copy of any insurance policy and endorsements from
CONTRACTOR. Failure to exercise this right shall not constitute a waiver of the right to
exercise it later. The insurance shall be approved as to form and sufficiency by PROJECT
MANAGER and the City Attorney.
11. INDEMNIFICATION.
A. Except as otherwise provided in Paragraph B., CONTRACTOR shall, to the
fullest extent permitted by law, indemnify, release, defend with counsel approved by CITY, and
hold harmless CITY, its officers, agents, employees and volunteers (collectively, the "City
Indemnitees"), from and against any claim, demand, suit, judgment, loss, liability or expense of
any kind, including but not limited to attorney's fees, expert fees and all other costs and fees of
litigation, (collectively "CLAIMS"), arising out of CONTRACTOR'S negligent performance of
its obligations or intentional misconduct of its operations under this Agreement, but only to the
extent CONTRACTOR's negligence or intentional misconduct caused such CLAIMS. Such
negligence shall be measured by standards in effect at the time services are rendered, not by later
standards. 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
negligent performance of or intentional misconduct of its 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
Agreement, and shall survive the termination or completion of this Agreement for the full period
of time allowed by law.
Rev. date: 1/30/14 5
D. Regardless of any other term of this Agreement, in no event shall either party be
responsible or liable to the other for any incidental, consequential, or indirect damages.
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 perfonnance of its duties and obligations under this
Agreement. CONTRACTOR shall perform all services under this Agreement in accordance with
these laws, ordinances, codes and regulations. CONTRACTOR shall release, defend, indemnify
and hold harmless CITY, its officers, agents and employees from any and all damages, liabilities,
penalties, fines and all other consequences from any noncompliance or violation of any laws,
ordinances, codes or regulations.
14. NO THIRD PARTY BENEFICIARIES.
CITY and CONTRACTOR do not intend, by any provision of this Agreement, to create in
any third party, any benefit or right owed by one party, under the terms and conditions of this
Agreement, to the other party.
15. NOTICES.
All notices and other communications required or permitted to be given under this
Agreement, including any notice of change of address, shall be in writing and given by personal
delivery, or deposited with the United States Postal Service, postage prepaid, addressed to the
parties intended to be notified. Notice shall be deemed given as of the date of personal delivery, or
if mailed, upon the date of deposit with the United States Postal Service. Notice shall be given as
follows:
TO CITY's Project Manager: Tom Adams
Economic Development Department
City of San Rafael
1400 Fifth Avenue
P.O. Box 151560
San Rafael, CA 94915-1560
TO CONTRACTOR's Project Director: David Klimberg
Geologica, Inc.
220 Fourth Street, suite 201
Oakland, CA 94607
Rev. date: V30/14 6
16. INDEPENDENT CONTRACTOR.
For the purposes, and for the duration, of this Agreement, CONTRACTOR, its officers,
agents and employees shall act in the capacity of an Independent Contractor, and not as employees
of the CITY. CONTRACTOR and CITY expressly intend and agree that the status of
CONTRACTOR, its officers, agents and employees be that of an Independent Contractor and not
that of an employee of CITY.
17. ENTIRE AGREEMENT -- AMENDMENTS.
A. The terms and conditions of this Agreement, all exhibits attached, and all documents
expressly incorporated by reference, represent the entire Agreement of the parties with respect to the
subject matter of this Agreement.
B. This written Agreement shall supersede any and all prior agreements, oral or written,
regarding the subject matter between the CONTRACTOR and the CITY.
C. No other agreement, promise or statement, written or oral, relating to the subject
matter of this Agreement, shall be valid or binding, except by way of a written amendment to this
Agreement.
D. The terms and conditions of this Agreement shall not be altered or modified except
by a written amendment to this Agreement signed by the CONTRACTOR and the CITY.
E. If any conflicts arise between the terms and conditions of this Agreement, and the
terms and conditions of the attached exhibits or the 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 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 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.
Rev. date: 1/30/14 7
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
dMAk3d4ckE, City' eager
JA'M M. SCHUTZ,
APPROVED AS TO FORM:
ROBERT F. EPSTEIN, rty AttohWy
Rev. date: 1/30/14
CONTRACTOR
By:
Name: David M. Klimberg
Title: Principal
EXHIBIT
geoiogica
Innovative Strategies for Environmental and
Natural Resource Management
VIA E-MAIL
July 22, 2015
Economic Development Department
City of San Rafael
1313 Fifth Ave
San Rafael, CA 94915-1560
Attention: Mr. Thomas Adams, Economic Development Coordinator
Dear Mr. Adams:
Proposal
Phase I Environmental Site Assessment
750 Grand Ave, 375 Francisco Blvd West (Sub
Portion), &
409 Third St (Sub Portion)
San Rafael, CA
1.0 INTRODUCTION
GEOLOGICA INC. (GEOLOGICA) is pleased to submit this proposal to conduct a Phase I
Environmental Site Assessment (ESA) for three properties, which are located at: (i) 750
Grand Ave, (APN 014-132-10), (ii) a 2,000 square foot sub portion of 375 Francisco
Blvd West (APN 014-133-12), and (iii) a 100 square foot sub portion of 409 Third Street
(APN 014-151-14) in San Rafael, CA (the "site"). We understand as part of its
redevelopment plans; the City of San Rafael has made an offer to purchase the three
properties. As required, the ESA will be performed in general conformance with the
American Society for Testing Materials (ASTM) Standard Practice for Environmental
Site Assessment: Phase I EnvirOmnental Site Assessment Process (Standard Designation
E1527-13), to satisfy the A11 Appropriate Inquny (AAI) requirements.
2.0 PURPOSE AND SCOPE OF SERVICES
The purpose of the Phase I ESA will be to evaluate the site for indications of
recognized environmental conditions that potentially may impact soil and groundwater
beneath the site. This assessment will be accomplished by a review and evaluation of
current site uses for indications of the manufacture, generation, use, storage and/or
disposal of hazardous substances at the site, and the potential for soil and/or groundwater
220 4th Street, Suite 201 info@aeologicagrouo.com
Oakland, California 94607 www.geologicagrour).com
Phone: (415) 597-7888 — Fax: (888) 858-1382
Mr. Thomas Adams
July 21, 2015
contamination resulting from past and present site land use activities and nearby off site
operations based upon the scope of services described below. This proposed
investigation does not include the completion of soil borings, the installation of
groundwater monitoring wells or the collection or analysis of soil or groundwater
samples. If, based upon preliminary data review, a potential for environmental
impairment or contamination is identified, recommendations for further investigations
will be developed to evaluate whether contamination may exist at the locations identified.
The scope of services for this ESA will include, and be limited to, the following tasks:
• Review pertinent, available documents and maps regarding local
physiographic and hydrogeologic conditions in the site vicinity (studies to
specifically identify faults in the site vicinity are not included);
• Review and interpret available historical aerial photographs of the site and
vicinity from an aerial photograph source;
• Review and interpret GEOLOGICA'S archival topographic maps, and readily
available historical land use maps (e.g., Fire Insurance Maps -Sanborn Maps)
of the site and the area within a'/4 -mile radius of the subject property for
information regarding historical land use potentially involving the
manufacture, generation, use, storage and/or disposal of hazardous substances;
• Review of available documents regarding past and/or current site
development. Potentially useful documents may include: chain of title
reports, site maps, property layouts, tenant lists (if any) with addresses and
nature of businesses, geotechnical reports, prior environmental reports, and
agency correspondence pertaining to the sites. We assume any title reports to
be reviewed will be provided by the client.
Perform a reconnaissance survey of the subject property to make visual
observations of existing site conditions and activities, and a drive-by survey of
the area within a'/4 -mile radius of the site to observe types of general land use
within the search area. It is important the GEOLoG1CA have access to all
portions of the subject property. It shall be the responsibility of the client to
obtain permission to enter the site prior to our visit. Tenants or occupants, if
any, at the site should be informed that GEOLOGICA personnel would have to
perform a walkthrough of all areas of the site to observe for the potential
presence of hazardous materials. If access is unavailable to any portions of
the subject property, GEOLOGICA's ability to complete the scope of services
described herein may be hindered;
• Conduct interviews with owners of the subject property, property manager(s),
maintenance personnel, or others, as available or appropriate, to evaluate the
site history, and operation and maintenance procedures. It shall be the
Proposal for Phase I ESA
Fa
geologica
Mr. Thomas Adams
July 21, 2015
responsibility of the client to arrange the interviews (if applicable) between
GEOLOGICA and other appropriate parties at the time of our site visit;
• Review federal, state, and local lists of known or potential hazardous waste
sites or landfills, and sites currently under investigation for environmental
violations which might include the property or properties in the vicinity;
• Review of lists of registered underground storage tanks (USTs),
communications with appropriate regulatory officials, and, if available,
building plans and layout drawings for evidence of the current or former
presence of USTs at each site;
• Identification of the presence of above -ground or indications of the presence
of underground storage tanks, perform a visual inspection for the presence of
suspect asbestos containing materials (ACMs) and of the presence of
transformers onsite that may contain PCB -type cooling oils;
• Conduct inquiries by telephone or writing to applicable municipal, county,
and state regulatory agencies for information regarding building or
environmental permits, environmental violations or incidents and/or status of
enforcement actions at the subject property and properties in the vicinity.
GEOLOGICA' inquiries do not include review of files available at these
agencies unless the listed properties are located adjacent to or are interpreted
as hydraulically upgradient of the site; and,
• Preparation of a final report describing the research performed and presenting
GEOLOGICA'S findings and professional opinion regarding the potential for
environmental contamination at the subject site.
GEOLOGICA's services as described in this proposal specifically exclude, lead in
drinking water, and radon gas at the subject property. Our services also exclude an
evaluation of the site's environmental compliance status.
It is possible that the ESA may reveal the need to perform additional Phase II
field investigations (including surface, subsurface and/or air sampling) to test possible
suspect ACMs of concern or to assess the potential or absence of contaminated soil
and/or groundwater beneath the site. Such investigations are not included in
GEOLOGICA's Scope of Service described herein, but recommendations may be provided.
If Phase II subsurface or other additional investigations are recommended, a generalized
scope of services and justification and rationale for the scope will be provided.
3.0 SCHEDULE AND ESTIMATED CHARGES
Proposal for Phase I ESA g e o l o g i e a
Mr. Thomas Adams
July 21, 2015
GEOLOGICA is prepared to begin this investigation upon receipt of your written
authorization. GEOLOGICA estimates that the ESA report can be completed within four
weeks of authorization to proceed. This anticipated schedule is partially dependent on
the availability of, and access to, agency files and data. Should information obtained
from regulatory agencies be received after the report has been completed, this
information will be forwarded to you as an addendum to this report. GEOLOGICA will
contact you immediately if information is discovered that suggests significant
environmental concerns at the site.
Our fee for the work outlined in this proposal shall be in the lump sum amount of
$3,500, and is based on the assumption that access to all site structures will be available
during a single site visit. To authorize us to begin, please return a copy of the signed
signature page to David Klimberg via either email to dklimber ri)Zeologicaroup.com or
fax to (888) 858-1382.
4.0 TERMS AND CONDITIONS
GEOLOGICA's Terms and Conditions are attached and made a part of this
proposal. Acceptance of the Terms and Conditions shall be considered the same as
having been negotiated directly with GEOLOGICA. If a purchase order is issued as our
formal authorization for this project, please reference this proposal by indicating it on the
purchase order. Where the terms and conditions stated in the purchase order conflict with
the attached Terms and Conditions, the attached Terms and Conditions shall take
precedence.
GEOLOGICA's work is performed in a professional manner with the best interest of
our clients in mind. GEOLOGICA's objective is to perform our work with care, exercising
the customary thoroughness and competence of consulting professionals in the relevant
disciplines, in accordance with the standard for professional services at the time and
location those services are rendered. It is important to recognize that even the most
comprehensive scope of services may fail to detect environmental liability on a particular
site. Therefore, GEOLOGICA cannot act as insurers and cannot "certify" that a site is free
of environmental contamination, and no expressed or implied representation or warranty
is included or intended in our reports except that our work was performed, within the
limits prescribed by our client, with the customary thoroughness and competence of our
profession.
GEOLOGICA appreciates the opportunity to provide you with this proposal. Please
sign the acceptance section below. Retain one signed copy for your files and return a
second signed copy to GEOLOGICA to proceed with this project. Receipt of the signed
copy of this proposal will authorize GEOLOGICA to proceed with this project. This
Proposal for Phase 1 ESA g e o l o g i e a
4
Mr. Thomas Adams
July 21, 2015
proposal and its attachments will constitute the contractual agreement for the services
described in this proposal. The estimated cost for the scope of services presented in this
proposal will be applicable for a period of 30 days from the date of this proposal.
Should you have any questions about this proposal, please don't hesitate to call.
Sincerely,
GEOLOGICA INC.
David M. Klimberg, P.G.
Principal
Attachments: GEOLOGICA's Terms and Conditions
Proposal for Phase I ESA geologic a
Mr. Thomas Adams
July 21, 2015
ACCEPTANCE: GEo1_,oG1CA is authorized to proceed with the scope of services
described herein, and we accept the scope of services and terms and conditions described
in the attached Terms and Conditions.
Name
Company
Title Date
Signature
Proposal for Phase I ESA g e o l o g i e a
geologica
GEOLOGICA INC.
SCHEDULE OF CHARGES & GENERAL CONDITIONS
CONSULTING SERVICES AGREEMENT
This Schedule of Charges and General Conditions is incorporated in the proposal of GEOLOGICA ("Consultant") to
which it is attached (the "Proposal"). As used herein, "Client" refers to the person to whom the Proposal is addressed;
"Services" refers to services described in the "Scope of Services" section of the Proposal; "Project Site" refers to the
property with respect to which Services may be performed; "Agreement" refers to the written contract between
Consultant and Client, as set forth in the Proposal and the documents attached thereto.
5.0 PERSONNEL CHARGES
5.1 Charges for Consultant's personnel shall be at the hourly rates indicated below. Such rates are subject to
change periodically.
PERSONNEL CATEGORY
PrincipalM"Consultant
Associate
Senior Scientist/Engineer/Researcher
Project Scientist/Engineer/Researcher
Staff Scientist/Engineer/Researcher
Technicians
Graphics/Senior Editor
Clerical
HOURLY RATE ($1
150 to 175
120 to 135
105 to 125
80 to 95
60 to 70
55 to 70
55 to 65
45 to 55
5.2 Charges for personnel engaged in expert testimony shall be at 1.5 times the rates shown above, except that a
4 -hour per day minimum shall apply to any person being deposed or assisting in any deposition, and an 8 -
hour per day minimum shall apply to any person appearing in court as an expert witness or consultant.
5.3 Time spent in either local or inter -city travel, when travel is in the interest of the work, will be charged for in
accordance with the foregoing schedule; when traveling by public carrier, a maximum charge of eight hours
per day will be made.
5.4 Time spent in responding to any subpoena or other judicial or government request for documents or
testimony in connection with the Scope of Services shall be compensated without regard to any other
limitation on compensation.
6.0 OUTSIDE SERVICES
6.1 Charges for services, materials and equipment not furnished directly by Consultant, and any unusual items of
expense not customarily incurred in our normal operations, will be charged at cost plus 15%. Typical outside
services that this 1.15 multiplier will be applied to are subcontractors, consultants, contract labor, testing
laboratories, equipment, vehicles, long distance telecommunications, delivery services, shipping charges,
subsistence, transportation, printing and reproduction, miscellaneous supplies and rentals.
Con f dentia! July 22, 2015
7.0 REIMBURSABLES
7.1 Rates for Consultant owned equipment are:
Photocopies: $0.15/sheet
Facsimile copies: $0.50/page
Specialized Computer Applications: $25.00/hour
Other engineering and scientific field equipment: As noted in Proposal
8.0 BILLING
8.1 Invoices will be issued on a monthly basis, payable upon receipt, unless otherwise agreed.
8.2 Interest of 1 !i% per month (but not exceeding the maximum rate allowable by law) will be payable on any
amount not paid within 30 days, payment thereafter to be applied first to accrued interest and then to the
principal unpaid amount. Any attorney's fees or other costs incurred in collecting any delinquent amount
shall be paid by the client. Consultant may terminate its services if any invoice is unpaid for ninety (90)
days.
8.3 In the event that the Client requests tennination of the work prior to completion of a report, Consultant
reserves the right to complete such analyses and records as are necessary to place its files in order and, where
considered by it necessary to protect its professional reputation, to complete a report on the work performed
to date.
9.0 CONDITIONS
9.1 Client shall provide Consultant with access to facilities and information conducive to the efficient and
accurate provisions of Services, including such maps, drawings, and records as are needed for the proper
conduct of the Services, and shall indicate the reliability of all inforniation provided. Consultant will
maintain in confidence and return to Client any information designated by Client as confidential.
9.2 Consultant warrants that its services are perfornied, within the limits prescribed by its Clients, in a manner
consistent with that level of care and skill ordinarily exercised by members of the same professions currently
practicing in the same locality under similar conditions. No other warranty or representation, either
expressed or implied, is included or intended in its proposals, contracts, or reports.
9.3 Consultant shall, to the fullest extent pennitted by law, indemnify, defend and hold hannless Client, its
affiliates and their respective directors, officers, employees and agents from all claims and actions, losses and
attorneys' fees ("Losses") arising from Consultant's negligence or intentional misconduct in the performance
of services pursuant to this Agreement, but only to the extent Consultant's negligence or intentional
misconduct caused such Losses. Client shall, to the fullest extent permitted by law, indemnify, defend and
hold hannless Consultant, its affiliates and their respective directors, officers, employees, agents and
subcontractors from and against all Losses either (a) arising from Client's negligence or intentional
misconduct or (b) based on, or arising out of, damages or injuries to persons or property caused by, or arising
out of, any hazardous and/or toxic substances present at the site.
9.4 To the fullest extent pernnitted by law and not withstanding anything in Section 5.3 to the contrary, the total
cumulative liability of Consultant and its affiliates and their respective directors, officers, employees, agents,
and subcontractors to Client and all third parties with respect to services performed or to be performed
pursuant to this Agreement, whether for breach of contract, warranty, indemnity, contribution, tort, design
defect, or otherwise, shall not exceed 100% of the gross compensation actually received by Consultant under
this Agreement or $50,000, whichever is greater, provided however, for any damage caused by acts or
omissions other than professional negligence, such liability shall not exceed the available coverage under
Consultant's commercial general and automobile liability insurance coverage.
9.5 Neither party shall be liable to the other party for special, incidental, consequential or penal losses or
damages, even if the parties have been advised of the possibility of such damages.
Confidential Page 2 of 3 July 22, 2015
9.6 The forgoing limitations in Sections 5.2 - 5.5 shall apply to all actions of any character, whether in law or
equity and whether sounding in contract, indemnity, contribution, warranty, tort, design defect, or otherwise.
Client shall notify its contractors and their subcontractors of the foregoing limitations of liability and obtain,
for the benefit of Consultant, their agreement to the foregoing limitations of liability.
9.7 Neither party shall be considered in default in the performance of its obligations hereunder to the extent that
the performance of such obligations is prevented or delayed by any cause which is beyond the reasonable
control of the affected party, and the time for performance of either party hereunder shall in such event be
extended for a period equal to any time lost as a result thereof, and an equitable adjustment shall be made to
Consultant's compensation.
9.8 Client shall have the right to use the materials resulting from Consultant's efforts on the project (the
"materials") only for purposes expressly contemplated in this Agreement. The Materials shall not be used by
Client for other projects, for additions to the subject project, for any portions of the project following any
termination of Consultant, or for completion of the project by others (unless Consultant is in material breach
of this Agreement), except by agreement in writing. Client agrees to indemnify, defend, and hold harmless
Consultant against all losses resulting from any use of the Materials not expressly authorized by this
Agreement.
9.9 This Agreement shall not be modified except by written agreement signed by both parties. Client shall have
the right to make changes within the general scope of Services upon execution of a mutually accepted change
order. Client shall also have the right to terminate this Agreement prior to completion of the Services, after
reasonable notice to Consultant in writing, in which event Client shall pay Consultant all amounts due
Consultant hereunder up to the effective date of termination, plus Consultant's reasonable costs incurred after
such date in terminating the Services. In the event that Client alleges breach on behalf of Consultant, Client
shall afford Consultant in 30 days written notice to cure any alleged deficiency prior to termination.
Recognizing that termination prior to completion may involve risks and exposures both as to cost of work
and third party claims, Client shall in such event indemnify, protect and defend Consultant from claims
arising out of any incomplete aspect of the Services.
9.10 In the event either party commences legal proceedings against the other, then the prevailing party shall, in
addition to any other recovery, be entitled to recover its reasonable attorneys' fees and all other costs of such
proceeding.
9.11 All provisions under Section 5.0 "Conditions" shall survive termination or completion of this Agreement.
9.12 This Agreement contains the entire agreement between the parties as to the Services rendered hereunder. All
previous or contemporaneous agreements, representations, warranties, promises, and conditions relating to
the subject matter of this Agreement are superseded by this Agreement.
Cor fdential Page 3 of 3 July 22, 2015
® DATE(MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 17/23/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CUNTAGI
NAME'
HERITAGE WEST INSURANCE P(HCO,NNE�, 916 488-9945 FAX 916 488-9948
2365 El Camino Ave Ste G E—tc IN- Extl ( ) I tac,N�,i_ )
Sacramento, CA 95821 ADDRESS'.
INSURER(B) AFFORDING COVERAGE NAICC
INSURER A: EVEREST INDEMNITY INS CO
INSURED GEOLOGICA INCINSURER B LIBERTY MUTUAL INS CO
2625 ALCATRAZ AVE STE 504 IwsURERC:CALIF STATE COMP INS FUND
BERKELEY, CA 94705 INSURER D:
f INSURER E
I( INSURER F
COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADOL SUBR POLICY EFF POLICY EXP I LIMBS
LTR (NSD WVD POLICY NUMBER (MM/DDIYYYY) (MM1DD/YYYY1
X COMMERCIAL GENERAL LIABILITY
CCLAIMS -MADE OCCUR
X POLLUTION LIAB
A
Y
GEN'L
AGGREGATE LIMIT APPLIES PER
X
..................
PRO-
POLICY LOC
.................,I JECT ...............
OTHER.
AUTOMOBILE LIABILITY
.................
ANYAUTO
OWNED
SCHEDULED
B XALL
AUTOS
AUTOS
X
,
X
NON -OWNED
.....I
HIRED AUTOS
AUTOS
X
UMBRELLA LIAB
X
OCCUR
A
EXCESS LIAB
CLAIMS -MADE
DED L X I RETENTION $ 10 , 000
EF4ML02091 141
24CC304358 3
EF4CU00275 141
(FOLLOWS FORM)
10/28/14 10/28/15
10/28/14 10/28/15
10/28/14 10/28/15
EACH OCCURRENCE $
UAMRUI: I U KtN I tU
PREMISES (Ea °ccurrencel $
MED EXP (Any one person) $
PERSONAL& ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
COMBINED SINGLE LIMIT $
(Ea accident)
BODILY INJURY (Per person) S
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
(Per accident)
$
2,000,000
50,000
5,000
2,000,000
4,000,000
4,000,000
1,000,000
EACH OCCURRENCE $ 2,000,000
AGGREGATE $ 2,000,000
$
'WORKERS COMPENSATIONAXI STATUTE I I ERH
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN I
C OFFICERIMEMBER EXCLUDED? I I NIA I EL EACHACCIDENT $ 1,000,000
(Mandatary In NH) LLL____JJJ 1558617 15 6/1/15 6/1/16 IELDISFASE EAEMPLOYELS 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below I E L DISEASE POLICY LIMIT $ 1 , 000 , 000
PROFESSIONAL PER OCCUR $2,000,000
A LIABILITY EF4ML02091 141 10/28/14 10/28/15 AGGREGATE $4,000,000
CLAIMS MADE; DED $5,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
ENVIRONMENTAL CONSULTING.
CERTIFICATE HOLDER
*30—DAY NOTICE OF CANCELLATION
CANCELLATION
CITY OF SAN RAFAEL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PO BOX 151560 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
SAN RAFAEL CA 94915 1560 ACCORDANCE WITH THE POLICY PROVISIONS,
AUTHORIZED REPRESENTATIVE
I
©1988-2013 ACORD CORPORATION. All rights reserved.
ACORD25(2013/04) The ACORD name and logo are registered marks of ACORD
sob POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
EF4ML02091 141 CG 20 10 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL I' - OWNERS, LESSEES OR
C PERSON!
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Oraanization(s):.
CITY OF SAN RAFAEL, ITS OFFICERS, AGENTS,
EMPLOYEES AND VOLUNTEERS
Location(s) Of Covered Operations
WHERE REQUIRED BY WRITTEN CONTRACT
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by:
1_ Your acts or omissions; or
2 The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s) desig—
nated above.
B_ With respect to the insurance afforded to these
additional insureds, the following additional exclu—
sions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
1_ All work, including materials, parts or equip—
ment 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 wok" out of which the
injury or damage arises has been put to its in—
tended use by any person or organization other
than another contractor or subcontractor en—
gaged in performing operations for a principal
as a part of the same project
CG 20 10 07 011. Copyright, ISO ProPertias, Ina, 2004 Page 7 of 1 rl
POLICY NUMBER: ?4CC304358 3 COMMERCIAL AUTO
CA 20 48 02 99
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURE
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.
Endorsement Effective: Countersigned By:
Named Insured:
GEOLOGI CA INC (Authorized Representative)
SCHEDULE
Name of Person(s) or Organization(s):
CITY OF SAN RAFAEL, ITS OFFICERS, AGENTS, EMPLOYEES
AND VOLUNTEERS
(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
FF4ML02091 141
COIF MERCML (jENERAL
5 UILFTYECG 24 Q
THIS ENDORSEMENT POLICY. THE PLEASE READ
IT CAREFULLT.
pRimARY AND NONCONTRIBUTORY PROVISION
R
�rh- R � rS
O� tea,'
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Paragraph 4., Cather Insurance of Conditions (Section IV) is amended by the addition of the following:
If Insurance similar to this insurance is held by a person or organization that is:
a. An owner of real or personal property on which you are performing operations; or
b_ A contractor on whose behalf you are performing operations,
this insurance is primaiy to that other insurance, and that other insurance shall not contribute to amounts payable
under this insurance, for liability arising out of your ongoing operations performed for that person or organization
under awritten contract However, this does not applyto any person or organization:
a. From whom you did not receive a specific written request that this insurance be primary insurance, or if you
did not receive that request prior to the date that your operations for that person or organization commenced:
or
b. For whom a certiffgate of insurance evidencing that request is not on file with, or received by, us prior to sixty
days after the end of the policy period for this insurance.
ECG 24 514 05 00 Is
Includes copyrighted material of Insurance Services Oftrce, Inc. used with Its permission
Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1
Agent Copy
EF4ML02091 141
.0f
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PPL 00 074 01 07
CANCELLATION CLAUSE ENDORSEMENT
This Endorsement shall not serve to increase our limits of insurance, as described in the LIMITS OF
INSURANCE SECTION.
It is agreed that should the policy be canceled, we will mail written notice to the person or organization specified below at
least:
a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or
b. 30 days before the effective date of cancellation if we cancel for any other reason.
Name of Person or Organization Address(es)
CITY OF SAN RAFAEL PO BOX 151560
'SAN'RA-FAEL 'CA 94915 1560
All other terms, conditions and exclusions under the policy are applicable to this Endorsement and remain unchanged.
PPL 00 074 0107 Copyright@) 2007 Page 1 of 1
www-amsafety.com
Forming a part of
Policy Number. 24CC304358 3
Coverage Is Provided In
Named Insured: Agent:
GEOLOGICA INC HERITAGE WEST INS
Agent Code: 1008881 Agent Phone:
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY_
AMENDMENT OF CANCELLATION PROVISIONS
Any term or provision of the Cancellation Conditions of the policy or any endorsement amending or replacing such
Conditions is amended by the following.
A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the person or
organization shown in the Schedule below. In no event will the notice to the person or organization scheduled
below exceed the notice to the first named insured.
B. Our obligation to send notice to the person or organization listed in the Schedule below will terminate at the
earlier of the current policy period expiration or when you no longer have a legal or contractual obligation to
such person or organization to maintain insurance coverage under a policy which requires that such person or
organization be notified in the event of cancellation.
SCHEDULE
1. Name or Person or Organization:
CITY OF SAN RAFAEL
2. Mailing Address:
PO BOX 151560
SAN RAFAEL CA 94915 1560
3. Number Days Advance Notice:
10
All other terms and conditions of this policy remain unchanged.
© 2010 Liberty Mutual Insurance Company. All rights reserved.
17-490 (10110) includes copyrighted material of Insurance Services Office, Inc. with its permission.
�R�0 DATE(MM/DD/YYYY)
AC
� f CERTIFICATE OF LIABILITY INSURANCE 7/23/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
HERITAGE WEST INSURANCE PN ONE-` _�....._..........._........__. F,w(
2365 El Camino Ave Ste G rT-- ° (916) 488-9945 ac,ND:(916) 488-9948
Sacramento, CA 95821 ADDRESSE
INSURERIS) AFFORDING COVERAGE NAICY
INSURER A: EVEREST INDEMNITY INS CO 0
INSURED GEOLOGICA INC INSURER B: LIBERTY MUTUAL INS CO
2625 ALCATRAZ AVE STE 504 INSURER C: CALIF STATE COMP INS FUND
BERKELEY, CA 94705 INSURER D:
INSURER E : N
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBN POLICY EFF POLICY EXP LIMITS
LTR INSO wvD POLICY NUMBER (MM/DDIYYYY) (MMIDD/YYYYI
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 2,000,000
CLAIMS MADE t -- I OCCUR I PREMISES (Eat occurrence) $ 50,000
X POLLUTION LIAB I MED EXP (Any one person) $ 5,000
A _ „ Y EF4ML02091 141 10/28/14 10/28/15
GEN'L AGGREGATE LIMIT APPLIES PER
X 1 POLICY JECT El LOC
OTHER:
AUTOMOBILE LIABILITY
AWN SCHEDULED 24CC304358 3 10/28/14 10/28/15
TO
ALLLL OWNED
B X AUTOS AUTOS
X HIRED AUTOS FX I
AUTOS NON -OWNED
AUTOS
X UMBRELLA LIAB X OCCUR
EF4CU00275 141
A EXCESS LIAR
CLAIMS -MADE (FOLLOWS FORM)
DED L X I RETENTIONS 10 , 000
PERSONAL & ADV INJURY s
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
COMBINED SINGLE LIMIT $
(Ea accident)
BODILY INJURY (Per person) s
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
(Per accident)
$
2,000,000(
4,000,000
4,000,000
1,000,000
10/28/14 10/28/15 I EACH OCCURRENCE s 2,000,000
(AGGREGATE s 2,000,000
I $
WORKERS COMPENSATIONI X I STATUTE I I ETH
AND EMPLOYERS' LIABILITY YIN
C ANY PR/MEROPRI ERRMAR NEWE ECUTIVE I—I NSA I E L EACH ACCIDENT $ 1,000,000
(Mandatory In NH) u 1558617 15 6/1/15 6/1/16 IE.L DISEASE -EA EMPLOYE).$ 1,000,000
Ir yes, desvbe under
DESCRIPTION OF OPERATIONS below E L DISEASE -POLICY LIMIT $ 1 , 0 00 , 000
PROFESSIONAL PER OCCUR $2,000,000
A LIABILITY EF4ML02091 141 10/28/14 10/28/15 AGGREGATE $4,000,000
CLAIMS MADE; DED $5,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
ENVIRONMENTAL CONSULTING.
CERTIFICATE HOLDER
*30—DAY NOTICE OF CANCELLATION
CANCELLATION
CITY OF SAN RAFAEL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PO BOX 151560 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
SAN RAFAEL CA 94915 1560 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
I
©1988-2013 ACORD CORPORATION. All rights reserved.
ACORD25(2013104) The ACORD name and logo are registered marks ofACORD
608 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
EF4ML02091 141 CG 20 10 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL, INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s):
CITY OF SAN RAFAEL, ITS OFFICERS, AGENTS,
EMPLOYEES AND VOLUNTEERS
Locations) Of Covered Operations
WHERE REQUIRED BY WRITTEN CONTRACT
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A Section II Who Is An Insured is amended to
include as an additional insured the persons) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by:
1_ Your acts or omissions; or
2 The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s) desig—
nated above.
B_ With respect to the insurance afforded to these
additional insureds, the following additional exclu—
sions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after.
1_ All work, including materials, parts or equip—
ment 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 vvo&' out of which the
injury or damage arises has been put to its in—
tended use by any person or organization other
than another contractor or subcontractor en—
gaged in performing operations for a principal
as a part of the same project
CC 20 10 07 04. Copyri91yt, ISO Praperfies, Inc., 21304 Page 1 of 1
POLICY NUMBER: 24CC304358 3 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.
Endorsement Effective: Countersigned By -
7 / 2.1 _/ 1.
y
7/2./1.
Named Insured:
GEOLOGICA INC (Authorized Representative),
SCHEDULE
Name of Person(s) or; Organization(s):
CITY OF SAN RAFAEL, ITS OFFICERS, AGENTS, EMPLOYEES
AND VOLUNTEERS
(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 ❑
FF4ML02091 141
COMMERCII AL (,1Efd G 24 514 i15 00
THIS ENDORSEMEIIIT CHARGES THF P[3Uey. PLEASE HEAD IT CAREFULLY.
PRIMARY ANDN VI R
OPERATIONS
This endorsement modifies insurance provided underthe following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Paragraph 4., Other Insurance of Conditions (Section t1) is amended by the addition of 1he following:
If Insurance similar to this insurance is held by a person or organization that is:
a. An owner of real orpersonal property on which you are performing operations; or
b. A contractor on whose behalf you are performing operations,
this insurance is primary to that other insurance, and that other Insurance shall not contribute to amounts payable
under this insurance, for liability arising out of your ongoing operations performed for that person or organization
under a written contract. However, this does not applyto any person or organization:
a. From whom you did not receive a specific written request that this insurance be primary insurance, or if you
did not receive that request prior to the date that your operations for that person or organization commenced;
or
b. For whom a certificate of insurance evidencing that request is not on file with, or received by, us prior to saty
days after the end of the policy period forthis insurance.
ECG 24 514 05 00 13
Includes copyrighted material of Insurance Services Office, Inc. used with Its permission
Copyright, insurance Services Office, Inc., 1997 Page i of i
Agent Copy
EF4ML02091 141
Mi
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PPL 00 074 01 07
CANCELLATION CLAUSE ENDORSEMENT
This Endorsement shall not serve to increase our limits of insurance, as described in the LIMITS OF
INSURANCE SECTION.
It is agreed that should the policy be canceled, we will mail written notice to the person or organization specified below at
least:
a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium, or
b. 30 days before the effective date of cancellation if we cancel for any other reason.
Name of Person or Organization
CITY OF SAN RAFAEL
Addressfes)
PO BOX 151560
SAN RAFAEL CA 94915 1560
All other terms, conditions and exclusions under the policy are applicable to this Endorsement and remain unchanged.
PPL 00 074 0107 Copyright© 2007 Page 1 of 1
www.amsafety.com
Forming a part of
Policy Number. 24CC304358 3
Coverage Is Provided In
Named Insured: Agent:
GEOLOGICA INC HERITAGE WEST INS
Agent Code: 1008881 Agent Phone:
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY_
AMENDMENT OF CANCELLATION PROVISIONS
Any term or provision of the Cancellation Conditions of the policy or any endorsement amending or replacing such
Conditions is amended by the following:
A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the person or
organization shown in the Schedule below. In no event will the notice to the person or organization scheduled
below exceed the notice to the first named insured.
B. Our obligation to send notice to the person or organization listed in the Schedule below will terminate at the
earlier of the current policy period expiration or when you no longer have a legal or contractual obligation to
such person or organization to maintain insurance coverage under a policy which requires that such person or
organization be notified in the event of cancellation.
SCHEDULE
1. Name or Person or Organization:
CITY OF SAN RAFAEL
2. Mailing Address:
PO BOX 151560
SAN RAFAEL CA 94915 1560
3. Number Days Advance Notice:
10
All other terms and conditions of this policy remain unchanged.
© 2010 Liberty Mutual Insurance Company. All rights reserved.
includes copyrighted material of Insurance Services Office, Inc. with its permission.
17-490 (10/10)
l ® DATE(MWDD/YYYY)
AC"RVr CERTIFICATE OF LIABILITY INSURANCE 17/23/2015
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
HERITAGE WEST INSURANCE I PHONE FAx
(AIC, No. Exp (916) 488-9945 I (aC,No, (916) 488-9948
2365 El Camino Ave Ste G 1 E-MAIL
ADDRESS:
Sacramento, CA 95821 I IN5URERJ3) AFFORDING COVERAGE NAIC9
IINSURER A:EVEREST INDEMNITY INS CO
INSURED GEOLOGICA INC INSURER B: LIBERTY MUTUAL INS CO
2625 ALCATRAZ AVE STE 504 I INSURERC: CALIF STATE COMP INS FUND
BERKELEY, CA 94705 IINSURER D:
I INSURER E :
I INSURER F:
COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUOR POLICY EFF POLICY EXP LIMITS
LTR INso wVO POLICY NUMBER (MM/DD/YYYY) IMMIDD/YYYY)
X COMMERCIAL GENERAL uABIUTY EACH OCCURRENCE $ 2,000,000
CLAIMS MADE X OCCUR I PREMISES (Ea occurrence) $ 50,000
X POLLUTION LIAB I MED EXP (Any one person) $ 5,000
A _
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JECT L_ __V LOC
OTHER:
AUTOMOBILE LIABILITY
B
°A
I WORKERS COMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY I YIN X I STATUTE I I ER
VIY
ER/IEX
VE
C O FICEHIMEMBER EXC UDED? E`�t NIA I E L EACH ACCIDENT $ 1,000,000
(Mandatory in NH) 1558617 15 6/1/15 6/1/16 E.L.IDISEASE-EA EMPLOYEL$ 1,000,000 I
If yes, describe under
DESCRIPTION OF OPERATIONS below I E L DISEASE -POLICY LIMIT $ 1 , 0 00 , 000
PROFESSIONAL PER OCCUR $2,000,000
A LIABILITY EF4ML02091 141 10/28/14 10/28/15 AGGREGATE $4,000,000
CLAIMS MADE; DED $5,000
DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
ENVIRONMENTAL CONSULTING.
EF4ML02091 141
ANYAUTO
2,000,000
X
ALL OWNED
4,000,000
SCHEDULED
(PRODUCTS - COMP/OPAGG $
AUTOS
I
IAUTOS
_
X
X
NON -OWNED
24CC304358 3
HIRED AUTOS
AUTOS
X
LIABX
$
OCCUR
EF4CU00275 141
IUMBRELLA
EXCESS LIAB
2,000,000
2,000,000
(FOLLOWS FORM)
CLAIMS -MADE
DED L XJ RETENTIONS 10 , 000
EF4ML02091 141
10/28/14 10/28/15IPERSONAL&ADV INJURY $
2,000,000
Y
GENERAL AGGREGATE $
4,000,000
(PRODUCTS - COMP/OPAGG $
4,000,000
$
COMBINED $
(Ea accident) SINGLE LIMIT
1,000,000
24CC304358 3
10/28/14 10/28/151 BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
I
PROPERTY DAMAGE $
(Per accident)
$
EF4CU00275 141
10/28/14 10/28/15IEACH OCCURRENCE $
I AGGREGATE $
2,000,000
2,000,000
(FOLLOWS FORM)
CERTIFICATE HOLDER
*30—DAY NOTICE OF CANCELLATION
CANCELLATION
CITY OF SAN RAFAEL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PO BOX 151560 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
SAN RAFAEL CA 94915 1560 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
I
©1988-2013 ACORD CORPORATION. All rights reserved.
ACORD25(2013/04) The ACORD name and logo are registered marks of ACORD
608 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
E F4MLO2091 141 CG 20 10 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED D - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Persons)
Or Organization(s):
CITY OF SAN RAFAEL, ITS OFFICERS, AGENTS,
EMPLOYEES AND VOLUNTEERS
Locations) Of Covered Operations
WHERE REQUIRED BY WRITTEN CONTRACT
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section 11 Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by:
1_ Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s) desig—
nated above.
B_ With respect to the insurance afforded to these
additional insureds, the following additional exclu—
sions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
1_ All work, including materials, parts or equip—
ment 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 in—
tended use by any person or organization other
than another contractor or subcontractor en—
gaged in performing operations for a principal
as a part of the same project
CC 213 113 07 CA CC>Pyr;yht, ISO ProPsrtiss, Ino,, 21304 Pays 1 of 7 EJ
POLICY NUMBER: 24CC304358 3 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.
I Endorsement Effective: Countersigned By.
7/2.1/1F
I Named Insured:
GEOLOGI CA INC (Authorized Representative)
SCHEDULE
Name of Person(s) or, Organization(s):
CITY OF SAN RAFAEL, ITS OFFICERS, AGENTS, EMPLOYEES
AND VOLUNTEERS
(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 i I'll
EF4ML02091 141
COMMERCIAL GM G L A 05 00
THIS F-moortsEwff CHARGES THE 1P011M. PLEASE READ IT CAREFULLY.
PRIMARY A, ND Y PROVISION YOUR
OPERATIONS
This endorsement modifies insurance provided underthe following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Paragraph 4., Other Insurance of Conditions (Section M is amended by the addition of the following:
If Insurance similar to this Insurance is held by a person or organization that is:
a. An owner of real or:; personal property on which you are performing operations; or
b. A contractor on whose behalf you are performing operations,
this insurance is primary to that other insurance, and that other Insurance shall not contribute to amounts payable
under this Insurance, for liability arising out of your ongoing operations performed for that person or organization
under a written contract. However, this does not applyto any person or organization:
a. From whom you did not receive a specific written request that this insurance be primary insurance, or if you
did not receive that request prior to the date that your operations for that person or organization commenced;
or
b. For whom a certificate of insurance evidencing that request is not on Tile with, or received by, us prior to sixty
days after the end of the policy period for this insurance.
ECG 24 514 05 Oo 13
-Includes copyrighted material of Insurance Services Oftice, Inc. used with Its permission
Copyright, insurance Services Office, Inc., 1997 Page 1 of i
Agent Capy
EF4MLO2091 141
N
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PPL 00 074 01 07
CANCELLATION CLAUSE ENDORSEMENT
This Endorsement shall not serve to increase our limits of insurance, as described in the LIMITS OF
INSURANCE SECTION.
It is agreed that should the policy be canceled, we will mail written notice to the person or organization specified below at
least:
a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or
b. 30 days before the effective date of cancellation if we cancel for any other reason.
Name of Person or organization
CITY OF SAN RAFAEL
Address(es)
PO BOX 151560
SAN RAFAEL CA 94915 1560
All other terms, conditions and exclusions under the policy are applicable to this Endorsement and remain unchanged.
PPL 00 074 0107 Copyright© 2007 Page 1 of 1
www.amsafety.com
Forming a part of
Policy Number. 24CC304358 3
Coverage Is Provided In
Named Insured:
GEOLOGICA INC
Agent:
HERITAGE WEST INS
Agent Code: 1008881 Agent Phone:
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AMENDMENT OF CANCELLATION PROVISIONS
Any term or provision of the Cancellation Conditions of the policy or any endorsement amending or replacing such
Conditions is amended by the following:
A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the person or
organization shown in the Schedule below. In no event will the notice to the person or organization scheduled
below exceed the notice to the first named insured.
B. Our obligation to send notice to the person or organization listed in the Schedule below will terminate at the
earlier of the current policy period expiration or when you no longer have a legal or contractual obligation to
such person or organization to maintain insurance coverage under a policy which requires that such person or
organization be notified in the event of cancellation.
SCHEDULE
1. Name or Person or Organization:
CITY OF SAN RAFAEL
2. Mailing Address:
PO BOX 151560
SAN RAFAEL CA 94915 1560
3. Number Days Advance Notice:
10
All other terms and conditions of this policy remain unchanged.
© 2010 Liberty Mutual Insurance Company. All rights reserved.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
17-490 (10110)
HOME OFFICE
SAN FRANCISCO
ALL EFFECTIVE DATES ARE
AT 12:01 AM PACIFIC
STANDARD TIME OR THE
TIME INDICATED AT
PACIFIC STANDARD TIME
GEOLOGICA INC.
ENDORSEMENT AGREEMENT
WAIVER OF SUBROGATION
BROKER COPY
1558617-15
RENEWAL
Sc
1-76-81-89
PAGE 1 OF 1
EFFECTIVE AUGUST 3, 2015 AT 12.01 A.M.
AND EXPIRING JUNE 1, 2016 AT 12.01 A.M.
2625 ALCATRAZ AVE #k 504
BERKELEY, CA 94705
ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING,
IT IS AGREED THAT THE STATE COMPENSATION INSURANCE FUND
WAIVES ANY RIGHT OF SUBROGATION AGAINST,
CITY OF SAN RAFAEL
WHICH MIGHT ARISE BY REASON OF ANY PAYMENT UNDER THIS
POLICY IN CONNECTION WITH WORK PERFORMED BY,
GEOLOGICA INC.
IT IS FURTHER AGREED THAT THE INSURED SHALL MAINTAIN
PAYROLL RECORDS ACCURATELY SEGREGATING THE REMUNERATION
OF EMPLOYEES WHILE ENGAGED IN WORK FOR THE ABOVE
EMPLOYER.
IT IS FURTHER AGREED THAT PREMIUM ON THE EARNINGS OF SUCH
EMPLOYEES SHALL BE INCREASED BY 03%.
NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE
OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS
POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE
HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR
LIMITATIONS OF THIS ENDORSEMENT.
COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: AUGUST 5, /2/015
AUTHORIZED REPRESENT IVE PRESIDENT AND CEO
SCIF FORM 10217 (REV.7-2014)
2570
OLD OF 217
BROKER COPY 1558617-15
RENEWAL
Sc
PLEASE KEEP THIS
ENDORSEMENT
WITH YOUR POLICY
Dear Policyholder:
These endorsements amend and are part of your policy.
Please keep them with your documents for future reference.
If you have any questions concerning these endorsements, Please contact
your local State Fund office.
Below is the process for getting your professional services agree me n ts,, contracts finalized and
CXeCUted. Please attach this "Completion Checklist and ROLIting Slip" to the front of your
�-,ontract as you circulate it for review and signatures. Please use this for 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
I
City Attorney
Revic"l, reN ise, and comment on draft
agrCeillent.
2
Contracting Department
hirward final ,.Larccinc, tit io contractor 1'or
their Signature, Obtain al least kvo Signed
oricyinals horn coritnaoor.
Contracting Department
Apendi/c, contractor-,iorried agrcernent for
ounCil approa], iJ'('()1.n1CiJ
necessary (as detined by (`its Attornc�'/Ci
4
City Attorney
Review an(] approve torni of agreernent,
bonds., and uisuranCC CerfiikatCS and
ff
7l
I.
5
City Manager Mayor or
Agreement executed by Cout cil authorized
Dgartment Head
driciai.
I
6
City Clerk
(ily Clerk attCS(�, S1 LYWOUIVS, relains original
agreernent. and fbrw'ards col-)ies w the
contractin(y, departincrit.
To be completed by: Contra ting Department:
Project Manager: Project Narne.
Agendized for City Council Meeting, of (if necessary) -
If you have questions on this process, please contact the City Attorney's Office at 485-3080.
COL11161 approval is required if contract is over $20,000 on a curnulative basis.