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HomeMy WebLinkAboutPW ADA Assessment and Design ServicesAGREEMENT FOR PROFESSIONAL SERVICES
FOR ADA ASSESSMENT AND DESIGI�J�SERVICES
This Agreement is made and entered into this -//- / day of April, 2015, by and between the
CITY OF SAN RAFAEL (hereinafter "CITY"), and SALLY SWANSON ARCHITECTS, INC., a
corporation (hereinafter "CONTRACTOR").
RECITALS
WHEREAS, CITY has the need for American's With Disability Act ("ADA") assessment
and design services; and
WHEREAS, CONTRACTOR has expertise in providing ADA assessment and design
services to public agencies, and has provided such services to CITY in the past;
AGREEMENT
NOW, THEREFORE, the parties hereby agree as follows:
1. PROJECT COORDINATION.
A. CITY'S Project Manager. The CITY's Acting Public Works Director 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. Sally Swanson is hereby designated as the PROJECT
DIRECTOR for CONTRACTOR. Should circumstances or conditions subsequent to the
execution of this Agreement require a substitute PROJECT DIRECTOR, for any reason, the
CONTRACTOR shall notify the CITY within ten (10) business days of the substitution.
2. DUTIES OF CONTRACTOR.
CONTRACTOR shall perform the duties and/or provide services as described in Exhibit A
attached hereto.
3. DUTIES OF CITY.
CITY shall cooperate with CONTRACTOR in carrying out its duties hereunder, and shall
pay the compensation as provided in Paragraph 4.
4. COMPENSATION.
For the full performance of the services described herein by CONTRACTOR, CITY shall
pay CONTRACTOR compensation at the hourly rates set forth in Exhibit A attached hereto, in an
amount not to exceed $20,000.
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 year commencing on April , 2015 and
ending on April , 2016. Upon mutual agreement of the parties, and subject to the approval of
the City Manager, the term of this Agreement may be extended for up to two addional one year
periods.
6. TERMINATION.
A. Discretionary. Either party may terminate this Agreement without cause upon
thirty (30) days written notice mailed or personally delivered to the other party.
B. Cause. Either party may terminate this Agreement for cause upon fifteen (15) days
written notice mailed or personally delivered to the other party, and the notified party's failure to
cure or correct the cause of the termination, to the reasonable satisfaction of the party giving such
notice, within such fifteen (15) day time period.
C. Effect of Termination. Upon receipt of notice of termination, neither party shall
incur additional obligations under any provision of this Agreement without the prior written consent
of the other.
D. Return of Documents. Upon termination, any and all CITY documents or
materials provided to CONTRACTOR and any and all of CONTRACTOWs 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. OWNERSI IIP OF DOCUMENTS.
The written documents and materials prepared by the CONTRACTOR in connection with
the performance of its duties under this Agreement, shall be the sole property of CITY. CITY may
use said property for any purpose, including projects not contemplated by this Agreement.
8. INSPECTION AND AUDIT.
Upon reasonable notice, CONTRACTOR shall make available to CITY, or its agent, for
inspection and audit, all documents and materials maintained by CONTRACTOR in connection
with its performance of its duties under this Agreement. CONTRACTOR shall fully cooperate
with CITY or its agent in any such audit or inspection.
9. ASSIGNABILITY.
The parties agree that they shall not assign or transfer any interest in this Agreement nor the
performance of any of their respective obligations hereunder, without the prior written consent of
the other party, and any attempt to so assign this Agreement or any rights, duties or obligations
arising hereunder shall be void and of no effect.
10. INSURANCE.
A. Scope of Coverage. During the term of this Agreement, CONTRACTOR shall
maintain, at no expense to CITY, the following insurance policies:
1. A commercial general liability insurance policy in the minimum amount of
one million dollars ($1,000,000) per occurrence/two million dollars ($2,000,000) aggregate, for
death, bodily injury, personal injury, or property damage.
2. An automobile liability (owned, non -owned, and hired vehicles) insurance
policy in the minimum amount of one million dollars ($1,000,000) dollars per occurrence.
3. If any licensed professional performs any of the services required to be
performed under this Agreement, a professional liability insurance policy in the minimum amount
of two million dollars ($2,000,000) per occurrence/four million dollars ($4,000,000) aggregate, to
cover any claims arising out of the CONTRACTOR's performance of services under this
Agreement. Where CONTRACTOR is a professional not required to have a professional license,
CITY reserves the right to require CONTRACTOR to provide professional liability insurance
pursuant to this section.
4. If it employs any person, CONTRACTOR shall maintain worker's
compensation and employer's liability insurance, as required by the State Labor Code and other
applicable laws and regulations, and as necessary to protect both CONTRACTOR and CITY
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 additionally named insureds under the policies.
2. The additional insured coverage under CONTRACTOR'S insurance
9
policies shall be primary with respect to any insurance or coverage maintained by CITY and shall
not call upon CITY's insurance or self-insurance coverage for any contribution. The "primary and
noncontributory" coverage in CONTRACTOR'S policies shall be at least as broad as ISO form
CG20 0104 13.
3. Except for professional liability insurance, the insurance policies shall
include, in their text or by endorsement, coverage for contractual liability and personal injury.
4. The insurance policies shall be specifically endorsed to provide that the
insurance carrier shall not cancel, terminate or otherwise modify the terms and conditions of said
insurance policies except upon ten (10) days written notice to the PROJECT MANAGER.
5. If the insurance is written on a Claims Made Form, then, following
termination of this Agreement, said insurance coverage shall survive for a period of not less than
five years.
6. The insurance policies shall provide for a retroactive date of placement
coinciding with the effective date of this Agreement.
7. The limits of insurance required in this Agreement may be satisfied by a
combination of primary and umbrella or excess insurance. Any umbrella or excess insurance shall
contain or be endorsed to contain a provision that such coverage shall also apply on a primary and
noncontributory basis for the benefit of CITY (if agreed to in a written contract or agreement)
before CITY'S own insurance or self-insurance shall be called upon to protect it as a named
insured.
8. It shall be a requirement under this Agreement that any available insurance
proceeds broader than or in excess of the specified minimum insurance coverage requirements
and/or limits shall be available to CITY or any other additional insured party. Furthermore, the
requirements for coverage and limits shall be: (1) the minimum coverage and limits specified in this
Agreement; or (2) the broader coverage and maximum limits of coverage of any insurance policy or
proceeds available to the named insured; whichever is greater.
C. Deductibles and SIR's. Any deductibles or self-insured retentions in
CONTRACTOR's insurance policies must be declared to and approved by the PROJECT
MANAGER and City Attorney, and shall not reduce the limits of liability. Policies containing any
self-insured retention (SIR) provision shall provide or be endorsed to provide that the SIR may be
satisfied by either the named insured or CITY or other additional insured party. At CITY's option,
the deductibles or self-insured retentions with respect to CITY shall be reduced or eliminated to
CITY's satisfaction, or CONTRACTOR shall procure a bond guaranteeing payment of losses and
related investigations, claims administration, attorney's fees and defense expenses.
D. Proof of Insurance. CONTRACTOR shall provide to the PROJECT
MANAGER or CITY'S City Attorney all of the following: (1) Certificates of Insurance
evidencing the insurance coverage required in this Agreement; (2) a copy of the policy
declaration page and/or endorsement page listing all policy endorsements for the commercial
general liability policy, and (3) excerpts of policy language or specific endorsements
evidencing the other insurance requirements set forth in this Agreement. CITY reserves the
right to obtain a full certified copy of any insurance policy and endorsements from
CONTRACTOR. Failure to exercise this right shall not constitute a waiver of the right to
exercise it later. The insurance shall be approved as to form and sufficiency by PROJECT
MANAGER and the City Attorney.
11. INDEMNIFICATION.
A. Except as otherwise provided in Paragraph B., CONTRACTOR shall, to the
fullest extent permitted by law, indemnify, release, defend with counsel approved by CITY, and
hold harmless CITY, its officers, agents, employees and volunteers (collectively, the "City
Indemnitees"), from and against any claim, demand, suit, judgment, loss, liability or expense of
any kind, including but not limited to attorney's fees, expert fees and all other costs and fees of
litigation, (collectively "CLAIMS"), arising out of CONTRACTOR'S performance of its
obligations or conduct of its operations under this Agreement. The CONTRACTOR's
obligations apply regardless of whether or not a liability is caused or contributed to by the active
or passive negligence of the City Indemnitees. However, to the extent that liability is caused by
the active negligence or willful misconduct of the City Indemnitees, the CONTRACTOR's
indemnification obligation shall be reduced in proportion to the City Indemnitees' share of
liability for the active negligence or willful misconduct. In addition, the acceptance or approval
of the CONTRACTOR's work or work product by the CITY or any of its directors, officers or
employees shall not relieve or reduce the CONTRACTOR's indemnification obligations. In the
event the City Indemnitees are made a party to any action, lawsuit, or other adversarial
proceeding arising from CONTRACTOR'S performance of or operations under this
Agreement, CONTRACTOR shall provide a defense to the City Indemnitees or at CITY'S
option reimburse the City Indemnitees their costs of defense, including reasonable attorneys'
fees, incurred in defense of such claims.
B. Where the services to be provided by CONTRACTOR under this Agreement are
design professional services to be performed by a design professional as that term is defined
under Civil Code Section 2782.8, CONTRACTOR shall, to the fullest extent permitted by law,
indemnify, release, defend and hold harmless the City Indemnitees from and against any
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.
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:
TO CITY's Project Manager: Kevin McGowan
Acting Public Works Director
Public Works Department
City of San Rafael
1400 Fifth Avenue
P.O. Box 151560
San Rafael, CA 94915-1560
TO CONTRACTOR's Project Director: Sally Swanson, CEO
Sally Swanson Architects, Inc.
220 Sansome Street, Suite 1100
San Francisco, CA 94104
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.
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.
CITY OF SAN RAFAEL
Y
ATTEST:
ESTHER C. BEIRNE, City Clerk
APPROVED AS TO FORM:
ROBERT F. EPSTEIN, City Attorney
By:
�ame. SALLY SW SON
ATTACHMENT A
April 24, 2015
Richard Landis
Public Works Administrative Manager
City of San Rafael
111 Morphew Street
San Rafael, CA 94915
(via email)
SALLY SWANSON
Re: Professional Access Compliance Consulting Services
Terra Linda Community Garden, Falkirk Cultural Center & Boyd Gate House
SSA No. 24056.28
Dear Mr. Landis:
As per your request, please find a standard professional services agreement with an hourly rate
schedule for access compliance services to provide Revised Construction Drawings for Terra
Linda Communitv Garden, and Project: Access Compliance Survey Reports for Falkirk Cultural
Center & Bovd Gate House all located in San Rafael, CA 94901
Over the years, we have established ourselves as experts in accessibility code regulations.
Sally Swanson Architects, Inc. (SSA) has extensive consulting experience in assessing,
documenting, and evaluating code compliance issues in public facilities. Our firm has emerged
as a leading access compliance consulting specialist that the California Division of the State
Architect (DSA) relies upon to analyze and evaluate intricate code compliance issues, as well as
develop and implement feasible solutions.
Our staff includes Certified Access Specialists (CASp) and ICC -certified accessibility inspectors
and plans -examiners with several years of project experience, which have also afforded us the
ability to coordinate complex projects.
Please review the proposal, wet sign and return page 2 to acknowledge receipt and acceptance
to the terms herein. If you have any questions or concerns, please do not hesitate to call my
associate Ann Wright at 415-445-3045 ext 120. We look forward to working with you.
Sincerely,
Sally Swanson, AIA
CEO, Sally Swanson Architects, Inc.
Enclosures
Mr. Richard Landis, City of San Rafael
Std. Agreement — Professional Consulting Services
April 22, 2015
SCOPE OF WORK DESCRIPTION
SSA agrees to provide professional access compliance consulting services to the client, City of
San Rafael as requested on the following three tasks. SSA will be working under the direct
supervision of designated City staff only. Services to be included are as follows:
Community Gardens
Services include reviewing drawings (3), visiting the existing site and revising the construction
drawing for compliance with ADAS & CBC 2013. We will respond to questions, review the
completed work and provide a CASp certificate.
Falkirk Cultural Center & Boyd Gatehouse
Services include an accessibility code compliance inspection report of the Falkirk Cultural
Center and the Bovd Gatehouse including their associated exterior elements with the applicable
accessibility regulations and codes - ADA and CBC. SSA will submit monthly invoices that
include applicable reimbursable expenses for work completed during the previous month.
Applicable standards are Title II of the Americans with Disability Act (ADA), the ADA Standards
for Accessible Design, and Title 24 of the California Code of Regulations (2013 edition). SSA
will conduct the survey in a non -intrusive manner.
SSA will travel to the facility and conduct an access compliance survey. The Boyd Gatehouse
survey will include all three stories of the Gatehouse, the park restrooms, play structure, Path of
Travel (P.O.T.) from the public sidewalk at the driveway and the Mission Street gates to the
Gatehouse, P.O.T. within the site to restrooms, to play structure to Gatehouse, and tennis court,
and associated accessible elements such as drinking fountains, benches, etc. in the designated
exterior and interior spaces of this facility. The Falkirk House will include the P.O.T. from street
site entry as well as from accessible parking to the entrance of the facility along with the
accessible parking spaces serving the facility and all interior spaces of the Falkirk House. The
survey excludes all General exceptions specified in CBC Section 11 B-203: raised security or
fire/life safety areas; spaces not customarily occupied and accessed only by ladders, catwalks,
crawl spaces, or very narrow passageways; and machinery spaces, frequented only by service
personnel for maintenance, repair or occasional monitoring purposes. Employee work areas
and State Historical Building code exceptions shall be noted.
SSA will identify any code deviations and prepare and submit a report to the City that lists all
identified access barriers including:
- Description of barrier.
- Their individual location of barrier (Barrier Location Map).
- Photo of identified barrier.
- The as -built measurement.
- The applicable citation in the ADA or ADAAG and CCR Title 24.
- Proposed solution (structural alteration or administrative modification) with preliminary
cost estimate.
04/22/2015 Sally Swanson Architects, Inc. Page 2 of 4
Mr. Richard Landis, City of San Rafael
Std. Agreement — Professional Consulting Services
April 22, 2015
Upon request SSA can provide the following optional services that are not included in this scope
of work:
- Formatting or integration into existing transition plan (severities, prioritization, etc.).
- Development of a barrier removal project implementation schedule.
- Forensic code research.
- Preparation and appearance as expert witness.
- Additional site visits or meetings.
- Design and construction drawings and specifications
- Construction cost estimate for the barrier removal.
DELIVERABLE & FEE
Revised Terra Linda Community Garden's Accessible Plots in AutoCAD format
Access Compliance Survey report in electronic PDF format and CSV or XLS format,
TOTAL not -to -exceed Fee for these three tasks - $18,685
SSA HOURLY BILLING RATES
Following rates are effective as of July 1, 2014. SSA reserves the right to adjust these rates.
Hourly Billing Rates for Code Compliance Services:
Principal
$225.00
Director
$185.00
Project Manager
$160.00
— Surveyor
$90.00
— Technical Staff
$90.00
Hourly rate schedule for litigation assistance/expert witness services provided upon request.
List of Reimbursable Expenses (if applicable):
— Project travel expenses — car rental/mileage, per diem, tolls, etc
— Expense of reproduction, postage and delivery of documents
Reimbursable expenses are reimbursable at 110% of the actual amounts incurred.
04/2212015 Sally Swanson Architects, Inc. Page 3 of 4
Mr. Richard Landis, City of San Rafael
Std. Agreement — Professional Consulting Services
April 22, 2015
MISCELLANEOUS PROVISIONS
Client acknowledges that requirements of the Americans with Disabilities Act (ADA) and other
federal, state and local accessibility laws may be subject to various and possibly contradictory
interpretations. SSA, therefore, will use reasonable professional efforts and judgment to
interpret applicable ADA requirements and other federal, state, and local laws as they apply to
the project. SSA, however, cannot and does not warrant or guarantee that the said project will
fully comply with interpretations of these requirements by regulatory bodies or court decisions.
Agreed and Accepted:
X
Mr. Richard Landis Date
Public Works Administrative Manager
City of San Rafael
04/22/2015 Sally Swanson Architects, Inc. Page 4 of 4
Client#:. _d ,SALLYSWANI
ACORD. CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY)
3/20/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
CONTACT
NAME:
Dealey, Renton & Associates
PHONE -'A%.... _
EXE: 510 465-3090 (ac N�; 510 452-2193
P. O. Box 12675
E( �, Lo,
Oakland, CA 94604-2675
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC p
510 465-3090
.... _
INSURER A: Sentinel Insurance Co. LTD 11000
INSURED
INSURER B: Hartford Ins. Co of Midwest 37478
Sally Swanson Architects, Inc.
INSURER c: Hudson Insurance Company 25054
220 Sansome Street, Suite 1100
San Francisco, CA 94104
INSURER D
INSURER E:
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 CONTRACTOR 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 TADDL SUER,
POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE ,INSR WVD ' POLICY NUMBER
(MMIDDNYYY) ](MM/DD/YYYY1 LIMITS
A GENERAL LIABILITY 57SBWBHO903
11/15/2014111/15/2015 EACHOCCURRENCE s1,000,000
COMMERCIAL GENERAL LIABILITY GENERAL LIAB
DAMAGE TO RENTED
PREMISES (Ea occurrence) $1,0001000
XA CLAIMS MADE XI OCCUR EXCLUDES CLAIMS
_ _
MED EXP (Any one person) 5101000
ARISING OUT OF
PERSONAL & ADV INJURY 51,000,000
THE PERFORMANCE GENERAL AGGREGATE s2 000 000
GENT. AGGREGATE LIMIT APPLIES PER: OF PROFESSIONAL
PRODUCTS - COMP/OP AGG s2,000,000
POLICY f .XI JPF° Loc SERVICES.
S
AUTOMOBILE LIABILITY
A 57UEGAE7910
07/01/20141 COMBINED SINGLE LIMUT
07/01/2015, Ea accident} X1,000,000
X ANY AUTO
BODILY INJURY (Per person) S
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident) S
X X NON -OWNED
PROPERTY DAMAGE S
HIRED AUTOS AUTOS
LPer accident ..
S
_ ..., ..
UMBRELLA UAB OCCUR
EACH OCCURRENCE I S
EXCESS LIAB CLAIMS MADE
AGGREGATE S
-57WEGGD6783
S
B COMPENSATION
05/08/2014 05/08/2015 I Imo"
AND EMPLOYERS'RETENTIONS
ILII
LIABILITY
YN
....IWTM,.IMIM .... ...
ANFICERJ RIETOREMBER EAC UDED ECUTIVE
E.L. EACH ACCIDENT $1,000,000
N / A
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYEE' $1 10 0 01000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE POLUCY LIMIT $1,000,000
C Professional AEE7290000
05/03/2014 05/03/201 $1,000,000 per claim
Liability
$3,000,000 annl aggr.
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
All Operations of the Named Insured. City of San Rafael, its officers, agents, employees, and volunteers
are additional insureds for General Liability per policy form wording. Professional Liability deductible:
$15,000/claim. Cancellation provisions are solely as shown below.
CERTIFICATE HOLDER
CANCELLATION
City of San Rafael SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Department of Public Works ACCORDANCE WITH THE POLICY PROVISIONS.
P.O. Box 151560
San Rafael, CA 94915-1560 AUTHORIZED REPRESENTATIVE
1P4W&7_ U5060-1
©1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S1277151 /M1165300 NMF
Insured: Sally Swanson Architects, Inc.
Insurer: Sentinel Insurance Co. LTD
Policy Number: 57SBWBHO903
Policy Effective Date: 11/15/2014
Additional Insured:
City of San Rafael, its officers, agents, employees, and volunteers
EXCERPTS FROM: Hartford Form SS 00 08 04 05
BUSINESS LIABILITY COVERAGE FORM
C. WHO IS AN INSURED
6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit
The person(s) or organization(s) identified in Paragraphs a. through f. below are additional
insureds when you have agreed, in a written contract, written agreement or because of a permit
issued by a state or political subdivision, that such person or organization be added as an
additional insured on your policy, provided the injury or damage occurs subsequent to the
execution of the contract or agreement, or the issuance of the permit. A person or organization is
an additional insured under this provision only for that period of time required by the contract,
agreement or permit.
f. Any Other Party
(1) Any other person or organization who is not an insured under Paragraphs a. through e. above,
but only with respect to liability for "bodily injury, "property damage" or "personal and advertising
injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those
acting on your behalf:
(a) In the performance of your ongoing operations;
(b) In connection with your premises owned by or rented to you; or
(c) In connection with "your work" and included within the "products- completed operations
hazard, but only if
(i) The written contract or written agreement requires you to provide such coverage to
such additional insured; and
(ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included
within the "products -completed operations hazard.
(2) With respect to the insurance afforded to these additional insureds, this insurance does not
apply to: "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: inspection, or engineering
E.5. Separation of Insureds
Except with respect to the Limits of Insurance, and any rights or duties specifically assigned
in this policy to the first Named Insured, this insurance applies:
a. As if each Named Insured were the only Named Insured; and
b. Separately to each insured against whom a claim is made or "suit" is brought.
E.7.b.(7).(b) Primary And Non -Contributory To Other Insurance When Required By
Contract
If you have agreed in a written contract, written agreement or permit that this insurance is primary
and non-contributory with the additional insured's own insurance, this insurance is primary and
we will not seek contribution from that other insurance.
E.8.b. Waiver Of Rights Of Recovery (Waiver Of Subrogation)
If the insured has waived any rights of recovery against any person or organization for all or part
of any payment, including Supplementary Payments, we have made under this Coverage Part,
we also waive that right, provided the insured waived their rights of recovery against such person
or organization in a contract, agreement or permit that was executed prior to the injury or
damage.
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 urofessional
services agreements/contracts (not just those requiring City Council approval).
This process should occur in the order presented below.
Step
Responsible
Description
Completion
Department
Date
1
City Attorney
Review, revise, and comment on draft
agreement.
4/27/15
2
Contracting Department
Forward final agreement to contractor for
their signature. Obtain at least two signed
originals from contractor.
4/30/15
3
Contracting Department
Agendize contractor -signed agreement for
Council approval, if Council approval
necessary (as defined by City Attorney/City
Ordinance*).
N/A
4
City Attorney
Review and approve form of agreement;
0
bonds and insurance certificates and
endorsements.
5
City Manager / Mayor / or
Agreement executed by Council authorized
��°�`���1/fir
Department Head
official.
6
City Clerk
City Clerk attests signatures, retains original
agreement and forwards copies to the
4
contracting department.
To be completed by Contracting Department:
Project Manager: Richard Landis, DPW Project Name: Accessibilitv Consultation
Agendized for City Council Meeting of (if necessary): N/A
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.
Client#: I ;ALLYSWAN1
ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
5/08/2015
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
I NAME:
Dealey, Renton 8r Associates PHONE -3090 465-3090 FAX 510 452-2193
LAIC, No. Exq: I (AIC. No):
P. O. Box 12675 I E-MAIL
ADDRESS:
Oakland, CA 94604-2675
510 465-3090 I INSURER(S) AFFORDING COVERAGE I NAIC #
INSURERA: Sentinel Insurance Co. LTD 11000
INSURED INSURER B: Hartford Ins. Co of Midwest 37478
Sally Swanson Architects, Inc. I INSURERC: Hudson Insurance Company 126054
220 Sansome Street, Suite 1100
San Francisco, CA 94104 I INSURER D : I
INSURER E:
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 CONTRACTOR 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�SUBR POLICY EFF POLICY EXP ' LIMITS
LIR.A GENERAL LIABILITY INSR VYVD POLICY 57SBWBHO903MBER 111/15/2014d(11/15/204EACH OCCURRENCE $1,000,000
...... _. ... -................
®®gqMMqq��EE77 RENTED
X COMMERCIAL GENERAL UABBLITY GENERAL LIAB PREMISES�Ea occurrence) $12000,000
CLAIMS -MADE 4 XI OCCUR EXCLUDES CLAIMS MED EXP (Anyone person) $10,000
ARISING OUT OF PERSONAL BADV INJURY $1,000,000
THE PERFORMANCE GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
OF PROFESSIONAL
PRODUCTS - COMP/OP AGG 52,000,000
POLICY X1 JECT g
Q y Lac
SERVICES.
5
A AUTOMOBILE LIABILITY
57UEGAE7910
D7/01/2014,07/01/2014 COMBINED SINGLE LIMIT 1 000 000
(Ea accident) S : r
_
X ANY AUTO
BODILY INJURY (Per person) S
ALL OWNED SCHEDULED
_ AUTOS AUTOS
BODILY INJURY (Per accident) S
X HIRED AUTOS X NON -OWNED
AUTOS
_
PROPERTY DAMAGE S
(Per accident)
S
UMBRELLA LIAB OCCUR
EACH OCCURRENCE S
EXCESS IAB CLAWS -MADE
AGGREGATE $
$ ....
$
BWORKERS COMPENSATION
R
57WEGGD6783
^c STATU- OTH-
05/08/2015 05/08/2016 X 9iYLIMTS FR
AND EMPLOYERS' YIN
_
OFFICER/MEMBER EXRTNE D7 ECUTIVE' "'
E L EACH ACCIDENT 51,000,000
N / A
N..�
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYEE $1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below ..,
E DISEASE- POLICY LIMIT $1,000,000
C Professional
AEE7290001
05/03/2015 05/03/2016 $1,000,000 per claim
Liability
$3,000,000 annl aggr.
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
All Operations of the Named Insured. City of San Rafael, its officers, agents, employees, and volunteers
are additional insureds for General Liability per policy form wording. Professional Liability deductible:
$15,000/claim. Cancellation provisions are solely as shown below.
CERTIFICATE HOLDER CANCELLATION
City of San Rafael THE SHOULD XANY OF
PIRATIONH DATE ABOVE THEREOF, DESCRIBED NOTICEIES WIBLL CELLED BE CDELIVERED NE
Department of Public Works ACCORDANCE WITH THE POLICY PROVISIONS.
P.O. Box 151560
San Rafael, CA 94915-1560 AUTHORIZED REPRESENTATIVE
©1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S1331900/M1329008 OTMP1
Insured: Sally Swanson Architects, Inc.
Insurer: Sentinel Insurance Co. LTD
Policy Number: 57SBWBHO903
Policy Effective Date: 11/15/2014
Additional Insured:
City of San Rafael, its officers, agents, employees, and volunteers
EXCERPTS FROM: Hartford Form SS 00 08 04 05
BUSINESS LIABILITY COVERAGE FORM
C. WHO IS AN INSURED
6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit
The person(s) or organization(s) identified in Paragraphs a. through f. below are additional
insureds when you have agreed, in a written contract, written agreement or because of a permit
issued by a state or political subdivision, that such person or organization be added as an
additional insured on your policy, provided the injury or damage occurs subsequent to the
execution of the contract or agreement, or the issuance of the permit. A person or organization is
an additional insured under this provision only for that period of time required by the contract,
agreement or permit.
f. Any Other Party
(1) Any other person or organization who is not an insured under Paragraphs a. through e. above,
but only with respect to liability for "bodily injury, "property damage" or "personal and advertising
injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those
acting on your behalf:
(a) In the performance of your ongoing operations;
(b) In connection with your premises owned by or rented to you; or
(c) In connection with "your work" and included within the "products- completed operations
hazard, but only if
(i) The written contract or written agreement requires you to provide such coverage to
such additional insured; and
(ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included
within the "products -completed operations hazard.
(2) With respect to the insurance afforded to these additional insureds, this insurance does not
apply to: "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: inspection, or engineering
E.5. Separation of Insureds
Except with respect to the Limits of Insurance, and any rights or duties specifically assigned
in this policy to the first Named Insured, this insurance applies:
a. As if each Named Insured were the only Named Insured; and
b. Separately to each insured against whom a claim is made or "suit" is brought.
E.7.b.(7).(b) Primary And Non -Contributory To Other Insurance When Required By
Contract
If you have agreed in a written contract, written agreement or permit that this insurance is primary
and non-contributory with the additional insured's own insurance, this insurance is primary and
we will not seek contribution from that other insurance.
E.8.b. Waiver Of Rights Of Recovery (Waiver Of Subrogation)
If the insured has waived any rights of recovery against any person or organization for all or part
of any payment, including Supplementary Payments, we have made under this Coverage Part,
we also waive that right, provided the insured waived their rights of recovery against such person
or organization in a contract, agreement or permit that was executed prior to the injury or
damage.