HomeMy WebLinkAboutCC Resolution 13790 (Downtown Streets Team)111'kiWT*1R8j1
RESOLUTION OF THE SAN RAFAEL CITY COUNCIL AUTHORIZING THE CITY
MANAGER TO ENTER INTO AN AGREEMENT FOR SERVICES WITH THE
DOWNTOWN STREETS TEAM IN AN AMOUNT NOT TO EXCEED $272,000
THE CITY COUNCIL OF THE CITY OF SAN RAFAEL HEREBY RESOLVES to approve and
authorize the CITY MANAGER and CITY CLERK to execute, on behalf of the City of San
Rafael, an agreement for services with Downtown Streets, Inc., dba Downtown Streets Team., to
conduct the second year of a volunteer work experience program for homeless persons, in an
amount not to exceed $272,000, in a form to be approved by the City Attorney., that incorporates
the Scope of Services for Fiscal Year 2014-2015 attached hereto as Exhibit A; and
The CITY COUNCIL further resolves to waive competitive bidding with respect to this
Agreement, pursuant to San Rafael Municipal Code Section 2.55.070(D), based upon the prior
experience that the Downtown Streets Team has gained in performing similar services for the
City since July 1, 2013, their ability to seamlessly continue such services for the City, and the
lack of other qualified organizations that could effectively operate a similar program in the City.
1, ESTHER C. BEIRNE, Clerk of the City of San Rafael, hereby certify that the
foregoing resolution was duly and regularly introduced and adopted at a regular meeting of the
City Council of said City held on Monday the eighteenth day of August, 2014, by the following
vote, to wit:
AYES: COUNCILMEMBERS: Bushey, Colin, Connolly, McCullough & Mayor Phillips
ESTHER C. BEIRNE, City Clerk
AGREEMENT FOR PROFESSIONAL SERVICES
FOR IMPLEMENTATION AND MANAGEMENT OF A VOLUNTEER WORK
PROGRAM SERVICE THE HOMELESS
This Agreement is made and entered into this 19th day of August, 2014, by and between the
CITY OF SAN RAFAEL (hereinafter "CITY"), and Downtown Streets, Inc., DBA the Downtown
Streets Team, a 501(c)(3) organization, (hereinafter "CONTRACTOR").
RECITALS
WHEREAS, the 2011 County homeless count indicated there were 1,220 homeless persons
in the County and 4,179 precariously housed persons, including 255 homeless people in San Rafael;
and
WHEREAS, the CITY, the Downtown Business Improvement District and other members
of the community desire to assist persons experiencing homelessness to rebuild their lives and
engage in a meaningful contribution to the San Rafael community; and
WHEREAS, the CONTRACTOR has the experience and expertise to implement and
manage a volunteer work experience program in partnership with the CITY, the San Rafael
business community and local non -profits that serve the homeless; and
WHEREAS, the CITY desires to utilize the services of the CONTRACTOR to implement
and manage a volunteer work program for persons experiencing homelessness; and
WHEREAS, the CITY has waived competitive bidding with respect to this Agreement,
pursuant to San Rafael Municipal Code Section 2.55.070(D), based upon the prior experience that
the Downtown Streets Team has gained in performing similar services for the City since July 1,
2013, their ability to seamlessly continue such services for the City, and the lack of other qualified
organizations that could effectively operate a similar program in the City.
AGREEMENT
NOW, THEREFORE, the parties hereby agree as follows:
1. PROJECT COORDINATION.
A. CITY. The City Manager shall be the representative of the CITY for all
purposes under this Agreement. Economic Development Manager, Stephanie Lovette, 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.
2
OR
Rev. Date: L-30-14 1
B. CONTRACTOR. CONTRACTOR shall assign a single PROJECT
DIRECTOR to have overall responsibility for the progress and execution of this Agreement for
CONTRACTOR. Andrew Hening 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 substihition.
2. DUTIES OF CONTRACTOR.
CONTRACTOR shall perform the duties and/or provide services as described in Exhibit
"A" attached and incorporated herein.
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CITY shall cooperate with CONTRACTOR in his performance under this agreement and
shall compensate CONTRACTOR as provided herein.
4. COMPENSATION.
For the full performance of the services described herein by CONTRACTOR, CITY shall
pay CONTRACTOR a total amount NOT to exceed $272,000, including the cost of local business
license taxes as described in Section 21.
Payment will be made monthly upon receipt by PROJECT MANAGER of an invoice
submitted by CONTRACTOR.
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The term of this Agreement shall commence upon the date of execution of this agreement
and shall end on June 30, 2015, unless such Agreement is terminated before such date as provided
in Paragraph 6.
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 ten (10)
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 notice, to the reasonable satisfaction of the party
giving such notice, within thirty (30) days of the receipt of said notice.
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.
Rev. dare; 1/30114
D. Return of Documents. Upon termination, any and all CITY documents or
materials provided to CONTRACTOR and any and all of Contractor's documents described in
paragraph 7 below, shall be delivered to CITY as soon as possible, but not later than thirty (30)
days after termination.
7. OWNERSHIP OF DOCUMENTS.
The written documents and materials prepared by the CONTRACTOR in connection with
the performance of its duties under this Agreement shall be the sole property of CITY. CITY may
use said property for any purpose, including projects not contemplated by this Agreement.
8. INSPECTION AND AUDIT.
Upon reasonable notice, CONTRACTOR shall make available to CITY or their agents, for
inspection and audit, all documents directly related to Contractor's performance of its duties under
this Agreement. CONTRACTOR shall fully cooperate with CITY or their agent in any such audit
or inspection.
9. ASSIGNABILITY.
The parties agree that they shall not assign or transfer any interest in this Agreement nor the
performance of any of their respective obligations hereunder, without the prior written consent of
the other party, and any attempt to so assign this Agreement or any rights, duties or obligations
arising hereunder shall be void and of no effect.
10. INSURANCE.
A. Scope of Coverage. During the term of this Agreement, CONTRACTOR shall
maintain, at no expense to CITY, the following insurance policies:
I. A commercial general liability insurance policy in the minimum amount of
one million dollars ($1,000,000) per occurrence/two million dollars ($2,000,000) aggregate, for
death, bodily injury, personal injury, or property damage.
2. An automobile liability (owned, non -owned, and hired vehicles) insurance
policy in the minimum amount of one million dollars ($1,000,000) dollars per occurrence.
3. If any licensed professional performs any of the services required to be
performed under this Agreement, a professional liability insurance policy in the minimum amount
of two million dollars ($2,000,000) per occurrence/four million dollars ($4,000,000) aggregate, to
cover any claims arising out of the CONTRACTOWs 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
Rev. date: 1?3014
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
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 fbr 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 minimurn insurance coverage requirements
and/or limits shall be available to CITY or any other additional insurer! 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
Rev. date: 1,30114
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 noliev 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
Rev. date: 1/30/14
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 Manager: Stephanie Lovette, Economic Development Manager
City of San Rafael
1400 Fifth Avenue
P.O. Box 151560, San Rafael, CA 94915-1560
Rev. date: 18014
TO CONTRACTOR: Ms. Eileen Richardson, Executive Director
Downtown Streets, Inc., dba Downtown Streets Team
555 Waverly Street
Palo Alto, CA 94301
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 tern, covenant, condition, ordinance, law or regulation. The
Rev. date: U30.14
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
NANCY MACKLE, ty Manager
ATTEST:
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LSTHER C. BEIRNE, City Clerk
APPROVED AS TO FORM:
ROBERT F. EPSTEIN, ity Atto'hwy
Rev, date: 1130/14 8
CONTRACTOR '
By: 1'A'— . L ^ _
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EXHIBIT A
SCOPE OF SERVICES FOR FISCAL YEAR 2014-15
Programs and Services covered under this contract:
Formation and Oneration of San Rafael Downtown Streets Team:
A. Contractor will continue the Volunteer Work Experience Program, and will coordinate with
the City of San Rafael on project specifics.
B. Contractor will continue the Downtown Streets Team "Workforce Development Program"
launched in 2013 in San Rafael.
C. The program will create volunteer work experience opportunities for at least fifteen (15)
homeless persons annually (hereinafter "Team Members").
D. Contractor will provide support services to assist Team Members in transitioning to
permanent employment. Such services may include: job search classes and personalized job
search support, employment development, developing internship placements, developing
mentor opportunities, and case management for employment related activities.
E. Contractor will support Team Members to graduate to other community programs, including
assisting Team Members to join the Mill Street substance abuse program and graduating from
Mill Street to New Beginnings.
F. Contractor will work closely with case managers at partner agencies including Ritter Center,
St. Vincent's, the Community Action Marin Care Team(s), Homeward Bound, and the Marin
Employment Connection to assure services to individual Team Members are coordinated.
G. Contractor will continue to strengthen the business advisory committee, initiated in 2013, to
assist Team Members to develop marketable job skills.
H. Contractor will conduct outreach to businesses in order to expedite hiring processes for Team
Members.
Downtown Streets Team Program Obiectives:
1) Improve self sufficiency of Team Members, as measured by a Self -Sufficiency Matrix.
a. Contractor will develop a Self -Sufficiency Matrix assessment tool.
b. Contractor will continue to administer the Self -Sufficiency Matrix assessment to all
Team Members who have been in the program for at least one month.
c. Contractor will continue to administer follow-up assessments with the same tool
every six (b) months and upon program exit. N
d. Team members will demonstrate improvement between initipl and subsequent
assessment(s).
2) Permanent Employment Placements.
a. At least 8 Team Members will obtain permanent employment during 2014.
b. 100% of such Team Members will retain employment for at least three (3) months.
3) Downtown Clean Up.
a. Team Members will perform 12,000 hours of cleanup work in downtown San Rafael
as directed by the CITY.
b. Team Members will remove blight from the downtown San Rafael area as
demonstrated by before and after photos.
4) Community Relations
a. Contractor will work to improve business and community perceptions of homeless
persons.
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CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD►YYYtn
07/31/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain polioses may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In )leu of such endomement(s).
RODUCER Phone: 818-889-7240 H,ADUNTE:" Kimberly Barrios
horson Insurance Services
Icense No. OB60856 Fax: 818-889-2560 � EX& BI G-889-7240 140. No):
3401 Agoura Road Suite 101 A)DRESS: kborrlos@thorsonins.com
goura Hills, CA 91501 PRODUCER
eggy Hart MMMERms:DOWNT-1
WSURER(S) AFFORDING COVERAGE RAN:
ISURED Downtown Streets Inc. INSURER A: Philadelphia Indemnity Ins Co
555 Waverly Street
San Francisco, CA 94301 INSURERS
INSURER C:
INSURER D :
INSURER E
INSURER F:
OVERAGES 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,
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,
City of San Rafael C
ACCORDANCE W TH THE POLICY PROVISIONgE WILL BE DELIVERED IN
1400 Fifth Ave.,
San Refael, CA 94901 AUTHORIZED REPRESENTATIVE
®1988-2009 ACORD CORPORATION. All rights reserved.
;ORD 25 [2009/091 The ACORD name and loco are realstered marks of ACORD
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NOTEPAD
tNSUREWS NAME Downtown Streets Inc. OP ID: KI3 oATE 07/31/14
2011 Chevy Suburban (VINI 118187)
Loc. 1 - 80 S, Fifth Sireet, San Jose, CA 95112
1125,000 Blanket Business Personal Property Limit
Loc. 2 - 110 Roundtable Avenue San Jose, CA 95112
8416,000 Blanket Building Limit
Loc, 3 - 127 Roundtable Avenue San Jose, CA 95112
8416,000 Blanket Building Limit
Loc. 4 - 555 Waverley Street, Palo Alto, CA 94301
8125,000 Blanket Business Personal Property Limit
Loc. 5 - 1671 The Alameda Suite 306, San Jose, CA 95126
Not Covered Bianket Building Limit
125 000 Business Personal Property Limlt
Includes Boiler & Machinery Property Elite Endorsement
ACORO®
CERTIFICATE OF LIABILITY INSURANCE Acct#: 1240407I DATEIMWDDIYYYY)
II 09102/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(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:
Lockton Companies, LLC PHONE+FAX
5847 San Felipe, Suite 320 &C No.Exn: 888-8ee-8366 PIC, No):
MAIL
Houston, TX 77057 ADDRESS:
INSURERS) AFFORDING COVERAGE
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22667
Insperity, Inc. UCIF
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AUTOS
19001 Crescent Springs Drive INSURER -C!
NON -OWNED
Kingwood, TX 77339 NSURER-D:
AUTOS
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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 WUC D BY PAID CLAIMS.
w ADDL auaR VOL EfF -POLICY EXP
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R IMMlODIYYYYj ;MMlDDIYYYY)
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R TYPE OF INSURANCE POLICY NUMBER LIMIT;
GENERAL LIABILITY
—::]COMMERCIAL GENERAL LIABILITY
CLAIMS MADE F1 OCCUR
3EN'L AGGREGATE LIMIT APPLIES PER
PRO
POLICY FIJECT r LOC
_AUTOMOBILE LIABILITY
----ANY AUTO
ALL OWNED !
SCHEDULED
_AUTOS
AUTOS
_
NON -OWNED
HIRED AUTOS w
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UMBRELLA LIAR OCCUR
EXCESS LIAR n CLAIMS MADE
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A AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTNE
ON
048201441 10!01!2014 10/0112015
3XIUM M F) CLUDED9 I INIA
I ves, describe under
]ESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPErw i iVti.i+Luwti rruniSNEHIC ES (Attisch Acord 101, Additional remarks Schedule, If more space Is required)
EACH T� RED $
DAMA�E
PREMISES (Ea occurrence) $
MED EXP (Anv one oerscn) $
PERSONAL 3 ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS — COMPIOP AGG $
CILITY DMB1IJEd AILEELLIMIT
(Ea accident)
BODILY INJURY (Per Personl
BODILY INJURY {Per accident) i
PROPERTY DAMAGE
(Per accident) $
EACH OCCURRENCE
AGGREGATE
TH-
X rORY LIMITS I �R
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE—EA EMPLOYEE $ 11000,000
E.L. DISEASE—POLICY LIMIT $ 11000,000
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE Aeruve LIG,r.KIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS
DOWNTOWN STREETS, INC. I AUTHORIZED REPRESENTATIVE
ATTN: ELFREDA STRYDOM
555 WAVERLEY STREET
PALO ALTO, CA 94301
ACORD 25 (2010105) 01988.2010 ACORD CORPORATION. All Rights Reserved. The ACORD name and logo are registered marks of ACORD
POLICY CHANGE DOCUMENT
POLICY NO.: PHPK1201569
Philadelphia Indemnity Insurance Company 21560 Thorson & Associates Insurance Associate
NAMED INSURED Downtown Streets Inc
MAILING ADDRESS 555 Waverley St
Palo Alto, CA 94301-1721
POLICY PERIOD: FROM 08/01/2014 TO 08/01/2015 at
12:01 A.M. Standard Time at your mailing address shown above.
CHANGE EFFECTIVE 08/13/2014 CHANGE # 1
DESCRIPTION
In consideration of the premium reflected, the policy is amended as indicated below:
Added:
Additional Insured
City of San Rafael
Form PI -GL -005 Addl Ins Primary & Non -Contributory Ins
Per attached schedule(s) and form(s)
Path ID 8204959
Total Annual
Additional/Retum Premium $ 0.00
NO CHANGE
COUNTERSIGNED
(Date)
D
u�
AUG i
2074
ft ` E'y RAFA`
c00fthT4a,ycr
BY
Total Prorate
Additional/Return Premium $ 0.00
NO CHANGE
(Authorized Representative)
Insurance Policy Page 1 of 1
Philadelphia Indemnity Insurance Company
Additional Insured Schedule
Policy Number: PHPK1201569
Additional Insured
First Presbyterian Church of San Rafael
1510 5th Ave
San Rafael, CA 94901-1807
CG2011 - CA - Loc #5
Additional Insured
City of San Jose
Housing Department
200 E Santa Clara St FI 12
San Jose, CA 95113-1903
CA2048 - Commercial Automobile
Re: Community Development Block Grant
Additional Insured
City of San Jose
Housing Department
200 E Santa Clara St FI 12
San Jose, CA 95113-1903
CG2005 - General Liability
Re: Community Development Block Grant
Additional Insured
Wells Fargo
c/o Insurance Service Center ,�
PO Box 979284 G `
Miami, FL 33197-9284
CG2028 - CA - Loc #5 -.334 (BLDG/PREMS,- FFICEINOC-NFP)
Addltional Insured
City of San Rafael �a
1400 5th Ave
San Rafael, CA 94901-1943
CG2005 - General Llablilty
RE: Providing a Grant
Page 1 of
PI -GL -005 (07/12)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED
PRIMARY AND NON-CONTRIBUTORY INSURANCE
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization (Additional Insured):
City of San Rafael
Effective Date:
08/13/2014
SECTION Il —WHO IS AN INSURED is amended to include as an additional insured the person(s) or
organization(s) shown in the endorsement Schedule, but only with respect to liability for "bodily injury,"
"property damage" or "personal and advertising injury" arising out of or relating to your negligence in the
performance of "your work" for such person(s) or organization (s) that occurs on or after the effective date
shown in the endorsement Schedule.
This insurance is primary to and non-contributory with any other insurance maintained by the person or
organization (Additional Insured), except for loss resulting from the sole negligence of that person or
organization.
This condition applies even if other valid and collectible insurance is available to the Additional Insured
for a loss or "occurrence" we cover for this Additional Insured.
The Additional Insured's limits of insurance do not increase our limits of insurance, as described in
SECTION III — LIMITS OF INSURANCE.
All other terms, conditions, and exclusions under the policy are applicable to this endorsement and
remain unchanged.
Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
POLICY NUMBER- PHPK1201569
COMMERCIAL GENERAL LIABILITY
CG 20 05 0413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - CONTROLLING INTEREST
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Persons) Or Organization(s):
ity of San Rafael
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II — Who Is An 1 nsured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to their liability arising out of.
1. Their financial control of you; or
2. Premises they own, maintain or control while
you lease or occupy these premises.
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
B. This insurance does not apply to structural
alterations, new construction and demolition
operations performed by or for that person or
organization.
C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
CG 20 05 0413 O Insurance Services Office, Inc., 2012 Page 2 of 2
PROFESSIONAL SERVICES AGREEMENT/CONTRACT
COMPLETION CHECKLIST AND ROUTING SLIP
Below is the process for getting your professional services agreements/contracts finalized and
executed. Please attach this "Completion Checklist and Routing Slip" to the front of your
contract as you circulate it for review and signatures. Please use this form for all professional
services aLFreements/contracts (not just those requiring City Council approval).
This process should occur in the order presented below.
Step
Responsible
Description
Completion
Department
t1 Date
1
City Attorney
Review, revise, a comment on draft
agreement. p ay U0 . l' X-M�-�G
2
Contracting Department
Forward finaf agreement to contractor for
sent- GCS�S
their signature. Obtain at least two signed
9/i6�/`i•
originals from contractor.
3
Contracting Department
Agendize contractor -signed agreement for
Council approval, if Council approval
necessary (as defined by City Attorney/City
Ordinance*).
4
City Attorney
Review and approve form of agreement;
bonds, and insurance certificates and
endorsements.
q�3D11�
5
City Manager / Mayor / or
Agreement executed by Council authorized
Department Head
official.
�114 �
C
City Clerk
City CIerk attests signatures, retains original
agreement and forwards copies to they
contracting department.
To be completed by Contracting Department:
JbProject Manager:, Project Name:
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.
* Council approval is required if contract is over $20,000 on a cumulative basis.
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