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Home My WebLink AboutCC Resolution 13587 (Code Enforcement Services for Massage Ordinance)RESOLUTION NO. 13587 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL AUTHORIZING THE CITY MANAGER TO EXECUTE AN AGREEMENT FOR PROFESSIONAL CODE ENFORCEMENT SERVICES WITH CSG CONSULTANTS, INC, (CSG) TO PROVIDE CODE ENFORCEMENT SERVICES FOR MASSAGE ORDINANCE ENFORCEMENT /IMPLEMENTATION. (Term of Agreement: I year from start date, with a total budget amount not to exceed $100,000.00). WHEREAS, the City has determined that the growing number of massage establishments need to be regulated and inspected to ensure compliance with the City's Massage Ordinance-, WHEREAS, the City of San Rafael has determined that interim Code Enforcement services are needed to provide implementation and enforcement of the City's Massage Ordinance; and WHEREAS, the Police Department, the department tasked with the enforcement of the Massage Ordinance, does not have adequate staffing to perform those functions; and WHEREAS, it was determined that as a temporary solution, the Community Development Department, Code Enforcement Division, would bring on outside professional Code Enforcement Services to perform a one year trial on the complete implementation of the Massage Ordinance; and WHEREAS, at the City's request, CSG Consultant, Inc. (Consultant) has submitted a Proposal to the City ofSan Rqfiie1j6r Code Enforcement Services,forMassage Ordinance Eiiji)rcetitenti,Ititplemcnttition, dated Juli, 19, 2013, including a list of anticipated activities/tasks and the hourly rate for performance of these services, and said proposal is attached to the Agreement for Professional Services; and WHEREAS, the costs associated with the Consultant's interim professional Code Enforcement Services have been set aside and allocated by the City Council from available resources at the end of the 20121"M13 fiscal year as one time monies for this task. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Satz Rafael does hereby authorize the City Manager to execute, on behalf ofthe City, an Agreement for Pi,ofessiunal Code Eloforcernent Services with CSG ('0114UItantS. Inc, in the forn-i attached herewith. 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 the City of San Rafael, held on Monday, the 19"' of August, 2013, by the following vote, to wit: AYES: Councilmembers: Colin, Connolly, Heller, McCullough & Mayor Phillips NOES: Councilmembers: None ABSENT: Councilmembers: None Esther C. Beime, City Clerk Exhibit A Agreement for Code Enforcement Services for Massage Ordinance/Implementation between City of San Rafael and CSG Consultants, Inc, with attached Proposal to the City, ql'San Rqfiiel,fbr Code Eq/6rceinentSel-Wees for Ilassage Orclinance En/breemenillinpleinentat ion, dated Juy 19, 2013. AGREEMENT FOR CODE ENFORCEMENT SERVICES FOR MASSAGE ORDINANCE ENFORCEMENT /IMPLEMENTATION This Agreement is made and entered into this 19t1i day of Au ust, 2013 by and between the CITY OF SAN RAFAEL (hereinafter "CITY"), and CSG Consultants, Inc. (hereinalter "CONTRACTOR"). RECITALS WHEREAS, the City Council has identified a concern with the proliferation of massage establishments in the CITY and concern with their appearance and compliance with the City's regulations pertaining to massage establishments (Section 10.90 of the San Rafael Municipal Code); WHEREAS, the Department tasked in SRMC 10.90 to implement the Ordinance (Police Department) does not have the staffing resources to fully implement the ordinance; WHEREAS, it was determined that Community Development Department (Code Enforcement Division) was better suited at this time to be the lead Department in overseeing this enforcement. The City Council authorized Community Development Department to pursue a 1 year pilot program to implement/enforce the Massage Ordinance. In order to support this undertaking, the City Council has allocated a 1 year budget to hire a consultant for this task; WHEREAS, the CITY issued a Request for Proposal on July S, 2013 to solicit proposals from contractors to provide this service; WHEREAS, CONTRACTOR has submitted a proposal titled Proposal to the City of &tn Rafael for C.'ocle Frzlbrcenrent Serl•ices 16r .11assage Ordinance En't6rceinent!Implementution. dated July 19, 2013 to the City of San Rafael to provide these services (attached hereto as Exhibit A. and incorporated herein by reference); and WHEREAS, CITY desires to retain CONTRACTOR to perform professional code enforcement services as it relates to the enforcement of massage ordinance; and WHEREAS, CONTRACTOR represents that their firm and the personnel they will provide to the CITY are qualified to perforin such services and is willing to perform such professional sets; ices as hereinafter defined. 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. The Planning Manager 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. CONTRACTOR shall assign a single PROJECT DIRECTOR to have overall responsibility for the progress and execution of this Agreement for CONTRACTOR, Robert Cushing is hereby designated as the PROJECT DIRECTOR for CONTRACTOR. Should circumstances or conditions subsequent to the execution of this Agreement require a substitute PROJECT DIRECTOR for any reason., the PROJECT DIRECTOR designee shall be subject to the prior written approval of the PROJECT MANAGER. 2. DUTIES OF CONTRACTOR. CONTRACTOR shall perform the duties and/or provide services as described in Exhibit "A" attached hereto and incorporated herein as well as other duties as assigned by Project Manager necessary to enforce and implement the City's Massage Ordinance. In addition, CONTRACTOR will develop metrics and track these metrics to report back to PROJECT MANAGER on effectiveness of this one year program. It is expected that CONTRACTOR will provide two code enforcement officers and between the two, they will work approximately 20- 35 hours a week. Work in excess of a total of 35 hours a week (total for all contract staff working on behalf of CONTRACTOR) shall require prior authorization of the Project Manager; 3. DUTIES OF CITY. CITY shall pay the compensation as provided in Paragraph 4, and perform the duties as follows: a) Provide work space for CONTRACTOR, b) provide general direction and support to CONTRACTOR; c) provide legal assistance to develop administrative enforcement cases, mid d) provide Police Department escort or backup if needed and necessary, 4. CONNIPENISATION. For the full performance of the services described herein by CONTRACTOR. CITY shall pay CONTRACTOR for the hours of work at the hourly rates, and for the authorized expenses. as specified in Exhibit "A". in a total amount not to exceed S 1 o0oo, Payment will be made monthly upon receipt by PROJECT MANAGER of itemized invoices submitted by CONTRACTOR. TERM OF AGREEMENT. The term of this Agreement shall be for I year, commencing on September 1, 2013 and ending on August 30,, 2014. 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 I year, if the total budget authorized by this agreement has not been exceeded and the City decides to continue the program. 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 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, T 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, INSPL CTION, AND AUDIT. Upon reasonable notice, CONTRACTOR shall make available to CITY, 'ITY, or its agent, for inspection and audit, all documents and materials maintained by CONTRACTOR in connection with its performance of its duties Linder this Agreement. CONTRACTOR shall fully cooperate "itli CITY or its agent in any such audit or inspection. t, I 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. 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 ($1,000,000) dollars per occurrence for death, bodily injury, personal injury, or property damage. 2. An automobile liability insurance policy, for owned, non -owned, and hired vehicles, in the minimum amount of one million ($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 one million $1,000,000) dollars to cover any claims arising out of the CONTRACTOR's performance of services under this Agreement. B. The insurance coverage required of the CONTRACTOR in Subparagraph A above, shall also meet the following requirements: 1. Except for professional liability insurance, the insurance policies shall be endorsed for contractual liability and personal injury. 2. Except for professional liability insurance, the insurance policies shall provide in their text or shall be specifically endorsed to name the CITY, its officers, agents, employees, and volunteers, as additionally named insureds under the policies, and to provide that the insurance shall be primary with respect to any insurance or coverage maintained by CITY and shall not call upon CITY's insurance or coverage for any contribution, 3. CONTRACTOR shall provide to City's Project Manager, (a) Certificates of Insurance evidencing the insurance coverage required herein, and (b) text from the insurance policies or the endorsements as specified in Subparagraph B(2), 4, The insurance policies shall provide Haat the insurance carrier shall not cancel, terminate or otherwise modii}, the terms and conditions of said insurance policies except upon ten (10) days written notice to City's 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 insurance shall be approved as to form and sufficiency by PROJECT MANAGER and the City Attorney. C. 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. D. Any deductibles or self-insured retentions in CONTRACTOR's insurance policies must be declared to and approved by the City's Risk Manager and the City Attorney. 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. 11, INDEMNIFICATION. A. Except as provided in Subparagraph B., CONTRACTOR shall indemnify, release., defend and hold harmless CITY, its officers, and employees, against any claim, demand, suit, judgment, loss., liability or expense of any kind, including attorney's fees, arising out of or resulting in any way, in whole or in part, from any acts or omissions, intentional or negligent, of CONTRACTOR or CONTRACTOR's officers, agents and employees in the performance of their duties and obligations under this Agreement, 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 CITY, its officers, and employees, against any claim, demand., suit, judgment, loss,, liability or expense of any kind, including attorney's fees, that arises out of, pertains to, or relates to the negligence, recklessness, or willful misconduct of CONTRACTOR in the performance of its duties and obligations under this Agreement. 12, NONDISCRIMINATION. CONTRACTOR shall not discriminate, in any way, against any person on the basis of age. se',:, race, color, religion, ancestry., national origin or disability in connection with or related to the performance of its duties and obligations under this ALreement. 13. COMPLIANCE WITH ALL LAWS, CONTRACTOR shall observe and comply with all applicable federal, state and local laN4 s. ordinances, codes and regulations, in the perfiormarice of its duties and obligations under this ,\greernent. CONTRACTOR shall peribrin 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 commUulications 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: Raffi Boloyan, Project Manager Community Development Department City of San Rafael 1400 Fifth Ave. (P.O. Box 151560) San Rafael, CA 9491.5-1560 TO CONTRACTOR: Robert Cushing, Code Enforcement Manager (Project Director) CSG Consultants, Inc 1700 South Amphlett Blvd, 3"' Floor San Mateo, CA 94402 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 hidependent 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 DEBT'S. 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. 20. COSTS AND ATTORNEY'S FEES, The prevailing party in any action brought to enforce the teens 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 BUSINFSS LICENSE ' OTHER TAXES. CONTRACTOR shall obtain and maintain during the duration of tl-iis Agreement, a CITY Z= 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 CON"I'R.,k(.TOR has provided CITY with a N 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 City Manager ATTEST: !ZWX ESTI-IER C. BEIRNE, City Clerk APPROVED AS TO FORM: -A '�ity.,Nftorney ROBERT F. CONTRACTOR By, Exhibit A: Proposal to the City of San Rafael for Code Enforcement Services for Massage Ordinance Enforcement/Implementation, July 19, 201 .1 PROPOSAL TO THE XMI Code Enforcement Services for Massage Ordinance Enforcement / Implementation VF,1WXWTWA,z■ ; CSG Consultants,, Inc. July 19, 2013 CS(-- Comsdnnts, lrc. � 1.,"00 Amph;ett givd. | Suile yO � San Niatim, CA 94402 phore (650) 522.2Y'O I Pax (6-S(322259;1 m. am9m San Mateo a Pleasanton e Newman @ Sacramento * Salinas o Santa as July 19, 2012 City of San Rafael 1400 Fifth Avenue P.0 Box 151560 San Rafael, CA 94915-1560 Attn: Mr. Raffi Boloyan, Planning Manager Re: On -Call Code Enforcement Services -- Massage Ordinance CSG is pleased to provide this proposal for contractual code enforcement services for up to a one year period to enforce and implement the City of San Rafael's Massage Ordinance. CSG has a thorough understanding of the needs of communities such as San Rafael, building upon our many years of experience providing code enforcement services in a wide variety of settings and geographical areas. We .specialize in developing code enforcement programs tailored to bringing communities together and resulting in a lasting partnership with the public. Our inspectors are self- reliant, open-minded decision makers who are eager to help the City of San Rafael enforce the massage ordinance. Robert L. Crushing will serve as Project Manager for this contract. Our office and contact information is as follows: Robert L. Cushing I Code Enforcement Manager 1700 South Amphlett Boulevard j 3rd Floor Sari Mateo, CA 94402 (650) 522-2500 Phone 1 (650) 333-0854 Cell robertc@csgengr.com We look forward to extending our services to the City of San Rafael and are available to answer any questions you may have regarding our services and staffing. Sincerely, Cyrus Kianpour, P.E.; P.L.S. President, CSG Consultants, Inc. 170,01 .;;4h An}o) 6aIz B re✓ d, ".`" P;ver; S;,n My `e% (-A 9440 F"1;JT4C', fiS%5,"-"�f;:,i; Fi•;�: t't`r-S22-<59� �rn:•kk's�st-;`'�c�,,,y;n;'.�;r.r.,Jrrr, On'!:'F�� Ut v!sn^-,,-.��tuetf,;,.^. a.;:*, Table of Contents. I 5 E C T 10 M I Firm Structure and Background .............................. ....... ............ ............................................ I S C C T 10 N 2 Code Enforcement Experience and Capabilities ............ .................... .................... 2 SECTION 3 Project Understanding and Approach ....... ..................................... ......................... - ...... ............ 4 SECTION 4 Personnel................ ................................... ........ ....... ........ ................................. ...... -- ............ 5 S F C T 10 N 5 References.................. ............... .......... ............. . ................ ................... .............. .................... ......... 6 S F C T 10 N' 6 FeeSchedule .............. - .............. ............... ........ ............... ............... ................. ......... ........... ........ .6 SECTION I Insurance & Additional Information .......... ....... ............. ................................ ......... 7 S E C T 10 ME 8 StaffProfiles.. ....... ... ....... - ...... .......... ............................................. ........ - .............. -- ...... ....... ......... - 7 - Firm Structure CSG Consultants, Inc. (CSG) is a California company with our corporate office located in San Mateo. Additional support is available from our other offices in Pleasanton, Sacramento, Santa Ana, Newman, and Salinas. We furnish a wide range of municipal services, from comprehensive development reviews and management, design for capital improvement projects and assistance with master -planning, to staff augmentation including comprehensive City Engineer and City Surveyor services. The majority of the 150+ individuals within our firm have provided public agency services throughout their careers. Our talented personnel bring a wealth of ideas and experiences having provided similar services with communities dealing with the same challenges as the City of San Rafael. Our staff consists of plan review engineers, surveyors, program and project managers, construction managers, inspectors, and specialized planning, information technology, and sustainability professionals. The following represents a brief summary of our firm. Firm Summary NAME OF FIRM-, CSG Consultants, Inc. PROJECT MANAGER: Robert L. Cushing I Code Enforcement Manoger CORPORATE OFFICE, 1700 South Amphlett Boulevard 13rd Floor San Mateo, CA 94402 (650) 522-2500 phone (650) 522-2599 facsimile www.csgwebsite.com info@csgengr.com REGIONAL OFFICES: 1257 Quarry Lane I Suite 100 I Pleasanton, CA 94566 801 Park Center Drive I Suite 230 I Santa Ana, CA 92705 1247 Main Street I Newman, CA 95360 21 West Alisal Street I Suite 108 I Salinas, CA 93901 225 Eighth Street I Suite 425 I Sacramento, CA 95814 YEARS IN BUSINESS: 22 NUM'33ER OF EMPLOYEES' YEES' 150+ TYPE OF BUSINESS: Corporation I Federal ID No.: 91-2053749 �� ° ��*�� Enforce �0�� t Experience and �~��a�V 0W�0e�� Overview of CSG's Code Enforcement Experience CSG has been providing code enforcement services to its municipal clients for 10 years. Our code enforcernent specialists work to identify code violations and engage stakeholders and responsible parties to correct code violations consistent with municipal and state codes as well as the specific needs ofour clients. Codes and ordinances enforced include: m Zoning codes * Building codes * Housing codes • Public nuisance codes * State health & safety codes CSG code enforcement staff members are fully trained, licensed and certified through California Association of Code Enforcement Officers (CACEO) and National Environmental Health Association (NEHA) for any code enforcement challenge presented. Our code enforcement officers have experience and capabilities inthe following key code enforcement areas: a Code enforcement proQmmreview and analysis * Code enforcement inspections m Preparing administrative remedies including administrative citations ~ Conducting administrative hearings • Preparing program documentation and staff reports aawell ascommittee and City Council presentations • Testifying onbehalf ofclients incriminal court • License and permit application review and processing • Coordination of activities with multiple departments including Building, Planning,, Community Development, Police and City Attorneys * Providing information on municipal regulations to property owners, residents, businesses, the general public, aswell astocity departments and divisions Although a majority of our results are gained by Voluntary compliance, our services include a full range ofcode enforcement activities, including: � Enforcing administrative abatement w Testifying )npublic hearings and court proceedings on, behalf ofthe city m Facilitating settlement agreements � Recu/nmendmgchanges tmthe code = Appearing acexpert witnesses 2 Statement of direct Experience The following are examples of experience related to the scope of work for the City of San Rafael contract: Town of Los Altos Hills. In 2009, CSG executed a two-year contract with the Town of Los Altos Hills as a follow-up to civil action resulting in loss of life from falling eucalyptus trees. Working in conjunction with a certified arborist, we catalogued all designated trees and implemented and enforced a tree removal program. The program was especially sensitive due to the personal injury civil action and the resulting financial responsibility for physical removal of the trees by property owners. Less than one percent of Los Altos Hills property owners ultimately took issue with the enforcement program. 4 County of Monterey. In 2011, CSG executed a two-year contract with the County of Monterey to analyze and redesign its code enforcement program. CSG published its findings in a "Review of Code Enforcement Policies and Practices in Monterey County." The project resulted in significant changes to the program including: eliminating the ineffective state mediation service, increasing administrative program oversight, addition of new inspectors, elimination of out- dated cases, and an improvement in penalty collection procedures. Service Principles Our long-time experience in furnishing comprehensive municipal services to jurisdictions provides a consistent, strong technical foundation for all projects—from sensitive yet strategic code enforcement decisions to accurate, thorough reporting procedures, CSG will deliver quality services to the City of San Rafael. CSG emphasizes the following principles on all projects: ^. Accomplished customer service. We clearly understand the importance of our role in the success of your City and commit to providing your citizens and businesses as well as your staff with the highest level service. Concentrated focus on cost-saving approaches and methods. Because we proudly serve many municipalities and agencies, we are constantly improving and adapting our services to be able to save your city precious F dollars. We share a wealth of recommendations from our varied experience with other communities and clients to help keep your budget healthy and on track. Customized, responsive services. We are skilled at assessing time commitments, developing an accurate work plan and applying dedicated, professional personnel. We can quickly fine-tune staff or staffing levels to match your needs while maintaining the highest level of customer service. We hand pick staff uniquely qualified and experienced to deliver the exact services requested. .9)• Fully committed and qualified personnel. Each member of our staff is fully licensed and certified at the highest level of industry standards. 3 Project 3. ® Un Pub .' ti Approach Code enforcement activities are a crucial service in San Rafael to ensure not only public health and safety but also to enhance economic development and ensure community preservation and well-being throughout the City. CSG proposes to provide services to address the City of San Rafael's particular need for implementation of the City's Massage Ordinance (No. 1890) adopted in November of 2010. Our primary focus for the scope of work will be to further develop and improve the infrastructure required for the implementation of the Massage Ordinance and to provide field inspection, investigation and administrative services designed to implement the components of the program. CSG's involvement in enforcement of this ordinance will address the key issues and needs identified by the City in its enforcement efforts to date: part-time staffing, business ownership turnover, safety concerns, mitigating risk of unfounded allegations, and access during normal (evening) massage business hours. CSG's approach to implementation will involve utilizing established code enforcement practices and procedures tailored to the City's specific needs. In addition to the aforementioned key issues, the City has, in its Scope of Work, clearly described the primary code enforcement tasks, including specific services to be rendered and expected work products to be delivered. CSG's initial approach will include development of a work plan that will key off of these ordinance implementation tasks and be informed by an initial project meeting with key City staff from all involved departments. It is expected that initial work plan tasks following this project meeting will include, at a minimum: gaining familiarity with existing massage businesses through review of case files and CRW Trakit case histories (including the two rounds of inspections of approximately thirty massage businesses), State certification database records, communications with staff, and a complete survey of all business locales; confirming City and department enforcement policies, developing appropriate program communications; establishing meeting schedules with all involved departments/individuals; confirming reporting procedures; identifying performance metrics to be tracked; and establishing an initial inspection plan. With this groundwork in place, CSG will then proceed with the formal inspection program. To determine if ordinance requirements are being met, inspections will follow guidelines and standard observation techniques typically used in code enforcement including, for example, unannounced visits with massage business owners at their place of business during regular business hours, employee interviews, and review of documentation such as posted licenses and certifications. CSG's code enforcement officers are trained to conduct careful observations during inspections, maintain a high level of professionalism, and to complete inspections in a timely and efficient manner. A checklist based on the specific ordinance requirements will be developed and utilized to ensure efficient and thorough inspections. The checklist will include, for example, determining if: the business is open for walk in customers, exterior doors are not locked (otherwise necessitating telephone contact), window shades are not drawn, therapy room doors are incapable of being locked, employees are properly attired, adequate lighting is in use, specific health and safety practices are in place, and other requirements of legitimate massage business operation as identified in the ordinance are being met. Inspections that result in determinations of violations will be acted upon through warning notices, administrative citations or abatement actions, or referrals to the City Attorney, 4 SURµ��x � To address the City's needs, CSG proposes to furnish two (2) part time code enforcement officers to implement the Massage Ordinance and enforce Municipal Code compliance for up to a one (1) year period. The officers will work a maximum of 35 hours total per week between them unless additional hours are approved by the City. Additional staffing and resources can also be quickly accessed through our Bay Area offices as required. As directed in the RFP, one lead Code Enforcement Officer will focus on managing and administering the program and will serve as the primary contact with the City. This officer will be available during typical work hours during the week on selected days as agreed upon with the Planning Manager. The lead officer will participate in City meetings with supervisors and key staff from other departments. A second Code Enforcement Officer will work a variable schedule, fewer hours per week, and will be primarily assigned to conduct inspections of massage facilities during the day, at night or on the weekend. When necessary, the administrative/lead Code Enforcement officer will accompany this officer during field inspections. CSG's Code Enforcement Manager will conduct frequent reviews of the inspectors' progress and will review all evidence and documents with a bearing on a case as well as the inspectors' responses and resolutions of cases. With input from the code enforcement officers, he will recommend and, with approval, initiate changes that address specific problems or that will produce a more efficient and effective program for the City. The Code Enforcement Manager will participate in team meetings with members of City departments as needed and will be available to accompany inspectors, police officers, and staff as well as representatives of other agencies on field visits when needed. Additionally, he will attend City Council and Council committee meetings when necessary. Our staff understands the zoning development approval process because we work side-by-side with local communities building and improving these very systems. CSG researches the necessary resources specific to any project on which we propose and carefully selects key professionals for each project. All proposed personnel are highly skilled and experienced—understanding the policies and procedures necessary for streamlined services and superior customer care. The following team members will be assigned to this project: a Robert Cushing, Code Enforcement Manager ® Lamonte Mack, Code Enforcement Lead Officer ® Anna Vanegas, Code Enforcement Officer ® Jack Nixon, Program Analyst (as needed) Code enforcement staff profiles are included within this proposal for your review. CSG has over 22 years experience in the provision of professional municipal services to jurisdictions throughout California. Our track record of success with our clients is outstanding and we encourage you to contact our references with any questions or clarifications you might require. The following references are examples of communities where we provide code enforcement services. City of Marina Christine di lorio Director Community Development Department 209 Cypress Avenue Marina, CA 93933 831-884-1220 Code Enforcement Services since March 2007 Tovira of Lca s A`tns Hills Carl Cahill City Manager 26379 Fremont Road Los Altos Hills, CA 94022 650-947-2515 Code Enforcement Services for 2008-2009 Administrative Hearing Officer Services since 2008 Town of Ai.hvrton George Roderiks City Manager 91 Ashfield Road Atherton, CA 95678 650.752-0500 Code Enforcement Services since 2007 The fee schedule for the proposed one (1) year period of work is as follows: Code Enforcement Services Uescription I-louriv alta:, Code Enforcement Officer/ Related Support Personnel ................... . .............. $92 L'ouriq rates include overheadcosts it?ciudirr, „ but not iirnitec; .o, .ala- e5, benefits, v.ohi eta comppm tion insurance, ar,d travel and office expenses. 6 { Insurance Coverage As requested, the following is our general, automobile and professional liability coverage's which meet the City's requirements: Coverage WORKERS COMPENSATION: COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY PROFESSIONAL LIABILITY: (Errors and Omissions) Additional Information Liniaks of Liability Statutory $1,000,000 each occurrence $2,000,000 aggregate Personal Injury: $1,000,000 each occurrence $2,000,000 aggregate Bodily Injury: $500,000 per person $1,000,000 per accident Property Damage: $100,000 per occurrence $1,000,000 per claim CSG has no contracts/agreement terminated for convenience or default within the past three years. Additionally, CSG has no prior or pending litigation. CSG requests no changes to the terms and conditions of the City's Professional Services Agreement: Pro -files Staff profiles are provided on the following pages. ROBERT L. (CUSHING Code Enforcement Manager LICENSES / CERTIFICATIONS Registered Environmental Health Specialist 13000 Law Enforcement PC 832 Certificate ( Newark Police Department California Community College Credential Various Cal EPA Solid Waste and Environmental Certifications EDUCATION B.A. Degree, Environmental Health San Jose State University, San Jose, CA M.A. / MPH Degree, Public Health Education San Jose State University, San Jose, CA Mr. Cushing manages Code Enforcement Services for CSG Consultants, and has over 30 years experience enforcing health and safety codes, the abatement of abandoned vehicles, enforcing local regulations and writing legislation. With expertise in investigation, mediation, conflict management and California Vehicle code violations, Mr. Cushing brings a thoughtful proactive approach to resolving problems. In the cities of Atherton, Marina, and Monte Sereno, Mr. Cushing performs code compliance inspections and periodically reviews the enforcement programs, suggesting changes to make the programs more efficient and cost effective. Mr. Cushing initiated and implemented a dangerous tree enforcement program in Los Altos Hills, and recently audited the Code Enforcement Program for Monterey County which included publishing a "Review of Code Enforcement Policies & Practices in Monterey County."' Mr. Cushing serves as Chief Executive Officer for the Santa Clara County Abandoned Vehicle Authority and oversees an Agency budget of $1.7 million dollars for 15 member cities to operate their abandoned vehicle programs. Prior tojoining CSG, Mr. Cushing worked in San Jose, California's third largest city in a variety of roles including Chief of Code Enforcement, Secretary of the Code Enforcement Appeals Commission and the President of the City of San Jose Management Employees Association. LAMONTE MACK Code Enforcement Officer LICENSES / CERTIFICATIONS Certified Code Enforcement Officer (Recertification Pending) Animal Law Enforcement Training Acaderny (Basic & Advanced) Powers of Arrest (PC 832) NCICTraining EDUCATION Administration of Justice, Chabot College, Hayward, CA Mr. Mack has over 12 years of investigation experience enforcing local municipal and zoning regulations related to health and safety codes. Mr. Mack has successfully worked in culturally diverse communities and has expertise in gaining voluntary compliance. Mr. Mack's experience includes mediation, conflict management and investigations with regard to code violations. Prior to joining CSG, Mr. Mack performed code enforcement services for the Cities of Millbrae and Fremont. In this capacity, he enforced municipal code and zoning ordinance violations in the City of Millbrae's business district, proactively pursuing high -visibility issues such a signage, blight, graffiti and maintenance. Mr. Mack's diverse background in code enforcement is based on a proactive approach to resolving code violations. In addition to code enforcement, in the City of San Francisco, Mr. Mack served as a General Manager for the Tenderloin Neighborhood Development Corporation. In this capacity he served as the property manager for a 104 -unit residential hotel, supervised a staff of 11, collected rent, and provided accounting services, budgets and reports for the Corporation while also investigating and mediating incident and crime reports. Mr. Mack served as the Communications Sergeant for the Humane Society of Santa Clara Valley. In this role, he managed a multi -city code enforcement program, investigated vicious dog and animal cruelty issues, and was instrumental in enacting new policies on behalf of the Humane Society. In addition, Mr. Mack wrote a procedures manual for the Humane Society's newly created code enforcement program. Mr. Mack's work as an Animal Control Officer provided experience in patrolling assigned areas and responding to calls for animal control services. Mr. Mack also has experience working for the Housing Authority of Alameda and Santa Clara Counties. As a Resident Manager for The Housing Authority in Alameda County, Mr. Mack performs on-site property manager tasks for the County's Affordable Housing Complex, as well as working to resolve varied community issues on behalf of the County. He provided similar services for Santa Clara County where he conducted inspections of housing units involved in the County's "Section 8" Program. As a Credit/Legal Assistant for Woodmont Real Estate Services in Belmont, Mr. Mack served as the fair housing gauge for 30 apartment cornmunities—using credit reports, public records and financial data to successfully manage then -6. In addition, Mr. Mack managed collections and evictions for approximately 15 apartment complexes, reconciling collection agency accounts and overseeing the entire collection and eviction process. 10 ANNA VANEGAS Code Enforcement Officer LICENSES and CERTIFNCATIMS Certified Code Enforcement Officer |CAC[0 Law Enforcement PC 832 Certificate EDUCATION Bachelor of Science Degree, San Jose State University I San Jose, CA Ms. Vanegas has 30 years of experience in the field of code and law enforcement. Prior to joining CSG, Ms. Vanegas served for 17 years as a Code Enforcement inspector for the City of San Jose. Additionally, she served in San Jose's Police Department as a Parking Control Officer and a Police Property Specialist. She isa[ACEUcertified officer and has completed extensive training in building inspection, zoning enforcement and is qualified to operate the State regulated criminal information system. Ms. Vanegas is past president of "Blue Star Morns," a leading support agency for United States military personnel, and is a confident public speaker, appearing at many speaking engagements and on numerous television and radio programs. Code Enforcement Inspector 1994-Z011—City ofSan Jose, [A Inspection and enforcement of applicable ordinances pertaining to housing, building construction, zoning, land use, signs, health and safety, vehicle and related code enforcement regulations. Parking Con1ro|0f8cer 19O6-1994—City ofSan Jose / Police Department, CA Enforcement ofCity parking regulations including towing illegally parked vehicles, issuance ofparking citations to violators, assisting officers and citizens, and representing the Police Department in court appearances. Police Property Specialist 1981-1986—City ofSan Jose / Police Department, CA Received and disposed of all property and evidence booked into the San Jose Police Department in compliance with the Penal Code. 10 S ATE Ate© CERTIFICATE OF LIABILITY INSURANCE I D08/05 IODY/20133 08/05 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 0726293 1-415-546-9300 CONTACT NAME: Don Tarantino __ _ _ Arthur J. Gallagher 6 Co. PHONE -AX Insurance Brokers of California, Inc., License #0726293 -LAtC.No, Ext:_415-536-8617 iI Nop 415-536-8627 One Market Plaza, Spear Tower ADDRESS: don_tarantino@ajg.com Suite 200 - - - - - - - San Francisco, CA 94105 INSURERS AFFORDING COVERAGE _ NAIC # INSURER A: TRAVELERS PROP CAS CO OF AMER 125674 INSURED INSURER B: TWIN CITY FIRE INS CO CO 29459 CSG Consultants Inc. - Precision Inspection - CSG INSURER C: ARCH INS CO 11150 1700 S. Amphlett Blvd 3rd Floor INSURER D: San Mateo, CA 94402 INSURER E: i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule. if more spate is required) All operations of the Named Insured. Certificate Holder its agents, employees S volunteers are Additional Insured per attached endorsement. CERTIFICATE HOLDER Community Development Department City of San Rafael 1400 5th Avenue San Rafael, CA 94915-1560 ACORD 25 (2010,'05y jabersan 35088926 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE USA t 1988-2010 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD INSURER F : COVERAGES CERTIFICATE NUMBER: 35088926 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 LTR --- ---- 'N L SUBRI TYPE OF INSURANCE I NSR WVD' POLICY NUMBR 612 POLICY EFF i POLICY EXP LIMITS 1r IM12/04 A I 680294MO850 TIL GENERAL LIABILITY 1� 12/04/13I EACH OCCURRENCE 5 1;000,000 - - X CUGENERAL LIABILITY � DAMAGE. TO RENTED 1-0001000 'i PREMISES Ecrurrenr$ a oe'_ _MMERCiAL CLAIMS MADE I X OCCUR MED EXP IAny one person) c 10, 000 - J F-- - - I ' --- --- - f PERSONAL &ADV INJURY g 1,000,000 i - I'�!� i7 ENERAL_AGGREGATE g 2,000,000 GEN' uAl E. LIQ,"IT APPLIES PEP L w PRODUCTS AGG j $-2,000,000 ----PRO- X i _7 1 POLICY .IFCT LOC: - ¢ A AUTOMOBILE LIABILITY X 'BA -461M7612-12 12/04/17 12/04/13 COMBINED SIN;_.LE LIMIT 1,000,000 _ X ANY AUTC iEaaccident) g BODILY INJURY ;Per pe[;cn) j g AL. I. OWNED SCHEDULELi 30DILY INJURY (Per ,ScudanP AUTOS - AUTOS XX NON -OWNED NON -OWNED HIREn gUTbS AUTO,' � � PROPERTY DAMAGE l e -�eac; idem . 'I I , it A X UMBRELLA UAB X OCCUR CUP294M1060-12 -i 12/04/12 12/04/13, EACH OCCURRENCE $5,000,000 EXCESS UAB CLAIMS -MADE, AGGREGATE ---- �, a 5, 000, 0.00 DED RETENTIONS Followinq Form $ WORKERS COMPENSATION B X 57WEEP4360-01 12104/12 12/04/13 WC STATU- I ' UTH. E X CRI AND EMPLOYERS' LIABILITY " N' FF.C�ARERiBER - ---- - , --00, 000- ---- - Ai � N' I'� 1, 000, 000 PRIE7"F/PARTNC�'JLxEiaTiVF ,-'-`; r''Fi (CILR;� r; N t A, E:<CLUDE.� E ` EACH C a - —- fYi (MandatoryinNH) r E.L DISEa E -E EMPIL �YEF� $ 1,000,000 It yes, descn)e Under DESCRIPTION OF OPERATIONS balsw '� i � '�, c L. DISEASE - POLIC L&R- 1 S1,000,000 C Prof Liability AEP 004731501 12/04/12 12/04/13'Limit: 3Mil/3Mi Retention 50.000 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule. if more spate is required) All operations of the Named Insured. Certificate Holder its agents, employees S volunteers are Additional Insured per attached endorsement. CERTIFICATE HOLDER Community Development Department City of San Rafael 1400 5th Avenue San Rafael, CA 94915-1560 ACORD 25 (2010,'05y jabersan 35088926 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE USA t 1988-2010 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 680-294MO850-TIL-12 ISSUE DATE: 10-25-12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): PER SCHEDULE ON FILE WITH AGENT PROJECTILOCATION OF COVERED OPERATIONS: PROVISIONS A. The following is added to WHO IS AN INSURED (Section II): The person or organization shown in the Sched- ule above is an additional insured on this Cover- age Part, but only with respect to liability for "bod- ily injury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products -completed operations hazard". Such person or organization does not qualify as an additional insured for '"bodily injury" "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply to the render- ing of or failure to render any "professional services". e. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section 111) for this Coverage Part B. The following is added to Paragraph a. of 4. Other insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance' that: for the addi- tional insured shown in the Schedule, the insur- ance; provided to that additional insured Linder this CG D3 82 09 07 0420^ 'r?he Yraveler4 Page i of 2 lnciLitl25 the cojJyrighted rriat.erial of Ii1surair ce servilMES kit.: with If, (: errrllssio! COMMERCIAL GENERAL LIABILITY Coverage Part must apply on a primary basis, or a primary and non-contributory basis, this insur- ance is primary to other insurance that is avail- able to such additional insured which covers such additional insured as a named insured, and we will not share with the other insurance, provided that.- (1) hat:(1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance" for such addi- tional insured. But this insurance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional in- sured when the additional insured is also an addi- tional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY COW DITIONS (Section IV): We waive any rights of recovery we may have against the additional insured shown in the Schedule above because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" on or for the pro- ject, or at the location, shown in the Schedule above, performed by you, or on your behalf, un- der a "contract or agreement requiring insurance" with that additional insured. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insur- ance" with that additional insured entered into by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal in- jury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include the person or organization shown in the Schedule as an ad- ditional insured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- curs, and the "personal injury" is caused by an of- fense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 0 200 The Trave'era C^r^prv~ies. irc CG D3 82 09 07 includes the copyrighted material of Murance Ser,,ices Cllffim Inc,, with its permission COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULM This endorsement mocifflas Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART VOM7105UM COMMERCIAL GENERAL LIABILITY CONDITIONS (section Irv), Paragraph 4. (Other Insurance), IS amended as follows: C The followings added to Paragraph a. Primary Insurance: However, If you specifically agree In e written con- tract or written agreement that the Insurance pro- vided to an additional Insured under this Coverage Part must apply on a primary basis, or a primary and non-contributory basis, this Insur- ance Is primary to other Insurance that Is avall- able to such additional Insured which covers such additional Insured as a named Insured, and we will not share with that other insurance, provided that; a. The "bodily Injury" or "property damage" for which coverage Is sought occurs; and b, The "personal injury" or "advertising Injury" for which coverage, Is souglni arses out of an of- fense committed subsequent to the signing and execution of that contract or agreernent by you, 2. Tho first Subparagraph (2) of Paragraph b. Ex- cess Insurance regarding any other primary In- surance available to you is (tainlind. 3. The following Is added to Paragraph b. Excess Insurance, as an additional subparagraph under Subparagraph (1): That Ps available to the Insured when the Insured Is added as an additional Insured under any other policy, Including any umbrella or excess policy 0,G 110 27 04 05 =,',t Poine, 40 r4,ft pagp 'i of 'I 0 ri 0 0 ka M dt w W r tn iv 0 0 un r4 4C ire im t. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WORKERS' COMPENSATION BROAD FORM ENDORSEMENT EXTENDED OPTIONS P licy Number: 57 WE EP4360 Endorsement Number: Effectfv Date: 12/04/12 Effective hour is the same as stated on the Information Page of the policy. Nam d Insured and Address: CSG CONSULTANTS INC 1700 S AMPHLETT BLVD 3RD FL SAN MATEO, CA 94402 Section 1 of this endorsement expands coverage provided under WC 00 00 00. Section it of this endorsement provides additional coverage usually only provided by endorsement. Section III of this endorsement is a Schedule of Covered States. You may use the index to locate these coverage features quickly: SUBJECT SECTION i PARTS ONE and TWO 01 We Will Also Pay PART -THREE 02 How This Insurance Works PART - SIX 03 Transfer of Your Rights and Duties 04 Liberalization SECTION 11 VOLUNTARY COMPENSATION INSURANCE 05 Voluntary Compensation insurance A. How This Insurance Applies B. We Will Pay C. Exclusions D. Before We Pay E. Recovery From Others F. Employers' Liability Insurance EMPLOYERS' LIABILITY STOP GAP ENDORSEMENT 06 Employers' Liability Stop Gap Coverage A. Stop Gap Coverage Limited to Montana, North Dakota, Ohio, Washington, West Virginia and Wyoming Form WC 99 03 03 B Printed In U.S.A. (Ed. 8/00) Pr+oc "s Dat : 10/09/12 INDE�4 PAGE SUBJECT EAU 2 B. Part One Does Not Apply 3 2 C. Application of Coverage 3 2 D. Additional Exclusions 3 2 E. Wast Virginia 3 2 EXTENDED OPTIONS 4 2 01 Employers' Liability Insurance 4 2 02 Unintentional Failure to Disclose 4 2 Hazards 2 03 Waiver of Our Right to Recover from 4 2 Others 04 Foreign Voluntary Compensation 4 2 A. How This Reimbursement Applies 4 2 B. We Will Reimburse 4 3 C. Exclusions 4 3 D. Before We Pay 5 3 E. Recovery From Others 5 3 F. Reimbursement For Actual Loss 5 3 Sustained 3 G. Repatriation 5 H. Endemic Disease 5 3 05 Longshore and Harbor Workers` 5 Compensation Act Coverage 3 Endorsement SECTION 111 6 Ot Schedule of Covered States 6 2000, The Hartford Page 1 of 6 Polley Expiration Date: 12 / 0 4 / 13 SECTION I PARTS ONE and TWO 1. WE WILL ALSO PAY D. W Will Also Pay of Part One (WORKERS' COMPENSATION INSURANCE); and E. We Will Also Pay of Part Two (EMPLOYERS' LIABILITY INSURANCE) is replaced by the following: We Wdl Also Pay We will also pay these costs, in addition to other amounts payable under this insurance, as part of any claim, proceeding, or suit we defend: 1. reasonable expenses incurred at our request, INCLUDING loss of earnings; 2. premiums for bonds to release attachments and for appeal bonds in bond amounts up to the limit of our liability under this insurance; S. litigation costs taxed against you; 4. interest on a judgment as required by law until we offer the amount due under this law; and 5. expenses we incur. PART THREE 2. How This Insurance Applies Paragraph 4. of A. How This Insuranc Appii s of Part 3 (Other States Insurance) is replaced by the following: 4. If you have work on the effective date of this policy in any state not listed in Item S.A. of the Information Page, coverage will not be afforded for that state unless we are notified within sixty days. PART SIX 3. Transfer Of Your Rights and Duties C. Transfer Of Your Rights and Duties of Part 6 (Conditions) is replaced by the following: Your rights or duties under this policy may not be transferred without our written consent. If you die and we receive notice within sixty days after your death, we will cover your legal representative as insured. 4. Liberalization If we adopt a change in this form that would broaden the coverage of this form without extra charge, the broader coverage will apply to this policy. It will apply when the change becomes effective In your state. SECTION 11 VOLUNTARY COMPENSATION AND EMPLOYERS' LIABILITY COVERAGE S. Voluntary Compensation Insurance A. H w This Insurance Applies This Insurance applies to bodily injury by accident or bodily injury by disease. Bodily injury includes resulting death. t. The bodily injury must be sustained by any officer or employee not subject to the workers' compensation law of any state shown in Item 3,A, of the Information Page, 2. The bodily Injury must arise out of and In the course of employment or incidental to work in a state shown in Item S.A. of the Information Page. 3. The bodily injury must occur in the United States of America, its territories or possessions, or Canada, and may occur elsewhere if the employee is a United States or Canadian citizen, or otherwise legal resident, and legally employed, in the United States or Canada and temporarily away from those places. 4. Bodily injury by accident must occur during the policy period. 5. Bodily injury by disease' must be caused or aggravated by the conditions of the Form WC 99 03 03 0 Printed in U.S.A. (Ed. 8/00) Page 2 16 Fonn WC 99 03 03 B Printed in U.S.A. (Ed. S/DO) Page 3 of 6 officer's or employee's employment. The If the persons entitled to the benefits of this officer's or employee's last day of last insurance make a recovery from others, they exposure to the conditions causing or must reimburse us for the benefits we paid aggravating such bodily injury by disease them. must occur during the policy period. F. Employers' Liability insurance B. W WIN Pay Part Two (Employers' Liability Insurance) We will pay an amount equal to the benefits applies to bodily Injury covered by this that would be required of you as if you and endorsement as though the State of your employees were subject to the workers' Employment was shown in Item 3.A. of the compensation law of any state shown in Item Information Page. 3.A. of the Information Page. We will pay This provision S. does not apply in New Jersey or m those amounts to the persons who would be Wisconsin. Co entitled to them under the law. EMPLOYERS' LIABILITY STOP GAP COVERAGE C. Exclusion 6. Employers' Liability Stop Gap Coverag r+ o This insurance does not cover: A. This coverage only applies In Montana, North 0 1. any obligation imposed by workers' Dakota, Ohio, Washington, West Virginia and compensation or occupational disease law Wyoming. d or any similar law. B. Part One (Workers' Compensation Insurance) n2. bodily Injury intentionally caused or does not apply to work in states shown in aggravated by you. Paragraph A above. C1 3. officers or employees who have elected C. Part Two (Employers' Liability Insurance) Ln not to be subject to the state workers' applies in the states, shown in Paragraph A., 4- compensation law, as though they were shown in Item 3.A. of the ME 4. partners or sole proprietors not covered Information Page. 50" under the Standard Sole Proprietors, D. Part Two, Section C. Exclusions is changed Partners, Officers and Others Coverage by adding these exclusions. Endorsement. This insurance does not cover; D. Before We Pay 5. bodily injury intentionally caused or Before we pay benefits to the persons entitled aggravated by you or in Ohio bodily injury ' to them, they must: resulting from an act which is determined 1. Release you and us, In writing, of all by an Ohio court of law to have been responsibility for the injury or death. committed by you with the belief than an 2. Transfer to us their right to recover from injury is substantially certain to occur. others who may be responsible for the However, the cost of defending such i� injury or death. claims or suits In Ohio is covered. 3. Cooperate with us and do everything 13. bodily injury sustained by any member of necessary to enable us to enforce the right the flying crew of any aircraft. to recover from others. 14. any claim for bodily injury with respect to If the persons entitled to the benefits of this which you are deprived of any defense or a� Insurance fail to do those things, out duty to defenses or are otherwise subject to 11002 pay ends at once. If they claim damages irorn penalty because of default In premium you or from us for the injury or death, our duty under the provisions of the workers' to pay ends at once, compensation few at taws of a stela _ shown in Paragraph A. E. Recovery From Others E. This insurance applies to damagess for which If we make a recovery from others, we will you are liable under West Virginia Code Annot. keep an amount equal to our expenses of $23-4-2, recovery and the benefits we paid. We will pay the balance to the persons entitled to it. Fonn WC 99 03 03 B Printed in U.S.A. (Ed. S/DO) Page 3 of 6 EXTENDED OPTIONS 1. Empl vers' Llabllity Insurance 4. Item 3.B. of the Information Page is replaced by the following: B. Employers' Liability Insurance: 1. Part Two of the policy applies to work in each state listed in item S.A. 2. 3. The Limits of Liability under Part Two are the higher of: Bodily injury by Accident $500,000 Each Accident Bodily Injury by Disease $500,000 Policy Limit Bodify Injury by Disease $500,000 Each Employee OR 2. The amount shown in the Information Page. This provision 1 of EXTENDED OPTIONS does not apply in New York because the Limits Of Our Liability are unlimited. in this provision the limits are changed from $500,000 to $1,000,000 In California. Unint ntional Failure to Disclose Hazards If you unintentionally should fall to disclose all existing hazards at the inception date of your policy, we shall not deny coverage under this policy because of such failure. Waiver of Our Right To Recover From Others A. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization for whom you perform work under a written contract that requires you to obtain this agreement from us. This agreement shag not operate directly or indirectly to benefit anyone not named in the agreement. B. This provision S. does not apply in the states of Pennsylvania and Utah. Foreign Voluntary Compensation and Employers' Liability Reimbursement A. How This Reimbursement Applies This reimbursement provision applies to bodily injury by accident or bodily injury by disease. Bodily injury includes resulting death. 1, The bodily injury must be sustained by an officer or employee. 2. The bodily injury must occur in the course of employment necessary or incidental to work in a country not listed In Exclusion C.1. of this provision. 3. Bodily injury by accident must occur during the policy period. 4. Bodily injury by disease must be caused or aggravated by the conditions of your employment. The officer or employee's last exposure to those conditions of your employment must occur during the policy period. B. We Will Reimburse We will reimburse you for all amounts paid by you whether such amounts are: 1. voluntary payments for the benefits that would be required of you If you and your officers or employees were subject to any workers' compensation law of the state of hire of the individual employee. 2. sums to which Part Two (Employers' Liability Insurance) would apply if the Country of Employment were shown in Item S.A. of the Information Page. C. Exclusions This insurance does not cover: 1. any occurrences in the United States, Canada, and any country or jurisdiction which is the subject of trade or economic sanctions imposed by the laws or regulations of the United States of America In effect as of the inception date of this policy. Z any obligation imposed by a workers' compensation or occupational disease law, or similar law. 3. bodily injury Intentionally caused or aggravated by you. Form WC 99 03 03 B Printed In U.S.A. (Ed. MG) Page 4 of 6 liability for any consequence, whether direct or Indirect, of war, invasion, act of Foreign enemy, hostilities (whether war be declared or not), civil war, rebellion, revolution, insurrection or military or usurped power. No endorsement now or subsequently attached to this policy shall be construed as overriding or waiving this limitation unless specific reference Is made thereto. of America necessarily incurred as a direct result of bodily injury. Our reimbursement shall be limited as follows: 1. to the amount by which such expenses exceed the normal cost of returning the officer or employee If In good health, or 2, in the event of death, to the amount by which such expenses exceed the normal cost of returning the officer or employee if alive and in good health. In no event shall our reimbursement exceed the bodily Injury by accident limit shown In Item 3.8. of the Information Page as respects any one such officer or employee whether dead or alive. H. Endemic Disease The word "disease" includes any endemic diseases. The coverage applies as If endemic diseases were Included in the provisions of the workers' compensation law. S. Longshors and Harbor Workers' Component# n Act Coverage General Section C. Workers' Compensate n Law is replaced by the following: C. Workers' Compensation Law Workers' Compensation Law means the workers or workers' compensation law and occupational disease law of each state or territory named In Item 3.A. of the Information Page and the Longshore and Harbor Workers' Compensation Act (33 USC Sections 901- 950). it Includes any amendments to those laws that are in effect during the policy period. It does not include any other federal workers or workers' compensation law, other federal occupational disease law or the provisions of any law that provide nonoccupational disability benefits. Part Two (Employers' Liability Insurance), C. Exclusions, exclusion 8, does not apply to work subject to the Longshore and Harbor Workers' Compensation Act. This coverage does not apply to work subject to the Defense Base Act, the Outer Continental Shelf Lands Act, or the Nonappropriated Fund Instrumentalities Act, Form WC 99 03 03 0 Printed In U.S.A. (Ed. 8=) Pag 5 t 6 D. Before We Pay Before we reimburse you for the benefits to the persons entitled to them, you must have them: 1. release you and us, in writing, of all responsibility for the Injury or death, 4 0 2. transfer to us their right to recover from 0 others who may be responsible for their injury or death, 3, cooperate with us and do everything necessary to enable us to enforce the right to recover from others. C> Ln If the persons entitled to the benefits paid fail to do these things, our duty to reimburse ends at once. If they claim damages from us for the injury or death, our duty to reimburse ends at once. E. Recovery From Others If we make a recovery from others, we will keep an amount equal to our expenses of i� recovery and the benefits we reimbursed. We MM will pay the balance to the persons entitled to Big" it. If persons entitled to the benefits make a recovery from others, they must repay us for the amounts that we have reimbursed you. Wa F. R Imbursement for Actual Loss Sustained This endorsement provides only for reimbursement for the loss you actually :sem sustain. In order for you to recover loss or expenses under this reimbursement you must: 1. actually sustain and pay the loss or tt expense In money after trial, or t� 2. secure our consent for the payment of the loss or expense. now ME G. Repatriation Our reimbursement includes the additional expenses of repatriation to the United States of America necessarily incurred as a direct result of bodily injury. Our reimbursement shall be limited as follows: 1. to the amount by which such expenses exceed the normal cost of returning the officer or employee If In good health, or 2, in the event of death, to the amount by which such expenses exceed the normal cost of returning the officer or employee if alive and in good health. In no event shall our reimbursement exceed the bodily Injury by accident limit shown In Item 3.8. of the Information Page as respects any one such officer or employee whether dead or alive. H. Endemic Disease The word "disease" includes any endemic diseases. The coverage applies as If endemic diseases were Included in the provisions of the workers' compensation law. S. Longshors and Harbor Workers' Component# n Act Coverage General Section C. Workers' Compensate n Law is replaced by the following: C. Workers' Compensation Law Workers' Compensation Law means the workers or workers' compensation law and occupational disease law of each state or territory named In Item 3.A. of the Information Page and the Longshore and Harbor Workers' Compensation Act (33 USC Sections 901- 950). it Includes any amendments to those laws that are in effect during the policy period. It does not include any other federal workers or workers' compensation law, other federal occupational disease law or the provisions of any law that provide nonoccupational disability benefits. Part Two (Employers' Liability Insurance), C. Exclusions, exclusion 8, does not apply to work subject to the Longshore and Harbor Workers' Compensation Act. This coverage does not apply to work subject to the Defense Base Act, the Outer Continental Shelf Lands Act, or the Nonappropriated Fund Instrumentalities Act, Form WC 99 03 03 0 Printed In U.S.A. (Ed. 8=) Pag 5 t 6 SECTION III 1. SCHEDULE OF COVERED STATES A. This endorsement only applies In the states listed In this Schedule of Covered States.. C. Schedule of Covered States: CA Countersigned by _ B. If a state, shown In Item 3.A. of the Information Page, approves this endorsement after the effective date of this policy, this endorsement will apply to this policy. The coverage will apply in the new state on the effective date of the state approval. Authorized Representative P rm WC 99 03 03 8 Printed in U.S.A. (Ed. SM) Page 6 of 6 COMMERCIAL AUT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fiedbytloendnrsnmend. GENERAL DESCRIPTION 0F COVERAGE —TNsenUnnementbruudenocnvmrego.Hovwxmr.covemQe for any |njury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited byanother endorsement tuthe Coverage Part, and these coverage broadening provisions donot apply \o the extent that coverage is excluded or limited by such an mnUommmon1 The following listing is ogeneve| cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest ovepagodomorpUunon|y.L|mitmkionaandexo|uoinnnmoyapp|yto{Uuaocovoroqom.RaedoUtknpmvis|onsoftNmwn- donoomentond{h*rmmt of your policy carefully to determine rights, duties, and what is and is not covered. A. BLANKET ADDITIONAL INSURED M. AUDVO, VISUAL AND DATA ELECTRONIC B. EMPLOYEE HIRED AUTO EQUIPMENT — INCREASED LIMIT C. EMPLOYEES AS INSURED D. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS E. TRAILERS — INCREASED LOAD CAPACITY F. HIRED AUTO PHYSICAL DAMAGE G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following is added toParagraph AA,Who Is An Insured, of SECTION 11 — LIABILITY COV- ERAGE: Any person ororganization who isrequired under awrittwn contract or agreement hohxman you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that in in effect during the policy period, tobenamed uomnaddi- tional inuunad in an'inaurad"for Liability Cover- age, but only for damages to which this insurance uvepago.buton|yfbrdomageu0nwhioUthisNemxonca applies and only tuthe extent that ponnun oror- ganization qualifies as an "insured" under the Who Is An Insured provision contained in Section '11. The following is added to Paragraph A.f^. Who he An Insured, of SECTION A —L1ABILITY COVERAGE: - 1, WAIVER OF DEDUCTIBLE — GLASS J. PERSONAL EFFECTS K. AIRBAGS L. AUTO LOAN LEASE GAP M. BLANKET WAIVER OF SUBROGATI] related to the conduct of your business. 2. The following replaces Paragraph b. in B.S.` Other hmmoramme. of SECTION ny — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, ovopogo. the following are deemed lo be cov- ered "eulos�'you own: (1) Any cuvonaU "auto" you ieaam. Mra, rent or borrow; and (2) Any covered ''muto"hired nrrented by your "employee" under m contract in that individual "employee's" nume, with your pwnmisniwn, while perform- ing duties related to the conduct of your business, However, any "outo"that is |emsed, hirmd, rented or borrowed with a driver is not a covered "auto". C. EMPLOYEES AS INSURED An "employee" of yours is an "insured" while operating a covered "auto" hired or rented The following isadded b»Paragraph A.I'.Who 0s under a contract or aQroenmnt in that "em- �n fmmu m*�' of SECTION N ~ LIABILITY CCV- p}oyan'm° nome, with your permission, while ��: CAT42O0/fQ �zo1nrx,navvlw,nindemnity c^mpaoy.x/xaomFese'veu Page 1of3 Includes cu*vnompwse*,ia/ofimu,mm-eServices omcp,/nc wxmmuv*,missin a"�m COMMERCIAL AUTO Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs, D. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS 1. The following replaces Paragraph A.2.a.(2) of SECTION 11— LIABILITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4) of SECTION 11 — LIABILITY COVERAGE: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. E. TRAILERS — INCREASED LOAD CAPACITY The following replaces Paragraph CA. of SEC- TION I — COVERED AUTOS: 1. "Trailers" with a load capacity of 3,000 pounds or less designed primarily for travel on public roads. The following Is added to Paragraph AA., Cover- age Extensions, of SECTION III — PHYSICAL. DAMAGE COVERAGE: Hired Auto Physical Damage Coverage If hired "autos" are covered "autos" for Liability Coverage but not covered "autos" for Physical Damage Coverage, and this policy also provides Physical Damage Coverage for an owned "auto", then the Physical Damage Coverage is extended to "autos" that you hire, rent or borrow subject to the following: (1) The most we will pay for "loss" in any one "accident" to a hired, rented or borrowed "auto" is the lesser of: (a) $50,000; (b) The actual cash value of the damaged or stolen property as of the time of the "loss"; or (3) If a repair or replacement results in better than like kind or quality, we will not pay for the amount of betterment, (4) A deductible equal to the highest Physical Damage deductible applicable to any owned covered "auto", (6) This Coverage Extension does not apply to: (a) Any "auto" that is hired, rented or bor- rowed with a driver; or (b) Any "auto" that is hired, rented or bor- rowed from your "employee". G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph AA.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. H. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT — INCREASED LIMIT Paragraph C.2.. Limit Of Insurance, of SEC- TION III — PHYSICAL DAMAGE COVERAGE is deleted. 1. WAIVER OF DEDUCTIBLE — GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. The following is added to Paragraph AA., Cover- age Extensions, of SECTION III PHYSICAL DAMAGE COVERAGE: Personal Effects Coverage We will pay up to $400 for "loss" to wearing ap- parel and other personal effects which are: (1) Owned by an "insured"; and (2) In or on your covered "auto". (c) The cost of repairing or replacing the I'his coverage only applies in the event of a total damaged or stolen property with other theft of your covered "auto". Property of like kind and quality, No deductibles apply to Personal Effects cover - (2) An adjustment for depreciation and physical ager condition will be made in determining actual cash value in the event of a total "loss" Page 2 of 3 0 2010 rhe, "ravetem, fndeamy Compatly, Aii righls resorved CA T4 20 07 10 Includes matehaof Insurance Serorps Office, im w,V) i,s permjsion a i, J ", jjQSj K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION 111 — PHYSICAL. DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty: and c, The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "foss". L. AUTO LOAN LEASE GAP The following is added to Paragraph AA., Cover- age Extensions, of SECTION III ®- PHYSICAL DAMAGE COVERAGE: Auto Loan Lease Gap Coverage for Private Passenger Type Vehicles In the event of a total "loss" to a covered "auto" of the private passenger type shown in the Schedule or Declarations for which Physical Damage Cov- erage is provided, we will pay any unpaid amount due on the lease or loan for such covered "auto" less the following.- (1) ollowing:(1) The amount paid under the Physical Damage Coverage Section of the policy for that "auto"; and COMMERCIAL AUTO (2) Any: (a) Overdue lease or, loan payments at the time of the "loss"; (b) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (c) Security deposits not returned by the les- sor; (d) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and (e) Carry-over balances from previous loans or leases. M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.S., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV -Y BUSINESS AUTO CONDI- TIONS: 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract exe- cuted prior to any "accident" or "loss", pro- vided that the "accident" or "loss" arises out of the operations contemplated by such con- tract. The waiver applies only to the person or organization designated in such contract. GA T4 20 07 `10z, 2010 The T+aveieis Indemnity Company, AH rights reser✓rid. (-gage 3 of 3 Envnudes r npyrsgtntt-'a materia: of frnsuranca 5ewicrrs Of ne, Inc wwth is pertni ssio n DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 08,05/2013 NAME OF INSURED: CSG Consultants Inc, Precision Inspection - CSG Additional Description of OperationslRemarks from Page_1_: Additional Information: SUPP (05104) PROFESSIONAL SERVICES AGREEMENT/CONTRACT COMPLETION CHECKLIST AND ROUTING SLIP Below is the process for getting your professional services agreements/contracts finalized and executed. Please attach this "Completion Checklist and Routing Slip" to the front of your contract as you circulate it for review and signatures. Please use this form for all professional services agreements/contracts (not just those requiring City Council approval). This process should occur in the order presented below. Step Responsible Description Department I City Attorney Review, revise, and comment on draft agreement. 4,et 2 Contracting Department Forward final agreement to contractor for their signature. Obtain at least two signed originals from contractor. Contracting Department Agendize contractor -signed agreement for Council approval, if Council approval "vk necessary (as defined by City Attorney/City Ordinance*). 4 City Attorney Review and approve form of agreement; bonds, and insurance certificates and endorsements, 5 City Manager / Mayor /or Agreement executed by Council authorized Department Head official. Completion Date o C. ity Clerk k... itv Clerk attests signatures, retains original agreement and forwards copies to the contracting department. To be completed by Contracting Department: Project Manager: Rath Bolovan, Community Development Devartinent." Project Name: Code Enforcement Contrac,t Serv-ices for Massap-e Ordinance Enforcement/Implementation Agendized for City Council Meeting of (if necessary): 8r"19/13 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. I j o C. ity Clerk k... itv Clerk attests signatures, retains original agreement and forwards copies to the contracting department. To be completed by Contracting Department: Project Manager: Rath Bolovan, Community Development Devartinent." Project Name: Code Enforcement Contrac,t Serv-ices for Massap-e Ordinance Enforcement/Implementation Agendized for City Council Meeting of (if necessary): 8r"19/13 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.