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HomeMy WebLinkAboutCC Resolution 11156 (SR Library Expansion Feasability Study)RESOLUTION NO. 11156
RESOLUTION AUTHORIZING THE MAYOR TO EXECUTE AN
AGREEMENT WITH GROUP 4 ARCHITECTURE, RESEARCH AND
PLANNING INC., IN AN AMOUNT NOT TO EXCEED $22,000, FOR A
FEASIBILTY STUDY FOR THE POSSIBLE EXPANSION OF THE SAN
RAFAEL PUBLIC LIBRARY
WHEREAS, the City of San Rafael requires professional services to assist
in evaluating the feasibility of the possible expansion of the San Rafael
Public Library; and
WHEREAS, the City went through a selection process to obtain the best
qualified consultant for the feasibility study, and selected Group 4
Architecture, Research and Planning Inc.; and
WHEREAS, Group 4 Architecture, Research, and Planning Inc. has
submitted a proposal to provide such services; and
WHEREAS, staff have reviewed the proposal from Group 4 Architecture,
Research and Planning Inc. and found it acceptable.
NOW, THEREFORE, BE IT RESOLVED that the City Council of
the City of San Rafael hereby authorizes the Mayor to execute an
Agreement for Professional Services with Group 4 Architecture, Research
and Planning Inc. to conduct a feasibility study for the possible expansion
of the San Rafael Public Library
I, JEANNE M. LEONCINI, City 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 191h day of August, 2002, by the following vote
to wit:
AYES: COUNCILMEMBERS: Cohen, Heller, Miller, Phillips & Mayor Boro
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: None
JEAA� LEO NCINI',\City Clerk
AGREEMENT FOR PROFESSIONAL SERVICES
WITH GROUP 4 ARCHITECTURE, RESEARCH AND PLANNING INC. FOR A FEASIBILITY
STUDY FOR THE POSSIBLE EXPANSION OF
THE SAN RAFAEL PUBLIC LIBRARY
IN AN AMOUNT NOT TO EXCEED $22,000
This Agreement is made and entered into this 19th day of AUGUST, 2002, by and
between the CITY OF SAN RAFAEL (hereinafter "CITY"), and GROUP 4 ARCHITECTURE,
RESEARCH AND PLANNING INC. (hereinafter "CONTRACTOR).
RECITALS
WHEREAS, the CITY has determined that Professional Architectural consulting services
are required to assist in evaluating the feasibility of the possible expansion of the San Rafael Public
Library (hereinafter "PROJECT"); and
WHEREAS, the CONTRACTOR has offered to render certain specialized professional
services in connection with this Project. Those services include: site and building analysis; program
confirmation, development strategies, and final report. These services are described in "Exhibit A,
SCOPE OF WORK."
AGREEMENT
NOW, THEREFORE, the parties hereby agree as follows:
1. DEFINITIONS.
2. PROJECT COORDINATION
A. CITY. The City Manager shall be the representative of the CITY for all
purposes under this Agreement. The Library Director is hereby designated the PROJECT MANAGER
for the CITY, and said PROJECT MANAGER shall supervise all aspects of the progress and execution of
this Agreement.
B. CONTRACTOR CONTRACTOR shall assign a single PROJECT
DIRECTOR to have overall responsibility for the progress and execution of
this Agreement for CONTRACTOR. Wayne Gehrke is hereby designated
as the PROJECT DIRECTOR for CONTRACTOR. Should circumstances or
conditions subsequent to the execution of this Agreement require a substitute
PROJECT DIRECTOR for any reason, the CONTRACTOR shall notify the
CITY within ten (10) business days of the substitution.
rI I
3. DUTIES OF CONTRACTOR
CONTRACTOR shall provide services described in Exhibit A, attached herein,
4. DUTIES OF THE CITY
CITY shall perform the duties as described in Exhibit A attached hereto, and
incorporated herein.
5. COMPENSATION
For the full performance of the services described herein by CONTRACTOR,
CITY shall pay CONTRACTOR in accordance with Exhibit B, attached and incorporated herein. The
total payment made for any individual work task will not exceed the amounts shown on the Proposal
Budget, set out in Exhibit B.
Payment will be made monthly upon receipt by PROJECT MANAGER of
itemized invoices submitted by CONTRACTOR.
is complete.
6. TERM OF AGREEMENT
The term of this Agreement shall be from the date of execution until the Project
7. 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.
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.
8. 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.
The CITY shall indemnify, defend and hold harmless, the CONTRACTOR in connection with any claim,
demand, suit, judgment, loss, liability, or expense resulting from CITY use for any project not
contemplated by this Agreement.
9. INSPECTION AND AUDIT
Upon reasonable notice, CONTRACTOR shall make available to CITY, or its
agent, for inspection and audit, all documents and materials maintained by CONTRACTOR in connection
with its performance of its duties under this Agreement. CONTRACTOR shall fully cooperate with CITY
or its agent in any such audit or inspection.
10. 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.
11. INSURANCE
A. During the term of this Agreement, CONTRACTOR shall maintain, at no
expense to CITY, the following insurance policies:
L A comprehensive 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, and $ 2 million ($2,000,000) in the aggregate.
2. An automobile liability (owned, non -owned, and hired vehicles)
insurance policy 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 per claim to cover any claims arising out of the CONTRACTOR's
performance of services under this Agreement.
B. The insurance coverage required of the CONTRACTOR by Section 11.
A., shall also meet the following requirements:
1. 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;
2. Except for professional liability insurance, the insurance policies
shall be endorsed for contractual liability and personal injury;
3. Except for professional liability insurance, the insurance policies
shall be specifically endorsed to include the CITY, its officers, agents, and employees as additionally
named insureds under the policies;
a. CONTRACTOR shall provide to PROJECT MANAGER, (a)
Certificates of Insurance evidencing the insurance coverage required herein, and (b) specific
endorsements naming CITY, its officers, agents and employees, as additional insureds under the policies;
5. The insurance policies shall provide that the insurance carrier
shall not cancel, terminate or otherwise modify the terns and conditions of said insurance policies except
upon thirty (30) days written notice to CrMs PROJECT MANAGER,
6. 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;
7. The insurance policies shall provide for a retroactive date of
placement coinciding with the effective date of this Agreement;
8. 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 exceeding $35,000 must be declared to and approved by the PROJECT 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 CE[ Y's satisfaction, or CONTRACTOR shall procure a bond
guaranteeing payment of losses and related investigations, claims administration, attorney's fees and
defense expenses.
12. INDEMNIFICATION
CONTRACTOR shall indemnify, release, defend and hold harmless CITY, its
officers, and employees, and volunteers, against any claim, demand, suit, judgment, loss, liability or
expense of any kind, including attorney's fees and administrative costs, to the extent that the above are
caused by the negligent acts, errors, or omissions of CONTRACTOR or CONTRACTOR's officers,
agents and employees in the performance of their duties and obligations under this Agreement.
13. 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.
14. 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.
15. 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.
16. 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: Mr. Vaughn Stratford, (Project Manager)
City of San Rafael
1400 Fifth Avenue
P.O. Box 151560
San Rafael, CA 94915-1560
TO CONTRACTOR: Wayne Gehrke
Group 4 Architecture, Research and Planning, Inc.
301 Linden Avenue
South San Francisco, CA 94080
17. 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.
18. 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 exhibitsor the documents expressly incorporated
by reference, the terms and conditions of this Agreement shall control.
19. 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.
20. 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.
21. COSTS AND ATTORNEY's FEES
The prevailing parry 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.
22. 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. CONTRACTOR's taxpayer
identification number is 94-2376500, and CONTRACTOR certifies under penalty of perjury that said
taxpayer identification number is correct.
23. 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
Library Director
ATTEST:
City Clerk
CONTRACTOR
Group 4 Architecture. Research and Planning. Inc.
By:
Title: mac+ t ?A*. C..
AP
City Atto � ,
EXHIBIT A
SCOPE OF WORK
THE PROJECT
The project consists of a feasibility study for the possible expansion of the San Rafael Public Library.
The first phase of architectural services is included in the Consultant's Scope of Basic Services: The
Consultant's Basic Services consists of Site and Building Analysis, Program Confirmation, Development
Strategies, and the Final Report as described in Paragraphs 1.0 through 5.5. The city shall have the option
to authorize, for additional compensation, Additional Services consisting of Schematic Design, Design
Development, Construction Documents, Bidding, Construction Administration Services, Furniture
Selection and other architectural services.
Included in the Basic Services for the Project is the project management and the project participation.
The project management will include preparation for documentation and facilitation of the meetings.
1.0 PROJECT INITIATION
1.1
The Consultant shall review City -provided project information.
1.2
The Consultant shall conduct a site visit.
1.3
The Consultant shall conduct Project Management Team (PMT) Meeting 1.
1.4
The Consultant shall prepare a refined Work Plan.
1.5
The Consultant shall prepare a refined Project Schedule.
1.6
The Consultant shall prepare a project directory and project goals.
DELIVERABLES: Project Directory, Schedule, Work Plan
MEETING: One Project Management Team (PMT) Meeting
2.0 BUILDING AND SITE ANALYSIS
2.1 The Consultant shall conduct PMT Meeting 2 to prepare for the Site Study Session.
2.2 The Consultant shall conduct a Site Study Session with City staff (Redevelopment Director,
Planning Staff, Library Director, City Manager's office) to identify potential alternative sites.
2.3 The Consultant shall conduct PMT Meeting 3 to determine which alternative sites to analyze.
2.4 The Consultant shall analyze the existing site in terms of urban context, environmental issues, and
building and site constraints.
2.5 The Consultant shall research and analyze up to two alternative sites in terms of urban context,
environmental issues, and site constraints.
2.6 The Consultant shall conduct PMT Meeting 4 to present analysis of the existing and alternative
sites.
DELIVERABLES: Summary of Building and Site Analysis
MEETINGS: Three Project Management Team (PMT) Meetings, one Site Study
Session Meeting
3.0 PROGRAM CONFIRMATION
3.1 The Consultant shall research library standards applicable to the City of San Rafael.
3.2 The Consultant shall present library standards research at PMT Meeting 3.
3.3 The Consultant shall conduct a work session with Library staff to review program options.
3.4 The Consultant shall summarize program options and present them at PMT Meeting 5.
3.5 The Consultant shall conduct a meeting to present program options to the Library Board and
Friends of the Library and will also gather feedback.
3.6 The Consultant shall conduct PMT Meeting 6 to determine preferred program option.
C:\WINNT\Profiles\gailL\Temporary Internet Files\0LK9A\EXHIBIT-A.doc Page 1
EXHIBIT B
COMPENSATION
1.0 COMPENSATION FOR BASIC SERVICES shall be calculated according to the following rates and
schedules:
1.1 The compensation for Basic Services shall be a lump sum of Twenty -Two Thousand Dollars
($22,000.00).
1.2 Basic Compensation per project phase shall not exceed the following portions of the Basic
Services total compensation unless approved by the architect:
1.0 Project Initiation $ 2,300
2.0 Building/Site Analysis $ 5,850
3.0 Program Confirmation $ 3,160
4.0 Development Strategies $ 6,640
5.0 Final Report 4,05
Total: $22,000
1.3 Hourly Rates
Principal -In -Charge $150.00
Principal $135.00
Project Manager $120.00
Professional 1 $110.00
Professional II $100.00
Professional III $ 90.00
Technical I $100.00
Technical R $ 90.00
Technical III $ 80.00
Technical IV $ 70.00
Project Support $ 65.00
2.0 COMPENSATION FOR ADDITIONAL SERVICES
2.1 When approved in writing by the Library Building Consultant, Additional Services shall be
compensated at the following hourly rates.
Principal -In -Charge
$150.00
Principal
$135.00
Project Manager
$120.00
Professional I
$110.00
Professional II
$100.00
Professional III
$ 90.00
Technical 1
$100.00
Technical II
$ 90.00
Technical III
$ 80.00
Technical IV
$ 70.00
Project Support
$ 65.00
M:\Fee Proposals\San Rafael Public Library Expansion\EXHIBIT- B.doc Page 1
3.0 COMPENSATION FOR REIMBURSABLE EXPENSES
3.1 Reimbursable expenses are in addition to compensation for Basic and Additional Services in
Exhibit A and include expenses incurred by the Contractor, and sub -consultants in the interest
of the project, as identified in the following clauses. Reimbursable Expenses related to the
Project, whether for in-house, consultant or client use, are billable at one and ten hundredths
(1.10) times direct cost or at the rates indicated below. Such costs include, but are not
necessarily limited to:
■ CAD plotting of Check Sets and Presentation Drawings: $2.00 per square foot.
■ Outside service printing/copying of drawings and documents of any size.
• In-house black and white printing/copying of drawings larger than I 1 "x 17": $.50 per square
foot.
■ In-house black and white photo -copying for draft and final reports and specifications: $.20
per page
■ Software purchase and licensure on behalf of the client.
■ Postage, delivery and messenger service.
■ Photographic and digital imaging, including color and gray scale copies of any size.
■ Overtime expenses with prior client approval.
■ Architectural renderings and scale models.
■ Travel expenses outside the Bay Area.
■ Sub -consultant costs for photography or special graphics.
■ Presentation boards.
■ Facilitation tools.
■ Workshop accessories.
■ Workshop facilitation materials.
■ Travel expenses
■ In-house production of photography or special graphics.
The following expenses are included in the hourly billing rates and are not billed separately:
■ In-house printing/copying of 11" x 17" or smaller for in-house and consultant use, except
as indicated above
■ Telephone and fax usage
3.2 Compensation for Reimbursable Project Expenses shall not exceed Four Thousand Five
Hundred Dollars ($4,500) without approval by the City.
M:\Fee Proposals\San Rafael Public Library Expansion\EXHIBIT•B.doc Page 2
vi c.' -Ji Uc L ; LZ5 VM 1-510-452-2193 141548531q,` 001
Client#: 160 uROUP4ARC
w CERTIFICATE OF LIABILITY INSURANCE 8129/02 °°'YY'
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P. O. Box 12675 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Oakland, CA 94604-2675
510 465-3090 INSURERS AFFORDING COVERAGE
INSURED INSURERA. Hartford Casualty Insurance Co.
Group 4 Architecture 1 ,NSURER9. American Automobile Ins. Co.
Research + Planning, Inc. ;NSURERC Security Ins. Co. of Hartford
301 Linden Avenue
INSURER D
South San Francisco, CA 94080
I I INSURER E.
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR POLICY EFFECTIVEPOLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE IMMIDOIYYI °ATE (MMIOnIw% LIMITS
A GENERAL LIABILITY 57SBALT2278 07/18/02 07/18/03 EACH OCCURRENCE $2.000.000
X COMMERCIAL GENERAL LIAR IL TY I F RE DAMAGE (Any one fire) $1.000,000
1 CLAIMS MADE a OCCUR I MED EXP (Any one person) $10.000
_
I PERSONAL &ADV INJURY
$2,000,000
I GENERAL AGGREGATE
$4,000,000
_
GEN'L AGGREGATE L IMTAPPLIES PER
I PRODUCTS-COMPIOPAGG
$4.000.000
7 n n
I
POLICY AFRO LOC
A AUTOMOBILE LIABILITY 57SBALT2278 07/18/02 07/18/03
COMBINED SINGLE LIMIT
ANY AUTO
`(Ea accident)
$2,000,000
ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
X HIRED AUTOS
BODILY INJURY
$
X NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
I ANY AUTO
---II
OTHER THAN EA ACC
AUTO ONLY.
$
AGG
$
EXCESS LIABILITY
EACH OCCURRENCE
$
OCCUR ❑ CLAIMS MADE
I AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
$
B WORKERS COMPENSATION AND WZP80907404 07/01/02 07/01/03
X ORY I IMS I°FR
EMPLOYERS' LIABILITY
E L EACH ACCIDENT
$1,000,000
E L. DISEASE -EA EMPLOYEE
$1,000,000
EL. DISEASE -POLICY LIMIT
$1,000,000
C OTHER Professional AEE0308452 07/12/02 07/12/03
$2,000,000 per claim
Liability
$2,000,000 annl aggr.
� < izz ?0 9(ltl 6Z
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Project: San Rafael Public Library Feasibility Study. City of San Rafael, its officers, agents & employees are
additional insureds for General & Auto Liability per CG2010 & CA2048 attached. Cancellation provisions are
""10 'N'10-Qz1c
solely as shown below.
CERTIFICATE HOLDER I I ADDrrIONALINSUREO;INSURERLETTER:
City of San Rafael 3
Attn: Leanne Leoncini, City Clerk
1400 Fifth Avenue
San Rafael, CA 94915
I
ACORD 25-S (7/97)1 of 1 #M76115
CANCELLATION Ten Day Notice for Non -Payment of Premium
SHOULD ANY OF TH E ABOVE DESCRIBED POLICIES B E CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3Q.—_DAYSWRITTEN
NOTICETOTHE CERTIFICATE HOLD ER NAMED TO THE LEFT, 13UTFAILURE TODOSOSHALL
IM POSE NO OBLIGATION OR LIABILITY OF AN Y KIND UPON THE IN SU RE R,ITS AGENTS OR
REPRESENTATIVES.
AUUTH/O�RpIZEED� REPRESENTATIVE
MNN © ACORD CORPORATION 1988
U, e�a...c. /-: 10 rM 1-b1U-452-2193 141548531?q 002
POLICY NUMBER: 57SBALT2278 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES or
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
City of San Rafael 3
Attn: Leanne Leoncini, City Clerk
1400 Fifth Avenue
San Rafael, CA 94915
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the
Schedule, but only with respect to liability arising out of "your work" for that insured by or for you.
Schedule continued: City of San Rafael, its officers, agents &
employees
PRIMARY INSURANCE:
IT IS UNDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY
AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED
SHALL BE EXCESS ONLY AND NOT CONTRIBUTING WITH THIS
INSURANCE.
ZD MV 6Z
17 i i,I J-co'ela
CG 20 10 11 85
U/ e.ejlvc. 4:10 NM 1-510-452-2193 141548531?q 003
POLICY NUMBER: 57SBALT2278 BUSINESS AUTOMOBILE LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
DESIGNATED INSURED ENDORSEMENT (CA 20 48)
Name of Person(s) or Organization(s)
City of San Rafael 3
Attn: Leanne Leoncini, City Clerk
1400 Fifth Avenue
San Rafael, CA 94915
BUSINESS AUTO COVERAGE
Each person or organization indicated above is an "insured" for Liability Coverage, but only to
the extent that person or organization qualifies as an "insured" under the Who Is An Insured
provision contained in SECTION II of the Coverage Form.
Schedule continued: City of San Rafael, its officers, agents &
employees
PRIMARY INSURANCE:
IT IS UNDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY
AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED
SHALL BE EXCESS ONLY AND NOT CONTRIBUTING WITH THIS
INSURANCE.
; r ' ?0 EPV 62
10 1.,I,TI)-G02'l
CA20 48 07 97