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Business Auto Policy
Policy Endorsement
CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS I.
A.
1. 2.
a.
b.
(1)
(2)
3. 4.
1. 2.
B.
1. 2.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
LIABILITY COVERAGE
Who Is An Insured
The following is added to Section II, Paragraph A.1., Who Is An Insured:
a. Any incorporated entity of which the Named Insured owns a majority of the voting stock on the date of inception of this Coverage Form; provided that, b. The insurance afforded by this provision A.1. does not apply to any such entity that is an insured under any other liability "policy" providing auto coverage.
Any organization you newly acquire or form, other than a limited liability company, partnership or joint venture, and over which you maintain majority ownership interest.
The insurance afforded by this provision A.2.:
Is effective on the acquisition or formation date, and is afforded only until the end of the policy period of this Coverage Form, or the next anniversary of its inception date, whichever is earlier.
Does not apply to:
Bodily injury or property damage caused by an accident that occurred before you acquired or formed the organization; or
Any such organization that is an insured under any other liability "policy" providing auto coverage.
Any person or organization that you are required by a written contract to name as an additional insured is an insured but only with respect to their legal liability for acts or omissions of a person, who qualifies as an insured under SECTION II – WHO IS AN INSURED and for whom Liability Coverage is afforded under this policy. If required by written contract, this insurance will be primary and non-contributory to insurance on which the additional insured is a Named Insured.
An employee of yours is an insured while operating an auto hired or rented under a contract or agreement in that employee's name, with your permission, while performing duties related to the conduct of your business.
"Policy", as used in this provision A. Who Is An Insured, includes those policies that were in force on the inception date of this Coverage Form but:
Which are no longer in force; or
Whose limits have been exhausted.
Bail Bonds and Loss of Earnings
Section II, Paragraphs A.2. (2) and A.2. (4) are revised as follows:
In a.(2), the limit for the cost of bail bonds is changed from $2,000 to $5,000; and In a.(4), the limit for the loss of earnings is changed from $250 to $500 a day.
Policy No:
Policy Effective Date:
Form No: CNA63359XX (04-2012)
Page: 1 of 4
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 © Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission.
Business Auto Policy
Policy Endorsement
C.
II.
A.
B.
a.
b.
C.
a.
D.
a.
b.
c.
d.
e.
(1)
(2)
E.
Fellow Employee
Section II, Paragraph B.5 does not apply.
Such coverage as is afforded by this provision C. is excess over any other collectible insurance.
PHYSICAL DAMAGE COVERAGE
Glass Breakage – Hitting A Bird Or Animal – Falling Objects Or Missiles The following is added to Section III, Paragraph A.3.:
With respect to any covered auto, any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced.
Transportation Expenses
Section III, Paragraph A.4.a. is revised, with respect to transportation expense incurred by you, to provide:
$60 per day, in lieu of $20; subject to
$1,800 maximum, in lieu of $600.
Loss of Use Expenses
Section III, Paragraph A.4.b. is revised, with respect to loss of use expenses incurred by you, to provide:
$1,000 maximum, in lieu of $600.
Hired "Autos"
The following is added to Section III. Paragraph A.:
5. Hired "Autos"
If Physical Damage coverage is provided under this policy, and such coverage does not extend to Hired Autos, then Physical Damage coverage is extended to:
Any covered auto you lease, hire, rent or borrow without a driver; and Any covered auto hired or rented by your employee without a driver, under a contract in that individual employee's name, with your permission, while performing duties related to the conduct of your business.
The most we will pay for any one accident or loss is the actual cash value, cost of repair, cost of replacement or $75,000, whichever is less, minus a $500 deductible for each covered auto.
No deductible applies to loss caused by fire or lightning.
The physical damage coverage as is provided by this provision is equal to the physical damage coverage(s) provided on your owned autos.
Such physical damage coverage for hired autos will:
Include loss of use, provided it is the consequence of an accident for which the Named Insured is legally liable, and as a result of which a monetary loss is sustained by the leasing or rental concern.
Such coverage as is provided by this provision will be subject to a limit of $750 per accident.
Airbag Coverage
The following is added to Section III, Paragraph B.3.:
The accidental discharge of an airbag shall not be considered mechanical breakdown.
Policy No:
Policy Effective Date:
Form No: CNA63359XX (04-2012)
Page: 2 of 4
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 © Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission.
Business Auto Policy
Policy Endorsement
F.
c.
d.
G.
a.
b.
c.
d.
(1)
(2)
III.
1. a.
b.
(1)
(2)
2. IV.
A.
Electronic Equipment
Section III, Paragraphs B.4.c and B.4.d. are deleted and replaced by the following:
Physical Damage Coverage on a covered auto also applies to loss to any permanently installed electronic equipment including its antennas and other accessories A $100 per occurrence deductible applies to the coverage provided by this provision.
Diminution In Value
The following is added to Section III, Paragraph B.6.:
Subject to the following, the diminution in value exclusion does not apply to:
Any covered auto of the private passenger type you lease, hire, rent or borrow, without a driver for a period of 30 days or less, while performing duties related to the conduct of your business; and
Any covered auto of the private passenger type hired or rented by your employee without a driver for a period of 30 days or less, under a contract in that individual employee's name, with your permission, while performing duties related to the conduct of your business.
Such coverage as is provided by this provision is limited to a diminution in value loss arising directly out of accidental damage and not as a result of the failure to make repairs; faulty or incomplete maintenance or repairs; or the installation of substandard parts.
The most we will pay for loss to a covered auto in any one accident is the lesser of:
$5,000; or
20% of the auto's actual cash value (ACV).
Drive Other Car Coverage – Executive Officers
The following is added to Sections II and III:
Any auto you don't own, hire or borrow is a covered auto for Liability Coverage while being used by, and for Physical Damage Coverage while in the care, custody or control of, any of your "executive officers", except:
An auto owned by that "executive officer" or a member of that person's household; or An auto used by that "executive officer" while working in a business of selling, servicing, repairing or parking autos.
Such Liability and/or Physical Damage Coverage as is afforded by this provision.
Equal to the greatest of those coverages afforded any covered auto; and Excess over any other collectible insurance.
For purposes of this provision, "executive officer" means a person holding any of the officer positions created by your charter, constitution, by-laws or any other similar governing document, and, while a resident of the same household, includes that person's spouse.
Such "executive officers" are insureds while using a covered auto described in this provision.
BUSINESS AUTO CONDITIONS
Duties In The Event Of Accident, Claim, Suit Or Loss
The following is added to Section IV, Paragraph A.2.a.:
Policy No:
Policy Effective Date:
Form No: CNA63359XX (04-2012)
Page: 3 of 4
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 © Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission.
Business Auto Policy
Policy Endorsement
(4)
(6)
B.
C.
D.
E.
a.
V.
Your employees may know of an accident or loss. This will not mean that you have such knowledge, unless such accident or loss is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager.
The following is added to Section IV, Paragraph A.2.b.:
Your employees may know of documents received concerning a claim or suit. This will not mean that you have such knowledge, unless receipt of such documents is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager.
Transfer Of Rights Of Recovery Against Others To Us
The following is added to Section IV, Paragraph A.5. Transfer Of Rights Of Recovery Against Others To Us:
We waive any right of recovery we may have, because of payments we make for injury or damage, against any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us.
This injury or damage must arise out of your activities under a contract with that person or organization.
You must agree to that requirement prior to an accident or loss.
Concealment, Misrepresentation or Fraud
The following is added to Section IV, Paragraph B.2.:
Your failure to disclose all hazards existing on the date of inception of this Coverage Form shall not prejudice you with respect to the coverage afforded provided such failure or omission is not intentional.
Other Insurance
The following is added to Section IV, Paragraph B.5.:
Regardless of the provisions of Paragraphs 5.a. and 5.d. above, the coverage provided by this policy shall be on a primary non-contributory basis. This provision is applicable only when required by a written contract.
That written contract must have been entered into prior to Accident or Loss.
Policy Period, Coverage Territory
Section IV, Paragraph B. 7.(5).(a). is revised to provide:
45 days of coverage in lieu of 30 days.
DEFINITIONS
Section V. paragraph C. is deleted and replaced by the following:
Bodily injury means bodily injury, sickness or disease sustained by a person, including mental anguish, mental injury or death resulting from any of these.
Policy No:
Policy Effective Date:
Form No: CNA63359XX (04-2012)
Page: 4 of 4
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 © Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission.
Workers Compensation And Employers Liability Insurance
Policy Endorsement
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
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 the person or organization named in the Schedule.
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Any Person or Organization on whose behalf you are required to obtain this waiver of our right to recover from under a written contract or agreement.
The premium charge for the endorsement is reflected in the Schedule of Operations.
All other terms and conditions of the policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below.
Chicago, IL 60604
Policy No: 6 50531402Form No: WC 00 03 13 (04-1984)
Endorsement No: 3; Page: 1 of 1
Underwriting Company: American Casualty Company of Reading, Pennsylvania, 333 S Wabash Ave, Copyright 1983 National Council on Compensation Insurance.
Workers Compensation And Employers Liability Insurance
Policy Endorsement
BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
This endorsement changes the policy to which it is attached.
It is agreed that Part One - Workers’ Compensation Insurance G. Recovery From Others and Part Two - Employers’ Liability Insurance H. Recovery From Others are amended by adding the following:
We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - Refer to the Schedule of Operations
The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is 2%.
All other terms and conditions of the policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below.
Endorsement No: 2; Page: 1 of 1
Underwriting Company: American Casualty Company of Reading, Pennsylvania, 151 N Franklin St, Chicago, IL 60606
Form No: G-19160-B (11-1997)
Endorsement Effective Date:
Policy No: WC 6 50531383Policy
Endorsement Expiration Date:
© Copyright CNA All Rights Reserved.
LINCOLN AVENUE/MARSHALL WAY/PACIFIC AVENUE
SAFETY IMPROVEMENT PROJECT, 65% CONSTRUCTION DOCUMENTS
SCOPE OF WORK
The Lincoln Avenue corridor in the City of Alameda, California, measures a total of 3.1 miles and includes, from west to east, Pacific Avenue from Main Street/Central Avenue to Marshall Way; Marshall Way from Pacific Avenue to Fifth Street/Lincoln Avenue, and Lincoln Avenue from Fifth Street and Broadway. The Lincoln Avenue corridor project currently has a conceptual plan drawing for the full project extents developed by Parisi Transportation Consulting, a division of Parametrix. The conceptual plan includes the following elements and is provided as Appendix A:
A modified cross-section to provide a “road diet” by reducing the number of through lanes from four to two, adding a center two-way left-turn lane, and including bikeway facilities as either buffered bike lanes (Class II bikeways) or separated bikeways (Class IV bikeways) with new roadway striping, pavement markings, and traffic control signs. One single lane roundabout and one neighborhood traffic circle. A third modern roundabout on the west project limit at Central Avenue will be developed as part of another project.
Major intersection reconfigurations at up to 2 locations, Wilma Chan Way / Eighth Street and Pacific Avenue / Marshall Way.
Minor intersection reconfigurations to add new marked crosswalks and corner curb reductions at approximately 21 intersections.
New curb ramps or bulb-outs at up to 10 intersections totaling to approximately 40 civil features.
Stormwater catchment features and/or landscaped areas at up to 12 intersections and planted medians for up to 18 trees.
Traffic signal modifications at up to 9 locations, Pedestrian Hybrid Beacon crossings at up to 3 locations, and Rectangular Rapid Flash Beacon crossings at up to 4 locations, The following scope of work to be performed by Parametrix summarizes tasks to develop 65 percent construction documents for the Lincoln Avenue corridor. All work products will conform to the latest standards contained in the CA MUTCD, Caltrans Standard Pl ans, Caltrans Design Information Bulletins, City standards plans, and other applicable standards. Environmental clearance for the project is assumed as the City of Alameda’s responsibility.
TASK 1: PROJECT MANAGEMENT, SITE VISIT AND MEETINGS
Parametrix will attend a kick-off meeting and a si te visit with City staff to review the project objectives, opportunities and constraints, sc hedule and deliverables. The proposed budget includes attendance and participation at up to 12 monthly coordination meetings. Parametrix will track project progress, decisions, and next steps using an online project summary that will be shared with City staff; the online project summary will also be used as regular meeting agendas.
Parametrix will provide project updates as monthly progress reports and invoices.
Task 1 Deliverables:
One online project kick-off meeting
Online monthly project coordination meetings
Monthly progress reports and invoices
TASK 2: PRELIMINARY (35%) DESIGN
Parametrix will lay out the entire Lincoln Avenue corridor at 1” = 20’ scale on 22” x 34” plan sheets, equivalent to a 1” = 40’ scale layout on 11” x 17” plan sheets. Each sheet will provide one panel to leave room for project notes and details. The 3.1-mile corridor equates to 28 layout sheets.
Parametrix will use the conceptual plan’s aerial photo base for this phase of the project. Right of way will be assumed as the back of existing sidewalk.
2.1 Civil layout plans. The civil layout plans will present the full study corridor and add civil construction notes and horizontal dimensions. The plans will identify areas with proposed excavation, grading, and/or stormwater drainage modifications; these areas will be included in the next design phase (90%) for utility marking, topographic survey, and detailed civil design. The plans will identify areas showing need for pavement repair as identified by the City. Construction notes will cite City or State standard details where applicable. Construction details will be provided in subsequent design submittals.
2.2 Striping and signage plans. The 28-sheet striping and signage plans will present the full study corridor and add striping construction notes and horizontal dimensions. The layout sheets will include existing traffic control signs, above ground traffic signal equipment; proposed vehicle and bicycle travel lanes; parking areas; bus stops; crosswalks; hybrid and flashing beacons; and other proposed traffic control and traffic calming features.
Sheets will include typical cross-sections with lane and parking dimensions where applicable.
Construction notes will cite City or State standard details where applicable. Construction details will be provided in subsequent design submittals.
2.3 Turning path model. Parametrix will test all corners where there are proposed corner modifications. The City will identify the approp riate Design Vehicle (frequently present) and Control Vehicle (occasionally present) for typical intersection typologies, i.e., at local, collector and arterial streets. Vehicle turn paths will be modeled using AutoCAD Vehicle Tracking software to identify the necessary corner radii and allowable space to install intersection features. The
model results will be incorporated into the 35% preliminary design and the model outputs will be submitted as an appendix to the 35% plan set.
2.4 Preliminary Engineering Cost Estimate.
The 35% preliminary design level cost estimate will be based on approximate quantities for paving, striping, signage, and landscaping. Costs for civil features like curb ramps, bulb-outs, median islands, driveways, stormwater drainage, and utility relocations will be estimated on a “per each” basis. Traffic control features (e.g., signals, hybrid beacons, will be estimated on a “per intersection” basis.
Task 2 Deliverables:
Preliminary (35%) design plan set with:
Cover sheet, index of sheets, and draft general notes, 3 sheets Civil layout, 28 sheets
Pavement delineation and signage, 28 sheets
Vehicle turning path model exhibits for up to 25 intersections Preliminary engineering cost estimate
TASK 3: TECHNICAL STUDIES
Parametrix will prepare technical studies related to travel demand, intersection operations, and street lighting for the project study corridor.
3.1 Lighting models. Parametrix will research the existing luminaire placement, height, and rated brightness through as-built records provided by the City. A site walk with City staff will be performed to confirm the existing street lighting poles, luminaires, and service connection details for each light. With the City’s assistance, an assessment will be made of the potential for upgrading existing luminaires to brighter LED luminaires, if needed, and the potential for alternative technologies to provide supplemental lighting, e.g., solar LED lights.
Based on the findings of the site walk, Parametrix will develop a lighting model using Visual Lighting 2020 software to estimate existing lighting levels at intersections with existing traffic signals, at uncontrolled intersections with existing or proposed marked crosswalks, and at midblock locations.
The modeled lighting levels will be verified against Caltrans standards for local intersections and roadways based on the average lighting (E
avg) and maximum lighting ratio (Eavg/Emin) standards.
Parametrix will confirm the model calibration with one nighttime lighting level sample at up to four intersections and six midblock locations. The lighting level model outputs will be provided as a summary table and heat map overlaid on the corridor layout plan. Roadway segments and intersections not meeting the Caltrans standard will be identified for further lighting improvements, initially as luminaire upgrades to brighter equipment and with new supplemental lights as needed.
The findings of the lighting study will be incorporated into the detailed design phase.
3.2 Intersection operations models. Parametrix will compile recent multimodal peak hour traffic counts collected by the City and traffic signal timing cards for existing signalized intersections on
the Lincoln Avenue corridor. An existing conditions intersection model in Synchro 11 software (Cubic/Trafficware) will be prepared to estimate multimodal delay under existing conditions and with proposed lane, signal phasing, and signal timing changes. Intersections with high forecasted peak hour delay will be identified for further observation or adjustments.
New peak hour multimodal traffic counts collect ed by Parametrix will be subject to additional cost.
3.3 Travel demand model results summary. Parametrix will prepare a technical memorandum summarizing the methodologies used and the results of the City’s travel demand modeling, with a focus on the Lincoln Avenue/Marshall Way/Pacific Avenue corridor. Parametrix will consult with Kittelson Associates, developer of the model, to review model inputs and outputs, and weekday peak hour traffic projections. The memorandum will also review citywide trends based on model assumptions and results.
3.4 Roundabout peer review. Parametrix will provide preliminary design details for the Lincoln Avenue/Fifth Street intersection roundabout to Kittelson Associates. Kittelson will offer a peer review of the intersection design, the results of which will be incorporated into the 65% design plans.
Task 3 Deliverables:
Technical memo summarizing existing intersection and roadway lighting. Intersection models in Synchro 11 software.
Technical memo summarizing travel demand model results Roundabout design peer review
TASK 4: PUBLIC MEETINGS
Parametrix will support of City staff at the following public meetings.
4.1 Stakeholder meetings. Parametrix will prepare for and participate in up to four stakeholder group meetings to review and discuss potential design and operational parameters along specific roadway segments. Stakeholders may include, but not be limited to, The Academy of Alameda, Love Elementary School, business groups, Alameda Free Library, etc. Parametrix will prepare meeting materials and present at each meeting. The meeting venue, meeting logistics, prints, translation services, and other supplemental meeting services shall be coordinated and provided by the City.
4.2 Transportation Commission meeting. Parametrix will prepare for and participate in a briefing to the Transportation Commission. The briefing will include an update on the project development, including the 35% plans, as well as additional information including a review of the travel demand model results summary.
Task 4 Deliverables:
Preparation and presentation at up to four stakeholder meetings Preparation and presentation to Transportation Commission
TASK 5: 65% PLANS, SPECIFICATIONS AND ESTIMATE
5.1 Topographic Survey. UNICO will perform detailed (non-aerial) topographic surveying and base mapping derived from the established horizontal and vertical control as part of a previous preliminary study of the corridor. The topographic survey will focus on twenty-three (23) separate locations along the corridor. The limits of survey (provided by Parametrix) will cover a box or strip along the roadway or intersections at each of the 23 sites. Within these limits, UNICO will locate curbs, gutters, lip of gutter, pavement grade breaks, striping, cross walks, pavement crown, and quarter crown along the project limits. UNICO will survey all visible above ground utilities within the limits such as vaults, valves, inlets, manholes, lids, sanitary sewer, gas, electric, telecommunication, and other visible utilities. All topography will be mapped into an AutoCAD base file to include planimetrics, contours, 3D surface and points files.
UNICO will set durable control points derived from the California State Plane Coordinate System NAD83 and NAVD88 datums, for utilization of surveys and construction control.
5.1 Civil design plans. The civil layout plans will be updated in the 65% submittal to reflect City comments received at prior project phases. The civil details will present the demolition extents, horizontal and vertical layout, flowline profiles, and storm drain connection details where needed, for up to 37 curb ramps, four bus islands or bus bulbs, green street treatments at 12 intersections, 11 raised medians, and seven sidewalk and/or driveway modifications. The civil details will cite applicable City and State standards where applicable and provide custom details where needed.
5.2 Striping and signage plans. The striping design will be updated in the 65% submittal to reflect City comments received at prior project phases. The plans will provide quick build corner bulb details that include with design for striping, co lor treatment, mountable curbs, and vertical posts.
The plans will provide striping and marking details where not addressed by a City or State standard plan. Striping quantities will be indicated on each sheet as callouts and summarized in a striping schedule.
Traffic signage design will update existing traffic control signs where necessary to reflect the new roadway design. The signage design will include four wireless solar rectangular rapid flash systems.
The plans will provide custom sign mockups when not covered by a CA MUTCD standard sign.
Sign and pole quantities will be summarized in a signage schedule.
5.3 Landscaping plans. The landscaping plans will provide 18 enlarged planting layout sheets at 1” = 8’ scale for areas identified for green street or stormwater capture features and two sheets with planting and soil preparation details. The plans will present the approximate footprint of each plant to ensure adequate coverage and to allow accurate quantity takeoffs. This work scope assumes no irrigation design; this work may be added as an optional task.
5.4 Electrical (traffic signal and pedestrian hybrid beacon) plans. Parametrix will develop electrical plans for nine existing traffic signals and two new pedestrian hybrid beacons, two sheets for each location totaling to 22 design sheets and two detail sheets. The first plan sheet will reflect elements of the existing traffic signal system to be maintained or upgraded or new equipment for the hybrid
beacons; these may include signal controller cabinets, service cabinets, signal mast arm poles, signal poles, lighting standards, updated video detection equipment, conduits, conductors, and service connections. The design will take care to avoid conflicts with the existing overhead utility lines present along the study corridor. The second sheet will provide the conductor schedule, equipment schedule, construction notes, and construction details. This work scope assumes no signal interconnection work, this work may be provided as an optional task.
5.5 Roadway lighting plans. Parametrix will develop street lighting plans at 1” = 20’ scale on a 22” x 34” plan sheet with 2 panels per sheet (14 layout sheets) and two detail sheets (16 total sheets).
The street lighting plans will indicate the location of existing and proposed streetlights, locations with new or modified luminaire heads, and construction details for new equipment. New service connections, if needed, will be assumed as above-ground connections to match existing conditions. Utility undergrounding is not within this proposed scope of work.
5.6 Technical specifications. Parametrix will develop preliminary technical specifications for all bid items identified in the design plan. The specifications will follow City and State standard specifications for materials, execution, and payment quantities. Project special provisions are assumed to be the responsibility of the City.
5.7 Draft cost estimate. The draft cost estimates will be based on quantity takeoffs for the bid items identified in the 65% plans. Costs for civil features like curb ramps, bulb-outs, median islands, driveways, stormwater drainage, and utility relocations will be estimated for standard units as dictated by City or State standards. Signals and hybrid beacon systems will be estimated on a “per intersection” basis but will include detailed quantity takeoffs for the signal components.
Stormwater pollution prevention plans (SWPPP), temporary traffic control plans (TCPs), and encroachment permits are assumed as contractor re sponsibility. Utility relocation and/or service connection requests to utility companies are assumes as City responsibility.
Task 5 Deliverables:
Detailed topographic survey at 23 intersectio ns. Topographic Base File in AutoCAD Civil 3D, Surface File, Points Files
Draft 65% plans with:
- Cover sheet, index of sheets, and draft general notes, 3 sheets - Civil layout plans. Demolition and horizontal layout, 28 sheets - Civil detail plans. Vertical layout, flowline profiles, and construction details, 31 sheets
- Pavement delineation and signage plans, 28 sheets
- Landscaping plans, 20 sheets
- Electrical plans, 24 sheets
- Roadway street lighting plans, 14 sheets
Technical specifications (initial draft at the 65% stage) Engineer’s opinion of cost (preliminary cost estimate at the 65% stage)
TASK 6: PROJECT CONTINGENCY
6.1 Contingency. A project contingency fund is included in the scope of work. The contingency fund shall be used upon City approval for supplement tasks that may arise during the conduct of the work. Supplement work plans shall be prepared and approved by the City prior to conducting any contingency tasks.
SCHEDULE
Parametrix’s work will follow the project schedule as outlined below. # Task
2023 2024
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
0 Notice to Proceed
1 Project Management, Meetings. Etc.
2 Preliminary (35%) Design 1
City review
3 Technical Studies
4 Public Meetings
5 65% Draft PS&E
C i t y r e v i e w
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Parametrix, Inc. – First Amendment
FIRST AMENDMENT TO AGREEMENT
This First Amendment of the Agreement (“First Agreement”), entered into this _____ day of __________, 2024, by and between the CITY OF ALAMEDA, a municipal corporation (hereinafter "the City") and Parametrix, Inc., a Washington corporation, whose address is 1019 39th Avenue SE, Suite 100, Puyallup, Washington 98374, (hereinafter " Provider"), is made with reference to the following:
RECITALS:
A. On April 21, 2023, an agreement was entered into by and between the City and Provider (hereinafter "Agreement") in an amount not to exceed $1,000,000, for the design work on the Lincoln Avenue/Marshall Way/Pacific Avenue Corridor Improvement Project.
B. The City and Provider desire to modify the Agreement on the terms and conditions set forth herein.
NOW, THEREFORE, it is mutually agreed by and between the undersigned parties as follows:
1. Paragraph 2, SCOPE OF WORK, of the Agr eement is modified to read as follows:
“Provider agrees to do all necessary work at its own cost and expense, to furnish all labor, tools, equipment, materials, except as othe rwise specified, and to do all necessary work included in Exhibit A1 as requested. The Provider acknowledges that the work plan included in Exhibit A1 is tentative and does not commit the City to request Provider to perform all tasks included therein.”
2. Paragraph 3, COMPENSATION TO PROVIDE R, of the Agreement is modified to read as follows:
“a. By the 7th day of each month, Provider shal l submit to the City an invoice for the total amount of work done the previous month. Pricing and accounting of charges are to be according to the fee schedule as set forth in Exhibit A1 and incorporated herein by this reference. Extra work must be approved in writing by the City Manager or his/her designee prior to performance and shall be paid on a Time and Material basis as set forth in Exhibit A1.”
“b. The total compensation unde r this First Amendment to Agreement shall not exceed $627,000. Total compensation for this Agreement shall not exceed $1,627,000.”
3. Except as expressly modified herein, all other terms and covenants set forth in the Agreement shall remain the same and shall be in full force and effect.
Signatures on following page
26th
August
Parametrix, Inc. – First Amendment
IN WITNESS WHEREOF, the parties hereto have caused this modification of Agreement to be executed on the day and year first above written.
PARAMETRIX, INC. CITY OF ALAMEDA
A Washington corporation A Municipal Corporation
Nathan Johnson Jennifer Ott
Senior Vice President City Manager
RECOMMENDED FOR APPROVAL
%UHQW'LHPHU
&)2([HFXWLYH9LFH3UHVLGHQW
Allen Tai
Director, Planning, Building and
Transportation Department
APPROVED AS TO FORM:
City Attorney
Cara Silver
Special Counsel
athananananan Johnson
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Scope of Work
City of Alameda 474-8939-003
Lincoln Avenue / Marshall Way / Pacific Avenue 1 August 2024 65% Communications Conduit Scope of Work
City of Alameda
Lincoln Avenue / Marshall Way / Pacific Avenue
65% Communications Conduit Scope of Work
Introduction
Pursuit to the City’s request, Parametrix is providing the below scope of work to design communications conduit on the Lincoln Avenue / Marshall Way / Pacific Avenue corridor as part of the Lincoln Ave Safety Improvement Project.
Task 01 – Project Management
Objectives
The objective of this task is to provide overall project management of the consultant contract with the City of Alameda.
This task includes general management functions that include the following:
Project Planning – Document and communicate the scope of work, budget, and schedule as a road map for the project team. Coordinate project team and issues throughout the project.
Budget and Schedule Tracking – Track the project budget using Parametrix in-house tools to verify that progress is keeping pace with spending.
Bi-weekly design team meetings with an issues list to document project design decisions.
Monthly Progress Reports – Prepare a monthly invoice for services performed by Parametrix.
Correspondence – Prepare written correspondence as needed to document project management issues and/or concerns.
Deliverables
Deliverables for this task include:
Miscellaneous correspondence to document project management issues.
Monthly progress reports enclosed with invoices.
Task 05 – 65% Plans, Specifications and Estimate
Measurable Task Objective
The objective of this task is to provide additional design services up to 65% for communications conduit within the project area.
Scope of Work
City of Alameda 474-8939-003
Lincoln Avenue / Marshall Way / Pacific Avenue 2 August 2024 65% Communications Conduit Scope of Work
Subtask 05-09 – Communications Conduit 65% Design Plans, Estimate & Technical Specifications
Objective/Goal
Parametrix will prepare a telecommunications plan for Lincoln Avenue / Marshall Way / Pacific Avenue project from Pacific Ave / Main St / Central Ave to Lincoln Ave / Broadway totaling to approximately 16,000 linear feet.
Approach
Parametrix will lay out the corridor at 1”=50’ on 22”x34” plan sheets across approximately ten sheets. Each sheet will show the approximate alignment of the conduit, e.g., side of the street, and the approximate placement of each pull box of the type specified by the City. Each plan sheet will show the approximate alignment of existing underground utilities as mapped during the topographic survey. Note that an additional topographic survey may be needed to map the existing underground utilities. The telecommunication plan will include one detail sheet for the conduit and each type of pull box. Details relating to telecommunication fiber optic lines, pull tape, multicell conduits, and conductor sleeves will be incorporated into the plans as directed by the City. This work scope assumes no supplemental telecommunications equipment (e.g., splice boxes) beyond conduits and conductors.
Parametrix will prepare a cost estimate based on quantity takeoffs for major work items that will include:
- Trenching or directional bore
- Conduit and conductors
- Pull boxes
Parametrix will prepare technical specifications for the major work items listed above.
Deliverables
- 65% plans, cost estimate, and technical specifications Assumptions
- An additional topographic survey may be needed to map the existing underground utilities if not already mapped out.
Role on the
Project
Principal
Consultant Sr Consultant Engineer IV Engineer III
(Multiple Staff) Admin Support
$395.00 $295.00 $195.00 $170.00 $155.00
Task Subtask Description Labor Dollars LLaborr Hours
01 Project Management $ $2,200.00
01 Project Management $2,200.00 4 4
05 6 65%% Draftt Design $$47,270.00
09 65% Communications Conduit Design Plans, Estimate and Technical Specifications $47,270.00 16 30 60 120
LLaborr Hourr Total: 234 20 30 60 120 4
LLaborr Costt Total: $49,470.00 $7,900.00 $8,850.00 $11,700.00 $20,400.00 $620.00 Other Direct Expenses (Expense Task)
$530.00
Other Direct Expenses Total: $$530.00
Project Total $50,000.00
Contingency
Hourly Rate:
Client: City of Alameda
Project Name: Lincoln Ave / Marshall Way / Pacific Ave Safety Improvement Project
Project Number: 474-8939-003
Lincoln Ave / Marshall Way / Pacific Ave Safety Improvement Project 65% Communications Conduit Fee
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Role on the Project
Principal Senior
Consultant Engineer IV Enginer III Admin Support
$395.00 $295.00 $195.00 $170.00 $155.00
Task Subtask Description Labor Dollars LLaborr Hours
01 Project Management $ $5,500.00
01 Project Management and Te am Meetings $5,500.00 10 10 02 65-100% PS&E $ $154,935.00
01 100% Design $108,060.00 30 66 132 300
02 100% Cost Estimate $31,250.00 10 20 40 80
03 100% Technical Specific ations $15,625.00 5 10 20 40 LLaborr Hourr Total: 773 55 96 192 420 10
EEscalationn Amt: $0.00 $0.00 $0.00 $0.00 $0.00
LLaborr Costt Total: $160,435.00 $21,725.00 $28,320.00 $37,440.00 $71,400.00 $1,550.00 Other Direct Expenses (Expense Task)
$1,565.00
Other Direct Expenses Total: $$1,565.00
Project Total 162,000.00$$
Mileage
Client: City of Alameda
Project Name: Lincoln Ave / Marshall Way / Pacific Ave Safety Improvement Project - 5 Intersection 65-100% PS&E
Project Number:
Lincoln Ave / Marshall Way / Pacific Ave Safety Improvement Project
5 Intersection 65-100% PS&E
Costt Rates:
Hourly Rate:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be e ndorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A st atement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO D 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. $ $
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
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E.L. DISEASE - POLICY LIMIT
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E.L. EACH ACCIDENT
ER
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PER
LIMITS(MM/DD/YYYY)
POLICY EXP
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CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
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Business Auto Policy
Policy Endorsement
CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS I.
A.
1. 2.
a.
b.
(1)
(2)
3. 4.
1. 2.
B.
1. 2.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
LIABILITY COVERAGE
Who Is An Insured
The following is added to Section II, Paragraph A.1., Who Is An Insured:
a. Any incorporated entity of which the Named Insured owns a majority of the voting stock on the date of inception of this Coverage Form; provided that, b. The insurance afforded by this provision A.1. does not apply to any such entity that is an insured under any other liability "policy" providing auto coverage.
Any organization you newly acquire or form, other than a limited liability company, partnership or joint venture, and over which you maintain majority ownership interest.
The insurance afforded by this provision A.2.:
Is effective on the acquisition or formation date, and is afforded only until the end of the policy period of this Coverage Form, or the next anniversary of its inception date, whichever is earlier.
Does not apply to:
Bodily injury or property damage caused by an accident that occurred before you acquired or formed the organization; or
Any such organization that is an insured under any other liability "policy" providing auto coverage.
Any person or organization that you are required by a written contract to name as an additional insured is an insured but only with respect to their legal liability for acts or omissions of a person, who qualifies as an insured under SECTION II – WHO IS AN INSURED and for whom Liability Coverage is afforded under this policy. If required by written contract, this insurance will be primary and non-contributory to insurance on which the additional insured is a Named Insured.
An employee of yours is an insured while operating an auto hired or rented under a contract or agreement in that employee's name, with your permission, while performing duties related to the conduct of your business.
"Policy", as used in this provision A. Who Is An Insured, includes those policies that were in force on the inception date of this Coverage Form but:
Which are no longer in force; or
Whose limits have been exhausted.
Bail Bonds and Loss of Earnings
Section II, Paragraphs A.2. (2) and A.2. (4) are revised as follows:
In a.(2), the limit for the cost of bail bonds is changed from $2,000 to $5,000; and In a.(4), the limit for the loss of earnings is changed from $250 to $500 a day.
Policy No:
Policy Effective Date:
Form No: CNA63359XX (04-2012)
Page: 1 of 4
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 © Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission. 6050531352
11/01/2023
Business Auto Policy
Policy Endorsement
C.
II.
A.
B.
a.
b.
C.
a.
D.
a.
b.
c.
d.
e.
(1)
(2)
E.
Fellow Employee
Section II, Paragraph B.5 does not apply.
Such coverage as is afforded by this provision C. is excess over any other collectible insurance.
PHYSICAL DAMAGE COVERAGE
Glass Breakage – Hitting A Bird Or Animal – Falling Objects Or Missiles The following is added to Section III, Paragraph A.3.:
With respect to any covered auto, any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced.
Transportation Expenses
Section III, Paragraph A.4.a. is revised, with respect to transportation expense incurred by you, to provide:
$60 per day, in lieu of $20; subject to
$1,800 maximum, in lieu of $600.
Loss of Use Expenses
Section III, Paragraph A.4.b. is revised, with respect to loss of use expenses incurred by you, to provide:
$1,000 maximum, in lieu of $600.
Hired "Autos"
The following is added to Section III. Paragraph A.:
5. Hired "Autos"
If Physical Damage coverage is provided under this policy, and such coverage does not extend to Hired Autos, then Physical Damage coverage is extended to:
Any covered auto you lease, hire, rent or borrow without a driver; and Any covered auto hired or rented by your employee without a driver, under a contract in that individual employee's name, with your permission, while performing duties related to the conduct of your business.
The most we will pay for any one accident or loss is the actual cash value, cost of repair, cost of replacement or $75,000, whichever is less, minus a $500 deductible for each covered auto.
No deductible applies to loss caused by fire or lightning.
The physical damage coverage as is provided by this provision is equal to the physical damage coverage(s) provided on your owned autos.
Such physical damage coverage for hired autos will:
Include loss of use, provided it is the consequence of an accident for which the Named Insured is legally liable, and as a result of which a monetary loss is sustained by the leasing or rental concern.
Such coverage as is provided by this provision will be subject to a limit of $750 per accident.
Airbag Coverage
The following is added to Section III, Paragraph B.3.:
The accidental discharge of an airbag shall not be considered mechanical breakdown.
Policy No:
Policy Effective Date:
Form No: CNA63359XX (04-2012)
Page: 2 of 4
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 © Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission. 6050531352
11/01/2023
Business Auto Policy
Policy Endorsement
F.
c.
d.
G.
a.
b.
c.
d.
(1)
(2)
III.
1. a.
b.
(1)
(2)
2. IV.
A.
Electronic Equipment
Section III, Paragraphs B.4.c and B.4.d. are deleted and replaced by the following:
Physical Damage Coverage on a covered auto also applies to loss to any permanently installed electronic equipment including its antennas and other accessories A $100 per occurrence deductible applies to the coverage provided by this provision.
Diminution In Value
The following is added to Section III, Paragraph B.6.:
Subject to the following, the diminution in value exclusion does not apply to:
Any covered auto of the private passenger type you lease, hire, rent or borrow, without a driver for a period of 30 days or less, while performing duties related to the conduct of your business; and
Any covered auto of the private passenger type hired or rented by your employee without a driver for a period of 30 days or less, under a contract in that individual employee's name, with your permission, while performing duties related to the conduct of your business.
Such coverage as is provided by this provision is limited to a diminution in value loss arising directly out of accidental damage and not as a result of the failure to make repairs; faulty or incomplete maintenance or repairs; or the installation of substandard parts.
The most we will pay for loss to a covered auto in any one accident is the lesser of:
$5,000; or
20% of the auto's actual cash value (ACV).
Drive Other Car Coverage – Executive Officers
The following is added to Sections II and III:
Any auto you don't own, hire or borrow is a covered auto for Liability Coverage while being used by, and for Physical Damage Coverage while in the care, custody or control of, any of your "executive officers", except:
An auto owned by that "executive officer" or a member of that person's household; or An auto used by that "executive officer" while working in a business of selling, servicing, repairing or parking autos.
Such Liability and/or Physical Damage Coverage as is afforded by this provision.
Equal to the greatest of those coverages afforded any covered auto; and Excess over any other collectible insurance.
For purposes of this provision, "executive officer" means a person holding any of the officer positions created by your charter, constitution, by-laws or any other similar governing document, and, while a resident of the same household, includes that person's spouse.
Such "executive officers" are insureds while using a covered auto described in this provision.
BUSINESS AUTO CONDITIONS
Duties In The Event Of Accident, Claim, Suit Or Loss
The following is added to Section IV, Paragraph A.2.a.:
Policy No:
Policy Effective Date:
Form No: CNA63359XX (04-2012)
Page: 3 of 4
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 © Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission. 6050531352
11/01/2023
Business Auto Policy
Policy Endorsement
(4)
(6)
B.
C.
D.
E.
a.
V.
Your employees may know of an accident or loss. This will not mean that you have such knowledge, unless such accident or loss is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager.
The following is added to Section IV, Paragraph A.2.b.:
Your employees may know of documents received concerning a claim or suit. This will not mean that you have such knowledge, unless receipt of such documents is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager.
Transfer Of Rights Of Recovery Against Others To Us
The following is added to Section IV, Paragraph A.5. Transfer Of Rights Of Recovery Against Others To Us:
We waive any right of recovery we may have, because of payments we make for injury or damage, against any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us.
This injury or damage must arise out of your activities under a contract with that person or organization.
You must agree to that requirement prior to an accident or loss.
Concealment, Misrepresentation or Fraud
The following is added to Section IV, Paragraph B.2.:
Your failure to disclose all hazards existing on the date of inception of this Coverage Form shall not prejudice you with respect to the coverage afforded provided such failure or omission is not intentional.
Other Insurance
The following is added to Section IV, Paragraph B.5.:
Regardless of the provisions of Paragraphs 5.a. and 5.d. above, the coverage provided by this policy shall be on a primary non-contributory basis. This provision is applicable only when required by a written contract.
That written contract must have been entered into prior to Accident or Loss.
Policy Period, Coverage Territory
Section IV, Paragraph B. 7.(5).(a). is revised to provide:
45 days of coverage in lieu of 30 days.
DEFINITIONS
Section V. paragraph C. is deleted and replaced by the following:
Bodily injury means bodily injury, sickness or disease sustained by a person, including mental anguish, mental injury or death resulting from any of these.
Policy No:
Policy Effective Date:
Form No: CNA63359XX (04-2012)
Page: 4 of 4
Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 © Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission. 6050531352
11/01/2023
Workers Compensation And Employers Liability Insurance
Policy Endorsement
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
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 the person or organization named in the Schedule.
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Any Person or Organization on whose behalf you are required to obtain this waiver of our right to recover from under a written contract or agreement.
The premium charge for the endorsement is reflected in the Schedule of Operations.
All other terms and conditions of the policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below.
Chicago, IL 60604
Policy No: 6 50531402Form No: WC 00 03 13 (04-1984)
Endorsement No: 3; Page: 1 of 1
Underwriting Company: American Casualty Company of Reading, Pennsylvania, 333 S Wabash Ave, Copyright 1983 National Council on Compensation Insurance.
Workers Compensation And Employers Liability Insurance
Policy Endorsement
BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
This endorsement changes the policy to which it is attached.
It is agreed that Part One - Workers’ Compensation Insurance G. Recovery From Others and Part Two - Employers’ Liability Insurance H. Recovery From Others are amended by adding the following:
We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - Refer to the Schedule of Operations
The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is 2%.
All other terms and conditions of the policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below.
Endorsement No: 2; Page: 1 of 1
Underwriting Company: American Casualty Company of Reading, Pennsylvania, 151 N Franklin St, Chicago, IL 60606
Form No: G-19160-B (11-1997)
Endorsement Effective Date:
Policy No: WC 6 50531383Policy
Endorsement Expiration Date:
© Copyright CNA All Rights Reserved.