INDEPENDENT CONTRACTOR'S AGREEMENT – Over $100,000 Page 1 of 10 S:\ADMINISTRATION DIVISION\Agreements\2025\Bear Cloud Verkada Cameras\Bear Cloud Camera Install Agreement.Docx Updated – October 29, 2024
AGREEMENT NO. ___________________
INDEPENDENT CONTRACTOR'S AGREEMENT
[Over $100,000]
This INDEPENDENT CONTRACTOR’S AGREEMENT (“Agreement”) is made and entered into on _______________________, by and between the CITY OF BAKERSFIELD, a municipal corporation (referred to herein as “CITY”), and BEARCLOUD Inc., a Corporation authorized to do business in California (referred to herein as “CONTRACTOR”).
R E C I T A L S
WHEREAS, CONTRACTOR represents that CONTRACTOR is experienced, well qualified and a specialist in the field of supplying, site preparation, and installation of Verkada camera systems; and
WHEREAS, the CITY desires to purchase and install Verkada camera systems at various park sites within the CITY’s park inventory; and
WHEREAS, the CITY park sites will be identified by the Director of Recreation of Parks or their designee; and
WHEREAS, the number of total park sites to complete will vary based on budgetary allowances.
NOW, THEREFORE, incorporating the foregoing recitals herein, CITY and CONTRACTOR mutually agree as follows:
1. SCOPE OF WORK. In exchange for the C ompensation (defined below), CONTRACTOR shall perform the following: provide, site preparation, and installation of Verkada branded camera systems at various CITY park sites based on the fee schedule listed in EXHIBIT A (“Scope of Work”). The Scope of Work shall include all items and procedures necessary to properly complete the task CONTRACTOR has been hired to perform, whether specifically included in the Scope of Work or not.
2. COMPENSATION/PAYMENT PROCEDURE. Subject to the conditions of this section, CITY will pay CONTRACTOR as follows for performing the Scope of Work (“Compensation”): Compensation will be based on the itemized fee Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104
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schedule for listed tasks and equipment costs as shown on EXHIBIT A.
CITY will pay CONTRACTOR within 30 days after CONTRACTOR submits an itemized invoice for the portions of the Scope of Work completed and that invoice is approved by CITY. The Compensation will be the total amount paid to CONTRACTOR for performing the Scope of Work and includes, but is not limited to, all out -of-pocket costs and taxes. CITY will pay no other compensation to CONTRACTOR . In no case will CITY compensate CONTRACTOR more than $300,000.00 for performing the Scope of Work.
3. TERM. Unless terminated sooner, as set forth herein, this Agreement shall terminate three (3) years from the date of execution and shall be renewable for two (2) consecutive one-year periods. Renewal options shall be exercised at the CITY’s option and upon mutually agreeable terms.
4. TERMINATION. Either party may terminate t his Agreement after giving the other party written notice, as provided herein, ten days before the termination is effective.
5. COMPLIANCE WITH ALL LAWS. CONTRACTOR shall, at CONTRACTOR ’s sole cost, comply with all of the requirements of Municipal, State, and Federal authorities now in force, or which may hereafter be in force, pertaining to this Agreement, and shall faithfully observe in all activities relating to or growing out of this Agreement all Municipal ordinances and State and Federal statutes, rules or regulations, and permitting requirements now in force or which may hereafter be in force including, without limitation, obtaining a City of Bakersfield business tax certificate (Bakersfield Municipal Code Chapter 5.02) where required.
6. INDEPENDENT CONTRACTOR. This Agreement calls for CONTRACTOR’s performance of the Scope of Work as an independent contractor.
CONTRACTOR is not an agent or employee of the CITY for any purpose and is not entitled to any of the benefits provided by CITY to its employees. This Agreement shall not be construed as forming a partnership or any other association with CONTRACTOR other than that of an independent contractor.
7. DIRECTION. CONTRACTOR retains the right to control or direct the manner in which the services described herein are performed.
8. EQUIPMENT. CONTRACTOR will supply all equipment, tools, materials and supplies necessary to perform the services under this Agreement.
9. STARTING WORK. CONTRACTOR shall not begin work until authorized to do Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104
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so in writing by CITY. No work will be authorized before the date first written above.
10. KEY PERSONNEL. CONTRACTOR shall name all key personnel to be assigned to perform the Scope of Work. All key personnel shall be properly licensed and have the experience to perform the work called for under this Agreement. CONTRACTOR shall provide background for each of the key personnel including, without limitation, resumes and work experience performing work similar to the Scope of Work . CITY reserves the right to approve key personnel. Once the key personnel are approved , CONTRACTOR shall not change such personnel without CITY’s written approval.
11. INCLUDED DOCUMENTS. Any bid documents, including, without limitation, special provisions and standard specifications and any Request for Proposals, Request for Qualifications and responses thereto relating to this Agreement are incorporated by reference as though fully set forth herein.
12. LICENSES. CONTRACTOR shall, at its sole cost and expense, keep in effect or obtain at all times during the term of this Agreement any licenses, permits and approvals which are legally required for CONTRACTOR to practice its profession and perform the Scope of Work . If CONTRACTOR is a corporation, at least one officer or key employee shall hold the required licenses or professional degrees. If CONTRACTOR is a partnership, at least one partner shall hold the required licensees or professional degrees.
13. STANDARD OF PERFORMANCE. The Scope of Work shall be performed in conformity with all legal requirements and industry standards observed by a specialist of CONTRACTOR’s profession in California.
14. SB 854 COMPLIANCE. To the extent Labor Code Section 1771.1 applies to this Agreement, a contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, be subject to the requirements of Section 4104 of the Public Contract Code, or engage in the per formance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5.
It is not a violation of Labor Code Section 1771.1 for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded. The prime contractor is required to post job site notices in compliance with Title 8 California Code of Regulations Section 16451. This project is subject to Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104
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compliance monitoring and enforcement by the Department of Industrial Relations.
15. NO WAIVER OF DEFAULT. The failure of any party to enforce against another party any provision of this Agreement shall not constitute a waiver of that party's right to enforce such a provision at a later time and shall not serve to vary the terms of this Agreement.
16. INSURANCE.
16.1 Types and Limits of Insurance. In addition to any other insurance or security required under this Agreement, CONTRACTOR must procure and maintain, for the duration of this Agreement, the types and limits of insurance below ("Basic Insurance Requirements").
16.1.1 Automobile liability insurance, providing coverage for owned, non -owned, and hired autos on an occurrence
basis for bodily injury, including death, of one or more persons, property damage , and personal injury, with limits of not less than $1,000,000 per occurrence.
16.1.2 Commercial general liability insurance, unless otherwise approved by CITY ’s Risk Manager, providing coverage on an occurrence basis for bodily injury, including death, of one or more persons, property damage, and personal
injury, with limits of not less than $1,000,000 per occurrence.
The policy must:
16.1.2.1 Provide contractual liability coverage for the terms of this Agreement;
16.1.2.2 Provide products and completed operations
coverage;
16.1.2.3 Provide premises, operations, and mobile
equipment coverage; and
16.1.2.4 Contain an additional insured endorsement in
favor of CITY and its mayor, council, officers,
agents, employees, and designated volunteers.
16.1.3 Workers' compensation insurance with limits of not less than $1,000,000 per occurrence . I n accordance with the
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104
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provisions of Labor Code Section 3700, every contractor will be required to secure the payment of compensation to his employees. Pursuant to Labor Code Section 1861,
CONTRACTOR must submit to CITY the following
certification before beginning any work on the
Improvements:
I am aware of the provisions of Section 3700 of the
Labor Code which require every employer to be
insured against liability for worker’s compensation or
to undertake self -insurance in accordance with the
provisions of that code, and I will comply with such
provisions before commencing the performance of
the work of this contract.
By executing this Agreement, CONTRACTOR is submitting the certification required above.
The policy must contain a waiver of subrogation in favor of CITY and its mayor, council, officers, agents, employees, and designated volunteers.
16.2 General Provisions Applying to All Insurance Types.
16.2.1 All policies required of CONTRACTOR must be written on a first-dollar coverage basis, or contain a deductible
provision. Subject to CITY’s advance approval,
CONTRACTOR may utilize a self -insured retention in any or all of the policies provided, but the policy or policies may not contain language, whether added by endorsement or
contained in the policy conditions, that prohibits
satisfaction of any self -insured provision or requirement by anyone other than the named insured or by any means
including other insurance or which is intended to defeat the intent or protection of an additional insured.
16.2.2 All policies required of CONTRACTOR must be primary insurance as to CITY and its mayor, council, officers, agents, employees, or designated volunteers and any insurance or self-insurance maintained by CITY and its mayor, council, officers, agents, employees, and designated volunteers
must be excess of CONTRACTOR’s insurance and must not
contribute with it.
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104
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16.2.3 The insurance required above, except for workers’ compensation insurance, must be placed with insurers with a Best’s rating as approved by CITY ’s Risk Manager, but in no event less than A- :VII. Any deductibles, self -insured retentions, or insurance in lesser amounts, or lack of certain types of insurance otherwise required by this Agreement, or insurance rated below Best’s A-:VII, must be declared prior to execution of this Agreement and appro ved by CITY in writing.
16.2.4 The insurance required in this section must be maintained until the Scope of Work is satisfactorily completed as
evidenced by CITY’s written acceptance. All policies must provide that there will be continuing liability thereon, notwithstanding any recovery on any policy.
16.2.5 Full compensation for all premiums which the CONTRACTOR is required to pay to satisfy the Basic Insurance
Requirements shall be considered as included in the prices paid for the performance of the Scope of Work, and no
additional allowance will be made therefor or for additional premiums which may be required by extensions of the
policies of insurance.
16.2.6 It is further understood and agreed by CONTRACTOR that its liability to CITY will not in any way be limited to or affected by the amount of insurance obtained and carried by
CONTRACTOR in connection with this Agreement.
16.2.7 Unless otherwise approved by CITY, if any part of the Scope of Work is subcontracted, the Basic Insurance Requirements must be provided by, or on behalf of, all subcontractors even if CITY has approved lesser insurance requirements for CONTRACTOR, and all subcontractors must agree in writing to be bound by the provisions of this section.
17. THIRD PARTY CLAIMS. In the case of public works contracts, CITY will timely notify CONTRACTOR of third party claims relating to this Agreement . CITY shall be allowed to recover from CONTRACTOR, and CONTRACTOR shall pay on demand, all costs of notification.
18. INDEMNITY. CONTRACTOR shall indemnify, defend, and hold harmless CITY and CITY’s officers, agents and employees against any and all liability, claims, actions, causes of action or demands whatsoever against them, or Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104
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any of them, before administrative or judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by CONTRACTOR or CONTRACTOR’s employees, agents, independent contractors, companies, or subcontractors in the performance of, or in any way arising from, the terms and provisions of this Agreement whether or not caused in part by a party indemnified hereunder, except for CITY ’s sole active negligence or willful misconduct.
19. ASSIGNMENT. Neither this Agreement nor any rights, interests, duties, liabilities, obligations or responsibilities arising out of, concerning or related in any way to this Agreement (including, but not limited to, accounts, actions, causes of action, claims, damages, demands, liabilities, losses, obligations, or reckonings of any kind or nature whatsoever, for compensatory or exemplary and punitive damages, or declaratory, equitable or injunctive relief, whether based on contract, equity, tort or other theories of recovery provided for by the common or statutory law) may be assigned or transferred by any party. Any such assignment is prohibited, and shall be unenforceable and otherwise null and void without the need for further action by the non-assigning party or parties.
20. ACCOUNTING RECORDS. CONTRACTOR shall maintain accurate accounting records and other written documentation pertaining to all costs incurred in performance of this Agreement. Such records and documentation shall be kept at CONTRACTOR's office during the term of this Agreement, and for a period of three years from the date of the final payment hereunder, and made available to CITY representatives upon request at any time during regular business hours.
21. BINDING EFFECT. The rights and obligations of this Agreement shall inure to the benefit of, and be binding upon, the parties to the Agreement and their heirs, administrators, executors, personal representatives, successors and assigns.
22. CORPORATE AUTHORITY. Each individual signing this Agreement on behalf of entities represent s and warrant s that they are, respectively, duly authorized to sign on behalf of the entities and to bind the entities fully to each and all of the obligations set forth in this Agreement.
23. COUNTERPARTS. This Agreement may be executed in any number of counterparts, each of which shall be considered as an original and be effective as such.
24. EXECUTION. This Agreement is effective upon execution. It is the product of negotiation and all parties are equally responsible for authorship of this Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104
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Agreement. Section 1654 of the California Civil Code shall not apply to the interpretation of this Agreement.
25. EXHIBITS. In the event of a conflict between the terms, conditions or specifications set forth in this Agreement and those in exhibits attached hereto, the terms, conditions, or specifications set forth in this Agreement shall prevail. All exhibits to which reference is made in this Agreement are deemed incorporated in this Agreement, whether or not actually attached.
26. FURTHER ASSURANCES. Each party shall execute and deliver such papers, documents, and instruments, and perform such acts as are necessary or appropriate, to implement the terms of this Agreement and the intent of the parties to this Agreement.
27. GOVERNING LAW. The laws of the State of California will govern the validity of this Agreement and its interpretation and performance. Any litigation arising in any way from this Agreement shall be brought in Kern County, California.
28. INTERPRETATION. Whenever the context so requires, the masculine gender includes the feminine and neuter, and the singular number includes the plural.
29. MERGER AND MODIFICATION. This Agreement sets forth the entire agreement between the parties and supersedes all other oral or written representations. This Agreement may be modified only in a writing approved by the City Council and signed by all the parties.
30. NON-INTEREST. No CITY officer or employee shall hold any interest in this Agreement (California Government Code section 1090).
31. NOTICES. All notices relative to this Agreement shall be given in writing and shall be personally served or sent by certified or registered mail and be effective upon actual personal service or depositing in the United States mail. The parties shall be addressed as follows, or at any other address designated by notice:
CITY: CITY OF BAKERSFIELD
CITY HALL
1600 Truxtun Avenue
Bakersfield, California 93301
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104
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CONTRACTOR: BEARCloud Inc.
1160 Battery Street Suite 100
San Francisco, CA 94111
949-338-4710
32. RESOURCE ALLOCATION. All CITY obligations under the terms of this Agreement are subject to the appropriation and allocation of resources by the City Council.
33. TITLE TO DOCUMENTS. All documents, plans, and drawings, maps, photographs, and other papers, or copies thereof prepared by CONTRACTOR pursuant to the terms of this Agreement, shall, upon preparation, become CITY property.
34. TAX NUMBERS.
CONTRACTOR’s Federal Tax ID Number 83-2033555
CONTRACTOR is a corporation? Yes X No (Please check one.)
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed as of the date first written above.
"CITY" “CONTRACTOR”
CITY OF BAKERSFIELD BEARCloud INC.
By:________________________________ By:_________________________________ KAREN GOH Bre Torti
Mayor Director of Operations
[Signatures on Following Page]
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104
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APPROVED AS TO CONTENT:
RECREATION AND PARKS DEPARTMENT
By:_______________________________
RICK ANTHONY
Assistant City Manager
APPROVED AS TO FORM:
VIRGINIA GENNARO
City Attorney
By:___________________________
VIRIDIANA GALLARDO-KING
Deputy City Attorney II
Insurance:____________
COUNTERSIGNED:
By:_______________________________
RANDY MCKEEGAN
Finance Director
Attachment: Exhibit A: Scope of Work/Compensation
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104
Property of BEAR Cloud
Secure Disposal Required
Attachment A
Scope of Work
Project Overview
SCOPE OF WORK: Preparation and Installation Verkada Cameras for 5 Parks
1. E
lectrical service and conduit fill inspection and findings/write up. a. $
1500.00. (Cost per site)
2. F
urnish and install underground conduit includes USA, excavation, ¾ PVC conduit, b
ackfill.
b. $99.68 p
er ft.
3. F
urnish and install surface conduit. Includes panel entrance (s), ¾” conduit & supports.
c. $49.32 p
er ft.
4. F
urnish and install 8”x 8” Nema 4/12 box. Customer furnished cellular gateway on existing pole. Includes bucket truck/lift, mounting hardware, new 120 receptacle & cellular gateway installation.
d.
$
2,049.29 each.
5. F
urnish and install wire. Includes 3-12 AWG THHN wires added to existing conduit.
Work requires circuit identification, circuit lockout tagout, pullout existing wire and add pull string, pull in old wire and new 3-12 AWG, added 1 pole 20A circuit breaker, re-terminate, energize and test.
e
. $38.7
5 per ft.
6. I
nstall Verkada purchased camera(s). Includes bucket truck/lift, non-metallic flex & connectors, Cat 6 wire & terminations. System commissioning will be done through customer’s Verkada portal. (Cameras purchased separately) f.
$1,530.
00 Each
7. If necessary, furnish and install 1 pole base and 25’ galvanized round tapered steel pole.
g
. $9,50
0.00 Each
8. Co
nstruction Management to oversee and manage crew(s) and activities while providing daily progress and updates to City of Bakerfield representatives. h. $2
,500.00 (Cost per site)
EXHIBIT A
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104 City of Bakersfield
Comprehensive Camera Maintenance Service Objective: SOW
2025 BEAR Cloud Proprietary & Confidential Page 2 of 3
9. Individual camera pricing broken out per site.
Cost below
Jefferson
Park
Central
Park Planz Park
Greystone
Park
Patriots
Park
PART# PART DESCRIPTION Unit Price
CD52-2TBE-HW CD52-E Outdoor Dome Camera, 2TB, 365 Days Max $2,599.33 0 0 0 0 1 CH52-2TBE-HW CH52-E Outdoor Multisensor Camera, 2TB, 60 Days Max $3,266.00 7 4 3 3 3 ACC-POE-90W-
NA
Indoor 90W PoE++ (802.3bt-2018) Injector, GigE, NA
Type B $112.67 14 8 6 6 6
GC31-E-HW GC31 Cellular Gateway, Outdoor $866.00 7 4 3 3 4
ACC-MNT-
POLE-1 Pole Mount $139.33 7 4 3 3 4
ACC-MNT-
PEND-1 Pendant Cap Mount $46.00 7 4 3 3 4
ACC-MNT-ARM-
1 Arm Mount $66.00 7 4 3 3 4
ACC-MNT-
LBRAC-1 L-Bracket Mount $86.00 0 0 0 0 1
LIC-CAM-10Y-
CAP 10-Year Camera License, Capacity Increase $1,199.33 0 0 0 0 1 LIC-CH52-10Y-
CAP
10-Year CH52 Multisensor Camera License, Capacity
Increase $3,599.33 7 4 3 3 3
Project Details
Assumptions:
1. BEAR Cloud will invoice installation services upon completion of installation and sign off of each said park.
2. BEAR Cloud will invoice for all equipment and materials upon delivery and receipt at customer designated receiving address.
3. This proposal is based on all work being performed from 7:00 a.m. to 3:30 p.m. Monday - Friday.
4. Customer to provide access to all required buildings/rooms as required. To include:
- Customer supplied materials
5. Customer to provide/deliver drawings, proposed schedule and site layouts prior to commencement of proposed installation. Deliver to the following address:
- BEAR Cloud
1160 Battery Street East, Suite 100,
San Franciso, CA 94111
6. Additional request(s) to furnish and install UG pull boxes, concrete demo or replacement of any other work outside of said scope can be requested via a change order at a pre agreed T&M and/or fixed-fee cost.
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104 City of Bakersfield
Comprehensive Camera Maintenance Service Objective: SOW
2025 BEAR Cloud Proprietary & Confidential Page 3 of 3
Out of Scope:
1. Permits and fees.
2. Labor / Material / Performance Bonds.
3. PE stamped permit drawings.
4. Unscheduled site meetings (outside of scheduled workdays).
5. Camera system commissioning.
e
Project Change Order:
• Any requests for changes outside of the SOW defined above (such as new feature requests, additional site migrations, or unexpected technical issues) will be addressed via a change order and billed accordingly.
• TERMS & CONDITIONS
• The estimated cost for the materials, labor and expenses for this Statement of Work is provided in scope of work under assumptions. Invoice is net 30 terms. • Pricing
• Provided above in statement of work breakdown.
• IN WITNESS WHEREOF, and in consideration of the attached Scope of Work, City of Bakersfield through its duly authorized representative, and BEAR Cloud, have here unto executed this SOW as of the date written below.
City of Bakersfield
1600 Truxtun Ave Bakersfield, CA 93301
Name:
Signature:
Title:
Date:
• After this SOW is signed, it must be returned in its entirety to BEAR Cloud Account Executive Derek Smith or Kirby Rouser.
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104 DIR-PWC 100 (rev. 10/11) successor to the DAS 13 form
STATE OF CALIFORNIA – DEPARTMENT OF INDUSTRIAL RELATIONS TO: California Department of Industrial Relations
Division of Apprenticeship Standards
P.O. Box 420603
San Francisco, CA 94142
FROM:
EXTRACT OF
PUBLIC WORKS CONTRACT AWARD
A CONTRACT TO PERFORM PUBLIC WORKS UNDER LABOR CODE SECTION 1777.5 HAS BEEN AWARDED TO:
1. NAME OF GENERAL CONTRACTOR 2. CONTRACTOR’S LICENSE NO
3. MAILING ADDRESS (STREET NUMBER OR P.O. BOX) 4. CITY
5. ZIP CODE 6. TELEPHONE NUMBER
7. GENERAL CONTRACTOR’S CONTACT EMAIL ADDRESS 8. ADDRESS/LOCATION OF PUBLIC WORKS SITE (INCLUDE CITY AND COUNTY):
8a. County
9. . NAME OF PROJECT
10. CONTRACT NUMBER 11. PROJECT NUMBER 12. DOLLAR AMOUNT OF CONTRACT AWARD
13 . FIRST ADVERTISED BID DATE
MONTH DAY YEAR
14 CONTRACT AWARD DATE
MONTH DAY YEAR
12a ESTIMATED TOTAL PROJECT COSTS, IF DIFFERENT FROM
ITEM 12 (see instructions).
15. WHICH STATUTE, IF ANY, APPLIES TO THIS PROJECT?
16. STATE CONSTRUCTION BONDS YES NO If YES, List the Sources and Dollar Amount of Bond Proceeds:
SOURCES DOLLAR AMOUNT
17. WILL YOU OPERATE A DIR-APPROVED LABOR COMPLIANCE
PROGRAM (LCP) FOR THIS PROJECT?
YES NO
18. IS THERE A PROJECT LABOR AGREEMENT (PLA) ASSOCIATED WITH THIS PROJECT? If yes, please email a copy to [email protected]
YES NO
19. STARTING DATE (ESTIMATED OR ACTUAL)
(MM/DD/YYYY)
20. COMPLETION DATE (ESTIMATED OR ACTUAL)
(MM/DD/YYYY)
21. BRIEF DESCRIPTION OF WORK TO BE PERFORMED 22
.
NEW CONSTRUCTION REMODELING
ALTERATION, DEMOLITION, REPAIR OR MAINTENANCE
23. CLASSIFICATION OR TYPE OF WORKER (CARPENTER, PLUMBER, ETC.) THAT WILL BE EMPLOYED BY THE CONTRACTOR(S) Please list Sub-contractors and their worker classifications on page 2
24. Is language included in the Contract Award to effectuate the requirements of sections 1771, 1774, 1775, 1776, 1777.5, 1813, and 1815 of the Labor Code? YES NO
25. SIGNATURE 26. TITLE 27. DATE
28. PRINTED OR TYPED NAME 29. E-MAIL ADDRESS 30. TELEPHONE NUMBERS If different from above, name, title, and contact information of person responsible for carrying out Awarding Body’s LCP or CMU responsibilities.
31. NAME 32. TITLE
33. E-MAIL ADDRESS 34. TELEPHONE NUMBER
Duplication of this form is permissible
AWARDING AGENCY ID NUMBER
If you do not have an ID number please contact DAS
S
CA
Various Park Locations City of Bakersfield
Kern
None of these statutes apply
Education Code §17250 30 (Design build: school dis
06/01/2025 06/01/2026
Security Camera Installation
✔
Abestos
Boilermaker
Bricklayers
Ct
Rajan Mistry Fiscal & Admin Services Off [email protected] (661) 326-3011 Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104
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 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).
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 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. $ $
$
$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
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT LOC
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
ACORD 0025 2016-03 Acroform
05/07/2025
Newfront Insurance Services, LLC
777 Mariners Island Blvd
Suite 250
San Mateo
CA
94404
Certificate Department
(415) 754-3635
[email protected]
BearCloud, Inc. fka Bear Cloud Technologies, Inc.
1160 BATTERY STREET EAST, SUITE 100
SAN FRANCISCO
California
94111
Travelers Property Casualty Company of America
25674
The Travelers Indemnity Company of Connecticut
25682
Continental Casualty Company
20443
Travelers Commercial Casualty Company
40282
A
X
X
ZPP-16P18028-24-I5
11/01/2024
11/01/2025
1,000,000
300,000
10,000
1,000,000
2,000,000
2,000,000
B
BA-4S431655-24-I5-G
11/01/2024
11/01/2025
1,000,000
A
CUP-4S440013-24-I5
11/01/2024
11/01/2025
5,000,000
5,000,000
A
X
UB-4S432640-24-I5-G
11/01/2024
11/01/2025
1,000,000
1,000,000
1,000,000
C
Errors and Omissions /Cyber
652384687
11/01/2024
11/01/2025
Each Claim
INCLUDED
General Aggregate
$3,000,000
(Insurer D) - Crime - 107820362 - (04/14/2025 - 04/14/2026) - Limit: $1,000,000 City of Bakersfield, Its Mayor, Council, Officers, Agents, Employees and Volunteers are included as an additional insured as required by a written contract with respect to General Liability. Coverage is Primary and Non-Contributory. Waiver of subrogation applies in favor of the City of Bakersfield, Its Mayor, Council, Officers, Agents, Employees and Volunteers with respect to General Liability and Workers Compensation. Notice of Cancellation form #IL T3 18 05 11 applies with respect to the General Liability policy.
City of Bakersfield
Office of Risk Management
1600 Truxtun Ave
Bakersfield
CA
93301
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104 (v) That is insurance available to an
equipment lessor that qualifies
as an insured under Paragraph 5.
of Section II - Who Is An
Insured, except when Paragraph
d. below applies.
(b) Any of the other insurance, whether
primary, excess, contingent or on
any other basis, that is available to
the insured when the insured is an
additional insured, or is any other
insured that does not qualify as a
named insured, under such other
insurance.
(2) When this insurance is excess, we will
have no duty under Coverages A or B to
defend the insured against any "suit" if
any other insurer has a duty to defend
the insured against that "suit". If no
other insurer defends, we will undertake
to do so, but we will be entitled to the
insured's rights against all those other
insurers.
(3) When this insurance is excess over other
insurance, we will pay only our share of
the amount of the loss, if any, that
exceeds the sum of:
(a) The total amount that all such other
insurance would pay for the loss in
the absence of this insurance; and
(b) The total of all deductible and
self-insured amounts under all that
other insurance.
(4) We will share the remaining loss, if any,
with any other insurance that is not
described in this Excess Insurance
provision and was not bought
specifically to apply in excess of the
Limits of Insurance shown in the
Declarations of this Coverage Part.
c. Method Of Sharing
If all of the other insurance permits
contribution by equal shares, we will follow
this method also. Under this approach each
insurer contributes equal amounts until it
has paid its applicable limit of insurance or
none of the loss remains, whichever comes
first.
If any of the other insurance does not permit
contribution by equal shares, we will
contribute by limits. Under this method,
each insurer's share is based on the ratio of
its applicable limit of insurance to the total
applicable limits of insurance of all insurers.
d. Primary And Non-Contributory
Insurance If Required By Written
Contract
If you specifically agree in a written contract
or agreement that the insurance afforded to
an insured under this Coverage Part must
apply on a primary basis, or a primary and
non-contributory basis, this insurance is
primary to other insurance that is available
to such insured which covers such insured as
a named insured, and we will not share with
that other insurance, provided that:
(1) The "bodily injury" or "property damage"
for which coverage is sought occurs; and
(2) The "personal and advertising injury" for
which coverage is sought is caused by an
offense that is committed;
subsequent to the signing of that contract or
agreement by you.
5. Premium Audit
a. We will compute all premiums for this
Coverage Part in accordance with our rules
and rates.
b. Premium shown in this Coverage Part as
advance premium is a deposit premium only.
At the close of each audit period we will
compute the earned premium for that
period and send notice to the first Named
Insured. The due date for audit and
retrospective premiums is the date shown as
the due date on the bill. If the sum of the
advance and audit premiums paid for the
policy period is greater than the earned
premium, we will return the excess to the
first Named Insured.
c. The first Named Insured must keep records
of the information we need for premium
computation, and send us copies at such
times as we may request.
6. Representations
By accepting this policy, you agree:
a. The statements in the Declarations are
accurate and complete;
CG T1 00 02 19 © 2017 The Travelers Indemnity Company. All rights reserved.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
COMMERCIAL GENERAL LIABILITY
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
XTEND ENDORSEMENT FOR TECHNOLOGY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.
A. Non-Owned Watercraft - 75 Feet Long Or Less
B. Who Is An Insured - Unnamed Subsidiaries
C. Who Is An Insured - Employees - Supervisory
Positions
D. Who Is An Insured - Newly Acquired Or Formed
Limited Liability Companies
E. Who Is An Insured - Liability For Conduct Of
Unnamed Partnerships Or Joint Ventures
F. Blanket Additional Insured - Persons Or
Organizations For Your Ongoing Operations As
Required By Written Contract Or Agreement.
G. Blanket Additional Insured - Broad Form
Vendors
H. Blanket Additional Insured - Controlling Interest
I. Blanket Additional Insured - Mortgagees,
Assignees, Successors Or Receivers
J. Blanket Additional Insured - Governmental
Entities - Permits Or Authorizations Relating To
Premises
K. Blanket Additional Insured - Governmental
Entities - Permits Or Authorizations Relating To
Operations
L. Medical Payments - Increased Limit
M. Blanket Waiver Of Subrogation
N. Contractual Liability - Railroads
O. Damage To Premises Rented To You
PROVISIONS
A. NON-OWNED WATERCRAFT - 75 FEET
LONG OR LESS
1. The following replaces Paragraph (2) of
Exclusion g., Aircraft, Auto Or
Watercraft, in Paragraph 2. of SECTION I
- COVERAGES - COVERAGE A -
BODILY INJURY AND PROPERTY
DAMAGE LIABILITY:
(2) A watercraft you do not own that is:
(a) 75 feet long or less; and
(b) Not being used to carry any person
or property for a charge;
2. The following replaces Paragraph 2.e. of
SECTION II - WHO IS AN INSURED:
e. Any person or organization that, with
your express or implied consent, either
uses or is responsible for the use of a
watercraft that you do not own that is:
(1) 75 feet long or less; and
(2) Not being used to carry any person
or property for a charge.
B. WHO IS AN INSURED - UNNAMED
SUBSIDIARIES
The following is added to SECTION II - WHO
IS AN INSURED:
Any of your subsidiaries, other than a
partnership or joint venture, that is not shown as
a Named Insured in the Declarations is a Named
Insured if:
a. You are the sole owner of, or maintain an
ownership interest of more than 50% in,
such subsidiary on the first day of the policy
period; and
b. Such subsidiary is not an insured under
similar other insurance.
CG D4 17 02 19 © 2017 The Travelers Indemnity Company. All rights reserved.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
COMMERCIAL GENERAL LIABILITY
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104 No such subsidiary is an insured for "bodily
injury" or "property damage" that occurred, or
"personal and advertising injury" caused by an
offense committed:
a. Before you maintained an ownership
interest of more than 50% in such
subsidiary; or
b. After the date, if any, during the policy
period that you no longer maintain an
ownership interest of more than 50% in
such subsidiary.
For purposes of Paragraph 1. of Section II - Who
Is An Insured, each such subsidiary will be
deemed to be designated in the Declarations as:
a. A limited liability company;
b. An organization other than a partnership,
joint venture or limited liability company; or
c. A trust;
as indicated in its name or the documents that
govern its structure.
C. WHO IS AN INSURED - EMPLOYEES -
SUPERVISORY POSITIONS
The following is added to Paragraph 2.a.(1) of
SECTION II - WHO IS AN INSURED:
Paragraphs (1)(a), (b) and (c) above do not
apply to "bodily injury" to a co-"employee" while
in the course of the co-"employee's"
employment by you arising out of work by any of
your "employees" who hold a supervisory
position.
D. WHO IS AN INSURED - NEWLY ACQUIRED
OR FORMED LIMITED LIABILITY
COMPANIES
The following replaces Paragraph 3. of
SECTION II - WHO IS AN INSURED:
3. Any organization you newly acquire or form,
other than a partnership or joint venture,
and of which you are the sole owner or in
which you maintain an ownership interest of
more than 50%, will qualify as a Named
Insured if there is no other similar insurance
available to that organization. However:
a. Coverage under this provision is
afforded only:
(1) Until the 180th day after you acquire
or form the organization or the end
of the policy period, whichever is
earlier, if you do not report such
organization in writing to us within
180 days after you acquire or form it;
or
(2) Until the end of the policy period,
when that date is later than 180 days
after you acquire or form such
organization, if you report such
organization in writing to us within
180 days after you acquire or form it;
b. Coverage A does not apply to "bodily
injury" or "property damage" that
occurred before you acquired or formed
the organization; and
c. Coverage B does not apply to "personal
and advertising injury" arising out of an
offense committed before you acquired
or formed the organization.
For the purposes of Paragraph 1. of Section
II - Who Is An Insured, each such
organization will be deemed to be
designated in the Declarations as:
a. A limited liability company;
b. An organization, other than a
partnership, joint venture or limited
liability company; or
c. A trust;
as indicated in its name or the documents
that govern its structure.
E. WHO IS AN INSURED - LIABILITY FOR
CONDUCT OF UNNAMED PARTNERSHIPS
OR JOINT VENTURES
The following replaces the last paragraph of
SECTION II - WHO IS AN INSURED:
No person or organization is an insured with
respect to the conduct of any current or past
partnership or joint venture that is not shown as
a Named Insured in the Declarations. This
paragraph does not apply to any such
partnership or joint venture that otherwise
qualifies as an insured under Section II - Who Is
An Insured.
F. BLANKET ADDITIONAL INSURED -
PERSONS OR ORGANIZATIONS FOR
YOUR ONGOING OPERATIONS AS
REQUIRED BY WRITTEN CONTRACT OR
AGREEMENT
The following is added to SECTION II - WHO
IS AN INSURED:
CG D4 17 02 19 © 2017 The Travelers Indemnity Company. All rights reserved.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
COMMERCIAL GENERAL LIABILITY
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104 Any person or organization that is not otherwise
an insured under this Coverage Part and that you
have agreed in a written contract or agreement
to include as an additional insured on this
Coverage Part is an insured, but only with
respect to liability for "bodily injury" or "property
damage" that:
a. Occurs subsequent to the signing of that
contract or agreement; and
b. Is caused, in whole or in part, by your acts or
omissions in the performance of your
ongoing operations to which that contract or
agreement applies or the acts or omissions
of any person or organization performing
such operations on your behalf.
The limits of insurance provided to such insured
will be the minimum limits that you agreed to
provide in the written contract or agreement, or
the limits shown in the Declarations, whichever
are less.
G. BLANKET ADDITIONAL INSURED - BROAD
FORM VENDORS
The following is added to SECTION II - WHO
IS AN INSURED:
Any person or organization that is a vendor and
that you have agreed in a written contract or
agreement to include as an additional insured on
this Coverage Part is an insured, but only with
respect to liability for "bodily injury" or "property
damage" that:
a. Occurs subsequent to the signing of that
contract or agreement; and
b. Arises out of "your products" that are
distributed or sold in the regular course of
such vendor's business.
The insurance provided to such vendor is subject
to the following provisions:
a. The limits of insurance provided to such
vendor will be the minimum limits that you
agreed to provide in the written contract or
agreement, or the limits shown in the
Declarations, whichever are less.
b. The insurance provided to such vendor does
not apply to:
(1) Any express warranty not authorized by
you or any distribution or sale for a
purpose not authorized by you;
(2) Any change in "your products" made by
such vendor;
(3) Repackaging, unless unpacked solely for
the purpose of inspection,
demonstration, testing, or the
substitution of parts manufacturer, and
then repackaged in the original
container;
(4) Any failure to make such inspections,
adjustments, tests or servicing as
vendors agree to perform or normally
undertake to perform in the regular
course of business, in connection with
the distribution or sale of "your
products";
(5) Demonstration, installation, servicing or
repair operations, except such
operations performed at such vendor's
premises in connection with the sale of
"your products"; or
(6) "Your products" that, after distribution
or sale by you, have been labeled or
relabeled or used as a container, part or
ingredient of any other thing or
substance by or on behalf of such
vendor.
Coverage under this provision does not
apply to:
a. Any person or organization from whom you
have acquired "your products", or any
ingredient, part or container entering into,
accompanying or containing such products;
or
b. Any vendor for which coverage as an
additional insured specifically is scheduled
by endorsement.
H. BLANKET ADDITIONAL INSURED -
CONTROLLING INTEREST
1. The following is added to SECTION II -
WHO IS AN INSURED:
Any person or organization that has financial
control of you is an insured with respect to
liability for "bodily injury", "property
damage" or "personal and advertising injury"
that arises out of:
a. Such financial control; or
b. Such person's or organization's
ownership, maintenance or use of
premises leased to or occupied by you.
The insurance provided to such person or
organization does not apply to structural
alterations, new construction or demolition
CG D4 17 02 19 © 2017 The Travelers Indemnity Company. All rights reserved.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
COMMERCIAL GENERAL LIABILITY
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104 operations performed by or on behalf of
such person or organization.
2. The following is added to Paragraph 4. of
SECTION II - WHO IS AN INSURED:
This paragraph does not apply to any
premises owner, manager or lessor that has
financial control of you.
I. BLANKET ADDITIONAL INSURED -
MORTGAGEES, ASSIGNEES,
SUCCESSORS OR RECEIVERS
The following is added to SECTION II - WHO
IS AN INSURED:
Any person or organization that is a mortgagee,
assignee, successor or receiver and that you
have agreed in a written contract or agreement
to include as an additional insured on this
Coverage Part is an insured, but only with
respect to its liability as mortgagee, assignee,
successor or receiver for "bodily injury",
"property damage" or "personal and advertising
injury" that:
a. Is "bodily injury" or "property damage" that
occurs, or is "personal and advertising injury"
caused by an offense that is committed,
subsequent to the signing of that contract or
agreement; and
b. Arises out of the ownership, maintenance or
use of the premises for which that
mortgagee, assignee, successor or receiver is
required under that contract or agreement
to be included as an additional insured on
this Coverage Part.
The insurance provided to such mortgagee,
assignee, successor or receiver is subject to the
following provisions:
a. The limits of insurance provided to such
mortgagee, assignee, successor or receiver
will be the minimum limits that you agreed
to provide in the written contract or
agreement, or the limits shown in the
Declarations, whichever are less.
b. The insurance provided to such person or
organization does not apply to:
(1) Any "bodily injury" or "property damage"
that occurs, or any "personal and
advertising injury" caused by an offense
that is committed, after such contract or
agreement is no longer in effect; or
(2) Any "bodily injury", "property damage"
or "personal and advertising injury"
arising out of any structural alterations,
new construction or demolition
operations performed by or on behalf of
such mortgagee, assignee, successor or
receiver.
J. BLANKET ADDITIONAL INSURED -
GOVERNMENTAL ENTITIES - PERMITS OR
AUTHORIZATIONS RELATING TO
PREMISES
The following is added to SECTION II - WHO
IS AN INSURED:
Any governmental entity that has issued a
permit or authorization with respect to premises
owned or occupied by, or rented or loaned to,
you and that you are required by any ordinance,
law, building code or written contract or
agreement to include as an additional insured on
this Coverage Part is an insured, but only with
respect to liability for "bodily injury", "property
damage" or "personal and advertising injury"
arising out of the existence, ownership, use,
maintenance, repair, construction, erection or
removal of any of the following for which that
governmental entity has issued such permit or
authorization: advertising signs, awnings,
canopies, cellar entrances, coal holes, driveways,
manholes, marquees, hoist away openings,
sidewalk vaults, elevators, street banners or
decorations.
K. BLANKET ADDITIONAL INSURED -
GOVERNMENTAL ENTITIES - PERMITS OR
AUTHORIZATIONS RELATING TO
OPERATIONS
The following is added to SECTION II - WHO
IS AN INSURED:
Any governmental entity that has issued a
permit or authorization with respect to
operations performed by you or on your behalf
and that you are required by any ordinance, law,
building code or written contract or agreement
to include as an additional insured on this
Coverage Part is an insured, but only with
respect to liability for "bodily injury", "property
damage" or "personal and advertising injury"
arising out of such operations.
The insurance provided to such governmental
entity does not apply to:
a. Any "bodily injury", "property damage" or
"personal and advertising injury" arising out
of operations performed for the
governmental entity; or
CG D4 17 02 19 © 2017 The Travelers Indemnity Company. All rights reserved.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
COMMERCIAL GENERAL LIABILITY
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104 b. Any "bodily injury" or "property damage"
included in the "products-completed
operations hazard".
L. MEDICAL PAYMENTS - INCREASED LIMIT
The following replaces Paragraph 7. of
SECTION III - LIMITS OF INSURANCE:
7. Subject to Paragraph 5. above, the Medical
Expense Limit is the most we will pay under
Coverage C for all medical expenses because
of "bodily injury" sustained by any one
person, and will be the higher of:
a. $ 10,000; or
b. The amount shown in the Declarations of
this Coverage Part for Medical Expense
Limit.
M. BLANKET WAIVER OF SUBROGATION
The following is added to Paragraph 8.,
Transfer Of Rights Of Recovery Against
Others To Us, of SECTION IV -
COMMERCIAL GENERAL LIABILITY
CONDITIONS:
If the insured has agreed in a contract or
agreement to waive that insured's right of
recovery against any person or organization, we
waive our right of recovery against such person
or organization, but only for payments we make
because of:
a. "Bodily injury" or "property damage" that
occurs; or
b. "Personal and advertising injury" caused by
an offense that is committed;
subsequent to the execution of the contract or
agreement.
N. CONTRACTUAL LIABILITY - RAILROADS
1. The following replaces Paragraph c. of the
definition of "insured contract" in the
DEFINITIONS Section:
c. Any easement or license agreement;
2. Paragraph f.(1) of the definition of "insured
contract" in the DEFINITIONS Section is
deleted.
O. DAMAGE TO PREMISES RENTED TO YOU
The following replaces the definition of
"premises damage" in the DEFINITIONS
Section:
"Premises damage" means "property damage"
to:
a. Any premises while rented to you or
temporarily occupied by you with
permission of the owner; or
b. The contents of any premises while such
premises is rented to you, if you rent such
premises for a period of seven or fewer
consecutive days.
CG D4 17 02 19 © 2017 The Travelers Indemnity Company. All rights reserved.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
COMMERCIAL GENERAL LIABILITY
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104
WORKERS COMPENSATION
(BLANKET WAIVER)WAIVER OF OUR RIGHT TO RECOVER FROM OTHERSPOLICY NUMBER:
ANDEMPLOYERS LIABILITY POLICY
ENDORSEMENT – CALIFORNIA
ENDORSEMENT WC 99 03 76 ( A) -UB-4S432640-24-I5-GHARTFORD CT 06183ONE TOWER SQUARE 001 ScheduleJob DescriptionPerson or Organization
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. The additional premium for this endorsement shall be % of the California workers' compensation pre- mium. 2.00 .ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER.
Countersigned byInsurance CompanyPremiumInsured Endorsement No.Policy No.Endorsement Effective This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) ST ASSIGN: DATE OF ISSUE: Pageof07-22-24 11
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
ELECTRONIC DATA LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES
POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS
SCHEDULE
Name Of Person(s) Or Organization(s):
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV - Conditions:
We waive any right of recovery against the person(s)
or organization(s) shown in the Schedule above
because of payments we make under this Coverage
Part. Such waiver by us applies only to the extent
that the insured has waived its right of recovery
against such person(s) or organization(s) prior to
loss. This endorsement applies only to the person(s)
or organization(s) shown in the Schedule above.
CG 24 04 12 19 © Insurance Services Office, Inc., 2020 Page 1 of 1
COMMERCIAL GENERAL LIABILITY
POLICY NUMBER: ZPP-16P18028-24-I5 ISSUE DATE: 07/22/24
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104
COMMON POLICY CONDITIONS - DELUXE
All Coverage Parts included in this policy are subject to the following conditions:
A. CANCELLATION
1. The first Named Insured shown in the
Declarations may cancel this policy by
mailing or delivering to us advance written
notice of cancellation.
2. We may cancel this policy by mailing or
delivering to the first Named Insured written
notice of cancellation at least:
a. 10 days before the effective date of
cancellation if we cancel for nonpayment
of premium; or
b. 60 days before the effective date of
cancellation if we cancel for any other
reason.
3. We will mail or deliver our notice to the first
Named Insured's last mailing address known
to us.
4. Notice of cancellation will state the effective
date of cancellation. If the policy is cancelled,
that date will become the end of the policy
period. If a Coverage Part is cancelled, that
date will become the end of the policy period
as respects that Coverage Part only.
Cancellation will not affect coverage on any
shipment in transit on the date of the
cancellation. Coverage will continue in full
force until such property is delivered and
accepted.
5. If this policy or any Coverage Part is
cancelled, we will send the first Named
Insured any premium refund due. If we
cancel, the refund will be pro rata. If the first
Named Insured cancels, the refund may be
less than pro rata. The cancellation will be
effective even if we have not made or offered
a refund.
6. If notice is mailed, proof of mailing will be
sufficient proof of notice.
B. CHANGES
This policy contains all the agreements between
you and us concerning the insurance afforded.
The first Named Insured shown in the
Declarations is authorized to make changes in
the terms of this policy with our consent. This
policy's terms can be amended or waived only by
endorsement issued by us and made a part of
this policy.
C. EXAMINATION OF YOUR BOOKS AND
RECORDS
We may examine and audit your books and
records as they relate to this policy at any time
during the policy period and up to three years
afterward.
D. INSPECTIONS AND SURVEYS
1. We have the right but not obligated to:
a. Make inspections and surveys at any
time;
b. Give you reports on the conditions we
find; and
c. Recommend changes.
2. We are not obligated to make any
inspections, surveys, reports or
recommendations and any such actions we
do undertake related only to insurability and
the premiums to be charged. We do not
make safety inspections. We do not
undertake to perform the duty of any person
or organization to provide for the health or
safety of workers or the public. And we do
not warrant that conditions:
a. Are safe or healthful; or
b. Comply with laws, regulations, codes or
standards.
3. Paragraphs 1. and 2. of this condition apply
not only to us, but also to any rating,
advisory, rate service or similar organization
which makes insurance inspections, surveys,
reports or recommendations.
4. Paragraph 2. of this condition does not
apply to any inspections, surveys, reports or
recommendations we may make relative to
certification, under state or municipal
statutes, ordinances or regulations, of
boilers, pressure vessels or elevators.
E. PREMIUMS
1. The first Named Insured shown in the
Declarations:
a. Is responsible for the payment of all
premiums; and
b. Will be the payee for any return
premiums we pay.
2. We compute all premiums for this policy in
accordance with our rules, rates, rating
plans, premiums and minimum premiums.
IL T3 18 05 11 (Rev. 09-18)
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104 The premium shown in the Declarations was
computed based on rates and rules in effect
at the time the policy was issued. On each
renewal continuation or anniversary of the
effective date of this policy, we will compute
the premium in accordance with our rates
and rules then in effect.
F. TRANSFER OF YOUR RIGHTS AND DUTIES
UNDER THIS POLICY
Your rights and duties under this policy may not
be transferred without our written consent
except in the case of death of an individual
named insured.
If you die, your rights and duties will be
transferred to your legal representative but only
while acting within the scope of duties as your
legal representative. Until your legal
representative is appointed, anyone having
proper temporary custody of your property will
have your rights and duties but only with respect
to that property.
G. WHEN WE DO NOT RENEW
If we decide not to renew this policy we will mail
or deliver to the first Named Insured shown in
the Declarations written notice of the
nonrenewal not less than 60 days before the
expiration date.
H. DELUXE PROPERTY COVERAGE
PART-REFERENCE TO FORMS AND
ENDORSEMENTS
In some instances, the Deluxe Property
Declarations may list endorsements included in
the Deluxe Property Coverage Part that
reference:
1. The Commercial Property Coverage Part;
2. The Commercial Inland Marine Coverage
Part;
3. Commercial Property forms including, but
not limited to, the following:
a. Building and Personal Property
Coverage Form;
b. Business Income Coverage Form;
c. Commercial Property Conditions;
d. Causes of Loss - Special Form;
e. Causes of Loss - Earthquake Form.
4. Commercial Inland Marine Forms including
but not limited to the Transportation
Coverage - Special Form
Endorsements referencing the Commercial
Property Coverage Part, Commercial Inland
Marine Coverage Part, Commercial Property
Forms, or Commercial Inland Marine Forms
apply to the Deluxe Property Coverage
Forms in the same manner as they apply to
the Forms they reference.
I. INSURANCE UNDER TWO OR MORE
COVERAGE PARTS
If two or more of this policy's Coverage Parts
apply to the same loss or damage, we will not
pay more than the actual amount of the loss or
damage.
This policy consists of the Common Policy Declarations and the Coverage Parts and endorsements listed in that declarations form.
In return for payment of the premium, we agree with the Named Insured to provide the insurance afforded by a Coverage Part forming part of this policy. That insurance will be provided by the company indicated as insuring company in the Common Policy Declarations by the abbreviation of its name opposite that Coverage Part.
One of the companies listed below (each a stock company) has executed this policy, and this policy is countersigned by the officers listed below:
The Travelers Indemnity Company (IND)
The Phoenix Insurance Company (PHX)
The Charter Oak Fire Insurance Company (COF)
Travelers Property Casualty Company of America (TIL)
The Travelers Indemnity Company of Connecticut (TCT)
The Travelers Indemnity Company of America (TIA)
Travelers Casualty Insurance Company of America (ACJ)
Secretary President
IL T3 18 05 11 (Rev. 09-18)
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Docusign Envelope ID: 358819DC-6B74-4947-9D81-7FC609556104