INDEPENDENT CONTRACTOR'S AGREEMENT – Over $100,000 Page 1 Updated – August 2025
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 COMMUNITY PARTNERSHIP OF KERN, a non-profit corporation, authorized to do business in California (referred to herein as “CONTRACTOR”).
R E C I T A L S
WHEREAS, CITY administers the California Violence Intervention and Prevention (CalVIP) Grant through its Office of Violence Intervention and Prevention (OVIP), which oversees a Gun Violence Reduction Strategy (GVRS) focused on identifying and engaging individuals at the highest risk of involvement in gun violence; and
WHEREAS, on April 1, 2026, the Board of State and Community Corrections (BSCC) awarded CITY funding under the CalVIP Cohort 5 Grant to support expanded violence intervention efforts; and
WHEREAS, as part of CITY’s approved CalVIP Cohort 5 grant proposal, CONTRACTOR was identified as a subgrantee to serve as the centralized administrator of Participant Support Services, supporting program participants through coordination, procurement, and distribution of approved goods and services in alignment with the program’s goals; and
WHEREAS, the approved CalVIP Cohort 5 grant budget allocates funding to CONTRACTOR in an amount not to exceed Three Hundred Seventy-Five Thousand Dollars ($375,000), subject to the availability of grant funding , for the provision of such services during the grant term; and
WHEREAS, CONTRACTOR represents that it is experienced, well qualified, and specializes in administering supportive services, including coordination of resources, procurement, and facilitation of service delivery to individuals at high risk of violence, and has partnered with CITY in prior efforts; and
WHEREAS, all services provided under this Agreement shall be performed in accordance with applicable BSCC requirements and aligned with CITY’s GVRS and OVIP program protocols , including requirements related to Participant Support Services, documentation, and required approval processes.
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NOW, THEREFORE, incorporating the foregoing recitals herein, CITY and CONTRACTOR mutually agree as follows:
1. SCOPE OF WORK . In exchange for the Compensation (defined below), CONTRACTOR shall perform the services described in Exhibit A, attached hereto and incorporated herein by reference (the “Scope of Work”).
CONTRACTOR shall also comply with applicable BSCC requirements and CITY policies, including the OVIP Protocol Manual, as amended or revised in accordance with applicable requirements . 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. GOVERNING DOCUMENTS . All work performed under this Agreement is subject to the applicable rules, requirements, and guidelines established by the BSCC for the CalVIP Grant, the CITY’s approved CalVIP Cohort 5 Grant Proposal, and CITY policies, procedures, and program protocols, including those established by OVIP, as amended or revised in accordance with applicable requirements.
The following documents are incorporated by reference:
• BSCC Grant Award BSCC-245-26
• Certification of Compliance (attached hereto as Exhibit B) • Contractor Certification Clause (attached hereto as Exhibit C)
3. COMPENSATION/PAYMENT PROCEDURE . Subject to the conditions of this section, CITY will pay CONTRACTOR as follows for performing the Scope of Work (“Compensation”):
(1) On a reimbursement basis for eligible, allowable, and properly documented costs incurred in accordance with the Scope of Work, the CITY’s approved CalVIP Cohort 5 Grant Proposal, and applicable BSCC requirements.
CITY will pay CONTRACTOR within thirty (30) days after CONTRACTOR submits an itemized invoice for the portions of the Scope of Work completed, and such invoice is approved by CITY.
Invoices shall be submitted no later than the 15th day of the month following the month in which services were performed and must include all required supporting documentation, including , but not limited to receipts, proof of payment, time and attendance records, and any required justification or pre-approval documentation.
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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 /reimburse CONTRACTOR more than Three Hundred Seventy-Five Thousand Dollars ( $375,000) for performing the Scope of Work.
4. TERM. Unless terminated sooner, as set forth herein, this Agreement shall terminate on September 30, 2029.
5. TERMINATION. Either party may terminate t his Agreement after giving the other party written notice, as provided herein, ten (10) days before the termination is effective.
6. 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 (3) years from the date of the final payment hereunder, and made available to CITY representatives upon request at any time during regular business hours.
7. 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.
8. 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.
9. 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 Docusign Envelope ID: 84F3552B-F9AD-8332-8313-79B8FF3331CB
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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.
10. 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.
11. 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.
12. DIRECTION. CONTRACTOR retains the right to control or direct the manner in which the services described herein are performed.
13. EQUIPMENT. CONTRACTOR will supply all equipment, tools, materials and supplies necessary to perform the services under this Agreement.
14. EXECUTION. This Agreement is effective upon the date first written above and is the product of negotiation and all parties are equally responsible for authorship of this Agreement. Section 1654 of the California Civil Code shall not apply to the interpretation of this Agreement.
15. 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 referen ce is made in this Agreement are deemed incorporated in this Agreement, whether or not actually attached.
16. 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.
17. 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.
18. INCLUDED DOCUMENTS. Any bid documents, including, without limitation, Docusign Envelope ID: 84F3552B-F9AD-8332-8313-79B8FF3331CB
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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.
19. 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 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.
20. 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 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.
21. INSURANCE.
21.1 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").
21.1.1 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.
21.1.2 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:
21.1.2.1 Provide contractual liability coverage for the Docusign Envelope ID: 84F3552B-F9AD-8332-8313-79B8FF3331CB
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terms of this Agreement;
21.1.2.2 Provide products and completed operations
coverage;
21.1.2.3 Provide premises, operations, and mobile
equipment coverage; and
21.1.2.4 Contain an additional insured endorsement in
favor of CITY and its mayor, council, officers,
agents, employees, and designated volunteers.
21.1.3 Workers' compensation insurance with limits of not less than $1,000,000 per occurrence . I n accordance with the
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.
21.2 General Provisions Applying to All Insurance Types.
21.2.1 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
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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.
21.2.2 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.
21.2.3 The insurance required above, e xcept 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 approv ed by CITY in writing.
21.2.4 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.
21.2.5 Full compensation for all premiums which 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.
21.2.6 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.
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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.
22. INTERPRETATION. Whenever the context so requires, the masculine gender includes the feminine and neuter, and the singular number includes the plural.
23. KEY PERSONNEL . At request of CITY, CONTRACTOR shall name all key personnel to be assigned to the work set forth herein. CITY reserves the right to approve key personnel, which approval shall not be unreasonably withheld. Once the key personnel are approved CONTRACTOR shall not change such personnel without the approval of CITY.
24. 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 (1) officer or key employee shall hold the required licenses or professional degrees. If CONTRACTOR is a partnership, at least one (1) partner shall hold the required licensees or professional degrees.
25. 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.
26. 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.
27. NON-INTEREST. No CITY officer or employee shall hold any interest in this Agreement (California Government Code section 1090).
28. 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 a s follows, or at any other address designated by notice:
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CITY: CITY OF BAKERSFIELD
CITY HALL
1600 Truxtun Avenue
Bakersfield, California 93301
CONTRACTOR: COMMUNITY ACTION PARTNERSHIP OF KERN
ATTN: JEREMY TOBIAS
5005 Business Park North
Bakersfield, California 93309
29. RESOURCE ALLOCATION. All CITY obligations under the terms of this Agreement are subject to the appropriation and allocation of resources by the City Council.
30. 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 Labor Code 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 Labor Code Section 1725.5 at the time the contract is awarded. The prime contractor is required to post job site notices in compliance with California Code of Regulations, Title 8, Section 16451. This project is subject to compliance monitoring and enforcement by the California Department of Industrial Relations.
31. 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.
32. STARTING WORK. CONTRACTOR shall not begin work until authorized to do so in writing by CITY. No work will be authorized before the date first written above.
33. TAX NUMBERS.
CONTRACTOR’s Federal Tax ID Number 95-2402760
CONTRACTOR is a corporation? Yes X No
(Please check one.)
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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.
35. 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.
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 COMMUNITY ACTION PARTNERSHIP OF KERN
By:________________________________ By:_________________________________
KAREN GOH JEREMY TOBIAS
Mayor CEO
APPROVED AS TO CONTENT:
CITY MANAGER’S OFFICE
By:_______________________________
CHRISTIAN CLEGG
City Manager
APPROVED AS TO FORM: COUNTERSIGNED:
City Attorney:_______________________ Finance Director: _____________________
VIRGINIA GENNARO RANDY MCKEEGAN
Insurance:____________
Attachment(s):
Exhibit A – Scope of Work
Exhibit B - Certification of Compliance
Exhibit C - Contractor Certification Clause
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EXHIBIT A
SCOPE OF WORK
PARTICIPANT SUPPORT SERVICES
A. PROJECT OVERVIEW
This Scope of Work (SOW) defines the guidelines, eligibility criteria, and requirements for providing Participant Support Services under the City of Bakersfield’s Office of Violence Intervention and Prevention (OVIP) California Violence Intervention and Prevention (CalVIP) Cohort 5 Program.
All services shall align with OVIP’s Gun Violence Reduction Strategy (GVRS), which focuses on identifying and engaging Very High-Risk Individuals (VHRIs) at the highest risk of involvement in gun violence.
CAPK shall serve as the centralized administrator of Participant Support Services, responsible for coordinating, procuring, and tracking approved services in compliance with City and Board of State and Community Corrections (BSCC) requirements.
B. PROGRAM DESCRIPTION
The CalVIP Cohort 5 Program supports community -based strategies to reduce violence and improve outcomes for individuals at high risk. Participant Support Services are designed to assist eligible participants in progressing toward identified goals related to stability, safety, educational, employment, and overall well-being.
Participant Support Services shall only be provided to individuals who have been approved and assigned by OVIP as CalVIP Cohort 5 participants. All services must directly support participant stabilization, safety, and progress toward goals identified in the participant’s OVIP-approved Life Plan.
C. ELIGIBILITY REQUIREMENTS
Participants must meet the following criteria to be eligible for services:
• Must be referred by the City or by a case manager from a partnering CBO • Must be formally approved and assigned by OVIP as a CalVIP Cohort 5 participant meeting VHRI eligibility criteria
• Must have clearly identified goals/targets documented in their OVIP-Life P lan (unless otherwise stated by the City)
• Be actively engaged in program service (unless otherwise stated by the City) CAPK shall not independently determine participant eligibility or provide services outside of OVIP’s established referral and approval process.
D. SCOPE OF SERVICES/DELIVERABLES
CAPK will administer Participant Support Services, including but not limited to the following:
D.1 Employment and Training Support
• Job training programs
• Certification programs
• Educational programs
• Employment-related education or skill development
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D.2 Employment Readiness Materials
• Work clothing
• Safety equipment
• Employment equipment, tools, and supplies
D.3 Safety and Stability Support
• Relocation assistance for participant safety
• Housing stabilization assistance
D.4 Identification and Documentation
• Costs associated with obtaining identification or required documents D.5 Transportation Assistance
• Transportation necessary for employment, training, legal services, education, or other approved supportive services
D.6 Administration and Coordination
CAPK will:
• Coordinate closely with OVIP and referring CBOs to ensure services align with participant ’s Life Plans and program requirements
• Ensure all requested services are supported by documented participant needs and align with participant’s OVIP-Life Plan
• Maintain timely communication with OVIP and requesting CBOs regarding request status, approvals, delays, or issues
• Coordinate procurement and payment to approved vendors • Ensure all services and purchases comply with BSCC guidelines • Maintain tracking of all goods and services distributed to participants • Ensure all services are provided only after required approvals are obtained.
D.7 Coordination & Communication
CAPK shall:
• Coordinate with OVIP and partner CBOs regarding Participant Support Service requests and fulfillment activities
• Provide timely updates on request status, including approvals, denials, or delays • Participate in meetings with OVIP and/or CBO partners, as requested, to support program operations and service alignment
• Communicate any concerns related to service requests, documentation, or compliance requirements
E. REQUEST REQUIREMENTS (CBO SUBMISSIONS)
Partner Community-Based Organizations (CBOs) must submit a request including the following:
E.1 Participant Information
• Confirmation of CalVIP Cohort 5 enrollment
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• Participant identifier (as required; avoid unnecessary sensitive data) E.2 Type of Service Requested
• Detailed description of the requested support service(s) E.3 Statement of Need
• Explanation of the need for the service
• Description of barrier(s) and how the support service will address the barrier(s) E.4 Goals and Targets
• Clearly defined participant goals/targets as outlined in the participant’s OVIP Life Plan • Explanation of how the requested service supports these goals E.5 Progress Status
• Statement confirming whether the participant is actively working toward goals • Summary of participant progress to date
F. APPROVAL PROCESS
Participant Support Service requests will follow the approval process outlined below:
1. A Request for Service form must be completed and submitted to CAPK
2. CAPK will create a justification letter detailing the requested Participant Support Service, including the need, goals/targets, and participant progress
3. The justification letter will be submitted to the City for initial review
4. Upon City review, the request will be submitted to the State for final approval
5. If approved, fulfillment of the requested service or deliverable may take up to two (2) weeks from the date of approval
6. CAPK shall not fulfill, purchase, or distribute any goods or services without documented approval from both the City and BSCC
CAPK shall process and submit requests in a timely manner to support continuity of services for participants, recognizing that fulfillment timelines may vary based on approval requirements.
G. REPORTING AND DOCUMENTATION REQUIREMENTS
CAPK will maintain accurate and complete documentation and provide reporting to the City, including but not limited to:
• Completed referral form
• Justification letters with tracking numbers
• Justification letter approvals
• Vendor documentation (quote, vendor information form, W-9) • Receipts and expenditure documentation
• Participant signature acknowledging receipt of the support service(s)
Monthly inventory tracking of all Participant Support Services distributed, including:
• Requesting CBO
• Date of request
• Description of service
• Approval status
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• Amount requested and distributed
CAPK shall:
• Ensure all documentation is made available to the City upon request and is submitted in alignment with invoicing requirements
• Ensure all Participant Support Services are supported by documentation reflected in the OVIP case management system by the referring CBO
• Maintain records that align with participant case notes, approved requests, and Life Plan goals • Provide documentation necessary to support program monitoring, audits, and evaluation activities H. TERMS AND CONDITIONS
• All support services are subject to prior review and approval by the City and BSCC. o CAPK shall not distribute funds or services without documented approval • Services are subject to the availability of funds
• If the vendor does not complete & submit the required vendor information form & W -9 to CAPK, another vendor must be used
• Support services must comply with BSCC grant guidelines and funding requirements • Misuse of Participant Support Services by a CalVIP participant and/or requesting CBO may result in denial of future requests or withholding of payment
• CAPK shall implement safeguards to prevent misuse, fraud, or misrepresentation of Participant Support Services
• Any false, misleading, or incomplete documentation submitted in support of a request may result in denial of the request and/or further administrative action • CAPK shall immediately notify the City of any suspected misuse or irregularities I. PROGRAM EVALUATION AND CLOSEOUT SUPPORT
Direct Participant Support Services shall conclude no later than March 31, 2029. The remaining term of the Agreement shall support evaluation and closeout activities through September 30, 2029.
CAPK shall:
• Participate in all evaluation activities as required by OVIP and the designated evaluator • Provide access to program data, documentation, and records, in compliance with confidentiality requirements
• Respond to data requests necessary to support evaluation activities • Maintain documentation throughout the evaluation period J. PROCESS ALIGNMENT
CAPK shall follow all Participant Support Services processes and procedures as established and updated by the City. These processes may be modified at the City’s discretion to ensure compliance with program requirements and operational needs. CAPK should make reasonable efforts to fulfill approved requests in a timely manner.
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INSR ADDLSUBRLTR INSDWVD
PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext):E-MAILADDRESS:INSURER A :INSURED INSURER B :INSURER C :INSURER D :INSURER E :INSURER F :
POLICY NUMBERPOLICY EFFPOLICY EXPTYPE OF INSURANCELIMITS(MM/DD/YYYY)(MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIABEXCESS LIABWORKERS COMPENSATIONAND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE$DAMAGE TO RENTEDCLAIMS-MADEOCCUR $PREMISES (Ea occurrence)MED EXP (Any one person)$PERSONAL & ADV INJURY$GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$PRO-POLICYLOC PRODUCTS - COMP/OP AGGJECT OTHER: $COMBINED SINGLE LIMIT$(Ea accident)ANY AUTO BODILY INJURY (Per person)$OWNEDSCHEDULEDBODILY INJURY (Per accident)$AUTOS ONLYAUTOSHIREDNON-OWNEDPROPERTY DAMAGE$AUTOS ONLYAUTOS ONLY(Per accident)$OCCUR EACH OCCURRENCECLAIMS-MADEAGGREGATE$DEDRETENTION$ PEROTH-STATUTEERE.L. EACH ACCIDENTE.L. DISEASE - EA EMPLOYEE$If yes, describe underE.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGENAIC #
COMMERCIAL GENERAL LIABILITY
Y / NN / A(Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.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 onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
COVERAGESCERTIFICATE NUMBER:REVISION NUMBER:
CERTIFICATE HOLDERCANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DD/YYYY)
$
$$$$
The ACORD name and logo are registered marks of ACORD
4/9/2026
License # 6011031(661) 316-516018058Community Action Partnership of Kern1300 18th St. # 200Bakersfield, CA 9330110855 A 1,000,000XXPHPK26621793/1/20263/1/2027100,0005,0001,000,0003,000,0003,000,0001,000,000A PHPK26621793/1/20263/1/2027 B XCOWC6685137/31/20257/31/20261,000,0001,000,0001,000,000 Re: CalVIP Chohort 5City of Bakersfield, its Mayor, Council, Officers, Agents, Employees and volunteers are additional insured applies with respect to General Liability if required or agreed to in a written contract subject to all provisions and limitations of the policy per form# PIGLDHS1011 attached. General liability is primary and noncontributory per form# PIGL0050712 attached. A Waiver of Subrogation in favor of City of Bakersfield, its Mayor, Council, Officers, Agents, Employees and volunteers applies to the General Liability and work compensation if required or agreed to in a written contract subject to all provisions and limitations of the policy per form # PIGLDHS1011 & WC990410C0119 attached.
City of BakersfieldEconomic & Community Development Department1715 Chester AveBakersfield, CA 93301-0000 COMMACT03CRPATRICK
INSURICA8500 Stockdale Highway, Suite 200Bakersfield, CA 93311Robyn Patrick, [email protected] Indemnity Insurance CompanyCypress Insurance Company XX
XXX
Docusign Envelope ID: 84F3552B-F9AD-8332-8313-79B8FF3331CB Endorsement Effective: Policy No.: Insured:
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICYWC 99 04 10 C(Ed. 01-19) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA BLANKET BASIS 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 applies only to the extent that youperform work under a written contract that requires you to obtain this agreement from us.) The additional premium for this endorsement shall be calculated by applying a factor of 2% to the total manualpremium, with a minimum initial charge of $350, then applying all other pricing factors for the policy to this calculatedcharge to derive the final cost of this endorsement.This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. ScheduleBlanket WaiverPerson/Organization Blanket WaiverAny person or organization for whom the Named Insured hasagreed by written contract to furnish this waiver. 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.) Endorsement No.:Premium $Insurance Company: WC 99 04 10 CCountersigned by ______________________________________ (Ed. 01-19) Job DescriptionAll CA Operations
Cypress Insurance CompanyCOWC66851307/31/2025
Docusign Envelope ID: 84F3552B-F9AD-8332-8313-79B8FF3331CB PI-GLD-HS (10/11)
K. Key and Lock Replacement Janitorial Services Client Coverage SECTION I COVERAGES, SUPPLEMENTARY PAYMENTS COVERAGES A AND B is amended to include the following: W , up to a $10,000 limit per occurrence and $10,000 policy aggregate. We will not pay for loss or damage resulting from theft or any other dishonest or criminal act that authorized representatives or any one to purpose commit, whether acting alone or in collusion with other persons. The following, when used on this coverage, are defined as follows: a. "Client" means an individual, company or organization with whom you have a written contract or work order for your services for a described premises and have billed for your services. b. "Employee" means: (1) Any natural person: (a) While in your service or for 30 days after termination of service; (b) Who you compensate directly by salary, wages or commissions; and (c) Who you have the right to direct and control while performing services for you; or (2) Any natural person who is furnished temporarily to you: (a) To substitute for a permanent "employee" as defined in Paragraph (1) above, who is on leave; or (b) To meet seasonal or short-term workload conditions; while that person is subject to your direction and control and performing services for you. (3) "Employee" does not mean: (a) Any agent, broker, person leased to you by a labor leasing firm, factor, commission merchant, consignee, independent contractor or representative of the same general character; or (b) Any "manager," director or trustee except while performing acts coming within the scope of the usual duties of an "employee." c. "Manager" means a person serving in a directorial capacity for a limited liability company. L. Additional Insureds SECTION II WHO IS AN INSURED is amended as follows: 1. If coverage for newly acquired or formed organizations is not otherwise excluded from this Docusign Envelope ID: 84F3552B-F9AD-8332-8313-79B8FF3331CB PI-GLD-HS (10/11)
Coverage Part, Paragraph 3.a. is deleted in its entirely and replaced by the following: a. Coverage under this provision is afforded until the end of the policy period. 2. Each of the following is also an insured: a. Medical Directors and Administrators Your medical directors and administrators, but only while acting within the scope of and during the course of their duties as such. Such duties do not include the furnishing or failure to furnish professional services of any physician or psychiatrist in the treatment of a patient. b. Managers and Supervisors Your managers and supervisors are also insureds, but only with respect to their duties as your managers and supervisors. Managers and - employment by you or performing duties related to the conduct of your business. This provision does not change Item 2.a.(1)(a) as it applies to managers of a limited liability company. c. Broadened Named Insured Any organization and subsidiary thereof which you control and actively manage on the effective date of this Coverage Part. However, coverage does not apply to any organization or subsidiary not named in the Declarations as Named Insured, if they are also insured under another similar policy, but for its termination or the exhaustion of its limits of insurance. d. Funding Source Any person or organization with respect to their liability arising out of: (1) Their financial control of you; or (2) Premises they own, maintain or control while you lease or occupy these premises. This insurance does not apply to structural alterations, new construction and demolition operations performed by or for that person or organization. e. Home Care Providers At the first Named Insured's option, any person or organization under your direct supervision and control while providing for you private home respite or foster home care for the developmentally disabled. f. Managers, Landlords, or Lessors of Premises Any person or organization with respect to their liability arising out of the ownership, maintenance or use of that part of the premises leased or rented to you subject to the following additional exclusions: This insurance does not apply to: (1) e a tenant in that premises; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of that person or organization. g. Lessor of Leased Equipment Automatic Status When Required in Lease Agreement With You Any person or organization from whom you lease equipment when you and such person or organization have agreed in writing in a contract or agreement that such person or organization is to be added as an additional insured on your policy. Such person or Docusign Envelope ID: 84F3552B-F9AD-8332-8313-79B8FF3331CB PI-GLD-HS (10/11)
or aused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person or organization. A when their contract or agreement with you for such leased equipment ends. With respect to the insurance afforded to these additional insureds, this insurance does not h. Grantors of Permits Any state or political subdivision granting you a permit in connection with your premises subject to the following additional provision: (1) This insurance applies only with respect to the following hazards for which the state or political subdivision has issued a permit in connection with the premises you own, rent or control and to which this insurance applies: (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners or decorations and similar exposures; (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this insurance. i. Vendors which are distributed or sold in the regular course of the vendor's business, subject to the following additional exclusions: (1) The insurance afforded the vendor does not apply to: (a) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; (b) Any express warranty unauthorized by you; (c) Any physical or chemical change in the product made intentionally by the vendor; (d) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; (e) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; (f) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; Docusign Envelope ID: 84F3552B-F9AD-8332-8313-79B8FF3331CB PI-GLD-HS (10/11)
(g) Products which, 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 for the vendor; or (h) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (i) The exceptions contained in Sub-paragraphs (d) or (f); or (ii) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. (2) This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing. j. Franchisor Any person or organization with respect to their liability as the grantor of a franchise to you. k. As Required by Contract Any person or organization where required by a written contract executed prior to the occurrence of a loss. Such person or organization is an additional insured for "bodily injury," "property damage" or "personal and advertising injury" but only for liability arising out of the negligence of the named insured. The limits of insurance applicable to these additional insureds are the lesser of the policy limits or those limits specified in a contract or agreement. These limits are included within and not in addition to the limits of insurance shown in the Declarations l. Owners, Lessees or Contractors Any person or organization, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured when required by a contract. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: (a) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (b) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.
Docusign Envelope ID: 84F3552B-F9AD-8332-8313-79B8FF3331CB PI-GL-005 (07/12)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED
PRIMARY AND NON-CONTRIBUTORY INSURANCE
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Effective Date: 03/01/2026
Name of Person or Organization (Additional Insured):
Blanket As Required by Written Contract
SECTION II -WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the endorsement Schedule, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" arising out of or relating to your negligence in the performance of "your work" for such person(s) or organization(s) that occurs on or after the effective date shown in the endorsement Schedule.
This insurance is primary to and non-contributory with any other insurance maintained by the person or organization (Additional Insured), except for loss resulting from the sole negligence of that person or organization.
This condition applies even if other valid and collectible insurance is available to the Additional Insured for a loss or "occurrence" we cover for this Additional Insured.
The Additional lnsured's limits of insurance do not increase our limits of insurance, as described in SECTION Ill - LIMITS OF INSURANCE.
All other terms, conditions, and exclusions under the policy are applicable to this endorsement and remain unchanged.
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
Docusign Envelope ID: 84F3552B-F9AD-8332-8313-79B8FF3331CB PI-GLD-HS (10/11)
m. State or Political Subdivisions Any state or political subdivision as required, subject to the following provisions: (1) This insurance applies only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit, and is required by contract. (2) This insurance does not apply to: (a) "Bodily injury," "property damage" or "personal and advertising injury" arising out of operations performed for the state or municipality; or (b) "Bodily injury" or "property damage" included within the "products-completed operations hazard." M. Duties in the Event of Occurrence, Claim or Suit SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 2. is amended as follows: a. is amended to include: This condition (1) You, if you are an individual; (2) A partner, if you are a partnership; or (3) An executive officer or insurance manager, if you are a corporation. b. is amended to include: This condition is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; or (3) An executive officer or insurance manager, if you are a corporation. N. Unintentional Failure To Disclose Hazards SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS, 6. Representations is amended to include the following: It is agreed that, based on our reliance on your representations as to existing hazards, if you should unintentionally fail to disclose all such hazards prior to the beginning of the policy period of this Coverage Part, we shall not deny coverage under this Coverage Part because of such failure. O. Transfer of Rights of Recovery Against Others To Us SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS, 8. Transfer of Rights of Docusign Envelope ID: 84F3552B-F9AD-8332-8313-79B8FF3331CB PI-GLD-HS (10/11)
Recovery Against Others To Us is deleted in its entirety and replaced by the following: If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. Therefore, the iecovery prior to the occurrence of a loss, provided the waiver is made in a written contract. P. Liberalization SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS, is amended to include the following: If we revise this endorsement to provide more coverage without additional premium charge, we will automatically provide the additional coverage to all endorsement holders as of the day the revision is effective in your state. Q. Bodily Injury Mental Anguish SECTION V DEFINITIONS, Paragraph 3. Is deleted in its entirety and replaced by the following: njury means: a. Bodily injury, sickness or disease sustained by a person, and includes mental anguish resulting from any of these; and b. Except for mental anguish, includes death resulting from the foregoing (Item a. above) at any time. R. Personal and Advertising Injury Abuse of Process, Discrimination If COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY COVERAGE is not otherwise excluded from this Coverage Part, the definition of amended as follows: 1. SECTION V DEFINITIONS, Paragraph 14.b. is deleted in its entirety and replaced by the following: b. Malicious prosecution or abuse of process; 2. SECTION V DEFINITIONS, Paragraph 14. is amended by adding the following: Discrimination based on race, color, religion, sex, age or national origin, except when: a. Done intentionally by or at the direction of, or with the knowledge or consent of: (1) Any insured; or (2) Any executive officer, director, stockholder, partner or member of the insured; b. Directly or indirectly related to the employment, former or prospective employment, termination of employment, or application for employment of any person or persons by an insured; Docusign Envelope ID: 84F3552B-F9AD-8332-8313-79B8FF3331CB Certificate Of Completion
Envelope Id: 84F3552B-F9AD-8332-8313-79B8FF3331CB
Status: Completed
Subject: Complete with Docusign: CAPK COHORT 5 - Independent-k-Over $100000.pdf Source Envelope:
Document Pages: 28
Signatures: 2
Envelope Originator:
Certificate Pages: 5
Initials: 1
City Clerk's Office
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
[email protected]
IP Address: 174.46.226.5
Record Tracking
Status: Original
4/29/2026 4:15:54 PM
Holder: City Clerk's Office
[email protected]
Location: DocuSign
Security Appliance Status: Connected
Pool: StateLocal
Signer Events
Signature
Timestamp
Jeremy Tobias
[email protected]
CEO
Community Action Partnership of Kern
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 12.76.40.22
Sent: 4/29/2026 4:18:32 PM
Viewed: 4/30/2026 7:08:04 AM
Signed: 5/1/2026 2:11:47 PM
Electronic Record and Signature Disclosure:
Accepted: 4/30/2026 7:08:04 AM
ID: fab08bd0-79c7-4283-97be-bf4068a2bf93
Christian Clegg
[email protected]
City Manager
City of Bakersfield
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 174.46.226.5
Sent: 5/1/2026 2:11:49 PM
Viewed: 5/4/2026 1:05:31 PM
Signed: 5/4/2026 1:06:11 PM
Electronic Record and Signature Disclosure:
Accepted: 5/4/2026 1:05:31 PM
ID: b2aa1871-1ed2-4cb7-9cb6-96298d59b407
Jena Covey
[email protected]
RISK MANAGER
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 174.46.226.5
Sent: 5/4/2026 1:06:13 PM
Viewed: 5/4/2026 5:08:06 PM
Signed: 5/4/2026 5:08:31 PM
Electronic Record and Signature Disclosure:
Accepted: 5/4/2026 5:08:06 PM
ID: 8f0c0c97-74a9-4d35-b678-b4d189c4e27c
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4/29/2026 4:18:32 PM
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5/4/2026 5:08:06 PM
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5/4/2026 5:08:31 PM
Completed
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5/4/2026 5:08:31 PM
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Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of Bakersfield (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system.
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All notices and disclosures will be sent to you electronically Electronic Record and Signature Disclosure created on: 6/28/2022 10:51:05 AM Parties agreed to: Jeremy Tobias, Christian Clegg, Jena Covey Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us.
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Until or unless you notify City of Bakersfield as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by City of Bakersfield during the course of your relationship with City of Bakersfield.