Cities Index.
Amendment No. 1 to Professional Services Agreement No. 2021-087 with Western AV

Goleta City Council
March 1, 2022

Document
Amendment No. 1 to Professional Services Agreement No. 2021-087 with Western AV
Meeting
March 1, 2022
Body
Goleta City Council
Pages
11
Original file
3.5 MB
Text extracted from the city's file for reading and search. Open the original on goleta.legistar1.com. That file is the official record.

CPMS
Agenda Item B.6

CONSENT CALENDAR
Meeting Date: March 1, 2022
TO: Mayor and Councilmembers
FROM: Deborah S. Lopez, City Clerk
CONTACT: Ryan Kintz, Assistant to the City Manager
SUBJECT: Amendment No. 1 to Professional Services Agreement No. 2021-087 with Western A/V
RECOMMENDATION:

A. Approve and authorize the City Manager to execute the first amendment to Professional Services Agreement No. 2021 -087 with Western A/V for audiovisual replacement and upgrades as part of the City Hall Council Chambers eq uipment upgrade project, in an additional amount of $13,000 for a new total not -to-exceed contract amount of $209,800; and
B. Appropriate $13,000 from the Public Educational and Governmental Access Fund to account 503-10-1300-51200.

BACKGROUND:

The City of Goleta Council Chamber was last upgraded in 2011 to include a new Council dais and presentation wall . The audio-visual equipment was installed in 2008 to accommodate viewing public meetings in person and to broadcast meetings via the local cable Goleta TV Channel 19 and on the City’s website and has not been upgraded since that time.

The audio /video equipment is now obsolete , has exceed ed its useful lifespan and is experiencing failures while broadcasting meetings. Several major components of the system have experienced repeated failures over the last several months. The Crestron control box has repeatedly become unresponsive, there has been poor video quality both internally and externally, and video feed to Granicus and the website has failed on multiple occasions. The system upgrade includes a 100-inch monitor, cameras, broadcasting and mixing equipment and a voting system.

On August 12, 2021, staff solicited proposals for audio/visual equipment replacement and upgrades through the release of a request for proposals (RFP). The proposed system will provide a more stable platform, enhance the video experience, expand broadcast 1 Meeting Date: March 1, 2022

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capabilities for the public, and improve the experience inside and outside the Council Chambers.

Proposals were received on September 3, 2021, and evaluated on September 10, 2021, based on criteria identified in the RFP. The criteria included qualifications, experience, project underst anding, approach, references, and price. Based on this criterion , on October 5, 2021,the City Council authorized an agreement with Western A/V.

The Council Chambers equipment upgrade project is underway and is scheduled to be completed mid -March. During the course of installation Western A/V proposed new monitors to be installed at each seat on the City Council dais. This staff report is requesting City Council approve and authorize the first amendment to the contract, provided as Attachment 1, and to appropriate $13,000 from the Public Educational and Governmental Access (PEG) Fund to purchase and install these monitors.

DISCUSSION:

Western A/V commenced the Council chambers equipment upgrade project on February 7, 2022. During the course of ins tallation Western A/V proposed and demonstrated the use of 22” monitors on the City Council dais. This was initially not in the scope of work given the new 100” monitor included in the original scope. However, upon viewing the demonstration staff believe t hese monitors will provide additional functionality and ease of use for the City Council during in -person City Council meetings. The 22” touchscreen monitors will allow the City Council to view the same staff and public presentations and videos being sent to the large screen displays on either side of the room right from their stations on the dais.

FISCAL IMPACTS:

This project has been budgeted in Fiscal Year 2021/22 within the Public Educational and Governmental Access (PEG) Fund. This Fund is separate from, and expenditures will not have an impact on the City’s General Fund. Revenue for PEG comes from fees paid by the cable provider operating within the S anta Barbara County and can only be used to support the capital equipment needs of the City’s PEG channel and to broadcast content to the public. The balance in PEG Fund a s of December 2021 was approximately $225,135 and is accounted for in Fund 503. There is sufficient funding available to support the $13,000 appropriation.

ALTERNATIVES:

Alternatively, the City Council could choose to not approve Amendment No. 1 with Western A/V and not install the 22” monitors on the dais. 2 Meeting Date: March 1, 2022

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Reviewed By: Legal Review By: Approved By:
___________________ ___________________ _________________ Kristine Schmidt Megan Garibaldi Michelle Greene
Assistant City Manager City Attorney City Manager
ATTACHMENTS:

1. Amendment No. 1 to Professional Services Agreement No. 2021-087 with Western A/V.

2. Agreement No. 2021-087 with Western A/V
3 ATTACHMENT 1
Amendment No. 1 to Professional Services Agreement No. 2021-087 with Western AV 4 City of Goleta
Amendment No.1 to Agreement No. 2021-087

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AMENDMENT NO. 1

TO A CONTRACT FOR PROFESSIONAL

SERVICES BETWEEN THE CITY OF GOLETA

AND WESTERN A/V

This Amendment No. 1 to a contract for Professional Services by and between the City of Goleta, a municipal corporation ("City") and Western A/V, ("Consultant") dated October 5 , 2021 ("Agreement,'' Agreement No. 2021-087) is made this 1st day of March 2022.

SECTION A. RECITALS

1. This Agreement is for professional audio/video services for the Council Chambers Audio/Video Upgrade; and

2. The Agreement between City and Consultant currently provides for the total compensation amount not to exceed one hundred ninety-six thousand eight hundred dollars ($196,800,000); and

3. The parties desire to amend the Agreement so as to provide for additional compensation in the amount of thirteen thousand dollars ($13,000) for the installation of additional equipment; and

4. The City Council approved this Amendment No. 1, on this 1 st day of March 2022.

SECTION B. AMENDED TERMS

Now therefore City and Consultant agree as follows that the Agreement be, and hereby is, amended as follows:

1. Section 2. DESCRIPTION OF SERVICES of the agreement is amended to read in its entirety:

Professional Services in conjunction with audio and video upgrades more particularly set forth in the Scope of Work, attached as Exhibit “A,” and incorporated herein.

Installation of monitors in Council Chambers as more particular ly set forth in Exhibit attached as “A-1” and incorporated herein.

CONSULTANT shall deliver to CITY the deliverables defined in Exhibit “A” and Exhibit “A-1”.

DocuSign Envelope ID: 34836C62-E447-40B6-B6B1-D3548CF2BAFD 5 City of Goleta
Amendment No.1 to Agreement No. 2021-087

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2. Subsection (a) of Section 3. COMPENSATION AND PAYMENT of the Agreement is amended to add an additional authorized amount of $13,000 and to read in its entirety:
(a) Maximum and Rate . The total compensation payable to CONSULTANT by CITY for the services under this
AGREEMENT SHALL NOT EXCEED the sum of $ 209,800
(herein "not -to-exceed amount") and shall be earned as the work progresses.

3. Except as otherwise specifically provided herein, all other provisions of
the Agreement shall remain in full force and effect.

In concurrence and witness whereof, this Amendment No.1 has been executed by the parties effective on the date and year first above written.

CITY OF GOLETA CONSULTANT

Michelle Greene, City Manager Catherine Schellin, President

ATTEST:

_____________________________ ______________________________ Deborah Lopez, City Clerk Jay Schellin, CFO

APPROVED AS TO FORM:

MEGAN GARIBALDI, CITY ATTORNEY

_____________________________
Winnie Cai, Assistant City Attorney

DocuSign Envelope ID: 34836C62-E447-40B6-B6B1-D3548CF2BAFD 6 City of Goleta
Amendment No.1 to Agreement No. 2021-087

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Exhibit A-1

DocuSign Envelope ID: 34836C62-E447-40B6-B6B1-D3548CF2BAFD 7 City of Goleta
Amendment No.1 to Agreement No. 2021-087

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DocuSign Envelope ID: 34836C62-E447-40B6-B6B1-D3548CF2BAFD 8 ATTACHMENT 1

Agreement No. 2021-087 with Western A/V
9 DOCUMENT ROUTING AND APPROVAL FORM
Requires Council Approval:
☐NO
☐YES
Meeting Date:

Requires Vendor Set -up:
☐NO
☐YES
If no, Vendor Number:

Director Level Approval:
☐NO
☐YES
Site Authority:

Provide summary of agreement below:

Document Name and Type: Project Name :

Vendor Name:

Contact Person:

Address:

Phone Number:

Email Address:

Business License Number:

City Project Manager:

Contact Number:

Email Address:

AMOUNT NOT TO EXCEED : ON CALL SERVICES? : ☐NO ☐YES*
*On call s ervices require one spreadsheet to track multiple PO’s COUNCIL APPROPRIATION NEEDED : ☐NO ☐YES*
*May requ ire Purchasing Officer ’s override to input Requis ition

ROUTING PROCESS DESCRIPTION DATE INITIAL
Department Head
Initiation
Authority to initiate agreement
Risk Manager Staff to initiate review of insurance provision in agreement City Attorney Contract review /Approve as form
Staff Prepare Purchase Requisition
Finance Director,
Purchasing Officer
Funding Methods Approved/
Authorized, Purchase
Requisition reviewed.

Requisition Number:

Vendor Project Manager sends originals to vendor for signature and requests Insurance and business license, if applicable
Project Manager Project Manager receives vendor signed copies, sends insurance to Risk Management for rating, and confirms purchase requisition authorized by Finance.

Risk Manager Rate Insurance and provide documents to Project Manager upon approval
Project Manager Ensure vendor applies for business license if applicable/needed.

Double check that Purchase Requisition is ready to be approved in to a Purchase Order
City Clerk Provide final packet to City Clerk ’s office for City signatures PLEASE RETURN SIGNED DOCUMENTS TO THE CIT Y CLERK’S OFFICE

BELOW FOR CITY CLERK PROCE SSING ONLY
FINALIZED ON: INITIAL RESOLUTION NO
(IF APPLICABLE)

FILE NUMBER
22CL010
10/5/2021 A.4
003281
Approve and authorize the City Manager to execute a Professional Services Agreement with Western A/V for audiovisual replacement and upgrades as part of the City Hall Council Chambers equipment upgrade project, in an amount not to exceed $196,800 and with a termination date of January 1, 2022.

Professional Services Agreement
City Council Chambers Audio/Video Upgrade
Western A/V
$196,800
Hailey Schellin
1592 N. BATAVIA STREET SUITE 2, Orange, CA
(714) 637-7272
[email protected]
Deborah S. Lopez
805-961-7505
[email protected]
DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 10/6/2021
10/6/2021
10/8/2021
10/11/2021
DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 10/11/2021
DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 10 City of Goleta
City Clerk’s Office and Western A/V

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Project Name: City Council Chambers Audio/Video Upgrade

AGREEMENT FOR PROFESSIONAL SERVICES

BETWEEN THE CITY OF GOLETA
AND

This AGREEMENT FOR PROFESSIONAL SERVICES (herein referred to as “AGREEMENT”) is made and entered into this 5th day of October, 2021, by and between the CITY OF GOLETA, a municipal corporation (herein referred to as "CITY"), and Western A/V (herein referred to as "CONSULTANT").

SECTION A. RECITALS

1. The CITY has a need for professional audio/video services for Council Chambers Audio/Video Upgrade; and

2. The CITY does not have the personnel able and/or available to perform the services required under this AGREEMENT, and therefore, the CITY desires to contract for professional services to accomplish this work; and

3. The CITY procured these services in compliance with Goleta Municipal Code Section 3.05.260 by requests for proposals.

4. The City Council, on this 5th day of October 2021, approved this AGREEMENT and authorized the City Manager to execute the AGREEMENT.

SECTION B. TERMS

1. RETENTION AS CONSULTANT
CITY hereby retains CONSULTANT, and CONSULTANT hereby accepts such engagement, to perform the services described in Section 2.

CONSULTANT warrants it has the qualifications, experience, and facilities to properly and timely perform said services.

2. DESCRIPTION OF SERVICES
The services to be performed by CONSULTANT are as follows:

Professional Services in conjunction with audio and video upgrades more particularly set forth in the Scope of Work, attached as Exhibit “A,” and incorporated herein.

CONSULTANT shall deliver to CITY the deliverables defined in Exhibit “A.”
DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 Western A/V
DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 2021-087
DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 11 City of Goleta
City Clerk’s Office and Western A/V

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3. COMPENSATION AND PAYMENT
(a) Maximum and Rate . The total compensation payable to CONSULTANT by CITY for the services under this AGREEMENT SHALL NOT EXCEED the sum of $ 196,800 (herein "not to exceed amount"), and shall be earned as the work progresses on the following basis:

Hourly at the hourly rates and with reimbursement to
CONSULTANT for those expenses set forth in CONSULTANT's Schedule of Fees marked Exhibit "B," attache d and incorporated herein. The rates and expenses set forth in that exhibit shall be binding upon CONSULTANT until January 1, 2022, after which any change in said rates and expenses must be approved in wri ting by CITY's Project Manager as described in Sec tion 5 (CITY is to be given 60 days notice of any rate increase request), provided the not to exceed amount is the total compensation due CONSULTANT for all work described under this AGREEMENT.
(b) Payment. CONSULTANT shall provide CITY with written verification of the actual compensation earned, which written verification shall be in a form satisfactory to CITY's Project Manager , as described in Section 5 .

Invoices shall be made no more frequently than on a monthly basis, and describe the work performed (inc luding a list of hours worked by personnel classification).

All payments shall be made within 30 days after CITY’s approval of the invoice.

4. EXTRA SERVICES
CITY shall pay CONSULTANT for those CITY authorize d extra services, not reasonably included within t he services described in Section 2, as mutually agreed to writing in advance of the incurrence of extra services by CONSULTANT. Unless CITY and CONSULTANT have agreed in writing before the performance of extra services, no liability and no right to claim c ompensation for such extra services or expenses shall exist. The applicable hourly rates for extra services shall be at the hourly rates set forth in Exhibit B, if one is included as part of this agreement . Any compensation for extra services shall be pa rt of the total compensation and shall not increase the not to exceed amount identified in Section 3.

5. CITY PROJECT MANAGER AND SERVICES BY CITY
The services to be performed by CONSULTANT shall be accomplish ed under the general direction of, and coordinate with, CITY's "Project Manager", as that staff person is designated by CITY from time to time, and who presently is Deborah S. Lopez, Project Manager shall have the authority to act on behalf of the CITY in administering this AGREEMENT but shall not be auth orized to extend the term of the AGREEMENT or increase the not to exceed amount.

DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 12 City of Goleta
City Clerk’s Office and Western A/V

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6. TERM, PROGRESS AND COMPLETION
The term of this AGREEMENT is from the date first written above to January 1, 2022 , unless term of this AGREEMENT is extended, or the AGREEMENT is terminated as provided for herein.

CONSULTANT shall not commence work on the services to be performed until (i) CONSULTANT furnishes proof of insurance as required by Section 10 below, and (ii) CITY gives written authorization to proceed with the work provided by CITY's Project Manager.

7. OWNERSHIP OF DOCUMENTS
All drawings, designs, data, photographs, reports and other documentation (other than CONSULTANT's drafts, notes and internal memorandum), including duplication of same prepared by CONSULTANT in the performance of these services, are the property of CITY. CITY shall be entitled to immediate possession of the same upon completion of the work under this AGREEMENT, or at any earlier or later time when re quested by CITY. CITY agrees to hold CONSULTANT harmless from all damages, claims, expenses, and losses arising out of any reuse of the plans and specifications for purposes other than those described in this AGREEMENT, unless written authorization of CONSULTANT is first obtained.

8. PERSONAL SERVICES/NO ASSIGNMENT/SUBCONTRACTOR
This AGREEMENT is for professional services which are personal to CITY. Hailey Schellin, Account Executive of Western A/V is deemed to be specially experienced and is a key member of CONSULTANT's firm, and shall be directly involved in the performance of this work. This key person shall communicate with, and periodically report to, CITY on the progress of the work.

Should any such individual be remo ved from assisting in this contracted work for any reason, CITY may terminate this AG REEMENT. This AGREEMENT may not be assigned or subcontracted without the City Manager’s prior written consent.

9. HOLD HARMLESS AND INDEMNITY
(a) Hold Harmless for CONSULTANT 's Damages. CONSULTANT holds CITY, it s elected officials, officers, agents, and empl oyees, harmless from all of CONSULTANT's claims, demands, lawsuits, judgments, damages, losses, injuries or liability to CONSULTANT, to CONSULTANT's employees, to CONSULTANT’s contractors or subcontractors, or to the owners of CONSULTANT's firm, which damages, losses, injuries or liability occur during the work required under this AGREEMENT, or occur while CONSULTANT is on CITY property, or which are connected, directly or indirectly, with CONSULTANT's performa nce of any activity or work required under this AGREEMENT.

DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 13 City of Goleta
City Clerk’s Office and Western A/V

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(b) Defense and Indemnity of Third Party Claims/Liability.

CONSULTANT shall investigate, defend, and indemnify CITY, its elected officials, officers, agents, and employees, from any claims, lawsuits, demands, judgments, and all liability including , but not limited to, monetary or property damage, lost profit, personal injury, wrongful death, general liability, automobile, infringement of copyright/patent/trademark , or professional errors and omissions arising out of, directly or indirectly, an erro r, negligence, or omission of CONSULTANT or any of CONSULTANT’s officers, agents, employees, representatives, subconsultants, or subcontractors, or the willful misconduct of CONSULTANT or any of CONSULTANT’s o fficers, agents, employees, representatives, su bconsultants, or subcontractors, in performing the services described in, or normally associated with, this type of contracted work. The duty to defend shall include any suits or actions concerning any activi ty, product or work required under this AGREEMENT, and also include the payment of all court costs, attorney fees, expert witness costs, investigation costs, claims adjusting costs and any other costs required for and related thereto. (c) No Waiver. CITY does not waive, nor shall be deemed to have waived, any indemnity, defense or hold harmless rights under this section because of the acceptance by CITY, or the deposit with CITY, of any insurance certificates or policies described in Section 10.

10. INSURANCE
CONSULTANT shall, at CONSULTANT's sole cost and expense, provide insurance as described herein. All insurance is to be placed with insurers authorized to do business in the State of California with an A.M. Best and Company rating of A - or better, Class V II or better, or as otherwise approved by CITY.

Insurance shall include the following (or broader) coverage:

a) Insurance Services Office Commercial Liability coverage “occurrence” form CG 00 01 or its exact equivalent with an edition date prior to 2004 and with minimum limits of $1,000,000 per occurren ce and $2,000,000 general aggregate.

b) Insurance Services Office form number CA 00 01 or equivalent covering Automobile Liability, including hired and non -owned automobile liability with a minimum limit of $1,000,000 per accident. If the Service Provider owns no vehicles, this requirement may be satisfied by a non -owned and hired auto endorsement to Service Provider’s commercial general liability policy.

DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 14 City of Goleta
City Clerk’s Office and Western A/V

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c) Workers’ Compensation insurance complying with Californi a worker’s compensation laws, including statuto ry limits for workers’ compensation and an Employer’s Liability limit of $1,000,000 per accident or disease.

d) Professional liability insurance that covers the services to be performed in connection with this a greement, in the minimum amount of $1,000,000 per claim.

Liability insurance policies required to be provided by CONSULTANT hereunder shall contain or be endorsed to contain the following provisions:

a) Except for p rofessional liability insurance, CITY, its employees, officials, agents and member age ncies shall be covered as additional insureds. Coverage shall apply to any and all liability arising out of the work performed or related to the contract. Additional in sured status under the general liability requirement shall be provided on Insurance Services Office Form CG 20 10, with an edition date prior to 20 04, or its equivalent. Additional insured status for completed operations shall be provided either in the ad ditional insured form or through another endorsement such as CG 20 37, or its equivalent.

b) General and automobile liability insurance shall apply separately to each insured against whom a claim is made or suit is brought, except with respect to the limits of the insurer’s liability. Coverage will not be limited to CITY’s vicarious liability.

c) Professional liability insurance policies inception date, continuity date, or retroactive date must be before the effective date of this agreement. CONSULTANT agr ees to maintain continuous coverage through a period no less than three years after co mpletion of the services required by this agreement.

d) Except for professional liability insurance, l iability coverage shall be primary and non-contributing with any insurance maintained by CITY.

e) Evidence of coverage (including the workers’ compensatio n and employer’s liability policies) shall provide that coverage shall not be suspended, voided, canceled or reduced in coverage or in limits except after 30 days’ prior written notice has been given to CITY.

Such provision shall not include any limitatio n of liability of the insurer for failure to provide such notice.

f) No liability insurance coverage provided to comply with this AGREEMENT shall prohibit CONSULTANT, or CONSULTANT’s
DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 15 City of Goleta
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employees, or agents, from waiving the right of recovery prior to a loss. CONSULTANT waives its right of recovery against CITY.

g) CONSULTANT agrees to deposit with CITY within fifteen days of Notice to Proceed of the Contract certificates of insurance and required endorsements.

h) There shall be no recourse against CITY for payment of premiums or other amounts with respect to the insurance required to be provided by CONSULTANT hereunder. Any failure, actual or alleged, on the part of CITY to monitor compliance with these requireme nts will not be deemed as a waiver of any right s on the part of CITY. CITY has no additional obligations by virtue of requiring the insurance set forth herein. In the event any policy of insurance required under thi s AGREEMENT does not comply with these requirements or is canceled and not replaced, CITY has the right but not the duty to obtain the insurance it deems necessary and any premium paid by CITY will be promptly reimbursed by CONSULTANT or CITY will withhold amounts sufficient to pay premium from CONSULTANT payments.

i) CONSULTANT agrees to p rovide immediate notice to CITY of any claim or loss against CONSULTANT arising out of the work performed under this AGREEMENT. CITY assumes no obligation or liability b y such notice, but has the right (but n ot the duty) to monitor the handling of any such claim or claims if they are likely to involve CITY.

11. RELATIONSHIP OF CONSULTANT TO CITY
The relationship of the CONSULTANT to CITY shall be that of an independent contractor and that in no event shall CONSULTANT be considered an officer, agent, servant or employee of CITY. CONSULTANT shall be solely responsible for any workers compensation insurance, withholding taxes, unemployment insurance, and any other employer obl igations associated with the described work.

12. CORRECTIONS
In addition to the above ind emnification obligations, CONSULTANT shall correct, at its expense, all errors in the work that may be disclosed during CITY's review of CONSULTANT's report or plans. Sh ould CONSULTANT fail to make such correction in a reasonably timely manner, such corre ction shall be made by CITY, and the cost thereof shall be charged to CONSULTANT or withheld from any funds due to CONSULTANT hereunder.

DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 16 City of Goleta
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13. TERMINATION BY CITY
CITY, by not ifying CONSULTANT in writing, may upon 10 calendar days notice, terminate without caus e any portion or all of the services agreed to be performed under this AGREEMENT. If termination is for cause, no notice period need be given. In the event of terminati on, CONSULTANT shall have the right and obligation to immediately assemble work in pro gress for the purpose of closing out the job. All compensation for actual work performed and charges outstanding at the time of termination shall be payable by CITY to CONSULTANT within 30 days following subm ission of a final statement by CONSULTANT unless termination is for cause. In such event, CONSULTANT shall be compensated only to the extent required by law.

14. ACCEPTANCE OF FINAL PAYMENT CONSTITUTES RELEASE
The acceptance by CONSULTANT of the final paymen t made under this AGREEMENT shall operate as an d be a release of CITY from all claims and liabilities for compensation to CONSULTANT for anything done, furnished, or relating to CONSULTANT'S work or services. Accepta nce of payment shall be any negotiation of CITY's check or the failure to make a writt en extra compensation claim within 10 calendar days of the receipt of that check.

However, approval or payment by CITY shall not constitute, nor be deemed, a release of the responsibility and liability of CONSULTANT, its employees, subcontractors, agents and CONSULTANTs for the accuracy and competency of the information provided and/or work performed; nor shall such approval or payment be deemed to be an assumption of suc h responsibility or liability by CITY for any defect or error in the work prepared by CONSULTANT, its employees, subcontractors, agents and consultants.

15. AUDIT OF RECORDS
At any time during normal business hours and as often as it may deem necessary, CONSULTANT shall make available to a represe ntative of CITY for examination of all its reco rds with respect to all matters covered by this AGREEMENT and will permit CITY to audit, examine and/or reproduce such records. CONSULTANT will retain such financial rec ords, time sheets, work progress report s, invoices, bills and project records for at l east two years after termination or final payment under this AGREEMENT.

16. WAIVER; REMEDIES CUMULATIVE
Failure by a party to insist upon the strict performance of any of th e provisions of this AGREEMENT by the o ther party, irrespective of the length of time for which such failure continues, shall not constitute a waiver of such party's right to demand strict compliance by such other party in the future. No waiver by a party of a default or breach of the other pa rty shall be effective or binding upon such par ty unless made in writing by such party, and no such waiver shall be DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 17 City of Goleta
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implied from any omissions by a party to take any action with respect to such default or breach. No express written waiver of a specified d efault or breach shall affect any other default or breach, or cover any other period of time, other than any default or breach and/or period of time specified. All of the remedies permitted or available to a party un der this AGREEMENT, or at law or in equ ity, shall be cumulative and alternative, and i nvocation of any such right or remedy shall not constitute a waiver or election of remedies with respect to any other permitted or available right of remedy.

17. CONFLICT OF INTEREST
CONSULTANT is unaware of any CITY employee or official that has a financial interest in CONSULTANT'S business. During the term of this AGREEMENT and/or as a result of being awarded this AGREEMENT, CONSULTANT shall not offer, encourage or accept any financial interest in CONSULTANT'S business by any CITY employee or official.

18. CONSTRUCTION OF LANGUAGE OF AGREEMENT
The provisions of this AGREEMENT shall be construed as a whole according to its common meaning of purpose of providing a public benefit and not strictly for or against any pa rty. It shall be construed consistent with the provisions hereof, in order to achieve the objectives and purposes of the parties.

Wherever required by the context, the singular shall include the plural and vice versa, and the masculine gender shall inclu de the feminine or neutral genders or vice versa.

19. MITIGATION OF DAMAGES
In all situations arising out of this AGREEMENT, the parties shall attempt to avoid and minimize the damages resulting from the conduct of the other party.

20. GOVERNING LAW
This AGREEMENT, and the rights and obligations of the parti es, shall be governed and interpreted in accordance with the laws of the State of California.

Should litigation occur, venue shall be in Superior Court of Santa Barbara County.

21. NONDISCRIMINATION
CONSULTANT shall not discriminate on the basis of race, co lor, gender, gender identity/expression, pregnancy, sexual orientation, disability, marital status, or any other characteristic protected under applicable federal or state law.

DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 18 City of Goleta
City Clerk’s Office and Western A/V

Page 9 of 11 ends

22. TAXPAYER IDENTIFICATION NUMBER
CONSULTANT shall provide CITY with a complete Request for Taxpayer Identification Number and Certification, Form W -9 (Rev. October 2018 ), as issued by the Internal Revenue Service.

23. NON-APPROPRIATION OF FUNDS
Payments due and payable to CONSULTANT for cu rrent services are within the current budget an d within an available, unexhausted and unencumbered appropriation of CITY funds. In the event CITY has not appropriated sufficient funds for payment of CONSULTANT services beyond the current fiscal year, this AGREEMENT shall cover only those costs incurre d up to the conclusion of the current fiscal year.

24. MODIFICATION OF AGREEMENT
The tasks described in this AGREEMENT and all other terms of this AGREEMENT may be modified only upon mutual written consent of CITY and CONSULTANT.

25. USE OF THE TERM “CITY”
Reference to “ CITY” in this AGREEMENT includes City Manager or any authorized representative acting on behalf of CITY.

26. PERMITS AND LICENSES
CONSULTANT, at its sole expense, s hall obtain and maintain during the term of this AGREEMENT, all appropriate permits, l icenses, and certificates that may be required in connection with the performance of services under this AGREEMENT.

27. CAPTIONS
The captions or headings in this AGREEMENT are for convenience only and in no other way define, limit or describe the scope or int ent of any provision or section of the AGREEMENT.

28. AUTHORIZATION
Each party has expressly authorized the execution of this AGREEMENT on its behalf and bind said party and its respective administrators, officer s, directors, shareholders, divisions, subsidia ries, agents, employees, successors, assigns, principals, partners, joint venturers, insurance carriers and any others who may claim through it to this AGREEMENT.

DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 19 City of Goleta
City Clerk’s Office and Western A/V

Page 10 of 11 ends

29. ENTIRE AGREEMENT BETWEEN PARTIES
Except for CONSULTANT'S proposals and submitted representat ions for obtaining this AGREEMENT, this AGREEMENT supersedes any other agreements, either oral or in writing, between the parties hereto with respect to the rendering of services, and contains all of the coven ants and agreements between the parties with respect to said services.

30. PARTIAL INVALIDITY
If any provision in this AGREEMENT is held by a court of competent jurisdiction to be invalid, void or unenforceable, the rema ining provisions will nevertheless cont inue in full force without being impaired or in validated in any way.

31. NOTICES
Any notice required to be given hereunder shall be deemed to have been given by depositing said notice in the United States mail, postage p repaid, and addressed as follows:

TO CITY: Attention: Michelle Greene, City Manager
City of Goleta
130 Cremona Drive, Suite B
Goleta, CA 93117
TO CONSULTANT: Western A/V
Attn: Hailey Schellin, Account Executive
1592 North Batavia Street, Suite 2
Orange, CA 92867

32. COUNTERPARTS AND ELECTRONIC/FACSIMILE SIGNATURES
This Agreement may be executed in several counterparts, which may be facsimile or electronic copies. Each counterpart is fully effective as an original, and together constitutes one and the same instrument.

DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 20 City of Goleta
City Clerk’s Office and Western A/V

Page 11 of 11 ends

In concurr ence and witness whereof , this AGREEMENT has been executed by the parties effective on the date and year first above written.

CITY OF GOLETA CONSULTANT

_____________________________ _________________________ Michelle Greene, City Manager By: Catherine Schellin, President Title:

ATTEST

_____________________________ _________________________ Deborah Lopez, City Clerk By: Jay Schellin, CFO

APPROVED AS TO FORM:

MICHAEL JENKINS, CITY ATTORNEY

_____________________________
Winnie Cai, Assistant City Attorney

DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 21 Exhibit A
DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 22 Exhibit A
DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 23 Exhibit A
Voting System & Request to Speak Alternate:

Western A/V has provided an optional alternate cost to program the seven (7) 7" touch-panels as part of our custom programmed voting system.

Each touch-panel will be custom programmed to include the following voting functions: YES, NO, ABSTAIN, LOCK VOTE. We found much success with the LOCK VOTE button function, so that each member can be sure that their vote has been cast. The City Clerk will not be able to see how each member voted, but will be able to see that their vote has been placed. Once all votes have been placed, the City Clerk can display the voting results on the displays within the Chamber, as well as on the Stream/Peg Channel.

In addition to the custom programmed voting capabilities, the seven (7) 7" touch-panels will be given the ability to "Request to Speak". Those that "Request to Speak" will populate a que on the Mayor's touch-panel in chronological order.

Audio Conferencing Alternate:

Western A/V's base bid price already includes the cost to include audio conferencing. Western A/V does not charge an additional fee for that function.

Exclusions:
• Any electrical work requiring a C-10 license.
• Patching and painting of surfaces.

Miscellaneous:

Western A/V will provide all necessary racks and cabling to install a turn-key system in the Boardroom.

As specified in the RFP, Western A/V has included a one (1) Year Service & Preventative Maintenance contract within our base bid pricing. Western A/V has also provided pricing for additional (optional) years of our standard Warranty & Preventative Maintenance contract.

DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 24 Representative Hailey Schellin
Mobile 949.584.7028
Office 714.637.7557
Email [email protected]
Revision 9/22/2021
Item Quantity Manufacturer Model Description Unit Price Ext Price Display System
1 Planar URX100 100" Ultra HD Resolution (3840 x 2160) LCD Display 12,298.00$ 12, 298.00$ 1 Chief XTM1U X-Large Fusion Micro-Adjustable Tilt Wall Mount 263.00$ 263. 00$ 1 DWI Custom Custom Cladding for Display (Top and Bottom) 928.00$ 928. 00$ 1 Existing Side Display & Mount
Signal Distribution and Switching System
1 Crestron DMPS3-4K-150-C 3-Series® 4K DigitalMedia™ Presentation System 150 2,942.00$ 2, 942.00$ 2 Crestron DM-TX-4KZ-100-C-1G-B-T DigitalMedia 8G+® 4K60 4:4:4 HDR Wall Plate Transmitter, BLACK (Doc Cam and Staff PC)
589.00$ 1,178.00$
1 Crestron DM-RMC-4KZ-SCALER-C DigitalMedia 8G+® 4K60 4:4:4 HDR Receiver and Room Controller with Scaler (Display) 1,059.00$ 1, 059.00$ 1 Crestron HD-DA2-4KZ-E 1:2 HDMI® Distribution Amplifier w/4K60 4:4:4 & HDR Support (Side Display & Presentation Feed)
236.00$ 236.00$
2 Crestron HD-TXC-101-C-E DM Lite® Transmitter for HDMI®, IR, and RS-232 Signal Extension over CATx Cable 236.00$ 472. 00$ 2 Crestron HD-RXC-101-C-E DM Lite – HDMI® over CATx Receiver w/IR & RS-232, Surface Mount 236.00$ 472. 00$ SOURCES:

Existing Ceiling Mounted Document Camera
Staff PC (HDMI Only)
1 Barco CSE-200 Wireless Presentation Gateway 1,548.00$ 1, 548.00$ Control System
1 Crestron TS-1542-TILT-B-S 15.6 in. HD Touch Screen, Tabletop Tilt, Black Smooth 2,824.00$ 2, 824.00$ 1 Luxul XMS-2624P 26 Port/24 PoE+ Gigabit Managed Switch 748.00$ 748. 00$ Audio System
1 Biamp TesiraFORTÉ AVB VT Fixed I/O DSP with 12 analog inputs, 8 analog outputs, 8 channels configurable USB audio, 128 x 128 channels of AVB, AEC technology (all 12 inputs), 2 channel VoIP, and standard FXO telephone interface
2,352.00$ 2,352.00$
1 Biamp TesiraFORTÉ AVB CI Fixed I/O DSP with 12 analog inputs, 8 analog outputs, 8 channels configurable USB audio, 128 x 128 channels of AVB, and AEC technology (all 12 inputs) 2,176.00$ 2,176.00$
2 Biamp Tesira EX-LOGIC PoE controller with 16 logic GPIO 370.00$ 740. 00$ Existing Microphones, Amplifiers and Speakers to be Tested and Reused Existing City of Goleta
Council Chamber
Typical of 1 - Proposal Includes 1
Council Chamber
Exhibit B
DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 25 Representative Hailey Schellin
Mobile 949.584.7028
Office 714.637.7557
Email [email protected]
Revision 9/22/2021
Item Quantity Manufacturer Model Description Unit Price Ext Price City of Goleta
Council Chamber
Typical of 1 - Proposal Includes 1
Council Chamber
Broadcast System
4 Panasonic AW-HE42WP HD Pan/Tilt/Zoom Camera w/ SDI Output (White Version) 4,264.00$ 17, 056.00$ 4 Vaddio 535-2000-226W Wall Mount Bracket 112.00$ 448. 00$ 1 Panasonic AW-RP60 Remote Camera Controller 2,440.00$ 2, 440.00$ 1 Blackmagic Design SWATEMPSW1ME4K ATEM 1 M/E Production Studio 4K 2,606.00$ 2, 606.00$ 1 Blackmagic Design SWPANELADV1ME ATEM 1 M/E Advanced Panel 3,228.00$ 3, 228.00$ 1 Blackmagic Design VHUBSMTCS6G1212 Smart Videohub CleanSwitch 12 x 12 6G-SDI 1,564.00$ 1, 564.00$ 1 Blackmagic Design HYPERD/STM HyperDeck Studio Mini 728.00$ 728. 00$ 1 Blackmagic Design CONVCMIC/SH/WPSU Mini Converter SDI to HDMI 6G (Overflow Conference Room) 63.00$ 63. 00$ 1 Blackmagic Design CONVNTRM/YA/RSH Blackmagic Design Teranex Mini Rack Shelf 112.00$ 112. 00$ 2 Blackmagic Design CONVMUDCSTD/HD Mini Converter UpDownCross HD 163.00$ 326. 00$ 1 AJA DRM Rackmount Frame 596.00$ 596. 00$ 1 AJA DRM Front Panel Front Panel cover for the DRM Frame 101.00$ 101. 00$ 1 AJA 3GDA 1x6 3G/HD/SD Reclocking Distribution Amplifier 359.00$ 359. 00$ 1 AJA GEN10 HD/SD Sync Generator 349.00$ 349. 00$ 1 AJA HD10MD4 Digital Down-Converter 1,005.00$ 1, 005.00$ 1 AJA 3G-AMA 3G-SDI Analog Audio Embed/Disembed 803.00$ 803. 00$ 1 Kramer VM-80VN 1:8 Composite Video Distribution Amplifier 369.00$ 369.00$ 1 Kramer VM-50AN 1:5 Balanced & Unbalanced Stereo Audio Distribution Amplifier 185.00$ 185.00$ 1 Kramer RK-1 Rack Kit for VM-80VN and VM-50AN 68.00$ 68.00$ 2 SanDisk SDSDXP-512G-A46 512GB Extreme PRO UHS-I SDXC Memory Card 353.00$ 706. 00$ 1 Feelworld D71-H Dual 7" 3 RU Rackmount HDMI LCD Monitor 445.00$ 445.00$ 1 Tightrope Media Systems CBL-VIOLITE-600 2 channel configurable 1x1 or 0x2 SD/HD SDl encode/decode, multi-format server with 8TB of storage in a 1 RU chassis. Selectable SD or HD SDI with embedded audio. Pulls in RTP, RTMP and HLS streams. Includes Cablecast Automation, Video and CG server Software. Cablecast CG Player Software is optional. Includes graphics, crawl, bug, bug text on output. 3 year hardware warranty and 2 hours of installation support and training within first year.
7,937.00$ 7,937.00$
1 Tightrope Media Systems CBL-CGPLAYER-LIC Cablecast CG bulletin board software for installation in Cablecast VIO video servers. All bulletin board features and native integration with the Cablecast schedule for display of "Airs Again On", "Coming up Next" and Cablecast schedule bulletins, updated dynamically throughout the day. Includes 1 hour of remote installation support 1,318.00$ 1,318.00$
1 Compix ConverG1 HD Single Channel HD Standalone Broadcast Graphics System 15,878.00$ 15, 878.00$ 1 LG 32MU59-B 32" UHD LED Display (MultiView) 470.00$ 470. 00$ 1 Fostex RM-3 Rackmount 20W Speaker System 589.00$ 589. 00$ 2 Viewsonic VX2252MH 22" LED LCD Monitor - 2 ms (Engineering PC) 125.00$ 250. 00$ 3 Middle Atlantic RM-LCD-PNLK LCD Rackmount, 3RU 132.00$ 396. 00$ 1 Samsung QB55R 55" Commercial UHD LED Display (Overflow Conference Room) 976.00$ 976. 00$ 1 Chief LTA1U Large Fusion Tilt Wall Mount 157.00$ 157. 00$ 1 Chief FHB5147 Universal Flat Panel Mount Hardware kit 10.00$ 10. 00$ 91,774.00$
1,946.00$
973.00$
487.00$
3,406.00$
7,707.00$
3,840.00$
2,054.00$
587.00$
33,198.00$
4,952.00$
-$
Sub-Contract -$
1,360.00$
53,698.00$
Years Price
Extended Service Plan 2 15,750.00$
15,750.00$
Total Equipment 95,180.00$
Total Labor 53,698.00$
Equipment and Labor Subtotal 148,878.00$
Total Shipping 3,391.00$
Additional Shipping for Overnight or Large Items -$
Subtotal 152,269.00$
Sales Tax 7.75% 7,639.25$
Electronic Waste Fee 4" - 14" ($4.00) QTY: 2 8.00$
Electronic Waste Fee 15" - 34" ($5.00) QTY: 4 20.00$
Electronic Waste Fee 35" and Greater ($6.00) QTY: 2 12.00$ Electronic Waste Fee Total 40.00$
Total Service Agreement 15,750.00$
Bond (if required) -$
175,698.25$
Miscellaneous Materials
Integration Labor
Extended Warranty & Maintenance Agreement
Integration Labor Sub-Total
G & A
Travel
Training, Closing, & Commissioning
Installation & Testing
Service Sub-Total
Council Chamber Totals
Staging & Assembly
Project Management
Control Programming
Engineering & Drafting
Council Chamber Equipment Sub-Total:

Equipment Rack Hardware (Lacing Bars, Blanks, Vents, etc.) Installation Hardware & Accessories
Cable & Connectors
Miscellaneous Materials Sub-Total
Exhibit B
DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 26 Representative Hailey Schellin
Mobile 949.584.7028
Office 714.637.7557
Email [email protected]
Revision 9/22/2021
Item Quantity Manufacturer Model Description Unit Price Ext Price Control System
7 Crestron TS-770-B-S 7 in. Tabletop Touch Screen, BLACK 1,059.00$ 7,413.00$ 1 Crestron DGE-100 Digital Graphics Engine 100 1,059.00$ 1,059.00$ 8,472.00$
450.00$
-$
-$
450.00$
680.00$
5,120.00$
294.00$
-$
3,151.00$
1,801.00$
-$
Sub-Contract -$
129.00$
11,175.00$
Years Price
Extended Service Plan 0 -$
-$
Total Equipment 8,922.00$
Total Labor 11,175.00$
Equipment and Labor Subtotal 20,097.00$
Total Shipping 250.00$
Additional Shipping for Overnight or Large Items -$
Subtotal 20,347.00$
Sales Tax 7.75% 710.83$
Electronic Waste Fee 4" - 14" ($4.00) QTY: 7 28.00$
Electronic Waste Fee 15" - 34" ($5.00) QTY: 0 -$
Electronic Waste Fee 35" and Greater ($6.00) QTY: 0 -$
Electronic Waste Fee Total 28.00$
Total Service Agreement -$
Bond (if required) -$
21,085.83$
Miscellaneous Materials Sub-Total
Alternate Voting System Equipment Sub-Total:

Cable & Connectors
Installation Hardware & Accessories
City of Goleta
Council Chamber
Alternate Voting System
Typical of 1 - Proposal Includes 1
Equipment Rack Hardware (Lacing Bars, Blanks, Vents, etc.) Miscellaneous Materials
Engineering & Drafting
Control Programming
Project Management
Staging & Assembly
Installation & Testing
Training, Closing, & Commissioning
Travel
G & A
Integration Labor Sub-Total
Extended Warranty & Maintenance Agreement
Alternate Voting System Totals
Integration Labor
Service Sub-Total
Exhibit B
DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 27 Client
Project Name
Project Contact
Representative Contact
Mobile Address
Office City, State, Zip
Email Phone
Date Mobile
Email
Room Room Qty Equipment Shipping Sales Tax eWaste Labor Maintenance (2 Years) Bond Cost Per Room TOTAL

Council Chamber 1 95,180.00$ 3,391.00$ 7,639.25$ 40.00$ 53,698.00$ 15,750.00$ -$ 175,698.25$ 175,698.25$ Alternate Voting System 1 8,922.00$ 250.00$ 710.83$ 28.00$ 11,175.00$ -$ -$ 21,085.83$ 21,085.83$ 196,784.08$

EXTENDED WARRANTY & MAINTENANCE RENEWAL SCHEDULE
$12,600.00
Year 1 (Included) Year 2 (Included) Year 3 Year 4 Year 5 Rate $6,300.00 $9,450.00 $12,600.00 $12,600.00 $12,600.00 Discount 50% Off 25% Off 0% 0% 0%
$196,784.08
NOTES:

This proposal includes prevailing wage rates.

Billing Terms:

Date
Billing Inquiries:
949.584.7028
Western Audio Visual | 1592 North Batavia Street, Suite 2, Orange, CA 92867 | P 714 637 7272 This quote is valid for 30 days. The sales tax is subject to change—in the event of a an increase, the client agrees to pay the current sales tax rate. This proposal is not to be copied, reproduced or forward to any third party as its contents are the property of Western Audio Visual.
100% Equipment Upon Order, Progress Billing for Labor
Client Authorized Signature Printed Name & Title
Goleta, CA 93117
130 Cremona Drive, Suite B

STANDARD RENEWAL RATE
Hailey Schellin
City of Goleta
Council Chamber
PROJECT TOTAL:

Base Project Total
805-961-7505
[email protected]
Audio Visual Investment Summary
9/22/2021
[email protected]
Deborah Lopez
714.637.7557
Exhibit B
DocuSign Envelope ID: EA5BD930-A668-40A9-91F2-3B1F4D571C3A DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 28 10/04/2021
Insurance Solutions
License #0746539
33302 Valle Rd, Suite 200
San Juan Capistrano CA 92675
Robin Holloway
(949) 348-7400 (949) 201-4515
[email protected]
Western Audio Visual
1592 N Batavia St
Ste 2
Orange CA 92687
Underwriters at Lloyds of London 15792
20-21 E&O
A
Errors & Omissions
ANE1760570.20 10/21/2020 10/21/2021
$2,000,000 Each Claim Ded: $25,000
$2,000,000 Aggregate
Re: City Hall Council Chambers equipment upgrade.

City of Goleta
130 Cremona Dr Ste B
Goleta CA 93117

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
E
R
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 OCCU R
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
DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 29 1001486 132849.13 04-22-2020

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 INDICA
TED. 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
10/06/2021
Denise K Hudson Insurance Agency, Inc
1045 W Katella Ave Ste 240
Orange, CA 92867
License # 0B86530
Denise Hudson
714-633-6118
[email protected]

WESTERN A/V INC
1592 N BATAVIA ST STE 2
ORANGE, CA 92867
25178
25143
25151
C Y
2,000,000
300,000
5,000
1,000,000
4,000,000
4,000,000
BUSINESS PROP 248,400
A
Y 675 9458-F02-75 06/02/2021 12/02/2021 1,000,000
C N/A N/A 92-XC-0351-6 12/14/2020 12/14/2021
5,000,000
B 92-GQ-B4663 01/01/2021 01/01/2022 1,000,000
1,000,000
1,000,000
B

SURETY BOND
92-W6-8753-3 11/17/2020 11/17/2021 $15,000

AUDIO VISUAL SYSTEMS INTEGRATION
Business Location 1592 N Batavia St., Ste 2, Orange, CA 92867

It is agreed that is is the intention of the Company to provide 30 days written notice prior to the cancellation of the policy designated in this certificate. However, the Company assumes no liability for failure to do so.

City of Goleta
130 Cremona Drive, Suite B
Goleta, CA 93117
State Farm Mutual Automobile Insurance Company
State Farm Fire and Casualty Company
State Farm General Insurance Company
92-GY-D812-0 10/31/2020 10/31/2021

DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 30 1001486 132849.13 04-22-2020

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 INDICA
TED. 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
10/06/2021
Denise K Hudson Insurance Agency, Inc
1045 W Katella Ave Ste 240
Orange, CA 92867
License # 0B86530
Denise Hudson
714-633-6118
[email protected]

WESTERN A/V INC
1592 N BATAVIA ST STE 2
ORANGE, CA 92867
25178
25143
25151
C Y
2,000,000
300,000
5,000
1,000,000
4,000,000
4,000,000
BUSINESS PROP 248,400
A
Y 675 9458-F02-75 06/02/2021 12/02/2021 1,000,000
C N/A N/A 92-XC-0351-6 12/14/2020 12/14/2021
5,000,000
B 92-GQ-B4663 01/01/2021 01/01/2022 1,000,000
1,000,000
1,000,000
B

SURETY BOND
92-W6-8753-3 11/17/2021 11/17/2022 $15,000

AUDIO VISUAL SYSTEMS INTEGRATION
Business Location 1592 N Batavia St., Ste 2, Orange, CA 92867

It is agreed that is is the intention of the Company to provide 30 days written notice prior to the cancellation of the policy designated in this certificate. However, the Company assumes no liability for failure to do so.

City of Goleta
130 Cremona Drive, Suite B
Goleta, CA 93117
State Farm Mutual Automobile Insurance Company
State Farm Fire and Casualty Company
State Farm General Insurance Company
92-GY-D812-0 10/31/2021 10/31/2022

DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 31 Name And Address Of Additional Insured Person Or Organization:

CITY OF GOLETA, ITS EMPLOYEES, OFFICIALS, AGENTS AND MEMBER AGENCIES 130 CREMONA DR STE B
GOLETA CA 93117

1. SECTION II — WHO IS AN INSURED of
SECTION II — LIABILITY is amended to in-
clude, as an additional insured, any person or
organization shown in the Schedule, but only
with respect to liability for “bodily injury”,
“property damage”, or “personal and advertis-
ing injury” caused, in whole or in part, by:
a. Ongoing Operations
(1) Your acts or omissions; or
(2) The acts or omissions of those acting
on your behalf;
in the performance of your ongoing opera-
tions for that additional insured; or
b. Products – Completed Operations
“Your work” performed for that additional
insured and included in the “products-
completed operations hazard”.

However, Paragraph 1. above is subject to the
following:

The insurance afforded to the additional
insured only applies to the extent permit-
ted by law;
a.
b. If coverage provided to the additional in-
sured is required by a contract or agree-
ment, the insurance provided to the
additional insured will not be broader than
that which you are required by the contract
or agreement to provide for such addition-
al insured; and
c. If the contract or agreement between you
and the additional insured is governed by
California Civil Code Section 2782 or
2782.05, the insurance provided to the
additional insured is the lesser of that
which:
(1) Is allowed for the satisfaction of a de-
fense or indemnity obligation by Cali-
fornia Civil Code Section 2782 or
2782.05 for your sole liability; or
You are required by contract or
agreement to provide for such addi-
tional insured.
(2)
We have no duty to defend or indemnify the
additional insured under this endorsement un-
til a claim or “suit” is tendered to us.

CMP-4786.1

Page 1 of 2 ends

CMP-4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS (Scheduled)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

KG Policy No. 92 GYD812 0 3535-FB8A
This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

SCHEDULE
Policy Number:

Named Insured:

WESTERN A/V INC
1592 N BATAVIA ST STE 2
ORANGE CA 92867-3554
, Copyright, State Farm Mutual Automobile Insurance Company, 2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission.

CONTINUED
©
92 GYD812 0
DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 32 Any insurance provided to the additional in-
sured shall only apply with respect to a claim
made or a “suit” brought for damages for
which you are provided coverage.

2. With respect to the insurance afforded to the
additional insured, the following is added to
SECTION II — LIMITS OF INSURANCE:

3. If coverage provided to the additional insured
is required by contract or agreement, the most
we will pay on behalf of the additional insured
will be the lesser of the amount of insurance:

Required by the contract or agreement; ora.

Available under the applicable Limits Of
Insurance shown in the Declarations.
b.

This endorsement shall not increase the ap-
plicable Limits Of Insurance shown in the
Declarations.

With respect to the insurance afforded to the
additional insured, the following is added to
Paragraph 3. Duties In The Event Of Occur-
rence, Offense, Claim Or Suit of SECTION
II — GENERAL CONDITIONS:

4. The additional insured must:

See to it that we are notified as soon as
practicable of an “occurrence” or an of-
fense which may result in a claim. To the
extent possible, notice should include:
a.

How, when and where the “occur-
rence” or offense took place;
(1)
The names and addresses of any in-
jured persons and witnesses; and
(2)
The nature and location of any injury
or damage arising out of the “occur-
rence” or offense;
(3)
Tender the defense and indemnity of any
claim or “suit” to us and to all other insur-
ers who may have insurance potentially
available to the additional insured; and
b.

Agree to make available any other insur-
ance the additional insured has for de-
fense or damages for which we would
provide coverage under SECTION II —
LIABILITY.
c.

With respect to the insurance afforded the ad-
ditional insured, the following replaces SEC-
TION II —LIABILITY of Paragraph 7. Other
Insurance of SECTION I AND SECTION II —
COMMON POLICY CONDITIONS:

5. This insurance is primary to and will not
seek contribution from any other insurance
available to the additional insured, provided
that the additional insured is a named in-
sured under such other insurance.
a.

Regardless of any agreement between
you and the additional insured, this insur-
ance is excess over any other insurance
whether primary, excess, contingent or on
any other basis for which the additional in-
sured has been added as an additional in-
sured on other policies.
b.

There will be no refund of premium in the event
this endorsement is cancelled.

All other policy provisions apply.

CMP-4786.1 1007033 148011 08-21-2014
, Copyright, State Farm Mutual Automobile Insurance Company, 2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission. ©
CMP-4786.1

Page 2 of 2 ends

DocuSign Envelope ID: 36914120-431A-46E1-B405-B5C383ACE289 DocuSign Envelope ID: 62BBCCBB-92B5-4F05-99BC-C2605799ABB2 DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 33 POLICY NUMBERPOLICY PERIOD
(o1a025te)
DO NOT PAY PREMIUMS SHOWN ON THIS PAGE.IF AN AMOUNT IS DUE, THEN A SEPARATE STATEMENT IS ENCLOSE D.YEAR MAKE MODEL BODY STYLE VEHICLE ID. NUMBER CLASS I1SX0N
675 9458-F02-75BWESTERN A/V INC1592 N BATAVIA ST STE 2
ORANGE CA 92867-3554 OCT 04 2021 to JUN 02 2022VOL
1031434923
07460-4-B

DENISE K HUDSON INS AGCY INC
1045 W KATELLA AVE STE 240
ORANGE, CA 92867-3564 (714)633-6118
MUTLA000543 0058
05602 /06492
________________________________
IPPD675 9458 75 000543 OCT 11 2021 0058 12
MATCH 0054100541 A901E

CONTINUED
PAGE 1 OF 2

STATE FARM PAYMENT PLAN NUMBERNAMED INSURED
AGENT
PHONE:

See Reverse Side
75-3535-4 B DECLARATIONS PAGE12:01 A.M. Standard Time

YOUR CAR
State Farm Mutual Automobile Insurance Company PO Box 853922 Richardson, TX 75085-3922 2020 FORD RANGER 1FTER4EH1LLA27230PICKUP 000HCX10

SYMBOLS COVERAGE & LIMITS PREMIUMS
A $620.92Liability Coverage Bodily Injury Limits Each Person, Each Accident $1,000,000 $1,000,000 Property Damage Limit Each Accident $1,000,000 D $17.56Comprehensive Coverage - $2,000 Deductible G $249.75Collision Coverage - $2,000 Deductible R1 $22.65Car Rental and Travel Expenses Coverage Limit - Car Rental Expense Each Day, Each Loss $25 $600 U $55.13Uninsured Motor Vehicle Coverage Bodily Injury Limits Each Person, Each Accident $30,000 $60,000 U1 $11.65Uninsured Motor Vehicle Property Damage Coverage

$977.66 Total premium for OCT 04 2021 to JUN 02 2022.

IMPORTANT MESSAGES Replaced policy number 6759458-75A. Your total renewal premium for DEC 02 2021 to JUN 02 2022 is $732.07. Location used to determine rate charged-6353 CORTE DEL ABETO STE 106, CARLSBAD CA 92011-1437. 155-3866 CA.2 05-2002 (o1a025fc)
DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 34 B10
DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 35 POLICY NUMBERPOLICY PERIOD
(o1a025vd)
Telephone:Prepared(o1a0254c)
I3SX0
675 9458-F02-75BWESTERN A/V INC1592 N BATAVIA ST STE 2
ORANGE CA 92867-3554 OCT 04 2021 to JUN 02 2022VOL
1031434923
OCT 12 2021
07460-4-B
DENISE K HUDSON INS AGCY INC(714)633-6118
MUTLA000543 0058
05603 /06492
____
____________
IPPD675 9458 75 000543 OCT 11 2021 0058 12
MATCH 0054100541 A901EPAGE 2 OF 2

STATE FARM PAYMENT PLAN NUMBERNAMED INSURED
Agent: 3535-B8A
75-3535-4 B DECLARATIONS PAGE12:01 A.M. Standard Time
State Farm Mutual Automobile Insurance Company PO Box 853922 Richardson, TX 75085-3922

EXCEPTIONS, POLICY BOOKLET & ENDORSEMENTS (See policy booklet & individual endorsements for coverage details.) YOUR POLICY CONSISTS OF THIS DECLARATIONS PAGE, THE POLICY BOOKLET - FORM 9805B, AND ANY ENDORSEMENTS THAT APPLY, INCLUDING THOSE ISSUED TO YOU WITH ANY SUBSEQUENT RENEWAL NOTICE. CREDITOR- FORD MOTOR CREDIT COMPANY, PO BOX 105704, ATLANTA GA 30348-5704. 01 6028BU ADDITIONAL INSURED-CITY OF RIVERSIDE, 3900 MAIN ST, RIVERSIDE CA 92522-0002. 02 6028BU ADDITIONAL INSURED-BANK OF AMERICA, N.A., PO BOX 40329, JACKSONVILLE FL 32203-0329. 03 6028BU ADDITIONAL INSURED-BANK OF AMERICA, N.A., 225 FRANKLIN ST, BOSTON MA 02110-2812. 04 6028BU ADDITIONAL INSURED-SUN COUNTRY BUILDERS INC., OWN, ERS, ARCHITECT, LENDERS 3156 LIONSHEAD AVE, CARLSBAD CA 92010-4703. 05 6028BU ADDITIONAL INSURED-MISSION HERITAGE, L.P., 1230 COLUMBIA ST, SAN DIEGO CA 92101-8571. 06 6028BU ADDITIONAL INSURED-CITY OF GOLETA ITS EMPLOYEES, OFFICIALS, AGENTS AND MEMBER AGENCIES, 130 CREMONA DR STE B, GOLETA CA 93117-5514. 6196AA WAIVER OF SUBROGATION UNDER THE LIABILITY COVERAGE. 6030GF BUSINESS NAMED INSURED. 6126MD EXCESS COVERAGE FOR PERSONAL VEHICLE SHARING. 6128AC AMENDATORY ENDORSEMENT. 6196AA WAIVER OF SUBROGATION UNDER THE LIABILITY COVERAGE FOR CITY OF GOLETA, ITS EMPLOYEES, OFFICIALS, AGENTS AND MEMBER AGENCIES. 155-3866 CA.2 05-2002 (o1a025fc)
DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 36 B10
DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 37 ED1
PLEASE ATTACH TO YOUR POLICY BOOKLET Policy Number: 675 9458-F02-75BSheet 1 of 2 05604 /06492
________
DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 38 PLEASE ATTACH TO YOUR POLICY BOOKLET Policy Number: 675 9458-F02-75B 05604 /06492
DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 39 ED1
PLEASE ATTACH TO YOUR POLICY BOOKLET Policy Number: 675 9458-F02-75BSheet 2 of 2 05605 /06492
____
DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 40 /
DocuSign Envelope ID: B6D9048A-6431-4F0E-9926-93F5DF624C8F 41

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