455
Local Assistance Procedures Manual EXHIBIT 10-H1
Cost Proposal
Note: Mark-ups are Not Allowed
Consultant Contract No. Date 6/1/2021
DIRECT LABOR
Hours Actual Hourly Rate Total
2 $73.65 $147.30
22 $71.96 $1,583.12
240 $50.33 $12,079.20
30 $46.55 $1,396.50
42 $48.10 $2,020.20
120 $50.57 $6,068.40
206 $31.72 $6,534.32
10 $24.86 $248.60
32 $39.48 $1,263.36
32 $27.73 $887.36
9 $23.81 $214.29
$0.00
$0.00
$0.00
$0.00
$0.00
LABOR COSTS
a) Subtotal Direct Labor Costs $32,442.65
b) Anticipated Salary Increases (see page 2 for calculation) $0.00 c) TOTAL DIRECT LABOR COSTS [(a) + (b)] $32,442.65
INDIRECT COSTS
d) Fringe Benefits (Rate: 74.03% e) Total Fringe Benefits [(c) x (d)] $24,017.29 f) Overhead (Rate: 96.54% g) Overhead [(c) x (f)] $31,320.13 h) General and Administrative (Rate: 0.00% i) Gen & Admin [(c) x (h)] $0.00 j) Total Indirect Costs [(e) + (g) + (i)] $55,337.43
FIXED FEE
o) (Rate: 10.00% ) k) TOTAL FIXED PROFIT [(c) + (j)] x (o)] $8,778.01 l) CONSULTANT'S OTHER DIRECT COSTS (ODC) - ITEMIZE (Add additional pages if necessary) Description of item Quantity Unit(s) Unit Cost Total
560 mile $0.56 $313.60
0 10 $60.00 $600.00
0 10 $60.00 $600.00
1 $155.00 $155.00
1 $22,224.00 $22,224.00
l) TOTAL OTHER DIRECT COSTS $23,892.60
m) SUBCONSULTANTS’ COSTS (Add additional pages if necessary) Subconsultant 1: $0.00
Subconsultant 2: $0.00
Subconsultant 3: $0.00
m) TOTAL SUBCONSULTANT'S COSTS $0.00
N) TOTAL OTHER DIRECT COSTS INCLUDING SUBCONSULTANTS [(l) + (m)] $23,893.00 TOTAL COST [(c) + (j) + (k) + (n)] $120,451.00
NOTES:
1. Key personnel must be marked with an asterisk (*) and employees that are subject to prevailing wage requirements must be marked with two asterisks (**). All costs must comply with the Federal cost principles. Subconsultants will provide their own cost proposals.
2. The cost proposal format shall not be amended. Indirect cost rates shall be updated on an annual basis in accordance with the consultant’s annual accounting period and established by a cognizant agency or accepted by Caltrans.
3. Anticipated salary increases calculation (page 2) must accompany.
Production Specialist Dario Campos
Vehicle mileage
GPS Sub-meter accuracy rental
Santa Barbara Natives
Standard Field Package
Pettersson Bat Ultrasound
EXHIBIT 10-H1 COST PROPOSAL PAGE 1 OF 1
ACTUAL COST-PLUS-FIXED FEE OR LUMP SUM (FIRM FIXED PRICE) CONTRACTS (DESIGN, ENGINEERING AND ENVIRONMENTAL STUDIES)
Rincon Consultants, Inc.
Classification/Title Name
Senior Biologist II Julie Love
Senior Biologist I Robin Murray
Principal I Christopher Julian
Biologist III
GIS/CADD Specialist II
Administrative Various
Principal I Colby Boggs
Jon Montgomery
Senior Biologist II
Senior Biologist II
Yuling Huo
Stephanie Lopez
Eric Schaad
Biologist I Various
C
AND ENVIRONMENTA
Prime Consultant
TUDIES)
Subconsultant
2nd Tier Subconsultant
January 2018
City of Goleta
Amendment No. 6 to Agreement No. 2012-090
456
Local Assistance Procedures Manual EXHIBIT 10-H1
Cost Proposal
Consultant Contract No. Date 6/1/2021
1. Calculate Average Hourly Rate for 1st year of the contract (Direct Labor Subtotal divided by total hours) Avg Hourly 5 Year Contract
Rate Duration
$32,442.65 = $43.66 Year 1 Avg Hourly Rate
2. Calculate hourly rate for all years (Increase the Average Hourly Rate for a year by proposed escalation %) Avg Hourly Rate
Year 1 $43.66 + = $87.33 Year 2 Avg Hourly Rate
Year 2 $87.33 + = $87.33 Year 3 Avg Hourly Rate
Year 3 $87.33 + = $87.33 Year 4 Avg Hourly Rate
Year 4 $87.33 + = $87.33 Year 5 Avg Hourly Rate
Total Hours
per Year
Year 1 100.00% * = 743.0 Estimated Hours Year 1
Year 2 0.00% * = 0.0 Estimated Hours Year 2
Year 3 * = 0.0 Estimated Hours Year 3
Year 4 * = 0.0 Estimated Hours Year 4
Year 5 * = 0.0 Estimated Hours Year 5
Total 100% = 743.0
Year 1 $43.66 *= 32442.65 Estimated Hours Year 1
Year 2 $87.33 *= 0 Estimated Hours Year 2
Year 3 $87.33 *= 0 Estimated Hours Year 3
Year 4 $87.33 *= 0 Estimated Hours Year 4
Year 5 $87.33 *= 0 Estimated Hours Year 5
= $32,442.65
= $32,442.65
= $0.00 Transfer to Page 1
NOTES:
1. This is not the only way to estimate salary increases. Other methods will be accepted if they clearly indicate the % increase, the # of years of the contract, and a breakdown of the labor to be performed each year.
2. An estimation that is based on direct labor multiplied by salary increase % multiplied by the # of years is not acceptable. (i.e. $250,000 x 2% x 5 yrs = $25,000 is not an acceptable methodology)
3. This assumes that one year will be worked at the rate on the cost proposal before salary increases are granted.
4. Calculations for anticipated salary escalation must be provided.
Estimated total of Direct Labor Salary Increase
0 0
0 Cost per Year(calculated above)
Avg Hourly Rate
0 Estimated hours
(calculated above)
743
Total Direct Labor Cost with Escalation
Direct Labor Subtotal before Escalation
Completed Each Year
Estimated %
743.0
4. Calculate Total Costs including Escalation (Multiply Average Hourly Rate by the number of hours) 743.0
743.0
743.0
Total
100%
0%
EXHIBIT 10-H1 COST PROPOSAL PAGE 2 OF 2
ACTUAL COST-PLUS-FIXED FEE OR LUMP SUM (FIRM FIXED PRICE) CONTRACTS (CALCULATIONS FOR ANTICIPATED SALARY INCREASES)
743.0
Total Hours
per Cost Proposal
0%
0%
Direct Labor Subtotal
per Cost Proposal per Cost Proposal
Total Hours
743
Proposed Escalation
Rincon Consultants, Inc.
3. Calculate estimated hours per year (Multiply estimate % each year by total hours) January 2018
City of Goleta
Amendment No. 6 to Agreement No. 2012-090
457
Local Assistance Procedures Manual EXHIBIT 10-H1
Cost Proposal
Certification of Direct Costs:
I, the undersigned, certify to the best of my knowledge and belief that all direct costs identified on the cost proposal(s) in this contract are actual, reasonable, allowable, and allocable to the contract in accordance with the contract terms and the following requirements:
1. Generally Accepted Accounting Principles (GAAP)
2. Terms and conditions of the contract
3. Title 23 United States Code Section 112- Letting of Contracts
4. 48 Code of Federal Regulations Part 31- Contract Cost Principles and Procedures
5. 23 Code of Federal Regulations Part 172- Procurement, Management, and Administration of Engineering and Design Related Service
6. 48 Code of Federal Regulations Part 9904 - Cost Accounting Standards Board(when applicable) All costs must be applied consistently and fairly to all contracts. All documentation of compliance must be retained in the project files and be in compliance with applicable federal and state requirements. Costs that are noncompliant with the federal and state requirements are not eligible for reimbursement.
Local governments are responsible for applying only cognizant agency approved or Caltrans accepted Indirect Cost Rate(s).
Prime Consultant or Subconsultant Certifying:
Name: Title*:
Signature: Date of Certification (mm/dd/yyyy): 6/1/2021 Email: Phone Number:
Address:
*An individual executive or financial officer of the consultant’s or subconsultant’s organization at a level no lower than a Vice President or a Chief Financial Officer, or equivalent, who has authority to represent the financial information utilized to establish the cost proposal for the contract.
List services the consultant is providing under the proposed contract:
180 N. Ashwood Avenue, Ventura CA 93003
Environmental Consulting
EXHIBIT 10-H1 COST PROPOSAL PAGE 3 OF 3
Lacrissa Davis
[email protected]
CFO
January 2018
City of Goleta
Amendment No. 6 to Agreement No. 2012-090
458
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be e ndorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A st atement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO D INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
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)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
A
202-263-7700
1,000,000
630-7792B312-COF-21
Manashi Mukherjee
CLE-006483939-09
1,000,000
5,000,000
X
N/A
5,000,000
SIRRETRO. DATE: FULL PRIOR ACTS
of Marsh USA Inc.
N
X
COMP / COLL DED:
CONTRACTUAL INS. COV.
07/01/2021
1 07/01/2022
07/01/2021
37540
07/01/2022
[email protected]
810-1N788974-21-43-G
PROFESSIONAL LIABILITY
A
2,000,000
1,000,000
25658
N/A
1,000,000
X
D
X
subrogation is applicable where required by written contract and subject to policy terms and conditions with respect to general liability, auto liability, and workers compensation. ***Please See Additional Page for 1,000
06/29/2021
1,000,000
07/01/2021
5,000,000
Re: ALL OPERATIONS OF THE NAMED INSURED.
City of Goleta, its employees, officials, agents and member agencies are included as additional insured where required by written contract with respect to general liability and automobile liability. The general liability (INSURED CONTRACTS)
X
Goleta, CA 93117
City of Goleta
Beazley Insurance Company, Inc.
and auto liability insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract. Waiver of X
Notice of Cancellation***
A
Travelers Indemnity Company
CN102736896-7/1-1.1CA-21-22
PER CLAIM/AGGREGATE
10,000
07/01/2022
2,000,000
CUP-4J580377-21-43
2,000,000
25674
1,000,000
GAWU
1,000,000
07/01/2022
UB-6P972264-21-43-G
1050 CONNECTICUT AVENUE, SUITE 700
MARSH USA, INC.
X
WASHINGTON, DC 20036-5386
DBA DEWBERRY | DRAKE HAGLAN
DEWBERRY ENGINEERS INC.
RANCHO CORDOVA, CA 95670
11060 WHITE ROCK ROAD, SUITE 200
X
V11B5E211201
07/01/2021
130 Cremona Drive, Suite B
07/01/2021
C
Alex Gasta
07/01/2022
202-263-7881
Travelers Property Casualty Co. Of America
APPROVED 7/26/21
(MM/DD/Y
POLICY
07/01/202
21 - ALL CONTRACTS -
ALL OPERATIONS OF THE NAMED INSURED.
459
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
2 2
Washington
DAYS WRITTEN NOTICE TO CERTIFICATE HOLDER.
AS RESPECTS THE GENERAL LIABILITY, AUTOMOBILE LIABILITY, UMBRELLA LIABILITY, AND WORKERS’ COMPENSATION COVERAGES EVIDENCED ABOVE, NOTICE OF CANCELLATION WILL PROFESSIONAL LIABILITY COVERAGE EVIDENCED ABOVE, IF THIS POLICY IS CANCELLED BY THE INSURER, OTHER THAN FOR NON-PAYMENT OF PREMIUM, THE INSURER WILL PROVIDE 30 BE PROVIDED BY THE INSURER(S) TO THE CERTIFICATE HOLDER PER THE ATTACHED AS REQUIRED BY WRITTEN CONTRACT. AS RESPECTS THE PRIMARY LAYER ONLY OF THE Certificate of Liability Insurance
CN102736896
MARSH USA, INC.
DBA DEWBERRY | DRAKE HAGLAN
DEWBERRY ENGINEERS INC.
RANCHO CORDOVA, CA 95670
11060 WHITE ROCK ROAD, SUITE 200
25
460
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be e ndorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A st atement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO D INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
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)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
A
202-263-7700
1,000,000
630-7792B312-COF-21
Manashi Mukherjee
CLE-006483917-09
1,000,000
5,000,000
X
N/A
5,000,000
SIRRETRO. DATE: FULL PRIOR ACTS
of Marsh USA Inc.
N
X
COMP / COLL DED:
CONTRACTUAL INS. COV.
07/01/2021
1 07/01/2022
07/01/2021
37540
07/01/2022
[email protected]
810-1N788974-21-43-G
PROFESSIONAL LIABILITY
A
2,000,000
1,000,000
25658
N/A
1,000,000
X
D
X
insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract. Waiver of subrogation is 1,000
06/29/2021
1,000,000
07/01/2021
5,000,000
Re: San Jose Creek Southern Extent Project.
Cancellation***
(INSURED CONTRACTS)
X
City Manager
Goleta, CA 93117
City of Goleta
Beazley Insurance Company, Inc.
City of Goleta, its employees, officials, agents and member agencies are included as additional insured where required by written contract with respect to general liability and automobile liability. The general liability X
applicable where required by written contract and subject to policy terms and conditions with respect to general liability, auto liability, and workers compensation. ***Please See Additional Page for Notice of A
Travelers Indemnity Company
CN102736896-7/1-1.1CA-21-22
PER CLAIM/AGGREGATE
10,000
07/01/2022
2,000,000
CUP-4J580377-21-43
2,000,000
25674
1,000,000
GAWU
1,000,000
07/01/2022
UB-6P972264-21-43-G
1050 CONNECTICUT AVENUE, SUITE 700
MARSH USA, INC.
X
WASHINGTON, DC 20036-5386
DBA DEWBERRY | DRAKE HAGLAN
DEWBERRY ENGINEERS INC.
RANCHO CORDOVA, CA 95670
11060 WHITE ROCK ROAD, SUITE 200
X
V11B5E211201
07/01/2021
Attn: Michelle Greene
07/01/2021
C
Alex Gasta
07/01/2022
202-263-7881
Travelers Property Casualty Co. Of America
San Jose Creek Southern Extent Project.
461
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
2 2
Washington
DAYS WRITTEN NOTICE TO CERTIFICATE HOLDER.
AS RESPECTS THE GENERAL LIABILITY, AUTOMOBILE LIABILITY, UMBRELLA LIABILITY, AND WORKERS’ COMPENSATION COVERAGES EVIDENCED ABOVE, NOTICE OF CANCELLATION WILL PROFESSIONAL LIABILITY COVERAGE EVIDENCED ABOVE, IF THIS POLICY IS CANCELLED BY THE INSURER, OTHER THAN FOR NON-PAYMENT OF PREMIUM, THE INSURER WILL PROVIDE 30 BE PROVIDED BY THE INSURER(S) TO THE CERTIFICATE HOLDER PER THE ATTACHED AS REQUIRED BY WRITTEN CONTRACT. AS RESPECTS THE PRIMARY LAYER ONLY OF THE Certificate of Liability Insurance
CN102736896
MARSH USA, INC.
DBA DEWBERRY | DRAKE HAGLAN
DEWBERRY ENGINEERS INC.
RANCHO CORDOVA, CA 95670
11060 WHITE ROCK ROAD, SUITE 200
25
462
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be e ndorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A st atement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO D INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
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)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
A
202-263-7700
1,000,000
630-7792B312-COF-21
Manashi Mukherjee
CLE-006483940-09
1,000,000
5,000,000
X
N/A
5,000,000
SIRRETRO. DATE: FULL PRIOR ACTS
of Marsh USA Inc.
N
X
COMP / COLL DED:
CONTRACTUAL INS. COV.
07/01/2021
1 07/01/2022
07/01/2021
37540
07/01/2022
[email protected]
810-1N788974-21-43-G
PROFESSIONAL LIABILITY
A
2,000,000
1,000,000
25658
N/A
1,000,000
X
D
X
to the General Liability policy. Waiver of subrogation is applicable where required by written contract and subject to policy terms and conditions with respect to general liability, auto liability, and workers 1,000
06/29/2021
1,000,000
07/01/2021
5,000,000
Re: 2015-058. San Jose Creek Bike Path Southern Extent
City of Goleta, its employees, officials, agents and member agencies are included as additional insured where required by written contract with respect to general liability and automobile liability. The general liability (INSURED CONTRACTS)
X
Goleta, CA 93117
City of Goleta
Beazley Insurance Company, Inc.
insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract. Severability of Interest applies X
compensation. ***Please See Additional Page for Notice of Cancellation*** A
Travelers Indemnity Company
CN102736896-7/1-1.1CA-21-22
PER CLAIM/AGGREGATE
10,000
07/01/2022
2,000,000
CUP-4J580377-21-43
2,000,000
25674
1,000,000
GAWU
1,000,000
07/01/2022
UB-6P972264-21-43-G
1050 CONNECTICUT AVENUE, SUITE 700
MARSH USA, INC.
X
WASHINGTON, DC 20036-5386
DBA DEWBERRY | DRAKE HAGLAN
DEWBERRY ENGINEERS INC.
RANCHO CORDOVA, CA 95670
11060 WHITE ROCK ROAD, SUITE 200
X
V11B5E211201
07/01/2021
130 Cremona Drive, Suite B
07/01/2021
C
Alex Gasta
07/01/2022
202-263-7881
Travelers Property Casualty Co. Of America
2015-058. San Jose Creek Bike Path Southern Extent
463
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
2 2
Washington
DAYS WRITTEN NOTICE TO CERTIFICATE HOLDER.
AS RESPECTS THE GENERAL LIABILITY, AUTOMOBILE LIABILITY, UMBRELLA LIABILITY, AND WORKERS’ COMPENSATION COVERAGES EVIDENCED ABOVE, NOTICE OF CANCELLATION WILL PROFESSIONAL LIABILITY COVERAGE EVIDENCED ABOVE, IF THIS POLICY IS CANCELLED BY THE INSURER, OTHER THAN FOR NON-PAYMENT OF PREMIUM, THE INSURER WILL PROVIDE 30 BE PROVIDED BY THE INSURER(S) TO THE CERTIFICATE HOLDER PER THE ATTACHED AS REQUIRED BY WRITTEN CONTRACT. AS RESPECTS THE PRIMARY LAYER ONLY OF THE Certificate of Liability Insurance
CN102736896
MARSH USA, INC.
DBA DEWBERRY | DRAKE HAGLAN
DEWBERRY ENGINEERS INC.
RANCHO CORDOVA, CA 95670
11060 WHITE ROCK ROAD, SUITE 200
25
464
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be e ndorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A st atement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO D INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
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)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
A
202-263-7700
1,000,000
630-7792B312-COF-21
Manashi Mukherjee
CLE-006483944-08
1,000,000
5,000,000
X
N/A
5,000,000
SIRRETRO. DATE: FULL PRIOR ACTS
of Marsh USA Inc.
N
X
COMP / COLL DED:
CONTRACTUAL INS. COV.
07/01/2021
0 07/01/2022
07/01/2021
37540
07/01/2022
[email protected]
810-1N788974-21-43-G
PROFESSIONAL LIABILITY
A
2,000,000
1,000,000
25658
N/A
1,000,000
X
D
X
1,000
06/29/2021
1,000,000
07/01/2021
5,000,000
RE: San Jose Creek Bikeway Middle Extent Project Feasibility Studies. San Jose Creek Bikeway Middle Extent, Goleta, CA City of Goleta and its respective elected and appointed officers, officials, and employees and volunteers are included as additional insured where required by written contract with respect to general liability. The (INSURED CONTRACTS)
X
130 Cremona Dr., Suite B
Goleta, CA 93117
City of Goleta
Beazley Insurance Company, Inc.
general liability and auto liability insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract.
X
A
Travelers Indemnity Company
CN102736896-7/1-1.1CA-21-22
PER CLAIM/AGGREGATE
10,000
07/01/2022
2,000,000
CUP-4J580377-21-43
2,000,000
25674
1,000,000
1,000,000
07/01/2022
UB-6P972264-21-43-G
1050 CONNECTICUT AVENUE, SUITE 700
MARSH USA, INC.
X
WASHINGTON, DC 20036-5386
DBA DEWBERRY | DRAKE HAGLAN
DEWBERRY ENGINEERS INC.
RANCHO CORDOVA, CA 95670
11060 WHITE ROCK ROAD, SUITE 200
X
V11B5E211201
07/01/2021
Attn: Daniel Singer
07/01/2021
C
Alex Gasta
07/01/2022
202-263-7881
Travelers Property Casualty Co. Of America
(y
San Jose Creek Bikeway Middle Extent Project Feasibility Studies. San Jose Creek Bikeway Middle Extent, Goleta, CA
465
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be e ndorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A st atement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO D INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
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)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
A
202-263-7700
1,000,000
630-7792B312-COF-21
Manashi Mukherjee
CLE-006483949-09
1,000,000
5,000,000
X
N/A
5,000,000
SIRRETRO. DATE: FULL PRIOR ACTS
of Marsh USA Inc.
N
X
COMP / COLL DED:
CONTRACTUAL INS. COV.
07/01/2021
1 07/01/2022
07/01/2021
37540
07/01/2022
[email protected]
810-1N788974-21-43-G
PROFESSIONAL LIABILITY
A
2,000,000
1,000,000
25658
N/A
1,000,000
X
D
X
liability, and workers compensation. ***Please See Additional Page for Notice of Cancellation*** 1,000
06/29/2021
1,000,000
07/01/2021
5,000,000
Re: San Jose Creek Bike Path Middle Extent - San Jose Creek Bike Path Middle Extent, Golete, CA. City of Goleta is included as additional insured where required by written contract with respect to general liability. The general liability insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract. (INSURED CONTRACTS)
X
Goleta, CA 93117
City of Goleta
Beazley Insurance Company, Inc.
Severability of Interest applies to the General Liability policy. Waiver of subrogation is applicable where required by written contract and subject to policy terms and conditions with respect to general liability, auto X
A
Travelers Indemnity Company
CN102736896-7/1-1.1CA-21-22
PER CLAIM/AGGREGATE
10,000
07/01/2022
2,000,000
CUP-4J580377-21-43
2,000,000
25674
1,000,000
GAWU
1,000,000
07/01/2022
UB-6P972264-21-43-G
1050 CONNECTICUT AVENUE, SUITE 700
MARSH USA, INC.
X
WASHINGTON, DC 20036-5386
DBA DEWBERRY | DRAKE HAGLAN
DEWBERRY ENGINEERS INC.
RANCHO CORDOVA, CA 95670
11060 WHITE ROCK ROAD, SUITE 200
X
V11B5E211201
07/01/2021
130 Cremona Drive, Suite B
07/01/2021
C
Alex Gasta
07/01/2022
202-263-7881
Travelers Property Casualty Co. Of America
(
San Jose Creek Bike Path Middle Extent - San Jose Creek Bike Path Middle Extent,
466
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
2 2
Washington
DAYS WRITTEN NOTICE TO CERTIFICATE HOLDER.
AS RESPECTS THE GENERAL LIABILITY, AUTOMOBILE LIABILITY, UMBRELLA LIABILITY, AND WORKERS’ COMPENSATION COVERAGES EVIDENCED ABOVE, NOTICE OF CANCELLATION WILL PROFESSIONAL LIABILITY COVERAGE EVIDENCED ABOVE, IF THIS POLICY IS CANCELLED BY THE INSURER, OTHER THAN FOR NON-PAYMENT OF PREMIUM, THE INSURER WILL PROVIDE 30 BE PROVIDED BY THE INSURER(S) TO THE CERTIFICATE HOLDER PER THE ATTACHED AS REQUIRED BY WRITTEN CONTRACT. AS RESPECTS THE PRIMARY LAYER ONLY OF THE Certificate of Liability Insurance
CN102736896
MARSH USA, INC.
DBA DEWBERRY | DRAKE HAGLAN
DEWBERRY ENGINEERS INC.
RANCHO CORDOVA, CA 95670
11060 WHITE ROCK ROAD, SUITE 200
25
467