ITEM 4. 6
CITY MANAGER' S REPORT
APRIL 8, 2024, CITY COUNCIL REGULAR MEETING
ITEM:
RECOMMENDATION:
RATIFY THE SERVICE CONTRACT WITH ICU
TECHNOLOGIES INC. FOR THE CAMERA
SURVEILLANCE SYSTEMS FOR PHASE II OF
MAJOR CITY PARKS SURVEILLANCE CIP GG 22-
35 Adopt a Resolution Ratifying the Service
Contract with ICU Technologies, Inc. for the
Surveillance Systems for Phase II of Major City
Parks Surveillance CIP GG 22- 35
SUMMARY:
At the September 12, 2022, City Council Meeting, Council approved a budget to cover the cost of a camera surveillance system for the first phase of Capital Improvement Project ( CIP) GG 22- 35 Camera Surveillance Systems for Major City Parks. In December 2023, City Council was presented with an update on the parks as the first phase was almost complete and staff proposed the addition of the parks listed below, to be added to CIP GG 22- 35 as Phase II for the installation of a camera surveillance system.
Champion Park
Park West
Woodfield Park Basin
William S. Moss Park
Mossdale Landing Community Park
Staff requested proposals from ICU Technologies, Inc. (ICU) for the hardware and services required at each park. ICU currently holds an active contract with the U. S.
General Services Administration ( GSA) in Security & Protection and Information Technology Hardware & Software and is an authorized seller of surveillance cameras that meets the hardware specification of the City' s standard camera surveillance system for city parks under CIP GG 22- 35. Furthermore, ICU is certified to perform the configuration and installation of these cameras. ICU presented a proposal with a sum of $ 244, 919. 10 to provide the licenses and cameras, configuration, and installation for all five ( 5) additional parks.
Due to the supply chain demand, there is a long lead time for the required equipment.
To minimalize delay to the project and to provide a tool for the Lathrop Police department to use during investigations and deter further vandalism the City Manager signed the Service Contract with ICU Technologies Inc. for the camera surveillance systems for Phase II of the CIP 22- 35 Major City Parks in March 2024.
CITY MANAGER' S REPORT PAGE 2
APRIL 8, 2024, CITY COUNCIL REGULAR MEETING
RATIFY THE SERVICE CONTRACT WITH ICU TECHNOLOGIES INC. FOR THE
CAMERA SURVEILLANCE SYSTEMS FOR PHASE II OF MAJOR CITY PARKS SURVEILLANCE CIP GG 22- 35
Tonight, Staff is requesting City Council adopt a resolution to ratify the service contract with ICU Technologies, Inc. for a sum not to exceed $ 244, 919. 10for the purchase, and configuration, and installation of surveillance cameras for Phase II of the CIP GG 22- 35 Major City Parks Surveillance.
BACKGROUND:
On September 13, 2021, City Council approved the creation of Capital Improvement Project ( CIP) GG 22- 35 for Camera Surveillance Systems for Major City Parks. One year after on September 12, 2022, Council approved Resolution 22- 5150 authorizing a budget to cover the cost of a camera surveillance system for the first phase of CIP GG 22- 35 Camera Surveillance Systems for Major City Parks. The first phase included the three parks listed below.
Apolinar Sangalang Park
Manuel Valverde Park
Woodfield Park
In December 2023, City Council was presented with a slide presentation update of Phase I as it was almost complete. During the presentation, staff proposed the following five ( 5) parks to have the surveillance system installed as Phase II. These parks have recently suffered significant damage from vandalism resulting in repair expenses exceeding $ 10, 000 for a single park.
Champion Park
Park West
Woodfield Park Basin
William S. Moss Park
Mossdale Landing Community Park
These parks would have benefitted from surveillance systems as they act as a deterrent to vandalism and malicious activities. The Lathrop Police Department would have been able to utilize the system to investigate the criminal activities and the system would have facilitated the solving of these crimes.
Staff requested ICU present a proposal for each of the parks due to these circumstances. ICU currently holds an active contract with the U. S. General Services Administration ( GSA) - GSA Contract No. 47QSWA18D003K in Security & Protection and Information Technology Hardware & Software. This program, administered by the United States Government, provides government agencies with discounted pricing schedules, and establishes purchasing contracts with vendors through a competitive bidding process. The GSA' s
competitive bidding process is in
conformance with the Office of Procurement, Department of General Services of the State of California exemption as described in the Lathrop Municipal Code Section
2. 36. 110. Furthermore, ICU has provided, configured, and installed other camera surveillance systems and the licenses at numerous City facilities.
CITY MANAGER' SREPORT PAGE 3
APRIL 8, 2024, CITY COUNCIL REGULAR MEETING
RATIFY THE SERVICE CONTRACT WITH ICU TECHNOLOGIES INC. FOR THE
CAMERA SURVEILLANCE SYSTEMS FOR PHASE II OF MAJOR CITY PARKS SURVEILLANCE CIP GG 22- 35
ICU presented proposals that are equal to the pricing of the contract ICU holds with GSA. Therefore, the claimed bidding exemption is pursuant to Lathrop Municipal Code LMC) 2. 36. 110( a) for the Service Contract with ICU for the purchase, configuration and installation of the surveillance cameras and the licenses for CIP 22- 35 Major City Parks.
Due to the supply chain and demand, there is a long lead time for the required equipment. To not delay the project, provide a tool for the Lathrop Police department to use during investigations and deter further vandalism the City Manager signed the Service Contract with ICU Technologies Inc. for the camera surveillance systems for Phase II of the CIP 22- 35 Major City Parks in March 2024.
Tonight, Staff is requesting City Council adopt a resolution to ratify City Manager approval of the service contract with ICU Technologies, Inc. for a sum of $244, 919. 10 for Phase II of Major City Parks CIP 22- 35.
REASON FOR RECOMMENDATION:
The Camera Surveillance System procured through ICU Technologies, LLC for CIP GG 22- 35 for Camera Surveillance System for Major City Parks represents an effort to utilize technology to deter crimes, expedite crime solving, and to enhance crime prevention and public safety.
FISCAL IMPACT:
There are sufficient funds available in CIP GG 22- 35 to cover the costs of installation of a camera surveillance systems procured through ICU Technologies, Inc.
ATTACHMENTS:
A. Resolution Ratifying the Agreement with ICU Technologies, Inc. to Provide, Configure and Install Camera Surveillance Systems for Phase II of Major City Parks Surveillance Systems CIP GG 22- 35
B. Service Contract with ICU Technologies, Inc. to Provide, Configure and Install Camera Surveillance System for Phase II of Major City Parks Surveillance Systems CIP GG 22- 35
CITY MANAGER' S REPORT PAGE 4
APRIL 8, 2024, CITY COUNCIL REGULAR MEETING
RATIFY THE SERVICE CONTRACT WITHICU TECHNOLOGIES INC. FOR THE
CAMERA SURVEILLANCE SYSTEMS FOR PHASE II OF MAJOR CITY PARKS SURVEILLANCE CIP GG 22- 35
APPROVALS:
z 2- Li
ony Fernandes Date
Information Systems Director
Ca
Finance Director
3/ dzi/ ate
Date
3 • 2 C • Z. c,
Michael King Date
Assistant City Mana
3 -z-.
Salvador Navarrete Date
City Attorney
Stephen 3. Salvatore Date
City Manager
RESOLUTION NO. 24 -
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF LATHROP TO RATIFY THE SERVICE CONTRACT WITH ICU TECHNOLOGIES INC. FOR THE CAMERA SURVEILLANCE SYSTEMS FOR PHASE II OF MAJOR CITY PARKS CIP GG 22- 35 WHEREAS, on September 13, 2021, City Council approved the creation of Capital Improvement Project ( CIP) GG 22- 35 for Camera Surveillance Systems for Major City Parks; and
WHEREAS, the first phase that included Apolinar Sangalang Park, Manuel Valverde Park and Woodfield Park is complete; and
WHEREAS, staff proposed Champion Park, Park West, Woodfield Park Basin, William S. Moss Park and Mossdale Landing Community Park to have the surveillance system installed as Phase II; and
WHEREAS, ICU currently holds an active contract with the U. S. General Services Administration ( GSA) - GSA Contract No. 47QSWA18D003K in Security & Protection and Information Technology Hardware & Software; and WHEREAS, ICU presented proposals totaling $ 244, 919. 10at pricing equal to the contract that ICU holds with GSA and therefore, this contract is exempt from bidding pursuant to Lathrop Municipal Code ( LMC) 2. 36. 110( a) for the purchase, configuration and installation of the surveillance cameras and the licenses for CIP 22- 35 Major City Parks.
WHEREAS, to not delay the project provide a tool for the Lathrop Police department to use during investigations and deter further vandalism, the City Manager signed the Service Contract with ICU Technologies Inc. in March 2024.
NOW, THEREFORE, BE IT RESOLVED, the City Council of the City of Lathrop does hereby ratify the service contract with ICU Technologies Inc. for the Camera Surveillance Systems for Phase II of Major City Parks Surveillance CIP GG 22- 35 in the amount of $ 244, 919. 0.
The foregoing resolution was passed and adopted this 8th day of April 2024, by the following vote of the City Council, to wit:
AYES:
NOES:
ABSENT:
ABSTAIN:
Sonny Dhaliwal, Mayor
ATTEST: APPROVED AS TO FORM:
Teresa Vargas, City Clerk Salvador Navarrete, City Attorney City of
Office of the City Manager
March 2H, 2024
Attachment B
390 Towne Centre Dr. - Lathrop, CA 95330
Phone (209) 941- 7220 - fax (209) 941- 7248
www. ci. lathrop. ca. us
NOTICE TO PROCEED
ICU Technologies, Inc.
Tommy Smith
1382 Blue Oaks Blvd, Suite # 110
Roseville, CA 95678
Dear Mr. Smith:
Enclosed please find your original executed agreement to provide the Purchase, Configuration and Installation Cameras for CIP GG 22- 35 Major Parks Surveillance Phase II. This is your Notice to Proceed to the attached agreement.
Should you have any questions regarding the project, please contact Tony Fernandes at 209) 941- 7349, the staff member directly involved with this project.
Sincerely,
S en J. Salvatore
City Manager
Copy: Teresa Vargas, City Clerk
Project File
DocuSign Envelope ID: 64203625- 4498-1 D6- A611- FBF277F51571
CITY OF LATHROP AGREEMENT BETWEEN THE CITY OF LATHROP
AND ICU TECHNOLOGIES, INC.
FOR THE PURCHASE, INSTALLATION AND CONFIGURATION OF
PIVOT TILT ZOOM (PTZ) AND MULTI -SENSOR CAMERAS FOR CIP GG 22- 35 MAJOR CITY PARKS SURVIELLANCE
THIS AGREEMENT, dated for convenience this Zqday of March 2024, is by and made and entered into by and between ICU TECHNOLOGIES, INC. ("CONSULTANT") and the CITY OF LATHROP, a California municipal corporation (" CITY"); RECITALS:
WHEREAS, CONSULTANT is specially trained, experienced, and competent to perform the installation, configuration, and commissioning of multi -sensor cameras as required by this agreement; and
WHEREAS, CONSULTANT was selected by CITY pursuant to said qualifications; and
WHEREAS, CONSULTANT is willing to render such Professional Services as hereinafter defined, on the following terms and conditions; WHEREAS, the purchase from the CONSULTANT is exempt from the CITY' S standard bidding procedure pursuant to Lathrop Municipal Code ( LMC) 2. 36. 110, as the CONSULTANT holds GSA Contract number 47QSWA18D003K in Security & Protection and Information Technology Hardware & Software and pricing is pursuant to that contract.
NOW, THEREFORE, CONSULTANT and the CITY agree as follows:
AGREEMENT
1) Scope of Service.
CONSULTANT agrees to perform the deployment, configuration, and commissioning of PTZ and multi -sensor cameras in accordance with the scope of work and fee proposal submitted by the CONSULTANT, attached as Exhibit " A" through Exhibit " E" and incorporated herein by reference. CONSULTANT agrees to diligently perform these services in accordance with the standards of its profession and CITY' Ssatisfaction.
2) Compensation.
CITY hereby agrees to pay CONSULTANT a sum not to exceed $ 244, 919. 10as described in Exhibit " A" through Exhibit "E".
DocuSign Envelope ID: 64203625- 4498-1D6- A611- FBF277F51571 CITY OF LATHROP — ICU TECHNOLOGIES, INC.
PURCHASE, INSTALLATION AND CONFIGURATION OF PTZ AND MULTI -SENSOR CAMERAS FOR CIP GG 23- 35 MAJOR CITY PARKS SURVIELLANCE CONSULTANT shall be paid within thirty ( 30) days of receipt of billings containing all information contained in Paragraph 5 below. In no event shall CONSULTANT be entitled to compensation for work not included in Exhibit " A" through Exhibit " E", unless a written change order or authorization describing the extra work and payment terms has been executed by CITY' s Authorized Representative prior to the commencement of the work.
3) Effective Date and Term.
This agreement shall become effective on the signature date of the Department Head and CONSULTANT has been notified in writing as identified in section ( 18), and it shall terminate no later than June 30, 2024.
4) Independent Contractor Status.
It is expressly understood and agreed by both parties that CONSULTANT, while engaged in carrying out and complying with any of the terms and conditions of this Agreement, is an independent contractor and not an employee of the CITY.
CONSULTANT expressly warrants not to represent, at any time or in any manner, that CONSULTANT is an employee of the CITY.
5) Billings.
CONSULTANT' Sbills shall include date, date due, a list of all tasks performed by deliverable, a total amount due, the amounts previously billed, the net amount due on the invoice, and the balance remaining on the agreement and the CONSULTANT' Ssignature. Except as specifically authorized by CITY, CONSULTANT shall not bill CITY for duplicate services performed by more than one person. In no event shall CONSULTANT submit any billing for an amount in excess of the maximum amount of compensation provided in section ( 2) for listed services or for the entire Agreement, unless modified by a properly executed change order.
6) Advice and Status Reporting.
CONSULTANT shall provide the CITY with timely reports, orally or in writing, of all significant developments arising during performance of its services hereunder, and shall furnish to CITY such information as is necessary to enable CITY to monitor the performance of this Agreement. CONSULTANT shall clarify with the CITY any details of the design that are not specifically understood.
DocuSign Envelope ID: 64203625- 4498-1 D6- A611- FBF277F51571 CITY OF LATHROP — ICU TECHNOLOGIES, INC.
PURCHASE, INSTALLATION AND CONFIGURATION OF PTZ AND MULTI - SENSOR CAMERAS FOR CIP GG 23- 35 MAJOR CITY PARKS SURVIELLANCE 7) Assignment of Personnel.
CONSULTANT shall assign only competent personnel to perform services pursuant to this Agreement. If CITY asks CONSULTANT to remove a person assigned to the work called for under this Agreement, CONSULTANT agrees to do so immediately, regardless of the reason, or the lack of a reason, according to the CITY' Srequest.
The services shall be performed by, or under the direct supervision, CONSULTANT' sAuthorized Representative: Tommy Smith
CONSULTANT shall not replace its Authorized Representatives without the prior written approval by the CITY.
8) Assignment and Subcontracting.
It is recognized by the parties hereto that a substantial inducement to CITY for entering into this Agreement was, and is, the professional reputation and competence of CONSULTANT. Neither this Agreement nor any interest therein may be assigned by CONSULTANT without the prior written approval of CITY' S authorized representative. CONSULTANT shall not subcontract any portion of the performance contemplated and provided for herein, other than the subcontractors noted in the proposal, without prior written approval of the CITY' Sauthorized representative.
9) Insurance.
On or before beginning any of the services or work called for by any term of this Agreement, CONSULTANT, at its own cost and expense, shall carry, maintain for the duration of the Agreement, and provide proof thereof that is acceptable to the CITY the insurance specified in subsections ( a) through ( c) below with insurers and under forms of insurance satisfactory in all respects to the CITY.
CONSULTANT shall not allow any subcontractor to commence work on any subcontract until all insurance required of the CONSULTANT has also been obtained for the subcontractor. Verification of this insurance shall be submitted and made part of this Agreement prior to execution.
a) Workers'
sole cost
Compensation.
and expense, maintain
CONSULTANT
Statutory
shall,
Workers'
at CONSULTANT' S
Compensation
Insurance and Employer' sLiability Insurance for any and all persons employed directly or indirectly by CONSULTANT. Said Statutory Workers' Compensation Insurance and Employer' s Liability Insurance shall be provided with limits of not less than one million dollars. In the alternative, CONSULTANT may rely on a selfinsurance program to meet these requirements provided that the
DocuSign Envelope ID: 64203625- 4498-1D6- A611- FBF277F51571 CITY OF LATHROP — ICU TECHNOLOGIES, INC.
PURCHASE, INSTALLATION AND CONFIGURATION OF PTZ AND MULTI -SENSOR CAMERAS FOR CIP GG 23- 35 MAJOR CITY PARKS SURVIELLANCE program of self- insurance complies fully with the provisions of the California Labor Code. The insurer, if insurance is provided, or the CONSULTANT, if a program of self- insurance is provided, shall waive all rights of subrogation against the CITY for loss arising from work performed under this Agreement.
b) Commercial General and Automobile Liability Insurance.
CONSULTANT, at CONSULTANT' Sown cost and expense, shall maintain commercial general and automobile liability insurance for the period covered by this Agreement in an amount not less than one million dollars per occurrence, combined single limit coverage for risks associated with the work contemplated by this Agreement.
If a Commercial General Liability Insurance or an Automobile Liability form or other form with a general aggregate limit is used, either the general aggregate limit shall apply separately to the work to be performed under this Agreement or the general aggregate limit shall be at least twice the required occurrence limit. Such coverage shall include but shall not be limited to, protection against claims arising from bodily and personal injury, including death resulting there from, and damage to property resulting from activities contemplated under this Agreement, including the use of owned and non -owned automobiles.
Coverage shall be at least as broad as Insurance Services Office Commercial General Liability occurrence form CG 0001 ( ed. 11/ 88) and Insurance Services Office Automobile Liability form CA 0001 ed. 12/ 90) Code 1 ( any auto).
Each of the following shall be included in the insurance coverage or added as an endorsement to the policy:
i) CITY, its officers, employees, agents, and volunteers are to be covered as insured with respect to each of the following:
liability arising out of activities performed by or on behalf of CONSULTANT, including the insider' s
general supervision of
CONSULTANT; products and completed operations of
CONSULTANT; premises owned, occupied or used by
CONSULTANT. The coverage shall contain no special
limitations on the scope of protection afforded to CITY, its officers, employees, agents, or volunteers.
ii) The insurance shall cover on an occurrence or an accident basis, and not on a claims made basis.
DocuSign Envelope ID: 64203625- 4498-1D6- A611- FBF277F51571 CITY OF LATHROP — ICU TECHNOLOGIES, INC.
PURCHASE, INSTALLATION AND CONFIGURATION OF PTZ AND MULTI -SENSOR CAMERAS FOR CIP GG 23- 35 MAJOR CITY PARKS SURVIELLANCE iii) An endorsement must state that coverage is primary insurance and that no other insurance affected by the CITY will be called upon to contribute to a loss under the coverage. iv) Any failure of CONSULTANT to comply with reporting
provisions of the policy shall not affect coverage provided to CITY and its officers, employees, agents, and volunteers. v) Insurance is to be placed with California - admitted insurers with a Best' srating of no less than A: VII.
vi) Notice of cancellation or non - renewal must be received by CITY at least thirty days prior to such change.
c) Deductibles and Self -Insured Retentions. CONSULTANT shall disclose the self -insured retentions and deductibles before beginning any of the services or work called for by any term of this Agreement.
During the period covered by this Agreement, upon express written authorization of the CITY' s authorized representative, CONSULTANT may increase such deductibles or self -insured retentions with respect to CITY, its officers, employees, agents, and volunteers. The CITY' s authorized representative may condition approval of an increase in deductible or self -insured retention levels upon a requirement that CONSULTANT procure a bond
guaranteeing payment of losses and related investigations, claim administration, and defense expenses that is satisfactory in all respects to each of them.
d) Notice of Reduction in Coverage. In the event that any coverage required under subsections ( a), (b), or ( c) of this section of the Agreement is reduced, limited, or materially affected in any other manner, CONSULTANT shall provide written notice to CITY at CONSULTANT' Searliest possible opportunity and in no case later than five days after CONSULTANT is notified of the change in coverage.
e) In addition to any other remedies CITY may have if CONSULTANT fails to provide or maintain any insurance policies or policy endorsements to the extent and within the time herein required, CITY may, at its sole option:
i) Obtain such insurance and deduct and retain the amount of the premiums for such insurance from any sums due under the Agreement;
DocuSign Envelope ID: 64203625- 4498-1D6- A611- FBF277F51571 CITY OF LATHROP — ICU TECHNOLOGIES, INC.
PURCHASE, INSTALLATION AND CONFIGURATION OF PTZ AND MULTI - SENSOR CAMERAS FOR CIP GG 23- 35 MAJOR CITY PARKS SURVIELLANCE ii) Order CONSULTANT to stop work under this Agreement or withhold any payment which becomes due to CONSULTANT
hereunder, or both stop work and withhold any payment, until CONSULTANT demonstrates compliance with the
requirements hereof;
iii) Terminate this Agreement.
Exercise of any of the above remedies, however, is an alternative to other remedies CITY may have and is not the exclusive remedy for CONSULTANT' Sbreach.
10) Indemnification - CONSULTANT' SResponsibility.
As to the CONSULTANT' Swork hereunder, it is understood and agreed that ( a) CONSULTANT has the professional skills necessary to perform the work, that ( b) CITY relies upon the professional skills of CONSULTANT to perform the work in a skillful and professional manner, and (c) CONSULTANT thus agrees to so perform.
Acceptance by CITY of the work performed under this Agreement does not operate as a release of said CONSULTANT from such professional responsibility for the work performed. It is further understood and agreed that CONSULTANT is apprised of the scope of the work to be performed under this Agreement and CONSULTANT agrees that said work can and shall be performed in a fully
competent manner in accordance with the standard of care applicable to CONSULTANT' Sprofession.
CONSULTANT shall indemnify, defend, and hold CITY, it officers, employees, agents, and volunteers harmless from and against any and all liability, claims, suits, actions, damages, and causes of action arising out of any personal injury, bodily injury, loss of life, or damage to property, or any violation of any federal, state, or municipal law or ordinance, to the extent caused by the willful misconduct or negligent acts or omissions of CONSULTANT, its employees, subcontractors, or agents, or on account of the performance or character of this work, except for any such claim arising out of the negligence or willful misconduct of the CITY, its officers, employees, agents, or volunteers. It is understood that the duty of CONSULTANT to indemnify and hold harmless includes the duty to defend as set forth in Section 2778 of the California Civil Code. Acceptance of insurance certificates and endorsements required under this Agreement does not relieve CONSULTANT from liability under this indemnification and hold harmless clause.
This indemnification and hold harmless clause shall apply whether or not such insurance policies shall have been determined to be applicable to any of such damages or claims for damages.
11) Licenses.
DocuSign Envelope ID: 64203625- 4498-1 D6- A611- FBF277F51571 CITY OF LATHROP — ICU TECHNOLOGIES, INC.
PURCHASE, INSTALLATION AND CONFIGURATION OF PTZ AND MULTI -SENSOR CAMERAS FOR CIP GG 23- 35 MAJOR CITY PARKS SURVIELLANCE If a license of any kind, which term is intended to include evidence of registration, is required of CONSULTANT, its employees, agents, or subcontractors by federal or state law, CONSULTANT warrants that such license has been obtained, is valid and in good standing, and CONSULTANT shall keep it in effect at all times during the term of this Agreement, and that any applicable bond has been posted in accordance with all applicable laws and regulations.
12) Business Licenses.
CONSULTANT shall obtain and maintain a CITY of Lathrop Business License until all Agreement services are rendered and accepted by the CITY. 13) Termination.
Either CITY or CONSULTANT may cancel this Agreement upon 30 days written notification to the other party. In the event of termination, the CONSULTANT shall be entitled to compensation for services performed to the effective date of termination; provided, however, that the CITY may condition payment of such compensation upon CONSULTANT' Sdelivery to the CITY of any or all documents, photographs, computer software, video and audio tapes, and other materials provided to CONSULTANT or prepared by or for CONSULTANT or the CITY in connection with this Agreement.
14) Funding.
CONSULTANT agrees and understands that renewal of this agreement in subsequent years is contingent upon action by the City Council consistent with the appropriations limits of Article XIII ( B) of the California Constitution and that the Council may determine not to fund this agreement in subsequent years. 15) Notices.
All contracts, appointments, approvals, authorizations, claims, demands, Change Orders, consents, designations, notices, offers, requests and statements given by either party to the other shall be in writing and shall be sufficiently given and served upon the other party if (1) personally served, (2) sent by the United States mail, postage prepaid, (3) sent by private express delivery service, or (4) in the case of a facsimile transmission, if sent to the telephone FAX number set forth below during regular business hours of the receiving party and followed with two 2) Days by delivery of a hard copy of the material sent by facsimile transmission.
Personal service shall include, without limitation, service by delivery and service by facsimile transmission.
DocuSign Envelope ID: 64203625- 4498-1 D6- A611- FBF277F51571 CITY OF LATHROP — ICU TECHNOLOGIES, INC.
PURCHASE, INSTALLATION AND CONFIGURATION OF PTZ AND MULTI -SENSOR CAMERAS FOR CIP GG 23- 35 MAJOR CITY PARKS SURVIELLANCE To City: City of Lathrop
City Clerk
390 Towne Centre Drive
Lathrop, CA 95330
Copy to:
To Consultant:
16) Miscellaneous.
City of Lathrop
Information Systems Department
390 Towne Centre Drive
Lathrop, CA 95330
Phone: (209) 941- 7430
FAX: (209) 941- 7449
ICU Technologies
Tommy Smith
1382 Blue Oaks Blvd. Suite # 110
Roseville, CA 95678
Phone: (559) 280- 9333
Fax: (559) 892- 1142
a) Consent. Whenever in this Agreement the approval or consent of a party is required, such approval or consent shall be in writing and shall be executed by a person having the express authority to grant such approval or consent.
b) Controlling Law. The parties agree that this Agreement shall be governed and construed by and in accordance with the Laws of the State of California.
c) Definitions. The definitions and terms are as defined in these specifications.
d) Force Majeure. Neither party shall be deemed to be in default on account of any delay or failure to perform its obligations under this Agreement, which directly results from an Act of God or an act of a superior governmental authority.
e) Headings. The paragraph headings are not a part of this Agreement and shall have no effect upon the construction or interpretation of any part of this Agreement.
DocuSign Envelope ID: 64203625- 4498-1 D6- A611- FBF277F51571 CITY OF LATHROP — ICU TECHNOLOGIES, INC.
PURCHASE, INSTALLATION AND CONFIGURATION OF PTZ AND MULTI -SENSOR CAMERAS FOR CIP GG 23- 35 MAJOR CITY PARKS SURVIELLANCE f)
g)
Incorporation of Documents. All documents constituting the Agreement documents described in Section 1 hereof and all documents which may, from time to time, be referred to in any duly executed amendment hereto are by such reference incorporated in the Agreement and shall be deemed to be part of this Agreement.
Integration. This Agreement and any amendments hereto between the parties constitute the entire Agreement between the parties concerning the Project and Work; there are no other prior oral or written agreements between the parties that are not incorporated in this Agreement.
h) Modification of Agreement. This Agreement shall not be modified or be binding upon the parties unless such modification is agreed to in writing and signed by the parties.
i) Provision. Any agreement, covenant, condition, clause, qualification, restriction, reservation, term or other stipulation in the Agreement shall define or otherwise control, establish or limit the performance required or permitted or to be required of or permitted by either party.
All provisions, whether covenants or conditions, shall be deemed to be both covenants and conditions.
j) Severability. If a court of competent jurisdiction finds or rules that any provision of this Agreement is void or unenforceable, the provisions of this Agreement not so affected shall remain in full force and effect.
k) Status of CONSULTANT. In the exercise of rights and obligations under this Agreement, CONSULTANT acts as an independent contractor and not as an agent or employee of CITY. CONSULTANT shall not be entitled to any rights and benefits accorded or accruing to the City Council members, officers or employees of CITY, and CONSULTANT expressly waives any and all claims to such right and benefits.
1)
m)
Successors and Assigns. The provisions of this Agreement shall inure to the benefit of, and shall apply to and bind, the successors and assigns of the parties.
Time of the Essence. Time is of the essence of this Agreement and each of its provisions. In the calculation of time hereunder, the time in which an act is to be performed shall be computed by excluding the first Day and including the last. If the time in which an act is to
DocuSign Envelope ID: 64203625- 4498-1D6- A611- FBF277F51571 CITY OF LATHROP — ICU TECHNOLOGIES, INC.
PURCHASE, INSTALLATION AND CONFIGURATION OF PTZ AND MULTI - SENSOR CAMERAS FOR CIP GG 23- 35 MAJOR CITY PARKS SURVIELLANCE be performed falls on a Saturday, Sunday or any Day observed as a legal holiday by CITY, the time for performance shall be extended to the following Business Day.
n) Venue. In the event that suit is brought by either party hereunder, the parties agree that trial of such action shall be vested exclusively in the state courts of California in the County of San Joaquin or in the United States District Court for the Eastern District of California. o) Recovery of Costs. The prevailing party in any action brought to enforce the terms of this Agreement or arising out of this Agreement may
fees,
recover
incurred
its
or
reasonable
expended in
costs,
connection
including
with
reasonable
such action
attorney' s
against
the non -prevailing party.
17) General Contractor Responsibilities.
Neither the professional activities of CONSULTANT, nor the presence of CONSULTANT or CONSULTANT' Ssub -consultants shall relieve the Consultant of its obligations, duties and responsibilities.
CITY agrees that the CITY, CONSULTANT and its sub -consultants shall be indemnified by the General Contractor and shall be made additional insured under the General Contractor' general liability insurance policy and that a Waiver of Subrogation in favor of CONSULTANT will be provided under the General Contractor' sWorkers Compensation policy. CITY will require General Contractor to provide evidence of such insurance to CITY and CONSULTANT prior to General Contractor beginning work on the project.
18) Notice to Proceed.
Prior to commencing work under this agreement, CONSULTANT shall receive a written " Notice to Proceed" from CITY. A Notice to Proceed shall not be issued until all necessary bonds and insurances have been received. City shall not be obligated to pay CONSULTANT for any services prior to issuance of the Notice to Proceed.
19) Signatures.
The individuals executing this Agreement represent and warrant that they have the right, power, legal capacity, and authority to enter into and to execute this Agreement on behalf of the respective legal entities of the CONSULTANT and the CITY. This agreement shall inure to the benefit of and be binding upon the parties hereto and their respective successors and assigns.
DocuSign Envelope ID: 64203625- 4498-1D6- A611- FBF277F51571 CITY OF LATHROP — ICU TECHNOLOGIES, INC.
PURCHASE, INSTALLATION AND CONFIGURATION OF PTZ AND MULTI -SENSOR CAMERAS FOR CIP GG 23- 35 MAJOR CITY PARKS SURVIELLANCE Approved as to Form:
Subject to Ratification
City of Lathrop
City Attorney
Salvador Navarrete
Recommended By: Director of Information Systems
Approved By:
Resolution #
CONSULTANT:
oocaslyoee by:
r
3-z.m~
Date
FulAAJA. ks 3/ 20/24
F63101F479...
Tony Fernandes
Information Systems Director
City of Lathrop
390 Towne Centre Drive
Lathrop, CA 95330
Stephe Salvatore
City Manager
ICU Technologies
Tommy Smith
1382 Blue Oaks Blvd. Suite # 110
Roseville, CA 95678
Fed ID #: 21 - 3t‘ 8° I.oa
Business License #: 1 -
Date
3. 2q- z
Date
DocuSIgned by: !
M ¶ % i( , 3/ 20/24
l — 74C19D& C970dA0...
Signature Date
Tommy Smith CEO
Print Name Title
DocuSign Envelope ID: 64203625- 4498-1 D6- A611- FBF277F51571 IcUTECHNOLOGIES
ICU Technologies Inc.
1382 Blue Oaks Blvd, Suite 110
Roseville, CA 95678
1 5304887200
orders@icu- techinc. com
www. icu- techinc. com
Exhibit A
ADDRESS SHIP TO ESTIMATE 2024- 1007
Tony Fernandes Tony Fernandes DATE 02/8/ 2024
City of Lathrop City of Lathrop EXPIRATION 03/ 29/024
390 Towne Centre Dr 390 Towne Centre Dr DATE
Lathrop, CA 95330 Lathrop, CA 95330 USA
United States
PROJECT NAME CONTRACT
Champion Park Video Solution GSA# 470SWA18D003K
SIN ITEM QTY PRICE AMOUNT
20C- H5A- 4MH 10 2,33. 17 22, 331. 70T
4X5MP, WDR, 360 degree max field of view, Lightcatcher, 3.-5. 7MM, Camera Only 334220 2. 0C- H5A- PTZ- DP36 4 2, 543. 22 10,72. 88T
H5A; 2MP 36x Pendant PTZ Dome
OLM ICU- MISC- GSA 14 98. 27 1, 375. 78T
Avigilon: WLMT 1001 - Wall Mount for large pendant camera H5AMH- DO- COVR1 10 161. 41 1, 614. 10T
Dome bubble and cover, for outdoor surface mount or pendant mount, clear. For use with the Avigilon H5A Muftisensor
OLM ICU- MISC- GSA 10 161. 42 1, 614. 20T
Avigilon: H5AMH- AD- PEND1 - Outdoor pendant mount adapter. For use with the Avigilon H5A
Muftisensor
OLM H4AMH- AD- IRIL1 10 315. 41 3, 154.0T
Optional IR illuminator ring, up to 30m ( 100ft), for use with H4AMH- DO- COVR1.
OLM ICU- MISC- GSA 14 93. 15 1, 304. 10T
Avigilon: PLMT-- 1001 - POLE MOUNT FOR LRGE PENDT WLMT- 1001 334220 NVR5- PM- 96TB- S19- NA 1 33, 734. 39 33, 734. 39T NVR5 PRM 96TB 2U Rack Mnt; WS19 NA
OLM ICU- MISC- GSA 13 546. 00 7, 098.0T
Aetek :H40 -022- 90- 120- A -
334220 ACCT - ENT 14 256. 37 3, 589. 18
ACC 7 Enterprise Edition camera license
OLM ICU- MISC- GSA 1 520. 00 520. 0T
Misc GSAinstalation materials, including cabling, conduit, fittings, blocks, connectors, and patch cables
541330L ICU- TECH1 134 127. 27 17, 054. 18
Installation and service of access control and video surveillance field devices/ systems.
Subtotal:
103, 562. 61
DocuSign Envelope ID: 64203625- 4498-1D6- A611- FBF277F51571 N/ A GSA- IFF 103, 562. 61 0.07556 782. 52
OLM ICU- MISC- GSA 1, 521. 92 0. 58 882. 71
Round -Trip Mieage from ICU HQ to Lathrop - 20 round trips x 2 vehicles - 82 miles one way
N/ A ICU -SHIPPING 1 1, 250. 0 1, 250. 0
Freight to customer location
Estimate Notes:
1. DIR# 1000064885
2. 3. Payment
Email Order
by credit
to orders@icu- techinc. com
card will include a 4% processing fee.
Accepted By
Accepted Date
SUBTOTAL 106, 477. 84
TAX 7, 255. 43
TOTAL $ 113, 73. 27
DocuSign Envelope ID: 64203625- 4498-1D6- A611- FBF277F51571 lcU
TECHNOLOGIES
ICU Technologies Inc.
1382 Blue Oaks Blvd, Suite 110
Roseville, CA 95678
1 5304887200
orders@icu- techinc. com
www. icu- techinc. com
Exhibit B
ADDRESS SHIP TO ESTIMATE 2024- 1011
Tony Fernandes Tony Fernandes DATE 01/ 17/ 2024
City of Lathrop City of Lathrop
390 Towne Centre Dr 390 Towne Centre Dr
Lathrop, CA 95330 Lathrop, CA 95330 USA
United States
PROJECT NAME CONTRACT
Mossdale Landing Video Solution GSA# 47QSWA18D003K
SIN ITEM QTY PRICE AMOUNT
20C- H5A- 4MH 6 2,33. 17 13, 399. 02T
4X5MP, WDR, 360 degree max field of view, Lightcatcher, 3.-5. 7MM, Camera Only 334220 2. 0C- H5A- PTZ- DP36 3 2, 543. 22 7, 629.6T
H5A; 2MP 36x Pendant PTZ Dome
OLM ICU- MISC- GSA 9 98. 27 884. 43T
Avgilon: WLMT 1001 - Wall Mount for large pendant camera H5AMH- DO- COVR1 6 161. 41 968. 46T
Dome bubble and cover, for outdoor surface mount or pendant mount, clear. For use with theAvigilon H5AMultisensor
OLM ICU- MISC- GSA 6 161. 42 968. 52T
Avigilon: H5AMH- AD- PEND1 - Outdoor pendant mount adapter. For use with the Av on H5A
Multisensor
OLM H4AMH- AD- IRIL1 6 315. 41 1, 892. 46T
Optional IR illuminator ring, up to 30m ( 100ft), for use with H4AMH- DO- COVR1.
OLM ICU- MISC- GSA 9 93. 15 838. 35T
Avigilon: PLMT- 1001 - POLE MOUNT FOR LRGE PENDT WLMT- 1001 334220 VMA- AS3- 8P8- NA 4 2, 552. 60 10, 210. 40T
HD Video Appliance 8 -Port 8TB; NA. ACC licenses sold separately OLM ICU- MISC- GSA 3 382.3 1,46. 99T
Avgaon: POE- INJ2- 95W- BT- NA- Indoor single Port PoE Injector Gigabit, 95W, NA power cord, for use with
H4IR PTZ - indoor installation rated.
POE- INJ2- 60W- NA 6 147. 37 884. 22T
Indoor single port Gigabit PoE++ 60W, North American power cord included.
334220 ACCT - ENT 9 256. 37 2, 307.3
ACC 7 Enterprise Edition camera license
OLM ICU- MISC- GSA 1 390. 00 390. 0T
Misc GSA installation materials, including cabling, conduit, fittings, blocks, connectors, and patch cables
DocuSign Envelope ID: 64203625- 4498-1D6- A611- FBF277F51571 541330L ICU- TECH1 96 127. 27 12, 217. 92
Installation and service of access control and video surveillance field devices/ systems.
N/ A
OLM
N/ A
Subtotal:
53, 737.6
GSA- IFF 53, 737.6 0.07556 406. 04
ICU- MISC- GSA 1,41. 44 0. 58 662. 04
Round -Trip Mileage from ICU HQ to Lathrop - 20 round trips x 2 vehicles - 82 miles one way
ICU -SHIPPING 1 582. 00 582. 00
Freight to customer location
Estimate Notes.
1. DIR# 1000064885
2. 3. Payment
Email Order
by credit
to orders@icu- techinc. com
card wit include a 4% processing fee.
Accepted By
Accepted Date
SUBTOTAL
TAX
TOTAL
55, 387. 84
3, 431. 09
58, 818. 93
DocuSign Envelope ID: 64203625- 4498-1D6- A611- FBF277F51571 IcUTECHNOLOGIES
ICU Technologies Inc.
1382 Blue Oaks Blvd, Suite 110
Roseville, CA 95678
1 5304887200
orders@icu- techinc. com
www. icu- techinc. com
Exhibit C
ADDRESS SHIP TO ESTIMATE 2024- 1008
Tony Fernandes Tony Fernandes DATE 01/ 17/ 2024
City of Lathrop City of Lathrop
390 Towne Centre Dr 390 Towne Centre Dr
Lathrop, CA 95330 Lathrop, CA 95330 USA
United States
PROJECT NAME CONTRACT
Park West Video Solution GSA# 47QSWA18D003K
SIN ITEM QTY PRICE AMOUNT
20C- H5A- 4MH 3 2,33. 17 6,99. 51T
4X5MP, WDR, 360 degree max field of view, Lightcatcher, 3.-5. 7MM, Camera Only 334220 2. 0C- H5A- PTZ- DP36 3 2, 543. 22 7, 629.6T
H5A; 2MP 36x Pendant PTZ Dome
OLM PP350 6 448. 50 2, 691. 00T
Pelco PP350 Parapet Wall Mount
OLM ICU- MISC- GSA 6 53. 19 319. 14T
Avignon: NPTA- 1001 - 1. 5 inch NPT Adapter for Large Pendant Mount Camera H5AMH- DO- COVR1 3 161. 41 484. 23T
Dome bubble and cover, for outdoor surface mount or pendant mount, clear. For use with theAvigilon H5A Multisensor
OLM ICU- MISC- GSA 3 161. 42 484. 26T
Avigion: H5AMH- AD- PEND1 - Outdoor pendant mount adapter. For use with the Avignon H5A
Multisensor
OLM H4AMH- AD- IRIL1 3 315. 41 946. 23T
Optional IR illuminator ring, up to 30m ( 100ft), for use with H4AMH- DO- COVR1. 334220 VMA- AS3- 8P8- NA 3 2, 552. 60 7, 657. 80T
HD Video Appliance 8 -Port 8TB; NA. ACC licenses sold separately 334220 ACCT - ENT 6 256. 37 1, 538. 22
ACC 7 Enterprise Edition camera license
OLM ICU- MISC- GSA 1 260. 00 260. 0T
Misc GSAinstaflation materials, including cabling, conduit, fittings, blocks, connectors, and patch cables
541330L ICU- TECH1 48 127. 27 6, 108. 96
Installation and service of access control and video surveillance field devices/ systems.
Subtotal:
34, 819. 01
N/ A GSA- IFF 34, 819. 01 0.07556 263. 09
DocuSign Envelope ID: 64203625- 4498-1 D6- A611- FBF277F51571 OLM ICU- MISC- GSA 570. 72 0. 58 331. 02
Round -Trip Mileage from ICU HQ to Lathrop - 20 round trips x 2 vehicles - 82 miles one way
N/ A ICU -SHIPPING 1 404. 00 404. 00
Freight to customer location
Estimate Notes:
1. DIR# 1000064885
2. 3. Payment
Email Order
by credit
to orders@icu- techinc. com
card will include a 4% processing fee.
Accepted By
Accepted Date
SUBTOTAL
TAX
TOTAL
35, 817. 12
2, 377. 54
38, 194. 66
DocuSign Envelope ID: 64203625- 4498-1D6- A611- FBF277F51571 IcUTECHNOLOGIES
ICU Technologies Inc.
1382 Blue Oaks Blvd, Suite 110
Roseville, CA 95678
1 5304887200
orderstgicu- techinc. com
www. icu- techinc. com
Exhibit D
ADDRESS SHIP TO ESTIMATE 2024- 1010
Tony Fernandes Tony Fernandes DATE 01/ 17/ 2024
City of Lathrop City of Lathrop
390 Towne Centre Dr 390 Towne Centre Dr
Lathrop, CA 95330 Lathrop, CA 95330 USA
United States
PROJECT NAME CONTRACT
Wiliam S. Moss Video Solution GSA# 47QSWA18D003K
SIN ITEM QTY PRICE AMOUNT
20C- H5A- 4MH 1 2,33. 17 2,33. 17T
4X5MP, WDR, 360 degree max field of view, Lightcatcher, 3.-5. 7MM, Camera Only 334220 2. 0C- H5A- PTZ- DP36 1 2, 543. 22 2, 543. 22T
H5A; 2MP 36x Pendant PTZ Dome
OLM ICU- MISC- GSA 2 98. 27 196. 54T
Avigilon: WLMT- 1001 - Wall Mount for large pendant camera H 5AMH- DO- COVR 1 1 161. 41 161. 4T
Dome bubble and cover, for outdoor surface mount or pendant mount, clear. For use with the Avigilon H5AMultisensor
OLM ICU- MISC- GSA 1 161. 42 161. 42T
Avigilon: H5AMH- AD- PEND1 - Outdoor pendant mount adapter. For use with the Avigilon H5A
Multisensor
OLM H4AMH- AD- IRIL1 1 315. 41 315. 41T
Optional IR illuminator ring, up to 30m ( 100ft), for use with H4AMH- DO- COVR1.
OLM ICU- MISC- GSA 2 93. 15 186. 30T
Avigilon: PLMT- 1001 - POLE MOUNT FOR LRGE PENDT WLMT- 1001 334220 VMA- AS3- 8P8- NA 2 2, 552. 60 5, 105. 20T
HD Video Appliance 8 -Port 8TB; NA. ACC licenses sold separately 334220 ACCT - ENT 2 256. 37 512. 74
ACC 7 Enterprise Edition camera license
OLM ICU- MISC- GSA 1 130. 00 130. 0T
Misc GSA installation materials, including cabling, conduit, fittings, blocks, connectors, and patch cables
541330L ICU- TECH1 32 127. 27 4, 072. 64
Installation and service of access control and video surveillance field devices/ systems.
Subtotal:
15, 618. 05
N/ A GSA- IFF 15, 618. 05 0.07556 118. 01
DocuSign Envelope ID: 64203625- 4498-1D6- A611- FBF277F51571 OLM ICU- MISC- GSA 380. 48 0. 58 220. 68
Round -Trip Mileage from ICU HQ to Lathrop - 20 round trips x 2 vehicles - 82 miles one way
N/ A ICU -SHIPPING 1 164. 00 164. 00
Freight to customer location
Estimate Notes:
1. DIR# 1000064885
3. 2.
Payment
Email Order
by credit
to orders@icu- techinc. com
card will include a 4% processing fee.
Accepted By
Accepted Date
SUBTOTAL
TAX
TOTAL
16,20. 74
965. 36
17, 086. 10
DocuSign Envelope ID: 64203625- 4498-1 D6- A611- FBF277F51571 IcUTECHNOLOGIES
ICU Technologies Inc.
1382 Blue Oaks Blvd, Suite 110
Roseville, CA 95678
1 5304887200
orders@icu- techinc. com
www. icu- techinc. com
Exhibit E
ADDRESS SHIP TO ESTIMATE 2024- 1009
Tony Fernandes Tony Fernandes DATE 01/ 17/ 2024
City of Lathrop City of Lathrop
390 Towne Centre Dr 390 Towne Centre Dr
Lathrop, CA 95330 Lathrop, CA 95330 USA
United States
PROJECT NAME CONTRACT
Woodfield Basin Video Solution GSA# 47QSWA18D003K
SIN ITEM QTY PRICE AMOUNT
20C- H5A- 4MH 1 2,33. 17 2,33. 17T
4X5MP, WDR, 360 degree max field of view, Lightcatcher, 3.-5. 7MM, Camera Only 334220 2. 0C- H5A- PTZ- DP36 1 2, 543. 22 2, 543. 22T
H5A; 2MP 36x Pendant PTZ Dome
OLM ICU- MISC- GSA 2 98. 27 196. 54T
Avigilon: WLMT- 1001 - Wall Mount for large pendant camera H5AMH- DO- COVR1 1 161. 41 161. 4T
Dome bubble and cover, for outdoor surface mount or pendant mount, clear. For use with theAvgilon H5AMukisensor
OLM ICU- MISC- GSA 1 161. 42 161. 42T
Avgilon: H5AMH- AD- PEND1 - Outdoor pendant mount adapter. For use with the Avigilon H5A
Multisensor
OLM H4AMH- AD- IRIL1 1 315. 41 315. 41T
Optional IR illuminator ring, up to 30m ( 100ft), for use with H4AMH- DO- COVR1.
OLM ICU- MISC- GSA 2 93. 15 186. 30T
Avigilon: PLMT- 1001 - POLE MOUNT FOR LRGE PENDT WLMT- 1001 334220 VMA- AS3- 8P8- NA 2 2, 552. 60 5, 105. 20T
HD Video Appliance 8 -Port 8TB; NA. ACC licenses sold separately 334220 ACCT - ENT 2 256. 37 512. 74
ACC 7 Enterprise Edition camera license
OLM ICU- MISC- GSA 1 130. 00 130. 0T
Misc GSA installation materials, including cabling, conduit, fittings, blocks, connectors, and patch cables
541330L ICU- TECH1 32 127. 27 4, 072. 64
Installation and service of access control and video surveillance field devices/ systems.
Subtotal:
15, 618. 05
N/ A GSA- IFF 15, 618. 05 0.07556 118. 01
DocuSign Envelope ID: 64203625- 4498-1D6- A611- FBF277F51571 OLM ICU- MISC- GSA 380. 48 0. 58 220. 68
Round -Trip Mileage from ICU HQ to Lathrop 20 round trips x 2 vehicles - 82 miles one way
N/ A ICU -SHIPPING 1 164. 00 164. 00
Freight to customer location
Estimate Notes:
1. DIR# 1000064885
2. 3. Payment
Email Order
by credit
to ordersraicu- techinc. com
card will include a 4% processing fee.
Accepted By
Accepted Date
SUBTOTAL
TAX
TOTAL
16,20. 74
965. 36
17, 086. 10
ACOR O®
440...... ---" CERTIFICATE OF LIABILITY INSURANCE
DATE ( MM/ DD/ YYYY)
3/ 21/024
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.
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).
PRODUCER
Navo Financial, Inc. Insurance and Financial Solutions
2045 South Court Street, Suite A
Visalia CA 93277
CONTACT
NAME: Certificates
aCNNo, Ext): ( 559) 733- 5169
FAX
No): ( 888) 456- 0130
ADDRESS: `, ADDR certs@navofinancial. com
INSURER( S) AFFORDING COVERAGE NAIC #
INSURER A : LANDMARK AMER INS CO 33138
INSURED
ICU Technologies Inc
1382 BLUE OAKS BLVD
Suite 110
ROSEVILLE CA 95678- 7019
INSURER B : HARTFORD ACCID & IND CO 22357
INSURER C : HUDSON INS CO 25054
INSURER 0 : HARTFORD CASUALTY INS CO 29424
INSURER E : GREAT AMER RISK SOLUTIONS SURPLUS LINES It 35351 INSURER F:
COVERAGES CERTIFICATE NUMBER: EVISION NUMBER:
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 NSURANCE 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.
INSR
LTR TYPE OF INSURANCE NSDWWVD U LWPOLICY NUMBER
POLICY EFF
MM/ OD/ YYYY)
1'
MMIMlODIODIYYYY) YY LIMITS
A
K
COMMERCIAL GENERAL LIABILITY
Y Y LHA142219 06/9/ 2023 06/9/ 2024
EACH OCCURRENCE 1, 000,00
CLAIMS - MADE KOCCUR
UAMAtat I U Rtry I tU
PREMISES ( Ea occurrence) 50, 000
MED EXP ( Any one person) 5, 000
PERSONAL BADVINJURY 1, 000,00
GEN' L
iclPOLICY
AGGREGATE
OTHER:
LIMIT APPLIES
jECa
PER:
LOC
GENERAL AGGREGATE 2, 000,00
PRODUCTS - COMP/ O AGG 2, 000,00
B
AUTOMOBILE
f.
LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY
g
P.
AUTOS
SCHEDULED
NON - OWNED
AUTOS ONLY
Y Y 51 UECBD7944 06/9/ 2023 06/9/ 2024
UUMWINEU SINGLE LIMI t
Ea accident) 1, 000,00
BODILY INJURY ( Per person)
BODILY INJURY ( Per accident) 5
PROPER 1Y DAMAGE
Per accident)
C x
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE HXS 1001910 01 06/9/ 2023 06/9/ 2024
EACH OCCURRENCE 1, 000,00
AGGREGATE 1, 000,00
DED RETENTION $
WORKERS COMPENSATION
1i1ND EMPLOYERS' LIABILITY
PRIET EREXRT E ECUTIVE ADANYYIPRNERPROPRIETOR/ PARTNER/ EXECUTIVE Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y/ N
Y
N / A
51 WEC BA8T7Y 01/3/ 2024 01/3/ 2025
X
PER
STATUTE
011+
ER
E L. EACH ACCIDENT 1, 000,00
E. L. DISEASE - EA EMPLOYEE 1, 000,00
E. L. DISEASE - POLICY LIMIT 1, 000,00
F
PRODUCT LIABILITY
PL 3288670- 04 03/ 12/ 2024 03/ 12/ 2025
EACH OCC
PROD - COMP AGG
51, 000,00
52, 000,00
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES ( ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City Of Lathrop is listed as additional insured per written contract or agreement per attached general liability and commercial auto endorsement
CERTIFICATE HOLDER CANCELLATION
City Of Lathrop
390 Towne Centre Drive
Lathrop, CA 95330
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Amituf xy Macy,
ACORD 25 ( 2016/ 03)
1988- 2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: LHA142219 COMMERCIAL GENERAL LIABILITY
CG 2011 1219
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - MANAGERS OR
LESSORS OF PREMISES
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Designation Of Premises ( Part Leased To You):
ANY PREMISES REQUIRED BY WRITTEN CONTRACT OR AGREEMENT AND AS PER PARAGRAPHS A.
AND B. BELOW
Name Of Person( s) Or Organization( s) ( Additional Insured):
ANY PERSON( S) OR ORGANIZATION( S) REQUIRED BY WRITTEN CONTRACT OR AGREEMENT AND AS PER PARAGRAPHS A. AND B. BELOW
Additional Premium: $ INCLUDED
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II — Who Is An Insured is amended to
include as an additional insured the person( s) or
organization( s) shown in the Schedule, but only
with respect to liability for " bodily injury",
property damage" or " personal and advertising
injury" caused, in whole or in part, by you or
those acting on your behalf in connection with
the ownership, maintenance or use of that part of
the premises leased to you and shown in the
Schedule and subject to the following additional
exclusions:
This insurance does not apply to:
1. Any " occurrence" which takes place after you
cease to be a tenant in that premises.
2. Structural alterations, new construction or
demolition operations performed by or on
behalf
shown in
of
the
the
Schedule.
person( s) or organization( s)
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
2. If coverage provided to the additional insured
is required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
CG 2011 1219 Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: LHA142219 COMMERCIAL GENERAL LIABILITY
CG 20 18 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -
MORTGAGEE, ASSIGNEE OR RECEIVER
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name( s) Of Personss) Or Organizations)
ANY PERSON( S) OR ORGANIZATION( S) REQUIRED
BY WRITTEN CONTRACT OR AGREEMENT AND AS
PER PARAGRAPHS A., B., AND C. BELOW
Designation Of Premises
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II — Who Is An Insured is amended to
include as an additional insured the person( s) or
organization( s) shown in the Schedule, but only
with respect to their liability as mortgagee,
assignee or receiver and arising out of the
ownership, maintenance or use of the premises by
you and shown in the Schedule.
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
B. This insurance does not apply to structural
alterations, new construction and demolition
operations performed by or for that person or
organization.
C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
CG 20 18 12 19 Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: LHA142219 COMMERCIAL GENERAL LIABILITY
CG 20 37 1219
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/ COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person( s)
ANY
Or Organization( s)
PERSON( S) OR ORGANIZATION( S) REQUIRED
BY WRITTEN CONTRACT OR AGREEMENT AND AS
PER PARAGRAPHS A. AND B. BELOW
Location And Description Of Completed Operations
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II — Who Is An Insured is amended to B.
include as an additional insured the person( s) or
organization( s) shown in the Schedule, but only
with respect to liability for " bodily injury" or
property damage" caused, in whole or in part, by
your work" at the location designated and
described in the Schedule of this endorsement
performed for that additional insured and included
in the "products -completed operations hazard".
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured
is required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
CG 20 37 12 19 Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: W
r ' . , 9 COMMERCIAL GENERAL LIABILITY
CG20101219
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person( s)
Or Organization( s) Location( s) Of Covered Operations
ANY PERSON( S) OR ORGANIZATION( S) REQUIRED
BY WRITTEN CONTRACT OR AGREEMENT AND AS
PER PARAGRAPHS A., B., AND C. BELOW
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II — Who Is An Insured is amended to
include as an additional insured the person( s) or
organization( s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property damage" or " personal and advertising injury"
caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured( s) at the location( s)
designated above.
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured
is required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to " bodily injury" or
property damage" occurr ing after:
1. All work, including materials, parts or
equipment furnished in connection with such
work, on the project ( other than service,
maintenance or repairs) to be performed by or
on behalf of the additional insured( s) at the
location of the covered operations has been
completed; or
CG 20 10 12 19 Insurance Services Office, Inc., 2018 Page 1 of 2
2. That portion of " your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a
principal as a part of the same project.
C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
CG 20 10 12 19 Insurance Services Office, Inc., 2018 Page 2 of 2 POLICY NUMBER: LHA142219 COMMERCIAL GENERAL LIABILITY
CG 20 12 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - STATE OR GOVERNMENTAL
AGENCY OR SUBDIVISION OR POLITICAL
SUBDIVISION - PERMITS OR AUTHORIZATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
State Or Governmental Agency Or Subdivision Or Political Subdivision:
ANY STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION TO WHOM
OR TO WHICH YOU ARE OBLIGATED BY THE ISSUANCE OR EXISTENCE OF A WRITTEN PERMIT TO PROVIDE INSURANCE SUCH AS IS AFFORDED BY THIS POLICY.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II — Who Is An Insured is amended to
include as an additional insured any state or
governmental agency or subdivision or political
subdivision shown in the Schedule, subject to the
following provisions:
1. This insurance applies only with respect to
operations performed by you or on your behalf
for which the state or governmental agency or
subdivision or political subdivision has issued a
permit or authorization.
However:
a. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
b. If coverage provided to the additional
insured is required by a contract or
agreement, the insurance afforded to such
additional insured will not be broader than
that which you are required by the contract
or agreement to provide for such additional
insured.
2. This insurance does not apply to:
a. "Bodily injury", " property damage" or
personal and advertising injury" arising out
of operations performed for the federal
government, state or municipality; or
b. "Bodily injury" or " property damage"
included within the " products -completed
operations hazard".
B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
CG 20 12 1219 Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: LHA142219 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AMENDMENT - AGGREGATE LIMITS OF INSURANCE
PER PROJECT)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
The General Aggregate Limit under LIMITS OF INSURANCE ( SECTION III) applies separately to each of your projects away from premises owned by or rented to you.
CG 25 0311 85 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 0 Policy Number: LHA142219 COMMERCIAL GENERAL LIABILITY
CG 20 01 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY -
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
PRODUCTS/ COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek
contribution from any other insurance available
to an additional insured under your policy
provided that:
1) The additional insured is a Named Insured
under such other insurance; and
2) You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution
from any other insurance available to the
additional insured.
CG 20 01 1219 Insurance Services Office, Inc., 2018 Page 1 of 1
LANDMARK AMERICAN INSURANCE COMPANY
This Endorsement Changes The Policy. Please Read It Carefully.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST
OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
PRODUCTS/ COMPLETED OPERATIONS LIABILITY COVERAGE FORM
SCHEDULE
Name of Person or Organization:
Any Person or Organization As Required By Written Contract The following is added to SECTION IV — CONDITIONS, 8. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US:
We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above because of payment we make for injury or damage arising out of your ongoing operations, "your product" or " your work" done under a written contract with that person or organization and included in the " product -completed operations hazard". This waiver applies only to the person or organization shown in the SCHEDULE above.
This endorsement effective 6/ 9/ 2023
forms part of Policy Number LHA142219
issued to ICU TECHNOLOGIES INC
by Landmark American Insurance Company
RSG 14048 1008 Includes copyrighted material of Insurance Services Office, Inc. 1992 with its permission.
COMMERCIAL AUTOMOBILE
HA 99 16 12 21
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL AUTOMOBILE BROAD FORM
ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
To the extent that the provisions of this endorsement provide broader benefits to the " insured" than other provisions of the Coverage Form, the provisions of this endorsement apply.
1. BROAD FORM INSURED
Paragraph . 1. - WHO IS AN INSURED - of
Section II - Liability Coverage is amended to
add the following:
d. Subsidiaries and Newly Acquired or
Formed Organizations
The Named Insured shown in the Declarations
is amended to include:
1) Any legal business entity other than a
partnership or joint venture, formed as a
subsidiary in which you have an
ownership interest of more than 50% on
the effective date of the Coverage Form.
However, the Named Insured does not
include any subsidiary that is an " insured"
under any other automobile policy or
would be an " insured" under such a policy
but for its termination or the exhaustion of
its Limit of Insurance.
2) Any organization that is acquired or
formed by you and over which you
maintain majority ownership. However,
the Named Insured does not include any
newly formed or acquired organization:
a) That is a partnership or joint venture,
b) That is an " insured" under any other
policy,
c) That has exhausted its Limit of
Insurance under any other policy, or
d) 180 days or more after its acquisition
or formation by you, unless you have
given us notice of the acquisition or
formation.
Coverage does not apply to " bodily injury"
or " property damage" that results from an
accident" that occurred before you
formed or acquired the organization.
e. Employees as Insureds
1). Any " employee" of yours while using a
covered " auto" you don' t
own, hire or
borrow in your business or your personal
affairs.
f. Lessors as Insureds
1). The lessor of a covered " auto" while the
auto" is leased to you under a written
agreement if:
a) The agreement requires you to
provide direct primary insurance for
the lessor and
b) The " auto" is leased without a driver.
Such a leased " auto" will be considered a
covered " auto" you own and not a covered
auto" you hire.
Additional Insured if Required by Contract
1) When you have agreed, in a written
contract or written agreement, that a
person or organization be added as an
additional insured on your business auto
policy, such person or organization is an
insured", but only to the extent such
person or organization is liable for " bodily
injury" or " property damage" caused by
the conduct of an " insured" under
paragraphs a. or b. of Who Is An Insured
with regard to the ownership,
maintenance or use of a covered " auto."
The insurance afforded to any such
additional insured applies only if the
bodily injury" or " property damage"
occurs:
g.
a) During the policy period, and
b) Subsequent to the execution of such
written contract, and
Form HA 9916 12 21
2021, The Hartford
Includes copyrighted material of Insurance Services Office, Inc. with its permission.)
c) Prior to the expiration of the period of
time that the written contract requires
such insurance be provided to the
additional insured.
2) How Limits Apply
If you have agreed in a written contract or
written agreement that another person or
organization be added as an additional
insured on your policy, the most we will
pay on behalf of such additional insured is
the lesser of:
a) The limits of insurance specified in the
written contract or written agreement;
or
b) The Limits of Insurance shown in the
Declarations.
Such amount shall be a part of and not in
addition to Limits of Insurance shown in
the Declarations and described in this
Section.
Additional Insureds Other Insurance
If we cover a claim or " suit" under this
Coverage Part that may also be covered
by other insurance available to an
additional insured, such additional insured
must submit such claim or " suit" to the
other insurer for defense and indemnity.
However, this provision does not apply to
the extent that you have agreed in a
written contract or written agreement that
this insurance is primary and
non- contributory with the additional
insured' s own insurance.
4) Duties in The Event Of Accident, Claim,
Suit or Loss
If you have agreed in a written contract or
written agreement that another person or
organization be added as an additional
insured on your policy, the additional
insured shall be required to comply with
the provisions in LOSS CONDITIONS 2. -
DUTIES IN THE EVENT OF ACCIDENT,
CLAIM , SUIT OR LOSS — OF SECTION
IV — BUSINESS AUTO CONDITIONS, in
the same manner as the Named Insured.
2. Primary and Non -Contributory if Required
by Contract
Only with respect to insurance provided to an
additional insured in A. 1.g. - Additional
Insured If Required by Contract, the following
provisions apply:
1) Primary Insurance When Required By
Contract
3)
This insurance is primary if you have
agreed in a written contract or written
agreement that this insurance be primary.
If other insurance is also primary, we will
share with all that other insurance by the
method described in Other Insurance 5. d.
2) Primary And Non -Contributory To Other
Insurance When Required By Contract
If you have agreed in a written contract or
written agreement that this insurance is
primary and non- contributory with the
additional insured' s own insurance, this
insurance is primary and we will not seek
contribution from that other insurance.
Paragraphs ( 1) and ( 2) do not apply to other
insurance to which the additional insured has
been added as an additional insured.
When this insurance is excess, we will have
no duty to defend the insured against any
suit" if any other insurer has a duty to defend
the insured against that " suit". If no other
insurer defends, we will undertake to do so,
but we will be entitled to the insured' srights
against all those other insurers.
When this insurance is excess over other
insurance, we will pay only our share of the
amount of the loss, if any, that exceeds the
sum of:
1) The total amount that all such other
insurance would pay for the loss in the
absence of this insurance; and
2) The total of all deductible and self -insured
amounts under all that other insurance.
We will share the remaining loss, if any, by
the method described in SECTION IV -
Business Auto Conditions, B. General
Conditions, Other Insurance 5. d.
3. AUTOS RENTED BY EMPLOYEES
Any " auto" hired or rented by your " employee" on
your behalf and at your direction will be
considered an "auto" you hire.
The SECTION IV- Business Auto Conditions, B.
General Conditions, 5. OTHER INSURANCE
Condition is amended by adding the following:
e. If an " employee' s" personal insurance also
applies on an excess basis to a covered
auto" hired or rented by your " employee" on
your behalf and at your direction, this
insurance will be primary to the " employee' s"
personal insurance.
4. AMENDED FELLOW EMPLOYEE EXCLUSION
EXCLUSION 5. - FELLOW EMPLOYEE - of
SECTION II - LIABILITY COVERAGE does not
apply if you have workers' compensation
insurance in -force covering all of your
employees".
Coverage is excess over any other collectible
insurance.
5. HIRED AUTO PHYSICAL DAMAGE COVERAGE
If hired " autos" are covered " autos" for Liability
Coverage and if Comprehensive, Specified
Causes of Loss, or Collision coverages are
provided under this Coverage Form for any " auto"
you own, then the Physical Damage Coverages
provided are extended to " autos" you hire or
borrow, subject to the following limit.
The most we will pay for " loss" to any hired " auto"
is:
1) $100, 00;
2) The actual cash value of the damaged or
stolen property at the time of the "loss"; or
3) The cost of repairing or replacing the
damaged or stolen property,
whichever is smallest, minus a deductible. The
deductible will be equal to the largest deductible
applicable to any owned " auto" for that coverage.
No deductible applies to " loss" caused by fire or
lightning. Hired Auto Physical Damage coverage
is excess over any other collectible insurance.
Subject to the above limit, deductible and excess
provisions, we will provide coverage equal to the
broadest coverage applicable to any covered
auto" you own.
We will also cover loss of use of the hired " auto" if
it results from an " accident", you are legally liable
and the lessor incurs an actual financial loss,
subject to a maximum of $ 1000 per "accident".
This extension of coverage does not apply to any
auto" you hire or borrow from any of your
employees", partners ( if you are a partnership),
members ( if you are a limited liability company),
or members of their households.
6. PHYSICAL DAMAGE - ADDITIONAL
TEMPORARY TRANSPORTATION EXPENSE
COVERAGE
Paragraph A. 4.a. of SECTION III - PHYSICAL
DAMAGE COVERAGE is amended to provide a
limit of $ 50 per day and a maximum limit of
1, 000.
7. LOAN/EASE GAP COVERAGE
Under SECTION III - PHYSICAL DAMAGE
COVERAGE, in the event of a total " loss" to a
covered " auto", we will pay your additional legal
obligation for any difference between the actual
cash value of the " auto" at the time of the " loss"
and the "outstanding balance" of the loan/ease.
Outstanding balance" means the amount you
owe on the loan/ease at the time of " loss" less
any amounts representing taxes; overdue
payments; penalties, interest or charges resulting
from overdue payments; additional mileage
charges; excess wear and tear charges; lease
termination fees; security deposits not returned by
the lessor; costs for extended warranties, credit
life Insurance, health, accident or disability
insurance purchased with the loan or lease; and
carry- over balances from previous loans or
leases.
8. AIRBAG COVERAGE
Under Paragraph B. EXCLUSIONS - of SECTION
III - PHYSICAL DAMAGE COVERAGE, the
following is added:
The exclusion relating to mechanical breakdown
does not apply to the accidental discharge of an
airbag.
9. ELECTRONIC EQUIPMENT - BROADENED
COVERAGE
a. The exceptions to Paragraphs B. 4 -
EXCLUSIONS - of SECTION III - PHYSICAL
DAMAGE COVERAGE are replaced by the
following:
Exclusions 4. c. and 4. d. do not apply to
equipment designed to be operated solely by
use of the power from the " auto' s" electrical
system that, at the time of "loss", is:
1) Permanently installed in or upon the
covered " auto";
2) Removable from a housing unit which is
permanently installed in or upon the
covered " auto";
3) An integral part of the same unit housing
any electronic equipment described in
Paragraphs ( 1) and ( 2) above; or
4) Necessary for the normal operation of the
covered " auto" or the monitoring of the
covered " auto' s" operating system.
b. Section III, Physical Damage Coverage, Limit
of Insurance, Paragraph C. 2. is amended to
add the following:
1, 500 is the most we will pay for " loss" in
any one " accident" to all electronic equipment
other than equipment designed solely for the
reproduction of sound, and accessories used
with such equipment) that reproduces,
receives or transmits audio, visual or data
signals which, at the time of " loss", is:
Form HA 99 16 12 21 Page 3 of 5
1) Permanently installed in or upon the
covered " auto" in a housing, opening or
other location that is not normally used by
the " auto" manufacturer for the installation
of such equipment;
2) Removable from a permanently installed
housing unit as described in Paragraph
2. a. above or is an integral part of that
equipment; or
3) An integral part of such equipment.
c. For each covered " auto", should loss be
limited to electronic equipment only, our
obligation to pay for, repair, return or replace
damaged or stolen electronic equipment will
be reduced by the applicable deductible
shown in the Declarations, or $ 250, whichever
deductible is less.
10. EXTRA EXPENSE • BROADENED COVERAGE
Under Paragraph A. - COVERAGE - of SECTION
III - PHYSICAL DAMAGE COVERAGE, we will
pay for the expense of returning a stolen covered
auto" to you.
11. GLASS REPAIR - WAIVER OF DEDUCTIBLE
Under Paragraph D. - DEDUCTIBLE - of
SECTION III - PHYSICAL DAMAGE COVERAGE,
the following is added:
No deductible applies to glass damage if the glass
is repaired rather than replaced.
12. TWO OR MORE DEDUCTIBLES
Under Paragraph D. - DEDUCTIBLE - of
SECTION III - PHYSICAL DAMAGE COVERAGE,
the following is added:
If another Hartford Financial Services Group, Inc.
company policy or coverage form that is not an
automobile policy or coverage form applies to the
same " accident", the following applies:
1) If the deductible under this Business Auto
Coverage Form is the smaller ( or smallest)
deductible, it will be waived;
2) If the deductible under this Business Auto
Coverage Form is not the smaller ( or
smallest) deductible, it will be reduced by the
amount of the smaller ( or smallest)
deductible.
13. AMENDED DUTIES IN THE EVENT OF
ACCIDENT, CLAIM, SUIT OR LOSS
The requirement in LOSS CONDITIONS 2. a. -
DUTIES IN THE EVENT OF ACCIDENT, CLAIM,
SUIT OR LOSS - of SECTION IV - BUSINESS
AUTO CONDITIONS that you must notify us of an
accident" applies only when the " accident" is
known to:
1) You, if you are an individual;
2) A partner, if you are a partnership;
3) A member, if you are a limited liability
company; or
4) An executive officer or insurance manager, if
you are a corporation.
14. UNINTENTIONAL FAILURE TO DISCLOSE
HAZARDS
If you unintentionally fail to disclose any hazards
existing at the inception date of your policy, we
will not deny coverage under this Coverage Form
because of such failure.
15. HIRED AUTO - COVERAGE TERRITORY
SECTION IV, BUSINESS AUTO CONDITIONS,
PARAGRAPH B. GENERAL CONDITIONS, 7. -
POLICY PERIOD, COVERAGE TERRITORY - is
added to include the following:
6) For short- tem hired " autos", the coverage
territory with respect to Liability Coverage is
anywhere in the world provided that if the
insured' s" responsibility to pay damages for
bodily injury" or " property damage" is
determined in a " suit," the " suit" is brought in
the United States of America, the territories
and possessions of the United States of
America, Puerto Rico or Canada or in a
settlement we agree to.
16. WAIVER OF SUBROGATION
Paragraph 5. TRANSFER OF RIGHTS OF
RECOVERY AGAINST OTHERS TO US - of
SECTION IV - BUSINESS AUTO CONDITIONS
A. Loss Conditions is amended by adding the
following:
We waive any right of recovery we may have
against any person or organization with whom you
have a written contract that requires such waiver
because of payments we make for damages
under this Coverage Form.
17. RESULTANT MENTAL ANGUISH COVERAGE
The definition of " bodily injury" in SECTION V -
DEFINITIONS, C. is replaced by the following:
Bodily injury" means bodily injury, sickness or
disease sustained by any person, including
mental anguish or death resulting from any of
these.
18. EXTENDED CANCELLATION CONDITION
Paragraph 2. of the COMMON POLICY
CONDITIONS - CANCELLATION - applies except
as follows:
If we cancel for any reason other than
nonpayment of premium, we will mail or deliver to
the first Named Insured written notice of
cancellation at least 60 days before the effective
date of cancellation.
Page4of5 Form HA 9916 12 21
19. HYBRID, ELECTRIC, OR NATURAL GAS
VEHICLE PAYMENT COVERAGE
In the event of a total loss to a " non -hybrid" auto
for which Comprehensive, Specified Causes of
Loss, or Collision coverages are provided under
this Coverage Form, then such Physical Damage
Coverages are amended as follows:
a. If the auto is replaced with a " hybrid" auto or
an auto powered solely by electricity or
natural gas, we will pay an additional 10%, to
a maximum of $ 2, 500, of the " non -hybrid"
auto' s actual cash value or replacement cost,
whichever is less,
b. The auto must be replaced and a
copy of a
bill of sale or new lease agreement received
by us within 60 calendar days of the date of
loss,"
c. Regardless of the number of autos deemed a
total loss, the most we will pay under this
Hybrid, Electric, or Natural Gas Vehicle
Payment Coverage provision for any one
loss" is $ 10, 000.
For the purposes of the coverage provision,
a. A " non -hybrid" auto is defined as an auto that
uses only an internal combustion engine to
move the auto but does not include autos
powered solely by electricity or natural gas.
b. A " hybrid" auto is defined as an auto with an
internal combustion engine and one or more
electric motors; and that uses the internal
combustion engine and one or more electric
motors to move the auto, or the internal
combustion engine to charge one or more
electric motors, which move the auto.
20. VEHICLE WRAP COVERAGE
In the event of a total loss to an " auto" for which
Comprehensive, Specified Causes of Loss, or
Collision coverages are provided under this
Coverage Form, then such Physical Damage
Coverages are amended to add the following:
In addition to the actual cash value of the " auto",
we will pay up to $ 1, 000 for vinyl vehicle wraps
which are displayed on the covered " auto" at the
time of total loss. Regardless of the number of
autos deemed a total loss, the most we will pay
under this Vehicle Wrap Coverage provision for
any one " loss" is $ 5, 000. For purposes of this
coverage provision, signs or other graphics
painted or magnetically affixed to the vehicle are
not considered vehicle wraps.
Form HA 99 16 12 21 Page 5 of 5
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CHANGE IN INFORMATION PAGE
INSURER: Hartford Casualty Insurance Company
NCCI Company Number: 14397 Audit Period: ANNUAL
Policy Effective Date: 01/3/ 24 Policy Expiration Date: 01/3/ 25 Policy Number: 51 WEC BA8T7Y Endorsement Number: 002
Effective Date: 03/ 22/4 Effective hour is the same as stated on the Information Page of the policy.
Named Insured and Address: ICU TECHNOLOGIES INC
1382 BLUE OAKS BLVD STE 110
ROSEVILLE CA 95678
FEIN Number: 27- 3118908
Producer Name: NAVO FIN INC INS AND FIN SOLUTIONS
It is agreed that the policy is amended as follows:
Producer Code: 51135504
This is NOT a bill. However, any changes in your premium will be reflected in your next billing statement. You will receive a separate bill from The Hartford.
In consideration of an additional premium of $ 131, it is agreed that:
Policy is amended to add the following condition( s):
Waiver of Our Right to Recover from Others Endorsement
Policy is amended to add the following Endorsement Forms reflecting the changes made to your policy.
WC040306
WC990006A(. 2)
Policy is amended to revise the following Endorsement Forms reflecting the changes made to your policy.
G- 4119- 0
WC990006A(. 1P)
Countersigned by
Authorized Representative
Form WC 99 00 06 A ( 1) Printed in U. S. A. Page 1
Process Date: 03/ 22/4 Policy Expiration Date: 01/3/ 25 CHANGE IN INFORMATION PAGE ( Continued)
Policy Number: 51 WEC BA8T7Y
SCHEDULE
IT IS AGREED THAT THE POLICY IS AMENDED AS FOLLOWS:
CLASS CODE NUMBER AND DESCRIPTION
CA - Location 1
Rating Period: 01/3/ 2024-2/ 2024
7605
SECURITY ALARM, FIRE ALARM OR LIFE SAFETY
SYSTEMS INSTALLATION, SERVICE OR REPAIR -
INCLUDING SHOP, YARD OR STORAGE OPERATIONS
8742
SALESPERSONS - OUTSIDE
8810
CLERICAL OFFICE EMPLOYEES - N 0 C
Rating Period: 03/ 22/024- 01/ 2025
7605
SECURITY ALARM, FIRE ALARM OR LIFE SAFETY
SYSTEMS INSTALLATION, SERVICE OR REPAIR -
INCLUDING SHOP, YARD OR STORAGE OPERATIONS
8742
SALESPERSONS - OUTSIDE
8810
CLERICAL OFFICE EMPLOYEES -N 0 C
Rating Period: 01/3/ 2024-025
7605
SECURITY ALARM, FIRE ALARM OR LIFE SAFETY
SYSTEMS INSTALLATION, SERVICE OR REPAIR -
INCLUDING SHOP, YARD OR STORAGE OPERATIONS
8742
SALESPERSONS - OUTSIDE
8810
CLERICAL OFFICE EMPLOYEES -N 0 C
Total State Summary
Total Class Premium
CA Territorial Differential
Waiver charge
Schedule Rating Factor
Premium discount
Expense constant
Terrorism Risk Insurance Program Reauthorization Act
Disclosure Endorsement
CA User Fund
Form WC 99 00 06 A ( 1) Printed in U. S. A.
Process Date: 03/ 22/4
ESTIMATED
TOTAL ANNUAL
REMUNERATION
45, 112. 00
201, 169. 00
177, 426. 00
163, 888. 00
730, 831. 00
644, 574. 00
209, 000.
932, 000.
822, 000.
0.0 0.0
0.0 0.0
0.0 0.0
0.0 RATES PER 100
OF
REMUNERATION
3. 950000
0. 500000
0. 350000
3. 950000
0. 500000
0. 350000
3. 950000
0. 500000
0. 350000
0. 877000
0.20000
0. 500000
0.10000
0.20000
ESTIMATED
ANNUAL
PREMIUMS
1, 782
1, 006
621
6, 474
3, 654
2,56
8, 256
4, 660
2, 877
0 1
248
125
2 0
0 2. 460400 4
Policy Expiration Date: 01/3/ 25
CHANGE IN INFORMATION PAGE ( Continued)
Policy Number: 51 WEC BA8T7Y
SCHEDULE
IT IS AGREED THAT THE POLICY IS AMENDED AS FOLLOWS:
CLASS CODE NUMBER AND DESCRIPTION ESTIMATED RATES PER 100 ESTIMATED
TOTAL ANNUAL OF ANNUAL
RENUMERATION RENUMERATION PREMIUMS
CA Fraud 0.0 0. 412200 1
CA Uninsured Employers Benefit Trust Fund 0.0 0. 150500 0 CA Subsequent Injuries Benefit Trust Fund Assessments 0.0 1. 589100 3 CA Occupational Safety & Health Fund 0.0 0. 726600 1
CA Labor Enforcement & Compliance Fund 0.0 0. 710900 0
California Total Cost 131
Form WC 99 00 06 A ( 1) Printed in U. S. A. Page 3
Process Date: 03/ 22/4 Policy Expiration Date: 01/3/ 25 THE
HARTFORD
POLICY HOLDER NOTICE - PAYROLL BILLING
Thank you for choosing The Hartford. Your policy is on our payroll billing method. The payroll billing method uses actual payrolls received throughout the policy period and a blended rate( s) to determine premiums due during the policy period.
To learn more about how your premium is calculated on the payroll billing method please visit:
https:// www. thehartford. com/ blended
Below are the blended rate( s) being used for each state and classification code on your policy:
State Class Code Blended Rate Effective
1: 1382 BLUE OAKS BLVD
STE 110, ROSEVILLE, CA
8810 0. 180000 01/3/ 2024
1: 1382 BLUE OAKS BLVD
STE 110, ROSEVILLE, CA
7605 1. 850000 01/3/ 2024
1: 1382 BLUE OAKS BLVD
STE 110, ROSEVILLE, CA
8742 0. 250000 01/3/ 2024
1: 1382 BLUE OAKS BLVD
STE 110, ROSEVILLE, CA
8742 0. 260000 03/ 22/024
1: 1382 BLUE OAKS BLVD
STE 110, ROSEVILLE, CA
7605 1. 890000 03/ 22/024
1: 1382 BLUE OAKS BLVD
STE 110, ROSEVILLE, CA
8810 0. 190000 03/ 22/024
Form G- 4119- 0 Printed in U. S. A.
2017, The Hartford
AC- Rd
CERTIFICATE OF LIABILITY INSURANCE
DATE ( MM/ DD/ YYYY)
03/ 22/024
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.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy( ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer
PRODUCER
rights to the certificate holder in lieu of such endorsement( s).
NAVO FIN INC INS AND FIN SOLUTIONS
51135504
2045 SOUTH COURT STREET
VISALIA CA 93277
CONTACT NAME:
PHONE ( 559) 733- 5169
IA/ c, No, Bay
Fax
ac, No):
E- MAIL ADDRESS:
INSURER( S) AFFORDING COVERAGE NAIC#
INSURER A: Hartford Casualty Insurance Company 29424
INSURED
ICU TECHNOLOGIES INC
1382 BLUE OAKS BLVD STE 110
ROSEVILLE CA 95678- 7052
INSURER B :
INSURER C:
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSR
SUER
WVD
POLICY NUMBER
POLICY EFF
MM/ DD/ YYYY)
POLICY EXP
MMIDD/ YYY()
LIMITS
COMMERCIAL GENERAL LIABILITY
OCCUR
L_J
EACH OCCURRENCE
CLAIMS - MADE] DAMAGE TO RENTED
PREMISES ( Ea occurrence)
MED EXP ( Any one person)
PERSONAL & ADV INJURY
GEN' L AGGREGATE LIMIT APPLIES
POLICY PROJECT
OTHER:
PER:
LOC
GENERAL AGGREGATE
PRODUCTS - COMP/ O AGG
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED
AUTOS
HIRED
AUTOS
SCHEDULED
NON - OWNED
AUTOS
COMBINED SINGLE LIMIT
Ea accident)
BODILY INJURY ( Per person)
AUTOS BODILY INJURY ( Per accident)
PROPERTY DAMAGE
Per accident)
UMBRELLA L1AB
EXCESS LIAR
OCCUR
CLAIMS -
MADE
EACH OCCURRENCE
AGGREGATE
DED RETENTION $
A
WORKERS COMPENSATION
AND EMPLOYERS- LIABILITY
ANY Y/ N
PROPRIETOR/ PARTNER/ EXECUTIVE rOFFICER/ MEMBER EXCLUDED? L Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA X 51 WEC BA8T7Y 01/3/ 2024 01/3/ 2025
x
PER OTHSTATUTE ER
E. L. EACH ACCIDENT 1, 000,00
E. L. DISEASE - EA EMPLOYEE 1, 000,00
E. L. DISEASE - POLICY LIMIT 1, 000,00
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ( ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured' sOperations.
CERTIFICATE HOLDER
For Informational Purposes Only
1382 BLUE OAKS BLVD STE 110
ROSEVILLE CA 95678- 7052
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
i .,) of C -Z
ACORD 25 ( 2016/ 03)
1988- 2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF OUR RIGHT TO RECOVER FROM
OTHERS ENDORSEMENT - CALIFORNIA
Policy Number: 51 WEC BA8T7Y Endorsement Number: 002
Effective Date: 03/ 22/4 Effective hour is the same as stated on the Information Page of the policy.
Named Insured and Address: ICU Technologies Inc
1382 BLUE OAKS BLVD STE 110
ROSEVILLE CA 95678
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. ( This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.
The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration.
SCHEDULE
Person or Organization Job Description
Any person or organization for whom you are required by written contract or agreement to obtain this waiver of rights from us
Countersigned by
Authorized Representative
Form WC 04 03 06 ( 1) Printed in U. S. A.
Process Date: 03/ 22/4 Policy Expiration Date: 01/3/ 25 AGENCY CUSTOMER ID:
LOC#:
AGENCY
ADDITIONAL REMARKS SCHEDULE Page 2 of 2
NAVO FIN INC INS AND FIN SOLUTIONS
POLICY NUMBER
SEE ACORD 25
CARRIER
SEE ACORD 25
NAIC CODE
NAMED INSURED
ICU TECHNOLOGIES INC
1382 BLUE OAKS BLVD STE 110
ROSEVILLE CA 95678- 7052
EFFECTIVE DATE: SEE ACORD 25
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Waiver of Subrogation applies in favor of the Certificate Holder per the Broad Form Endorsement - Extended Option WC990301, attached to this policy.
ACORD 101 ( 2014/ 01) 2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks ofACORD
THE
HARTFORD
THE HARTFORD
BUSINESS SERVICE CENTER
3600 WISEMAN BLVD
SAN ANTONIO TX 78251
For Informational Purposes Only
1382 BLUE OAKS BLVD STE 110
ROSEVILLE CA 95678- 7052
Account Information:
Policy Holder Details : ICU Technologies Inc
March 22, 2024
Ft Contact Us
Need Help?
Chat online or call us at
866) 467- 8730.
We' r here Monday - Friday.
Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns.
Sincerely,
Your Hartford Service Team
WLTROO5
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