Agenda packet — Montebello City Council, June 12, 2024 (part 4 of 5)

Version Date:April HSIP Analyzer 2022

Page 11 of 11 ends

$738,700 $664,830 90%
$6,870,223 9.30
Section VI. Summary
Transfer the "Total Project Cost" , "HSIP Funds Requested" and the BCR to Page 2 of the HSIP Application Form.

Cost, FRR, Benefit and BCR:

Total Project Cost HSIP Funds Requested Max. FRR
Total Expected Benefit Benefit Cost Ratio (BCR)

Page 610 of 856 ends

A4 Wilcox Avenue and Via Campo

Page 611 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 1 of 11 ends

Print Form
HSIP ANALYZER (for BCR Applications)
Benefit Cost Ratio (BCR) Calculation
for Highway Safety Improvement Program (HSIP) Application Important: Review and follow the step-by-step instructions in the HSIP Analyzer Manual. Completing the HSIP Analyzer without referencing to the manual may result in an application with fatal flaws that will be disqualified from the ranking and selection process.

This is a dynamic form (i.e. later steps vary depending on the data entered in earlier steps). If any error messages appear, please fix the errors prior to proceeding to the next steps.

Save this file using "HA" +Application ID asthe file name (e.g. "HA03-Sacramento-01.pdf"). Attach the completed HSIP Analyzer to the last page of the HSIP Application Form.

Section I: General Information
Application ID, Project Location and Project Description (copy from the HSIP Application Form):

Application ID:

Project Location: Via Campo and Wilcox Avenue intersection in Montebello, California (limited to 250 characters)
Project Description:
(limited to 250 characters)
Number of Signalized Intersections: 1 Number of Non-signalized Intersections:
*Do not include the length of the intersections that have been Miles of Roadways*: accounted for in the number of intersections above.

Page 612 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 2 of 11 ends

Functional Classification (FC):

Urban / Rural Area:

What is the approximate total cost percentage that is HR3 eligible? For California Road System (CRS)
maps to check the FC, click here.

Annual Average Daily Traffic (see instructions):

AADT (Major Road) AADT (Minor Road) Year of AADT
Posted Speed Limit (mph):

Which of the California's Strategic Highway Safety Plan (SHSP) Challenge Areas does the project address primarily? Multiple Challenge Areas may be checked. For example, if this project is for pedestrian safety at intersections, both "Intersections" and "Pedestrians" should be checked. For more information on the SHSP and its Challenge Areas, click here.

Intersections Lane Departures Pedestrians Bicyclists
Emergency Response Emerging Technologies Work Zones Speed Management/ Aggressive Driving
How were the safety needs and potential countermeasures for this project first identified? California established Systemic Safety Analysis Report Program (SSARP) in 2016 and Local Roadway Safety Plan (LRSP) Program in 2019. Was this project identified through the SSARP or LRSP? Is the project focused primarily on “spot location(s)” or “systemic” improvements? If it is systemic, the primary type of the "systemic" improvements is:

What is the primary mode of travel intended to be benefited by this project)? Approximate percentage of project cost going to improvements related to motorized travel

Page 613 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 3 of 11 ends

Section II: Project Schedule
The local agency is expected to deliver the project per the HSIP Program Delivery requirements. Assuming the HSIP Cycle 11 projects selected for funding will be programmed by January 1, 2023, please enter your best estimated datesfor the following implementation milestones. Leave blank if not applicable.

Will this project use HSIP funds for Preliminary Engineering (PE) Phase? Will an external consultant be hired to do the PE work? After both of the above two questions are answered, the delivery requirements of this project (if selected forfunding) will be displayed here.

PE Authorization Date:

Environmental Clearance Date:

Right of Way Clearance Date:

Final PS&E Date:

CON Authorization Date:

Construction Contract Award Date:

Construction Completion Date:

Project Close-Out Date:

Page 614 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 4 of 11 ends

Section III. Safety Countermeasures, Crash Data and Project Benefit Calculation The benefit of an HSIP safety project is achieved by reducing potential future crashes due to the application of the safety countermeasures (CMs). In this section, you will need to provide information regarding the historical crash data at the project sites.

Different CMs will reduce crashes of different types during the life of the safety improvements. Depending on the selected CMs for the application, you will be required to fill in one or more crash data tables, for any combination of the five crash types (datasets): "All" , "Night" , Ped & Bike", "Emergency Vehicle", and "Animal" (Each of the later four datasets is a sub-dataset of the "All" dataset.) Note:If a RoundaboutCM(S16 orNS04 orNS05)isselected, additional information (such asroundaboutconfiguration andADT)isrequired.

For more information regarding crash data, please refer to the Manual for HSIP Analyzer and the Local Roadway Safety Manual.

1. Please indicate the sources of the crash data. Typical sources include Statewide Integrated Traffic Records System (SWITRS), UC Berkeley SafeTREC TIMS, your locally preferred mapping software (such as Crossroads) or any other data sources.

SWITRS, TIMS

2. Please explain how "incremental approach" has been pursued if CM R15, R16, R17 or R18 is proposed. Please skip this question if none of these CMs are being proposed.

Countermeasure R15 (Widen shoulder), R16 ( Curve shoulder widening (outside only)), R17 (Improve horizontal alignment (flatten curves)) and R18 (Flatten crest vertical curve) are not eligible unless they are done as the last step of an "incremental approach".

Applicants need to document they have already installed lower cost and lower impact CMs but the crash rate is unacceptably high. What safety improvements have been pursued and installed at the project sites within the last ten years?

Page 615 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 5 of 11 ends

Step 1: Select safety countermeasures
Does this application include Signalized Intersections (SI)? Yes Does this application include Non-signalized Intersections (NS)? No Does this application include Roadway Segments (R)? No
* Normally a BCR application only includeslocations of one of the above 3 categories(SI, NS or R). Multiple categoriesmay be selected if the application proposes corridor safety improvements or uses a systemic approach, or the applicant chooses to bundle multiple locations in the same vicinity together.

Signalized Intersections (SI):

Click the check box in the 1st column to select up to 3 countermeasures.

Hide unselected countermeasures View all countermeasures Select No. Countermeasure Name
✔ 1 S01: Add intersection lighting (S.I.) (CRF=0.4 for Night crashes; Life=20 yrs; FE=90%) ✔ 2 S02: Improve signal hardware: lenses, back-plates with retroreflective borders, mounting, size, and number (CRF=0.15 for All crashes; Life=10 yrs; FE=90%)
3 S03: Improve signal timing (coordination, phases, red, yellow, or operation) (CRF=0.15 for All crashes; Life=10 yrs; FE=50%) 4 S05: Install emergency vehicle pre-emption systems (CRF=0.7 for Emergency vehicle crashes; Life=10 yrs; FE=90%) 5 S06: Install left-turn lane and add turn phase (signal has no left-turn lane or phase before) (CRF=0.55 for All crashes; Life=20 yrs; FE=90%) 6 S07: Provide protected left turn phase (left turn lane already exists) (CRF=0.3 for All crashes; Life=20 yrs; FE=90%) 7 S08: Convert signal to mast arm (from pedestal-mounted) (CRF=0.3 for All crashes; Life=20 yrs; FE=90%) 8 S09: Install raised pavement markers and striping (through intersection) (CRF=0.1 for All crashes; Life=10 yrs; FE=90%) 9 S10: Install flashing beacons as advance warning (S.I.) (CRF=0.3 for All crashes; Life=10 yrs; FE=90%) 10 S11: Improve pavement friction (High Friction Surface Treatments) (CRF=0.55 for All crashes; Life=10 yrs; FE=90%) 11 S12: Install raised median on approaches (S.I.) (CRF=0.25 for All crashes; Life=20 yrs; FE=90%) 12 S13PB: Install pedestrian median fencing on approaches (CRF=0.35 for Ped & Bike crashes; Life=20 yrs; FE=90%) 13 S14: Create directional median openings to allow (and restrict) left-turns and u-turns (S.I.) (CRF=0.5 for All crashes; Life=20 yrs; FE=90%) 14 S15: Reduced Left-Turn Conflict Intersections (S.I.) (CRF=0.5 for All crashes; Life=20 yrs; FE=90%) 15 S16: Convert intersection to roundabout (from signal) (CRF varies for All crashes; Life=20 yrs; FE=90%) 16 S17PB: Install pedestrian countdown signal heads (CRF=0.25 for Ped & Bike crashes; Life=20 yrs; FE=90%) 17 S18PB: Install pedestrian crossing (S.I.) (CRF=0.25 for Ped & Bike crashes; Life=20 yrs; FE=90%) 18 S19PB: Pedestrian Scramble (CRF=0.4 for Ped & Bike crashes; Life=20 yrs; FE=90%) 19 S20PB: Install advance stop bar before crosswalk (Bicycle Box) (CRF=0.15 for Ped & Bike crashes; Life=10 yrs; FE=90%) ✔ 20 S21PB: Modify signal phasing to implement a Leading Pedestrian Interval (LPI) (CRF=0.6 for Ped & Bike crashes; Life=10 yrs; FE=90%)

Page 616 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 6 of 11 ends

Step 2: Click to generate table for project locations, enter the project locations and select countermeasures for each location. If any of the selections have been changed, you must re-click the below button to refresh.

Click to Generate Table for Project Locations Entry
CMs have been selected. Ok to proceed.
1 +/- Line Location
No.

Location Description
(Intersection Name or Road Limit or General Description) Click to select
Countermeasures
Error Messages
(must resolve)
(Signalized Intersections)
S01 S02 S21PB
+
- SI_1 Via Campo and Wilcox Avenue ● ● ●

Page 617 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 7 of 11 ends

Step 3: Click to generate tables for crash data and provide crash data. If any changes have been made in the previous two steps, you must re-click to refresh.

Click to Generate Tables for Crash Data Entry
Crash Data Period: must be between 3 and 5 years.
from (MM/DD/YYYY): 01/01/2015 To (MM/DD/YYYY): 12/31/2019 Crash Data Period (years) = 5 Fill out the crash data table(s) for the crash type(s) as required by the selected countermeasure(s) in Step 2.

Based on the countermeasures selected in Step 2 , the crash data types to be provided are:

Crash Data Table for Crash Type: Night-time (Night)
No. Location No : Description
(from Step 2)
Fatal
(Night)
Severe Injury
(Night)
Other Visible
Injury (Night)
Complaint
of Pain
(Night)
PDO
(Night) Total ID
1 SI_1: Via Campo and Wilcox
Avenue 0 0 0 2 5 7
Total 0 0 0 2 5 7
Crash Data Table for Crash Type: Pedestrians and Bicyclists Involved (P&B) No. Location No : Description
(from Step 2)
Fatal
(P&B)
Severe Injury
(P&B)
OtherVisible
Injury (P&B)
Complaint
of Pain
(P&B)
PDO
(P&B) Total ID
1 SI_1: Via Campo and Wilcox
Avenue 0 0 1 1 0 2
Total 0 0 1 1 0 2
Crash Data Table for Crash Type: ALL
No. Location No : Description
(from Step 2)
Fatal
(ALL)
Severe
Injury (ALL)
OtherVisible
Injury (ALL)
Complaint
of Pain
(ALL)
PDO
(ALL) Total ID
1 SI_1: Via Campo and Wilcox
Avenue 1 0 2 10 15 28
Total 1 0 2 10 15 28

Page 618 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 8 of 11 ends

Step 4: Click to Calculate the project benefit. If any changes have been made in the previous two steps, you must re-click to refresh.

Click to Perform Benefit Calculation
Benefit Summary:

Benefit by Locations
Location No : Description [CM1] Benefit [CM2] Benefit [CM3] Benefit Total Benefit SI_1: Via Campo and Wilcox
Avenue $379,324 $971,791 $255,816 $1,606,931
Sum $379,324 $971,791 $255,816 $1,606,931
Benefit by Countermeasures
No. Countermeasure Benefit
1 S01: Add intersection lighting (S.I.) $379,324
2 S02: Improve signal hardware: lenses, back-plates with retroreflective borders, mounting, size, and number $971,791 3 S21PB: Modify signal phasing to implement a Leading Pedestrian Interval (LPI) $255,816
4 NA $0
5 NA $0
6 NA $0
7 NA $0
8 NA $0
9 NA $0
TOTAL $1,606,931

Page 619 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 9 of 11 ends

Section IV. Construction Cost Estimate and Cost Breakdown The purpose of this section is to:
o Provide a detailed engineer's estimate for construction items. The costs for other phases i.e. Preliminary Engineering (PE), Right of Way (ROW), and Construction Engineering (CE) will be accounted for in the next section. o Determine the project's maximum Funding Reimbursement Ratio (FRR).

IV.1 Detailed Engineer's Estimate for Construction Items:

Cost breakdown:

For each item, enter cost percentages for this project's safety countermeasures (CMs) and "Other Safety (OS)" respectively ( e.g. enter 10 for 10%). The percentage for "Non-safety (NS)" is then calculated. If an item is a general one (such as traffic control, mobilization, etc.), check the "General item" box and the cost breakdown is not needed. A general item will NOT be used in determining the project's overall percentages of countermeasures, other safety and non-safety costs.

No. Item Description Unit Quantity Unit Cost Total
General Item?
(Click center
to check)
%
for CMs
% for
OS
% for
NS
+
- 1 Mobilization LS 1 $15000.00 15,000 0 % 0 % 0 %
+
- 2 Construct ADA Curb Ramp EA 1 $12000.00 12,000 100 % % 0 % +
- 3 Striping Improvements LS 1 $5000.00 5,000 % 100 % 0 % +
- 4 Modify Existing Traffic Signal LS 1 110,000 110,000 100 % % 0 % +
- 5 Minor Items LS 1 $12000.00 12,000 % 100 % 0 %
+
- 6 Traffic Handling LS 1 $6000.00 6,000 0 % 0 % 0 %
Weighted Average (%)
Total ($) $160,000
88% 12%
Contingencies, as % of the above "Total" of the construction items:
(e.g. enter 10 for 10%)
Total Construction Cost(Con Items & Contingencies):
(Rounded up to the nearest hundreds)
IV.2 Funding Reimbursement Ratio
Project's Maximum Funding Reimbursement Ratio = 90.0%
The project'sMaximumFunding Reimbursement Ratio is calculated fromtheleast of the FEs of the project's countermeasures and reduced if the non-safety cost percentage is in excess of 10%. See the HSIP Analyzer Manual for details. This is the maximum value allowed to be entered in "HSIP/Total(%)" column in Section II (Project Cost Estimate).
30 % $48,000
$208,000

Page 620 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 10 of 11 ends

Section V. Project Cost Estimate
All project costs, for all phases and by all funding sources, must be accounted for on this form. i. "Total Cost": Round all costs up to the nearest hundred dollars. ii. "HSIP/Total (%)": The maximum allowed is the project's Funding Reimbursement Ratio (FRR) as determined in Section I. Click the button to assign the maximum to all, OR enter if not the maximum. iii. "HSIP Funds" and "Local/Other Funds" are calculated.

Pay attention to the interactive warning/error messages below the table. The messages, if any, must be fixed, or exceptionsshould be justified in narrative question No. 3 in the HSIP Application Form.

Project's maximum Funding Reimbursement Ratio (FRR)
(from Section I, rounded up to integer)
To set all "HSIP/Total(%)" in the below table
to the above maximum FRR, click "Set":

Set
Description Total Cost HISP/Total
(%) HSIP Funds Local/Other Funds
Preliminary Engineering (PE) Phase
Environmental $10,600 86 % $9,116 $1,484
PS&E $32,000 86 % $27,520 $4,480
Subtotal - PE $42,600 86 % $36,636 $5,964
Right of Way (ROW) Phase
Right of Way Engineering $0 86 % $0 $0
Appraisals,Acquisitions &
Utilities $0 86 % $0 $0
Subtotal - Right of Way (ROW) $0 % $0 $0
Construction (CON) Phase
Construction Engineering (CE) $16,000 86 % $13,760 $2,240 Construction Items $208,000
(Read only - from Section I)
86 % $178,880 $29,120
Subtotal - Construction $224,000 86 % $192,640 $31,360
PROJECT TOTAL $266,600 86 % $229,276 $37,324
Agency does NOT request HSIP funds for PE Phase (automatically checked if PE - HSIP funds is $0).

Interactive Warning/Error Messages:

If there are any messages in the below box, please fix OR explain justification for exceptionsin narrative question No 3 in the HSIP application form.
90 %

Page 621 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 11 of 11 ends

$266,600 $229,276 90%
$1,606,931 6.03
Section VI. Summary
Transfer the "Total Project Cost" , "HSIP Funds Requested" and the BCR to Page 2 of the HSIP Application Form.

Cost, FRR, Benefit and BCR:

Total Project Cost HSIP Funds Requested Max. FRR
Total Expected Benefit Benefit Cost Ratio (BCR)

Page 622 of 856 ends

A5 Beverly Boulevard and Maple Avenue

Page 623 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 1 of 11 ends

This is a dynamic form (i.e. later steps vary depending on the data entered in earlier steps). If any error messages appear, please fix the errors prior to proceeding to the next steps.

Save this file using "HA" +Application ID asthe file name (e.g. "HA03-Sacramento-01.pdf"). Attach the completed HSIP Analyzer to the last page of the HSIP Application Form.

Section I: General Information
Application ID, Project Location and Project Description (copy from the HSIP Application Form):

Application ID:

Project Location: Beverly Boulevard and Maple Avenue intersection in Montebello, California (limited to 250 characters)
Project Description:
(limited to 250 characters)
Number of Signalized Intersections: 1 Number of Non-signalized Intersections:
*Do not include the length of the intersections that have been Miles of Roadways*: accounted for in the number of intersections above.

Page 624 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 2 of 11 ends

Functional Classification (FC):

Urban / Rural Area:

What is the approximate total cost percentage that is HR3 eligible? For California Road System (CRS)
maps to check the FC, click here.

Annual Average Daily Traffic (see instructions):

AADT (Major Road) AADT (Minor Road) Year of AADT
Posted Speed Limit (mph):

What is the primary mode of travel intended to be benefited by this project)? Approximate percentage of project cost going to improvements related to motorized travel

Page 625 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 3 of 11 ends

PE Authorization Date:

Environmental Clearance Date:

Right of Way Clearance Date:

Final PS&E Date:

CON Authorization Date:

Construction Contract Award Date:

Construction Completion Date:

Project Close-Out Date:

Page 626 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 4 of 11 ends

For more information regarding crash data, please refer to the Manual for HSIP Analyzer and the Local Roadway Safety Manual.

SWITRS, TIMS

2. Please explain how "incremental approach" has been pursued if CM R15, R16, R17 or R18 is proposed. Please skip this question if none of these CMs are being proposed.

Page 627 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 5 of 11 ends

Signalized Intersections (SI):

Click the check box in the 1st column to select up to 3 countermeasures.

Hide unselected countermeasures View all countermeasures Select No. Countermeasure Name
1 S01: Add intersection lighting (S.I.) (CRF=0.4 for Night crashes; Life=20 yrs; FE=90%) 2 S02: Improve signal hardware: lenses, back-plates with retroreflective borders, mounting, size, and number (CRF=0.15 for All crashes; Life=10 yrs; FE=90%)
3 S03: Improve signal timing (coordination, phases, red, yellow, or operation) (CRF=0.15 for All crashes; Life=10 yrs; FE=50%) 4 S05: Install emergency vehicle pre-emption systems (CRF=0.7 for Emergency vehicle crashes; Life=10 yrs; FE=90%) 5 S06: Install left-turn lane and add turn phase (signal has no left-turn lane or phase before) (CRF=0.55 for All crashes; Life=20 yrs; FE=90%) ✔ 6 S07: Provide protected left turn phase (left turn lane already exists) (CRF=0.3 for All crashes; Life=20 yrs; FE=90%) 7 S08: Convert signal to mast arm (from pedestal-mounted) (CRF=0.3 for All crashes; Life=20 yrs; FE=90%) 8 S09: Install raised pavement markers and striping (through intersection) (CRF=0.1 for All crashes; Life=10 yrs; FE=90%) 9 S10: Install flashing beacons as advance warning (S.I.) (CRF=0.3 for All crashes; Life=10 yrs; FE=90%) 10 S11: Improve pavement friction (High Friction Surface Treatments) (CRF=0.55 for All crashes; Life=10 yrs; FE=90%) 11 S12: Install raised median on approaches (S.I.) (CRF=0.25 for All crashes; Life=20 yrs; FE=90%) 12 S13PB: Install pedestrian median fencing on approaches (CRF=0.35 for Ped & Bike crashes; Life=20 yrs; FE=90%) 13 S14: Create directional median openings to allow (and restrict) left-turns and u-turns (S.I.) (CRF=0.5 for All crashes; Life=20 yrs; FE=90%) 14 S15: Reduced Left-Turn Conflict Intersections (S.I.) (CRF=0.5 for All crashes; Life=20 yrs; FE=90%) 15 S16: Convert intersection to roundabout (from signal) (CRF varies for All crashes; Life=20 yrs; FE=90%) ✔ 16 S17PB: Install pedestrian countdown signal heads (CRF=0.25 for Ped & Bike crashes; Life=20 yrs; FE=90%) 17 S18PB: Install pedestrian crossing (S.I.) (CRF=0.25 for Ped & Bike crashes; Life=20 yrs; FE=90%) 18 S19PB: Pedestrian Scramble (CRF=0.4 for Ped & Bike crashes; Life=20 yrs; FE=90%) 19 S20PB: Install advance stop bar before crosswalk (Bicycle Box) (CRF=0.15 for Ped & Bike crashes; Life=10 yrs; FE=90%) ✔ 20 S21PB: Modify signal phasing to implement a Leading Pedestrian Interval (LPI) (CRF=0.6 for Ped & Bike crashes; Life=10 yrs; FE=90%)

Page 628 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 6 of 11 ends

Click to Generate Table for Project Locations Entry
CMs have been selected. Ok to proceed.
1 +/- Line Location
No.

Location Description
(Intersection Name or Road Limit or General Description) Click to select
Countermeasures
Error Messages
(must resolve)
(Signalized Intersections)
S07 S17PB S21PB
+
- SI_1 Beverly Blvd and Maple Ave ● ● ●

Page 629 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 7 of 11 ends

Step 3: Click to generate tables for crash data and provide crash data. If any changes have been made in the previous two steps, you must re-click to refresh.

Based on the countermeasures selected in Step 2 , the crash data types to be provided are:

Crash Data Table for Crash Type: Pedestrians and Bicyclists Involved (P&B) No. Location No : Description
(from Step 2)
Fatal
(P&B)
Severe Injury
(P&B)
OtherVisible
Injury (P&B)
Complaint
of Pain
(P&B)
PDO
(P&B) Total ID
1 SI_1: Beverly Blvd and Maple
Ave 0 1 0 3 1 5
Total 0 1 0 3 1 5
Crash Data Table for Crash Type: ALL
No. Location No : Description
(from Step 2)
Fatal
(ALL)
Severe
Injury (ALL)
OtherVisible
Injury (ALL)
Complaint
of Pain
(ALL)
PDO
(ALL) Total ID
1 SI_1: Beverly Blvd and Maple
Ave 0 1 3 9 9 22
Total 0 1 3 9 9 22

Page 630 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 8 of 11 ends

Step 4: Click to Calculate the project benefit. If any changes have been made in the previous two steps, you must re-click to refresh.

Click to Perform Benefit Calculation
Benefit Summary:

Benefit by Locations
Location No : Description [CM1] Benefit [CM2] Benefit [CM3] Benefit Total Benefit SI_1: Beverly Blvd and Maple Ave $3,862,681 $1,324,083 $1,435,136 $6,621,900 Sum $3,862,681 $1,324,083 $1,435,136 $6,621,900
Benefit by Countermeasures
No. Countermeasure Benefit
1 S07: Provide protected left turn phase (left turn lane already exists) $3,862,681 2 S17PB: Install pedestrian countdown signal heads $1,324,083 3 S21PB: Modify signal phasing to implement a Leading Pedestrian Interval (LPI) $1,435,136
4 NA $0
5 NA $0
6 NA $0
7 NA $0
8 NA $0
9 NA $0
TOTAL $6,621,900

Page 631 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 9 of 11 ends

IV.1 Detailed Engineer's Estimate for Construction Items:

Cost breakdown:

No. Item Description Unit Quantity Unit Cost Total
General Item?
(Click center
to check)
%
for CMs
% for
OS
% for
NS
+
- 1 Mobilization LS 1 $17000.00 17,000 0 % 0 % 0 %
+
- 2 Striping Improvements LS 1 $5000.00 5,000 % 100 % 0 % +
- 3 Modify Existing Median Nose EA 2 $800.00 1,600 100 % % 0 % +
- 4 Modify Existing Traffic Signal LS 1 120,000 120,000 100 % % 0 % +
- 5 Minor Items LS 1 $13000.00 13,000 % 100 % 0 %
+
- 6 Traffic Handling LS 1 $7000.00 7,000 0 % 0 % 0 %
Weighted Average (%)
Total ($) $163,600
87% 13%
Contingencies, as % of the above "Total" of the construction items:
(e.g. enter 10 for 10%)
Total Construction Cost(Con Items & Contingencies):
(Rounded up to the nearest hundreds)
IV.2 Funding Reimbursement Ratio
Project's Maximum Funding Reimbursement Ratio = 90.0%
The project'sMaximumFunding Reimbursement Ratio is calculated fromtheleast of the FEs of the project's countermeasures and reduced if the non-safety cost percentage is in excess of 10%. See the HSIP Analyzer Manual for details. This is the maximum value allowed to be entered in "HSIP/Total(%)" column in Section II (Project Cost Estimate).
30 % $49,080
$212,700

Page 632 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 10 of 11 ends

Project's maximum Funding Reimbursement Ratio (FRR)
(from Section I, rounded up to integer)
To set all "HSIP/Total(%)" in the below table
to the above maximum FRR, click "Set":

Set
Description Total Cost HISP/Total
(%) HSIP Funds Local/Other Funds
Preliminary Engineering (PE) Phase
Environmental $12,100 90 % $10,890 $1,210
PS&E $33,000 90 % $29,700 $3,300
Subtotal - PE $45,100 90 % $40,590 $4,510
Right of Way (ROW) Phase
Right of Way Engineering $0 90 % $0 $0
Appraisals,Acquisitions &
Utilities $0 90 % $0 $0
Subtotal - Right of Way (ROW) $0 % $0 $0
Construction (CON) Phase
Construction Engineering (CE) $16,400 90 % $14,760 $1,640 Construction Items $212,700
(Read only - from Section I)
90 % $191,430 $21,270
Subtotal - Construction $229,100 90 % $206,190 $22,910
PROJECT TOTAL $274,200 90 % $246,780 $27,420
Agency does NOT request HSIP funds for PE Phase (automatically checked if PE - HSIP funds is $0).

Interactive Warning/Error Messages:

If there are any messages in the below box, please fix OR explain justification for exceptionsin narrative question No 3 in the HSIP application form.
90 %

Page 633 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 11 of 11 ends

$274,200 $246,780 90%
$6,621,900 24.15
Section VI. Summary
Transfer the "Total Project Cost" , "HSIP Funds Requested" and the BCR to Page 2 of the HSIP Application Form.

Cost, FRR, Benefit and BCR:

Total Project Cost HSIP Funds Requested Max. FRR
Total Expected Benefit Benefit Cost Ratio (BCR)

Page 634 of 856 ends

B2 Montebello Boulevard and
Avenida de la Merced

Page 635 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 1 of 11 ends

This is a dynamic form (i.e. later steps vary depending on the data entered in earlier steps). If any error messages appear, please fix the errors prior to proceeding to the next steps.

Save this file using "HA" +Application ID asthe file name (e.g. "HA03-Sacramento-01.pdf"). Attach the completed HSIP Analyzer to the last page of the HSIP Application Form.

Section I: General Information
Application ID, Project Location and Project Description (copy from the HSIP Application Form):

Application ID:

Project Location: Montebello Boulevard and Ava De La Merced intersection in Montebello, California (limited to 250 characters)
Project Description:
(limited to 250 characters)
Number of Signalized Intersections: 1 Number of Non-signalized Intersections:
*Do not include the length of the intersections that have been Miles of Roadways*: accounted for in the number of intersections above.

Page 636 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 2 of 11 ends

Functional Classification (FC):

Urban / Rural Area:

What is the approximate total cost percentage that is HR3 eligible? For California Road System (CRS)
maps to check the FC, click here.

Annual Average Daily Traffic (see instructions):

AADT (Major Road) AADT (Minor Road) Year of AADT
Posted Speed Limit (mph):

What is the primary mode of travel intended to be benefited by this project)? Approximate percentage of project cost going to improvements related to motorized travel

Page 637 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 3 of 11 ends

PE Authorization Date:

Environmental Clearance Date:

Right of Way Clearance Date:

Final PS&E Date:

CON Authorization Date:

Construction Contract Award Date:

Construction Completion Date:

Project Close-Out Date:

Page 638 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 4 of 11 ends

For more information regarding crash data, please refer to the Manual for HSIP Analyzer and the Local Roadway Safety Manual.

SWITRS, TIMS

2. Please explain how "incremental approach" has been pursued if CM R15, R16, R17 or R18 is proposed. Please skip this question if none of these CMs are being proposed.

Page 639 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 5 of 11 ends

Signalized Intersections (SI):

Click the check box in the 1st column to select up to 3 countermeasures.

Hide unselected countermeasures View all countermeasures Select No. Countermeasure Name
1 S01: Add intersection lighting (S.I.) (CRF=0.4 for Night crashes; Life=20 yrs; FE=90%) ✔ 2 S02: Improve signal hardware: lenses, back-plates with retroreflective borders, mounting, size, and number (CRF=0.15 for All crashes; Life=10 yrs; FE=90%)
3 S03: Improve signal timing (coordination, phases, red, yellow, or operation) (CRF=0.15 for All crashes; Life=10 yrs; FE=50%) 4 S05: Install emergency vehicle pre-emption systems (CRF=0.7 for Emergency vehicle crashes; Life=10 yrs; FE=90%) 5 S06: Install left-turn lane and add turn phase (signal has no left-turn lane or phase before) (CRF=0.55 for All crashes; Life=20 yrs; FE=90%) ✔ 6 S07: Provide protected left turn phase (left turn lane already exists) (CRF=0.3 for All crashes; Life=20 yrs; FE=90%) 7 S08: Convert signal to mast arm (from pedestal-mounted) (CRF=0.3 for All crashes; Life=20 yrs; FE=90%) 8 S09: Install raised pavement markers and striping (through intersection) (CRF=0.1 for All crashes; Life=10 yrs; FE=90%) ✔ 9 S10: Install flashing beacons as advance warning (S.I.) (CRF=0.3 for All crashes; Life=10 yrs; FE=90%) 10 S11: Improve pavement friction (High Friction Surface Treatments) (CRF=0.55 for All crashes; Life=10 yrs; FE=90%) 11 S12: Install raised median on approaches (S.I.) (CRF=0.25 for All crashes; Life=20 yrs; FE=90%) 12 S13PB: Install pedestrian median fencing on approaches (CRF=0.35 for Ped & Bike crashes; Life=20 yrs; FE=90%) 13 S14: Create directional median openings to allow (and restrict) left-turns and u-turns (S.I.) (CRF=0.5 for All crashes; Life=20 yrs; FE=90%) 14 S15: Reduced Left-Turn Conflict Intersections (S.I.) (CRF=0.5 for All crashes; Life=20 yrs; FE=90%) 15 S16: Convert intersection to roundabout (from signal) (CRF varies for All crashes; Life=20 yrs; FE=90%) 16 S17PB: Install pedestrian countdown signal heads (CRF=0.25 for Ped & Bike crashes; Life=20 yrs; FE=90%) 17 S18PB: Install pedestrian crossing (S.I.) (CRF=0.25 for Ped & Bike crashes; Life=20 yrs; FE=90%) 18 S19PB: Pedestrian Scramble (CRF=0.4 for Ped & Bike crashes; Life=20 yrs; FE=90%) 19 S20PB: Install advance stop bar before crosswalk (Bicycle Box) (CRF=0.15 for Ped & Bike crashes; Life=10 yrs; FE=90%) 20 S21PB: Modify signal phasing to implement a Leading Pedestrian Interval (LPI) (CRF=0.6 for Ped & Bike crashes; Life=10 yrs; FE=90%)

Page 640 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 6 of 11 ends

Click to Generate Table for Project Locations Entry
CMs have been selected. Ok to proceed.
1 +/- Line Location
No.

Location Description
(Intersection Name or Road Limit or General Description) Click to select
Countermeasures
Error Messages
(must resolve)
(Signalized Intersections)
S02 S07 S10
+
- SI_1 Ava De La Merced and Montebello Boulevard ● ● ●

Page 641 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 7 of 11 ends

Step 3: Click to generate tables for crash data and provide crash data. If any changes have been made in the previous two steps, you must re-click to refresh.

Click to Generate Tables for Crash Data Entry
Crash Data Period: must be between 3 and 5 years.
from (MM/DD/YYYY): To (MM/DD/YYYY): Crash Data Period (years) = 5 Fill out the crash data table(s) for the crash type(s) as required by the selected countermeasure(s) in Step 2.

Based on the countermeasures selected in Step 2 , the crash data types to be provided are:

Crash Data Table for Crash Type: ALL
No. Location No : Description
(from Step 2)
Fatal
(ALL)
Severe
Injury (ALL)
OtherVisible
Injury (ALL)
Complaint
of Pain
(ALL)
PDO
(ALL) Total ID
1 SI_1: Ava De La Merced and
Montebello Boulevard 1 2 5 3 11
Total 1 2 5 3 11
01/01/2015 12/31/2019

Page 642 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 8 of 11 ends

Step 4: Click to Calculate the project benefit. If any changes have been made in the previous two steps, you must re-click to refresh.

Click to Perform Benefit Calculation
Benefit Summary:

Benefit by Locations
Location No : Description [CM1] Benefit [CM2] Benefit [CM3] Benefit Total Benefit SI_1: Ava De La Merced and
Montebello Boulevard $608,241 $2,780,081 $1,216,481 $4,604,803 Sum $608,241 $2,780,081 $1,216,481 $4,604,803
Benefit by Countermeasures
No. Countermeasure Benefit
1 S02: Improve signal hardware: lenses, back-plates with retroreflective borders, mounting, size, and number $608,241 2 S07: Provide protected left turn phase (left turn lane already exists) $2,780,081 3 S10: Install flashing beacons as advance warning (S.I.) $1,216,481 4 NA $0
5 NA $0
6 NA $0
7 NA $0
8 NA $0
9 NA $0
TOTAL $4,604,803

Page 643 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 9 of 11 ends

IV.1 Detailed Engineer's Estimate for Construction Items:

Cost breakdown:

No. Item Description Unit Quantity Unit Cost Total
General Item?
(Click center
to check)
%
for CMs
% for
OS
% for
NS
+
- 1 Mobilization LS 1 $20000.00 20,000 0 % 0 % 0 %
+
- 2 Construct New Curb and Gutter LF 380 $50.00 19,000 100 % % 0 % +
- 3 Construct New Concrete Sidewalk SF 2,050 $25.00 51,250 100 % % 0 % +
- 4 Construct ADA Curb Ramp EA 4 $5000.00 20,000 100 % % 0 % +
- 5 Striping Improvements LS 1 $5000.00 5,000 % 100 % 0 % +
- 6 Install New Sign and Flashing
Beacon EA 1 $20000.00 20,000 100 % % 0 %
+
- 7 Modify Existing Traffic Signal LS 1 125,000 125,000 100 % % 0 % +
- 8 Minor Items LS 1 $15000.00 15,000 0 % 100 % 0 %
+
- 9 Traffic Handling LS 1 $8000.00 8,000 0 % 0 % 0 %
Weighted Average (%)
Total ($) $283,250
92% 8%
Contingencies, as % of the above "Total" of the construction items:
(e.g. enter 10 for 10%)
Total Construction Cost(Con Items & Contingencies):
(Rounded up to the nearest hundreds)
IV.2 Funding Reimbursement Ratio
Project's Maximum Funding Reimbursement Ratio = 90.0%
The project'sMaximumFunding Reimbursement Ratio is calculated fromtheleast of the FEs of the project's countermeasures and reduced if the non-safety cost percentage is in excess of 10%. See the HSIP Analyzer Manual for details. This is the maximum value allowed to be entered in "HSIP/Total(%)" column in Section II (Project Cost Estimate).
30 % $84,975
$368,300

Page 644 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 10 of 11 ends

Project's maximum Funding Reimbursement Ratio (FRR)
(from Section I, rounded up to integer)
To set all "HSIP/Total(%)" in the below table
to the above maximum FRR, click "Set":

Set
Description Total Cost HISP/Total
(%) HSIP Funds Local/Other Funds
Preliminary Engineering (PE) Phase
Environmental $15,600 55 % $8,580 $7,020
PS&E $57,000 55 % $31,350 $25,650
Subtotal - PE $72,600 55 % $39,930 $32,670
Right of Way (ROW) Phase
Right of Way Engineering $0 55 % $0 $0
Appraisals,Acquisitions &
Utilities $0 55 % $0 $0
Subtotal - Right of Way (ROW) $0 % $0 $0
Construction (CON) Phase
Construction Engineering (CE) $28,400 55 % $15,620 $12,780 Construction Items $368,300
(Read only - from Section I)
55 % $202,565 $165,735
Subtotal - Construction $396,700 55 % $218,185 $178,515 PROJECT TOTAL $469,300 55 % $258,115 $211,185
Agency does NOT request HSIP funds for PE Phase (automatically checked if PE - HSIP funds is $0).

Interactive Warning/Error Messages:

If there are any messages in the below box, please fix OR explain justification for exceptionsin narrative question No 3 in the HSIP application form.
90 %

Page 645 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 11 of 11 ends

$469,300 $258,115 90%
$4,604,803 9.81
Section VI. Summary
Transfer the "Total Project Cost" , "HSIP Funds Requested" and the BCR to Page 2 of the HSIP Application Form.

Cost, FRR, Benefit and BCR:

Total Project Cost HSIP Funds Requested Max. FRR
Total Expected Benefit Benefit Cost Ratio (BCR)

Page 646 of 856 ends

B3 Northbound I-5 Freeway Off-Ramp and
Telegraph Road

Page 647 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 1 of 11 ends

This is a dynamic form (i.e. later steps vary depending on the data entered in earlier steps). If any error messages appear, please fix the errors prior to proceeding to the next steps.

Save this file using "HA" +Application ID asthe file name (e.g. "HA03-Sacramento-01.pdf"). Attach the completed HSIP Analyzer to the last page of the HSIP Application Form.

Section I: General Information
Application ID, Project Location and Project Description (copy from the HSIP Application Form):

Application ID:

Project Location: Telegraph Rd and I-5 Off Ramp intersection in Montebello, California (limited to 250 characters)
Project Description:
(limited to 250 characters)
Number of Signalized Intersections: Number of Non-signalized Intersections: 1 *Do not include the length of the intersections that have been Miles of Roadways*: accounted for in the number of intersections above.

Page 648 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 2 of 11 ends

Functional Classification (FC):

Urban / Rural Area:

What is the approximate total cost percentage that is HR3 eligible? For California Road System (CRS)
maps to check the FC, click here.

Annual Average Daily Traffic (see instructions):

AADT (Major Road) AADT (Minor Road) Year of AADT
Posted Speed Limit (mph):

What is the primary mode of travel intended to be benefited by this project)? Approximate percentage of project cost going to improvements related to motorized travel

Page 649 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 3 of 11 ends

PE Authorization Date:

Environmental Clearance Date:

Right of Way Clearance Date:

Final PS&E Date:

CON Authorization Date:

Construction Contract Award Date:

Construction Completion Date:

Project Close-Out Date:

Page 650 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 4 of 11 ends

For more information regarding crash data, please refer to the Manual for HSIP Analyzer and the Local Roadway Safety Manual.

SWITRS, TIMS

2. Please explain how "incremental approach" has been pursued if CM R15, R16, R17 or R18 is proposed. Please skip this question if none of these CMs are being proposed.

Page 651 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 5 of 11 ends

Step 1: Select safety countermeasures
Does this application include Signalized Intersections (SI)? No Does this application include Non-signalized Intersections (NS)? Yes Does this application include Roadway Segments (R)? No
* Normally a BCR application only includeslocations of one of the above 3 categories(SI, NS or R). Multiple categoriesmay be selected if the application proposes corridor safety improvements or uses a systemic approach, or the applicant chooses to bundle multiple locations in the same vicinity together.

Non-signalized Intersections (NS):

Click the check box in the 1st column to select up to 3 countermeasures.

Hide unselected countermeasures View all countermeasures Select No. Countermeasure Name
1 NS01: Add intersection lighting (NS.I.) (CRF=0.4 for Night crashes; Life=20 yrs; FE=90%) 2 NS02: Convert to all-way STOP control (from 2-way or Yield control) (CRF=0.5 for All crashes; Life=10 yrs; FE=90%) 3 NS03: Install signals (CRF=0.3 for All crashes; Life=20 yrs; FE=90%) 4 NS04: Convert intersection to roundabout (from all way stop) (CRF varies for All crashes; Life=20 yrs; FE=90%) 5 NS05: Convert intersection to roundabout (from stop or yield control on minor road) (CRF varies for All crashes; Life=20 yrs; FE=90%) 6 NS05mr: Convert intersection to mini-roundabout (CRF=0.3 for All crashes; Life=20 yrs; FE=90%) 7 NS06: Install/upgrade larger or additional stop signs or other intersection warning/regulatory signs (CRF=0.15 for All crashes; Life=10 yrs; FE=90%) 8 NS07: Upgrade intersection pavement markings (NS.I.) (CRF=0.25 for All crashes; Life=10 yrs; FE=90%) 9 NS08: Install Flashing Beacons at Stop-Controlled Intersections (CRF=0.15 for All crashes; Life=10 yrs; FE=90%) 10 NS09: Install flashing beacons as advance warning (NS.I.) (CRF=0.3 for All crashes; Life=10 yrs; FE=90%) 11 NS10: Install transverse rumble strips on approaches (CRF=0.2 for All crashes; Life=10 yrs; FE=90%) 12 NS11: Improve sight distance to intersection (Clear Sight Triangles) (CRF=0.2 for All crashes; Life=10 yrs; FE=90%) 13 NS12: Improve pavement friction (High Friction Surface Treatments) (CRF=0.55 for All crashes; Life=10 yrs; FE=90%) 14 NS13: Install splitter-islands on the minor road approaches (CRF=0.4 for All crashes; Life=20 yrs; FE=90%) ✔ 15 NS14: Install raised median on approaches (NS.I.) (CRF=0.25 for All crashes; Life=20 yrs; FE=90%) 16 NS15: Create directional median openings to allow (and restrict) left-turns and u-turns (NS.I.) (CRF=0.5 for All crashes; Life=20 yrs; FE=90%) 17 NS16: Reduced Left-Turn Conflict Intersections (NS.I.) (CRF=0.5 for All crashes; Life=20 yrs; FE=90%) 18 NS17: Install right-turn lane (NS.I.) (CRF=0.2 for All crashes; Life=20 yrs; FE=90%) ✔ 19 NS18: Install left-turn lane (where no left-turn lane exists) (CRF=0.35 for All crashes; Life=20 yrs; FE=90%) 20 NS19PB: Install raised medians / refuge islands (NS.I.) (CRF=0.45 for Ped & Bike crashes; Life=20 yrs; FE=90%) ✔ 21 NS20PB: Install pedestrian crossing at uncontrolled locations (new signs and markings only) (CRF=0.25 for Ped & Bike crashes; Life=10 yrs; FE=90%) 22 NS21PB: Install/upgrade pedestrian crossing at uncontrolled locations (with enhanced safety features) (CRF=0.35 for Ped & Bike crashes; Life=20 yrs; FE=90%)
23 NS22PB: Install Rectangular Rapid Flashing Beacon (RRFB) (CRF=0.35 for Ped & Bike crashes; Life=20 yrs; FE=90%) 24 NS23PB: Install Pedestrian Signal (including Pedestrian Hybrid Beacon (HAWK)) (CRF=0.55 for Ped & Bike crashes; Life=20 yrs; FE=90%)

Page 652 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 6 of 11 ends

Click to Generate Table for Project Locations Entry
CMs have been selected. Ok to proceed.
1 +/- Line Location
No.

Location Description
(Intersection Name or Road Limit or General Description) Click to select
Countermeasures
Error Messages
(must resolve)
(Non-signalized Intersections)
NS14 NS18 NS20PB
+
- NSI_1 Telegraph Rd and I-5 Off Ramp ● ●

Page 653 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 7 of 11 ends

Step 3: Click to generate tables for crash data and provide crash data. If any changes have been made in the previous two steps, you must re-click to refresh.

Based on the countermeasures selected in Step 2 , the crash data types to be provided are:

Crash Data Table for Crash Type: ALL
No. Location No : Description
(from Step 2)
Fatal
(ALL)
Severe
Injury (ALL)
OtherVisible
Injury (ALL)
Complaint
of Pain
(ALL)
PDO
(ALL) Total ID
1 NSI_1: Telegraph Rd and I-5 Off
Ramp 1 1 4 8 4 18
Total 1 1 4 8 4 18
01/01/2015 12/31/2019

Page 654 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 8 of 11 ends

Step 4: Click to Calculate the project benefit. If any changes have been made in the previous two steps, you must re-click to refresh.

Click to Perform Benefit Calculation
Benefit Summary:

Benefit by Locations
Location No : Description [CM1] Benefit [CM2] Benefit [CM3] Benefit Total Benefit NSI_1: Telegraph Rd and I-5 Off
Ramp $6,075,176 $8,505,246 $0 $14,580,422
Sum $6,075,176 $8,505,246 $0 $14,580,422
Benefit by Countermeasures
No. Countermeasure Benefit
1 NS14: Install raised median on approaches (NS.I.) $6,075,176 2 NS18: Install left-turn lane (where no left-turn lane exists) $8,505,246 3 NA $0
4 NA $0
5 NA $0
6 NA $0
7 NA $0
8 NA $0
9 NA $0
TOTAL $14,580,422

Page 655 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 9 of 11 ends

IV.1 Detailed Engineer's Estimate for Construction Items:

Cost breakdown:

No. Item Description Unit Quantity Unit Cost Total
General Item?
(Click center
to check)
%
for CMs
% for
OS
% for
NS
+
- 1 Mobilization LS 1 $40000.00 40,000 0 % 0 % 0 %
+
- 2 Construct New Median Curb LF 700 $55.00 38,500 100 % % 0 % +
- 3 Construct New Raised Concrete
Median SF 2,400 $20.00 48,000 100 % % 0 %
+
- 4 Reconstruct ADA Curb Ramp EA 4 $12000.00 48,000 100 % 0 % 0 % +
- 5 Striping Improvements LS 1 $6000.00 6,000 100 % 0 % 0 % +
- 6 Install New Traffic Signal LS 1 200,000 200,000 0 % 100 % 0 % +
- 7 Minor Items LS 1 $9000.00 9,000 % 100 % 0 %
+
- 8 Traffic Handling LS 1 $5000.00 5,000 0 % 0 % 0 %
Weighted Average (%)
Total ($) $394,500
40% 60%
Contingencies, as % of the above "Total" of the construction items:
(e.g. enter 10 for 10%)
Total Construction Cost(Con Items & Contingencies):
(Rounded up to the nearest hundreds)
IV.2 Funding Reimbursement Ratio
Project's Maximum Funding Reimbursement Ratio = 90.0%
The project'sMaximumFunding Reimbursement Ratio is calculated fromtheleast of the FEs of the project's countermeasures and reduced if the non-safety cost percentage is in excess of 10%. See the HSIP Analyzer Manual for details. This is the maximum value allowed to be entered in "HSIP/Total(%)" column in Section II (Project Cost Estimate).
30 % $118,350
$512,900

Page 656 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 10 of 11 ends

Project's maximum Funding Reimbursement Ratio (FRR)
(from Section I, rounded up to integer)
To set all "HSIP/Total(%)" in the below table
to the above maximum FRR, click "Set":

Set
Description Total Cost HISP/Total
(%) HSIP Funds Local/Other Funds
Preliminary Engineering (PE) Phase
Environmental $63,500 90 % $57,150 $6,350
PS&E $60,000 90 % $54,000 $6,000
Subtotal - PE $123,500 90 % $111,150 $12,350
Right of Way (ROW) Phase
Right of Way Engineering $0 90 % $0 $0
Appraisals,Acquisitions &
Utilities $0 90 % $0 $0
Subtotal - Right of Way (ROW) $0 % $0 $0
Construction (CON) Phase
Construction Engineering (CE) $39,500 90 % $35,550 $3,950 Construction Items $512,900
(Read only - from Section I)
90 % $461,610 $51,290
Subtotal - Construction $552,400 90 % $497,160 $55,240
PROJECT TOTAL $675,900 90 % $608,310 $67,590
Agency does NOT request HSIP funds for PE Phase (automatically checked if PE - HSIP funds is $0).

Interactive Warning/Error Messages:

If there are any messages in the below box, please fix OR explain justification for exceptionsin narrative question No 3 in the HSIP application form.
90 %

Page 657 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 11 of 11 ends

$675,900 $608,310 90%
14,580,422 21.57
Section VI. Summary
Transfer the "Total Project Cost" , "HSIP Funds Requested" and the BCR to Page 2 of the HSIP Application Form.

Cost, FRR, Benefit and BCR:

Total Project Cost HSIP Funds Requested Max. FRR
Total Expected Benefit Benefit Cost Ratio (BCR)

Page 658 of 856 ends

B4 Bluff Road and Whittier Boulevard

Page 659 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 1 of 11 ends

This is a dynamic form (i.e. later steps vary depending on the data entered in earlier steps). If any error messages appear, please fix the errors prior to proceeding to the next steps.

Save this file using "HA" +Application ID asthe file name (e.g. "HA03-Sacramento-01.pdf"). Attach the completed HSIP Analyzer to the last page of the HSIP Application Form.

Section I: General Information
Application ID, Project Location and Project Description (copy from the HSIP Application Form):

Application ID:

Project Location: Whittier Boulevard and Bluff Road intersection in Montebello, California (limited to 250 characters)
Project Description:
(limited to 250 characters)
Number of Signalized Intersections: 1 Number of Non-signalized Intersections:
*Do not include the length of the intersections that have been Miles of Roadways*: accounted for in the number of intersections above.

Page 660 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 2 of 11 ends

Functional Classification (FC):

Urban / Rural Area:

What is the approximate total cost percentage that is HR3 eligible? For California Road System (CRS)
maps to check the FC, click here.

Annual Average Daily Traffic (see instructions):

AADT (Major Road) AADT (Minor Road) Year of AADT
Posted Speed Limit (mph):

What is the primary mode of travel intended to be benefited by this project)? Approximate percentage of project cost going to improvements related to motorized travel

Page 661 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 3 of 11 ends

PE Authorization Date:

Environmental Clearance Date:

Right of Way Clearance Date:

Final PS&E Date:

CON Authorization Date:

Construction Contract Award Date:

Construction Completion Date:

Project Close-Out Date:

Page 662 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 4 of 11 ends

For more information regarding crash data, please refer to the Manual for HSIP Analyzer and the Local Roadway Safety Manual.

SWITTRS, TIMS

2. Please explain how "incremental approach" has been pursued if CM R15, R16, R17 or R18 is proposed. Please skip this question if none of these CMs are being proposed.

Page 663 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 5 of 11 ends

Signalized Intersections (SI):

Click the check box in the 1st column to select up to 3 countermeasures.

Hide unselected countermeasures View all countermeasures Select No. Countermeasure Name
✔ 1 S01: Add intersection lighting (S.I.) (CRF=0.4 for Night crashes; Life=20 yrs; FE=90%) 2 S02: Improve signal hardware: lenses, back-plates with retroreflective borders, mounting, size, and number (CRF=0.15 for All crashes; Life=10 yrs; FE=90%)
3 S03: Improve signal timing (coordination, phases, red, yellow, or operation) (CRF=0.15 for All crashes; Life=10 yrs; FE=50%) 4 S05: Install emergency vehicle pre-emption systems (CRF=0.7 for Emergency vehicle crashes; Life=10 yrs; FE=90%) 5 S06: Install left-turn lane and add turn phase (signal has no left-turn lane or phase before) (CRF=0.55 for All crashes; Life=20 yrs; FE=90%) 6 S07: Provide protected left turn phase (left turn lane already exists) (CRF=0.3 for All crashes; Life=20 yrs; FE=90%) ✔ 7 S08: Convert signal to mast arm (from pedestal-mounted) (CRF=0.3 for All crashes; Life=20 yrs; FE=90%) 8 S09: Install raised pavement markers and striping (through intersection) (CRF=0.1 for All crashes; Life=10 yrs; FE=90%) 9 S10: Install flashing beacons as advance warning (S.I.) (CRF=0.3 for All crashes; Life=10 yrs; FE=90%) 10 S11: Improve pavement friction (High Friction Surface Treatments) (CRF=0.55 for All crashes; Life=10 yrs; FE=90%) 11 S12: Install raised median on approaches (S.I.) (CRF=0.25 for All crashes; Life=20 yrs; FE=90%) 12 S13PB: Install pedestrian median fencing on approaches (CRF=0.35 for Ped & Bike crashes; Life=20 yrs; FE=90%) 13 S14: Create directional median openings to allow (and restrict) left-turns and u-turns (S.I.) (CRF=0.5 for All crashes; Life=20 yrs; FE=90%) 14 S15: Reduced Left-Turn Conflict Intersections (S.I.) (CRF=0.5 for All crashes; Life=20 yrs; FE=90%) 15 S16: Convert intersection to roundabout (from signal) (CRF varies for All crashes; Life=20 yrs; FE=90%) 16 S17PB: Install pedestrian countdown signal heads (CRF=0.25 for Ped & Bike crashes; Life=20 yrs; FE=90%) 17 S18PB: Install pedestrian crossing (S.I.) (CRF=0.25 for Ped & Bike crashes; Life=20 yrs; FE=90%) 18 S19PB: Pedestrian Scramble (CRF=0.4 for Ped & Bike crashes; Life=20 yrs; FE=90%) 19 S20PB: Install advance stop bar before crosswalk (Bicycle Box) (CRF=0.15 for Ped & Bike crashes; Life=10 yrs; FE=90%) ✔ 20 S21PB: Modify signal phasing to implement a Leading Pedestrian Interval (LPI) (CRF=0.6 for Ped & Bike crashes; Life=10 yrs; FE=90%)

Page 664 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 6 of 11 ends

Click to Generate Table for Project Locations Entry
CMs have been selected. Ok to proceed.
1 +/- Line Location
No.

Location Description
(Intersection Name or Road Limit or General Description) Click to select
Countermeasures
Error Messages
(must resolve)
(Signalized Intersections)
S01 S08 S21PB
+
- SI_1 Whittier Blvd and Bluff Rd ● ● ●

Page 665 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 7 of 11 ends

Step 3: Click to generate tables for crash data and provide crash data. If any changes have been made in the previous two steps, you must re-click to refresh.

Based on the countermeasures selected in Step 2 , the crash data types to be provided are:

Crash Data Table for Crash Type: Night-time (Night)
No. Location No : Description
(from Step 2)
Fatal
(Night)
Severe Injury
(Night)
Other Visible
Injury (Night)
Complaint
of Pain
(Night)
PDO
(Night) Total ID
1 SI_1: Whittier Blvd and Bluff Rd 0 0 0 2 5 7
Total 0 0 0 2 5 7
Crash Data Table for Crash Type: Pedestrians and Bicyclists Involved (P&B) No. Location No : Description
(from Step 2)
Fatal
(P&B)
Severe Injury
(P&B)
OtherVisible
Injury (P&B)
Complaint
of Pain
(P&B)
PDO
(P&B) Total ID
1 SI_1: Whittier Blvd and Bluff Rd 0 0 1 2 3
Total 0 0 1 2 3
Crash Data Table for Crash Type: ALL
No. Location No : Description
(from Step 2)
Fatal
(ALL)
Severe
Injury (ALL)
OtherVisible
Injury (ALL)
Complaint
of Pain
(ALL)
PDO
(ALL) Total ID
1 SI_1: Whittier Blvd and Bluff Rd 2 7 12 21
Total 2 7 12 21

Page 666 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 8 of 11 ends

Step 4: Click to Calculate the project benefit. If any changes have been made in the previous two steps, you must re-click to refresh.

Click to Perform Benefit Calculation
Benefit Summary:

Benefit by Locations
Location No : Description [CM1] Benefit [CM2] Benefit [CM3] Benefit Total Benefit SI_1: Whittier Blvd and Bluff Rd $287,056 $1,361,880 $287,028 $1,935,964 Sum $287,056 $1,361,880 $287,028 $1,935,964
Benefit by Countermeasures
No. Countermeasure Benefit
1 S01: Add intersection lighting (S.I.) $287,056
2 S08: Convert signal to mast arm (from pedestal-mounted) $1,361,880 3 S21PB: Modify signal phasing to implement a Leading Pedestrian Interval (LPI) $287,028
4 NA $0
5 NA $0
6 NA $0
7 NA $0
8 NA $0
9 NA $0
TOTAL $1,935,964

Page 667 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 9 of 11 ends

IV.1 Detailed Engineer's Estimate for Construction Items:

Cost breakdown:

No. Item Description Unit Quantity Unit Cost Total
General Item?
(Click center
to check)
%
for CMs
% for
OS
% for
NS
+
- 1 Mobilization LS 1 $22000.00 22,000 0 % 0 % 0 %
+
- 2 Striping Improvement LS 1 $4500.00 4,500 % 100 % 0 % +
- 3 Install Flashing Beacon EA 1 $20000.00 20,000 % 100 % 0 % +
- 4 Modifying Existing Traffic Signal LS 1 140,000 140,000 100 % % 0 % +
- 5 Minor Items LS 1 $17000.00 17,000 % 100 % 0 %
+
- 6 Traffic Handling LS 1 $9000.00 9,000 0 % 0 % 0 %
Weighted Average (%)
Total ($) $212,500
77% 23%
Contingencies, as % of the above "Total" of the construction items:
(e.g. enter 10 for 10%)
Total Construction Cost(Con Items & Contingencies):
(Rounded up to the nearest hundreds)
IV.2 Funding Reimbursement Ratio
Project's Maximum Funding Reimbursement Ratio = 90.0%
The project'sMaximumFunding Reimbursement Ratio is calculated fromtheleast of the FEs of the project's countermeasures and reduced if the non-safety cost percentage is in excess of 10%. See the HSIP Analyzer Manual for details. This is the maximum value allowed to be entered in "HSIP/Total(%)" column in Section II (Project Cost Estimate).
30 % $63,750
$276,300

Page 668 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 10 of 11 ends

Project's maximum Funding Reimbursement Ratio (FRR)
(from Section I, rounded up to integer)
To set all "HSIP/Total(%)" in the below table
to the above maximum FRR, click "Set":

Set
Description Total Cost HISP/Total
(%) HSIP Funds Local/Other Funds
Preliminary Engineering (PE) Phase
Environmental $18,000 90 % $16,200 $1,800
PS&E $43,000 90 % $38,700 $4,300
Subtotal - PE $61,000 90 % $54,900 $6,100
Right of Way (ROW) Phase
Right of Way Engineering $0 90 % $0 $0
Appraisals,Acquisitions &
Utilities $0 90 % $0 $0
Subtotal - Right of Way (ROW) $0 % $0 $0
Construction (CON) Phase
Construction Engineering (CE) $21,300 90 % $19,170 $2,130 Construction Items $276,300
(Read only - from Section I)
90 % $248,670 $27,630
Subtotal - Construction $297,600 90 % $267,840 $29,760
PROJECT TOTAL $358,600 90 % $322,740 $35,860
Agency does NOT request HSIP funds for PE Phase (automatically checked if PE - HSIP funds is $0).

Interactive Warning/Error Messages:

If there are any messages in the below box, please fix OR explain justification for exceptionsin narrative question No 3 in the HSIP application form.
90 %

Page 669 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 11 of 11 ends

$358,600 $322,740 90%
$1,935,964 5.40
Section VI. Summary
Transfer the "Total Project Cost" , "HSIP Funds Requested" and the BCR to Page 2 of the HSIP Application Form.

Cost, FRR, Benefit and BCR:

Total Project Cost HSIP Funds Requested Max. FRR
Total Expected Benefit Benefit Cost Ratio (BCR)

Page 670 of 856 ends

B5 Lincoln Avenue and Howard Avenue

Page 671 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 1 of 12 ends

This is a dynamic form (i.e. later steps vary depending on the data entered in earlier steps). If any error messages appear, please fix the errors prior to proceeding to the next steps.

Save this file using "HA" +Application ID asthe file name (e.g. "HA03-Sacramento-01.pdf"). Attach the completed HSIP Analyzer to the last page of the HSIP Application Form.

Section I: General Information
Application ID, Project Location and Project Description (copy from the HSIP Application Form):

Application ID:

Project Location: Lincoln Ave from 18th Street to Montebello Boulevard,segment in Montebello, California (limited to 250 characters)
Project Description:
(limited to 250 characters)
Number of Signalized Intersections: 2 Number of Non-signalized Intersections:
*Do not include the length of the intersections that have been Miles of Roadways*: 0.71 accounted for in the number of intersections above.

Page 672 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 2 of 12 ends

Functional Classification (FC):

Urban / Rural Area:

What is the approximate total cost percentage that is HR3 eligible? For California Road System (CRS)
maps to check the FC, click here.

Annual Average Daily Traffic (see instructions):

AADT (Major Road) AADT (Minor Road) Year of AADT
Posted Speed Limit (mph):

What is the primary mode of travel intended to be benefited by this project)? Approximate percentage of project cost going to improvements related to motorized travel

Page 673 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 3 of 12 ends

PE Authorization Date:

Environmental Clearance Date:

Right of Way Clearance Date:

Final PS&E Date:

CON Authorization Date:

Construction Contract Award Date:

Construction Completion Date:

Project Close-Out Date:

Page 674 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 4 of 12 ends

For more information regarding crash data, please refer to the Manual for HSIP Analyzer and the Local Roadway Safety Manual.

SWITRS, TIMS

2. Please explain how "incremental approach" has been pursued if CM R15, R16, R17 or R18 is proposed. Please skip this question if none of these CMs are being proposed.

Page 675 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 5 of 12 ends

Step 1: Select safety countermeasures
Does this application include Signalized Intersections (SI)? Yes Does this application include Non-signalized Intersections (NS)? No Does this application include Roadway Segments (R)? Yes * Normally a BCR application only includeslocations of one of the above 3 categories(SI, NS or R). Multiple categoriesmay be selected if the application proposes corridor safety improvements or uses a systemic approach, or the applicant chooses to bundle multiple locations in the same vicinity together.

Signalized Intersections (SI):

Click the check box in the 1st column to select up to 3 countermeasures.

Hide unselected countermeasures View all countermeasures Select No. Countermeasure Name
1 S01: Add intersection lighting (S.I.) (CRF=0.4 for Night crashes; Life=20 yrs; FE=90%) 2 S02: Improve signal hardware: lenses, back-plates with retroreflective borders, mounting, size, and number (CRF=0.15 for All crashes; Life=10 yrs; FE=90%)
3 S03: Improve signal timing (coordination, phases, red, yellow, or operation) (CRF=0.15 for All crashes; Life=10 yrs; FE=50%) 4 S05: Install emergency vehicle pre-emption systems (CRF=0.7 for Emergency vehicle crashes; Life=10 yrs; FE=90%) 5 S06: Install left-turn lane and add turn phase (signal has no left-turn lane or phase before) (CRF=0.55 for All crashes; Life=20 yrs; FE=90%) ✔ 6 S07: Provide protected left turn phase (left turn lane already exists) (CRF=0.3 for All crashes; Life=20 yrs; FE=90%) 7 S08: Convert signal to mast arm (from pedestal-mounted) (CRF=0.3 for All crashes; Life=20 yrs; FE=90%) 8 S09: Install raised pavement markers and striping (through intersection) (CRF=0.1 for All crashes; Life=10 yrs; FE=90%) 9 S10: Install flashing beacons as advance warning (S.I.) (CRF=0.3 for All crashes; Life=10 yrs; FE=90%) 10 S11: Improve pavement friction (High Friction Surface Treatments) (CRF=0.55 for All crashes; Life=10 yrs; FE=90%) 11 S12: Install raised median on approaches (S.I.) (CRF=0.25 for All crashes; Life=20 yrs; FE=90%) 12 S13PB: Install pedestrian median fencing on approaches (CRF=0.35 for Ped & Bike crashes; Life=20 yrs; FE=90%) 13 S14: Create directional median openings to allow (and restrict) left-turns and u-turns (S.I.) (CRF=0.5 for All crashes; Life=20 yrs; FE=90%) 14 S15: Reduced Left-Turn Conflict Intersections (S.I.) (CRF=0.5 for All crashes; Life=20 yrs; FE=90%) 15 S16: Convert intersection to roundabout (from signal) (CRF varies for All crashes; Life=20 yrs; FE=90%) 16 S17PB: Install pedestrian countdown signal heads (CRF=0.25 for Ped & Bike crashes; Life=20 yrs; FE=90%) 17 S18PB: Install pedestrian crossing (S.I.) (CRF=0.25 for Ped & Bike crashes; Life=20 yrs; FE=90%) 18 S19PB: Pedestrian Scramble (CRF=0.4 for Ped & Bike crashes; Life=20 yrs; FE=90%) 19 S20PB: Install advance stop bar before crosswalk (Bicycle Box) (CRF=0.15 for Ped & Bike crashes; Life=10 yrs; FE=90%) ✔ 20 S21PB: Modify signal phasing to implement a Leading Pedestrian Interval (LPI) (CRF=0.6 for Ped & Bike crashes; Life=10 yrs; FE=90%)

Page 676 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 6 of 12 ends

Roadways (R):

Click the check box in the 1st column to select up to 3 countermeasures.

Hide unselected countermeasures View all countermeasures Select No. Countermeasure Name
1 R01: Add segment lighting (CRF=0.35 for Night crashes; Life=20 yrs; FE=90%) 2 R02: Remove or relocate fixed objects outside of Clear Recovery Zone (CRF=0.35 for All crashes; Life=20 yrs; FE=90%) 3 R03: Install Median Barrier (CRF=0.25 for All crashes; Life=20 yrs; FE=90%) 4 R04: Install Guardrail (CRF=0.25 for All crashes; Life=20 yrs; FE=90%) 5 R05: Install impact attenuators (CRF=0.25 for All crashes; Life=10 yrs; FE=90%) 6 R06: Flatten side slopes (CRF=0.3 for All crashes; Life=20 yrs; FE=90%) 7 R07: Flatten side slopes and remove guardrail (CRF=0.4 for All crashes; Life=20 yrs; FE=90%) 8 R08: Install raised median (CRF=0.25 for All crashes; Life=20 yrs; FE=90%) 9 R09: Install median (flush) (CRF=0.15 for All crashes; Life=20 yrs; FE=90%) 10 R10PB: Install pedestrian median fencing on approaches (CRF=0.35 for Ped & Bike crashes; Life=20 yrs; FE=90%) 11 R11: Install acceleration/ deceleration lanes (CRF=0.25 for All crashes; Life=20 yrs; FE=90%) 12 R12: Widen lane (initially less than 10 ft) (CRF=0.25 for All crashes; Life=20 yrs; FE=90%) 13 R13: Add two-way left-turn lane (CRF=0.3 for All crashes; Life=20 yrs; FE=90%) ✔ 14 R14: Road Diet (Reduce travel lanes and add a two way left-turn and bike lanes) (CRF=0.35 for All crashes; Life=20 yrs; FE=90%) 15 R15: Widen shoulder (CRF=0.3 for All crashes; Life=20 yrs; FE=90%) 16 R16: Curve Shoulder widening (Outside Only) (CRF=0.45 for All crashes; Life=20 yrs; FE=90%) 17 R17: Improve horizontal alignment (flatten curves) (CRF=0.5 for All crashes; Life=20 yrs; FE=90%) 18 R18: Flatten crest vertical curve (CRF=0.25 for All crashes; Life=20 yrs; FE=90%) 19 R19: Improve curve superelevation (CRF=0.45 for All crashes; Life=20 yrs; FE=90%) 20 R20: Convert from two-way to one-way traffic (CRF=0.35 for All crashes; Life=20 yrs; FE=90%) 21 R21: Improve pavement friction (High Friction Surface Treatments) (CRF=0.55 for All crashes; Life=10 yrs; FE=90%) 22 R22: Install/Upgrade signs with new fluorescent sheeting (regulatory or warning) (CRF=0.15 for All crashes; Life=10 yrs; FE=90%) 23 R23: Install chevron signs on horizontal curves (CRF=0.4 for All crashes; Life=10 yrs; FE=90%) 24 R24: Install curve advance warning signs (CRF=0.25 for All crashes; Life=10 yrs; FE=90%) 25 R25: Install curve advance warning signs (flashing beacon) (CRF=0.3 for All crashes; Life=10 yrs; FE=90%) 26 R26: Install dynamic/variable speed warning signs (CRF=0.3 for All crashes; Life=10 yrs; FE=90%) 27 R27: Install delineators, reflectors and/or object markers (CRF=0.15 for All crashes; Life=10 yrs; FE=90%) 28 R28: Install edge-lines and centerlines (CRF=0.25 for All crashes; Life=10 yrs; FE=90%) 29 R29: Install no-passing line (CRF=0.45 for All crashes; Life=10 yrs; FE=90%) 30 R30: Install centerline rumble strips/stripes (CRF=0.2 for All crashes; Life=10 yrs; FE=90%) 31 R31: Install edgeline rumble strips/stripes (CRF=0.15 for All crashes; Life=10 yrs; FE=90%) 32 R32PB: Install bike lanes (CRF=0.35 for Ped & Bike crashes; Life=20 yrs; FE=90%) 33 R33PB: Install Separated Bike Lanes (CRF=0.45 for Ped & Bike crashes; Life=20 yrs; FE=90%) 34 R34PB: Install sidewalk/pathway (to avoid walking along roadway) (CRF=0.8 for Ped & Bike crashes; Life=20 yrs; FE=90%) 35 R35PB: Install/upgrade pedestrian crossing (with enhanced safety features) (CRF=0.35 for Ped & Bike crashes; Life=20 yrs; FE=90%) 36 R36PB: Install raised pedestrian crossing (CRF=0.35 for Ped & Bike crashes; Life=20 yrs; FE=90%) 37 R37PB: Install Rectangular Rapid Flashing Beacon (RRFB) (CRF=0.35 for Ped & Bike crashes; Life=20 yrs; FE=90%) 38 R38: Install animal fencing (CRF=0.8 for Animal crashes; Life=20 yrs; FE=90%)

Page 677 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 7 of 12 ends

Click to Generate Table for Project Locations Entry
CMs have been selected. Ok to proceed.
+/- Line Location Location Description Click to select Error Messages No. (Intersection Name or Road Limit or General Description) Countermeasures (must resolve) (Signalized Intersections)
2 S07 S21PB
+
- SI_1 Lincoln Ave and Howard Ave ● ●
+
- SI_2 Lincoln Ave and Maple Ave ● ●
(Roadway Segments)
1 R14
+
- R_1 Lincoln Ave from 18th Street to Montebello Boulevard ●

Page 678 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 8 of 12 ends

Step 3: Click to generate tables for crash data and provide crash data. If any changes have been made in the previous two steps, you must re-click to refresh.

Based on the countermeasures selected in Step 2 , the crash data types to be provided are:

Crash Data Table for Crash Type: Pedestrians and Bicyclists Involved (P&B) No. Location No : Description
(from Step 2)
Fatal
(P&B)
Severe Injury
(P&B)
OtherVisible
Injury (P&B)
Complaint
of Pain
(P&B)
PDO
(P&B) Total ID
1 SI_1: Lincoln Ave and Howard
Ave 0 0 0 0 0 0
2 SI_2: Lincoln Ave and Maple
Ave 0 0 1 0 0 1
Total 0 0 1 0 0 1
Crash Data Table for Crash Type: ALL
No. Location No : Description
(from Step 2)
Fatal
(ALL)
Severe
Injury (ALL)
OtherVisible
Injury (ALL)
Complaint
of Pain
(ALL)
PDO
(ALL) Total ID
1 SI_1: Lincoln Ave and Howard
Ave 0 0 2 3 5 10
2 SI_2: Lincoln Ave and Maple
Ave 0 0 2 0 2 4
3 R_1: Lincoln Ave from 18th
Street to Montebello Boulevard 0 1 0 2 2 5
Total 0 1 4 5 9 19

Page 679 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 9 of 12 ends

Step 4: Click to Calculate the project benefit. If any changes have been made in the previous two steps, you must re-click to refresh.

Click to Perform Benefit Calculation
Benefit Summary:

Benefit by Locations
Location No : Description [CM1] Benefit [CM2] Benefit [CM3] Benefit Total Benefit SI_1: Lincoln Ave and Howard
Ave $800,401 $0 $0 $800,401
SI_2: Lincoln Ave and Maple Ave $419,521 $134,316 $0 $553,837 R_1: Lincoln Ave from 18th Street
to Montebello Boulevard $3,741,641 $0 $0 $3,741,641
Sum $4,961,563 $134,316 $0 $5,095,879
Benefit by Countermeasures
No. Countermeasure Benefit
1 S07: Provide protected left turn phase (left turn lane already exists) $1,219,922 2 S21PB: Modify signal phasing to implement a Leading Pedestrian Interval (LPI) $134,316
3 R14: Road Diet (Reduce travel lanes and add a two way left-turn and bike lanes) $3,741,641
4 NA $0
5 NA $0
6 NA $0
7 NA $0
8 NA $0
9 NA $0
TOTAL $5,095,879

Page 680 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 10 of 12 ends

IV.1 Detailed Engineer's Estimate for Construction Items:

Cost breakdown:

No. Item Description Unit Quantity Unit Cost Total
General Item?
(Click center
to check)
%
for CMs
% for
OS
% for
NS
+
- 1 Mobilization LS 1 $20000.00 20,000 0 % 0 % 0 %
+
- 2 Striping Improvements LS 1 $30000.00 30,000 100 % % 0 % +
- 3 Modify Existing Traffic Signal LS 2 120,000 240,000 100 % % 0 % +
- 4 Minor Items LS 1 $15000.00 15,000 % 100 % 0 %
+
- 5 Traffic Handling LS 1 $8000.00 8,000 0 % 0 % 0 %
Weighted Average (%)
Total ($) $313,000
95% 5%
Contingencies, as % of the above "Total" of the construction items:
(e.g. enter 10 for 10%)
Total Construction Cost(Con Items & Contingencies):
(Rounded up to the nearest hundreds)
IV.2 Funding Reimbursement Ratio
Project's Maximum Funding Reimbursement Ratio = 90.0%
The project'sMaximumFunding Reimbursement Ratio is calculated fromtheleast of the FEs of the project's countermeasures and reduced if the non-safety cost percentage is in excess of 10%. See the HSIP Analyzer Manual for details. This is the maximum value allowed to be entered in "HSIP/Total(%)" column in Section II (Project Cost Estimate).
30 % $93,900
$406,900

Page 681 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 11 of 12 ends

Project's maximum Funding Reimbursement Ratio (FRR)
(from Section I, rounded up to integer)
To set all "HSIP/Total(%)" in the below table
to the above maximum FRR, click "Set":

Set
Description Total Cost HISP/Total
(%) HSIP Funds Local/Other Funds
Preliminary Engineering (PE) Phase
Environmental $38,300 90 % $34,470 $3,830
PS&E $26,000 90 % $23,400 $2,600
Subtotal - PE $64,300 90 % $57,870 $6,430
Right of Way (ROW) Phase
Right of Way Engineering $0 90 % $0 $0
Appraisals,Acquisitions &
Utilities $0 90 % $0 $0
Subtotal - Right of Way (ROW) $0 % $0 $0
Construction (CON) Phase
Construction Engineering (CE) $31,300 90 % $28,170 $3,130 Construction Items $406,900
(Read only - from Section I)
90 % $366,210 $40,690
Subtotal - Construction $438,200 90 % $394,380 $43,820
PROJECT TOTAL $502,500 90 % $452,250 $50,250
Agency does NOT request HSIP funds for PE Phase (automatically checked if PE - HSIP funds is $0).

Interactive Warning/Error Messages:

If there are any messages in the below box, please fix OR explain justification for exceptionsin narrative question No 3 in the HSIP application form.
90 %

Page 682 of 856 ends

Version Date:April HSIP Analyzer 2022

Page 12 of 12 ends

$502,500 $452,250 90%
$5,095,879 10.14
Section VI. Summary
Transfer the "Total Project Cost" , "HSIP Funds Requested" and the BCR to Page 2 of the HSIP Application Form.

Cost, FRR, Benefit and BCR:

Total Project Cost HSIP Funds Requested Max. FRR
Total Expected Benefit Benefit Cost Ratio (BCR)

Page 683 of 856 ends

markthomas.com
LRSP Vision:

A safe transportation system for all users and diverse modes of travel within the City of Montebello

Page 684 of 856 ends

ITEM # 16

CITY OF MONTEBELLO

CITY COUNCIL AGENDA STAFF REPORT
TO: Honorable Mayor and City Council Members
FROM: Raul Alvarez, City Manager

BY: Fernando Pelaez, Fire Chief
SUBJECT: APPROVE RECEIPT OF FEDERAL EMERGENCY MANAGEMENT

AGENCY (FEMA) HAZARD MITIGATION GRANT PROGRAM (HMGP)
FUNDS
DATE: June 12, 2024
RECOMMENDATION(S):

It is recommended that the City Council:

1. Approve receipt of $209,800 in grant funding awarded by the Federal Emergency Management Agency (FEMA) Hazard Mitigation Grant Program (HMGP); and

2. Amend the Fiscal Year 2023-24 budget by increasing appropriations by $209,800 in Account No. 265-85-858-6040.10 (Grants, Fire, FEMA-HMGP, Other Contract Services [Expenditures]) and Account No. 265-99-4198.16 (Grants, FEMA-HMGP [Revenue]); and

3. Take such additional, related action that may be desirable.

FISCAL IMPACT:

The Federal Emergency Management Agency (FEMA) Hazard Mitigation Grant Program (HMGP) awarded the City of Montebello $209,800 to update its Local Hazard Mitigation Plan (LHMP) (Attachment A). The Fiscal Year 2023-24 budget will be amended by increasing appropriations by $209,800 in Account No. 265-85-858-6040.10 (Grants, Fire, FEMA-HMGP, Other Contract Services [Expenditures]) and Account No. 265-99-4198.16 (Grants, FEMA-HMGP [Revenue]). Any appropriations not utilized in Fiscal Year 2023- 24 will be rolled forward for use in Fiscal Year 2024-25.

BACKGROUND/DISCUSSION:

The City of Montebello is preparing a Local Hazard Mitigation Plan (LHMP) update. This

Page 685 of 856 ends

CITY COUNCIL AGENDA REPORT - MEETING OF JUNE 12, 2024

Page 2 of 3 ends

plan will help create a safer community for residents, businesses, and visitors. The LHMP allows public safety officials and city staff, elected officials, and members of the public to understand the threats from natural and human-caused hazards in the community. The plan will also recommend specific actions to proactively decrease these threats before disasters occur.

The Hazard Mitigation Plan will be prepared in response to the Disaster Mitigation Act of 2000 (DMA 2000), which requires state and local governments to prepare mitigation plans to document their mitigation planning process and identify hazards, potential losses, mitigation needs, goals, and strategies. This type of planning supplements the City’s comprehensive land use planning and emergency management planning programs. This document is a federally mandated update to the City of Montebello's 2017 Local Hazard Mitigation Plan and ensures continuing eligibility grant funding.

On September 12, 2023, the City Council authorized a professional services agreement with Jacob Green & Associates (JGA) to prepare a local hazard mitigation plan. The total all-inclusive contract amount is a not-to-exceed $84,990, which encompasses all the necessary tasks, deliverables, and expenses associated with successfully completing the Hazard Mitigation Plan. These grant funds will be used to pay for these services, as well as offset administrative expenses such as staff time spent preparing the updated.

The city has been awarded $150,000 for the 75 percent Federal share, the 25 percent non-Federal share is $50,000, and $9,800.00 is included for Management Costs, for a total award of $209,800. The funds are available for immediate and eligible disbursements. The HMGP project approval and obligation of funds is subject to conditions in the award letter (Attachment A).

ENVIRONMENTAL:

This item is not subject to the California Environmental Quality Act (CEQA) pursuant to the State CEQA Guidelines, California Code of Regulations, Title 14, Chapter 3, sections:
15060(c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change in the environment); 15060(c)(3) (the activity is not a project as defined in Section 15378); and 15061(b)(3), because the activity is covered by the general rule that CEQA applies only to projects which have the potential for causing a significant effect on the environment. Because there is no possibility that this item may have a significant adverse effect on the environment, the item is exempt from CEQA.

ANALYSIS:

N/A
SUMMARY:

Staff is recommending approving receipt of $209,800 in grant funding awarded to the City by the Federal Emergency Management Agency (FEMA), Hazard Mitigation Grant Program (HMGP) and amend the Fiscal Year 2023-24 budget by increasing appropriations by $209,800 in Account No. 265-85-858-6040.10 (Grants, Fire, FEMAPage 686 of 856 CITY COUNCIL AGENDA REPORT - MEETING OF JUNE 12, 2024

Page 3 of 3 ends

HMGP, Other Contract Services [Expenditures]) and Account No. 265-99-4198.16 (Grants, FEMA-HMGP [Revenue]).

ATTACHMENT(S)

1. Attachment A - HMGP Award letter
NEXT STEPS:

N/A

Page 687 of 856 ends

U.S. Department of Homeland Security
FEMA Region 9
1111 Broadway, Suite 1200
April 11, 2024
Nancy Ward, Director
California Governor’s Authorized Representative
California Governor’s Office of Emergency Services
3650 Schriever Avenue
Mather, California 95655
Reference: Application Approval, HMGP DR-4683-987-14P
City of Montebello
City of Montebello LHMP Update
FIPS Code: 037-48816, Supplement 19
Dear Nancy Ward:

We approve and issue Hazard Mitigation Grant Program (HMGP) funds for the City of Montebello (Sub-Recipient) HMGP DR-4683-987-14P, City of Montebello LHMP Update.

The total project cost is $200,000.00. As shown in the enclosed Obligation Report - Supplement 19, we are obligating $150,000.00 for the 75 percent Federal share; the 25 percent non-Federal share is $50,000.00. We are obligating $9,800.00 for the 100% Federal share Subrecipient Management Costs.

These funds are available in SmartLink for immediate and eligible disbursements. The following is a summary of the approved funding:

Approvals: Federal Share: Non-Federal Share: Total Project Cost:

Supplement 20 $150,000.00 $50,000.00 $200,000.00
Management Costs $9,800.00 $0.00 $9,800.00
This HMGP project approval and obligation of funds are subject to the following conditions:

1. Scope of Work (SOW) – The City of Montebello will develop and adopt a FEMA approved Hazard Mitigation Plan to meet the requirements outlined in 44 CFR Part 201 and the most current FEMA hazard mitigation plan guidance.

2. Project Completion Date – The work schedule included with the project application indicates that the project will take 36 months to complete; therefore, the project completion date is April 5, 2027. Please inform the sub-recipient that work completed after the disaster period of performance (POP) is not eligible for federalfunding, and that federal funds may be de-obligated for work completed outside the POP when there is no approved time extension. www.fema.gov

ATTACHMENT A

Page 688 of 856 ends

Nancy Ward
April 11, 2024

Page 2 of 2 ends

3. Project Closeout – Within 120 days of project completion, all project funds must be liquidated and final closeout documentation for the project must be submitted to FEMA. Please note the project must comply with Code of Federal Regulations Title 2, Part 200 reporting requirements at the time of closeout.

4. Record of Environmental Consideration (REC) – In compliance with the National Environmental Policy Act (NEPA), this undertaking is categorically excluded (CE) from the need to prepare either an environmental assessment or environmental impact statement.

5. Standard Conditions – This project approval is subject to the enclosed Standard Mitigation Grant Program (HMGP) Conditions, amended August 2018. Please note that federal funds may be de-obligated for work that does not comply with these conditions.

If you have any questions, please contact Andrea Harvey, Grants Management Specialist, by email [email protected], or phone (202) 430-4878.

Sincerely,
Digitally signed by KATHRYN J

KATHRYN J LIPIECKI LIPIECKI
Date: 2024.04.11 08:43:15 -07'00'
Kathryn Lipiecki
Director, Mitigation Division
FEMA Region 9
Enclosures (2):

Obligation Report – Supplement 19
Standard Mitigation Grant (HMGP) Conditions
cc: Ron Miller, Acting State Hazard Mitigation Officer, California Governor’s Office of Emergency Services
Robyn Fennig, Acting State Hazard Mitigation Officer, California Governor’s Office of Emergency Services
Joseph Purvis, Division Chief, California Governor’s Office of Emergency Services Robert McCord, Chief, Hazard Mitigation Assistance Branch, FEMA Region 9

Page 689 of 856 ends

14 -P
3/26/2024
10:01 AM
FEDERAL EMERGENCY MANAGEMENT AGENCY HMGP-OB-01

HAZARD MITIGATION GRANT PROGRAM
Obligation
Disaster
No
FEMA
Project No
Amendment
No
State
Application ID
Action
No
Supplemental
No State Recipient
4683 0 987 1 19 CA Statewide
Subrecipient: Montebello
Subrecipient FIPS Code: 037-48816
Project Title : 7% PrepareCA Match: City of Montebello 2023 Local Hazard Mitigation Plan Update
Total Amount
Previously Allocated
$150,000.00
Total Amount
Previously Obligated
$150,000.00
Total Amount
Pending Obligation
$0.00
Total Amount Available
for New Obligation
$0.00
Project Amount
Subrecipient Management
Cost Amount Total Obligation IFMIS Date IFMIS Status FY 03/25/2024 Accept 2024
Comments
Date: 03/25/2024 User Id: SSCOTT39
Comment: 4683-987-14P-7%, City of Montebello Local HM Plan Update,-$150,000.00 Federal Share and $9,800.00 Sub Recipient Managemen Costs.

Authorization
Preparer Name: STEVEN SCOTT Preparation Date: 03/25/2024 HMO Authorization Name: LAURA KOON HMO Authorization Date: 03/25/2024

Page 1 of 1 ends

$150,000.00 $9,800.00 $159,800.00

Page 690 of 856 ends

Standard Mitigation Grant Program (HMGP) Conditions
FEMA Region IX, August, 2018
The following list applies to Recipients and Subrecipients accepting HMGP funds from the Federal Emergency Management Agency (FEMA) of the Department of Homeland Security (DHS):

1. Applicable Federal, State, and Local Laws and Regulations. The Recipient/Subrecipient must comply with all applicable Federal, State, and Local laws and regulations, regardless of whether they are on this list or other project documents. DHS financial assistance Recipients and Subrecipients are required to follow the provisions of the State HMGP Administrative Plan, applicable Hazard Mitigation Assistance Uniform Guidance, and Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards located in Title 2 of the Code of Federal Regulations (CFR) Part 200, adopted by DHS in 2 CFR 3002.

2. Financial Management Systems. The Recipient and Subrecipient must maintain financial management systems to account for and track funds, as referenced in 2 CFR 200.302.

3. Match or Cost Share. Non-federal match or cost share must comply with 2 CFR 200.306, the scope of work (SOW), and any agreements among the Subrecipient, the Recipient, and FEMA.

4. Budget Changes. Unanticipated adjustments are permitted within the approved total cost. However, if costs exceed the federal share, the Subrecipient must notify the Governor’s Authorized Representative (GAR) of overruns before implementation. The GAR shall submit a written request for approval to FEMA Region IX. The subaward must continue to meet HMGP requirements, including cost effectiveness and cost share. Refer to 2 CFR 200.308 for additional information.

5. Real Property and Land. The acquisition, use, and disposition must comply with 2 CFR 200.311.

6. Equipment. The acquisition, use, and disposition must comply with 2 CFR 200.313.

7. Supplies. Upon project completion, FEMA must be compensated for unused supplies, exceeding $5,000 (fair market value), and not needed for other federal programs. Refer to 2 CFR 200.314.

8. Procurement. Procurement procedures must be in conformance with 2 CFR 200.318-320.

9. Monitoring and Reporting Program Performance. The Recipient and Subrecipient must submit quarterly progress reports, as referenced in the 2 CFR 200.328 and State HMGP Administrative Plan.

10. Records Retention. In accordance with 2 CFR 200.333, financial/ programmatic records related to expenditures must be maintained at least 3 years after the date of Recipient’s final expenditure report.

11. Enforcement and Termination. If the Recipient or Subrecipient fails to comply with the award or subaward terms, whether stated in a Federal statute or regulation, the State HMGP Administrative Plan, subpplication, a notice of award, an assurance, or elsewhere, FEMA may take one or more of the actions outlined in 2 CFR 200.338, including termination or partial termination of the award or subaward outlined in 2 CFR 200.339.

12. Allowable Costs. Funds are to be used for allowable costs in compliance with 2 CFR 200.403, the approved SOW, and any agreements among the Subrecipient, Recipient, and FEMA. 1

Page 691 of 856 ends

13. Non-Federal Audit. The Recipient and Subrecipient are responsible for obtaining audits in accordance with the Single Audit Act of 1984, in compliance with 2 CFR 200.501.

14. Debarred and Suspended Parties. Recipients and Subrecipients are subject to the non-procurement debarment and suspension regulations implementing Executive Orders 12549 and 12689, and 2 CFR 180. These regulations restrict federal financial assistance awards, subawards, and contracts with parties that are debarred, suspended, or otherwise excluded from or ineligible for participation in the federal assistance programs or activities.

15. Equipment Rates. Rates claimed for use of Subrecipient-owned equipment in excess of the FEMAapproved rates must be approved under State guidelines issued by the State Comptroller's Office or must be certified by the Recipient to include only those costs attributable to equipment usage less any fixed overhead and/or profit.

16. Duplication of Funding between Public Assistance (PA) and HMGP. Funding for PA Section 406 and HMGP Section 404 are permitted on the same facility/location, but the activities identified under each program must be distinct with separately accounted funds. At closeout, FEMA may adjust the funding to ensure the Subrecipient was reimbursed for eligible work from only one funding source.

17. Historic Properties and Cultural Resources. In compliance with 2 CFR 800, if a potential historic property or cultural resource is discovered during construction, the Subrecipient must cease work in the area and take all reasonable measures to avoid or minimize harm to the discovered property/resource. During construction, the Subrecipient will monitor ground disturbance activity, and if any potential archeological resources are discovered, will immediately cease work in that area, and notify the Recipient and FEMA. Construction in the area may resume with FEMA’s written approval after FEMA’s consultation, if applicable, with the State Historic Preservation Officer (SHPO).

18. NEPA and Changes to the Scope of Work (SOW). To comply with the National Environmental Policy Act (NEPA), and other Laws and Executive Orders, any change to the approved SOW shall be re-evaluated before implementation. Construction associated with a SOW change, prior to FEMA approval, may be ineligible for funding. Acceptance of federal funding requires environmental permits and clearances in compliance with all appropriate federal, state and local laws, and failure to comply may jeopardize funding.

Within their authority, the Recipient and Subrecipient must use of all practicable means, consistent with other essential policies, to create and maintain productive harmony for people and nature, and fulfill the social, economic, and other needs of present and future generations of Americans. 2

Page 692 of 856 ends

ITEM # 17

CITY OF MONTEBELLO

CITY COUNCIL AGENDA STAFF REPORT
TO: Honorable Mayor and City Council Members
FROM: Raul Alvarez, City Manager

BY: Michael Solorza, Director of Finance
SUBJECT: APPROVE PROFESSIONAL SERVICES AGREEMENT NO. 4206 WITH

GEORGE HILLS TO PROVIDE GENERAL LIABILITY THIRD-PARTY

ADMINISTRATION SERVICES
DATE: June 12, 2024
RECOMMENDATION(S):

It is recommended that the City Council:

1. Approve Professional Services Agreement No. 4206 with George Hills for an initial three (3) year term in the amount that shall not exceed $291,500 over the three years; and,

2. Authorize the City Manager to execute Professional Services Agreement No. 4206; and,

3. Take such additional, related action that may be desirable.

FISCAL IMPACT:

Professional Services Agreement No. 4206 (Attachment A) with George Hills has an initial three (3) year term and includes two (2), one (1) year extension options. If needed, the City Manager will have the authority to increase the annual expenditure amount by up to $5,000 annually for the duration of the agreement. The total maximum compensation shall not exceed $291,500 over the initial three (3) year term (July 1, 2024 through June 30, 2027):

YEAR 1 - $88,800
YEAR 2 - $92,020
YEAR 3 - $95,680
CONTINGENCY (if needed) - $15,000

Page 693 of 856 ends

CITY COUNCIL AGENDA REPORT - MEETING OF JUNE 12, 2024

Page 2 of 3 ends

Sufficient funds for these services will be budgeted as part of the proposed Fiscal Year 2024-25 budget in Account 700-99-6040.13 (Self Insurance Fund- Non-DepartmentalContract Services Liability General). Subsequent fiscal years will include sufficient funds for these services.

BACKGROUND/DISCUSSION:

The City of Montebello operates as a self-insured entity. The City assumes the financial risk of covering potential liabilities rather than purchasing insurance from an external carrier. This approach allows the City more control over insurance premium costs and the ability to tailor coverage to the City's specific needs. This approach also allows for potentially reduced costs over time.

On February 28, 2024, the City issued RFP 24-14 for General Liability Third Party Administration (TPA) Services. The RFP was posted on PlanetBids, and notices were submitted to multiple agencies via PlanetBids. The RFP closed on April 4, 2024, with six (6) responses received by the deadline. Bidders provided pricing based on the City’s projected annual consumption of liability management services. The following is a list of bidders who responded and their locations (In alphabetical order):
• AdminSure Inc-Ontario, CA
• Carl Warren & Company-Tustin, CA
• CorVel Corporation-Irvine, CA
• George Hills- Rancho Cordova, CA
• Intercare Holdings Insurance-Rocklin, CA
• TRISTAR-Long Beach, CA
After receiving the responses to the RFP, an evaluation committee was formed to review each proposal submission. The evaluation committee consisted of individuals from the Human Resources and Finance Departments. The responses were evaluated and scored (Attachment B) based on the following criteria:
• Qualifications (40 points)
• Reputation/Reference Checks (30 points)
• Proposed Fees (30 points)
The six vendors ranking -- highest to lowest score -- is:

1. George Hills

2. Tristar

3. Carl Warren & Company

4. Intercare Holdings Insurance Services

5. Admin Sure, Inc.

6. Cor Vel Corporation
Upon completing the evaluations, staff recommended awarding an agreement to George Hills. The professional services agreement can be found as Attachment A, and includes their proposed work plan as part of their response to the RFP.

Page 694 of 856 ends

CITY COUNCIL AGENDA REPORT - MEETING OF JUNE 12, 2024

Page 3 of 3 ends

ENVIRONMENTAL:

N/A
ANALYSIS:

N/A
SUMMARY:

This partnership with George Hills will enhance the City's risk management abilities by offering specialized knowledge and experience to identify, assess, and manage risks efficiently. George Hills will streamline claims handling processes, leading to quicker solutions and reducing the risk of costly litigation. George Hills provides valuable support and compliance measures regarding insurance regulations. It is recommended that City Council approve the attached agreement with George Hills.

ATTACHMENT(S)

1. Attachment A - Agreement No 4206.George Hills TPA GENERAL Liability

2. Attachment B - RFP 24-14 -General Liability TPA Services -EVALUATION SHEETSUMMARY NEXT STEPS:

N/A

Page 695 of 856 ends

CITY OF MONTEBELLO
PROFESSIONAL SERVICES AGREEMENT NO. 4206

WITH GEORGE HILLS
THIS PROFESSIONAL SERVICES AGREEMENT (“Agreement”) is made and entered into on July 1, 2024 (“Effective Date”), by and between the CITY OF MONTEBELLO, a California municipal corporation (the “CITY”) and GEORGE HILLS (the “CONSULTANT”). The CITY and the CONSULTANT are sometimes referred to herein individual as the “Party,” and jointly as the “Parties.”

RECITALS
WHEREAS, the CITY desires to retain a qualified consultant to provide Third-party Administration (TPA) services for the City’s General Liability Program; and WHEREAS, the City issued Request for Proposals (RFP) No. 24 – 14 on February 29, 2024; and
WHEREAS, the CONSULTANT submitted a response to the RFP; and WHEREAS, the City evaluated the responses and determined that the Consultant will meet the requirements in a satisfactory manner.

NOW THEREFORE, in consideration of performance by the Parties of the covenants and conditions herein contained, the Parties hereto agree as follows:

SECTION 1. INCORPORATION OF RECITALS AND OTHER CONTRACT DOCUMENTS A. The above-referenced Recitals constitute a material part hereof and shall hereby be incorporated by reference. Moreover, this Agreement consists of the following documents, in order of precedence, all of which are incorporated herein and made part of this Agreement, as though fully set forth herein:
i.This Agreement and its Exhibits, including any and all addenda or supplemental agreements.
ii.RFP 24 - 14
iii.CONSULTANT’s Proposal referenced
iv.All other documents, including but not limited to all applicable bonds, insurance certificates, permits, notices, schedules, forms, certifications, and affidavits.

B. These documents shall be collectively referred to herein as the “Contract Documents.” In the event of a conflict among the Contract Documents, the order of precedence list above shall apply.

SECTION 2. SERVICES / COMPENSATION.

A. All terms, conditions, requirements, and provisions of the services in RFP 24 – 14 and CONSULTANT’s responses, as such is set forth fully in Exhibit “B” hereto, are hereby incorporated fully herein by this reference and shall be binding on the Parties. To the extent of a conflict between the terms of this Agreement and that set forth in any exhibits or attachments hereto, the terms of this Agreement shall govern.

Page 696 of 856 ends

PROFESSIONAL SERVICES AGREEMENT NO. 4206

Page 2 of 11 ends

B. The CONSULTANT shall provide to the CITY all labor, equipment, materials and incidental necessary to provide services, as such is set forth fully in Exhibit “A” hereto and incorporated fully herein by this reference (hereinafter “Professional Services”).

C. The CONSULTANT shall be compensated for performance of the Professional Services as set forth in the Schedule of Compensation attached hereto as Exhibit “B” and incorporated fully herein by this reference (“Compensation”). The CONSULTANT shall provide an itemized billing statement to the CITY each month for Professional Services performed. The CONSULTANT shall not incur fees or costs which exceed the Compensation without the prior written consent of the CITY.

SECTION 3. TERM.
a. This Agreement shall commence upon issuance of a written “Notice to Proceed” (as further defined below) by the CITY and shall expire on June 30, 2027, unless terminated earlier as hereinafter provided. This Agreement may be extended for two (2) additional, one (1) year periods, with mutual agreement from both parties.
b. Notice to Proceed. Any work or service contemplated under this Agreement shall not commence until the CITY has issued a written Notice to Proceed issued by CITY’s applicable, department head.

SECTION 4. PERFORMANCE.
a. The CONSULTANT shall at all times, faithfully, competently, and to the best of its ability, experience, and talent, perform all tasks described herein. b. The CONSULTANT shall employ, at a minimum, generally accepted standards and practices utilized by companies engaged in providing similar services, as are required of Consultant hereunder, in meeting its obligations under this Agreement. c. The CONSULTANT shall be knowledgeable of and subject to all CITY ordinances, rules and regulations, standard operating procedures, and the supervisory chain of command. d. The CONSULTANT shall have the right to retain, subject to t h e CITY's approval, additional individuals, consultants or subconsultants to assist in the completion of services as herein defined. Compensation for additional individuals, consultants or subconsultants shall be the sole and exclusive responsibility of the CONSULTANT. e. The CONSULTANT shall retain all original reports, field and office notes, correspondence, calculations, maps, and other documents specifically related to the services provided by the CONSULTANT pursuant to this Agreement, other than documents which are exempt from disclosure pursuant to the attorney-client privilege or any other law.

Said documents shall be made available for inspection by the CITY upon request.

SECTION 5. WORK PRODUCT.
a. The CONSULTANT hereby agrees that all work product produced pursuant to this Agreement and provided to the CITY during and upon completion of this Agreement, shall be the property of the CITY, and ownership of said work product shall be retained by the CITY. b. All data, documents, discussion, or other information developed or received by the

Page 697 of 856 ends

PROFESSIONAL SERVICES AGREEMENT NO. 4206

Page 3 of 11 ends

CONSULTANT or provided for performance of this Agreement are deemed confidential and shall not be disclosed by the CONSULTANT without prior written consent by the CITY. The CITY shall grant such consent if disclosure is legally required. All such written products shall be returned to the CITY upon the termination or expiration of this Agreement. The CONSULTANT agrees that the covenants contained in this Section shall survive the expiration or termination of this Agreement.

SECTION 6. EXTRA SERVICES.

No extra services over and above the Compensation shall be rendered by the CONSULTANT under this Agreement unless such extra services first shall have been duly authorized in writing by the CITY’S City Manager (the “City Manager”).

SECTION 7. CITY SUPERVISION.

The City Manager shall have the right of general supervision of all work performed by the CONSULTANT and shall be the CITY’s agent with respect to obtaining the CONSULTANT’S compliance hereunder. No payment for services rendered under this Agreement shall be made without the prior approval by the City Manager.

SECTION 8. TERMINATION.

In the event that either Party hereto fails or refuses to perform any of the provisions of this Agreement at the time and in the manner required, the non-defaulting party shall give the defaulting party written notice of the default, the nature of the default, and of the steps necessary to cure the default.

Termination. The CITY shall have the option, at its sole discretion to terminate this Agreement in whole, or in part, by giving thirty (30) business days’ written notice to the CONSULTANT.

Upon the termination of this Agreement as provided herein, the CITY shall provide to the CONSULTANT the part of Compensation which would otherwise be payable to the CONSULTANT for services the CONSULTANT had completed as of the date of termination, less the amount of all previous payment with respect to the Compensation. Further, upon such a termination by the CITY, the Parties agree that the CONSULTANT shall be reimbursed for any “non-refundable” costs that the CONSULTANT has incurred for its services under this Agreement, provided that: (1) such “non- refundable” costs were incurred by the CONSULTANT prior to the date of termination, and (2) that the CONSULTANT provides the CITY with adequate proof that the CONSULTANT incurred the costs, and is unable to be seek a refund for such costs. Such “non-refundable” costs may include, but are not limited to, travel reservations incurred by the CONSULTANT for its performance of services under this Agreement. The CONSULTANT agrees to cease all work under this Agreement on or before the effective date of any notice of termination.

SECTION 9. EMPLOYMENT OF CITY EMPLOYEES.

No regular employee of the CITY shall be employed by the CONSULTANT or SUBCONSULTANT during the term of this Agreement.

SECTION 10. NON-LIABILITY OF CITY OFFICIALS AND EMPLOYEES.

No official or employee of the CITY shall be personally liable to the CONSULTANT in the event of any default or breach by the CITY, or for any amount which may become due to the CONSULTANT.

Page 698 of 856 ends

PROFESSIONAL SERVICES AGREEMENT NO. 4206

Page 4 of 11 ends

SECTION 11. INDEPENDENT CONSULTANT.
a. The CONSULTANT is and shall, at all times, remain as to the CITY a wholly independent consultant. Neither the CITY nor any of its elected officials, officers, employees, or agents shall have control over the conduct of the CONSULTANT except as expressly set forth in this Agreement. The CONSULTANT shall not at any time or in any manner represent that he or she is in any manner an elected official, officer, employee, or agent of the CITY. No employee benefits shall be available to the CONSULTANT in connection with the performance of this Agreement. Except as provided in this Agreement, the CITY shall not pay salary, wages, or other compensation to the CONSULTANT for performance hereunder for the CITY, the CITY shall not be liable for compensation to the CONSULTANT, the CONSULTANT’s employees or the CONSULTANT’s subcontractors for injury or sickness arising out of performing services hereunder.
b. The parties further acknowledge and agree that nothing in this Agreement shall create or be construed to create a partnership, joint venture, employment relationship or any other relationship except as set forth in this Agreement. c. The CITY shall not deduct from the Compensation paid to the CONSULTANT any sums required for Social Security, withholding taxes, FICA, state disability insurance or any other federal, state or local tax or charge which may or may not be in effect or hereinafter enacted or required as a charge or withholding on the compensation paid to the CONSULTANT. The CITY shall have no responsibility to provide the CONSULTANT, its employees or subconsultants with workers’ compensation insurance or any other insurance.

SECTION 12. CalPERS ANNUITANTS AND ELIGIBILITY INDEMNITY. a. If the CONSULTANT is a California Public Employees’ Retirement System (“CalPERS”) annuitant, the CONSULTANT must provide the City with written notification of such fact a minimum of 14 calendar days prior to commencement of services under this Agreement.

Failure to provide such notification may result in termination of the Agreement, and any penalties or other costs relating thereto shall be borne by the CONSULTANT. If this Agreement remains in place, the CONSULTANT shall execute any amendment(s) to this Agreement requested by the City in order to comply with all laws and regulations applicable to CalPERS annuitants.
b. In the event that the CONSULTANT or any employee, agent, or subcontractor of the CONSULTANT providing services under this Agreement claims or is determined by a court of competent jurisdiction or CalPERS to be eligible for enrollment in CalPERS as an employee of the CITY, the CONSULTANT shall indemnify, defend, and hold harmless the CITY for the payment of any employee and/or employer contributions for CalPERS benefits on behalf of the CONSULTANT or its employees, agents, or subcontractors, as well as for the payment of any penalties and interest on such contributions, which would otherwise be the responsibility of the CITY.
c. Notwithstanding any other agency, state or federal policy, rule, regulation, law or ordinance to the contrary, the CONSULTANT and any of its employees, agents, and subconsultants providing service under this Agreement shall not qualify for or become entitled to, and hereby agree to waive any claims to, any compensation, benefit, or any incident of employment by the CITY, including but not limited to eligibility to enroll in PERS as an employee of the CITY and entitlement to any contribution to be paid by t h e CITY for

Page 699 of 856 ends

PROFESSIONAL SERVICES AGREEMENT NO. 4206

Page 5 of 11 ends

employer contribution and/or employee contributions for PERS benefits.

SECTION 13. LEGAL RESPONSIBILITIES.

The CONSULTANT shall at all times observe and comply with all applicable laws, ordinances, codes, and regulations of the federal, state, and local governments including, but not limited to the Montebello Municipal Code. The CITY, and its appointed or elected officers, employees, or agents, shall not be liable at law or in equity occasioned by failure of the CONSULTANT to comply with this section.

SECTION 14. INDEMNIFICATION.

The CONSULTANT agrees to, and shall defend, indemnify, protect and hold harmless, the CITY, its elected and appointed boards, officers, officials, employees, agents and volunteers from and against any and all claims, demands, lawsuits, defense costs, civil, penalties, expenses, causes of action, and judgments at law or in equity, or liability of any kind or nature which the CITY, its elected and appointed boards, officers, officials, employees, agents and volunteers may sustain or incur or which may be imposed upon them for injuries or deaths of persons, or damage to property arising out of the CONSULTANT’s negligent or wrongful act, or omission under the terms of this Agreement, except only liability arising out of the sole negligence of the CITY.

SECTION 15. INSURANCE COVERAGE.
a. During the term of this Agreement, the CONSULTANT shall carry, maintain, and keep in full force and effect insurance against claims for death or injuries to persons or damages to property that may arise from or in connection with CONSULTANT’s performance of this Agreement. Such insurance shall be of the types and in the amounts as set forth below:

Commercial General Liability (CGL): Written on an occurrence form reasonable acceptable to the City and in common use in the insurance industry for the identified coverage covering CGL on an “occurrence” basis for bodily injury and property damage, including products-completed operations, personal injury, and advertising injury, with limits no less than $2,000,000 per occurrence and $4,000,000 aggregate.

Automobile Liability Insurance: Written on an occurrence form reasonable acceptable to the City and in common use in the insurance industry for the identified coverage (any auto), or if CONTRACTOR has no owned autos, Code 8 (hired) and 9 (non-owned), with limit no less than $1,000,000 per accident for bodily injury and property damage.

Worker's Compensation insurance as required by the laws of the State of California, with Statutory Limits, and Employer’s Liability Insurance with limit of no less than $1,000,000 per accident for bodily injury or disease.

Professional Liability insurance appropriate to the CONTRACTORS’S profession, with limit no less than $2,000,000 per occurrence and $4,000,000 aggregate. b. If the CONSULTANT maintains higher limits than the minimums shown above, the CITY requires and shall be entitled to coverage for the higher limits maintained by the CONSULTANT. c. The CONSULTANT shall require each of its subcontractors, if any, to maintain insurance coverage that meets all of the requirements of this Agreement.

Page 700 of 856 ends

PROFESSIONAL SERVICES AGREEMENT NO. 4206

Page 6 of 11 ends

d. The policy or policies required by this Agreement shall be issued by an insurer admitted in the State of California, which are acceptable to the City, and with a current rating of at least A-:VII in the latest edition of Best's Insurance Guide. e. Each insurance policy required above shall state that coverage shall not be canceled, except after thirty (30) days’ prior written notice (ten [10] days for non-payment) has been given to the CITY. The CONSULTANT agrees that if it does not keep the aforesaid insurance in full force and effect the CITY may either (i) immediately terminate this Agreement for Cause; or (ii) take out the necessary insurance and pay, at the CONSULTANT’s expense, the premium thereon.
f. Evidence of Insurance prior to commencement. The CONSULTANT shall provide to the CITY Certificate(s) of Insurance evidencing such coverage together with copies of the required policy endorsements no later than five (5) business days prior to commencement of service and at least fifteen (15) business days prior to the expiration of any policy.

Unreasonable failure to provide such evidence may be cause for termination of the Agreement as provided herein or delay the services’ commencement date. The evidence of insurance shall be U.S. mail or email to:

City of Montebello
Attn: Risk Management
1600 West Beverly Boulevard
Montebello, CA 90640
g. In the event George Hills receives notice of cancellation from the insurer of any of the insurance required under this agreement, George Hills will provide City of Montebello written notice of such pending cancellation within five (5) business days of receipt of such notice from the insurer. George Hills shall use all reasonable efforts to remedy the cause of such cancellation notice, or will find replacement insurance meeting the requirements of this agreement and shall provide City of Montebello with written notice that such cancellation has been rescinded, or shall provide a new Certificate of Insurance evidencing the replacement insurance, prior to the date the pending cancellation was to become effective, such that no lapse in the required insurance shall occur. .
h. Evidence of Insurance during the entire term of the Agreement. At all times during the term of this Agreement, the CONSULTANT shall maintain on file with the CITY’s Risk Manager a certificate or certificates of insurance showing that the aforesaid policies are in effect in the required amounts and naming the CITY as an additional insured. The CONSULTANT shall, prior to the commencement of work under this Agreement, file with the CITY’s Risk Manager such certificate(s).
i. The CONSULTANT shall provide proof that policies of insurance required herein expiring during the term of this Agreement have been renewed or replaced with other policies providing at least the same coverage. Such proof will be furnished at least two (2) weeks prior to the expiration of the coverages.
j. The general liability and automobile policies of insurance required by this Agreement shall contain an endorsement naming the CITY, its officers, employees, agents and volunteers as additional insured’s. All of the policies required under this Agreement shall contain an endorsement providing that the policies cannot be canceled or reduced except on thirty days’

Page 701 of 856 ends

PROFESSIONAL SERVICES AGREEMENT NO. 4206

Page 7 of 11 ends

prior written notice to the CITY. The CONSULTANT agrees to require its insurer to modify the certificates of insurance to delete any exculpatory wording stating that failure of the insurer to mail written notice of cancellation imposes no obligation, and to delete the word “endeavor” with regard to any notice provisions.
k. The Commercial General Liability insurance policy provided by the CONSULTANT shall be primary to any coverage available to the CITY. Any insurance or self-insurance maintained by the CITY, its officers, employees, agents, or volunteers, shall be in excess of CONSULTANT’s insurance and shall not contribute with it. l. All insurance coverage provided pursuant to this Agreement shall not prohibit the CONSULTANT, and CONSULTANT’s employees, agents or subconsultants, from waiving the right of subrogation prior to a loss. The CONSULTANT hereby waives all rights of subrogation against the CITY as it pertain to the Commercial General Liability, Automobile, and Workers’ Compensation policies.
m. Any deductibles or self-insured retentions must be declared to and approved by the CITY. .
n. Procurement of insurance by the CONSULTANT shall not be construed as a limitation of the CONSULTANT'S liability or as full performance of CONSULTANT’s duties to indemnify, hold harmless and defend under the indemnity covenants of this Agreement.

SECTION 16. SUBCONTRACT, ASSIGNMENT OR DELEGATION.

The CONSULTANT shall not subcontract, delegate, or assign its duties or rights hereunder, either in whole or in part, without the prior written consent of the CITY. Any proposed subcontract, delegation, or assignment shall provide a description of the services to be covered, identification of the proposed sub-consultant, delegee, or assignee, and an explanation of why and how the same was selected, including the degree of competition involved.

Any subcontract, delegation or assignment shall be made in the name of the CONSULTANT and shall not bind or purport to bind the CITY and shall not release the CONSULTANT from any obligations under this Agreement including, but not limited to, the duty to properly supervise and coordinate the work of employees, assignees, delegees or sub-consultants. No such subcontract, delegation or assignment shall result in any increase in the amount of total compensation payable to the CONSULTANT under the Agreement.

SECTION 17. NO WAIVER.

Waiver by any party hereto of any term, condition or covenant of this Agreement shall not constitute the waiver of any other term, condition, or covenant hereof.

SECTION 18. DISPUTE RESOLUTION; GOVERNING LAW.

Disputes regarding the interpretation or application of any provision(s) of this Agreement shall, to the extent reasonably feasible, be resolved through good faith negotiations between the Parties. If any action at law or in equity is brought to enforce this Agreement or because of alleged dispute, breach, default or misrepresentation in connection with the provisions of this Agreement, the prevailing party in such action shall be entitled to reasonable attorney’s fees, expert fees, costs and necessary disbursements incurred in that action or proceeding, in addition to such other relief as may be sought and awarded. The venue for any litigation shall be County of Los Angeles, California. The Parties agree that the covenants contained in this

Page 702 of 856 ends

PROFESSIONAL SERVICES AGREEMENT NO. 4206

Page 8 of 11 ends

Section shall survive the expiration or termination of this Agreement.

SECTION 19. ATTORNEY’S FEES AND COSTS.

If litigation is reasonably required to enforce or interpret the provisions of this Agreement, the prevailing party in such litigation shall be entitled to an award of reasonable attorney's fees and costs in addition to any other relief to which it may be entitled.

SECTION 20. WARRANTIES.

Each of the parties represents and warrants to one another as follows:
a. It has received independent legal advice from its attorneys with respect to the advisability of entering into and executing this Agreement;
b. In executing this Agreement, it has carefully read this Agreement, knows the contents thereof, and has relied solely on the statements expressly set forth herein and has placed no reliance whatsoever on any statement, representation, or promise of any other party, or any other person or entity, not expressly set forth herein, nor upon the failure of any other party or any other person or entity to make any statement, representation or disclosure of any matter whatsoever; and
c. It is agreed that each party has the full right and authority to enter into this Agreement, and that the person executing this Agreement on behalf of either party has the full right and authority to fully commit and bind such party to the provisions of this Agreement.

SECTION 21. MISCELLANEOUS.
a. The descriptive paragraph headings of this Agreement are included for purposes of convenience only and shall not control or affect the construction of interpretation of any of its provisions.
b. Whenever the context hereof shall so require, the singular shall include the plural, the male gender shall include the female gender, and the neuter and vice versa. c. In case any one or more of the provisions contained in this Agreement shall for any reason be held to be invalid, illegal, or unenforceable in any respect, such invalidity, illegality, or unenforceability shall not affect any other provision hereof and this Agreement shall be construed as if such invalid, illegal, or unenforceable provisions had never been contained herein. d. The representations and warranties made by the parties to this Agreement shall survive the consummation of the transaction herein described.
e. This Agreement may be signed in any one or more counterparts all of which taken together shall be but one and the same Agreement. Any signed copy of this Agreement or of any other document or agreement referred to herein, or copy or counterpart thereof, delivered by facsimile transmission, shall for all purposes be treated as if it were delivered containing an original manual signature of the party whose signature appears in the facsimile and shall be binding upon such party in the same manner as though an originally signed copy had been delivered. f. Each of the parties acknowledges that it has been represented by independent counsel of its own choosing, or if it has not been so represented, it has been admonished to

Page 703 of 856 ends

PROFESSIONAL SERVICES AGREEMENT NO. 4206

Page 9 of 11 ends

obtain independent counsel and has freely and voluntarily waived and relinquished the right to counsel. Each party who has not obtained independent counsel acknowledges that the failure to have independent legal counsel will not excuse such party’s failure to perform under this Agreement or any agreement referred to in this Agreement.

SECTION 22. NOTICE.

All notices, demands, requests or approvals to be given under this Agreement shall be given in writing and conclusively shall be deemed served when delivered via e-mail (an “Electronic Notice” as further defined below), personally or on the second (2nd) business day after the deposit thereof in the United States mail, postage prepaid, registered or certified, addressed as hereinafter provided. All notices, demands, requests, or approvals hereunder shall be given to the following addresses or such other addresses as the Parties may designate by written notice:

If to CITY: City of Montebello
Attn: Raul Alvarez, City Manager
1600 West Beverly Boulevard
Montebello, CA 90640
(323) 887-1200
Email: [email protected]
With a copy to: City of Montebello – City Clerk’s Office 1600 West Beverly Boulevard
Montebello, CA 90640
(323) 887 – 1200
Email: [email protected]
If to Consultant: George Hills
John Chaquica, CEO
PO Box 278
Rancho Cordova, CA 95741
(916)859-4824
Email: [email protected]
George Hills
Chris Shaffer, COO
PO Box 278
Rancho Cordova, CA 95741
(916)859-4826
Email: [email protected]
An electronic communication (“Electronic Notice”) shall be deemed written notice for purposes of this section if sent to the electronic mail address specified above. Electronic Notice shall be deemed received at the time the party sending Electronic Notice receives verification of receipt by the receiving party. Any party receiving Electronic Notice may request and shall be entitled to receive the notice on paper, in a nonelectronic form.

SECTION 23. NON-DISCRIMINATION AND EQUAL OPPORTUNITY EMPLOYER.

In the performance of this Agreement, the CONSULTANT shall not discriminate against any employee, sub-consultant, or applicant for employment because of race, color, creed, religion, sex, marital status, national origin, ancestry, age, physical or mental handicap, mental condition or sexual orientation. The CONSULTANT will take affirmative action to

Page 704 of 856 ends

PROFESSIONAL SERVICES AGREEMENT NO. 4206

Page 10 of 11 ends

ensure that sub-consultant and applicants are employed, and that employees are treated during employment, without regard to their race, color, creed, religion, sex, marital status, national origin, ancestry, age, physical or mental handicap, medical condition or sexual orientation.

SECTION 24. CONFLICT OF INTEREST.

The CONSULTANT covenants that it presently has no interest and shall not acquire any interest, direct or indirect, which may be affected by the services to be performed by the CONSULTANT under this Agreement, or which would conflict in any manner with the performance of its services hereunder. The CONSULTANT further covenants that, in performance of this Agreement, no person having any such interest shall be employed by it.

Furthermore, the CONSULTANT shall avoid the appearance of having any interest that would conflict in any manner with the performance of its services pursuant to this Agreement.

The CONSULTANT covenants not to give or receive any compensation, monetary or otherwise, to or from the ultimate vendor(s) of services to t h e CITY as a result of the performance of this Agreement, or the services that may be procured by the CITY as a result of the recommendations made by the CONSULTANT. The CONSULTANT's covenant under this section shall survive the termination of this Agreement.

SECTION 25. ENTIRE AGREEMENT.

This Agreement contains the entire understanding between the CITY and the CONSULTANT.

Any prior agreements, promises, negotiations or representations not expressly set forth herein are of no force or effect. Subsequent modifications to this Agreement shall be effective only if in writing and signed by each party. If any term, condition, or covenant of this Agreement is held by a court of competent jurisdiction to be invalid, void, or unenforceable, the remaining provisions of this Agreement shall be valid and binding.

SECTION 26. EXTENSION TO OTHER PUBLIC AGENCIES
Unless otherwise specified in writing, the CONSULTANT agrees that the prices, terms, and conditions identified in the Proposal (Exhibit “A”) and Agreement may be extended to other governmental agencies at the mutual agreement of both the public agency and awarded CONSULTANT. All requirements of the specifications, purchase orders, invoices, and payments with other agencies shall be directly with the CONSULTANT. CONSULTANT acknowledges and agrees to the extension of these contract terms to other governmental agencies conditioned upon the agreement of the CONSULTANT with the governmental agency. This provision in no way guaranteed that the CONSULTANT will agree to enter into a contract with a governmental agency pursuant to this Section.
[SIGNATURE PAGE TO FOLLOW]

Page 705 of 856 ends

PROFESSIONAL SERVICES AGREEMENT NO. 4206

Page 11 of 11 ends

IN WITNESS WHEREOF, the parties, through their respective authorized representatives, have executed this Agreement as of the date first written above. (“CITY”) (“CONSULTANT”)

CITY OF MONTEBELLO GEORGE HILLS
Raul Alvarez, City Manger John Chaquica, CEO
Chris Shaffer, COO
ATTEST:

Christopher Jimenez, City Clerk
APPROVED AS TO FORM:

Arnold M. Alvarez-Glasman, City
Attorney
EXHIBITS:
• Exhibit A – Response to RFP 24-16
• Exhibit B – Schedule of Compensation
• Exhibit C – Live Scan Fingerprinting Requirement
Chris Shaffer (May 29, 2024 07:27 PDT)
Chris Shaffer

Page 706 of 856 ends

CITY OF MONTEBELLO

GENERAL LIABILITY THIRD- PARTY

ADMINISTRATOR SERVICES
RFP No. 24-14 ...................................................... Submitted: April 4, 2024 George Hills
PO Box 278, Rancho Cordova, CA 95741 Phone:
(916) 859-4800, Fax: (916) 859-4805
Exhibit “A”

TECHNICAL PROPOSAL

Page 707 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 2

LETTER OF TRANSMITTAL
April 4, 2024
City of Montebello
Attn: John Soria, Assistant Director of Human Resources 1600 West Beverly Boulevard
Montebello, CA 90640
RE: City of Montebello – RFP no. 24-14 General Liability Third Party Administrator Services
Dear Mr. Soria,
As Chief Executive Officer of George Hills, I thank you for the opportunity to submit a proposal to provide General Liability Third Party Administrator Services to the City of Montebello ( the City). Our team will provide exemplary services while increasing efficiencies and reducing the City’s total cost of risk. Our claims professionals are highly qualified and experienced with the unique nuances of California public entities.

George Hills employs many public entity general liability claims staff compared to our competitors, which enables us to offer unrivaled expertise to the City. Our Public Entity claims division is dedicated solely to general liability and exceeds 80 full-time employees serving our nearly 500 public entity clients.

George Hills acknowledges any and all addenda issued pertaining to this RFP.

This proposal shall remain valid for a period of no less than 90 days from the submittal deadline, April 4, 2024.

Responsiveness to the RFP: We are proud to state that we meet, and in some cases exceed, the City’s requirements and evaluation criteria. George Hills is prepared and ready to fulfill the needs of the City.

Public Entity Experience: George Hills has an established record of consistent professional service and reputation within the industry, with specific emphasis on public entities and knowledge of public safety benefits, laws, and immunities.

High Quality References: Our clients are a testament to the quality of service we provide.

We serve nearly 500 California public entities.

Page 708 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 3
Staffing and Experience: George Hills selectively recruits and retains the industry’s best of the best claims professionals. Our team is dedicated to setting the standard for client satisfaction.

Cost Benefit Advantages: With our claims handling best practices to guide us, George Hills’ approach is focused on efficient, cost-effective, and strategic resolutions.

Core Values: George Hills is set apart from other candidates by our core values, which direct and maintain all that we do. George Hills fosters values of honesty, accountability, transparency, loyalty, commitment, resilience, continuous improvement, financial stewardship, and client satisfaction.

Our claims handling success is focused on the protection of your assets. With 70 years in business, George Hills has achieved a best-in-class reputation. As the CEO and sole owner of George Hills, I promise that you will experience the difference in our approach and feel confident in your decision to work with us. Thank you for considering George Hills for this vital role.

I attest that all information submitted with this proposal is true and correct.

John Chaquica, CPA, MBA, ARM
Chief Executive Officer, George Hills Company
Proposer: George Hills Company
PO Box 278 Rancho Cordova, CA 95741 Phone:
(916) 859-4800
Fax: (916) 859-4805
DIR: N/A
Contact Person: John Chaquica, CPA, MBA, ARM, CEO & Owner Address:

PO Box 278 Rancho Cordova, CA 95741
Email: [email protected] Phone:
(916) 859-4824
Subcontractors:

George Hills does not anticipate entering any contracts with subcontractors and will operate as the primary contractor performing the primary functions of the Agreement.

Page 709 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 4

TABLE OF CONTENTS
A. Qualifications, Related Experience, And References...............................................................6

1. Company Profile .................................................................................................................6

2. Financial ................................................................................................................................9

3. References ..............................................................................................................................9

4. Self-Insured General Liability Administration Program ................................... 10 B. Detailed Work Plan ............................................................................................................... 12 Best Practices Claims Approach.............................................................................................. 16 Staffing .......................................................................................................................................... 28 C. Exceptions............................................................................................................................... 33 Proposed Contract Exceptions To The Professional Services Agreement From The City Of Montebello – Appendix B...................................................................................... 33 D. Appendix................................................................................................................................ 39 I. Pricing.................................................................................................................................. 39 II. Optional Services.............................................................................................................. 47 1 st Party Subrogation Recovery ............................................................................................. 49 Public Entity................................................................................................................................ 50 Testimonial Statement............................................................................................................... 50 III. Sample Reports................................................................................................................ 52 IV. George Hills Client Portal............................................................................................ 59 V. List Of Municipalities..................................................................................................... 61

Page 710 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 5
A. QUALIFICATIONS,

RELATED EXPERIENCE,

AND REFERENCES

Page 711 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 6
Qualifications, Related Experience, and References

1. COMPANY PROFILE
George Hills Company was founded in 1954 and has provided liability and property claims administration services to the public sector for four decades. Since its inception, George Hills has expanded, grown, and branched out in ways consistent with our value of continuous improvement. In addition to third-party claims administration, we provide industry-leading litigation management services, subrogation recovery, investigative services, and JPA management.

Today, we work with more public entities in California than any other TPA.

Public Entity Experience: George Hills has
made public entity casualty claims adjusting its focus.

We put forth considerable effort in recruiting,
retaining, and training our employees. We
partner with nearly 150
California cities – a significant percentage of
the state’s counties both as stand-alone
agencies and JPA members.

George Hills’ emphasis on high quality public entity adjusters and our reputation for excellent client service have led us to the forefront for California Public Entities property and liability claims management. For more than half a century, George Hills has specialized in California public entity multi-line claims adjusting (property and liability) while also providing litigation management and investigative services.

Firm Structure: George Hills is a corporation employing 95 professionals companywide.

Public Entity Experts: For over fifty years, George Hills has made public entity casualty claims adjusting its focus. At the core of this focus, and the means for our ongoing success, is the high quality of individuals employed by George Hills. We put forth our best effort in recruiting, training, and retaining public entity adjusting experts. We believe this emphasis on high-quality public entity professionals and excellent client service has placed us at the forefront of California public entities property and liability claims management.

Page 712 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 7
Our claim division staffing structure ensures that the quality of work we provide will meet your exact expectations. We employ claim executives who have been in the business of serving public entities for most of their careers. We have a hierarchical structure of managers and supervisors who oversee and advise on the work produced by adjusters. Our adjusting staff consists of senior level adjusters, adjusters who are progressing in their careers toward senior level positions, and claim processors who provide administrative support as well as key support duties. George Hills’ employees hold professional licenses, BA/BS/MA and JD degrees, and/or industry certifications/designations, including: Independent Insurance Adjuster; Associate in Risk Management (ARM); Registered Professional Adjuster (RPA); Casualty Claim Law Associate (CCLA); California Self-Insured Administrator (SIA); Certified Public Accountant (CPA); Charter Global Management Accountant (CGMA); Certified Litigation Management Professional (CLMP); Property/Casualty Agent; and the California State Bar.

Locations: George Hills maintains four (4) offices in California, including Agoura Hills, Ontario, Alameda, and our principal office in Folsom, near Sacramento.

Page 713 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 8
Benefits of George Hills
George Hills Advantage Over Comparable Firms
George Hills selectively recruits and
retains the industry’s best of the
best public entity claims adjusters.

A boutique organization by design,
we provide customized services to
meet your needs, not have you fit
into our system. George Hills has one owner,
who is involved, available, and committed to
meeting regularly.

Other TPAs have experienced adjusters that may focus on private entities or are not as experienced in public
entity claims adjusting.

Several TPA firms are large companies that may not have the time and focus on providing customized services to meet the needs of the City. Our Public Entity Management team is comprised of leaders in the industry.

Providing expert liability, property,
med-mal, and subrogation services
for public entities is our one and
only focus. George Hills has nearly 500
California public entities including over
nearly 20 JPAs.

Many other TPA firms provide multi-line services to a
variety of private and public entities, and therefore
don’t specialize in the specific needs that public entities require.

George Hills has
developed our own
comprehensive and effective public entity
claims training program, George Hills Claims
University (GHCU).

George Hills is the first and only TPA to launch its own learning program. Managed through a Learning Management System, GHCU provides continuous matriculation for our
current and future employees and now to our clients,
and soon the general public.

George Hills’ use of our CMIS, and our
Trademarked iMetrics reports, give
our clients unique access to the
claims process at every stage and allow
clients to run customized reports.

Although some TPAs have their own claims system, which may be multi-line and private sector, our CMIS provides
enhanced, customizable system reporting that is specific to public entities and unparallel to other firms’
capabilities.

George Hills has developed a clientfacing portal, which provides dashboards and secure online areas
for file sharing and collaboration.

We are one of the few TPAs that offer a resourceful, webbased portal that our clients can customize to fit their risk management and reporting needs.

Page 714 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 9
George Hills has two in-house
attorneys that serve as our
Litigation Managers, as well as
assist clients and adjusting sta ff b yapply ng i
their extensive public entity exper ience.

Although a couple of larger TPAs may have legal resources, our in-house attorneys are readily accessible and are
routinely utilized by our claims adjusters and are available to our clients.

Page 715 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 10

2. FINANCIAL
George Hills put his name on the door in 1954, starting a firm to revolutionize the claims administration service industry. George Hills has remained financially sound and true to its roots, with a dedicated local ownership, focus on public entities, management of property and liability claims, and the hiring and retention of the best of the best personnel in a unique boutique environment.

George Hills historically has made strategic decisions to reinvest in the company for opportunities, infrastructure, and system development. George Hills is financially sound from an asset and equity basis. We are a contract- based professional services organization, and as our contracts expand, we have made sound financial decisions to forecast for the mutual futures of our clients and ourselves.

George Hills has no conditions that may impede our ability to complete the project.

3. REFERENCES
George Hills is proud to partner with over 130 cities in California. A list of our municipal city clients can be found in Section D. Appendix, V. List of Municipalities on pages 61 & 62.

Name of Client Primary Contact Services Provided
City of Beverly
Hills
Sharon L’Heureux Dressel
Risk Manager
455 N. Rexford Dr.
3 rd Floor
Beverly Hills, CA 90210
(310) 285-1073
[email protected]
Liability & Property Claims
Adjusting and Subrogation
City of
Westminster
Jodie Griner
Director of Human Resources and Risk
Management
8200 Westminster Blvd.

Westminster, CA 92683
(714) 898-3311
[email protected]
Liability & Property Claims
Adjusting and Subrogation

Page 716 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 11
City of
Torrance
Jason Nishiyama
Deputy Finance Director, Finance
Department
3031 Torrance Blvd.

Torrance, CA 90503
(310) 781-7531
[email protected]
Liability & Property Claims
Adjusting and Subrogation
City of Buena
Park
Eddie Fenton
Assistant City Manager
6650 Beach Blvd, Second Floor Buena
Park, CA 90621
(714) 562-3515
[email protected]
Liability & Property Claims
Adjusting and Subrogation
City of Rialto
Sharma Curian
Director of Human Resources and
Risk Management
150 South Palm Ave Rialto,
CA 92376-6406
(909) 421-7292
[email protected]
Liability & Property Claims
Adjusting and Subrogation

4. SELF-INSURED GENERAL LIABILITY ADMINISTRATION PROGRAM George Hills acknowledges the expectation that the proposer is to operate and maintain the City’s self-insured General Liability administration program, as specified in this RFP. Historically, George Hills has been managing public entities self-insured retentions since the late 70’s and currently we handle hundreds, with many in the millions of dollars of self-insurance.

Page 717 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 12
B. DETAILED WORK
PLAN

Page 718 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 13
B. Detailed Work Plan
George Hills agrees to the Scope of Services and has outlined how each activity will be addressed below. Upon award we will collaborate with the City in the development of unique Claims Handling Instructions (CHI) to ensure the below is noted, expected, and agreed to.

I. General
a. George Hills shall provide tort claim management services including claims administration (from claim inception to disposition), liability and claims investigations, negotiation of claim settlements, assumption of the handling of existing open claims, review of all relevant law firm invoices, and reporting to the City’s excess General Liability carrier.

II. Administration
a. George Hills will provide professional and technical staff to perform the services as agreed upon under a separate contract with the City and the RFP. b. George Hills will represent the City in all matters related to the setup, investigation, adjustment, processing, negotiation, and resolution of liability claims against the City.
c. George Hills will inform the City of changes or proposed changes in statutes, rules and regulations, and case law affecting the general liability program. d. George Hills will provide information and guidance regarding the general liability program and specified claims.
e. George Hills will inform the City of problem areas or trends, both potential and perceived, and provide recommendations and/or solutions to address problem areas or trends.
f. George Hills will provide copies of file correspondence and documentation as requested.
g. George Hills will attend appointments including but not limited to meetings, conferences, court appearances, and scene investigations at the request of the City.
h. George Hills will provide 24-hour on-call service by providing the City with a 24-hour phone number for key personnel. The 24-hour on-call

Page 719 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 14
service may include but not be limited to responding to incident scenes, attending meetings, and conducting investigations.
i. George Hills will conduct risk management-related seminars for department heads and/or the City staff at the request of the City up to four (4) times per year.
j. George Hills will conduct quarterly program analyses and status meetings, or more frequently if requested, with the City to discuss case status, issues, or trends based on our analysis of the program. George Hills will also recommend loss controls and solutions to the City based on its quarterly program analyses. k. George Hills will provide the City with regular loss reports as requested and provide special reports at no (or reasonable) additional expense when requested.

III. Claims Personnel
Appropriate levels of claims adjuster (senior and adjuster) will be designated, along with a claims supervisor who will be assigned to the City’s account, along with all appropriate support staff.

George Hills acknowledges the City’s right and opportunity to interview, approve, and/or reject proposed individuals.

IV. Claim Handling and Case Review
a. George Hills will investigate questionable claims with coordination, assistance, and approval from the City.
b. George Hills will maintain, in accordance with California law, a claim file on each reported claim. Said claim file will be available to the City during normal business hours and include actual costs and estimated costs of all anticipated benefits and expenses related to the claim file.
c. George Hills will closely monitor all active claims and make timely reports to the City of case status, pending issues, suspected malfeasance, and any other pertinent program information.
d. George Hills will provide the City with regular loss reports, as requested by the City, and provide special reports for an additional expense when requested. e. At the direction of the City, George Hills will contact the claimant or their attorney within five (5) days of receipt of the claim and maintain appropriate contact until the claim is closed.
f. George Hills will review the status of claims and the adequacy of reserves on all active cases at least every 90 days.

Page 720 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 15
g. George Hills will provide narrative reports to the City when recommending the disposition of a claim, when a claim goes to trial, or any other significant events that have or will occur. These reports will be clear, concise, and provided in a format approved by the City.
h. George Hills will negotiate settlements within authority limits.

V. Investigations
a. George Hills will take statement of facts from all claimants when not represented by an attorney, or with the attorney’s permission. Statements will be preserved by recording or by taking handwritten signed statements. b. As warranted, George Hills will conduct further investigation of a claim and advise the City when further investigation is deemed warranted. Further investigation may include but not be limited to on-site investigation, photographs, interviewing witnesses, verification of damage or loss, taking measurements, obtaining maps/diagrams from the City or other sources, obtaining medical releases, police reports, paramedic reports, marine department or other reports as necessary, obtaining building permits, or other records as required.
c. If a claimant is represented by an attorney, George Hills will direct all communication to the claimant’s attorney regarding the investigation, negotiation, and evaluation of any claims leading to a settlement as may be appropriate.
d. George Hills will report all Bodily Injury Claims to the Index Bureau. George Hills will also conduct additional Index Bureau searches at the request of the City. e. George Hills will obtain approval from the City before engaging the services of an outside vendor for an investigative assignment.
f. At the request of the City, George Hills will investigate inverse condemnation claims.
g. With City approval, George Hills will arrange for expert services including but not limited to professional photography, independent medical examinations, professional engineering services, and laboratory services.

Page 721 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 16
VI. Litigation Management
a. At the request of the City, George Hills will contact the City Attorney assigned to handle the case and provide any and all information concerning the claim and investigation.
b. George Hills will maintain liaison with the City Attorney’s Office and any outside defense counsel and provide such investigation as required during the entire litigation process, including but not limited to additional investigations for pretrial and trial that may be requested by either the City Attorney’s Office or defense counsel.
c. George Hills will assist the City Attorney and defense counsel in preparing and/or answering discovery as requested.
d. George Hills will assist the City personnel in Small Claims Court actions filed by and against the City, including but not limited to obtaining witness information, evidence, assistance in preparing the case for trial, and appearance at the trial if deemed necessary by the City.

VII. Compliance and Reporting
George Hills will keep the City informed of all program compliance matters and ensure the City meets all program reporting requirements and deadlines, including:
a. Preparation and submission of all legally required program forms and reports to their authorized agencies on behalf of the City within 15 days of said deadline; b. Submission of monthly reports during the term of the agreement. The monthly reports shall indicate the status and detail of every open claim assigned to the Administrator, including but not limited to the reserves assigned for each claim, a summary of each loss by type, department, year, litigation status, and coded as to cause;
c. Reporting to any excess insurance carrier(s) in accordance with policy provisions. George Hills will provide the City with written notification that the required notice has been made to the excess carrier within ten (10) days of the notice of the claim;
d. Seeking reimbursement from the excess insurance carrier for any losses in excess of the City’s self-insured retention.

Page 722 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 17

BEST PRACTICES CLAIMS APPROACH
George Hills’ Best Practices General Liability Claims Handling Manual and Best Practices General Liability Litigation Manual—both of which all George Hills claims processors, adjusters, and supervisors must follow in accordance with the specific rules, regulations, and requirements of an individual client—fully support the scope of work, procedures, processes, and requests of the City. George Hills’ stated mission is always “to provide the highest level of quality, customer focused claims service.” We accomplish this by assigning teams of experienced individuals who have managed similar accounts for many years.

George Hills’ best practices approach to claims management centers around early communication and transparency of information. Early communication with claimants leads to a faster claim resolution, and our transparency of information gives the City insight to the claims process from inception to close.

Best Practice Quality Control
George Hills’ processes, procedures, and methodologies center around adjuster accuracy and customer satisfaction. Quality control comes at the technological (automated) level, and at the human (adjuster/supervisor) level by George Hills’ supervisors and Client Services Manager, Todd Mershon.

Communication
Phone calls and e-mails will be returned within 24 hours. All other written communication will be responded to within three (3) business days.

Page 723 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 18
Contacts
• 24-hour emergency contact will be made within one (1) hour of assignment or phone call.
• Initial contact will be made with insured/client, claimant, and witnesses within one (1) business day of receipt of their information. If no contact is made with the claimant, two (2) subsequent contact attempts via telephone will be made within the first 48 hours after receipt of the claim. If we do not have contact information for the claimant, or have incorrect information, extra attempts will be made to secure correct contact information, such as a Google or online “white pages” search. If the City’s protocols are such that a claimant is not to be contacted, this will be documented in the adjuster’s file notes. • An acknowledgment letter or email will be sent to all pertinent parties containing the adjuster’s contact information and claim number unless instructed otherwise.

Best Practice Claim Data and Information Management
George Hills’ ability to develop and maintain the City’s data metrics for decision-making as well as provide accurate statistical reporting is due solely to our best practice technology and IT processes. We recently completed these Best Practices and structural changes in claims technology by employing Insurity’s CMIS/ClaimsXpress expert team to be our database manager. This has provided George Hills and our clients with expanded expert resources. This, coupled with Insurity hosting the software as a host claims system manager, is a highly effective combination. George Hills’ ability to maintain data and provide enhanced statistical reporting is due to our long use of best practices. Our proprietary iMetrics Business Intelligence Reporting service provides optimum targeted, on-demand data for liability and property claims decision making.

The timely resolution of claims is of the utmost importance. Generally, the longer a file is open, the costlier it is for our clients. In addition, superfluous open reserves on our client’s book of business can negatively affect financial results. As such, one of the items reviewed by the supervisors when they are auditing files is timeliness of closures. The supervisor will also review whether the adjuster is staying on-diary. Every time an adjuster picks up a file, they should do everything necessary to get the file closer to resolution. In addition, we monitor the individual adjuster’s closing ratios each month to further ensure that files are being closed in a timely manner. The number of new

Page 724 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 19
claims received should be equal to or less than the number of files closed by the adjuster. That said, adjusters with more complex and litigated claims loads will generally have a lower closing ratio than adjusters who handle more simple claims. As an example, basic third-party property damage claims should be resolved within 30 days. Therefore, at times an adjuster handling only simple property damage claims may have a closing ratio exceeding 100%.

Reporting New Claims
Depending on the nature and urgency of an incident, new claims can be reported to George Hills in several ways:
• Routine, non-urgent tort claims can be sent via email through our dedicated intake portal, which is monitored by our claims support team to ensure timely setup in the claims system within one (1) business day. • More urgent matters can be reported directly by phone through your designated adjuster, supervisor, or claims processor.
• After-hours critical incident response: The City will be provided with after-hours contact information for your primary designated adjuster, who can usually respond to the scene of a critical incident within one (1) hour of contact.

Data Entry
When a claim or loss has been received, designated support staff will perform the following actions:
• Index to determine if they belong to an existing claim; • Establish a claim file within twenty-four (24) hours; • Perform data entry and attach documentation on claims for damages; • Notify the responsible adjuster via email upon completion of data entry; • Automatically set a diary for the adjuster and their supervisor.

File Set Up
Upon receiving notification of data entry completion and instruction taken from the Initial Claim Data Entry form, the claims processor will take the following steps:
• Send an acknowledgement letter to the City within 24 hours of receipt of assignment;

Page 725 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 20
• Make initial phone contact with the claimant or their attorney, if so instructed, and send an acknowledgment letter to the claimant or their attorney; • Once notified that the claim has been entered and the acknowledgment letter has been sent, the adjuster will review the information in ClaimsXpress for accuracy.

Claims Progress Notes – All file activity is documented in the Notepad of the electronic claim file as it occurs. Dropdown boxes for Notepad types allow the adjuster to be specific as to the type of activity (i.e., phone call, correspondence received or sent, claim filed, etc.). The subject line allows for further specific yet brief information for an at-a-glance review in ClaimsXpress.

Notepads are important to document phone conversations or receipt of materials: they serve as a chronological outline of what activity has taken place.

Claim Documents – All claim documents are attached to the electronic claim files as they are obtained. This includes text/PDF, spreadsheets, photos, audio, and audio files in all electronic media formats. Each document is annotated with a description and a corresponding Notepad entry.

Diaries – Upon setup in ClaimsXpress, a file review diary is automatically set for the adjuster. Our best practices ensure that each assigned case is reviewed at least once every 30 days for active files, 90 days for extended diaries on those awaiting activity from others, and up to 180 days on those files in which the adjuster is awaiting the expiration of the statute of limitations. All diaries are maintained through ClaimsXpress. All activity during the diary review is documented in the Notepad. No claim is re-diaried without specific indication why no further action was taken.

Plan of Action (POA) – Each file is required to have an initial claim review note (within the first seven days (7) of receipt) outlining the basics of the claim. Thereafter, Notepad entries reflect an updated Plan of Action (a type of Notepad entry) every 30 days. The City will have online access to the POA entries in the claim summary view. The POA’s are also available as a report for the City and are useful for claim reviews.

Page 726 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 21
ClaimsXPress Claims
George Hills uses ClaimsXpress as our Claims Management Information System (CMIS).

ClaimsXpress (CXP) is a secured cloud browser-based software system that allows our claims adjusters to work anywhere, from the scene of an incident to our corporate office.

Similarly, the system being browser-based allows the City 24-hour, read-only real-time access of its claims information. George Hills owns perpetual licenses to CXP, and we contract with Spear Claims to provide the Microsoft Azure-based secure cloud in which our clients’ data is housed.

Searching within ClaimsXpress for specific claims data is simple, but in an effort to minimize the need to search, George Hills has developed dashlets within ClaimsXpress to allow the City and adjusters quick access to relevant claims information right on their homepage.

As part of your onboarding process, George Hills will hold a training session with all potential client-side ClaimsXpress users, ensuring that everyone has the desired level of access and understanding of the system.

ClaimsXpress has a set of standard claims handling reports available to every client, but the system can also be customized to produce unique reports specific to the City. The City can safely and securely access their reports via an automated encrypted email from their Client Services Manager or our dedicated reporting team. All these reports can be exported to Microsoft Excel or Adobe PDF formats on demand by either George Hills staff or the City.

ClaimsXpress is an entirely paperless system. All claim files are stored electronically in a secured Microsoft Azure cloud hosted by Spear Claims, available to any authorized user, using any browser, at any time.

ClaimsXpress is configured to enforce additional security measures when necessary. A user’s access to claim information can be limited by organization structure, such as only allowing access to view claims for a single location. ClaimsXpress also includes identifiers for highly sensitive or confidential claims. When a claim is flagged as confidential, ClaimsXpress will limit access to that claim by individual User ID.

The use of ClaimsXpress increases our firm’s service capabilities for the City and enhances our service workflow efficiencies and custom reporting capabilities. The alignment of these technologies with George Hills’ services is of great value to the City by providing real-time access to decision-making data, metrics, and trends. When it comes to read-only access, reporting, and

Page 727 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 22
modification abilities to meet the City’s needs, our technology offering is unmatched.

Samples of our iMetrics reports can be found in Section D. Appendix, III. Sample Reports on pages 52 – 56.

George Hills Client Portal
George Hills is thrilled with the recent launch of our self-service client portal. The City will have its own dedicated portal for all members and staff to access. The portal is customized to be complementary to the City’s members-only website access. Examples of the in-browser experience with our Client Portal can be found in Section D. Appendix, IV. George Hills Client Portal on pages 59 & 60. This web-based platform provides our clients exclusive access to the following features:
• Secure file sharing and document management
• Quick reporting and metrics
• Simple user interface
• News and alerts
Reserving of Claims
The establishment of reserves is a significant task, as it impacts critical areas such as funding levels and future debt. George Hills’ philosophy is to establish separate reserves for indemnity and expense; however, George Hills will reserve pursuant to the City’s policy. Reserves will be reviewed each time an adjuster touches the file, and specifically on each diary date. Reserves take into consideration liability as to the City and comparative fault of the claimant/plaintiff, type of injury, damages, prognosis, expenses (e.g., medical and wage), and any anticipated general damages.

George Hills normally reserves on a “most probable outcome” basis.

Updating Clients on Major Reserve Changes
The City will be provided with reports which include reserves and/or reserve changes. These reports are provided monthly, or pursuant to the request of the City. In addition, the City may require immediate notification of reserve changes that meet a certain threshold. ClaimsXpress will send push notifications when the reserve change meets the established threshold. It is imperative that all reserve changes are entered as soon as the adjuster becomes aware of the need for a change.

Page 728 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 23
Supervisory Approval of Reserve Changes
The decision-making authority on revising the reserve is initially set at the level where the work is being done. However, large increases in reserves will be reported immediately to the supervisor and/or the City as required.

Notification and Updating of Excess Insurers
It is the responsibility of the adjuster to promptly report any case meeting the reporting requirements of the excess carrier or as instructed by the client.

George Hills will notify the City’s excess carrier in any number of situations pursuant to the requirements of the excess policy carrier’s stipulations. First, the excess carrier is notified no later than 30 days after receipt of notice of a reportable claim. Second, notification is sent when reserves are set on any reportable claim or suit involving multiple claims or suits arising out of one occurrence, or any claims or reserves amounting to 50 percent or more of the retained limit.

Third, excess carriers are notified regarding Title 42 USC 1983 cases in which a complaint has been served and the plaintiff is represented by legal counsel or with reserves of 25 percent or more of the retained limit. Lastly, regardless of the reserve, notification is sent for any claim involving the following:
• One or more fatalities
• Loss of a limb
• Loss of use of any sensory organ
• Quadriplegia or paraplegia
• Third degree burns involving ten percent or more of the body • Serious facial disfigurement
• Paralysis
• Closed head injuries
Diaries and Claim Progress Notes
Diary systems are established to ensure that each assigned case is reviewed at least once every 30 days on active files, extended diaries up to 90 days on those waiting activity by others, and up to 180 days on those files in which the adjuster is awaiting the expiration of the statute of limitations. All diaries are maintained through ClaimsXpress.

File notes indicate the prompt establishment of an initial diary date and subsequent follow-up diary dates at intervals dependent on claim activity. Notes include action taken from the previous note entry and an updated Plan

Page 729 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 24
of Action documenting the adjuster’s plan for future activity to move the claim towards resolution.

No claim is simply re-diaried without indicating specifically why no further action was taken.

George Hills’ claims supervisor will maintain separate diaries and other audit controls necessary to review and ensure timeliness in handling as well as ensuring other claims standards and reporting requirements are being met.

Timeline of the Claims Handling Process
The following takes place from receipt of a new claim:

Within 24 Hours
• Index new correspondence and new claims for damages to determine if they belong to an existing claim
• Claims data entered into ClaimsXpress
• Acknowledgement of new assignment sent to the City
• Claimant/claimant‘s attorney is called, emailed, or both to acknowledge and provide clam and adjuster information.

Within 2 Days
• Two-point contact made with claimant (or attorney) and the City Within 5 Days
• Reserves set
Within 7 Days
• Initial claims review/Plan of Action
Within 30 Days
• Claim tendered (if appropriate)
• Liability determination
• Excess carriers notified
Monthly
• Monitor closing ratios
• Statistical report (all claims activity) provided to the City • Payment register provided to the City
• Plan of action updated
• Watch list claims meetings

Page 730 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 25
• Case reviews (90 days if waiting for activity by others, 180 days if waiting on expiration of a statute of limitations)
Cost Saving Methods
Through our efficient and thorough investigation, wherein there is a two-point contact within one (1) business day of receipt of each claim, we ensure the liability investigation is completed early.

Many claims are not pursued when they are denied or rejected early on. In these instances:
• Attorneys are less likely to take a case that has already been denied. • By not establishing your defense position early, a claimant is often more likely to think they will get a settlement.
• Securing witness and claimant statements early on is essential, lest they forget the details or have the opportunity to revise the facts to help their position. • Indexing claimants pursuing injury claims verify if they have made similar claims in the past and/or have prior injuries that are unrelated to our matter.
• If there is liability, and injuries are claimed, we secure complete medical records to check for pre-existing conditions.

We explore all tender possibilities based on the claimant’s allegations because allegations trigger coverage regardless of liability.

Managing Litigated Claims
Through our extensive experience managing claims for hundreds of different public agencies, George Hills has developed the expertise to adapt our litigation management services to fit a wide range of litigation management program structures. This ranges from full litigation management responsibility, including retention and direction of defense counsel and management of defense costs, to basic litigation support for the client’s in- house defense team.

George Hills’ philosophy and guidelines for providing litigation management services are focused on achieving the best result for our client while aggressively managing costs. This is driven by our litigation best practices, which include:
• Securing the litigation budget within 45 days of assignment to defense counsel. Our adjusters review defense counsel bills in detail to ensure they are reasonable and in line with the litigation budget.

Page 731 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 26
• Training our adjusters to perform a risk weighted analysis early in litigation to establish a target settlement number before incurring extensive defense costs, pursuant to the City’s risk protocols.
• Utilizing adjusters to complete tasks when possible, in lieu of an attorney. • Using statutory settlement offers, such as 998’s, when appropriate to possible recover costs if a favorable verdict is received.

When a claim becomes litigated, George Hills’ claims adjusters do not simply assign a file to defense counsel and disappear, but operate as true litigation managers. We believe it is the responsibility of our claims adjusters to work closely with defense counsel until the case is resolved and the claim file is closed. A good early investigation, coupled with an experienced litigation manager, helps bring the case to an earlier resolution. We strategize early and often with the client and defense counsel and monitor the case to be certain counsel stays on track.

Our full litigation management services – available as an optional service – include the following:
• Within five (5) days of the assignment by the City, contact will be made by the lead claims adjuster and with any assigned defense counsel. An appropriate plan of action will be discussed, and initial case analysis will be reviewed to determine what course of discovery and motion/defense strategy to implement.
• Within 60 days following the assignment of a case, defense counsel will complete and return a complete case analysis to the City, the George Hills adjuster, and the claims supervisor. The case analysis will include a comprehensive evaluation of the case and formalize the defense strategy crafted by the team. • In addition to the initial case analysis, counsel will provide an accurate estimate of defense costs for all litigated cases as set forth in the exhibits. Defense counsel is expected to stay within the estimated case budget throughout the litigation and to report on fees expended in relation to the budget as requested.
• After the initial case analysis, defense counsel will provide mandatory written status reports at 60-day intervals, setting forth all substantive developments. The defense attorney handling the claim will prepare the status reports. Defense counsel will report only on new developments since the last report, as it is not necessary to repeat case facts or

Page 732 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 27
information previously reported. Status reports will be as straightforward and as objective as possible to allow the George Hills adjuster and claims supervisor to meaningfully analyze the case and determine the course of action to be taken.
• George Hills monitors defense counsel to ensure that counsel stays true to the plan of action and within the defense budget. This includes monitoring defense counsel procedures, mandating regular reporting by defense counsel, and reviewing legal bills for appropriateness as directed by the American Bar Association standards or by the City’s instructions to ensure the claim is resolved in the most cost-efficient manner.
• George Hills has developed specific guidelines that include creating and monitoring a watch list of any claims that, because of allocated expenses, expense reserves, case reserves, or a combination thereof, may present a threat to pooled funds or have already reached pooled funds. Though the City may wish to assign claims to their watch list for the Litigation Manager, George Hills’ watch list typically starts at the primary level. If chosen to provide third-party administration services, George Hills will continue to follow these guidelines to create a watch list of claims that have the potential to exceed the City’s SIRs and monitor those claims until the case resolves.

More information about our litigation management services can be found in Section D.

Appendix, II. Optional Services on pages 47 – 49.

Approach to Investigation Services
An investigation plan is developed for each claim to assess the liability and damages exposure effectively and efficiently. Applying their experience and expertise, the adjuster tailors the scope of investigation to the nature and exposure of the claim. The investigation may include:
• Gathering all internal documents from the City, including reports, maintenance logs, photos, contracts, easements, certificates of insurance, etc. • Conducting a scene inspection with photos and diagrams as warranted • Interviewing City staff
• Obtaining official reports
• Interviewing and obtaining statements from the claimant and witnesses • Obtaining damage estimates, invoices, and/or damage appraisals

Page 733 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 28
• Obtaining all pertinent medical records
George Hills will identify and engage an interpreter or translator that is acceptable to the City when warranted. When possible, we will use one of our Spanish-speaking employees to assist.

Where warranted, we will seek authority from the City to engage experts.

Risk Transfer and Indemnity Rights
During our investigation, we actively seek to identify any and all risk transfer and indemnity/defense rights owed to the City through contracts, agreements, additional insured status, easements, etc. With the City’s approval, we promptly and vigorously pursue tenders/cross complaints on behalf of the City against all potentially responsible parties and/or their insurance carriers.

Small Claims
George Hills claims adjusters have extensive experience successfully representing our clients in Small Claims courts. When served with a notice of a Small Claims hearing, the adjuster will work closely with City staff and legal counsel to prepare the case for presentation at the hearing.

This includes securing witnesses and supporting documents.

Transition of TPAs
The transition from one TPA to another can be daunting, but George Hills’ transition process eases the changeover. Once we have been awarded the contract, we will assemble our Onboarding Team, led by Chris Shaffer and Todd Mershon. We begin this process by meeting with the City to establish the Client Transition Team, review our onboarding process, set activity target dates, and confirm our onboarding meeting schedule. The next step is for George Hills to discuss our TPA Transfer Instructions with the exiting TPA. Finally, our Transition and Implementation Plan is our roadmap to direct us through the steps necessary to complete the transition successfully. Most of the action items listed in this document will be completed before our contract begins. We encourage weekly meetings to discuss the transition progress: these weekly meetings will include a brief update from each member of our Onboarding Team. Our transition process concludes 90 days after our contract begins, and after we meet with the City to discuss the implementation process and solicit feedback. There is no charge for electronic data conversion if the City stays with George Hills for five (5) years.

Page 734 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 29
George Hills utilizes a detailed process for transition which we will share if selected. Please note we have successfully transitioned many public entities, including JPAs, from the incumbent.

STAFFING
Personnel Role for the City
Role: Executive Contact Contract liaison for The City’s total satisfaction of George Hills’s services and
steward of George Hills’s values throughout the 33
engagement.

John Chaquica
CEO/Owner
Qualifications: With over 33 years of experience in risk and JPA management, Mr. Chaquica applies a virtually unmatched level of experience and talent. Mr. Chaquica holds an MBA from Golden Gate University and a BS in Accounting from California State University, Sacramento. In addition, he holds an Associate in Risk Management (ARM) designation from the Insurance Institute of America.

Chris Shaffer
Role: Oversees firm operations and provides
executive oversight, as needed. His role includes
strategic efforts for growing the company and further 27 developing George Hills as the leading California TPA.

Chief Operating Officer
Qualifications: Mr. Shaffer has an exceptional, 27 -year record of achievement in the management of corporate, risk management, business systems, and information systems operations. He earned a Bachelor of Arts from the University of Utah. He holds an Associate in Risk Management (ARM) designation.

Role: Supervisor overseeing client relationships.

Chris Hunt
Assistant Vice President
Qualifications: Mr. Hunt has over 28 years’
experience in the insurance claims and risk 28
management industry, primarily serving self-insured
public and private clients. Mr. Hunt earned a Bachelor of Science in Behavioral Science from California Polytechnic University, Pomona. He holds an Associate in Risk Management (ARM) designation.

Page 735 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 30
Personnel Role for the City
Role: Supervises claims adjusters and claims process
while ensuring quality control.
24 Qualifications: Ms. Pickering earned her Associate of Jessica Pickering
Claims Supervisor
Arts degree from Santa Ana College. In her years in
the industry, Ms. Pickering has handled a vast range of claims including first and third party auto liability, property, injury, livery, personal general liability, homeowners, and property. For five years, Ms. Pickering handled all claims for a small JPA consisting of seven school districts in the San Gabriel Valley. Ms. Pickering is fluent in Spanish.

Todd Mershon
Client Services Manager
Role: Assure client satisfaction, including developing
detailed Claims Handing instructions tailored to the
City’s needs and scheduling regular/ongoing meetings 21 with the service team to address any service needs or
concerns.

Qualifications: Mr. Mershon has 21 years of experience in Client services and is committed to client satisfaction.

Role: Handles claims for the City. The point of contact for all claims-related matters for the City. 20
Imelda Vega
Sr. Claims Adjuster
Qualifications: Ms. Vega has more than 20 years of
experience in the insurance industry. Ms. Vega
handles multi-line claims, including investigating and adjusting minor to complex property and liability claims for public entity clients. She is fluent in Spanish.

Sylvia Diaz
Role: Responsible for support for the designated
liability claims team. Enters all new claims into the
CMIS system and general claims processing. 10
Instrumental in our quality assurance reporting.

Qualifications: Ms. Diaz has more than 10 years of experience as a highly qualified claims processor. Ms. Diaz is experienced with subrogation and liability claims.

Claims Processor
Training
George Hills has provided training to clients on a regular, as-requested basis. Examples include legislative updates, recent settlements, AB 218, and most significantly, providing access to George Hills Claims University (GHCU).
>>> GEORGE HILLS CLAIMS UNIVERSITY (GHCU)
It is George Hills’ philosophy to deliver a
comprehensive and effective training program for
our Claims Administration Division (CAD) that aligns with the Vision, Values,

Page 736 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 31
and Goals of the Company. By utilizing internal and external resources, our program is costeffective and presents relevant technical information.

The genesis of GHCU was the reality that students were not going to college to seek a career in insurance claims adjusting and even fewer in claims adjusting in the public sector. We felt obligated to establish a sustainable education forum to continue to cultivate knowledgeable and experienced public entity adjusters.

Currently, we use the University to train all staff to obtain the Public Entity Claims Professional (PECP) Certificate. This ensures each client will have a trained adjuster on their team. Our training ensures all our claims staff receive the information and skills to perform the duties of their position successfully. Additionally, programs within GHCU are available to our clients for free or reduced costs, including a basic Risk Management/Claims program for Analysts.

GHCU uses a Learning Management System (LMS) to provide continuous matriculation for our current and future employees. Upon completing the training courses and passing the exam, individuals are awarded a certificate and Public Entity Claims Professional designation. We have created the Public Entity Claims Professional-Risk Management (PECP-RM) designation that focuses on those in the public sector that may interface with the claim process and have additional versions in development for other areas. George Hills Claims University is available to our clients. If additional City staff express interest in our training program, we are pleased to make the courses available to them.

Our training program includes:
• Monthly training sessions facilitated by industry experts on current and emerging claims related topics like legislative changes, new case laws, and claim trends. We also use this monthly session to refresh our claims administration staff on industry and internal best practices.
• An annual two-day, in-person event for all claims staff, targeted at technical training, overall staff development, and team building. This annual session includes in-depth training and panel discussions on claims technical topics, claim system utilization, and corporate issues. A sample event included discussion about AB 218, the recent legislation extending the statute of limitations for childhood sexual abuse and molestation claims.

Page 737 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 32
• Online resources and training through George Hills Learning Management System. This Learning Management System is a robust resource/reference library for a wide variety of claims and risk management technical topics as well as structured training courses ranging from entry-level to advanced. • Company-paid training courses leading to Associate in Claims (AIC) and other pertinent professional designations.
• Active participation in industry associations such as Public Agency Risk Management Association, California Association of Joint Powers Authorities, League of California Cities, California State Association of Counties, Association of Governmental Risk Pools, and Claims and Litigation Management Alliance. George Hills encourages employee attendance at their annual conferences and other training events throughout the year.

Page 738 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 33
C. EXCEPTIONS

Page 739 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 34
C. Exceptions

PROPOSED CONTRACT EXCEPTIONS TO THE PROFESSIONAL SERVICES AGREEMENT FROM THE CITY OF MONTEBELLO –
Appendix B
George Hills Company, Inc. hereby submits the following explanation and recommendation for exceptions, alterations, and/or modifications to the Professional Services Agreement. George Hills Company has reviewed the Agreement and is willing to submit to the terms and conditions therefore with the following proposed changes:

Section 15, Insurance Coverage, Subsection “a”:

Original Text in Sample Contract:

Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an “occurrence” basis for bodily injury and property damage, including products-completed operations, personal injury, and advertising injury, with limits no less than $2,000,000 per occurrence. If a general aggregate limit applies, the limit shall be twice the required occurrence limit.

Automobile Liability Insurance: Insurance Services Office Form Number CA 0001 covering, Code 1 (any auto), or if CONSULTANT has no owned autos, Code 8 (hired) and 9 (non-owned), with limit no less than $1,000,000 per accident for bodily injury and property damage. 1) Explanation of Reason for Change:

Through consultation with the broker for George Hills, the carriers providing coverage use proprietary forms generally accepted and in common use in the insurance industry, but which do not always bear any specific ISO number. While George Hills believes all of its forms would be compliant with the requirements of the City, it has not undertaken the legal analysis to guarantee a finding of “at least as broad as” any specific ISO form. George Hills will provide for insurance forms to the City for analysis consistent with this requirement. 2) Proposed Alternative Language:

George Hills proposes that the above highlighted sections be changed to read, “…written on an occurrence form reasonably acceptable to the City and in common use in the insurance industry for the identified coverage.”
3) Description of Impact to Price: This
change has no impact on price.

Page 740 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 35
Section 15, Insurance Coverage, Subsection “d”:

Original Text in Sample Contract:
d. The policy or policies required by the Agreement shall be issued by an insurer admitted in the State of California and with a current rating of at least A:VII in the latest edition of Best’s Insurance Guide. 1) Explanation of Reason for Change:

George Hills recommends including insurers that are rated “A-” rather than “A”. “A-” is still a secured rating from A.M. Best. Arthur J. Gallagher, the insurance broker for George Hills, has stringent guidelines for insurers that we do business with and “A-” rated insurers provide high quality policies and services but gives George Hills much more flexibility when placing insurance coverage where an “A” rated insurer may not be available at an acceptable price. 2) Proposed Alternative Language:

The policy or policies required by the Agreement shall be issued by an insurer admitted in the State of California, which are acceptable to the City, and with a current rating of at least A-:VII in the latest edition of Best’s Insurance Guide.
3) Description of Impact to Price:

This change has no impact on price.

Section 15, Insurance Coverage, Subsection “g”:

Original Text in Sample Contract:
g. Coverage shall not be suspended, voided, cancelled, reduced in coverage or in limits, non-renewed, or materially changed for any reason, without thirty (30) days prior written notice thereof given by the insurer to the CITY by U.S. mail, or by personal delivery, except for nonpayment of premiums, in which case ten (10) days prior notice shall be provided. 1) Explanation of Reason for Change:

Contractor cannot agree to thirty (30) days’ notice in connection with any cancellation or policy change. George Hills may not be provided with notice within that time frame and therefore could not provide more notice that it was given by the carriers making the change. 2) Proposed Alternative Language:

In the event George Hills receives notice of cancellation from the insurer of any of the insurance required under this agreement, George Hills will provide City of Montebello written notice of such pending cancellation within five (5) business days of receipt of such notice from the insurer. George Hills shall use all reasonable efforts to remedy the cause of such cancellation notice, or will find replacement insurance meeting the requirements of this agreement,

Page 741 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 36
and shall provide City of Montebello with written notice that such cancellation has been rescinded, or shall provide a new Certificate of Insurance evidencing the replacement insurance, prior to the date the pending cancellation was to become effective, such that no lapse in the required insurance shall occur.
3) Description of Impact to Price:

This change has no impact on price.

Section 15, Insurance Coverage, Subsection “j”:

Original Text in Sample Contract:
j. The general liability and automobile policies of insurance required by this Agreement shall contain an endorsement naming the CITY, its officers, employees, agents and volunteers as additional insured’s. All of the policies required under this Agreement shall contain an endorsement providing that the policies cannot be canceled or reduced except on thirty days’ prior written notice to the CITY. The CONSULTANT agrees to require its insurer to modify the certificates of insurance to delete any exculpatory wording stating that failure of the insurer to mail written notice of cancellation imposes no obligation, and to delete the word “endeavor” with regard to any notice provisions.
1) Explanation of Reason for Change:

George Hills is informed that no insurer will modify, reduce/increase, eliminate, etc. deductible or self-insured retention levels based on a contractual requirement for a single client.
2) Proposed Alternative Solution:

Upon request by the City, George Hills will endeavor to obtain potential replacement coverage which could contain wording which is satisfactory to the City of Montebello. 3) Description of Impact to Price:

Any impact to price is currently unknown and contingent on the condition precedent of the City requesting a change in the insurance maintained by George Hills.

Section 15, Insurance Coverage, Subsection “k”:

Original Text in Sample Contract:
k. The insurance provided by the CONSULTANT shall be primary to any coverage available to the CITY. Any insurance or self-insurance maintained by the CITY, its officers, employees, agents, or volunteers, shall be in excess of CONSULTANT’s insurance and shall not contribute with it. 1) Explanation of Reason for Change:

Page 742 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 37
Through consultation with the insurance broker for George Hills, it is understood that establishing a policy as Primary & Non-Contributory is appropriate for the Commercial General Liability policy, however, the workers’ compensation, professional liability and umbrella/excess policies are not Primary & Non-Contributory for Additional Insureds. 2) Proposed Alternative Language:

The Commercial General Liability insurance policy provided by the CONSULTANT shall be primary to any coverage available to the CITY. Any insurance or self-insurance maintained by the CITY, its officers, employees, agents, or volunteers, shall be in excess of CONSULTANT’s insurance and shall not contribute with it.
3) Description of Impact to Price:

This change has no impact on price.

Section 15, Insurance Coverage, Subsection “l”:

Original Text in Sample Contract:
l. All insurance coverage provided pursuant to this Agreement shall not prohibit the CONSULTANT, and CONSULTANT’s employees, agents or subconsultants, from waiving the right of subrogation prior to a loss. The CONSULTANT hereby waives all rights of subrogation against the CITY. 1) Explanation of Reason for Change:

George Hills is advised that a waiver of subrogation is only available under the Commercial General Liability, Automobile, and Workers’ Compensation policies. The City’s requirement calls for the waiver on “all” policies.
2) Proposed Alternative Language:

All insurance coverage provided pursuant to this Agreement shall not prohibit the CONSULTANT, and CONSULTANT’s employees, agents or subconsultants, from waiving the right of subrogation prior to a loss. The CONSULTANT hereby waives all rights of subrogation against the CITY as it pertains to the Commercial General Liability, Automobile, and Workers’ Compensation policies.
3) Description of Impact to Price:

This change has no impact on price.

Section 15, Insurance Coverage, Subsection “m”:

Original Text in Sample Contract:
m. Any deductibles or self-insured retentions must be declared to and approved by the CITY. At the option of the CITY, the CONSULTANT shall either reduce or eliminate the deductibles or self-insured retentions with respect

Page 743 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 38
to the CITY, or the CONSULTANT shall procure a bond guaranteeing payment of losses and expenses.
1) Explanation of Reason for Change:

George Hills recommends deleting the highlighted sentence. 3) Description of Impact to Price:

Any impact to price is currently unknown and contingent on the condition precedent of the City requesting a change in the insurance maintained by George Hills.

Sample Agreement
Due to length provisions set forth in the RFP, a copy of our sample Agreement has not been attached to this proposal but is available by request.

Page 744 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 39
D. APPENDIX

Page 745 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 40
I. PRICING
D. Appendix

TPA-GENERAL LIABILITY PROPOSAL COST SHEET
Year 1 Year 2 Year 3
Not to exceed
Annual Cost
Not to exceed Not to exceed
Annual Cost Annual Cost
TOTAL 3-Yrs
Claims
Administration $ 88,800.00 $ 92,020.00 $ 95,680.00 $276,500.00 Mileage $ Included* $ Included* $ Included* $ N/A
ISO Indexing $ Allocated to
Claim File
$ Allocated to
Claim File
$ Allocated to
Claim File $ N/A

TOTAL ANNUAL
AMOUNT $ 88,800.00 $ 92,020.00 $ 95,680.00 $276,500.00
Fee Section Terms
One Time Startup Fee (not included in the Fixed Fee) – The process of onboarding a new client covers many areas, from establishing expectations, policies, and procedures, to designing the infrastructure to meet the needs of risk management, council, and department heads. It also involves time and effort in establishing the Trust Account or check writing, W-9, and all federal and state reporting requirements. Most importantly, this process involves the establishment of effective claims triage. Note that this is not time spent on the actual data conversion.

Annual Administration Fee (included in the Fixed Fee) – George Hills has determined it takes a company-wide effort to ensure we exceed the expectations of our clients. As such, we feel it transparent to separately identify and charge for those critical functions that are not directly tied to claims handling. We include an annual administration fee, which covers the following activities:
• Claims Management Information System (CMIS) services and reports • Access to CMIS and training
• Monthly listing of open claims, showing expense categories, reserves, and total incurred
• Monthly claim summary reports
• Monthly hours and claims data detail for billing

Page 746 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 41
• Providing loss run data and required reports
• Access to GH Client Portal
• Providing annual reports to outside agencies
• Filing of regulatory reports, such as 1099s, W9s, etc. • Trust Account
• Establishment and maintenance of a trust account to pay indemnity and expenses that may be due on claims; the amount to be maintained in the trust account shall be determined by the City. If the trust account is set up with the GH preferred bank (California Bank and Trust), then George Hills covers the cost of Positive Pay and Payee Match.
o If the City prefers an alternate bank, there may be an additional setup fee, as other banks’ processes can be extraordinarily time consuming. • New bank account setup, including signature cards, test checks, online access, and setup of bank in CXP
• Discussion and agreement on the approval process
• Preparation of W9s
• Processing of checks weekly
• Submission of positive pay (if applicable) and monitoring of positive pay (review of daily emails from bank for exceptions)
• Maintenance of a copy of all checks drawn by George Hills to pay claims and claims-related expenses
• Submission of monthly check registers for all transactions made for the period • Monitoring of account balance, preparation of replenishment requests as needed (custom requests for each client’s needs)
• Monthly bank reconciliation (prepared and sent to the City) • Payment of invoices that are pass-throughs, such as invoices for medical record copies, ExamWorks, etc.
• Certificates of insurance as required by the Contract • Annual service
• Response to outside financial auditors
• Provision of reports to the City’s actuaries and claims auditors • Submission of GH SSAE 16 reports, or the current equivalent

Page 747 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 42
• Account Management
Mileage: Adjuster – Mileage is paid at the current IRS rate.

MMSEA – Both the one-time setup fee and the annual reporting fees to offset fees paid directly to ExamWorks. The one-time fee is not included in the Fixed Fee, but the annual fees are.

Adjuster Travel Expenses – For mediations, settlement conferences, trials, etc.; subject to prior approval and submitted with receipts.

CXP Access Fee – Included in the annual administration fee is the setup and management of five (5) user accounts through our CMIS: CXP.
iMetrics Report Fee – There will be no charge for our iMetrics business intelligence reports with executive in-person debriefs.

Custom Reports – Additional charges for custom reporting are defined as being clientspecific and needing a third-party programmer for three hours or more.

Conversion Fees – This fee is intended to cover costs associated with data conversion, transition, and contract closeout. The data conversion fee is dependent on many factors which will need to be discussed. If George Hills is retained for five (5) years, we will entirely absorb the conversion fee. If George Hills is not retained for the full length of the proposed contract, then the client shall be subject to a fee of 20 percent each year not retained, not including shipping, storing, scanning, copying, or otherwise handling open or closed paper claim files (this shall be a separate charge based on the Scope of Services).

George Hills will charge for any agreed services related to conversion storage, copying, scanning, shipping, and disposal.

Catastrophic Pricing – Applicable only to Fixed Fee and Time And Expense With A Cap Fee agreements. George Hills recognizes that in the event of a catastrophe, additional hours will need to be applied to the handling of such claims. As such, to preserve the quality and efficiency of service for which we
have been known, George Hills proposes that should a catastrophic event occur resulting in 10 or more claimants or claims from a single occurrence, the client shall be billed at the current hourly rate.

Annual Fee Escalator – The Annual Fees and all hourly rates shall be adjusted at the beginning of each of the remaining years of the term by the lesser of 5% or in accordance with the changes in the Consumer Price Index (CPI-U) for

Page 748 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 43
all Urban Consumers for the Western Region using the most recently published annual percentage change, but in any event such increase shall not be less than 3%.

Termination Fee – In the event of contract termination, George Hills’ procedures and cost for run-off claims will be billed at the current hourly rate; no charge for historical loss summaries. George Hills believes that the successful transition of claims requires preparation, so we ask for 90 days’ notice if the contract is terminated without cause to facilitate the transition of claims management properly and efficiently.

General File – A general administrative file shall be established and maintained to track effort related to services necessary to fulfill our contractual obligations and not otherwise associated with a claim.

Storage – George Hills will charge for any services related to storage, retrieval, copying, scanning, shipping, and disposal of paper files.

Adjusting Services Fees – Options for the City’s Consideration Option A1: Time and Expense – George Hills believes, as in the legal field, services surrounding claims and potential litigation are best captured by directed effort. In this case, the client only pays for the services requested. In a time and expense environment, George Hills applies its best practice approach to all claims; unless the client adjusts, restricts, or expands such services. A general administrative file will be established and maintained to track effort related to services necessary to fulfill our contractual obligations not otherwise associated with a claim.

Time and Expense for Adjusting Services
Supervisor $131/hour
Adjuster $105/hour
Claims Processing $86/hour
Option A2: Time and Expense with a Cap – George Hills believes that this can be the best of both worlds. This pricing model allows for the realities of the unknown to dictate service results but retains some budget certainty. The cap will always be more than the fixed fee to protect the unknown, but often can result in less cost too. The cap is a movable target and should be adjusted annually until the services and relationship have settled.

Page 749 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 44
The above hourly rates by position are the same for both options A1 and A2. The only difference shall be that George Hills will commit to an annual maximum fee for adjusting services for option A2, in the amount of $120,000. Please note that the catastrophic pricing is applicable, and therefore outside of the annual maximum fee.

All Fee options are subject to the Annual Fee Escalator described above.

Option B: Fixed Fee – George Hills believes this is a workable solution for public agencies seeking budget certainty. Unfortunately, it has its challenges. First, every other significant component of a claim (settlement and legal fees) is not predictable and as such, making the adjusting costs fixed will ensure that 100 percent of the time the fee will be wrong.

Secondly, the result could be that the client is receiving far more resources than they are paying for, or the client is paying for far more resources than they are receiving in services on any one claim. Either outcome is wrong.

In this environment, George Hills makes every effort to be resource-sensitive in applying our best practices to ensure we balance the economics. No matter what, we put forth the right effort to resolve the claim. We do, however, adjust our clients’ fees that can and should be adjusted to meet our clients’ budget goals.

George Hills has a developed a hybrid Fixed Fee Proposal. California Public Entities have seen dramatic increases in claims frequency in contrast to pandemic years. As such, we wanted to create a simple fee model that allows for fee adjustments down or up due to claims frequency, as hopefully frequency drops back down. Since claims activity is the main indicator for TPAs and the number of resources needed to perform quality services, it is important that adjustments can be made to resources provided and resulting costs for the benefit of the client and TPA.

Our model provides for an assessment of claims frequency twice a year—after six (6) and twelve (12) months. We have established the change must be at least 10% to trigger an adjustment and no more than 25%, as greater than that a contract modification is warranted. For the City’s proposal the model would result in an adjustment in the event claims frequency dropped below the current estimate of new claims per year of 72 (including “small claims”). In the event claims dropped below 54 or increased above 100, an adjustment would automatically occur during the 7th and/or 13th month. The claims base would be adjusted to this new level for future year calculations.

Page 750 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 45
Fixed Fee
For the City, the financial result would be calculated based on the percentage increase or decrease ranging from 10-25%. For example, if the increase/decrease was 10% the fee would decrease from $88,800 to $79,920. Conversely, if there was a 10% increase the fee would increase from $88,800 to $97,680.

General Administrative Fees – Additional to Adjusting Fees Fixed Fee and Cap pricing will be based on the current average. Should the claim volume change more than 10% in severity or frequency in a year, we request a reevaluation of our pricing agreement.

General Administrative Fee Section – Applicable to each fee option.

One Time Start-Up Fee
$7,500—not included in the above fixed fee
Annual Administration Fee $6,000 - included in above fixed fee Mileage - Adjuster Current IRS Rate
One Time MMSEA Setup Fee (paid to ExamWorks) - if
applicable.

Annual Reporting Fee (paid to ExamWorks)
$300/one-time - included in the year 1
above fixed fee
$500/year – included in fixed fee
Adjuster travel expenses for mediations, settlement conferences, trials; subject to prior approval. Actual
CXP access fee (up to 5 users) Included
Custom reports, if exceeds three hours and is client specific $185/hour Allocated File Expenses (see attached details) At cost
Conversion Fee (waived if client for 5 years, see below “Conversion Fees”) See Notes above
Storage – if applicable TBD – Actual cost
Catastrophic Pricing Current hourly rate
Fixed Fee $88,800

Page 751 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 46
All fee options are subject to the Annual Fee Escalator described above.

Subrogation
The Subrogation Fee is in the amount of 30% for each recovery obtained. The minimum amount to be paid to GH will be $250 per claim upon recovery. Please note, on most claims George Hills can recover our fee, thus the net cost is zero.

Allocated Expenses
Typically, allocated expenses are those expenses that are generated by a claim (by outside vendors other than George Hills) that cannot be foreseen nor included in this Contract. These expenses are generally allocated back to the specific claim file for which the cost was incurred and then charged back to the entity whose claim incurred that cost. In most situations these are pass- through costs (with processing fees) for services and/or fees not directly generated by the TPA, but rather by a third-party consultant where the TPA has acted as an agent on behalf of the entity to necessarily outsource services to a third-party consultant and/or miscellaneous fees applicable to the specific claim applied by an outside entity, such as a court or copy services.

Below, George Hills has provided a non-exhaustive list of typical allocated expenses.

Paid to GH
• CMS reporting costs and fees (ExamWorks)
Paid to Others as Authorized by Client
• Fees of outside counsel for claims in suit, coverage opinions, and litigation, and for representation and hearings or pretrial conferences • Fees of court reporters
• All court costs, court fees, and court expenses
• Fees for service of process
• Costs of undercover operatives and detectives (if initially paid by GH) • Costs for employing experts for the preparation of maps, professional photographs, accounting, chemical or physical analysis, or diagrams • Costs for employing experts for the advice, opinions, or testimony concerning claims under investigation or in litigation for which a declaratory judgment is sought
• Costs for independent medical examination or evaluation for rehabilitation

Page 752 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 47
• Costs of legal transcripts of testimony taken at coroner’s inquests, or criminal or civil proceeding
• Costs for copies of any public records or medical records • Costs of depositions and court reporting
• Costs and expenses of subrogation, (if not George Hills) • Costs of engineers, handwriting experts, or any other type of expert used in the preparation of litigation or used in a one-time basis to resolve disputes • Witness fees and travel expenses
• Costs of photographers and photocopy services (if not George Hills— our costs for this are included in our rate)
• Costs of appraisal fees and expenses not included in flat fee or performed by others
• Costs of indexing claimants
• Services performed outside the TPA’s normal geographical regions • Costs associated with Medicare Set-Aside analysis and submission or Medicare Conditional Lien negotiation
• Investigation of possible fraud including SIU services and related expenses
Any other similar cost, fee, or expense that is not otherwise included in the TPA’s service fees that is reasonably chargeable to the investigation, negotiation, settlement, or defense of a claim or loss or to the protection or perfection of the subrogation rights of the entity, including travel related expenses.

Travel Related
Costs of travel related to claims including mileage driven, such as for attendance at inspections, mediations, and trial, shall be allocated to the specific claim and reimbursed to GH based on the actual cost incurred. Mileage shall be reimbursed at the current IRS rated at the time the mileage is traveled.

Page 753 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 48
II. OPTIONAL SERVICES
Full In-House Litigation Management—Use Of George Hills’ Attorneys Name and Title Years of
Experience Role for the Client
Neil Callahan, Esq.

Litigation Manager
25 Serves as a Litigation Manager for
several clients, monitoring counsel,
and as a resource to our claims staff.

Benjamin Oram, Esq.

General Counsel/Litigation Manager 15
Serves as a Litigation Manager for
several clients, monitoring counsel,
and as a resource to our claims staff.

Cornelius (Neil) Callahan, Esq., Litigation Manager: Mr. Callahan has over 25 years of experience defending public entities on high profile claims in state and federal courts. Mr.

Callahan commenced his career practicing law in New York, New Jersey, and Connecticut. In 1999 he began practicing law in California where he served as lead trial counsel for public entities in the areas of civil rights, police practices and dangerous condition defense. He has tried multiple cases to jury verdict in both state and federal court having been the lead defense attorney in 13 Trials, with 12 Defense verdicts. His emphasis has been on defending and advising public entities involved in civil litigation. Past cases include officer involved shootings, excessive force, unlawful seizure, dangerous condition, discrimination, and harassment. He is experienced in all aspects of litigation including discovery, depositions, motion practice, arbitrations, administrative hearings, mediations, and trials.

Benjamin Oram, Esq. General Counsel/Litigation Manager: Ben serves as George Hills’ General Counsel/Litigation Manager. He currently serves as a Litigation Manager for several clients, monitoring counsel, and as a resource to our claims staff.

George Hills’ proactive approach is founded on our commitment to the preservation of the City’s assets. Early contact with all involved parties maintains lines of communication and rapport (not only with the insured but also with the claimant); hence, cost-saving opportunities to resolve claims efficiently are more plentiful.

Here is an outline of their role and how it would work for the City:

Page 754 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 49

1. Serve as Litigation Manager (specifics of the role below) i. Actively manage all watchlist files (parameters of a watchlist to be agreed upon through subsequent discussions)
ii. Manage and Supervise all litigated files – claims adjusters will track the nonserious and/or inactive litigated files, with the support of the Claims Processor
iii. Accessible to the entire GH adjuster team to advice and instruct as needed

2. Serve as Outside General and Special Counsel—limited basis i. Work closely with the City with confidential analysis and problem- solving for managing risk and avoiding unnecessary litigation
ii. Provide immediate access to legal advice to the City, which includes analyzing coverage issues, Public Records Act Requests, tort claim handling and strategy, conflicts of interest, oversight of outside litigation counsel, and providing legal opinions on potential and active litigation
iii. Advise on sensitive and political issues/claims

3. Coverage Counsel Consultation
i. Review and analysis of memorandums of coverage and excess/umbrella policies to address and offer advice and consultation regarding coverage issues
ii. Advise on potential changes to all coverage documents iii. Assist the City and George Hills staff in interpretation of coverage issues

4. Resource to a broker of record for coverage needs

5. Trial/Mediation/Board Meetings Attendance
i. Attend board/executive/coverage/claims meetings (as necessary) ii. Attend trials, mediations, and other court hearings, including appearing before Courts of Appeal as needed
iii. Provide analysis and consultation before, during, and after these significant litigation events—to reduce exposure and maximize opportunities for resolution

6. Legal Training and Seminars
i. Provide customized seminars and training upon request—to City staff, brokers, members, and GH staff

Page 755 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 50
ii. Subject areas include memorandums of coverage, all aspects of risk management, claims handling and litigation, employment law, and general liability claims.
iii. Courses are customized to address the client’s specific needs and to work closely with safety and loss staff, defense firms, and others.

Rates for Optional Legal Service
Litigation Management $225/hour
Legal Services $190/hour
These rates are subject to the annual fee escalator.

Please note that George Hills can provide a monthly/annual fixed fee for the above services upon discussion and agreement on level of effort.
1 st Party Subrogation Recovery
George Hills provides subrogation recovery services to many of our clients. In 2013, George Hills created a dedicated Subrogation Recovery Unit to handle recovery opportunities for our clients who have requested or contracted with us for subrogation recovery services.

George Hills’
subrogation recovery
unit has performed
spectacularly,
recovering several
million dollars on
behalf of our clients.

George Hills has a dedicated team with extensive experience in the public entity environment who handle all 1
st party subrogation matters for our clients who choose this service.

QUICK STATS ON GEORGE HILLS’ SUBROGATION RECOVERY

RESULTS
2,139 - Average number of subrogation claims George Hills has handled per year for the last five years.
91% - of claims handled result in a Recovery
80% - of claims result in a full recovery (including GH Fees) 84% - of amounts sought for our clients are recovered Average recovery: $4,239/claim

Page 756 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 51
Below are testimonials from a few of George Hills’ subrogation clients:

PUBLIC ENTITY TESTIMONIAL STATEMENT
Client of Sacramento
Risk & Loss Control
City of Sacramento
Risk Management
City of Oakley
Kevin Rohani, Public
Works Director/City
Engineer
City of Redlands
Human
Resources/Risk
Management
City of Oakland
Human Resources
Management/Risk
Management Unit
“We have utilized the George Hills Subrogation unit for several years, and simply put - they get results. They have a wealth of knowledge and expertise. Our 1st and 3rd party claims are always handled promptly and professionally. Partnering with George Hills for subrogation has proven to be a wise decision for our Client.”
“We are pleased to be partnering with George Hills for our subrogation recovery services. They provide quality staff and services.” “The City of Oakley has utilized the services of George Hills Subrogation Team for several years, and we have been very happy with this service and the professional approach that the George Hills Team brings towards the subrogation process. The knowledge and expertise of the George Hills Team has been invaluable for the City of Oakley, and we are very grateful for their great work in resolving our assortment of third-party claims and we are looking to many more years of successful collaboration with the George Hills Team.”
“The City of Redlands is always pleased and impressed at the excellent service, attention and professionalism that is used by their claims adjusters. In particular, Tammy Hunt and Vicky Jimenez. They are a pleasure to work with and make the claims recovery process run smoothly and effectively. We are very happy with the results and recovery efforts that they deliver. We highly recommend their services and appreciate the level of excellence that they offer to us as the client.” “We have utilized the George Hills Subrogation unit for several years, and they get excellent results. They have a wealth of knowledge and expertise, and their professionalism and prompt attention to our needs is second to none. There’s no better service out there that can beat them, and the rates are below the typical rates offered by other vendors.

Our third-party claims are always handled promptly and professionally. Our partnership has proven itself to be the best decision for our City.”

Page 757 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 52
Our standard subrogation fee is 30% of the amount collected, however George Hills has been successful more than 80% of the time collecting our fees, thus equating to recovery essentially free of charge. The minimum amount to be paid to George Hills will be $250 per claim. However,
George Hills also has the authority to reject any claim for any reason, dismissing the City of any financial responsibility for rejected claims only.

Generally, no recovery shall be agreed to involving payment plans if the recovery is less than $5,000 and/or greater than a one-year term. Exceptions can be made on a case-by-case basis. If a recovery is agreed to above this amount, the subrogation fee shall be 45%. In the event a payment plan is authorized and entered, the subrogation fee will be based upon the total amount of the lien and will be invoiced to the City.

If authorized, small claims court appearances for recovery of funds will be priced at $150 per appearance.

The benefits of George Hills’ subrogation recovery:
• High-level expertise of subrogation recovery
• Recovery of damages to property, utilities, hazardous material cleanup • Small claims
• Preparation of proof of loss statements
• Claim reporting activity, demand letters, final demand to claimant with suspended license, closing and/or payment transmittal
• Settlements
• File retention
• Development of policy and procedures
• Provision of account manager and lead subrogation adjuster

Page 758 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 53
III. SAMPLE REPORTS

Page 759 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 54

Page 760 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 55

Page 761 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 56

Page 762 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 57

Page 763 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 58

Page 764 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 59

Page 765 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 60
IV. George Hills Client Portal

Page 766 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 61

Page 767 of 856 ends

George Hills, City of Montebello RFP No. 24-14
Our minds over your matters — 62
V. LIST OF MUNICIPALITIES

MUNICIPALITIES
City of Alameda City of Amador City of Arcadia City of Arcata City of Avalon City of Bakersfield City of Belmont City of Belvedere City of Beverly Hills City of Biggs City of Blue Lake City of Brea City of Brentwood City of Buena Park City of California City City of Calimesa City of Calistoga City of Capitola City of Citrus Heights City of Clearlake City of Cloverdale City of Coalinga City of Colfax City of Concord City of Coronado City of Cotati City of Culver City City of Cypress City of Del Mar City of Del Ray Oaks City of Dunsmuir City of Elk Grove City of Etna City of Eureka City of Fairfield City of Ferndale City of Fort Bragg City of Fortuna City of Gonzales City of Grass Valley City of Greenfield City of Hanford City of Healdsburg City of Highland City of Hollister City of Irvine City of Isleton City of King City City of La Habra City of Laguna Beach City of Lakeport City of Lemon Grove City of Lindsey City of Live Oak City of Livermore City of Los Alamitos City of Loyalton City of Marina City of Maywood City of Menifee City of Modesto City of Montague City of Montclair City of Monterey City of Mountain View City of Mt. Shasta City of Napa County of Napa City of Nevada City City of Oakland City of Oakley City of Ontario City of Orange City of Oxnard City of Pacific Grove City of Palo Alto City of Pittsburg City of Placentia City of Placerville City of Plymouth City of Point Arena City of Portola City of Rancho Cordova City of Rancho Cucamonga

Page 768 of 856 ends

City of Rancho Santa
Margarita
City of Redding City of Rialto City of Richmond
City of Rio Dell City of Rohnert Park City of Roseville City of Sacramento City of San Bernardino City of San Juan Bautista City of San Rafael City of Sand City of Santa Barbara City of Santa Rosa City of Santee City of Scotts Valley City of Sebastopol City of Shasta Lake City of Sierra Madre City of Simi Valley City of Solana Beach City of Soledad City of Sonoma City of South Lake Tahoe City of St. Helena City of Susanville City of Tehama City of Temecula City of Thousand Oaks City of Torrance City of Trinidad City of Tulelake City of Tustin City of Twentynine Palms City of Ukiah City of Vacaville City of Ventura City of Watsonville City of Weed City of Westminster City of Wheatland City of Whittier City of Wildomar City of Willits City of Yorba Linda City of Yreka City of Yucaipa Town of Loomis Town of Yountville Town of Truckee Town of Windsor Town of Yucca Valley

Page 769 of 856 ends

Exhibit “B”

Page 770 of 856 ends

Exhibit “C”

LIVE SCAN FINGERPRINTING REQUIREMENT
The CONSULTANT may be required to successfully pass a Department of Justice fingerprinting background check (“Live Scan”) performed by a certified fingerprinting service provider or at the City of Montebello Police Department.

The CONSULTANT shall be responsible for obtaining the Live Scan for its staff and shall bear the cost thereof. The agency completing the fingerprints must provide the City of Montebello Human Resources with the background check results and subsequent records for review. The CONSULTANT may be required to obtain a “Temporary Consultant’s Badge” issued by the City of Montebello Human Resources prior to performing work on-site.

Page 771 of 856 ends

AGREEMENT 4206. RFP 24-14 TPA GENERAL
Liability
Final Audit Report 2024-05-31
Created: 2024-05-29
By: Jacqueline Leon ([email protected])
Status: Signed
Transaction ID: CBJCHBCAABAACwBQQzfbvtem_KzKmYIEWUrjPFwYRnuc "AGREEMENT 4206. RFP 24-14 TPA GENERAL Liability" Histo ry
Document created by Jacqueline Leon ([email protected]) 2024-05-29 - 5:08:11 AM GMT
Document emailed to John Chaquica ([email protected]) for signature 2024-05-29 - 5:08:22 AM GMT
Document emailed to Chris Shaffer ([email protected]) for signature 2024-05-29 - 5:08:22 AM GMT
Email viewed by John Chaquica ([email protected]) 2024-05-29 - 5:08:38 AM GMT
Email viewed by Chris Shaffer ([email protected]) 2024-05-29 - 5:08:39 AM GMT
Document e-signed by Chris Shaffer ([email protected]) Signature Date: 2024-05-29 - 2:27:08 PM GMT - Time Source: server Document e-signed by John Chaquica ([email protected]) Signature Date: 2024-05-31 - 4:04:17 PM GMT - Time Source: server Agreement completed.
2024-05-31 - 4:04:17 PM GMT

Page 772 of 856 ends

Reviewer Name: SUMMARY
Max
Points
CorVel
Corporation TRISTAR George Hills
Intercare
Holdings
Insurance
Services Inc
Carl Warren &
Company AdminSure Inc
REVIEWER 1 40 80 90 70 75 55
REVIEWER 2 77 89 89 81 78 75
REVIEWER 3 70 90 95 75 75 75
Total 100 62.33 86.33 91.33 75.33 76.00 68.33
Evaluation Sheet (Summary)
RFP 24-14 General Liability Third Party Administrator Services Vendors

ATTACHMENT B

Page 773 of 856 ends

ITEM # 18

CITY OF MONTEBELLO

CITY COUNCIL AGENDA STAFF REPORT
TO: Honorable Mayor and City Council Members
FROM: Raul Alvarez, City Manager

BY: Arlene Salazar, Acting City Manager
SUBJECT: APPROVE AMENDMENT NO. 1 TO PROFESSIONAL SERVICES AGREEMENT NO. 4115 WITH CARE SOLACE, INC.,TO PROVIDE

ASSISTANCE WITH COMMUNITY BASED COUNSELING
DATE: June 12, 2024
RECOMMENDATION(S):

It is recommended that the City Council:

1. Approve Amendment No. 1 to Professional Services Agreement No. 4115 between Care Solace, Inc., (“Care Solace”) and the City of Montebello to continue providing assistance to residents with finding community-based counseling; and,

2. Authorize the City Manager to execute Amendment No. 1 between Care Solace and the City of Montebello; and,

3. Take such additional, related action that may be desirable.

FISCAL IMPACT:

The proposed amendment (Attachment B) will extend the term of Agreement No. 4115 (Attachment A) for one (1) year, from July 1, 2024 – June 30, 2025. This amendment will provide for continued community access to a web-based online resource with a live, 24/7 concierge line that has assisted in connecting residents with mental health counseling and drug treatment resources. Agreement No. 4115 provides for on-going, one-year renewals based on mutual agreement and community response to the services.

Care Solace will honor the current annual fee of Sixty-Two Thousand, Two Hundred Fifty Dollars ($62,250), which is based on the City’s population, as presented in Care Colace’s April 1st, 2024, Proposal - Continuation of Services (Attachment C). The platform includes unlimited access for residents and businesses and provides City staff with ongoing technical support. The total cost for the full term of Amendment No. 1 is included

Page 774 of 856 ends

CITY COUNCIL AGENDA REPORT - MEETING OF JUNE 12, 2024

Page 2 of 4 ends

in the proposed Fiscal Year 2024-25 budget.

BACKGROUND/DISCUSSION:

The City of Montebello recognizes the importance of supporting the mental health and well-being of its residents. In an effort to continuously support this effort, the City is demonstrating its commitment to the health, safety and well-being of its residents by offering a free resource to expand access to community-based mental health and substance abuse providers and other behavioral health services. Care Solace provides a 24/7 multilingual Care Concierge team that connects residents and community-based providers seeking to assist them with confidential and available verified mental health providers, counseling services and substance-use treatment programs matched to their needs, regardless of financial circumstances and/or type of insurance.

Since the inception of this agreement with Care Solace in July 2023, the City has advertised their services via social media, on buses, digital billboards on main arterials, printed and posted fliers for distribution to staff and community, newsletter, e-blasts and Care Solace hosted staff in-service training. It took approximately 3three months to launch the program including training and advertising to implement the program. At the January 24, 2024, City Council meeting, Anita Ward, Chief Growth Officer of Care Solace, provided an impact report presentation regarding the demographics, ethnicity, age and the types of treatment referrals sought during the first six months of the program roll-out.

As of June 2024, the following are updated data regarding the last six months of Care Solace connectivity.

Since July 2023 to May 2024, Care Solace has received 292 service requests and matched 133 persons to services within a one day average. This service has benefited over 78% adults (ages 18-64), with both male and females equally seeking services.

Preferred language is English, followed by Spanish. Anxiety, depression followed by trauma and stress are the leading requests for assistance based on the performance measures from July 2023 (Attachment B). The attachment refers to DSM data, referred to as Diagnostic and Statistical Manual of Mental Disorders, a catalogue of all mental health categories and represents additional service measures regarding the impact of Care Solace in our community. Providing an additional year of service will include additional marketing, training and opportunities for our community members to receive the mental health and drug treatment needed to contribute positively to their family and society,
The data reflects the increased need for mental health provider services and in-patient care for drug/alcohol treatment. Societal changes resulting from post-pandemic anxiety, homelessness, drug and alcohol abuse have highlighted the need for accessible and comprehensive mental health and drug treatment services. This resource has increased accessibility especially to vulnerable populations, such as seniors, youth, home-bound individuals and working families. Care Solace provides a streamlined and efficient system for connecting individuals in the community with appropriate mental health resources regardless of their ability to pay or insurance options (sliding scale, private,

Page 775 of 856 ends

CITY COUNCIL AGENDA REPORT - MEETING OF JUNE 12, 2024

Page 3 of 4 ends

Medi-Cal, Medicaid, and Medicare) when generating a list of referrals.

Care Solace operates an online platform and helpline that connects individuals with a vast network of mental health providers and resources. Their on-line platform utilizes advanced algorithms and a comprehensive database to match individuals with providers based on their specific needs, including insurance coverage, language preferences, specialties, and geographical proximity. Key Benefits of the Agreement with Care Solace:

Streamlined Resource Connection: Care Solace offers a centralized platform and helpline to connect individuals with mental health resources. This eliminates the need for residents to spend time searching for providers and navigating complex systems when they are in crisis mode. By streamlining the process, individuals can quickly access the appropriate mental health services they need.

Timely Support: Care Solace's extensive network and efficient matching process ensures that individuals receive timely access to mental health services, reducing the risk of prolonged waiting periods or inadequate support. This reduces the risk of delays in receiving support and can be crucial in times of crisis or when immediate help is required.

The 24/7 concierge support provides a warm hand-off to the provider to ensure that the resident is receiving the appropriate service.

Confidentiality and Privacy: Care Solace prioritizes individual privacy and maintains strict confidentiality standards. They comply with all relevant laws and regulations, online approved Health Insurance Portability and Accounting Act of 1996 (known as “HIPAA”) standards, to safeguard the personal information of users.

Cost-Effective Solution: By partnering with Care Solace, the City of Montebello provides an essential service to its residents
User Interface: The web-based on-line resource is user-friendly, available in multiple languages and utilizes dashboard interfaces that are easy to maneuver.

This service is used by staff to better assist residents during moments of crisis and intervention. Based on careful evaluation and consideration of the benefits outlined above, it is recommended that the City Council consider approving Amendment No. 1 to Agreement No. 4115 with Care Solace to continue providing mental health and drug resource access services. By doing so, the City continues to demonstrate its commitment to the well-being of its residents and enhance their access to vital mental health services with another tool to improve their quality of life. These efforts also encourage access and reduce stigma to the growing challenges of those with mental and emotional distress.

ENVIRONMENTAL:

In accordance with the California Environmental Quality Act (“CEQA”), it has been determined that this action is exempt from CEQA under State CEQA Guidelines Section 15061(b)(3) (Common Sense Exemption). Section 15061(b)(3) of the State CEQA Guidelines states that an activity is covered by the commonsense exemption that CEQA

Page 776 of 856 ends

CITY COUNCIL AGENDA REPORT - MEETING OF JUNE 12, 2024

Page 4 of 4 ends

only applies to actions/projects that have the potential for causing a significant effect on the environment. Where it can be seen with certainty that there is no possibility that the approval of the agreement between Care Solace and the City of Montebello for this online service data within the City may have a significant effect on the environment, the activity is not subject to CEQA review and none of the exceptions to the exemptions under CEQA Guidelines Section 15300.2 apply.

ANALYSIS:

N/A
SUMMARY:

Staff recommends the City Council authorize the City Manager to execute Amendment No. 1 (attached hereto in substantial form) to Agreement No. 4115 with Care Solace to continue providing web-based, on-line resources, with a live 24/7 concierge line to assist staff, residents and other callers with finding community-based counseling. Funds are included in the proposed FY 2024-25 budget in Account No. 100-20-200-6040-.95 (General Fund, Administration, Other Professional Services).

ATTACHMENT(S)

1. Attachment A - Agreement No. 4115 - Care Solace

2. Attachment B - Amendment No 1 to Agreement No. 4115 with Care Solace

3. Attachment C - Care Solace Report July - May 2024
NEXT STEPS:

N/A

Page 777 of 856 ends

Page 778 of 856 ends

Page 779 of 856 ends

Page 780 of 856 ends

Page 781 of 856 ends

Page 782 of 856 ends

Page 783 of 856 ends

Page 784 of 856 ends

Page 785 of 856 ends

Page 786 of 856 ends

Page 787 of 856 ends

Page 788 of 856 ends

Page 789 of 856 ends

Page 790 of 856 ends

Page 791 of 856 ends

ATTACHMENT B

CITY OF MONTEBELLO
AMENDMENT NO. 1
TO PROFESSIONAL SERVICES AGREEMENT NO. 4115
WITH CARE SOLACE, INC.

This Amendment No. 1 to the Professional Services Agreement (“Amendment No. 1”), is made and entered into this _12_th day of _June 2024, (“Effective Date”) by and between the City of Montebello, a California Municipal Corporation, (hereinafter referred to as the “City”) and Care Solace, Inc., a Delaware corporation (hereinafter referred to as the “Consultant”). The City and the Consultant are sometimes hereinafter individually referred to as a "Party" and jointly as the "Parties".

RECITALS
WHEREAS, the Consultant and the City entered into that certain agreement for mental health and drug intervention linkage services dated June 28, 2023 ("Agreement"), pursuant to which the City retained the Consultant to provide web-based on-line resource services, as further described in the Agreement; and
WHEREAS, the City awarded the Agreement to the Consultant based on its qualification, subsequent to a review of other service providers, and now, the Parties being mutually satisfied with each other’s performance, desire to extend the term of the agreement for an additional one year term.

AMENDMENTS
NOW THEREFORE, in consideration of the mutual promises and covenants contained herein, the receipt adequacy of which is expressly acknowledged by the Parties, the Parties agree to amend the Agreement as follows:

SECTION 1. Recitals. The above recitals are true and correct and are hereby incorporated herein as part of this Amendment No. 1.

SECTION 2. Term. Section 10 of the Agreement, Term of Agreement and Fees, is amended to read as follows:
“The term of this Agreement is hereby extended for an additional one-year term from July 1, 2024, to June 30, 2025.”
SECTION 3. Fee. Section 11.2 of the Agreement, Term of Agreement and Fees, is amended to read as follows:
“The Consultant will provide continuation of service as contemplated in Amendment No. 1 for an annual fee of Sixty-Two Thousand, Two Hundred Fifty Dollars ($62,250).”

Page 792 of 856 ends

AMENDMENT NO. 1 TO AGREEMENT NO. 4115

Page 2 of 2 ends

SECTION 4. Except as expressly modified or supplemented by this Amendment No. 1, all other provisions of the Agreement shall remain unaltered and in full force and effect. In the event of conflict between the provisions of this Amendment No.1 and the provisions of the Agreement, the provisions of this Amendment No. 1 shall control.

IN WITNESS WHEREOF, the Parties execute this Amendment No.1 to take effect as of the Effective Date identified above.
(“CITY”) (“CONSULTANT”)

CITY OF MONTEBELLO CARE SOLACE
Raul Alvarez, City Manager Peter Biberstein, General Counsel & VP of Business Affairs
ATTEST:

Christopher Jimenez, City Clerk
APPROVED AS TO FORM:

Arnold M. Alvarez-Glasman, City Attorney

Page 793 of 856 ends

City of Montebello and Care Solace
May 2024 Business Review

ATTACHMENT C

Page 794 of 856 ends

Unhoused
Employees
In Montebello, Care Solace provides care
coordination to all residents, city departments,
and agencies.

We are working with Montebello city teams for
direct resident engagement:

Fire/MCAP
Police
Recreation and Community Services
Transit
We are the hub to all mental and social health supports for communities. We connect agencies, departments,
services, and residents to the support they need and
navigate the associated chaos of eligibility and
availability.

Page 795 of 856 ends

With Care Solace access to
care is quick and easy
Call a Care Companion
Scan a QR code
Access the Care Match
website
Care Solace approach to
mental health care.

Access Connection
Service
Belonging
Community
Empathy Kindness
Inclusion
Dignity

Page 796 of 856 ends

133
Care Matches
292
Service requests
2,107
Communications
97%
Matches to care
1 day
Time to match

11.5 days
Time to appointment
(This is client dependent)
90% of cases from zip code 90640.
10% of cases from zip code 91755.

Services & Impacts

Page 797 of 856 ends

Age Gender
Demographics Served: Age & Gender

Page 798 of 856 ends

Demographics Served: Ethnicity & Language
Ethnicity
Languages of service

Page 799 of 856 ends

Insurance Types

Page 800 of 856 ends

Los Angeles County
California Montebello
DSM Category by State, County & City

Page 801 of 856 ends

6-17 18-25 26-59
DSM Category by Age

Page 802 of 856 ends

White Hispanic Black
DSM Category by Ethnicity

Page 803 of 856 ends

Observations in the data

35.6% advanced pathways

25.7% assessments

22.2% meds and beds
Impacts
Assessment: 114
Therapy: 219 (39.8% in person, 60.2% telehealth)
Interventions: 5
Psychiatry: 30
Inpatient: 21
Outpatient: 9
Medical Detox: 9
Treatment Type Observations

Page 804 of 856 ends

Substance Abuse Categories

Page 805 of 856 ends

Share the partnership on all
platforms. Use flyers,
videos and social media
resources provided in the
Resource Center.

Promote Care Solace
The majority of people
using Care Solace have no
insurance or public
insurance. Targeting the
most vulnerable to help
even more is an idea.

Targeted Messages
Check your email for our
monthly newsletters to stay
up to date on upgrades to
the Care Loop system,
participate in events land
Webinars
Stay Up to Date
We encourage you to share
your experience with our
platforms. We want to
ensure that we continue to
improve and we need your
help to accomplish that.

Provide Feedback
If you have any questions
check out the Care Loop's
"Help Center" or reach out
to your point of contact.

Leverage Support
Continue to Maximize Our Partnership
Data Support
Data can assist with any
messaging or interactions
the city may want to take
(eg: Substance Abuse).

Page 806 of 856 ends

Thank you!

Page 807 of 856 ends

ITEM # 19
APPROVAL OF MINUTES: MAY 22, 2024, CITY COUNCIL MEETING

Page 808 of 856 ends

CITY OF MONTEBELLO

REGULAR MEETING

MINUTES
WEDNESDAY, MAY 22, 2024 A 6:00 PM

CITY HALL COUNCIL HAMBERS
1600 WEST BEVERLY B ULEVARD

MONTEBELLO, CALIF RN A

OPENING CEREMONIES
CALL TO ORDER - 6:00 P.M.

Mayor Peralta called the meetin o order at 6:0 p.m.

ROLL CALL
Members present were Mayor Peralt ayor Pro Tem Melendez, Councilmember Jimenez, Councilmember Torres, and Councilmember Tam Clerk Jim ez was also present and City Treasurer Matanga was absent.

City Attorney Ar ld Alvarez-Glas n, City M ager Raul Alvarez, Senior Deputy City Clerk Kimberly Guillen, Deputy City Clerk Nelly O oa, and Departmen irectors Michael Solorza, Cesar Roldan, and David Sosnowski were present.

ANNOUNCEM NT OF CLOSED SE SION ITEMS
City Attorney Alvarez Glasman ann nced the Closed Session items listed below.

PUBLIC COMMENTS O CLO D SESSION ITEMS
At this time, the public may mit a speaker card to the City Clerk staff for Closed Session items, prior to the beginning of this statement. Speakers will be called in the order received. Please be aware that the maximum time allotted for members of the public to speak on Closed Session items shall not exceed three (3) minutes per person. State Law prohibits the City Council from taking action or entertaining extended discussion on a topic not listed on the agenda. Please show courtesy to others and direct all of your comments to the Mayor and City Council.

None.

CLOSED SESSION
The City Attorney shall provide a briefing on the item listed for Closed Session as follows:

Mayor Peralta recessed the meeting into Closed Session at 6:01 p.m. to consider the following Closed Session items.

1. CONFERENCE WITH LABOR NEGOTIATORS
Government Code Section 54957.6
Agency Negotiators: Raul Alvarez
DRAFT

Page 809 of 856 ends

May 22, 2024: City Council Meeting Minutes Page 2 of 8
Labor group: Montebello Police Association

2. CONFERENCE WITH REAL PROPERTY NEGOTIATOR
Government Code Section 54956.8
Property: 602, 604, 608 and 610 Whittier Boulevard, Montebello, California Agency negotiators: Raul Alvarez, Joseph Palombi
Negotiating party: Weber Properties
Under negotiation: Price and terms of sale

3. CONFERENCE WITH LEGAL COUNSEL – ANTICIPATED LITIGATION Government Code Section 54956.9(d)(4)
Initiation of litigation in one case

REGULAR SESSION - IMMEDIATELY FOLLOWING CLOSED SES ON

CLOSED SESSION REPORT
Mayor Peralta reconvened the meeting at 7:02 p.m.

All five members were present to discuss all Clos d Sessio ms. City A orney Alvarez-Glasman provided the following report to City Council: Item No. 1, a briefing w provide to Council, Council provided directions to the City Attorney's office and City Staff, no action was tak an nothing to further to report; Item No. 2, a briefing was provided to City Council, Council provid irections to t ity Attorney's office and City Staff, no action was taken and nothing further to report. Item No , a bri ng was pro ded to City Council, Council provided directions to the City Attorney's office and City Staff, no ion was ta n, and noth g further to report.

INVOCATION
Led by City Clerk Jimenez.

PLEDGE OF ALLEGIANCE
Led by Councilm mber Torres.

CORRECTIO S TO THE AGENDA CITY MANAGER
City Manager Al ez announced the ollowing changes:

Presentations to be dded: Fiscal Y r 2024-25 Proposed Budget Presentation and Fiscal Year 2024-25 Proposed CIP Budget Presentation.

Item No. 7 will be pulled a st presentation.

CEREMONIAL ITEMS/PRE ENTATIONS

4. NATIONAL BIKE MONTH
Presented by Mayor.
4b. Added Presentation - Fiscal Year 2024-25 Proposed Budget Director of Finance Michael Solorza provided a presentation to provide an update on the supplemental budget requests. 4c. Added Presentation - Public Works Department Capital Projects Fiscal Year 2024-25 Director of Public Works Cesar Roldan presented on the upcoming capital projects for fiscal year 2024-25. Each project included a timeline and funding source.

DRAFT

Page 810 of 856 ends

May 22, 2024: City Council Meeting Minutes Page 3 of 8
PUBLIC COMMENTS ON NON-AGENDA ITEMS (30 MINUTES)
At this time, the public may submit speaker card(s) to the City Clerk staff, for both agenda and non-agenda items, prior to the beginning of this statement; Public Hearing items do not require a speaker card.

The City Council will address non-agenda items during this section and speakers will be called in the order received. Those persons not accommodated during this 30-minute period will have an opportunity to speak under “Public Comments – Continued”, after all scheduled matters have been considered. Public Hearing, Regular Business and/or Consent Calendar items will be addressed at the time that matter of business is heard, in the o der received.

Please be aware that the maximum time allotted for members of the public to s ak shall not exceed three (3) minutes per speaker. State Law prohibits the City Council from taking action o tertaining extended discussion on a topic not listed on the agenda. Please show courtesy to others and dire all your comments to the Mayor and City Council.

The City Clerk’s Office acknowledged twelve(12) members of the public shing to address th ity Council. Speakers were provided three minutes to address the City Council and said spea r cards are on file at the C Clerk’s office.

STAFF COMMUNICATIONS ON ITEMS OF COMMUNITY INTERE T
None.

REGULAR BUSINESS - NONE

CONSENT CALENDAR
All matters listed under the Consent Calendar are cons ered be routine. Any items a member wishes to discuss, including any items the public submitted ker cards f ould be designated at this time. All other items may be approved in a single motion. Such app val wi lso waive t reading of any Ordinance.

Item No. 7 was pulled by staff fo presentatio he item was so pulled by a member of the public for comments.

Councilmember Torres pulled Ite Nos and 12. member Jimenez motioned, seconded by Councilmember Torres, that Items Nos. 5, 8-11, and be approved; the motion passed unanimously.

5. SECOND RE AND ADO TION OF ORDINANCE NO. 2476 TO ADD CHAPTER 2.91 FOR ELECTRONIC

AND PA ERLESS LING O FAIR POLITICAL PRACTICES COMMISSION (FPPC) CAMPAIGN

DISCL SURE STATEM NTS
REC MMENDATION: It is commended that the City Council:

1. C duct a Second eading and Adopt Ordinance No. 2476 (Attachment A) to add Chapter 2.91 for elec nic and p erless filing of Fair Political Practices Commission (FPPC) Campaign Disclosure Statem ts for City of Montebello elected and appointed officials, City Council candidates, campaign committe d designated City staff; and

2. Take such additional, related action that may be desirable.

Councilmember Jimenez motioned, seconded by Councilmember Torres, to approve the item; the motion passed unanimously.

6. APPROVE AWARD OF PROFESSIONAL SERVICES AGREEMENT NO. 4202 TO SOUTHERN CALIFORNIA PRECISION CONCRETE, INC. (DBA PRECISION CONCRETE CUTTING) FOR SIDEWALK INSPECTION

AND INVENTORY SERVICES
RECOMMENDATION: It is recommended that the City Council:

1. Award professional services agreement No. 4202 to Southern California Precision Concrete, Inc. (DBA Precision Concrete Cutting) for sidewalk inspection and inventory services for a not-to-exceed amount of $88,270; and
DRAFT

Page 811 of 856 ends

Montebello City CouncilJune 12, 2024

Montebello City Council
June 12, 2024