REGIONAL
RGS GOVERNMENT
SERVICES
SERVING PUBLIC AGENCIES SINCE 2002
RGS is committed to reducing paper waste by converting to electronic processes. Toward these waste reduction goals, RGS uses DocuSign to digitally sign and execute our Agreements. DocuSign provides a secure and legally binding digital signature process which eliminates the need for printing and distribution of documents for signature. Additionally, and especially under the current health and safety restrictions, KGS requests that agencies use electronic payment methods whenever possible to reduce mailing and paper expenses. RGS requests your assistance with meeting these waste reduction goals by joining us in the use of DocuSign and electronic payment methods during our collaboration.
Preamble: The agreement for services described below is also an agreement to engage in a relationship between organizations - Agency partners. In order to establish a mutually respectful relationship as well as a productive one, RGS has adopted the following values and business methods.
Our Values
• Expert Services: RGS serves exclusively public sector agencies with its team of public-sector experts.
• Innovation: RGS encourages and develops innovative and sustainable services to help each Agency meet its challenges through new modes of service provision. • Customer Driven: RGS customizes solutions to achieve the right level and right kind of service at the right time for each Agency's unique organizational needs. • Perseverance: Sometimes the best solutions are not immediately apparent. RGS listens, works with you, and sticks with it until a good fit with your needs is found. • Open Source Sharing: RGS tracks emerging best practices and shares them, learning openly from each other's hard-won experience.
• Commitment: Government agencies are the public's only choice for many services. Public trust is earned and must be used wisely. And RGS will do its part. Each Agency should and will know how RGS sets its rates. RGS' pledge to you is that we will act with honesty, openness, and full transparency.
How RGS Does Business
When you work with RGS you can expect:
• RGS will strive to be explicit up front and put our understandings in writing. Before making assumptions, we hope to talk directly to prevent any misunderstandings. • Ongoing interaction throughout our relationship to ensure that your needs are being met, and that projects progress appropriately and agreed-upon timelines are met. • RGS is committed to honest interaction.
• When RGS employees are on your site, we expect them to treat people respectfully and be treated respectfully. If problems arise, we want to communicate early, accurately, and thoroughly to ensure that we find mutually acceptable solutions. • As a public Agency, partnering is valued. We look out for each Agency's interests consistent with maintaining the public trust.
• To keep expectations realistic, it is important to understand that RGS is a governmental, joint powers authority evolving to meet changing local government needs. RGS has carefully constructed policies and procedures to allow maximum flexibility to meet your needs.
P.O. BOX 1350 | CARMEL VALLEY, CA 93924 | 844.587.7300 | WWW.RGS.CA.GOV Agreement for Management and Administrative Services
This Agreement for Management Services ("Agreement") is made and entered into as of the 1st day of April 2021, by and between the CITY OF RICHMOND, a municipal Agency ("Agency"), and Regional Government Services Authority (RGS), a joint powers authority, (each individually a "Party" and, collectively, the "Parties").
RECITALS
THIS AGREEMENT is entered into with reference to the following facts and circumstances:
A. That Agency desires to engage RGS to render certain services to it; B. That RGS is a management and administrative services provider and is qualified to provide such services to the Agency; and
That Agency has elected to engage the services of RGS upon the terms and conditions as hereinafter set forth.
TERMS AND CONDITIONS
Section 1. Services. The services to be performed by RGS under this Agreement shall include those services set forth in the attached Exhibits, which are incorporated by this reference herein and made a part hereof as though it were fully set forth herein. All services will be performed following the execution of Task Orders specifying specific services, budget, and time of performance requested by Agency.
Where in conflict, the terms of this Agreement supersede and prevail over any terms set forth in the Exhibits.
1.1 Standard of Performance. RGS shall perform all services required pursuant to this Agreement in the manner and according to the standards observed by a competent practitioner of the types of services that RGS agrees to provide in the geographical area in which RGS operates.
1.2 Service Advisor. To ensure quality and consistency for the services provided, RGS also assigns a service advisor to Agency. The service advisor is available to assigned RGS staff and to Agency management and will check in regularly with both to address program/project directives. Typically service advisor time is not billed to Agency, with some exceptions where significant programmatic direction is provided.
1.3 Reassignment of Personnel. Assignment of personnel to provide the services described in the Exhibits is at the sole discretion of RGS. In the event that Agency or RGS, at any time during the term of this Agreement, desires the reassignmen of personnel, Agency and RGS shall meet and discuss in good faith to address the issue of concern, including but not limited to reassigning such person or persons.
1.4 Time. RGS shall devote such time to the performance of services pursuant to this Agreement as may be reasonably necessary to meet the standard of performance described above and to provide the services described in the Exhibits.
Agreement for Management and Administrative Services Page 2 of T4 Between the CITY OF RICHMOND and Regional Government Services Authority April 1, 2021 Term of Agreement and Termination. Services shall commence on or about April 1, 2021, and this Agreement is anticipated to remain in force to June 30, 2024, at which time services may continue on a month-to-month basis until one party terminates the Agreement, or it Exhibit A contains a "not to exceed" amount, until that amount of charges has been reached, at which point the Parties shall either amend or terminate this Agreement. This Agreement may be terminated by either Party, with or without cause, upon 30 days' written notice. Agency has the sole discretion to determine if the services performed by RGS are satisfactory to the Agency which determination shall be made in good faith. If Agency determines that the services performed by RGS are not satisfactory, Agency may terminate this Agreement by giving written notice to RGS. Upon receipt of notice of termination by either Party, RGS shall cease performing duties on behalf of Agency on the termination date specified and the compensation payable to RGS shall include only the period for which services have been performed by RGS.
Section 2. Compensation. Payment for services under this Agreement shall not exceed $250,000 and shall be as provided in the Exhibits.
Section 3. Effective Date. This Agreement shall become effective on the date first herein above written.
Section 4. Relationship of Parties.
5.1 It is understood that the relationship of RGS to the Agency is that of an independent contractor and all persons working for or under the direction of RGS are its agents or employees and not agents or employees of Agency. The Agency and RGS shall, at all times, treat all persons working for or under the direction of RGS as agents and employees of RGS, and not as agents or employees of the Agency. Agency shall have the right to control RGS employees only insofar as the results of RGS' services rendered pursuant to this Agreement. In furtherance of this Section 5.1, the Parties agree as follows:
5.1.1 Agency shall not request from RGS or from an RGS employee providing services pursuant to this Agreement an RGS employee's Social Security Number or other similar personally identifying information.
5.1.2 Agency shall not report an RGS employee to a third party as an employee of "third party" means anothe
Agency Pot they, poses of this Seyion sai dual
5.1.3 In the event that a third-party requests information about an RGS employee-including but not limited to personally identitying information, hours or locations worked, tasks performed, or compensation-Agency shall inform RGS of the request prior to responding. If Agency possesses such information about an RGS employee, the Parties shall confer in good faith about an appropriate and legally compliant response to the request.
Agreement for Management and Administrative Services Page 3 of 14 Between the CITY OF RICHMOND and Regional Government Services Authority April 1, 2021
6.4.3 Verification of coverage. Prior to beginning any work under this Agreement, RGS shall furnish Agency with notifications of coverage and with original endorsements effecting coverage required herein. The notifications and endorsements are to be signed by a person authorized by the MIC to bind coverage on its behalf. Agency reserves the right to require complete, certified copies of all MOC at any time.
6.4.4 Subcontractors. RGS shall include all subcontractors as insureds under its coverage or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the requirements stated herein.
6.4-5 Variation. During the term of this Agreement, RGS may change the insurance program in which it participates. RGS will provide reasonable notice of any such change to Agency and replacement copies of Certificates of Coverage and endorsements.
6.4.6 Deductibles and Self-Insured Retentions. RGS shall disclose any self-insured retention if Agency so requests prior to performing services under this Agreement or within a reasonable period of time of a request by Agency during the term of this Agreement.
6.4.7 Maintenance of Coverages. The coverages stated herein shall be maintained throughout the term of this Agreement and proot of coverage shall be available for inspection by Agency upon request.
6.4.8 Notice of Cancellation or Reduction in Coverage. In the event that any coverage required by this section is reduced, limited, or materially affected in any other manner, RGS shall provide written notice to Agency a ‹GS earliest possible opportunity and in no case later than five busines days after RGS is notified of the change in coverage.
Section 6. Legal Requirements.
7.1 Governing Law. The laws of the State of California shall govern this Agreement.
7.2 Compliance with Applicable Laws. RGS and any subcontractors shall comply with all laws applicable to the performance of the work hereunder. 7•3 Reporting Requirements. If there is a statutory or other legal requirement for RGS to report information to another government entity, RGS shall be responsible for complying with such requirements.
7.4 Other Governmental Regulations. To the extent that this Agreement may be funded by fiscal assistance from another governmental entity, RGS and any subcontractors shall comply with all applicable rules and regulations to which Agency is bound by the terms of such fiscal assistance program. 7-5 Licenses and Permits. RGS represents and warrants to Agency that RGS and its employees, agents, and any subcontractors have all licenses, permits, Agreement for Management and Administrative Services Page 6 of 14 Between the CITY OF RICHMOND and Regional Government Services Authority April 1, 2021 qualifications, and approvals of whatsoever nature that are legally required to provide the services contemplated by this Agreement. RGS represents and warrants to Agency that RGS and its employees, agents, and subcontractors shall, at their sole cost and expense, keep in effect at all times during the term of this Agreement any licenses, permits, and approvals that are legally required to practice their respective professions.
7.6 Nondiscrimination and Equal Opportunity. RGS shall not discriminate on the basis of a person's race, religion, color, national origin, age, physical or mental handicap or disability, medical condition, marital status, sex, or sexual orientation, against any employee, applicant for employment, subcontractor, bidder for a subcontract, or participant in, recipient of, or applicant for any services or programs provided under this Agreement. RGS shall comply with all applicable federal, state, and local laws, policies, rules, and requirements related to equal opportunity and nondiscrimination in employment, contracting, and the provision of any services that are the subject of this Agreement.
Section 8. Keeping and Status of Records.
8.1 Records Created as Part of RGS' Performance. All final versions of reports, data, maps, models, charts, studies, surveys, photographs, memoranda, plans, studies, specifications, records, files, or any other documents or materials, in electronic or any other form, that RGS prepares or obtains pursuant to this Agreement and that relate to the matters covered hereunder shall be the property of Agency. RGS hereby agrees to deliver those documents to Agency upon termination of the Agreement, if requested. It is understood and agreed that the documents and other materials, including but not limited to those described above, prepared pursuant to this Agreement are prepared specifically for Agency and are not necessarily suitable for any future or other use.
8.2 Confidential Information. RGS shall hold any confidential information received from Agency in the course of performing this Agreement in trust and confidence and will not reveal such confidential information to any person or entity, either during the term of the Agreement or at any time thereafter. Upon expiration of this Agreement, or termination as provided herein, RGS shall return materials which contain any confidential information to Agency. For purposes of this paragraph, confidential information is defined as all information disclosed to RGS which relates to Agency past, present, and future activities, as well as activities under this Agreement, which information is not otherwise of public record under California law. Agency shall notify RGS what information and documents are confidential and thus subject to this section 8.2.
Agreement for Management and Administrative Services Page 7 of T4 Between the CITY OF RICHMOND and Regional Government Services Authority April 1, 2021
8.3 RGS Books and Records. RGS shall maintain any and all ledgers, books of account, invoices, vouchers, canceled checks, and other records or documents evidencing or relating to charges for services or expenditures and disbursements charged to Agency under this Agreement for a minimum of 3 years, or for any longer period required by law, from the date of final payment under this Agreement.
8.4 Inspection and Audit of Records. Any records or documents that Section 8.3 of this Agreement requires RGs to maintain shall be made available tor inspection, audit, and/or copying at any time during regular business hours, upon oral or written request of Agency. Under California Government Code Section 8546.7, if the amount of public funds expended under this Agreement exceeds $10,000.00, the Agreement shall be subject to the examination and audit of the State Auditor, at the request of Agency or as part of any audit of Agency, for a period of three years Section 9. Non-assignment. This Agreement is not assignable either in whole or in part without the written consent of the other party.
Section 10. Amendments. This Agreement may be amended or modified only by written Agreement signed by both Parties.
Section 11. Validity. The invalidity, in whole or in part, of any provisions of this Agreement shall not void or affect the validity of any other provisions of this Agreement.
Section 12. Disputes. Should any dispute arise out of this Agreement, Agency agrees that it shall only file a legal action against RGS, and shall not file any legal action against any of the public entities that are members of RGS.
Section 13. Venue. Any suit or action initiated by either party shall be brought in Alameda County, California.
Section 14. Mediation. Should any dispute arise out of this Agreement, the Parties shall meet in mediation and attempt to reach a resolution with the assistance of a mutually acceptable mediator. Neither Party shall be permitted to file legal action without first meeting in mediation and making a good faith attempt to reach a mediated resolution. The costs of the mediator, if any, shall be paid equally by the Parties. If a mediated settlement is reached, neither Party shall be deemed the prevailing party for purposes of the settlement and each Party shall bear its own legal costs.
Section 15. Employment Offers to RGS Staff. Should Agency desire to offer permanent or temporary employment to an RGS employee who is either currently providing RGS services to Agency or has provided RGS services to Agency within the previous six months, said Agency will be charged a fee equal to the full-time cost of the RGS employee for one month, using the most recent RGS bill rate for the RGS employee's services to Agency.
This fee is to recover RGS' expenses in recruiting the former and replacement RGS staff.
Section 16. Entire Agreement. This Agreement, including the Exhibits, comprises the entire Agreement.
Agreement for Management and Administrative Services Page 8 of T4 Between the CITY OF RICHMOND and Regional Government Services Authority April 1, 2021 Section 17 Indemnification.
17.1 RGS' indemnity obligations.
RGS shall indemnify, defend, and hold harmless Agency and its legislative body, boards and commissions, officers, and employees ("Indemnitees") from and against all claims, demands, and causes of action by third parties, including but not limited to attorneys' fees, arising out of RGS' performance of this Agreement, to the extent caused by RGS' negligent act, error, or omission. Nothing herein shall be interpreted as obligating RGS to indemnify Agency against its own negligence or willful misconduct.
Training disclaimer
Agency understands and acknowledges that RGS advisors may, as part of the scope of services under this Agreement, provide training on various matters including human resources, accounting, or management practices. The advice and guidance included in such training does not, and is not intended to, constitute legal advice; instead, all information, content, and materials provided are based on industry best practices, but may not be applicable in all situations. Agency staff should not act or refrain from acting on the basis of the information provided as part of a training without first seeking legal advice from counsel in its relevant jurisdiction and/or appropriate Agency approval. RGS' obligation to indemnify, defend, and hold harmless indemnities pursuant to this section 17.1 for professional errors and omissions shall not exceed $500,000.
17.2 Agency's indemnity obligations. Agency shall indemnify, defend and hold harmless RGS and its officers, directors, employees and agents from any and all claims and lawsuits where such persons are named in the lawsuit solely because of a duty any of them performs in accordance with the services outlined in Exhibit B.
It is the intent of the parties here to define indemnity obligations that are related to or arise out of Agency's actions as a governmental entity. Thus, Agency shall be required to indemnify and defend only under circumstances where a cause of action is stated against RGS, its employees or agents:
a. which is unrelated to the skill they have used in the performance of the duties delegated to them under this Agreement;
b. when the allegations in such cause of action do not suggest the active fraud or other misconduct of RGS, its employees, or agents; or
C. where an Agency employee, if he had been acting in a like capacity, otherwise would be acting within the scope of that employment.
Whenever Agency owes a duty hereunder to indemnify RGS, its employees or agents, Agency further agrees to pay RGS a reasonable fee for all time spent by any RGS employee, or spent by any person who has performed work pursuant to this Agreement, for the purpose of preparing for or testifying in any suit, action, or legal proceeding in connection with the services the assigned employee has provided under this Agreement.
Agreement for Management and Administrative Services Page 9 of 14 Between the CITY OF RICHMOND and Regional Government Services Authority April 1, 2021
17.3 Obligations and indemnity related to defined benefit retirement plan participation.
a. RGS and Agency acknowledge and agree that, if Agency participates in a defined benefit plan (such as CalPERS, a defined benefit pension Plan, or Social Security) or ("Retirement Program"), it is possible that the Retirement Plan may find that RGS employees providing services pursuant to this Agreement are employees of Agency and should be registered with the Retirement Program as employees of Agency, which possibility is the of RGS, and not as agents or employees of Agency. Agency agrees not to ask RGS employees for personally identifying information.
In the event that the Retirement Program initiates an inquiry that includes examination of whether individuals providing services to Agency ar Agency's employees, Agency shall inform RGS within five days and share al communications and documents from the Retirement Program that it ma egally share. Agency and RGS shall cooperate to determine the manner o responding to the inquiry and what, if any, documents to provide. c. In the event that the Retirement Program makes a finding that one or more RGS employees are employees of Agency, Agency shall promptly inform RGS and share all communications and documents from the Retirement Program that it may legally share. RGS and Agency shall cooperate in letermining how to respond to the Retirement Program, including but no limited to whether and how to make any corrections described by th Retirement Program.
d. RGS and Agency each reserves the right to file an appeal of the Retirement Program's finding that an KGs employee is an employee of Agency and should be registered with the Retirement Program as an employee ol and Agency each agree to cooperate with each other in pursuit of the action. e. Notwithstanding Section 17.1 of this Agreement, RGS and Agency shall each bear their own costs in responding to an inquiry by a Retirement rogram, including but not limited to costs of an appeal or court challenge n the event that (1) Retirement Program finds that an RGS employee is a employee of Agency and should be registered in the Retirement Program as an employee of the Agency; (2) Retirement Program finds that a payment is required to register the employee as an employee of Agency; and (3) neither RGS nor Agency challenges those findings or the payment is upheld in a final appeal or court decision, RGS' obligation for any payments to Agency for Retirement Program benefits shall be limited to Agreement for Management and Administrative Services Page 10 of T4 Between the CITY OF RICHMOND and Regional Goverment Services Authority April 1, 2021 50% of the employer's share of those payments that Agency may be required to pay.
section y. otisemal, notices prepared by this Agreement sal be given to As toly and RS in Agency: City of Richmond
450 Civic Center Plaza, Suite 310
Richmond, CA 94804
RGS: Regional Government Services Authority
P. O. Box 1350
Carmel Valley, CA 93924
Email: [email protected]
Notice by email transmission shall be deemed given upon verification of receipt if received before 5:00p.m. on a regular business day or else on the next business day.
IN WITNESS WHEREOF, the Parties hereto have caused this Agreement to be executed on the date first written by their respective officers duly authorized on their behalf.
DATED: Agency
on Thus
Laura Snideman, City Manager-
Tom Butt, Mayor
APPROVED AS TO FORM:
Hust
DATED: _
Teresa Striker, City Attorney
Stricker
DATED: 6-2-2021 Regional Government Services Authority
By:
Richard H. Averett, Executive Director
Agreement for Management and Administrative Services Page 1T of 12 Between the CITY OF RICHMOND and Regional Government Services Authority April 1, 2021
17.3 Obligations and indemnity related to defined benefit retirement plan participation.
a. RGS and Agency acknowledge and agree that, it Agency participates in a defined benefit plan (such as CaPERS, a defined benefit pension Plan, or Social Security) or ("Retirement Program"), it is possible that the Retirement Plan may find that RGS employees providing services pursuant to this Agreement are employees of Agency and should be registered with the Retirement Program as employees of Agency, which possibility is the same as if Agency were contracting with a private consulting firm. Pursuant to Section 5.1 of this Agreement, Agency has an obligation to treat all persons working for or under the direction of RGS as agents and employees of RGS, and not as agents or employees of Agency. Agency agrees not to ask RGS employees for personally identifying information.
b. In the event that the Retirement Program initiates an inquiry that includes examination of whether individuals providing services to Agency are Agency's employees, Agency shall inform RGS within five days and share all communications and documents from the Retirement Program that it may legally share. Agency and RGS shall cooperate to determine the manner of responding to the inquiry and what, if any, documents to provide.
C. In the event that the Retirement Program makes a finding that one or more RGS employees are employees of Agency, Agency shall promptly inform RGS and share all communications and documents from the Retirement Program that it may legally share. RGS and Agency shall cooperate in determining how to respond to the Retirement Program, including but not limited to whether and how to make any corrections described by the Retirement Program.
d. RGS and Agency each reserves the right to file an appeal of the Retirement Program's finding that an RGS employee is an employee of Agency and should be registered with the Retirement Program as an employee of Agency and to challenge such a decision in court. Agency assigns its right to file an appeal of such a finding, if Agency does not itself file an appeal. In the event that either RGS or Agency files an appeal or court challenge, RGS and Agency each agree to cooperate with each other in pursuit of the action. e. Notwithstanding Section 17.1 of this Agreement, RGS and Agency shall each bear their own costs in responding to an inquiry by a Retirement Program, including but not limited to costs of an appeal or court challenge.
In the event that (1) Retirement Program finds that an RGS employee is an employee of Agency and should be registered in the Retirement Program as an employee of the Agency; (2) Retirement Program finds that a payment is required to register the employee as an employee of Agency; and (3) neither RGS nor Agency challenges those findings or the payment is upheld in a final appeal or court decision, RGS' obligation for any payments to Agency for Retirement Program benefits shall be limited to Agreement for Management and Administrative Services Page 10 of TT Between the CITY OF RICHMOND and Regional Government Services Authority April 1, 2021 Should it be necessary for payments to be made by check then please use the following address:
Regional Government Services Authority
PO Box 1350
Carmel Valley, CA 93924
AGENCY CONTACTS
Agency Billing Contact. Invoices are sent electronically only. Please provide the contact person to whom invoices should be sent:
NAME EMAIL
Anil Comelo, HR Director [email protected] Agency Insurance Contact. Please provide the contact person to whom the certificate of coverage should be sent:
NAME EMAIL
Laura Marquez, Assistant Risk Manager [email protected]
RGS STAFF
CLASSIFICATION HOURLY RATE*
Chief Operating Officer $135 to $220
Deputy Chief Operating Officer $130 to $195
Senior/Lead Advisor $125 to $190
Advisor $115 to $160
Project Advisor $105 to $125
Project Coordinator $85 to $120
Technical Specialist $75 to $115
*The Hourly Rate does not include direct external costs which will be invoiced to Agency with no markup and will fall outside of the not-to-exceed (if established) for services provided.
Agreement for Management and Administrative Services Page 13 of 14 Between the CITY OF RICHMOND and Regional Government Services Authority April 1, 2021 Exhibit B
Scope of Services. Pursuant to the provisions of this Agreement, RGS shall provide certain services to Agency as described and implemented in Task Orders to this Agreement. Task Orders shall be executed by the Parties and shall by this reference be incorporated as part of this Agreement.
Agreement for Management and Administrative Services Page 14 of 14 Between the CITY OF RICHMOND and Regional Government Services Authority April 1, 2021 REGIGOV-02 VKUMAR
ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDYYYY) 6/4/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
REPRESENTATE REPRODUCE, AND ANE ERTEAT MODER TE A CONTRACT EVEN THE SUAL INSURED ANTICED PRODUCER License # 0C36861
Newport Beach-Alliant Insurance Services, Inc. PHC, No, Ex: (949) 260-5087 1301 Dove St Ste 200
Newport Beach, CA 92660 AMEss: [email protected]
INSURERS) AFFORDING COVERAGE NAIC #
INSURER A: Great American E & S Insurance Company 37532 INSURED INSURER B:
REGIONAL GOVERNMENT SERVICES AUTHORITY INSURER C:
PO BOX 1350 INSURER D:
CARMEL VALLEY, CA 93924
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOC INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES: LIMITS SON MAY HAVE BEEN DUCED BY FACE HERE ISSUE ALL THE TERMS.
INSR LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER
X COMMERCIAL GENERAL LIABILITY $ 5,000,000
EACH OCCURRENCE
CLAIMS-MADE X OCCUR 214510003 9/29/2020 9/29/2021 1.000000 X GL DED: $50,000 MED EXP (Any one person)
PERSONAL & ADV INJURY $ 5,00,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5,000,000 X POLICY| LOC PRODUCTS - COMP/OP AGG $
OTHER: COMBINED SINGLE LIMI 5,000,000
A •AUTOMOBILE LIABILITY (Ea accident $
ANY AUTO 214510003 9/29/2020 9/29/2021 BODILY INJURY (Per person) $
AUTOONY SCHORULE D
X AUTOS ONL
$50,0 BEE
EACH OCCURRENCE es es
UMBRELLA LIAB OCCUR
EXCESS LIAB CLAIMS-MADE AGGREGATE
DED RETENTIONS
ISTATUTE T
Y IN E.L. EACH ACCIDENT
NIA
E.L. DISEASE - EA EMPLOYEE S
res, describe und
SCRIPTION OF OPERATIONS beio ELL. DISEASE - POLICY LIMIT A PUBLIC OFFICIALS E&O 214510003 9/29/2020 9/29/2021 "LIMIT 5,000,000 AS RESPECTS SERVICE CONTRACT. CITY OF RICHMOND, IT'S OFFICERS, EMPLOYEES AND AGENTS ARE NAMED AS ADDITIONAL INSURED FOF
GENERAL LIABILITY AND AUTO LIABILITY ONLY AS RESPECTS TO LIABILITY ARISING OUT OF ACTIVITIES PERFORMED SEE ATTACHED ACORD 101
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Richmonc ACCORDANCE WTH THE POLICY PROVISIONSE WILL BE DELIVERED IN Attn: Laura Marquesz
450 Civic Center Plaza, Suite 310
Richmond, CA 94804 AUTHORIZED REPRESENTATIVE
ACORD 25(2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: REGIGOV-02 VKUMAR
LOC #:
ACORD° Page 1 of 1
ADDITIONAL REMARKS SCHEDULE
AGENCY License # 0C36861 NAMED INSUREL
REGIONAL GOVERNMENT SERVICES AUTHORITY
Newport Beach-Alliant Insurance Services, Inc.
CARMEL VALLEY, CA 93924
POLICY NUMBER
SEE PAGE 1
NAIC CODE
CARRIER
SEE PAGE 1 SEEP 1 EFFECTIVE DATE: SEE PAGE 1
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations/Vehicles:
The Company may cancel the coverage by mailing to the first Participating Named Insured at the address shown in the participation endorsement written notice stating when, not less than sixty (60) days thereafter, such cancellation shall be effective. Provided that cancellation shall be effective.
ACORD 101(2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Additional Insured - Designated Person or Organization
This endorsement modifies insurance provided under the following:
SPECIAL LIABILITY POLICY FOR PUBLIC ENTITIES AND NON-PROFIT
CORPORATIONS
Name of Person or Organization:
Any person or entity that the "Named Insured" has entered into a written agreement, prior to a loss. to provide defense, indemnity or additional insured protection The following is added to Section V. PERSONS OR ENTITIES INSURED:
Any person(s) or organization(s) listed in the Schedule above is an Additional Insured, but only endorsement of this Policy:
However, additional insured coverage provided by this insurance will not be broader than coverage required in the written agreement.
GL330138 0916 Includes copyrighted material of ISO Properties, Inc., 2004 with Page 1 of 1 its permission
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Primary and Non-Contributory Coverage Endorsement
This endorsement modifies insurance provided under the following:
SPECIAL LIABILITY POLICY FOR PUBLIC ENTITIES AND NON-PROFIT
CORPORATIONS
The following is added to Section VIII. COMMON POLICY CONDITIONS:
payable under this insurance for liability arising out of the "Participating Named Insured's" ongoing operations performed for that person or organization undera written agreement.
However, the provisions of this endorsement do not apply to a person or organization unless the "Participating Named Insured" had a written agreement with that person or organization requiring:
a. This insurance be primary insurance;
b. They be an additional insured on this Policy; and
c. The written agreement was entered into prior to the date the "Participating amed Insured's" operations for that person or organization commenced .....
GL330152 0911 Includes copyrighted material of ISO, Inc., used with permission Page 1 of 1
DATE (MM/DD/YYYY)
ACORD® CERTIFICATE OF LIABILITY INSURANCE
6/11/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
MPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorse I SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement ol this certificate does not confer rights to the certificate holder in lieu of such endorsements).
PRODUCER NAME Kristen DesCombes
Alliant Insurance Services, Inc. HONE 1A, No: 949-756-2713 A/C. No. Ext): 949-433-7652
1301 Dove St Ste 200
Newport Beach CA 92660 ANs: [email protected] INSURERS) AFFORDING COVERAGE NAIC #
icense#: 0C3686 INSURERA: State Compensation Ins. Fund
INSURED REGIGOV-02
INSURER B:
Regional Government Services Authority
PO Box 1350 INSURER C:
Carmel Valley CA 93924 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 950397265 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ADDL SUBR LIMITS
TYPE OF INSURANCE INSD WVD POLICY NUMBER
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED
_ CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $
MED EXP (Any one person)
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE
POLICY PECT LOC PRODUCTS - COMP/OP AGG
OTHER:
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY (Ea accident)
ANY AUTO BODILY INJURY (Per person)
OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS
HIRED ION-OWNE Per BE AMAGE
AUTOS ONLY UTOS ONL " "
UMBRELLA LIAB OCCUR EACH OCCURRENCE
EXCESS LIAB CLAIMS-MADE AGGREGATE As as es
I RETENTION $
PER TER*
TWORKERS COMPENSATION 927923220 7/1/2020 7/1/2021 STATUTE
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 EL. DISEASE - EA EMPLOYEE $ 1,000.000
yes, describe unc E.L. DISEASE - POLICY LIMIT $1,000,000 ESCRIPTION OF OPERATIONS bel
A respects Agreement for Management an Administrative Series seen the Cly of datind ana legal overment Services Authority dated as of April 01, 2021. Waivers of Subrogation applies.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED II ACCORDANCE WITH THE POLICY PROVISIONS.
City of Richmond
Attn: Laura Marquez, Assistant RM
450 Civic Center Plaza, Suite 310 AUTHORIZED REPRESENTATIVE Richmond CA 94804
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
STATE ENDORSEMENT AGREEMENT BROKER COPY
WAIVER OF SUBROGATION REP 06
BLANKET BASIS 9279232-20
FUND
NEW
NA
HOME OFFICE
SAN FRANCISCO EFFECTIVE JULY 1, 2020 AT 12.01 A.M PAGE
1 OF 1
AT 1201 AM PACT ARE AND EXPIRING JULY 1, 2021 AT 12.01 A.M
STANDARD TIME OR THE
TIME INDICATED AT
PACIFIC STANDARD TIME
REGIONAL GOVERNMENT SERVICES AUTHO
PO BOX 1350
CARMEL VALLEY, CA 93924
WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE
LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL
NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR
ORGANIZATION NAMED IN THE SCHEDULE.
THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU
PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US.
THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE
2.00% OF THE TOTAL POLICY PREMIUM.
SCHEDULE
PERSON OR ORGANIZATION JOB DESCRIPTION
ANY PERSON OR ORGANIZATION BLANKET WAIVER OF
FOR WHOM THE NAMED INSURED SUBROGATION
HAS AGREED BY WRITTEN
CONTRACT TO FURNISH THIS
WAIVER
NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE
OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE
HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT.
COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: JULY 9, 2020 KantRa lan Vernor Same
AUTHORIZED REPRESENTATIVE 2572
PRESIDENT AND CEO
SCIF FORM 10217 (REV.7-2014) OLD DP 217