CITY OF RICHMOND
SHORT FORM CONTRACT
Department: EMPLOYMENT & TRAINING Project Manager: FRED LUCERO Project Manager E-mail: [email protected] Project Manager Phone No: (51 0) 621-1562 PRNo: Vendor No: 8361 P.O./Contract No:
Description of Services:
Alliance Graphics will provide graphic arts and products services for RichmondBUILD Academy.
1. Parties. The parties to this Agreement are the City
of Richmond (herein referred to as the "City") and the
following named Contractor:
(Company) ALLIANCE GRAPHICS, INC.
(Street Address) 1101 8th Street
(City State, Zip Code) Berkeley, CA 94710
(Contract Person) Nancy Ippolito
(E-mail) [email protected]
(Telephone) (51 0) 845-8835
(Fax Number) (51 0) 548-0543
Richmond Business License No. 40039782
Expiration Date: 07/31/2020
2. Term. The effective date of this Agreement
is October 1, 2019
and 1t termlnates.....;:J;_;:;u:;..;..;n:....;:;e__;3:.....;0:.....1.,-=2::...;;:0;..=2:......:.1 _______ _ unless sooner terminated as provided herein.
6. Contractor's Obligations.
To the satisfaction of the City's Project
Manager, Contractor shall provide the
following services:
See Exhibit A
Graphic arts/ products services and other
projects as assigned.
7. Supplemental Conditions. This
Contract is subject to the Supplemental
Conditions and Special Conditions· (if
applicable) attached hereto, which are
incorporated herein by this reference .
8. Insurance Provisions . This Contract is
subject to the Insurance Provisions which
are attached hereto and are incorporated
herein by this reference.
9. Signatures. These signatures attest the
parties' agreement hereto:
CITY:
3. Payment Limit. City's total payment to Contractor CITY OF RICHMOND, CA under this Agreement shall not exceed ($1 0,000 .00) a municipal corporation including expenses unless a contract amendment has ~
been approved by the City Council or City Manager. ~ y: ~ \. {___
4. City's Obligations. City shall pay the Contractor a ,_u~~:ctr.tr-M----'-=-D--.-----------~ not to exceed amount of$ 8,000.00 ff!'' Jty anager or eslgnee Signature as total payment for all services rendered.
5. Location of Services. Contractor shall perform the
services set forth herein at the following location:
Off-site: 1101 8th Street, Berkeley, CA 94710
Short Form Contract/EJ/TE 11-30-07
For the Contract between the City of
Richmond and
ALLIANCE GRAPHICS, INC.
SUPPLEMENTAL CONDITIONS
1. It is expressly agreed that Contractor is to perform the services described herein as an independent contractor pursuant to California Labor Code Section 3353, under the control of the City as to the result of his work only but not as to the means by which such result is accomplished. Nothing contained herein shall in any way be construed to make Contractor or any of its agents or employees, an agent, employee or representative of the City. Contractor shall be entirely responsible for the compensation of any assistants used by Contractor in providing said services.
2. This Contract shall automatically terminate when the total accumulated compensation paid or due to Contractor under this Contract reaches $10,000.00. The City shall not be responsible for compensating Contractor for any amounts in excess of $10,000.00.
3. Either the City or Contractor may cancel this Contract at any time upon giving the other party ten (1 0) days' written notice of such cancellation. In the event of cancellation, the City shall be liable only to pay to the Contractor compensation for services rendered up to the date of the Contract's cancellation.
4. Contractor shall not assign this Contract, or any part thereof, or any right of the Contractor hereunder without the prior written consent of the City.
5. Contractor shall indemnify, defend and hold the City harmless from and against all claims, demands and causes of action for injury, death or damage to any person or property which may arise or result from the contractor's performance of this Contract or from acts or omissions of any person(s) employed by Contractor.
6. Contractor agrees to observe all applicable laws including, but not limited to, the provisions of Section 2.28.030 of the Municipal Code of the City of Richmond obligating every contractor or subcontractor under a contract or subcontract to the City of Richmond for public works or for goods or service to refrain from discriminatory employment practices on the basis of the race, color, sex, sexual orientation, religious creed, national origin or ancestry of any employee of, or applicant for employment with, such contractor or subcontractor.
7. Pursuant to Chapter 7.04 and Section 7.04.160 (f) of the Municipal Code of the City of Richmond, if this Contract does not exceed five thousand dollars ($5,000.00) and if the Contractor does not make more than five thousand dollars ($5,000.00) within the City of Richmond during the fiscal year, then the Contractor shall be exempt from obtaining a City of Richmond business license.
8. If this Contract does exceed five thousand dollars ($5,000.00), or if Contractor does make more than five thousand dollars ($5,000.00) within the City of Richmond during the fiscal year, then a City of Richmond business license shall be obtained before any payment under this Contract shall be authorized and the business license must be kept current during the term of this Contract for payments to continue to be authorized.
Short Form Contract Supplemental Conditions/EJ/TE 11-30-07
EXHIBIT A
SERVICE PLAN
For the Contract between the City of
Richmond and
ALLIANCE GRAPHICS, INC.
Contractor shall, to the satisfaction of the EMPLOYMENT AND TRAINING DEPT. perform the following services and be compensated as outlined below:
Scope of Work
• Provide graphic arts and production services in regards to materials for Richmond BUILD Academy, as needed, though the end of the fiscal year.
• Customized printing and ofT-shirts, sweatshirts, embroidery on polo, jackets and other projects as assigned.
• Contractor shall perform the services set forth herein at the following location:
1101 8TH STREET, BERKELEY, CA 94710
For the Contract between the City of
Richmond and
ALLIANCE GRAPHICS, INC.
EXHIBIT 8
PAYMENT PROVISIONS
{PLEASE NOTE THAT THE CITY OF RICHMOND SHALL NOT PAY FOR SERVICES
THAT EXCEED THE CONTRACT PAYMENT LIMIT UNLESS A CONTRACT
AMENDMENT HAS BEEN APPROVED BY THE CITY COUNCIL OR THE CITY MANAGER}
1. Provided Contractor is not in default under this Contract, Contractor shall be compensated as provided below.
2. Any and all payments made pursuant to this Contract shall be subject to the Contract Payment Limit. The Payment Limit includes expenses (phones, photo copying, meals and travel etc). Invoices, shall be adequately detailed, based on accurate records, and be in a form reasonably satisfactory to the City. Contractor may be required to provide back-up material upon request.
3. Contractor shall submit timely invoices to the following address:
Attention: City of Richmond, Finance Department- Accounts Payable Project Manager: Fred Lucero Department: Employment and Training PO Box 4046
Richmond, CA 94804-0046
4. All invoices that are submitted by Contractor shall be subject to the approval of the City's Project Manager, Fred Lucero before payments shall be authorized.
5. The City will pay invoice(s) within 45 days after completion of services to the City's satisfaction. The City shall not pay late fees or interest.
6. A Richmond business license shall be obtained before any payment under this Contract shall be authorized and the business license must be kept current during the term of this Contract for payments to continue to be authorized.
7. All insurance coverage required by this Contract shall be provided by the Contractor before this Contract shall be executed by the City. The insurance coverage must be kept current during the term of this Contract for payments to continue to be authorized.
For the Contract between the City of
Richmond and
ALLIANCE GRAPHICS, INC.
SPECIAL CONDITIONS
The Supplemental Conditions of the Short Form Contract are hereby amended to include the following modifications:
There are no Special Conditions under this contract.
Short Form Contract Supplemental Conditions/EJ/TE 11-30-07 For the Contract between the City of
Richmond and
Alliance Graphics, Inc.
INSURANCE PROVISIONS
During the entire term of this Contract and any extension or modification thereof, the CONTRACTOR shall keep in effect insurance policies meeting the insurance requirements specified in the insurance provisions which are attached hereto and incorporated herein by this reference.
Short Form Contract Insurance Provisions/EJ/TE 11-30-07 City of Richmond -Insurance Requirements- Type 1:
Consultants and Contractors
Exhibit F
Section 8
In all instances where a CONTRACTOR or its representatives will be conducting business and/or providing services, the City requires the following MINIMUM insurance requirements and limits.
CONTRACTOR shall procure and maintain for the duration of the contract, agreement, or other order for work, services or supplies, insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance of the work hereunder and the results of that work by the CONTRACTOR, its agents, representatives, employees or subcontractors. Maintenance of proper insurance coverage is a material element of the contract. Failure to maintain or renew coverage or to provide evidence of renewal may be treated by the City as a material breach of contract.
CONTRACTOR agrees that in the event of loss due to any of the perils for which it has agreed to provide Commercial General Liability insurance, CONTRACTOR shall look solely to its insurance for recovery. CONTRACTOR hereby grants to CITY, on behalf of any insurer providing Commercial General Liability insurance to either CONTRACTOR or CITY with respect to the services of CONSULTANT herein, a waiver of any right to subrogation which any such insurer of said CONTRACTOR may acquire against the CITY by virtue of the payment of any loss under such insurance.
Original, signed certificates and original, separate policy endorsements, naming the City as an additional insured for general liability, as well as a waiver of subrogation for Workers' Compensation insurance, shall be received and approved by the City before any work may begin. However, failure to do so shall not operate as a waiver of these insurance requirements.
City reserves the right to modify or require additional coverages for specific risk exposures depending on scope of CONTRACTORS work.
Minimum coverage is detailed below. The policy limits of coverage shall be made available to the full limits of the policy.
The minimum limits stated herein shall not serve to reduce the policy limits of coverage of CONTRACTOR.
Minimum Scope of Insurance - the following forms shall be provided and coverage shall be at least as broad as the following:
1. Insurance Services Office Commercial General Liability coverage (ISO Occurrence Form CG 0001) including coverage for bodily and personal injury, property damage, and products and completed operations.
2. Insurance Services Office Automobile Liability coverage (ISO Form CA 0001, Code 1, Any Auto)
3. Original and Separate Additional Insured Endorsements for General Liability (ISO Form CG 20 10 11/85 or its equivalent) with primary and non -contributory language.
4. Workers' Compensation Insurance as required by the State of California including Employer's Liability coverage .
5. Original and Separate Waiver of Subrogation for Workers' Compensation and Builder's Risk/ Course of Construction Insurance.
6. Builder's Risk/Course of Construction insurance covering all risks of loss less policy exclusions when the City of Richmond has a financial interest in the property. - (Only required for Construction Contracts involving property)
7. Contractor's Pollution Liability (if applicable for Construction Contractors) Required Coverage Minimum Limits
Workers' Compensation and
Employers' Liability
Revised: September 2011
Statutory limits as required by the State of California including $1 million Employers' Liability per accident, per employee for bodily injury or disease.
If CONTRACTOR is self-insured, provide a certificate of Permission to Self Insure, signed by the California Department of Industrial Relations and Self Insurance. If contractor is a sole proprietor (has no employees) than contractor must sign "Contractor Release of Liability" found at:
http: //www.ci.richmond.ca. us/index.aspx?nid= 61 .
Type 1 - Page 1 of 4
Exhibit F
Section 8
City of Richmond -Insurance Requirements- Type 1:
Consultants and Contractors
General Liability
(primary and excess limits
combined)
Automobile Liability
Builders' Risk/Course of
Construction - Covers property
under construction/ repair or
renovation as well as equipment
and materials to be installed.
{Only required for Construction
Projects involving property and
equipment installation.)
Contractor's Pollution Liability (if
applicable)
Protects against:
unexpected/unintended release of
pollution resulting from contractors
covered operations such as:
HVAC1 paving/ carpentry/ pipeline
& tank installation/ drillers/
remediation contractors/
maintenance/ mechanical/
demolition/ excavation/ grading 1
street/road construction/
residential & commercial builders.
Required Policy Conditions
A. M. Best Rating
Additional Insured Endorsement
Revised: September 2011
PROJECT COST REQUIRED LIMIT
----------------------------------------- -----------------------------------------$0- $5 million $2 million p/o ~ ~ ~~ ~ ~ ~ ~ 1~ ~~i}l}?~~ :~ ~j~~ ~ ~i}l}?!i~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ i~ ~~~ii11?~~ rZ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ------------<.?~<::~-~ ~9- ~!IJ~~~--- --------- ------------ -~ ~9- ~!IJ~~~J?{?_------------ Fireworks $5 million pjo
Includes coverage for bodily injury/ personal injury 1 property damage and products and completed operations. The policy shall not exclude coverage for XCU perils (explosion/ collapse/ or damage to underground property).
If the policy includes a general aggregate/ either the general aggregate shall apply separately to this project 1 service or location or the minimum required aggregate limit shall be twice the per occurrence limit ($4 million aggregate limit).
·Policy shall be endorsed to name the City of Richmond as an additional insured per the conditions detailed below.
$1,000,000 per occurrence for bodily injury and property damage.
Coverage shall include all risks of direct physical loss1 excluding earthquake/ for an amount equal to the full completed value of the covered structure or replacement value of alterations or additions, including soft costs and business interruption.
If the project does not involve new or major reconstruction/ an Installation Floater may be acceptable. For such projects 1 a property installation floater shall be obtained that provides for the improvement/ remodel/ modification/ alteration/ conversion or adjustment to existing buildings/ structures/ processes 1 machinery and equipment. The Property Installation Floater shall provide property damage coverage for any building 1 structure 1 machinery or equipment damaged 1 impaired/ broken or destroyed during the performance of the Work 1 including during transit 1 installation and testing at the City of Richmond's site.
The City of Richmond shall be named as loss payee as its interest may appear. The insurer shall waive all rights of subrogation against City.
Same limits as General Liability.
A:VII or Better. If the A.M. Best Rating falls below the required rating 1 CONTRACTOR must replace coverage immediately and provide notice to City.
Applicable to General Liability Coverage.
The City of Richmond 1 its officers 1 officials 1 employees/ agents and volunteers are to be named as additional insureds for all liability arising out of the operations by or on behalf of the named insured/ including but not limited to bodily injury 1 deaths and property damage or destruction arising in any respect directly or indirectly in the performance of this contract.
ISO form CG 20 10 (11/85) or its equivalent is required. The endorsement must not exclude products and completed operations coverage. If it does, then CG 20 37 (10/01) is also required.
Type 1 - Page 2 of 4
Exhibit F
Section 8
City of Richmond - Insurance Requirements- Type 1:
Consultants and Contractors
Additional Insured Endorsement SAMPLE Endorsements can be found at (continued) htt11.: LLwww.ci.richmond.ca.usLindex.asl1.x?nid=61 Primary and Noncontributory The contractor's insurance coverage must be primary coverage as it pertains to the City, its officers, officials, employees, agents and volunteers. Any insurance or self insurance maintained by the City is wholly separate from the insurance of the contractor and in no way relieves the contractor from its responsibility to provide insurance.
Waiver of Subrogation Contractor's insurer will provide a Waiver of Subrogation in favor of the City Endorsement Form for Workers Compensation and Builder's Risk/ Course of Construction coverage during the life of this contract.
SAMPLE Endorsements can be found at
htt11.:LLwww.ci.richmond.ca.usLindex.asl1.x?nid=61
Deductibles and Self-Insured Any deductible or self-insured retention must be declared to and approved Retentions by the City. At the option of the City either the insurer shall reduce or eliminate such deductibles or self-insured retention as respects the City or the CONTRACTOR shall procure a financial guarantee in an amount equal to the deductible or self-insured retention guaranteeing payment of losses and related investigations, claims administration and defense expenses.
Contractor is responsible for satisfaction of the deductible and/or self-insured retention for each loss.
Loss Payable Endorsement (only Applicable to Builder's Risk/Course of Construction naming the City of required when Builder's Risk Richmond as Loss Payee.
and/ or Course of Construction
Insurance is required.)
SURETY BONDS The Contractor shall provide:
(If a Public Works/Engineering 1. A Bid bond
Project) 2. A Performance Bond
3. A Payment Bond
Umbrella/Excess Liability Policies
If an Umbrella or Excess Liability Policy is used to meet the liability limits, coverage shall be as broad as specified for underlying coverages and cover those insured in the underlying policies.
Claims-Made Policies
If any insurance policy is written on a claims-made form: 1) the retroactive date must be shown, and must be before the date of the contract or the beginning of contract work. 2) Insurance must be maintained and evidence of insurance must be provided for at least five (5) years after completion of the contract of work. 3) If coverage is canceled or non renewed, and not replaced with another claims-made policy form with a retroactive date prior to the contract effective date, the Contractor must purchase an extended period coverage for a minimum of five (5) years after completion of contract work.
Subcontractors
CONTRACTOR shall include all subcontractors as insured under its policies or shall furnish to the City for review and approval, separate certificates and endorsements for each subcontractor. All coverage for subcontractors shall be subject to all of the requirements stated herein.
CONTRACTOR agrees to defend and indemnify the City of Richmond for any damage resulting to it from failure of either CONTRACTOR or any subcontractor to take out or maintain the required insurance policies. The fact that insurance is obtained by CONTRACTOR, and/or CONTRACTOR's subcontractors, will not be deemed to release or diminish the liability of CONTRACTOR, including, without limitation, liability under the indemnity provisions of this contract. Damages recoverable by CITY from CONTRACTOR or any third party will not be limited by the amount of the required insurance coverage.
Type 1 - Page 3 of 4
Revised: September 2011
City of Richmond -Insurance Requirements- Type 1:
Consultants and Contractors
Verification of Coverage
Exhibit F
Section 8
All original certificates and endorsements shall be received and approved by the City before work may begin. The City of Richmond reserves the right to require complete, certified copies of all required insurance policies including endorsements affecting the coverage at any time.
Original insurance certificates and required policy endorsements shall be mailed, or delivered to the Designated Project Manager for the City of Richmond.
Insurance certificates and endorsements may be faxed to the Designated Project Manager. However, Contractor must mail the original certificates and endorsements to Designated Project Manager once faxed.
Continuous Coverage
CONTRACTOR shall maintain the required insurance for the life of the contract. Should the CONTRACTOR cease to have insurance as required during this time, all work by the CONTRACTOR pursuant to this agreement shall cease until insurance acceptable to the City is provided. In the event that CONTRACTOR fails to comply with the City's insurance requirements, the City may take such action as it deems necessary to protect the City's interests. Such action may include but is not limited to termination of the contract, withholding of payments, or other actions as the City deems appropriate.
If services or the scope of work extend beyond the expiration dates of the required insurance policies initially approved by the City, CONTRACTOR must provide updated certificates and endorsements indicating that the required coverage, terms and conditions are still in place. Renewal certificates and updated endorsements shall be mailed to the Designated Project Manager.
Cancellation
CONTRACTOR shall ensure that coverage shall not be cancelled, reduced or otherwise materially changed except after thirty (30) days' prior written notice has been given to the City.
Reporting Requirements
Any failure to comply with reporting or other provisions of the policies including breaches of warranties shall not affect coverage provided to the City, its officers, officials, employees or volunteers.
Consistent with Public Policy
The insuring provisions, insofar as they may be judged to be against public policy shall be void and unenforceable only to the minimum extent necessary so that the remaining terms and provisions herein may be consistent with public policy and thus enforceable.
Type 1 Page 4 of 4
Revised: September 2011
ACORD® CERTIFICATE OF LIABILITY INSURANCE I
DATE (MM/DD/YYYY)
~ 10/4/2019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
rfigNrfo Extl: (844) 836-6932 I FAX iAJC No): (866) 828-2424 CRIST FRITSCH! & PATERSON INS. AGENT/BROKERS INC E-MAIL [email protected] ADDRESS:
101 YGNACIO VALLEY RD.S200 INSURER(S) AFFORDING COVERAGE NAIC# WALNUT CREEK CA 94596 INSURER A: Hanover American Ins Co 36064 INSURED INSURERS: Massachusetts Bay Ins Co 22306
INSURERC: Allmerica Financial Benefit 41840
ALLIANCE GRAPHICS INC INSURERD:
1101 8TH ST INSURERE:
BERKELEY CA 94710 INSURERF:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR
~~a}-6%~~ rtOLICY EXP LTR TYPE OF INSURANCE IINSD lwvo POLICY NUMBER MM/DD/YYYYI LIMITS _L COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 LJ CLAIMS-MADE [ZJ OCCUR DAMAGE TO RENTED
PREMISES (Ea occurrence\ $ 1,000,000
-
MED EXP (Any one person) $ 10,000 -
A y N ZZF D205201 02
t---
04/05/2019 04/05/2020 PERSONAL & ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 R DPRC> [£] LOC PRODUCTS-COMP/OP AGG $ INCLUDED POLICY JECT OTHER: $
AUTOMOBILE LIABILITY fE~~~~~RtfiNGLE LIMIT $ 1,000,000
t---
,/ ANYAUTO BODILY INJURY (Per person) $
c r-=-- OWNED - SCHEDULED y N AWF D695086 01 09/12/2019 09/12/2020 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS 7 HIRED 7 NON-OWNED rp~~~&:~Je~RAMAGE $
r-=-- AUTOS ONLY --=--- AUTOS ONLY
$
UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ I--
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED I I RETENTION$ $
WORKERS COMPENSATION ,/I tf~TUTE I I OTH-
AND EMPLOYERS' LIABILITY ER
Y/N
8 ANYPROPRIETOR/PARTNER/EXECUTIVE
[YJ N/A N WDF D299561 03 07/01/2019 07/01/2020 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE· EA EMPLOYEE $ 1,000,000 If yes, describe under
E.L. DISEASE· POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Richmond, its officers, officials, employees, agents and volunteers are Additional Insured on the General Liability and Auto Liability pursuant to the terms and conditions by form 421-2915 and by form CA0001. Additional Insured is Primary and Noncontributory to the extent provided by form 421-2915. Cancellation Notice will be provided to the Certificate Holder pursuant to endorsement: 401-1235. Such notice is solely for the purpose of informing the Certificate Holder of the effective date of cancellation and does not grant, alter, or extend any rights or obligations under this policy.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
CITY OF RICHMOND
EMPLOYMENT & TRAINING DEPARTMENT AUTHORIZED REPRESENTATIVE 330-25TH ST c-) . >{( =*
RICHMOND CA 94804 (~}jttlt"L~:~-' {__Q_~
I
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