CITY OF RICHMOND
CONTRACT AMENDMENT
Department: Project Manager:
Project Manager E-mail: Project Manager Phone No:
P.R. No: Vendor No: P.O./Contract No:
Amendment No. ___ modifies the: (2nd or subsequent amendments attach Amendment History page)
Term, Payment Limit and Service Plan
Payment Limit and Service Plan
Term and Service Plan
Service Plan
The parties to this Contract Amendment do mutually agree and promise as follows:
1. Parties. The parties to this Contract Amendment are the City of Richmond, California, a municipal corporation (City), and the following named Contractor:
Company Name:
Street Address:
City, State, Zip Code:
Contact Person:
Telephone: Email:
Business License No: / Expiration Date:
A California [ ] corporation, [ ] limited liability corporation [ ] general partnership, [ ] limited partnership, [ ] individual, [ ] non-profit corporation, [ ] individual dba as [specify:]
[ ] other [specify:]
2. Purpose
. This Contract Amendment is being entered into to amend the Contract between City and Contractor which was approved by the City Council of the City of Richmond or executed by the City Manager on , which original term commenced on and terminates with an original
contract payment limit of $ . Said contract shall hereinafter be referred to as the "Original Contract" and is incorporated herein by reference.
3. Original Contract Provisions. The parties hereto agree to continue to abide by those terms and conditions of the Original Contract, and any amendments thereto, which are unaffected by this Contract Amendment.
Description of Services:
Wood Environmental will continue to assist the City in preparing a Supplemental Remedial Action Plan (RAP), providing environmental support to facilitate a planned property transaction, and continuing groudwater monitoring in compliance with the clean-up Order on the Terminal One site.
Contract Amendment/EJ/TE 09-26-07
4. Amendment Provisions. This Contract Amendment is subject to the Amendment Provisions attached hereto, which are incorporated herein by reference, and which control over any conflicting provisions of the Original Contract, or any amendment thereto.
5. City of Richmond Business License Active Status Maintained. Pursuant to Municipal Code Section 7.04.030, the Contractor must maintain its City of Richmond business license for this Contract Amendment to be deemed to be in effect.
6. Insurance Coverage Updated and Maintained.
Pursuant to the Original Contract,
the Contractor shall provide the City with updated insurance certificates, and the Contractor shall maintain insurance coverage, for this Contract Amendment to be deemed to be in effect.
7. Signatures
. These signatures attest the parties’ agreement hereto:
CITY OF RICHMOND, CALIFORNIA
a municipal corporation
By _______________________
Title:
I hereby certify that the Original Contract
and this Amendment have been approved
by the City Council or executed by the City
Manager.
By _______________________
City Clerk
Approved as to form:
By_______________________
City Attorney
List of Attachments:
1. Amendment Provisions
2. Updated Insurance Certificates
CONTRACTOR:
______________________________
(*The Corporation Chairperson of the Board, President or Vice-President should sign on the line below.)
By____________________________
Title:________________________
(*The Corporation Chief Financial Officer, Secretary or Assistant Secretary should sign on the line below.)
By:___________________________
Title:________________________
(NOTE: Pursuant to California Corporations
Code Section 313, if Contractor is a
corporation or nonprofit organization, this
Contract (1) should be signed by the
Chairperson of the Board, President or
Vice-President and
the Chief Financial
Officer, Secretary or Assistant Secretary; (2)
should have both signatures conform to
designated representative groups pursuant
to Corporations Code Section 313.
Contract Amendment between the City of Richmond and
Amendmen
t No. P.O./Contract No.
AMENDMENT PROVISIONS (TERM, PAYMENT LIMIT AND SERVICE PLAN)
1. Paragraph 2 (Term) of the Original Contract is hereby amended to extend the Contract term. Paragraph 2 of the Original Contract is amended to read as follows:
"2. Term. The effective date of this Contract is
____________________________________________________________ (Insert original contract commencement date)
and it terminates
___________________________________________________.
(Insert new contract termination date)
unless sooner terminated as provided herein."
2. Paragraph 3 (Payment Limit) of the Original Contract is hereby amended to increase the payment limit by $ . Paragraph 3 of the Original Contract is amended to read as follows:
"3. Payment Limit. City's total payments to Contractor under this Contract shall not exceed $ including expenses." “The City of Richmond shall not pay for services that exceed the Contract Payment Limit without the prior written approval of the City Manager if the total Contract amount does not exceed $10,000 or without the prior approval of the City Council if the total Contract amount is over $10,000.”
3. The Service Plan (Exhibit A) of the Original Contract is hereby amended to include the following tasks and/or services:
Contract Amendment/EJ/TE 9-26-07
WSP USA Environment & Infrastructure Inc.
555 12th Street, Suite 215
Oakland, California 94607
USA
T: 1-510-663-4100
F: 1-833-778-3465
www.wsp.com
March 3, 2023
Ms. Lina Velasco
Project Manager II
City of Richmond
450 Civic Center Plaza
Richmond, California 94804
Subject: Change Order Request for Ongoing Environmental Support Terminal 1 Site
Richmond, California
Dear Ms. Velasco:
WSP USA Environment & Infrastructure Inc. (WSP, formerly known as Wood Environment & Infrastructure Solutions, Inc. ["Wood]) is submitting this change order request to the City of Richmond for environmental consulting work at the former Terminal 1 facility (the site) located in Richmond, California. This change order requests additional funds for Contract Number 3753, issued to Amec Foster Wheeler (a WSP predecessor) and executed on February 15, 2017, to implement additional environmental work required by the California Regional Water Quality Control Board, San Francisco Bay Region (Water Board).
The scope of work in this change order is for ongoing environmental support through August 2024, including groundwater monitoring, the replacement of damaged groundwater monitoring wells, and the completion of a tidal study.
Wood was sold to WSP in September 2022. Contract Number 3752 and its subsequent amendments, including this one, remain in effect.
BACKGROUND
Semiannual groundwater monitoring is currently required by the Water Board in support of Water Board Order No. R2-2004-0045, based on Water Board approval of a request to change from quarterly to semiannual monitoring on October 13, 2022.
The future sale of the site to a developer or other entity for redevelopment is anticipated. In order for the Water Board to approve redevelopment of the site, environmental remediation and mitigation activities will be required. Wood previously prepared the Draft 2018 Remedial Action Plan Addendum and the 2019 Remedial Design Report, which were submitted to the Water Board in preparation for a previously proposed plan for site redevelopment. In 2022, in coordination with the City of Richmond, the previous developer, and the Water Board, WSP prepared a draft Supplemental Remedial Action Plan Addendum (Supplemental RAP) to document the proposed changes to the 2018 RAP based on the redevelopment plan proposed in 2022. WSP understands that the development is on hold and that Ms. Lina Velasco
City of Richmond
March 3, 2023
the City expects that adjustments to and implementation of the draft Supplemental RAP will be performed by a future developer or other entity. As such, this proposal does not include scope related to site remediation.
SCOPE OF WORK
The anticipated scope of work is outlined in the following subsections.
Task 14: Semiannual Groundwater Monitoring and Environmental Support This task includes performing three semiannual groundwater monitoring events, including associated planning, sampling, and reporting; finding and reinstalling two damaged groundwater monitoring wells; and performing and documenting a tidal study. The work will fall within the following four subtasks:
Subtask 1 Semiannual Groundwater Monitoring and Reporting Subtask 2 Groundwater Monitoring Well Reinstallation
Subtask 3 Tidal Study
Subtask 1: Semiannual Groundwater Monitoring and Reporting Semiannual groundwater monitoring events will be conducted in March 2022, September 2022, and March 2023, based on the Water Boards October 13, 2022, email to the City. Each semiannual groundwater monitoring event is expected to be completed in two working days.
Prior to each groundwater monitoring event, WSP will perform necessary planning, coordination, and will contract the analytical laboratory. During the monitoring event, WSP will gauge 16 monitoring wells (B-01s, through BT 04S, MW-03 through MW-05, MW-EG1s, MW-EG2s, MW-NE2s, MW-P-1, MW-TH3s through MW-TH6s, and MW-TH6) and collect groundwater samples from nine monitoring wells (BT-01s through BT 04s, MW-03 through MW-05, MW P-1, and MW-TH6s), where sufficient water is available for sampling. WSP will submit the groundwater samples to a California-certified laboratory for analysis for diesel and motor oil range organics and total extractible petroleum hydrocarbons by U.S. Environmental Protection Agency Method 8015B (without silica gel cleanup).
Following completion of the sampling event, WSP will perform management and analysis of the data, update tables and figures with the data, and prepare a semiannual monitoring report that will be submitted to the Water Board. The reports will be submitted by June 30, 2023, December 31, 2023, and June 30, 2024.
Subtask 2: Groundwater Monitoring Well Reinstallation
In the October 13, 2022, and March 1, 2023, emails to the City of Richmond and WSP, the Water Board requested that damaged wells MW-EG2s and MW-TH3s and obstructed well MW-01 be brought into compliance with the groundwater monitoring program.
Ms. Lina Velasco
City of Richmond
March 3, 2023
During the 1Q2023 groundwater monitoring event, WSP will contract with a surveyor to identify the location of well MW-EG2s, which is not currently visible from the ground surface, and attempt to locate the well using a shovel or other tools.
Once the missing well is identified, WSP will prepare a letter work plan describing the approach and procedures for decommissioning or rehabilitating the damaged or obstructed wells and for installing replacement wells. The work plan will be submitted to the Water Board for review and approval. For the purposes of this cost estimate, we assume that it will be necessary to destroy and replace all three wells.
Pre-field activities include updating a health and safety plan (HASP) including Activity Hazard Analysis (AHA) for the planned site-specific activities. This task also includes planning, coordinating and contracting with subcontractors (utility locator, driller, analytical laboratory) prior to commencement of the field activities, including marking boring locations at the site, and calling Underground Service Alert (811) as required by law. Underground Service Alert will be contacted at least 48 hours prior to beginning drilling and destruction activities and a private utility locator subcontractor will be used to scan the locations for subsurface utilities. Drilling and destruction permits will be obtained from the Contra Costa County Department of Environmental Health prior to the start of work.
It is anticipated that the replacement groundwater monitoring wells will be consistent with the methods for installing wells at the site previously (i.e., 2-inch monitoring wells within 8.25-inch diameter boreholes). The destruction and reinstallation work will be performed by a California licensed C-57 contractor under WSP oversight. It is assumed that the boreholes for each monitoring well will be advanced using a hand auger to 5 feet below the ground surface (bgs), and then to the total depth using hollow stem auger and/or direct push drilling technology. Observed soil conditions and final well construction details will be recorded on a well construction log. Each well will be secured at the surface with a traffic-rated well box.
Following installation, the wells will be developed using a combination of bailing, surging, and pumping techniques to remove fines and establish improved hydraulic communication between the well and the surrounding formation. Each replacement well will be surveyed by a licensed surveyor to the nearest 0.01 foot using the North American Datum of 1983 (NAD 83) and the North American Vertical Datum of 1988 (NAVD88).
Investigation-derived waste (i.e., soil, decontamination water, and well development purge water) will be stored in drums on site pending characterization and off-site disposal. This cost estimate assumes the soil cuttings will be disposed as non-hazardous.
A brief completion report will be prepared following completion of the well replacement activities. The report will document the destruction, replacement, development, and surveying of the wells and will include copies of the well construction logs.
Subtask 3: Tidal Study
On March 3, 2023, the Water Board approved the Tidal Study Work Plan, but also requested that an additional five wells be monitored.
Ms. Lina Velasco
City of Richmond
March 3, 2023
Based on the Water Board approval/comments, WSP will complete a tidal study in accordance with the Tidal Study Work Plan, submitted to the Water Board on February 16, 2023. The scope of work includes conducting groundwater level monitoring over approximately two weeks at the originally proposed shoreline and inland wells (BT-01s, through BT-04s, MW-P-1, MW-04, MW-NE2s, MW-EG3s, MW-03, MW-05, and MW-WG1) plus the wells requested by the Water Board on March 3 (MW-TH4, MW-TH4s, MW-TH5, MW-TH5s, and MW-TH6).
The monitoring will be conducted using pressure transducers to evaluate the tidal fluctuations in the wells and their relation to the predicted tide levels at the Inner Richmond Harbor monitoring station. It is anticipated that the tidal study field work can begin within one month of Water Board approval of the Tidal Study Work Plan.
After the completion of the monitoring period and data evaluation, a Tidal Study Report will be prepared and submitted to the Water Board. This report will provide a description of the investigation activities, a summary of the results, graphs presenting the tidal fluctuations at each well, and recommendations for sampling times relative to low tide at the Richmond Inner Harbor tidal station.
COST ESTIMATE
The cost to complete the work described in this proposal is $163,800. Cost details are shown in the attached Cost Estimate (Table 1). We understand the City will issue an amendment to our existing contract with the City for the work included in this proposal.
Sincerely,
WSP USA Environment & Infrastructure Inc.
Avery Whitmarsh, PG
Principal Geologist
Kenneth Conner, PE
Northern California Office Manager/Vice
President
aw/kc/sc
https://woodplc.sharepoint.com/teams/terminal1/shared documents/general/0000_admin_pm/proposals/2023_02_proposal11_supplemental rap and gw sampling/proposal 11_city of richmond_text_v2.docx
Attachment: Table 1 Cost Estimate
Phase/Task
Number Activity Cost Phase Total
14 Semiannual Groundwater Monitoring and
Environmental Support 163,800$
14.1 Semiannual Groundwater Monitoring and Reporting 69,100$
14.2 Monitoring Well Reinstallation 58,700$
14.3 Tidal Study 36,000$
Total 163,800$
TABLE 1 - SUMMARY OF ESTIMATED COSTS
Richmond Terminal One
Richmond, California
1500 Dornan Drive
https://woodplc.sharepoint.com/teams/Terminal1/Shared Documents/General/0000_Admin_PM/Proposals/2023_02_Proposal11_Supplemental RAP and GW Sampling/
Terminal One - Proposal 11 Cost Esimtate_2023_02_v3 Page 1 of 1 Contract Amendment between the City of Richmond and
Amendmen
t No. P.O./Contract No.
AMENDMENT PROVISIONS (AMENDMENT HISTORY)
The first Contract Amendment was approved by City Council of the City of Richmond or executed by the City Manager on for one or more of the following provisions (check those that apply):
Increased contract payment limit by $ ________________for a payment limit not to exceed $ _________________________.
Term Amendment (insert new termination date):________________________
Service Plan
The second Contract Amendment was approved by City Council of the City of Richmond or executed by the City Manager on for one or more of the following provisions (check those that apply):
Increased contract payment limit by $ ________________for a payment limit not to exceed $ _________________________.
Term Amendment (insert new termination date):________________________
Service Plan
The third Contract Amendment was approved by City Council of the City of Richmond or executed by the City Manager on for one or more of the following provisions (check those that apply):
Increased contract payment limit by $ ________________for a payment limit not to exceed $ _________________________.
Term Amendment (insert new termination date):________________________
Service Plan
The fourth Contract Amendment was approved by City Council of the City of Richmond or executed by the City Manager on for one or more of the following provisions (check those that apply):
Increased contract payment limit by $ ________________for a payment limit not to exceed $ _________________________.
Term Amendment (insert new termination date):________________________
Service Plan
The fifth Contract Amendment was approved by City Council of the City of Richmond or executed by the City Manager on for one or more of the following provisions (check those that apply):
Increased contract payment limit by $ ________________for a payment limit not to exceed $ _________________________.
Term Amendment (insert new termination date):________________________
Service Plan
Contract Amendment between the City of Richmond and
Amendmen
t No. P.O./Contract No.
The sixth Contract Amendment was approved by City Council of the City of Richmond or executed by the City Manager on for one or more of the following provisions (check those that apply):
Increased contract payment limit by $ ________________for a payment limit not to exceed $ _________________________.
Term Amendment (insert new termination date):________________________
Service Plan
The seventh Contract Amendment was approved by City Council of the City of Richmond or executed by the City Manager on for one or more of the following provisions (check those that apply):
Increased contract payment limit by $ ________________for a payment limit not to exceed $ _________________________.
Term Amendment (insert new termination date):________________________
Service Plan
The eighth Contract Amendment was approved by City Council of the City of Richmond or executed by the City Manager on for one or more of the following provisions (check those that apply):
Increased contract payment limit by $ ________________for a payment limit not to exceed $ _________________________.
Term Amendment (insert new termination date):________________________
Service Plan
The ninth Contract Amendment was approved by City Council of the City of Richmond or executed by the City Manager on for one or more of the following provisions (check those that apply):
Increased contract payment limit by $ ________________for a payment limit not to exceed $ _________________________.
Term Amendment (insert new termination date):________________________
Service Plan
The tenth Contract Amendment was approved by City Council of the City of Richmond or executed by the City Manager on for one or more of the following provisions (check those that apply):
Increased contract payment limit by $ ________________for a payment limit not to exceed $ _________________________.
Term Amendment (insert new termination date):________________________
Service Plan
Contract Amendment/EJ/TE 11-30-07
1,018,550.00
163,800.00x
x
x
8/31/2024
___ Exhibit F
___ Sectio
n 8
City of Richmond - Insurance Requirements - Type 2:
Professional Services
Type 2 – Page
1 of 3
Revised: September 2011
In all instances where CONTRACTOR or its representatives will provide professional services (architects, engineers, construction management, counselors, medical professionals, hospitals, clinics, attorneys, consultants, accountants, etc.) to the City of Richmond (City), 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 coverage, 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), and including coverage for bodily and personal injury, property damage, and products and completed operations (if applicable).
2. Insurance Services Office Automobile Liability coverage (ISO Form CA 0001, Code 1, Any Auto).
3. Original and Separate Additional Insured Endorsement 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 insurance.
6. Professional Liability or Errors & Omissions Liability Insurance appropriate to the CONTRACTOR’s profession (if required.)
Required Coverage Minimum Limits
Workers’ Compensation and
Employers’ Liability
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.
General Liability
(primary and excess limits
combined)
$2,000,000 per occurrence for bodily injury, personal injury and property damage. If the policy includes a general aggregate, either the general aggregate shall apply separately to this project, 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.
___ Exhibit F
___ Sectio
n 8
City of Richmond - Insurance Requirements - Type 2:
Professional Services
Type 2 – Page
2 of 3
Revised: September 2011
Automobile Liability $1,000,000 per occurrence for bodily injury and property damage.
PROJECT COST REQUIRED LIMIT
$0 - $1 million $1 million p/o
$1 million - $5 million $2 million p/o
Over $5 million $5 million p/o
Professional Liability or Errors &
Omissions Liability –
Required for all professionals
including architects, engineers,
consultants, construction
management, counselors, medical
professionals, hospitals, clinics,
attorneys and accountants, & other
consultants as may be required by
the City.
Required Policy Conditions
Additional Insured Endorsement Applicable to General Liability coverage.
The City of Richmond, its officers, officials, 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 bodily injury, 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. If the Contractor is supplying their product or providing a service then the endorsement must not
exclude products and completed operations
coverage. If it does, then CG 20 37 (10/01) is also required.
SAMPLE Endorsements can be found at
http://www.ci.richmond.ca.us/index.aspx?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
Endorsement Form
Contractor’s insurer will provide a Waiver of Subrogation in favor of the City for Workers’ Compensation Insurance during the life of this contract.
SAMPLE Endorsements can be found at
ht
tp://www.ci.richmond.ca.us/index.aspx?nid=61.
Deductibles and Self-Insured
Retentions
Any deductible or self-insured retention must be declared to and approved 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.
A. M. Best Rating A:VII or Better. If the A.M. Best Rating falls below the required rating, CONTRACTOR must replace coverage immediately and provide notice to City.
Umbre
lla/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 coverage’s and cover those insured in the underlying policies. ___ Exhibit F
___ Sectio
n 8
City of Richmond - Insurance Requirements - Type 2:
Professional Services
Type 2 – Page
3 of 3
Revised: September 2011
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.
Verification of Coverage
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 Manger. 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 brea ches 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.
Holder Identifier : 7777777707070700077763616065553330763607546205557707542136672407311072751467057220020762404113076110207126011776234552071626331324323300714023355203237607140033570236732077727252025773110777777707000707007 6666666606060600062606466204446200600222626026022206222204260060002062220262422602000622220424006002206202206262040002062002262620602220622202604004220206022224042002622066646062240664440666666606000606006Certificate No : 570094314304
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
07/01/2022
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).
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.
PRODUCER
Aon Risk Services Southwest, Inc.
Houston TX Office
5555 San Felipe
Suite 1500
Houston TX 77056 USA
PHONE
(
A/C. No. Ext):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
(866) 283-7122
INSURED 16535Zurich American Ins CoINSURER A:
22667ACE American Insurance CompanyINSURER B:
20702ACE Fire Underwriters Insurance Co.INSURER C:
INSURER D:
INSURER E:
INSURER F:
FAX
(A/C. No.): (800) 363-0105
CONTACT
NA
ME:
JWGUSA Holdings, Inc.
and its Subsidiaries and Affiliates
17325 Katy Freeway
Houston TX 77084 USA
COVERAGES CERTIFICATE NUMBER: 570094314304 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. Limits shown are as requested
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
(MM/DD/YYYY)
SUBR
WVD
INSR
LTR
ADDL
INSD POLICY NUMBER TYPE OF INSURANCE LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
POLICY LOC
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
X
X
X
GEN'L AGGREGATE LIMIT APPLIES PER:
$2,000,000
$500,000
$5,000
$2,000,000
$4,000,000
$4,000,000
A 07/01/2022 07/01/2023GLO484608502
PRO-
JECT
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
SCHEDULED
AUTOS
HIRED AUTOS
ONLY
NON-OWNED
AUTOS ONLY
BODILY INJURY ( Per person)
PROPERTY DAMAGE
(Per accident)
X
BODILY INJURY (Per accident)
$1,000,000B 07/01/2022 07/01/2023 COMBINED SINGLE LIMIT (Ea accident)
ISA H25570790
EXCESS LIAB
O
CCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
DED
UMBRELLA LIAB
RETENTION
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT $1,000,000
X OTH-
ER
PER STATUTEB 07/01/2022 07/01/2023
Work Comp- AOS
SCFC68919812C 07/01/2022 07/01/2023
$1,000,000
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER/MEMBER EXCLUDED? N / AN
Work Comp- WI
WORKERS COMPENSATION AND
E
MPLOYERS' LIABILITY
If yes, describe under
DESCRIPTION OF OPERATIONS below
$1,000,000
WLRC68919770
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) SEE ATTACHED ADDENDUM FOR ADDITIONAL NAMED INSURED WOOD COMPANIES. City of Richmond is included as Additional Insured in accordance with the policy provisions of the Genera
l Liability and Automobile Liability policies. General Liability policy evidenced herein is Primary and Non-Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability, Automobile Liability and Workers' Compensation policies. Should General Liability and Workers' Compensation policies be cancelled before the expiration date thereof, the policy provisions will govern how notice of cancellation may be delivered to certificate holders in accordance with the policy provisions.
CANCELLATIONCERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVE
City of Richmond
450 Civic Center Plaza
Richmond CA 94804 USA
ACORD 25 (2016/03)
©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
Additional Named Insured
AGENCY CUSTOMER ID:
ADDITIONAL REMARKS SCHEDULE
LOC #:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance EFFECTIVE DATE:
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSUREDAGENCY
See Certificate Number:
See Certificate Number:
Aon Risk Services Southwest, Inc.
570000021966
570094314304
570094314304
Page _ of _
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ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD