Attachment No. 1 - SOS Amendment No.1.pdf — Richmond City Council, March 26, 2024

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:

Description of Services:

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.

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

Amendment 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

Contract Amendment between the City of Richmond and
Safe Organized Spaces (SOS)

Amendment No. 1 Contract No. 6495

5. Provide services to the unhoused for basic needs to improve health, sanitation, safety, and must refer unhoused and encampment residents to CORE as a first step to providing other services.

6. SOS will provide a weekly report to the city or the city’s designee(s) with names, dates and times, and encampment location, of all referrals to the Contra Costa County Coordinated Outreach Referral Engagement (CORE) team for evaluation of vulnerability (VI-SPDAT) and services navigation.

7. SOS will refer SOS program participants after four months employment to Richmond Works Employment and Training (E&T) program to receive additional employment development services based on criteria developed by E&T to determine program participants and ensure participant success.

8. SOS will provide post encampment resolution monitoring by inspecting encampments that have been cleared on a weekly basis for debris cleanup as needed and to identify any new re-encampment efforts and provide outreach services to those residents and refer them to CORE. SOS will also include any referrals from post encampment resolution sites as part of their weekly report.

Contractor acknowledges that they are not authorized to and will not relocate any unhoused and or encampment residents without first consulting with the city and following the procedures that have been outlined under the Encampment Resolution Funding program, the Housing First Program, and the Emergency Shelter Services and must refer them to the CORE Team as a first step for any services.

TASKS

Task: 1. Cleanup of Trash and Dumping - 6 days/week

The Mobile Streets Team comprised of current and former unhoused encampment residents will drive to city specified encampments and other encampments for trash clean up services and to provide regular service at specific sites. Two mobile team members work for five and a half hours per day, six days a week, totaling 66 hours per week at $18 per hour. The mobile team leader is present 33 hours per week , six days a week, at $21 per hour.

Five Local Team members work 4 hours a day, totaling 64 hours per week at $18 per hour. Two local team leaders are present for a total of 24 hours per week at $21 per hour. Trash is collected, removed, and disposed of. Basic outreach, communication and developing trust, providing snacks, water, socks, hand warmers, ponchos, tarps, showers, etc., is provided to Contract Amendment between the City of Richmond and
Safe Organized Spaces (SOS)

Amendment No. 1 Contract No. 6495

respond to survival needs and build trust among unhoused and housed neighbors, public agencies, and community groups.

Team members; 10 (seven staff and 3 leaders)
Total hours: 66 + 36, 64 + 24 hours
Number of days: 6 days
Pay Rate/Hour:

Staff $18/hr., 33 hours each x 2 = 66 hours
16 hours each x 3 = 48 hours
8 hours each x 2 = 16 hours
Team leader $21/hr., 33 hours
16 hours
8 hours

Task 2: Shower Delivery - 7-10 events/week

The Shower Power team will deploy showers in multiple locations in consultation with the city of Richmond, providing 2.5 hours of shower service per location plus 2.5 hours for preparation, transport, and set-up during a 2-event day. A team leader works for 40 hours per week at $21 per hour. A shuttle driver works for 32.5 hours per week at $19.50 per hour. A team member works for 40 hours per week at $18 per hour. Outreach staff contact encampment dwellers, shuttle participants to services as needed, provide ongoing support, and direct to CORE.

Team members; 3 (one staff, 1 shuttle driver, and 1 leader) Total hours: 112.5 hours
Number of days: 5 days
Pay Rate/Hour:

Staff $18/hr., 40 hours per week
Shuttle driver $19.50/hr., 32.5 hours per week
Team leader $21/hr. 40 hours per week

Task 3: Outreach for Encampment Services - 10 events/week

SOS outreach staff offer connectedness, essential resources and transportation for encampment residents who seek meals, showers, laundry, water, and other encampment services. SOS Richmond will provide outreach to residents at city prioritized encampments, per ERF 2R program and other city referred encampments, and will refer unhoused residents to the CORE team for entry into the HMIS system and for evaluation of vulnerability and services navigation based on program eligibility and willingness to receive services.

Contract Amendment between the City of Richmond and
Safe Organized Spaces (SOS)

Amendment No. 1 Contract No. 6495

Two team members work for five days per week at six hours per day for 60 hours per week at $19.50 per hour to ensure that basic services are accessible. One shuttle driver works 20 hours a week at $19.50 per hour. One team leader is present 40 hours a week at $21 per hour.

Outreach establishes new relationships with interested encampment residents and housed neighbors with a goal of creating and sustaining regular contact to improve basic health and safety. Laundry services are provided with one team member working 20 hours per week at $18 per hour. One shuttle driver is present for 30 hours per week at $19.50 per hour.

Team members; 6 (three staff, 2 shuttle drivers, 1 leader) Total hours: 170 hours
Number of days: 6 days
Pay Rate/Hour:

Staff $18/hr., 20 hours per week
Staff $19.50/hr., 30 hours x 2 = 60 hours
Shuttle driver $19.50/hr., 20 hours per week
30 hours per week
Team leader $21/hr., 40 hours per week

Task 4: Manage and Develop Workforce

The Workforce Leadership Team will:
● support the deployment and supervision of the 15+ member unhoused workforce team (Street Team, Shower Power, and Outreach Team) and troubleshoot human resource and behavioral challenges,
● manage program operations and promote these activities, ● build and sustain community relationships and stakeholders, ● troubleshoot logistical and material problems,
● lead staff team planning, training, personal development, and improvements in health, job advancement, and housing services,
Total Management Team members - Six
Team Members:

Mobile Services Manager: 40 hours per week at $23 per hour Logistics Manager: 30 hours per week at $23 per hour
Workforce and Care Coordinator: 30 hours per week at $26 per hour Director of Operations: 30 hours per week at $32 per hour Director of Programs: Will be funded from other sources Executive Director: 30 hours per week at $34.25 per hour

Contract Amendment between the City of Richmond and
Safe Organized Spaces (SOS)

Amendment No. 1 Contract No. 6495

Task: 5 Special projects/services

SOS will respond to special projects as directed by the Community Development staff, provide problem solving, community building, and service development activities to improve public safety and responsiveness to homelessness. SOS will also coordinate with Community Development staff regarding any special requests for services outside of the services in this contract before undertaking any of these activities. The city will not be responsible for compensating SOS for undertaking or providing any additional services or tasks without preapproval from the Community Development Staff.

Contract Amendment between the City of Richmond and
Safe Organized Spaces (SOS)

Amendment No. 1 Contract No. 6495

Team members, Hours worked, and Hourly Rate

People Rate
Days/
week
Hours
/day
Hours/
week
Cost/we
ek
Trash - Mobile Team
Team member 2 $18.00 6 5. 5 66 $1,188
Team leader 1 $21.00 6 5.5 33 $693
Trash - Local Teams
A. Team member 3 $18.00 4 4 48 $864
Team leader 1 $21.00 4 4 16 $336
B. Team member 2 $18.00 2 4 16 $288
Team leader 1 $21.00 2 4 8 $168
Mobile Showers - 7-10 Events Per Week
Team Member - Attendant 1 $18.00 10 4 40 $720
Team Member - Shuttle Driver 1 $19.50 5 6.5 32.5 $634
Team Leader 1 $21.00 10 4 40 $840
Basic Outreach - 10 Events Per Week
Team Member - Peer Ambassador 2 $19.50 5 6 60 $1,170
Team Member - Shuttle Driver 1 $19.50 5 4 20 $390
Team Leader 1 $21.00 5 8 40 $840
Laundry Services - 5 Events Per Week
Team Member - Attendant 1 $18.00 5 4 20 $360
Team Member - Shuttle Driver 1 $19.50 5 6 30 $585
Managers FTE
Executive Director 1 $34.25 0.75 40 $1,028
Director of Operations 1 $32.00 0.75 40 $960
Workforce and Care Coordinator 1 $26.00 0.75 40 $780
Logistics Manager - Streets Team - Previously Unhoused 1 $23.00 0.75 40 $690 Mobile Services Manager - Laundry, Showers, Engagement - Previously U 1 $23.00 1 40 $920 T
otal Staff 24 Gross pay/we $13,453

SOS ENCAMPMENT SERVICES BUDGET PROPOSAL
Contract Amendment between the City of Richmond and
Safe Organized Spaces (SOS)

Amendment No. 1 Contract No. 6495

2. TIMELINE.

Tasks Due Date
Provide services to city specified unhoused encampment sites scheduled for delivery of basic services.

1. Trash service pickup

2. Mobile showers

3. Water

4. Laundry Services

Ongoing, April 2024-
June 2025
Resident outreach with a goal of creating and sustaining regular contact to improve basic health and safety. Referrals to CORE for HMIS intake for evaluation of vulnerability (VI-SPDAT) and services navigation registration and eligible services.

Ongoing, April 2024-
June 2025
Provide a weekly report to the city or the city’s designee(s) with names, dates and times, and encampment location, of all referrals to the CORE team.

Weekly, April 2024-
June 2025
Special targeted encampment cleanups As needed per City direction
Provide post encampment resolution monitoring by inspecting encampments that have been cleared on a weekly basis for debris cleanup, identify any new re-encampment efforts, provide outreach services to those residents, and refer them to CORE
Ongoing, April 2024-
June 2025

3. Project Outcomes and Evaluation
Program
Component
Program Outcome Indicator/
Measurement
Goal Evaluation Method
Trash service
pickup

Reduce amount of
debris in and around
unhoused encampments
Tons of debris
transported to
landfill
Twenty (20)
tons
monthly
Copy of tonnage
receipt delivered to
landfill
Mobile Showers Provide residents
opportunity to clean up
to improve health and
self-esteem
Number of
showers
provided
monthly
200
monthly
Monthly Key
Performance reports,
dates, and locations
Water Provide residents water
for food and self-
sustainability, health
No of water
bottles
provided and
TBD Monthly Key
Performance reports
Contract Amendment between the City of Richmond and
Safe Organized Spaces (SOS)

Amendment No. 1 Contract No. 6495

or water
stations
Laundry
Services
Provide residents
opportunity to clean
their self-esteem
Number of
unhoused
using laundry
services
250+ Monthly Key
Performance reports
Resident
outreach and
Referrals to
CORE
Direct unhoused to CORE
for registration and
eligible services
Number of
unhoused
registered by
CORE in HMIS
TBD Weekly reports with
date, names, and
location referrals,
Develop
Workforce and
Leaders
Provide SOS staff
training opportunities for
self-development, job
skills
Number of
staff
completing
training
modules
Ten staff
members
Enrollment and
completion
certificates
Clean up events Special cleanup efforts
for city specified
targeted sites
As directed by
City
TBD Monthly Key
Performance reports

Contract Amendment between the City of Richmond and
Safe Organized Spaces (SOS)

Amendment No. 1 Contract No. 6495

EXHIBIT B
BUDGET

Contract Amendment between the City of Richmond and

Amendment 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

___ Exhibit F
___ Section 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
___ Section 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 R EQUIRED 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
http://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.

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 coverage’s and cover those insured in the underlying policies.

___ Exhibit F
___ Section 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 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.

Safe Organized Spaces Richmond; dba: SOS Richmond
NAME OF INSURED AND MAILING ADDRESS:

M. A. Hays Co.
232 Broadway
Richmond, CA 94804
RENEWAL OF NUMBER: 2022-74928
POLICY NUMBER:
2023-74928 PRODUCER:

COMMERCIAL LINES COMMON POLICY DECLARATIONS
23 Main Ave., Box 16
Richmond, CA 94804
POLICY PERIOD:

FROM TO 09/15/2024 09/15/2023
AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Shower trailer, and encampment clean-up

IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE A S STATED IN THIS POLICY.

THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THESE PREMIUMS MAY BE SUBJECT TO ADJUSTMENT.

PREMIUM
.............................. $2,348 COMMERCIAL GENERAL LIABILITY COVERAGE PART - OCCURRENCE ................................................... ............. $10,681 COMMERCIAL AUTO LIABILITY COVERAGE PART .............................................. $4,384 COMMERCIAL AUTO PHYSICAL DAMAGE COVERAGE PART Not Covered .......................... IMPROPER SEXUAL CONDUCT AND PHYSICAL ABUSE COVERAGE PART SOCIAL SERVICE PROFESSIONAL COVERAGE PART Not Covered ................................................... .......

COMMERCIAL LIQUOR LIABILITY COVERAGE PART
TERRORISM COVERAGE (Certified Acts)
TOTAL: $17,413
Not Covered

INCLUDED
................................................... ........................... ................................................... .......

FORM(S) AND ENDORSEMENT(S) MADE A PART OF THIS POLICY AT TIME OF ISSUE:* CG 00 01 04 13, CG 00 33 04 13, CG 20 10 12 19, CG 20 11 12 19, CG 20 12 04 13, CG 20 18 04 13, CG 20 20 11 85, CG 20 21 07 98, CG 20 26 12 19, CG 20 34 12 19, CG 20 37 12 19, CG 21 09 06 15, CG 21 44 04 17, CG 21 47 12 07, CG 21 73 01 15, CG 21 96 03 05, CG 22 44 04 13, CG 24 07 01 96, IL 00 17 11 98, IL 00 21 09 08, IL 02 70 07 20, NIAC-AL 01 80, NIAC-E003 GL 08 20, NIAC-E069 GL 02 19, NIAC-E078 11 20, NIAC-E11 GL 09 19, NIAC-E120 0 9 19, NIAC-E123 09 19, NIAC-E15 09 20, NIAC-E180 GL 01 21, NIAC-E180 LL 01 21, NIAC-E195 GL 05 21, NIAC-E22 09 19, NIAC-E25 1 2 15, NIAC-E26 11 17, NIAC-E28 01 99, NIAC-E282 GL 12 21, NIAC-E29 12 09, NIAC-E33 GL 09 19, NIAC-E34 09 18, NIAC-E342 GL 08 22, NIAC-E42 GL 09 19, NIAC-E5 07 15, NIAC-E56 01 17, NIAC-E59 02 12, NIAC -E60 07 12, NIAC-E61 02 19, NIAC-E70 03 19, NIAC-E7 2 01 17, NIAC-E74 03 14, NIAC-GL 01 80, NIAC-LL 01 80, NIAC- NPO-001 05 20, NIAC-X1 06 18, SCHEDULE BA 01 80, SC HEDULE G 01 80, SCHEDULE L 01 80
*OMITS APPLICABLE FORMS AND ENDORSEMENTS IF SHOWN IN
SPECIFIC COVERAGE PART / COVERAGE FORM DECLARATIONS.

COUNTERSIGNED: BY
(AUTHORIZED REPRESENTATIVE)

THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS, IF APPLICABLE, TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY.

NIAC-CO
09/18/2023
Notice: This risk pooling contract is issued by a pooling arrangement authorized by California Corporations Code Section 5005.1. The pooling arrangement is not subject to all of the insurance laws of the State of California and is not subject to regulation by the Insurance Commissioner. Insurance guaranty funds are not available to pay claims in the event the risk pool becomes insolvent.

M. A. Hays Co.
232 Broadway
Richmond, CA 94804
2022-74928
2023-74928
RENEWAL OF NUMBER:

POLICY NUMBER: PRODUCER:

COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS NAME OF INSURED AND MAILING ADDRESS:

Safe Organized Spaces Richmond; dba: SOS Richmond
................................................... .... DAMAGE TO PREMISES RENTED TO YOU any one premises 23 Main Ave., Box 16
Richmond, CA 94804
POLICY PERIOD: 09/15/2024 TO 09/15/2023 FROM
AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE Shower trailer, and encampment clean-up BUSINESS DESCRIPTION:

IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE A S STATED IN THIS POLICY.

LIMITS OF COVERAGE:
$2,000,000 GENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTS - COMPLETED OPERATIONS) $2,000,000 .......................... PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT $1,000,000 ................................................. PERSONAL AND ADVERTISING INJURY LIMIT $1,000,000 ................................................... ............................. EACH OCCURRENCE LIMIT $500,000
any one person
ADDITIONAL COVERAGES:

MEDICAL EXPENSE LIMIT $20,000 ................................................... ...................................

CLASSIFICATION(S) SEE ATTACHED SUPPLEMENTAL DECLARATIONS SCHEDULE G

PREMIUM

FORMS AND ENDORSEMENTS APPLICABLE TO THIS POLICY ARE INCLUDED IN COMMERCIAL LINES COMMMON POLICY DECLARATIONS COUNTERSIGNED: BY
(AUTHORIZED REPRESENTATIVE)

NIAC-GL
$2,348
09/18/2023

COMMERCIAL GENERAL LIABILITY

EXTENSION OF DECLARATIONS
POLICY NUMBER:

NAME OF INSURED:
2023-74928-NPO
Schedule G
1Page
Safe Organized Spaces Richmond; dba: SOS Richmond

PREMISES

CODE/CLASS
*LOC PREMIUM
BASIS
RATE *ADVANCED

PREMIUM
$923 47366/Sales, Service or Consulting Organizations - NOC - includes products and/or completed operations

5.901 156,480 1
$1,113 96816/Janitorial Services 92.778 12,000 1

ADDITIONAL COVERAGES

FREE TEXT
$200 (1) Triple Shower Trailer aka: SOS Shower Power Trailer $200 Increased Aggregate $112
*See Common Declarations for Total Advanced Premium and Schedule 'L' for locations.

COUNTERSIGNED: BY
(AUTHORIZED REPRESENTATIVE)

NIAC - SCHEDULE G - NPO
9/18/2023

COMMERCIAL GENERAL LIABILITY

EXTENSION OF DECLARATIONS
POLICY NUMBER:

NAME OF INSURED:
2023-74928-NPO
Schedule L

Page 1 ends

PREMISES

LOC/BLDG

DESIGNATED PREMISES

ADDRESS, CITY, STATE, ZIP

ADDITIONAL INSUREDS

AND OTHER INTERESTS
Safe Organized Spaces Richmond; dba: SOS Richmond
23 Maine Ave. - Parking Lot (NP's Use of Only)
Richmond, CA 94804
1 COUNTERSIGNED: BY
(AUTHORIZED REPRESENTATIVE)

NIAC - SCHEDULE L
09/18/2023
- NPO

COMMERCIAL LIQUOR LIABILITY COVERAGE PART DECLARATIONS
PRODUCER:

NAME OF INSURED AND MAILING ADDRESS:

POLICY NUMBER:

M. A. Hays Co.
232 Broadway
Richmond, CA 94804
RENEWAL OF NUMBER: 2022-74928
2023-74928
Safe Organized Spaces Richmond; dba: SOS Richmond
23 Main Ave., Box 16
Richmond, CA 94804
EACH COMMON CAUSE LIMIT..............................................................

CG 00 33 04 13
1,000,000
1,000,000
POLICY PERIOD: FROM TO
AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION:

IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE A S STATED IN THIS POLICY.

LIMITS OF COVERAGE:

GENERAL AGGREGATE LIMIT............................ .................................. $ $
Included PREMIUM:

FORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART AND MADE PART OF THIS POLICY AT THE TIME OF IS SUANCE:
9/15/2023 9/15/2024
Shower trailer, and encampment clean-up

COUNTERSIGNED: BY
(AUTHORIZED REPRESENTATIVE)
Notice: This risk pooling contract is issued by a pooling arrangement authorized by California Corporations Code Section 5005.1. The pooling arrangement is not subject to all of the insurance laws of the State of California and is not subject to regulation by the Insurance Commissioner. Insurance guaranty funds are not available to pay claims in the event the risk pool becomes insolvent.

NIAC - LL
9/18/2023

INDEX OF FORMS ATTACHED TO THE POLICY
POLICY NUMBER: 2023-74928
Safe Organized Spaces Richmond; dba: SOS Richmond NAME OF INSURED: Page: 1

LIABILITY FORMS AND ENDORSEMENTS FORM NUMBER/EDITION DATE Commercial General Liability Coverage Form CG 00 01 04 13 Liquor Liability Coverage Form CG 00 33 04 13
Additional Insured - Owners, Lessees or Contractors CG 20 10 12 19 Additional Insured - Managers or Lessors of Premises CG 20 11 12 19 Additional Insured - State or Political Subdivisions - Permits CG 20 12 04 13 Additional Insured - Mortgagee, Assignee or Receiver CG 20 18 04 13 Additional Insured - Charitable Institutions CG 20 20 11 85 Additional Insured - Volunteers CG 20 21 07 98
Additional Insured - Designated Person or Organization CG 20 26 12 19 Additional Insured - Lessor of Leased Equipment - Automatic Status - Lease CG 20 34 12 19 Additional Insured - Owners, Lessees or Contractors - Completed Operations CG 20 37 12 19 Exclusion - Unmanned Aircraft CG 21 09 06 15
Limitation of Coverage to Designated Premises or Project CG 21 44 04 17 Employment-Related Practices Exclusion CG 21 47 12 07
Exclusion of Certified Acts of Terrorism CG 21 73 01 15 Silica - Exclusion CG 21 96 03 05
Health or Cosmetic Services Exclusion CG 22 44 04 13
Products/Completed Operations Hazard Redefined CG 24 07 01 96 Common Policy Conditions IL 00 17 11 98
Nuclear Energy Liability Exclusion Endorsement (Broad Form) IL 00 21 09 08 California Changes - Cancellation and Nonrenewal IL 02 70 07 20 Business Auto Coverage Part Declarations NIAC-AL-NPO
Member Criteria NIAC-E003 GL 08 20
Fiscal Sponsor Limitation NIAC-E069 GL 02 19
Professional Services - Exclusion NIAC-E078 11 20
Fireworks Exclusion NIAC-E11 GL 09 19
Lead Liability - Exclusion NIAC-E120 09 19
Firearms Sublimit Endorsement NIAC-E123 09 19
Blood Testing Exclusion NIAC-E15 09 20
Communicable Disease - Exclusion NIAC-E180 GL 01 21
Communicable Disease - Exclusion NIAC-E180 LL 01 21
Discrimination Exclusion NIAC-E195 GL 05 21
Asbestos Exclusion NIAC-E22 09 19
Additional Insured - Designated Person or Organization NIAC-E25 12 15 Waiver of Transfer of Rights of Recovery Against Others NIAC-E26 11 17 Property Damage to Personal Property in the Care, Custody or Control of the Insured NIAC-E28 01 99 Cyber Incident - Exclusion NIAC-E282 GL 12 21
Employee Personal Auto Reimbursement NIAC-E29 12 09
Mold, Fungus Exclusion NIAC-E33 GL 09 19
This list of forms is not part of the actual policy, but is for your information only.

Please refer to the policy(s) for actual limits, coverages and exclusions.

INDEX OF FORMS ATTACHED TO THE POLICY
POLICY NUMBER: 2023-74928
Safe Organized Spaces Richmond; dba: SOS Richmond NAME OF INSURED: Page: 2

LIABILITY FORMS AND ENDORSEMENTS FORM NUMBER/EDITION DATE Construction and Conversion Exclusion NIAC-E34 09 18
Anti-Stacking Condition NIAC-E342 GL 08 22
Nuclear, Chemical and Biological Hazard Exclusion NIAC-E42 GL 09 19 Trampoline Bounce House Exclusion NIAC-E5 07 15
Liberalization - GL, SSP, EBL NIAC-E56 01 17
Liberalization - LL NIAC-E59 02 12
Volunteer Medical Payments NIAC-E60 07 12
Additional Insured - Primary and Non-Contributory Endorsement for Public Entities NIAC-E61 02 19 Fundraiser and Event Endorsement NIAC-E70 03 19
Other Insurance - Coverage C NIAC-E72 01 17
Mental Anguish Endorsement NIAC-E74 03 14
Commercial General Liability Coverage Part Declarations NIAC-GL-NPO Commercial Liquor Liability Coverage Part Declarations NIAC-LL 01 80 Nonprofits' OWN Enhancement Endorsement NIAC-NPO-001 05 20 Improper Sexual Conduct and Physical Abuse Exclusion NIAC-X1 06 18 Business Auto Coverage Schedule SCHEDULE BA 01 80
Commercial General Liability Class Code Schedule SCHEDULE G 01 80 Commercial General Liability Location Schedule SCHEDULE L 01 80 This list of forms is not part of the actual policy, but is for your information only.

Please refer to the policy(s) for actual limits, coverages and exclusions.

LIMITATION OF COVERAGE TO DESIGNATED

PREMISES OR PROJECT

SCHEDULE
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

COMMERCIAL GENERAL LIABILITY
CG 21 44 04 17
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART
POLICY NUMBER: 2023-74928
Premises:

Project:

Shower Power Operations
Streets Team Project
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Performed on the premises shown in
the Schedule; or
(a)
The offense arises out of your business: (3)
This insurance applies to "personal and
advertising injury" caused by an offense
committed in the "coverage territory" but only if:
b.

This insurance applies to "bodily injury" and
"property damage" caused by an "occurrence"
that takes place in the "coverage territory" only
if:
b.

Paragraph 1.b . under Section I — Coverage B —
Personal And Advertising Injury Liability is
replaced by the following:

Prior to the policy period, no insured listed
under Paragraph 1. of Section II — Who Is An
Insured and no "employee" authorized by you
to give or receive notice of an "occurrence" or
claim, knew that the "bodily injury" or "property
damage" had occurred, in whole or in part. If
such a listed insured or authorized "employee"
knew, prior to the policy period, that the "bodily
injury" or "property damage" occurred, then any
continuation, change or resumption of such
"bodily injury" or "property damage" during or
after the policy period will be deemed to have
been known prior to the policy period.

2. (3)
The "bodily injury" or "property damage"
occurs during the policy period; and
(2)
Arises out of the project or operation
shown in the Schedule;
(b)
Occurs on the premises shown in the
Schedule or the grounds and
structures appurtenant to those
premises; or
(a)
The "bodily injury" or "property damage": (1)
Paragraph 1.b . under Section I — Coverage A —
Bodily Injury And Property Damage Liability is
replaced by the following:

1. If this endorsement is attached to Commercial General Liability Coverage Form CG 00 01 , the provisions
under this Paragraph A. apply:

CG 21 44 04 17 Page 1 of 3 Copyright, Insurance Services Office, Inc., 1997 b.

The accident takes place during the
policy period;
(a)
provided that:
then such offense must arise out of your
business performed on the premises shown
in the Schedule and the offense must have
been committed on the premises shown in
the Schedule or the grounds and structures
appurtenant to those premises .

The wrongful eviction from, wrongful
entry into, or invasion of the right of
private occupancy of a room, dwelling or
premises that a person occupies,
committed by or on behalf of its owner,
landlord or lessor;
(2)
False arrest, detention or imprisonment;
or
(1)
The expenses are incurred and
reported to us within one year of the
date of the accident; and
(b)
Arises out of the project or operation
shown in the schedule;
(2)
Occurs on the premises shown in the
Schedule or the grounds and structures
appurtenant to those premises; or
(1)
We will pay medical expenses as described
below for "bodily injury" caused by an accident
that takes place in the "coverage territory" if
the "bodily injury":
a.

Paragraph 1.a. under Section I — Coverage C —
Medical Payments is replaced by the following:

Paragraph 1.b. under
Section I — Coverage B —
Personal And Advertising Injury Liability is
replaced by the following:

2. A claim for damages because of the "bodily
injury" or "property damage" is first made
against any insured, in accordance with
Paragraph 1.c. of this Insuring Agreement,
during the policy period or any Extended
Reporting Period we provide under Section
V — Extended Reporting Periods.
(3)
The "bodily injury" or "property damage" did
not occur before the Retroactive Date, if
any, shown in the Declarations or after the
end of the policy period; and
(2)
Arises out of the project or operation
shown in the Schedule;
(b)
Occurs on the premises shown in the
Schedule or the grounds and structures
appurtenant to those premises; or
(a)

3. The "bodily injury" or "property damage": (1)
This insurance applies to "bodily injury" and
"property damage" caused by an "occurrence"
that takes place in the "coverage territory" only
if:
b.

Paragraph 1.b . under Section I — Coverage A —
Bodily Injury And Property Damage Liability is
replaced by the following:

However, with respect to Paragraph

1.b.(1)(a) of this Insuring Agreement, if the
"personal and advertising injury" is caused by:

The offense was committed during the
policy period.

1. (2)
In connection with the project or
operation shown in the Schedule; and
If this endorsement is attached to Commercial General
Liability Coverage Form CG 00 02 , the provisions
under this Paragraph B. apply:

B.
(b)
This insurance applies to "personal and
advertising injury" caused by an offense
committed in the "coverage territory" but only if:

(c) The injured person submits to
examination, at our expense, by
physicians of our choice as often as we
reasonably require.

Copyright, Insurance Services Office, Inc., 1997 Page 2 of 3 CG 21 44 04 17 The injured person submits to
examination, at our expense, by
physicians of our choice as often as we
reasonably require.
(c)
The expenses are incurred and
reported to us within one year of the
date of the accident; and
(b)
The accident takes place during the
policy period;
(a)
provided that:

Arises out of the project or operation shown
in the Schedule;
(2)
Occurs on the premises shown in the
Schedule or the grounds and structures
appurtenant to those premises; or
(1)
We will pay medical expenses as described
below for "bodily injury" caused by an accident
that takes place in the "coverage territory" if the
"bodily injury":
a.

Paragraph 1.a. under Section I — Coverage C —
Medical Payments is replaced by the following:

3. then such offense must arise out of your
business performed on the premises shown in
the Schedule and the offense must have been
committed on the premises shown in the
Schedule or the grounds and structures
appurtenant to those premises .

A claim for damages because of the
"personal and advertising injury" is first
made against any insured, in accordance
with Paragraph 1.c. of this Insuring
Agreement, during the policy period or any
Extended Reporting Period we provide
under Section V — Extended Reporting
Periods.
(3)
In connection with the project or
operation showin in the Schedule;
(b)
Performed on the premises shown in
the Schedule; or
(a)
The offense arises out of your business: (1)
The offense was not committed before the
Retroactive Date, if any, shown in the
Declarations or after the end of the policy
period; and
(2)
CG 21 44 04 17 Page 3 of 3 Copyright, Insurance Services Office, Inc., 1997 POLICY NUMBER: 2023-74928
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED

PRIMARY AND NON-CONTRIBUTORY

ENDORSEMENT FOR PUBLIC ENTITIES
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE
Name of Person or Organization:

C. With respect to the insurance provided to the additional insured(s), Condition 4. Other Insurance of SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following:

Section II – WHO IS AN INSURED is amended to include:

4. Any public entity as an additional insured, and the officers, officials, employees, agents and/or volunteers of that public entity, as applicable, who may be named in the Schedule above, when you have agreed in a written contract or written agreement presently in effect or becoming effective during the term of this policy, that such public entity and/or its officers, officials, employees, agents and/or volunteers be added as an additional insured(s) on your policy, but only with respect to liability for “bodily injury”, “property damage” or “personal and advertising injury” caused, in whole or in part, by:
a. Your negligent acts or omissions; or
b. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations.

No such public entity or individual is an additional insured for liability arising out of the sole negligence by that public entity or its designated individuals. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization.

B. Section III – LIMITS OF INSURANCE is amended to include:

8. The limits of insurance applicable to the public entity and applicable individuals identified as an additional insured(s) pursuant to Provision A.4. above, are those specified in the written contract between you and that public entity, or the limits available under this policy, whichever are less. These limits are part of and not in addition to the limits of insurance under this policy.

4. Other Insurance
a. Primary Insurance
This insurance is primary if you have agreed in a written contract or written agreement:
(1) That this insurance be primary. If other insuran ce is also primary, we will share with all that other insurance as described in c. below; or

Page 1 of 2 ends

POLICY NUMBER: 2023-74928
Paragraphs (1) and (2) do not apply to other insurance to which the additional insured(s) has been added as an additional insured or to other insurance described in paragraph b. below. b. Excess Insurance
This insurance is excess over:

1. Any of the other insurance, whether primary, exce ss, contingent or on any other basis:
(a) That is Fire, Extended Coverage, Builder’s Risk, Installation Risk or similar coverage for "your work";
(b) That is fire, lightning, or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner;
(c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d)
If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I – COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE .
(e)
(1) When this insurance is excess, we will have no duty under Coverages A or B to defend the additional insured(s) against any "suit" if any other insurer has a duty to defend the additional insured(s) against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured(s)’ rights against all those other insurers. (2) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of:
(3) We will share the remaining loss, if any, with a ny other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. (a) The total amount that all such other insurance w ould pay for the loss in the absence of this insurance; and
(b) The total of all deductible and self-insured amo unts under all that other insurance. c. Methods of Sharing
If all of the other insurance available to the additional insured(s) permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first.

If any other the other insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer’s share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers.

Any other insurance available to an additional insured(s) under this Endorsement covering liability for damages which are subject to this endorsement and for which the additional insured(s) has been added as an additional insured by that other insurance. (2) The coverage afforded by this insurance is prima ry and non-contributory with the additional insured(s)’ own insurance.

Page 2 of 2 ends

NAMED INSURED:

POLICY NUMBER: 2023-74928
Safe Organized Spaces Richmond; dba: SOS Richmond
FORM: NIAC-E25 12 15
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - DESIGNATED PERSON

OR ORGANIZATION -

FOOD CONTRIBUTIONS OR CLIENT REFERRALS
Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy, in consideration of food contributions or client referrals you receive from them.

Name of Person or Organization:

SCHEDULE

COMMERCIAL GENERAL LIABILITY COVERAGE PART
This endorsement modifies insurance provided under the following:

Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:

1. In the performance of your ongoing operations; or

2. In connection with your premises owned by or rente d to you.

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be br oader than that which you are required by the contract or agreement to provide for such additional insured.

With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limi ts of Insurance shown in the Declarations.

B. Page 1 of 1 NIAC-E25 12 15
POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED – DESIGNATED

PERSON OR ORGANIZATION
CG 20 26 12 19
2023-74928
Named Insured: Safe Organized Spaces Richmond; dba: SOS Richmon Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization.

Name Of Additional Insured Person(s) Or Organization(s):

SCHEDULE

COMMERCIAL GENERAL LIABILITY COVERAGE PART
This endorsement modifies insurance provided under the following:

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property damage" or "personal and advertising injury"
caused, in whole or in part, by your acts or
omissions or the acts or omissions of those acting
on your behalf:

1. In the performance of your ongoing operations;
or

2. In connection with your premises owned by or
rented to you.

However:

1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and

2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.

A. B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:

If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.

This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
© Insurance Services Office, Inc., 2012

Page 1 of 1 ends

ADDITIONAL INSURED - LESSOR OF LEASED

EQUIPMENT - AUTOMATIC STATUS WHEN

REQUIRED IN LEASE AGREEMENT WITH YOU
Safe Organized Spaces Richmond; dba: SOS Richmon Named Insured:
2023-74928
CG 20 34 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

COMMERCIAL GENERAL LIABILITY POLICY NUMBER:

With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:

The most we will pay on behalf of the additional
insured is the amount of insurance:

1. Required by the contract or agreement you
have entered into with the additional insured;
or

2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.

This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.

With respect to the insurance afforded to these
additional insureds, this insurance does not apply
to any "occurrence" which takes place after the
equipment lease expires.

A. A person's or organization's status as an
additional insured under this endorsement ends
when their contract or agreement with you for such
leased equipment ends.

Section II – Who Is An Insured is amended to
include as an additional insured any person(s) or
organization(s) from whom you lease equipment
when you and such person(s) or organization(s)
have agreed in writing in a contract or agreement
that such person(s) or organization(s) be added as
an additional insured on your policy. Such
person(s) or organization(s) is an insured only with
respect to liability for "bodily injury", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by your maintenance,
operation or use of equipment leased to you by
such person(s) or organization(s).

However, the insurance afforded to such additional
insured:

1. Only applies to the extent permitted by law;
and

2. Will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.

COMMERCIAL GENERAL LIABILITY COVERAGE PART
This endorsement modifies insurance provided under the following:
© Insurance Services Office, Inc., 2012

Page 1 of 1 ends

POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED – MANAGERS OR

LESSORS OF PREMISES
CG 20 11 12 19
2023-74928
Named Insured: Safe Organized Spaces Richmond; dba: SOS Richmon Any person or organization acting as a manager or lessor of a covered premises that you are required to name as an additional insured on this policy, under a written contract, lease or agreement currently in effect, or becoming effective during the term of this policy.

Name Of Person(s) Or Organization(s) (Additional Insured):

Designation Of Premises (Part Leased To You):

SCHEDULE

COMMERCIAL GENERAL LIABILITY COVERAGE PART
This endorsement modifies insurance provided under the following:

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability arising out of the
ownership, maintenance or use of that part of the
premises leased to you and shown in the
Schedule and subject to the following additional
exclusions:

This insurance does not apply to:

1. Any "occurrence" which takes place after you
cease to be a tenant in that premises.

2. Structural alterations, new construction or
demolition operations performed by or on
behalf of the person(s) or organization(s)
shown in the Schedule.

However:

1. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and

2. If coverage provided to the additional insured
is required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.

B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance :

If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.

This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.

Page 1 of 1 ends

POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – COMPLETED OPERATIONS
CG 20 37 12 19
2023-74928
Named Insured: Safe Organized Spaces Richmond; dba: SOS Richmon Any person or organization that you are required to
add as an additional insured on this policy, under a
written contract or agreement currently in effect, or
becoming effective during the term of this policy.

The additional insured status will not be afforded
with respect to liability arising out of or related to
your activities as a real estate manager for that
person or organization.

All insured premises and operations.

Location And Description Of Completed Operations
Name Of Additional Insured Person(s)
Or Organization(s)

SCHEDULE

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
This endorsement modifies insurance provided under the following:

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury" or
"property damage" caused, in whole or in part, by
"your work" at the location designated and
described in the Schedule of this endorsement
performed for that additional insured and
included in the "products-completed operations
hazard".

However:

1. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
A. B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:

If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:

2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured will
not be broader than that which you are required
by the contract or agreement to provide for such
additional insured.

1. Required by the contract or agreement; or

2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.

This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
© Insurance Services Office, Inc., 2012

Page 1 of 1 ends

POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – SCHEDULED PERSON OR

ORGANIZATION
CG 20 10 12 19
2023-74928
Named Insured: Safe Organized Spaces Richmond; dba: SOS Richmon Any person or organization that you are required to
add as an additional insured on this policy, under a
written contract or agreement currently in effect, or
becoming effective during the term of this policy. The
additional insured status will not be afforded with
respect to liability arising out of or related to your
activities as a real estate manager for that person or
organization.

All insured premises and operations.

Location(s) Of Covered Operations
Name Of Additional Insured Person(s)
Or Organization(s)

SCHEDULE

COMMERCIAL GENERAL LIABILITY COVERAGE PART
This endorsement modifies insurance provided under the following:

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

1. Your acts or omissions; or

2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s)
designated above.

However:

1. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
A.

B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:

This insurance does not apply to "bodily injury" or
"property damage" occurring after:

1. All work, including materials, parts or
equipment furnished in connection with such
work, on the project (other than service,
maintenance or repairs) to be performed by
or on behalf of the additional insured(s) at the
location of the covered operations has been
completed; or

2. If coverage provided to the additional insured
is required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
© Insurance Services Office, Inc., 2012

Page 1 of 2 ends

2. That portion of "your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a
principal as a part of the same project.

C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance :

If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.

This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
© Insurance Services Office, Inc., 2012

Page 2 of 2 ends

POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED –

MORTGAGEE, ASSIGNEE OR RECEIVER
2023-74928
CG 20 18 04 13 Named Insured: Safe Organized Spaces Richmond; dba: SOS Richmon Any person or organization acting as mortgagee,
assignee, or receiver with respect to locations scheduled on the policy.

Designation Of Premises Name Of Person(s) Or Organization(s)

SCHEDULE

COMMERCIAL GENERAL LIABILITY COVERAGE PART
This endorsement modifies insurance provided under the following:

Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to their liability as mortgagee,
assignee, or receiver and arising out of the
ownership, maintenance, or use of the premises by
you and shown in the Schedule.

However:

1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and

2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.

With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:

If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.

This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

This insurance does not apply to structural
alterations, new construction and demolition
operations performed by or for that person or
organization.
© Insurance Services Office, Inc., 2012

Page 1 of 1 ends

POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED – STATE OR GOVERNMENTAL

AGENCY OR SUBDIVISION OR POLITICAL
SUBDIVISION – PERMITS OR AUTHORIZATIONS
CG 20 12 04 13
2023-74928
Named Insured: Safe Organized Spaces Richmond; dba: SOS Richmon Any state or political subdivision that issues a permit or authorization to the named insured.

State Or Governmental Agency Or Subdivision Or Political Subdivision:

Subdivision:

SCHEDULE

COMMERCIAL GENERAL LIABILITY COVERAGE PART
This endorsement modifies insurance provided under the following:

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Section II – Who Is An Insured is amended to
include as an additional insured any state or
governmental agency or subdivision or political
subdivision shown in the Schedule, subject to the
following provisions:

1. This insurance applies only with respect to
operations performed by you or on your behalf
for which the state or governmental agency or
subdivision or political subdivision has issued a
permit or authorization.

However:
a. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
b. If coverage provided to the additional
insured is required by a contract or
agreement, the insurance afforded to such
additional insured will not be broader than
that which you are required by the contract
or agreement to provide for such additional
insured.

2. This insurance does not apply to:
a. "Bodily injury", "property damage" or
"personal and advertising injury" arising out
of operations performed for the federal
government, state or municipality; or
b. "Bodily injury" or "property damage"
included within the "products-completed
operations hazard".

B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:

If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.

This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
© Insurance Services Office, Inc., 2012

Page 1 of 1 ends

Safe Organized Spaces Richmond; dba: SOS Richmond NAMED INSURED:

FORM: NIAC-E26 11 17 POLICY NUMBER: 2023-74928
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS (WAIVER OF SUBROGATION)

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SOCIAL SERVICE PROFESSIONAL LIABILITY COVERAGE FORM
This endorsement modifies insurance provided under the following:

Name of Person or Organization:

SCHEDULE
Where you are so required in a written contract or agreement currently in effect or becoming effective during the term of this policy, we waive any right of recovery we may have against that person or organization, who may be named in the schedule above, because of payments we make for injury or damage.

Page 1 of 1 ends

M. A. Hays Co.
232 Broadway
Richmond, CA 94804 RENEWAL OF NUMBER: 2022-74928
2023-74928 POLICY NUMBER: PRODUCER:

BUSINESS AUTO COVERAGE PART DECLARATIONS
NAME OF INSURED AND MAILING ADDRESS: Item One: Safe Organized Spaces Richmond; dba: SOS Richmond 23 Main Ave., Box 16
Richmond, CA 94804
POLICY PERIOD: FROM TO
09/15/2024
AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION:

IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE A S STATED IN THIS POLICY.

SCHEDULE OF COVERAGES AND COVERED AUTOS.

This policy provides only those coverages where a charge is shown in the premium column below. Each of these coverages will apply only to those "autos" shown as covered "autos". "Autos" are shown as covered "autos" for a particular coverage by the entry of one or more of the symbols from the COVERED AUTOS Section of the Business Auto Coverage Form next to the name of the coverage.

Item Two:
09/15/2023
Shower trailer, and encampment clean-up

COVERED AUTOS

COVERAGES
Entry of one or more of the symbols from
the COVERED AUTOS Section of the
Business Auto Coverage Form shows
which autos are covered autos.

THE MOST WE WILL PAY FOR ANY

ONE ACCIDENT OR LOSS

PREMIUM

LIABILITY CSL

HIRED AUTO

NONOWNED AUTO

AUTO MEDICAL PAYMENTS

UNINSURED MOTORIST
7 8
9 7
7 $1,000,000

INCLUDED

INCLUDED
$5,000
$1,000,000
$8,713
$50
$200
$862
$836
LIMIT
UNINSURED MOTORIST-PD $3,500 7 $20

PHYSICAL DAMAGE
N/A $N/A for each disablement of a private passenger "auto" N/A TOWING AND LABOR FORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART AND MADE PART OF THIS POLICY AT THE TIME OF IS SUANCE:

ESTIMATED TOTAL PREMIUM $15,084
$500
$500
Deductible shown on
supplemental declaration
for each covered auto. See ITEM
THREE for hired or borrowed
autos.

Deductible shown on
supplemental declaration
for each covered auto
applies to loss except caused by
fire or lightning. See ITEM
THREE for hired or borrowed
autos.

Actual
cash value or
cost of repair
whichever
is less
minus
7, 8
7, 8

COLLISION

COVERAGE

COMPREHENSIVE
COVERAGE $1,676
$2,708
CA 00 01 10 13, CA 01 43 05 17, CA 03 05 10 13, CA 04 24 10 13, CA 04 44 10 13, CA 20 54 10 13, CA 20 55 10 13, CA 21 54 11 20, CA 23 84 10 13, CA 23 85 10 13, CA 99 23 10 13, CA 99 33 10 13, CA 99 34 10 13, IL U 0 01 09 03, NIAC-E180 BA 01 21, NIAC-E342 BA 08 22

COUNTERSIGNED: BY
(AUTHORIZED REPRESENTATIVE NIAC - AL
Notice: This risk pooling contract is issued by a pooling arrangement authorized by California Corporations Code Section 5005.1. The pooling arrangement is not subject to all of the insurance laws of the State of California and is not subject to regulation by the Insurance Commissioner. Insurance guaranty funds are not available to pay claims in the event the risk pool becomes insolvent.
09/18/2023

BUSINESS AUTO COVERAGE FORM
POLICY NUMBER: SCHEDULE BA
NAME INSURED:

Page 1 ends

Safe Organized Spaces Richmond; dba: SOS Richmond
2023-74928
DEDUCTIBLES apply only if
coverage is provided as
indicated below.

OTHER THAN

COLLISION

COLLISION
CLASS
CODE TERR.

DESCRIPTION

COVERED
AUTO
NO.

YEAR, MODEL, TRADE NAME,

BODYTYPE, SERIAL NUMBER(S) VIN

SCHEDULE OF COVERED AUTOS YOU OWN
TOWING
& LABOR
Limit per
Disablement
Item Three:
2020 Rich Specialty Trailer 500 500 N/A 1 039 68499 1K9BU1714L1236187 2009 Ford F-150 500 500 N/A 2 039 03499 1FTRX12V59FB11994 2007 GMC Yukon XL 500 500 N/A 3 039 6481 1GKFK66897J244775 2006 Dodge Sprinter 3500 500 500 N/A 4 039 6482 WD0PD444165955111 1997 Dodge Ram Pickup N/A N/A N/A 5 039 01499 1B7KC26Z8VJ528243 PREMIUMS: COVERAGE IS PROVIDED ONLY IF A PREMIUM CHARGE IS INDICATED.

COVERED
AUTO
NO.

NON-

OWNED HIRED LIABILITY MED
PAY
UM/
UIM

PHYSICAL DAMAGE
COLL. COMP.

ADDITIONAL INSURED / LOSS PAYEE:

Except for towing, all physical damage loss is payable
to you and the Loss Payee named below as interest
may appear at the time of loss. See attached
Schedule AI.

TOWING
AND
LABOR
231 194 0 696 348 N/A 1
1,992 194 209 518 243 N/A 2
2,203 140 209 920 674 N/A 3
2,754 140 209 574 411 N/A 4
1,533 194 229 N/A N/A N/A 5
NO/H 201 50
Hired PD
-- on all eligible vehicles
UM Waiver of Collision Deductible Coverage (premium included above) Hired Physical Damage Deductibles:

Comprehensive: $500 Collision: $500
Signature Date
09/18/2023
1Page NAME OF INSURED:

POLICY NUMBER: 2023-74928

INDEX OF FORMS ATTACHED TO THE POLICY
Safe Organized Spaces Richmond; dba: SOS Richmond

AUTO FORMS AND ENDORSEMENTS FORM NUMBER/EDITION DATE
Business Auto Coverage Form CA 00 01 10 13
California Changes CA 01 43 05 17
California Changes - Waiver of Collision Deductible CA 03 05 10 13 CA - Auto Med Pay Coverage CA 04 24 10 13
Waiver of Transfer of Rights of Recovery Against Others to us (Waiver of Subrogation) CA 04 44 10 13 Employee Hired Autos CA 20 54 10 13
Fellow Employee Coverage CA 20 55 10 13
California Uninsured Motorists Coverage - Bodily Injury CA 21 54 11 20 Exclusion of Terrorism - Auto CA 23 84 10 13
Exclusion of Terrorism - Auto - Involving Nuclear, Biological or Chemical Terrorism CA 23 85 10 13 Rental Reimbursement Coverage CA 99 23 10 13
Employees as Insureds CA 99 33 10 13
Social Service Agencies - Volunteers as Insureds CA 99 34 10 13 California Uninsured Motorists Coverage Selection / Rejection IL U 001 09 03 Communicable Disease - Exclusion NIAC-E180 BA 01 21
Anti-Stacking Condition NIAC-E342 BA 08 22
This list of forms is not part of the actual policy, but is for your information only.

Please refer to the policy(s) for actual limits, coverages and exclusions.

COMMERCIAL AUTO POLICY NUMBER: 2023-74928
CA 99 23 10 13
Safe Organized Spaces Richmond; dba: SOS Richmond Named Insured:

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM
This endorsement modifies insurance provided under the following:

RENTAL REIMBURSEMENT COVERAGE
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Endorsement Effective Date: 9/15/2023

SCHEDULE
Designation or Description of
Covered "Autos" to which this
insurance applies Coverage Premium
Maximum Payment
Each Covered "Auto"
Any One
Day
No. of
Days
Any One
Period
Comprehensive
Collision
30 30 Incl. $50
$50
$1500
$1500 Incl.

Specified
Causes of Loss
Any Covered "Auto"
Any Covered "Auto"
N/A
Total Premium Incl.

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

This endorsement provides only those coverages where
a premium is shown in the Schedule. It applies only to a covered "auto" described or designated in the Schedule.

C. We will pay only for those expenses incurred
during the policy period beginning 24 hours after
the "loss" and ending, regardless of the policy's
expiration, with the lesser of the following number
of days: We will pay for rental reimbursement expenses incurred by you for the rental of an "auto" because of "loss" to a covered "auto". Payment applies in addition to the
otherwise applicable amount of each coverage you have
on a covered "auto". No deductibles apply to this
coverage.

The number of days reasonably required to
repair or replace the covered "auto". If "loss" is
caused by theft, this number of days is added
to the number of days it takes to locate the
covered "auto" and return it to you.

Page 1 of 2 ends

CA 99 23 10 13
COMMERCIAL AUTO POLICY NUMBER: 2023-74928
CA 99 23 10 13

2. The number of days shown in the Schedule.

D. Our payment is limited to the lesser of the following amounts:

E. This coverage does not apply while there are
spare or reserve "autos" available to you for your
operations.

F. If "loss" results from the total theft of a covered
"auto" of the private passenger type, we will pay
under this coverage only that amount of your
rental reimbursement expenses which is not
already provided for under the Physical Damage
Coverage Extension.

1. Necessary and actual expenses incurred.

2. The maximum payment stated in the Schedule
applicable to "any one day" or "any one period".

Page 2 of 2 ends

CA 99 23 10 13

Richmond City CouncilMarch 26, 2024

Richmond City Council
March 26, 2024