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 (PAYMENT LIMIT AND SERVICE PLAN)
1. 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 Amendment 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.”
2. 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
City of Richmond
2024 Fee Schedule
July 1, 2024
COST PROPOSAL
FY2024-2025 FEE SCHEDULE & BASIS OF CHARGES
FOR THE CITY OF RICHMOND
All Rates are Subject to Basis of Charges
PLAN REVIEW COST STRUCTURE NOTES
Plan Review Percentage: 65%
(Inclusive of all disciplines except Fire and Civil which are billed on an hourly basis)
Hourly Plan Review: $150 Non-Structural Review
$165 Structural Review
Fee includes:
Initial review and two (2) rechecks. Hourly
charges apply after three (3) or more
rechecks.
Shipping, courier, and electronic service.
Building
Chief Building Official .......................................................................................................................... $180/hour Structural Plan Review Engineer ......................................................................................................... $165/hour Non-Structural Plans Examiner ........................................................................................................... $150/hour Certified Access Specialist (CASp) Inspector ....................................................................................... $175/hour Certified Access Specialist (CASp) Plans Examiner .............................................................................. $175/hour Senior Combination Building Inspector (Building Inspector III) .......................................................... $140/hour Commercial Building Inspector (Building Inspector II) ........................................................................ $125/hour Residential Building Inspector (Building Inspector I) .......................................................................... $110/hour Permit Manager .................................................................................................................................. $110/hour Senior Permit Technician .................................................................................................................... $98/hour Permit Technician ............................................................................................................................... $89/hour Clerk/Administrator ............................................................................................................................ $75/hour Supervising Inspector of Record ......................................................................................................... $170/hour Inspector of Record............................................................................................................................. $149/hour DSA Class 1 / OSHPD A Inspector ........................................................................................................ $175/hour DSA Class 2 / OSHPD B Inspector ........................................................................................................ $145/hour DSA Class 3 / OSHPD C Inspector ........................................................................................................ $103/hour Code Enforcement
Code Enforcement Director ................................................................................................................ $195/hour Code Enforcement Manager ............................................................................................................... $160/hour Senior Code Enforcement Officer ....................................................................................................... $130/hour Code Enforcement Officer II ............................................................................................................... $115/hour Code Enforcement Officer I ................................................................................................................ $110/hour Code Enforcement Officer .................................................................................................................. $99/hour Housing Inspector ............................................................................................................................... $99/hour Hearing Officer .................................................................................................................................... $150/hour City of Richmond
2024 Fee Schedule
July 1, 2024
Principal-in-Charge............................................................................................................................... $250/hour Hourly overtime charge per inspector ................................................................................................ 1.5 x hourly rate
Mileage (for inspections performed within the City) .......................................................................... IRS Rate + 20%
Fire
Fire Protection Engineer (FPE) ............................................................................................................ $210/hour Fire Prevention Officer ........................................................................................................................ $155/hour Fire Plans Examiner ............................................................................................................................. $170/hour Fire Inspector II ................................................................................................................................... $140/hour Fire Inspector I .................................................................................................................................... $125/hour Planning
Housing Policy Director ..................................................................................................................... $225/hour Planning Director .............................................................................................................................. $205/hour Principal/Planning Manager ............................................................................................................. $175/hour Senior Planner ................................................................................................................................... $160/hour Associate Planner .............................................................................................................................. $140/hour Assistant Planner .............................................................................................................................. $120/hour Planning Technician .......................................................................................................................... $100/hour Project Management
Project Manager ................................................................................................................................. $190/hour Principal-in-Charge .............................................................................................................................. $280/hour Engineering, Public Works Inspection, & Construction Management (Prevailing Wage) Civil Plan Review (Grading, Improvement Plans) ................................................................................ $175/hour Traffic Engineer .................................................................................................................................... $230/hour Construction Manager .......................................................................................................................... $162/hour Public Works Inspector (Regular Time) ................................................................................................ $153/hour Public Works Inspector Apprentice… .................................................................................................... $99/hour Public Works Plans Examiner… ............................................................................................................. $145/hour
BASIS OF CHARGES
Rates are inclusive of “tools of the trade” such as forms, telephones, and consumables. • All invoicing will be submitted monthly.
• Staff Augmentation work (excluding plan review) is subject to 4-hour minimum charges unless stated otherwise. Services billed in 4-hour increments.
• Most plan reviews will be done in 10 business days or less and 5 business days or less for re-checks. This is not inclusive of holidays or the day of the pick-up of plans. • Expedited reviews will be billed at 1.5x the plan review fee listed in the fee schedule. Return time will be within seven (7) days of receipt of the plans from the City. • Plan review of deferred submittals & revisions will be billed at the hourly rates listed.
City of Richmond
2024 Fee Schedule
July 1, 2024
• All plan review services will be subject to a $350 minimum fee if percentage-based fee or 2- hour minimum charge if hourly rates apply.
• Larger complex plan reviews can be negotiated to achieve the best possible pricing. • All plan review services are billed on a percentage basis and includes the initial review and 2 rechecks. - Plan reviews will be billed on an hourly basis only after the initial review and 2 rechecks unless otherwise agreed upon on a case-by-case basis.
- Fire and Civil Reviews are billed on an hourly basis and are not included in our plan review percentage.
• These above rates reflect the 2024 calendar year
• Overtime and Premium time will be charged as follows:
- Regular time (work begun after 5AM or before 4PM) 1 x hourly rate - Nighttime (work begun after 4PM or before 5AM) 1.125 x hourly rate - Overtime (over 8-hour M-F or Saturdays) 1.5 x hourly rate - Overtime (over 8 hours Sat or 1st 8-hour Sun) 2 x hourly rate - Overtime (over 8 hours Sun or Holidays) 3 x hourly rate • Overtime will only be billed with prior authorization of the Director or other designated City personnel. • All work with less than 8 hours rest between shifts will be charged the appropriate overtime rate. • M ileage driven during the course of Inspections will be charged at cost plus 20%. • Payment due on receipt. All payments over 30 days will be assessed a 1.5% interest charge. • Client shall pay attorneys’ fees, or other costs incurred in collecting delinquent amounts. • Client agrees that 4LEAF’s liability will be limited to the value of services provided. • In accordance with California’s Meal Break and Rest Break Law requirements, Client will be billed one (1) additional hour per day at the regular rate for each missed meal or rest break due to Client -directed tasks or requirements. Client should allow 4LEAF’s non -exempt, hourly employees the opportunity to take their entitled rest and meal breaks during each work shift.
BASIS OF CHARGES – PREVAILING WAGE
• Rates shown assume the projects will require compliance with California Prevailing Wage rate requirements and assumes the Client will be filing a PWC -100 Form to the California Department of Industrial Relations (DIR) for the projects.
• Rates for prevailing wage categories are subject to annual escalations in accordance with the bi- annual wage determinations from the California DIR.
• Per the new requirements being enforced under SB 854 and because it is assumed that a PWC-100 Form will be filed by the Client to the CA DIR for each project, 4LEAF is required to notify an authorized Apprenticeship Committee through submittal of a DAS -140 form. We are then required to make an official request to an authorized Apprenticeship Committee for an apprentice by submitting a DAS -142 form. We are not assured the apprenticeship committee will be able to provide a suitable/qualified apprentice for the project. Per the apprenticeship requirements, the hours worked by the apprentice must be in a ratio of 1:5 for apprentice to journeyman hours. 4LEAF will not know the labor classification of the Public Works Apprentice until an Apprentice is dispatched to the site; therefore, the rates for the five Periods listed under the California DIR’s Wage determination for Building Construction Inspector were used to determine the range of hourly rates for Public Works Inspector Apprentice.
City of Richmond
2024 Fee Schedule
July 1, 2024
• Pre-approved Overtime and Premium hours for labor categories subject to Prevailing Wage requirements will be charged per the following:
- Nighttime (work begun after 4PM or before 5AM) 1.125 x hourly rate - Overtime (over 8-hour M-F or Saturdays) 1.35 x hourly rate - Overtime (over 8 hours Sat or 1st 8-hour Sun) 1.85 x hourly rate - Overtime (over 8 hours Sun or Holidays) 2.35 x hourly rate • All invoicing will be submitted monthly.
• All work with less than 8 hours rest between shifts will be charged the appropriate overtime rate. • Project-related mileage for inspections will be billed at the allowable IRS Rate. • Payment due on receipt. All payments over 30 days will be assessed a 1.5% interest charge. • Client shall pay attorneys’ fees, or other costs incurred in collecting delinquent amounts. • Client agrees that 4LEAF’s liability will be limited to the value of services provided. • In accordance with California’s Meal Break and Rest Break Law requirements, Client will be billed one (1) additional hour per day at the regular rate for each missed meal or rest break due to Client -directed tasks or requirements. Client should allow 4LEAF’s non -exempt, hourly employees the opportunity to take their entitled rest and meal breaks during each work shift.
Task Order: Code Enforcement Services
04/16/24
TBD
City of Richmond
Code Enforcement Services /Weed Abatement
450 Civic Center Plaza
Richmond, CA 94804
ITEM: I 4LEAF ESTIMATED UNIT ESTIMATED
CODE ENFORCEMENT SERVICES PERSONNEL HOURS PRICE TOTAL
Jeffrey Gallegos 1440 $130 $187,200
Alyssa Busby 1440 $110 $158,400
Tayana Mclain 128 $110 $14,080
Nathan Sagastume 128 $110 $14,080
Preliminary Estimated Fees $373,760
Project Management & Administration $0
Total Preliminary Estimated Fees $373,760
Estimate is for 4LEAF to provide Code Enforcement Services to the City of Richmond.
Scope of Work: 4LEAF will provide a qualified Sr Code Enforcement Officer and Code Enforcement Officers to provide code enforcement services. 4lEAF will provide Code Enforcement Officers for after hours Vendor Enforcement as needed for the City of Richmond.
This assignment is five days (5) per week on (40 hours per week) with a one to two (1-2) days per week (8-16 hours on the weekends) as needed for Vendor Enforcement. The City may extend these services as-needed.
This is a time and materials estimate for these services and will be in accordance of the terms and conditions of 4LEAF's on-call Agreement. 4LEAF will bill the rate of $130/hour for a Senior Code Enforcement Officer and $110/hour for a Code Enforcement Officer. All work will be billed at 4 hour minimums and billed in 4 hour increments.
This cost estimate is for 06/01/24 - 02/07/25. Personnel may be subject to change upon city approval.
Code Enforcement Officer - Vendor Enforcement As needed DATE:
PROPOSAL NO.:
CLIENT:
PROJECT:
LOCATION:
Code Enforcement Officer
Code Enforcement Officer - Vendor Enforcement As needed Sr.Code Enforcement Officer
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.
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
PRODUCER CONTACT
NAME:
FAX PHONE
(A/C, No): (A/C, No, Ext):
E-MAIL
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER POLICY EFF POLICY EXP TYPE OF INSURANCE LIMITS (MM/DD/YYYY) (MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTED CLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO- POLICY LOC PRODUCTS - COMP/OP AGG JECT
OTHER: $
COMBINED SINGLE LIMIT $(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED
BODILY INJURY (Per accident) $AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $
OCCUR EACH OCCURRENCE
CLAIMS-MADE AGGREGATE $
DED RETENTION $
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N
N / A
(Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCE LLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE W ILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
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.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
$
$
$
$
$
The ACORD name and logo are registered marks of ACORD
4/22/2024
License # 0C41366
(925) 462-8400 (925) 462-8888
25674
4LEAF, Inc.
2126 Rheem Dr
Pleasanton, CA 94588
20044
42374
A
1,000,000
X 6806X631656 3/15/2024 3/15/2025 1,000,000
5,000
1,000,000
2,000,000
2,000,000
1,000,000
A
8106X632782 3/15/2024 3/15/2025
6,000,000 A
CUP6X635599 3/15/2024 3/15/2025 6,000,000
B
X FOWC521971 3/15/2024 3/15/2025 1,000,000
1,000,000
1,000,000
C Professional Liab HCC2425616 4/9/2024 Each Claim 2,000,000 C HCC2425616 4/9/2024 3/15/2025 Aggregate 2,000,000
The attached forms apply as required per written co ntract or written agreements between the listed par ties and the insured, which are subject to the policy provisions. In the absence of such written contract or written agreement the attached form may not be applicable.
The City of Richmond, its officers, officials, empl oyees, agents and volunteers are named as Additiona l Insureds on General Liability Policy per attached endorsement CG D3 81 09 15. Primary and Non-Contri butory applies to General Liability policy per attached endorsement CG D3 81 09 15. Waiver of Subrogation applies to Workers Compensation policy per attached endorsement WC 99 04 10 C.
City of Richmond
450 Civic Center Plaza, Suite 210
Richmond, CA 94804-0046
4LEAINC-01 MINED1
Granite Professional Insurance Brokerage, Inc.
360 Lindbergh Avenue
Livermore, CA 94551
[email protected]
Travelers Property Casualty Company of America
Berkshire Hathaway Homestate
Houston Casualty Company
X
3/15/2025
X
X
X
X
X X
X X
!
"#$
%
&'
(
)
*)(
+
%
)
) % +
%)
,(
%
)
+
+
%)
&
-
)&
+
))
&
-
)
))
(
(
&
)
+
.
/
0
0
,
(
1
!"# (
&
)
.
)
) /
-
,
(
)
)
!"# (
234
)
&
0)0 )
0
0
)-
00
563
) ) /
-
0)7
0
.
)
(
-
(
)
(
&
) %
-
&
,
$
( %
,
&
'(
!"# (
(
"!
!) $" (
& $ '
,
)
8
- )
.
/
(
% -
%
)
0
0)
.
(
*+ ) 00 )
(
(+ %) ) %
0%
)
*)0
%
9 0)
0
)
( %
- *%+ )00
%)
0
0
) 0)0
%
)
( % )
0)7
0 (
)
, ',-%'
:;352
) )&
& ,
5<
)
(&
&
(
*)+ 1
)
0
0
) %
- %
(
&
( , '
( ) 00
(
(
%
00& *.+ =
0
-
0
(
-
)
0
0 >
,
(
-
!"# (
&
*..+ !
) )
) 0)0 )
0
0
- 0
0
> )
00)7
(
%
&
)%
)
&
*...+ 1 )(
(
0
0
(
( )
,
%)*%+ ( 0
0&
*./+ 1
%
0
0
0
0
)
*%+ ?@(333
%
%
A
- )
%
0%
)
%
-
*)0 0 )
0
B /
%
0
0
(
0
-
& 1
0 )
( %
)
%
,-
%
&
(
( %
,
%)*0+ (
! "8
="#&
*/+ 1
%
0
0 *0+
% +
%)
% +
0
0 /
(
)
-
?233 ) %-
)
>&
0
0
)
0
0( % )
%
,-
%
*'+
,-
(
(
1(
2.$3 "!.
#4
/"!)5" "!!.(
!3 (
! "8
= "#(
& )
>
)
*'+ )
( + ) )
%
*
)
( -
)
(%
(
%)
+
&
-
%
%
*&+
+
)
) *
( -
%
%
%
)
)
0
0
)( +
(
)
%
&00
)
(
( %
@3)
*$+
%
-
00 )
(
( /
)
) %
) ) 0)
0( )
(
-
A
)
B( %
(,
A
)
%
) )B &%
&
,
;<
:;352
) )&
&
, ',-%'
)
(&
&
*%+ )00&=
/
)
)
-
)
)
/
%)
)00&
& =
)
!
%
)
,
,)
)
/
&
%)
)(%
)%
%
+
%
%
,
,( 6$2
)
)
-
.
(
/
&
+
,)
) 0
0 *#+
-
%
00)
-
.
0
0
(
,
&
$( %
( ,
-
)
& 1
%
)
( )
00
00 -
)
)
)9
& &
%
)
-
)9
$
%
)
&
,
( "# $(.
&2" (
1
) +
?5(333 )
0
0&
!
% 00
)
&
,
%)(
=)
.
-
0
0 0
0 -
,-
)
0
0 0
0 >
0&(
7
" 68"
"
(
*)+ =A
)
B9'
(
) ) +
?C2 )( +
*&+ A
)
B9
?D23)0
0& *$+ % A
)
%
) -
)B9
*#+ +
(
A
)
-
,-
.
B9
0)( !)
8 !()(.
68"
"
(
*"+ )0)0
.%))
-
0
00
0&
1
) ?23 ) +
?5(233 )
+
-
,
'( !)
7"! %) ) %
- 7 .5
(
7 "$
/"!3
5).
( (
"!
(00
)&
' !)
7"! 7 .5
(
7 "$
/"!3
5).
(
,
0(
/"!
(
"!
)5" 6("
.
(
1
)
)
)
)
.
+- "!
)2 !
8"!(3 /
) %)
1
) ?<33 0
0
-
+
) 0
0
)
0
0(
0
00
0
%) *+
%)0
09
, ',-%'
:;352
) )&
& ,
@<
)
(&
&
&
)
(
.
( )
%) )
& *
)
& '
-
-
+
,
%(
-
&$")29" (4
.
!"8!"
" ()(.
4 ! !) # (
,
<< :;352
) )&
&
, ',-%'
)
(&
&