Att 1 - Agreement — San Mateo City Council, June 3, 2024

Contract for Services Page 1 of 16
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AGREEMENT WITH FIRST STUDENT INC.

FOR BUS TRANSPORTATION SERVICES
FOR
2024 SUMMER CAMP FIELD TRIPS

This Agreement, made and entered into this day of____________________, by and between the CITY OF SAN MATEO, a municipal corporation existing under the laws of the State of California ("CITY"), and FIRST STUDENT INC, a CORPORATION ("CONTRACTOR"), whose address is 600 VINE STREET, SUITE 1400, CINCINNATI OH 45202 USA.

RECITALS:

A. CITY desires certain BUS TRANSPORTATION services hereinafter described.

B. CITY desires to engage CONTRACTOR to provide these BUS TRANSPORTATION services by reason of its qualifications and experience for performing such services and CONTRACTOR has offered to provide the required services on the terms and in the manner set forth herein.

NOW, THEREFORE, IT IS AGREED as follows:

SECTION 1 - SCOPE OF SERVICES
.

The scope of services to be performed by CONTRACTOR under this Agreement is as described in Exhibit A to this Agreement, which is attached and incorporated by reference.

SECTION 2 - DUTIES OF CONTRACTOR

CONTRACTOR shall be responsible for the professional quality, technical accuracy and coordination of all work furnished by CONTRACTOR under this Agreement. CONTRACTOR shall, without additional compensation, correct or revise any errors or deficiencies in its work.

CONTRACTOR represents that it is qualified to furnish the services described under this Agreement.

CONTRACTOR shall be responsible for employing or engaging all persons necessary to perform the services of CONTRACTOR.

CONTRACTOR agrees to comply with the City’s minimum wage ordinance as codified in Municipal Code Chapter 5.92, which differs from the state minimum wage and includes a Consumer Price Index escalator.

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SECTION 3 - DUTIES OF CITY

CITY shall provide pertinent information regarding its requirements for the project.

CITY shall examine documents submitted by CONTRACTOR and shall render decisions pertaining thereto promptly, to avoid unreasonable delay in the progress of CONTRACTOR'S work.

SECTION 4 - TERM

The services to be performed under this Agreement shall commence on Monday, June 17, 2024 and be completed on Friday, August 9, 2024.

SECTION 5 - PAYMENT

Payment shall be made by CITY only for services rendered and upon submission of a payment request upon completion and CITY approval of the work performed. In consideration for the full performance of the services set forth in Exhibit A, CITY agrees to pay CONTRACTOR a fee in an amount of $109,730.80, pursuant to rates stated in Exhibit B, attached and incorporated by reference.

SECTION 6 - TERMINATION

Without limitation to such rights or remedies as CITY shall otherwise have by law, CITY shall have the right to terminate this Agreement or suspend work on the Project for any reason, upon ten (10) days' written notice to CON TRACTOR. CONTRACTOR agrees to cease all work under this Agreement upon receipt of said written notice.

SECTION 7 - OWNERSHIP OF DOCUMENTS

All documents prepared by CONTRACTOR in the performance of this Agreement are and shall be the property of CITY, whether the project for which they are made is executed or not.

SECTION 8 - CONFIDENTIALITY

All reports and documents prepared by CONTRACTOR in connection with the performance of this Agreement are confidential until released by CITY to the public. CONTRACTOR shall not make any such documents or information available to any individual or organization not employed by CONTRACTOR or CITY without the written consent of CITY before any such release.

SECTION 9 - INTEREST OF CONTRACTOR

CONTRACTOR covenants that it presently has no interest, and shall not acquire any interest, direct or indirect, financial or otherwise, which would conflict in any manner or degree with the performance of the services under this Agreement.

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SECTION 10 - CONTRACTOR'S STATUS

It is expressly agreed that in the performance of the services required under this Agreement, CONTRACTOR shall at all times be considered an independent contractor as defined in Labor Code Section 3353, under control of the CITY as to the result of the work but not the means by which the result is accomplished. Nothing herein shall be construed to make CONTRACTOR an agent or employee of CITY while providing services under this Agreement.

SECTION 11 - INDEMNITY

CONTRACTOR agrees to hold harmless and indemnify CITY, its elected and appointed officials, employees, and agents from and against any and all claims, loss, liability, damage, and expense arising out of CONTRACTOR’s performance of this Agreement, except for those claims arising out of CITY’s sole negligence or willful misconduct. CONTRACTOR agrees to defend City, its elected and appointed officials, employees, and agents against any such claims. The CONTRACTOR’S duty to indemnify shall survive expiration or early termination of this Agreement.

SECTION 12 - INSURANCE

Contractor shall procure and maintain for the duration of the contract the insurance specified in Exhibit C to this Agreement.

SECTION 13 - NONASSIGNABILITY

Both parties hereto recognize that this Agreement is for the personal services of CONTRACTOR and cannot be transferred, assigned, or subcontracted by CONTRACTOR without the prior written consent of CITY.

SECTION 14 - RELIANCE UPON SKILL OF CONTRACTOR

It is mutually understood and agreed by and between the parties hereto that CONTRACTOR is skilled in the performance of the work agreed to be done under this Agreement and that CITY relies upon the skill of CONTRACTOR to do and perform the work in the most skillful manner, and CONTRACTOR agrees to thus perform the work. The acceptance of CONTRACTOR's work by CITY does not operate as a release of CONTRACTOR from said obligation.

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SECTION 15 - WAIVERS

The waiver by either party of any breach or violation of any term, covenant, or condition of this Agreement or of any provisions of any ordinance or law shall not be deemed to be a waiver of such term, covenant, condition, ordinance or law or of any subsequent breach or violation of the same or of any other term, condition, ordinance, or law. The subsequent acceptance by either party of any fee or other money which may become due hereunder shall not be deemed to be a waiver of any preceding breach or violation by the other party of any term, covenant, or condition of this Agreement or of any applicable law or ordinance.

SECTION 16 - COSTS AND ATTORNEY FEES

Attorney fees in total amount not exceeding $5000, shall be recoverable as costs (by the filing of a cost bill) by the prevailing party in any action or actions to enforce the provisions of this Agreement. The above $5000 limit is the total of attorney fees recoverable whether in the trial court, appellate court, or otherwise, and regardless of the number of attorneys, trials, appeals, or actions. It is the intent of this provision that neither party shall have to pay the other more than $5000 for attorney fees arising out of an action, or actions to enforce the provisions of this Agreement.

SECTION 17 - NON-DISCRIMINATION

CONTRACTOR warrants that it is an Equal Opportunity Employer and shall comply with applicable regulations governing equal employment opportunity. Neither CONTRACTOR nor any of its subcontractors shall discriminate in the employment of any person because of race, color, national origin, ancestry, physical handicap, medical condition, marital status, sex, or age, unless based upon a bona fide occupational qualification pursuant to the California Fair Employment and Housing Act.

SECTION 18 - MEDIATION

Should any dispute arise out of this Agreement, any party may request that it be submitted to mediation. The parties shall meet in mediation within 30 days of a request. The mediator shall be agreed to by the mediating parties; in the absence of an agreement, the parties shall each submit one name from mediators listed by either the American Arbitration Association, the State Mediation and Conciliation Service, or other agreed-upon service. The mediator shall be selected by a blind draw.

The cost of mediation shall be borne equally by the parties. Neither party shall be deemed the prevailing party. No party shall be permitted to file a legal action without first meeting in mediation and making a good faith attempt to reach a mediated settlement. The mediation process, once commenced by a meeting with the mediator, shall last until agreement is reached by the parties but not more than 60 days, unless the maximum time is extended by the parties.

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SECTION 19 - LITIGATION

CONTRACTOR shall testify at CITY's request if litigation is brought against CITY in connection with CONTRACTOR's services under this Agreement. Unless the action is brought by CONTRACTOR, or is based upon CONTRACTOR's wrongdoing, CITY shall compensate CONTRACTOR for preparation for testimony, testimony, and travel at CONTRACTOR's standard hourly rates at the time of actual testimony.

SECTION 20 - NOTICES

All notices hereunder shall be given in writing and mailed, postage prepaid, addressed as follows:

To CITY: Joanne Magrini
City of San Mateo
330 W. 20th Ave
San Mateo, CA 94403

To CONTRACTOR: First Student Inc.

Attn: Luke Barbosa
600 Vine Street, Suite 1400
Cincinnati, OH 45202

SECTION 21 - AGREEMENT CONTAINS ALL
UNDERSTANDINGS; AMENDMENT

This document represents the entire and integrated agreement between CITY and CONTRACTOR and supersedes all prior negotiations, representations, and agreements, either written or oral.

This document may be amended only by written instrument, signed by both CITY and CONTRACTOR.

SECTION 22 - GOVERNING LAW AND VENUE

This Agreement shall be governed by the laws of the State of California and, in the event of litigation, venue will be in the County of San Mateo.

[SIGNATURE PAGE FOLLOWS]

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IN WITNESS WHEREOF, CITY OF SAN MATEO and FIRST STUDENT INC. have executed this Agreement the day and year first above written.

CITY OF SAN MATEO

CONTRACTOR

Joanne Magrini
Director of Parks and Recreation

Date Tim Colleran
First Student Inc.

VP Charter Operations

Date

APPROVED AS TO FORM

Mazarin Vakharia
Assistant City Attorney
Date Claire Miller
First Student Inc.

Chief Commercial Officer

Date

Attachments:

Exhibit A: Scope of Services
Exhibit B: Payment Rates
Exhibit C: Insurance Requirements
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EXHIBIT A

SCOPE OF SERVICES
Response Time:

CONTRACTOR will be required to have vehicles at the pick-up area(s) a minimum of 30 minutes prior to the trip. From time-to-time San Mateo may require additional bus service for field trips and other transportation services, vehicles must be at the designated pick-up area(s) a minimum of 30 minutes prior to the scheduled departure.

Additions/deletions of Routes:

It is hereby agreed and understood that any route/service may be added or deleted to/from this contract at the option of San Mateo. When an addition to this contract is required, the CONTRACTOR shall be invited to submit price quotes for these new routes/services and may be added to the contract in San Mateo’s best interest.

Prices shall be fixed and firm for initial term of contract:

CONTRACTOR quoted costs shall remain fixed and firm during the initial term of this contract; provided however, that the company may offer incentive discounts from the fixed price to San Mateo at any time during the contractual term. Payment processes are laid out in Exhibit B.

Programs to be Serviced by Buses and Drivers (Specific days and times the buses are needed are laid out in Exhibit B):

Camp Mateo: Buses with drivers needed for eight (8) camp weeks. The camp will run from June 17, 2024 through August 9, 2024

• Week 1: June 17, 2024-June 20, 2024: Ten (10) buses and drivers must be provided. • Week 2: June 24, 2024-June 27, 2024: Ten (10) buses and drivers must be provided. • Week 3: July 1, 2024-July 3, 2024: Ten (10) buses and drivers must be provided. • Week 4: July 8, 2024-July 12, 2024: Ten (10) buses and drivers must be provided. • Week 5: July 15, 2024-July 19, 2024: Ten (10) buses and drivers must be provided. • Week 6: July 22, 2024-July 26, 2024: Ten (10) buses and drivers must be provided. • Week 7: July 29, 2024-August 2, 2024: Ten (10) buses and drivers must be provided. • Week 8: August 5, 2024-August 9, 2024: Ten (10) buses and drivers must be provided.

X-treme Summer Days (XSD): Buses with drivers needed for eight (8) camp weeks. The camp will run from June 17, 2024, through August 9, 2024.

• Week 1: June 17, 2024-June 20, 2024: Three (3) buses and drivers must be provided. • Week 2: June 24, 2024-June 27, 2024: Four (4) buses and drivers must be provided. • Week 3: July 1, 2024-July 3, 2024: Two (2) buses and drivers must be provided. • Week 4: July 8, 2024-July 12, 2024: Five (5) buses and drivers must be provided. • Week 5: July 15, 2024-July 19, 2024: Five (5) buses and drivers must be provided.

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• Week 6: July 22, 2024-July 26, 2024: Four (4) buses and drivers must be provided. • Week 7: July 29, 2024-August 2, 2024: Four (4) buses and drivers must be provided. • Week 8: August 5, 2024-August 9, 2024: Four (4) buses and drivers must be provided.

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Buses and Drivers shall meet the following conditions:

1. Buses shall be certified by the State meeting requirements to transport school children a minimum of fifty-five (55) passengers with radio dispatch.

2. The CONTRACTOR will meet all Federal and State rules, regulations, statutes, and ordinances, including proper driver’s license, bus certification, etc.

3. Buses must be owned and/or leased by the CONTRACTOR. CONTRACTOR cannot subcontract services to another vendor.

4. Liability insurance will be supplied by the CONTRACTOR. Copies of current insurance forms will be supplied by the CONTRACTOR.

5. CONTRACTOR shall supply a copy of the written procedures for supplying alternate buses for buses which are disabled during transport.

6. CONTRACTOR must supply recent references which are to include company name, address, and contact person with telephone number.

7. Rental fee to include all gasoline charges. All maintenance of all vehicles, including any towing charges incurred by disabled buses, will be the responsibility of the CONTRACTOR.

8. Any claims of damage must be reported to the Parks & Recreation Director. Any necessary repairs for the damage must be submitted in writing with cost estimated and pre-approved by the Parks & Recreation Director before repairs are started.

9. Number of hours and buses are approximations and specific numbers are dependent on other factors. CONTRACTOR will be given as much advanced notice as possible, but not less than 24 hours.

10. Radio communications between the bus drivers and the bus dispatcher must be in effect and operating at all times.

11. The City reserves the right to cancel bus use for individual trips by giving 24 hours notice without penalty to San Mateo. CONTRACTOR should specify specific cancellation policy and who should be notified.

12. A Program Supervisor riding the bus may request changes in the bus schedule or stops due to weather conditions or emergency situations. Driver must recognize staff requests for schedule changes and emergency stops and honor them.

13. All prices include parking/toll charges. Buses must stay with the group for the duration of the individual trip unless otherwise directed by the Program Supervisor.

14. All buses must stay with Parks & Recreation Camps and not go on another trip/location and leave our camp children at the program location without a bus. Bus and bus driver must stay with the camp event due to possible inclement weather or/an emergency situation.

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15. Bus driver and Program Supervisor shall remain in contact during each trip. Program Supervisor will supply bus driver with cell phone number and bus driver is expected to do the same.

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EXHIBIT B

PAYMENT RATES

CITY reserves the right to cancel bus use for individual trips by giving 24 hours’ notice without penalty.

If CONTRACTOR cancels, a minimum of 24 hours' notice will be required to the CITY. Full refund of the cost of services canceled shall be issued to the CITY within four (4)weeks.

CONTRACTOR will provide weekly invoices via e-mail to Community Services Supervisor, Heather Murphy at [email protected] no later than two (2) weeks after the week of service is complete.

CITY will process invoices and send payment via check or Electronic Funds Transfer. Payments will be mailed or electronically transferred no later than four (4) weeks upon receipt of the invoice (unless an error has occurred on the received invoice).

Prices shall remain fixed and firm during the initial term of this contract; provided, however, that the company may offer incentive discounts from the fixed price to San Mateo at any time during the contractual term.

If an error is found by CITY, CONTRACTOR will provide the process on how to remedy said error. After the error has been resolved, the CITY will pay out CONTRACTOR no later than four (4) weeks after that date

Date Program Departure from Spot
Time
Bus Arrival
to Camp
Destination Bus return
to Camp
Hours # of
buses
# of
passengers
seatbelts
Y or N
Cost
Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 10:00 AM 10:30 AM Nealon Park, 800 Middle Ave, Menlo Park, CA 94025 3:30 PM 5 2 75 y $1,712.00
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 10:30 AM 11:00 AM
K1 Speed - Indoor Go Karts, Corporate Event
Venue, Team Building Activities, 160 Beacon St,
South San Francisco, CA 94080
3:30 PM 4.5 1 45 y $856.00
Camp Mateo Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 12:00 PM 12:30 PM Bayside/Joinville Park, 2111 Kehoe Ave, San Mateo, CA 94403 4:30 PM 4 2 75 y $1,712.00
Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 10:00 AM 10:30 AM LEGOLAND® Discovery Center Bay Area, 870 Great Mall Dr, Milpitas, CA 95035 4:00 PM 5.5 2 75 y $1,883.20 X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:30 AM 10:00 AM Six Flags Hurricane Harbor Concord, 1950 Waterworld Pkwy, Concord, CA 94520 4:30 PM 6.5 1 45 y $1,120.80 Friday, June 21,
2024
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:30 AM 10:00 AM iFLY Indoor Skydiving - SF Bay, 31310 Alvarado- Niles Rd, Union City, CA 94587 4:00 PM 6 1 45 y $1,035.20 Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 10:00 AM 10:30 AM Coyote Point Recreation Area, 1701 Coyote Point Dr, San Mateo, CA 94401 3:30 PM 5 2 75 y $1,712.00
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:30 AM 10:00 AM Cull Canyon Regional Recreation Area, 18825 Cull Canyon Rd, Castro Valley, CA 94546 4:30 PM 6.5 1 45 y $1,120.80 $1,712.00
Week 1
Tuesday, June
18, 2024 Camp Mateo
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 10:00 AM 10:30 AM Coyote Point Recreation Area, 1701 Coyote Point Dr, San Mateo, CA 94401 3:30 PM
Wednesday,
June 19, 2024
5 2 75
y
Thursday, June
20, 2024
Camp Mateo
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 10:00 AM 10:30 AM Bel Mateo Bowl, 4330 Olympic Ave, San Mateo, CA 94403 3:00 PM 4.5 2 75
y
$1,712.00
5 2 75 y $1,712.00
Week 2
Tuesday, June
25, 2024
Camp Mateo
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 10:00 AM 10:30 AM Nealon Park, 800 Middle Ave, Menlo Park, CA 94025 3:30 PM
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:30 AM 10:00 AM Oakland Zoo, 9777 Golf Links Rd, Oakland, CA 94605 5:00 PM 7 1 45 y $1,206.40
Camp Mateo Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 12:00 PM 12:30 PM Bayside/Joinville Park, 2111 Kehoe Ave, San Mateo, CA 94403 4:30 PM 4 2 75 y $1,712.00
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:00 AM 9:30 AM (Alcatraz Island) Pier 33 Suite 200, San Francisco, CA 94111 4:30 PM 7 1 45 y $1,198.40
Camp Mateo Dr. Martin Luther King Jr. Community Center, 725 Monte Diablo Ave, San Mateo, CA 94401 10:30 AM 11:00 AM LaserMaxx San Carlos, 1119 Industrial Rd Ste F, San Carlos, CA 94070 4:00 PM 5 2 75 y $1,712.00
Camp Mateo Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 10:00 AM 10:30 AM Bel Mateo Bowl, 4330 Olympic Ave, San Mateo, CA 94403 3:00 PM 4.5 2 75 y $1,712.00
Friday, June 28,
2024
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 10:00 AM 10:30 AM Subpar Miniature Golf, 900 North Point St F-201, San Francisco, CA 94109 3:30 PM 5 1 45 y $856.00
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401
Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403
Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403
ST@K Dr. Martin Luther King Jr. Community Center, 725 Monte Diablo Ave, San Mateo, CA 94401 8:15 AM 8:45 AM California's Great America, 4701 Great America Pkwy, Santa Clara, CA 95054 6:00 PM 9.25 1 45 y $1,583.60 X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 8:15 AM 8:45 AM California's Great America, 4701 Great America Pkwy, Santa Clara, CA 95054 6:00 PM 9.25 1 45 y $1,583.60 X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 11:00 AM 11:30 AM Orpheum Theatre, 1192 Market St, San Francisco, CA 94102 5:00 PM 5.5 1 45 y $941.60
Camp Mateo Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 12:00 PM 12:30 PM Bayside/Joinville Park, 2111 Kehoe Ave, San Mateo, CA 94403 4:30 PM 4 2 75 y $1,712.00
Monday, July
8,2024
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 10:00 AM 10:30 AM LaserMaxx San Carlos, 1119 Industrial Rd Ste F, San Carlos, CA 94070 3:30 PM 5 1 45 y $856.00
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 10:30 AM 11:00 AM Adventure Cat Sailing Charters, Pier 39, San Francisco, CA 94133 4:30 PM 5.5 1 45 y $941.60
Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 9:30 AM 10:00 AM Koret Childrens Quarter, 320 Bowling Green Dr, San Francisco, CA 94122 4:00 PM 6 2 75 y $2,054.40
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 10:00 AM 10:30 AM Taco Bell, 5200 CA-1, Pacifica, CA 94044 4:00 PM 5.5 1 45 y $941.60 Camp Mateo Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 12:00 PM 12:30 PM Bayside/Joinville Park, 2111 Kehoe Ave, San Mateo, CA 94403 4:30 PM 4 2 75 y $1,712.00
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 12:30 PM 1:00 PM Cinemark Century San Mateo 12, 320 2nd Ave, San Mateo, CA 94401 5:00 PM 4 2 75 y $1,712.00
Tuesday, July 2,
2024
Camp Mateo
Wednesday,
June 26, 2024
Thursday, June
27, 2024
Week 3 (No Camp Thursday & Friday)
Monday, July 1,
2024 Camp Mateo 9:30 AM 10:00 AM San Francisco Zoo, Sloat Blvd &, Upper Great Hwy, San Francisco, CA 94132 4:30 PM 6.5 2 75 y $2,225.60
Magical Bridge Playground - Palo Alto, 3700
Middlefield Rd, Palo Alto, CA 94306 3:30 PM 5 2 75 y $1,712.00 8:15 AM 8:45 AM y $3,167.20California's Great America, 4701 Great America Pkwy, Santa Clara, CA 95054 6:00 PM 9.25 2 75
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401
Wednesday, July
10, 2024

Camp Mateo
Wednesday, July
3, 2024
Week 4
Tuesday, July 9,
2024 Camp Mateo
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 10:00 AM 10:30 AM
Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 9:00 AM 9:30 AM Lost Worlds Funtropolous, 5401 Camden Ave, San Jose, CA 95124 4:30 PM 7 2 75 y $2,396.80
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 10:45 AM 11:15 AM Oracle Park, 24 Willie Mays Plaza, San Francisco, CA 94107 5:30 PM 6.25 1 45 y $1,070.00
Friday, July 12,
2024
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 8:30 AM 9:00 AM
California Canoe & Kayak at Jack London Square,
Jack London Square, 409 Water St, Oakland, CA
94607
4:30 PM 7.5 1 45 y $1,292.00
Monday, July 15,
2024
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:30 AM 10:00 AM Bowlmor Cupertino, 10123 N Wolfe Rd #20, Cupertino, CA 95014 4:00 PM 6 1 45 y $1,027.20
Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 10:00 AM 10:30 AM Magical Bridge Playground - Palo Alto, 3700 Middlefield Rd, Palo Alto, CA 94306 3:30 PM 5 2 75 y $1,712.00 X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 8:30 AM 9:00 AM Shoreview Recreation Center, 950 Ocean View Ave, San Mateo, CA 94401 1:00 PM 4 1 45 y $856.00
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 8:15 AM 8:45 AM Six Flags Discovery Kingdom, 1001 Fairgrounds Dr, Vallejo, CA 94589 5:00 PM 8.25 1 45 y $1,428.40
Camp Mateo Beresford Park 2720 Alameda de las Pulgas San Mateo, Ca 94403 12:00 PM 12:30 PM Bayside/Joinville Park, 2111 Kehoe Ave, San Mateo, CA 94403 4:30 PM 4 2 75 y $1,712.00
Camp Mateo Dr. Martin Luther King Jr. Community Center, 725 Monte Diablo Ave, San Mateo, CA 94401 9:00 AM 9:30 AM Lost Worlds Funtropolous, 5401 Camden Ave, San Jose, CA 95124 4:30 PM 7 2 75 y $2,396.80
Camp Mateo Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 12:30 PM 1:00 PM Cinemark Century San Mateo 12, 320 2nd Ave, San Mateo, CA 94401 5:00 PM 4 2 75 y $1,712.00
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 8:30 AM 9:00 AM SF Bay Whale Watching, Pier 39, Beach St, San Francisco, CA 94133 5:00 PM 8 1 45 y $1,369.60
Friday, July, 19,
2024
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 10:00 AM 10:30 AM Golfland San Jose, 976 Blossom Hill Rd, San Jose, CA 95123 4:30 PM 6 1 45 y $1,027.20
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:30 AM 10:00 AM Fronteir Land, 600 Oddstad Blvd, Pacifica, CA 94044 4:00 PM 6 2 75 y $2,054.40
Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 9:30 AM 10:00 AM Presidio Wall Playground, Pacific Ave &, Spruce St, San Francisco, CA 94118 4:00 PM 6 2 75 y $2,054.40
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:30 AM 10:00 AM Aloha Fun Center, 2190 Eastridge Loop Suite 1402, San Jose, CA 95122 4:30 PM 6.5 1 45 y $1,112.80
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 8:15 AM 8:45 AM The Peak of Fremont, 4020 Technology Pl Suite 1, Fremont, CA 94538 2:00 PM 5.25 1 45 y $898.80
Camp Mateo Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 12:00 PM 12:30 PM Bayside/Joinville Park, 2111 Kehoe Ave, San Mateo, CA 94403 4:30 PM 4 2 75 y $1,712.00
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 10:00 AM 10:30 AM Pacifica Archery, 2995 Junipero Serra Blvd, Daly City, CA 94014 4:30 PM 6 1 45 y $1,027.20
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:30 AM 10:00 AM Aqua Adventure Water Park, 40500 Paseo Padre Pkwy, Fremont, CA 94538 3:30 PM 5.5 2 75 y $1,899.20
Thursday, July
11, 2024
Camp Mateo
Week 5
Tuesday, July 16,
2024
Camp Mateo
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:30 AM 10:00 AM Koret Childrens Quarter, 320 Bowling Green Dr, San Francisco, CA 94122 4:00 PM 6 2 75 y $2,054.40
Wednesday, July
24, 2024
Thursday, July
25, 2024 C M
Wednesday, July
17, 2024
Thursday, July
18, 2024
Week 6
Tuesday, July 23,
2024
Camp Mateo
Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 9:00 AM 9:30 AM LaserMaxx San Carlos, 1119 Industrial Rd Ste F, San Carlos, CA 94070 4:30 PM 7 2 75 y $2,396.80
Friday, July 26,
2024
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:30 AM 10:00 AM The Plex, 800 Embedded Way, San Jose, CA 95138 4:30 PM 6.5 1 45 y $1,112.80 Monday, July 29,
2024
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 12:30 PM 1:00 PM Bad Axe Throwing San Francisco, 30A Hill St, Daly City, CA 94014 4:30 PM 3.5 1 45 y $856.00
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:30 AM 10:00 AM Presidio Wall Playground, Pacific Ave &, Spruce St, San Francisco, CA 94118 4:00 PM 6 2 75 y $2,054.40
Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 9:30 AM 10:00 AM Fronteir Land, 600 Oddstad Blvd, Pacifica, CA 94044 4:00 PM 6 2 75 y $2,054.40
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 8:30 AM 9:00 AM Shoreview Recreation Center, 950 Ocean View Ave, San Mateo, CA 94401 1:00 PM 4 1 45 y $856.00
Wednesday, July
31, 2024 Camp Mateo Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 12:00 PM 12:30 PM Bayside/Joinville Park, 2111 Kehoe Ave, San Mateo, CA 94403 4:30 PM 4 2 75 y $1,712.00
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:45 AM 10:15 AM Dave & Buster's Milpitas - San Jose, 940 Great Mall Dr, Milpitas, CA 95035 5:00 PM 6.75 1 45 y $1,155.60
Camp Mateo Dr. Martin Luther King Jr. Community Center, 725 Monte Diablo Ave, San Mateo, CA 94401 9:00 AM 9:30 AM LEGOLAND® Discovery Center Bay Area, 870 Great Mall Dr, Milpitas, CA 95035 4:30 PM 7 2 75 y $2,412.80
Camp Mateo Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 9:30 AM 10:00 AM Aqua Adventure Water Park, 40500 Paseo Padre Pkwy, Fremont, CA 94538 3:30 PM 5.5 2 75 y $1,899.20
Friday, August 2,
2024
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:30 AM 10:00 AM Santa Cruz Beach Boardwalk, 400 Beach St, Santa Cruz, CA 95060 5:00 PM 7 1 45 y $1,206.40
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 6.5 2 75 y $2,225.60
Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 0 2 75 y $1,712.00
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 10:30 AM 11:00 AM Nazareth Ice Oasis | San Mateo, 2202 Bridgepointe Pkwy, San Mateo, CA 94404 3:30 PM 4.5 1 45 y $856.00
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 10:30 AM 11:00 AM Shoreline Lake, 3160 N Shoreline Blvd, Mountain View, CA 94043 4:00 PM 5 1 45 y $856.00
Camp Mateo Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 12:00 PM 12:30 PM Bayside/Joinville Park, 2111 Kehoe Ave, San Mateo, CA 94403 4:30 PM 4 2 75 y $1,712.00

, Camp Mateo
Week 7
Tuesday, July 30,
2024
Camp Mateo
Wednesday,
August 7, 2024
Thursday, August
1, 2024
Week 8
Tuesday, August
6, 2024
Camp Mateo 9:00 AM 9:30 AM Oak Meadow Park, 233 Blossom Hill Rd, Los Gatos, CA 95032 4:00 PM
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:00 AM 9:30 AM YMCA Camp Jones Gulch, 11000 Pescadero Creek Rd, La Honda, CA 94020 3:30 PM 6 1 45 y $1,027.20
Camp Mateo Dr. Martin Luther King Jr. Community Center, 725 Monte Diablo Ave, San Mateo, CA 94401 8:30 AM 9:00 AM Santa Cruz Beach Boardwalk, 400 Beach St, Santa Cruz, CA 95060 5:30 PM 8.5 2 75 y $2,910.40
Camp Mateo Beresford Park, 2720 Alameda de las Pulgas, San Mateo, CA 94403 8:30 AM 9:00 AM Santa Cruz Beach Boardwalk, 400 Beach St, Santa Cruz, CA 95060 5:30 PM 8.5 2 75 y $2,910.40
Friday, August 9,
2024
X-Treme Summer
Days
Dr. Martin Luther King Jr. Community Center, 725 Monte
Diablo Ave, San Mateo, CA 94401 9:15 AM 9:45 AM Aqua Adventure Water Park, 40500 Paseo Padre Pkwy, Fremont, CA 94538 4:30 PM 6.75 1 45 y $1,163.60
Thursday, August
8, 2024
GRAND TOTAL ESTIMATE: $109,730.80
Contract for Services Page 12 of 16
Rev 12/22

EXHIBIT C

INSURANCE REQUIREMENTS

MINIMUM SCOPE OF INSURANCE
Coverage shall be at least as broad as:

1. Commercial General Liability (CGL) : Insurance Services Office (ISO) Form CG 00 01 12 07 covering CGL on an “occurrence” basis, including products-completed operations, personal & advertising injury, with limits no less than $9,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit.

2. Automobile Liability: ISO Form Number CA 00 01 covering any auto (Code 1), or if Contractor has no owned autos, hired, (Code 8) and non-owned autos (Code 9), with limit no less than $10,000,000 per accident for bodily injury and property damage.

3. Workers’ Compensation: as required by the State of California, with Statutory Limits, and Employer’s Liability Insurance with limit of no less than $5,000,000 per accident for bodily injury or disease.

4. Sexual Abuse or Molestation (SAM) Liability: If the work will include contact with minors, and the CGL policy referenced above is not endorsed to include affirmative coverage for sexual abuse or molestation, Contractor shall obtain and maintain a policy covering Sexual Abuse and Molestation with a limit no less than $1,000,000 per occurrence or claim.

If the contractor maintains higher limits than the minimums shown above, the City requires and shall be entitled to coverage for the higher limits maintained by the contractor.

Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following provisions:

Additional Insured Status
The City, its elected and appointed officials, employees, and agents are to be covered as insureds on the auto policy for liability arising out of automobiles owned, leased, hired or borrowed by or on behalf of the Contractor; and on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts or equipment furnished in connection with such work or operations. General liability coverage can be provided in the form of an endorsement to the Contractor’s insurance (at least as broad as ISO Form CG 20 10, 11 85 or both CG 20 10 and CG 20 37 forms if later revisions used).

Contract for Services Page 13 of 16
Rev 12/22
Primary Coverage
For any claims related to this contract, the Contractor’s insurance coverage shall be primary insurance as respects the City, its elected and appointed officials, employees, and agents. Any insurance or self- insurance maintained by the City, its elected and appointed officials, employees, or agents shall be excess of the Contractor’s insurance and shall not contribute with it.

Notice of Cancellation
Each insurance policy required above shall provide that coverage shall not be canceled, except after thirty (30) days’ prior written notice (10 days for non-payment) has been given to the City.

Waiver of Subrogation
Contractor hereby grants to City a waiver of any right to subrogation which any insurer of said Contractor may acquire against the City by virtue of the payment of any loss under such insurance.

Contractor agrees to obtain any endorsement that may be necessary to effect this waiver of subrogation, but this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer.

Deductibles and Self-Insured Retentions
Any deductibles or self-insured retentions must be declared to and approved by the City. The City may require the Contractor to purchase coverage with a lower deductible or retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention.

Acceptability of Insurers
Insurance is to be placed with insurers with a current A.M. Best’s rating of no less than A:VII, unless otherwise acceptable to the City.

Verification of Coverage
Contractor shall furnish the City with original certificates and amendatory endorsements or copies of the applicable policy language effecting coverage required by this clause. All certificates and endorsements are to be received and approved by the City before work commences. However, failure to obtain the required documents prior to the work beginning shall not waive the Contractor’s obligation to provide them. The City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time.

DILHolder Identifier : 7777777707070700077761616045571110767716017305557207542137772516310072751477146331120772505546077555307172010762331553074666271725677600754263313243277607344015752274130076727242035772000777777707000707007 7777777707070700073525677115456000732011417027113107122237352072110070233373420730010702233734316211007033236242173000070223372430620110712232735317210007023336242063011077756163351765540777777707000707007Certificate No : 570105868760

CERTIFICATE OF LIABILITY INSURANCE

DATE(MM/DD/YYYY)
05/28/2024
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

PRODUCER
Aon Risk Services Central, Inc.

Chicago IL Office
200 East Randolph
Chicago IL 60601 USA
PHONE
(A/C. No. Ext):

E-MAIL
ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #
(866) 283-7122
INSURED 24147Old Republic Insurance CompanyINSURER A:
19399AIU Insurance CompanyINSURER B:

INSURER C:

INSURER D:

INSURER E:

INSURER F:

FAX
(A/C. No.): (800) 363-0105

CONTACT
N
AME:

First Student Inc
191 Rosa Parks Street, 8th Floor
Cincinnati OH 45202 USA
COVERAGES CERTIFICATE NUMBER: 570105868760 REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS

CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested

POLICY EXP
(MM/DD/YYYY)

POLICY EFF
(MM/DD/YYYY)
SUBR
WVD
INSR
LTR
ADDL

INSD POLICY NUMBER TYPE OF INSURANCE LIMITS

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

POLICY LOC

EACH OCCURRENCE

DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG
X
X
X X
GEN'L AGGREGATE LIMIT APPLIES PER:
$9,000,000
$9,000,000
$9,000,000
$9,000,000
$9,000,000
A 04/01/2024 04/01/2025
SIR applies per policy terms & conditions
MWZY31683724
PRO-
JECT
OTHER:

AUTOMOBILE LIABILITY

ANY AUTO
OWNED

AUTOS ONLY

SCHEDULED
AUTOS

HIRED AUTOS
ONLY

NON-OWNED

AUTOS ONLY
BODILY INJURY ( Per person)

PROPERTY DAMAGE
(Per accident)
X
BODILY INJURY (Per accident)
$10,000,000A 04/01/2024 04/01/2025
AOS

COMBINED SINGLE LIMIT
(Ea accident)
MWTB-316836-24

EXCESS LIAB
OCCUR

CLAIMS-MADE AGGREGATE

EACH OCCURRENCE
DED

UMBRELLA LIAB

RETENTION
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT $5,000,000
X OTH-
ER
PER STATUTEB 04/01/2024 04/01/2025
AOS
WC020396033B 04/01/2024 04/01/2025
$5,000,000
Y / N
(Mandatory in NH)

ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER/MEMBER EXCLUDED? N / AN
CA

WORKERS COMPENSATION AND

EMPLOYERS' LIABILITY
If yes, describe under
DESCRIPTION OF OPERATIONS below
$5,000,000
WC020396032
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Sexual Abuse and Molestation Coverage included under the General Liability Policy. City of San Mateo, its elected and appointed officials, employees and agents are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. A Waiver of Subrogation is granted in favor of City of San Mateo in accordance with the policy provisions of the General Liability, Automobile Liability and Workers' Compensation policies.

CANCELLATIONCERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE

EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

AGENCY CUSTOMER ID:

ADDITIONAL REMARKS SCHEDULE
LOC #:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER : ACORD 25 FORM TITLE : Certificate of Liability Insurance EFFECTIVE DATE:

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED AGENCY
See Certificate Number :

See Certificate Number :
570105868760
570105868760
Aon Risk Services Central, Inc.
570000088924
ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits.

INSURER

INSURER(S) AFFORDING COVERAGE
Page _ of _
NAIC #
First Student Inc

TYPE OF INSURANCE

POLICY NUMBER LIMITS

WORKERS COMPENSATION
B WC020396034 04/01/2024 04/01/2025
WI
N/A
ADDL
INSD
INSR
LTR
SUBR
WVD
POLICY

EFFECTIVE
DATE
(MM/DD/YYYY)
POLICY

The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
CG 24 04 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

ELECTRONIC DATA LIABILITY COVERAGE PART

LIQUOR LIABILITY COVERAGE PART

POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES

POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

RAILROAD PROTECTIVE LIABILITY COVERAGE PART

UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS

SCHEDULE
Name Of Person(s) Or Organization(s):

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

The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV – Conditions:

We waive any right of recovery against the person(s)
or organization(s) shown in the Schedule above
because of payments we make under this Coverage
Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against
such person(s) or organization(s) prior to loss. This
endorsement applies only to the person(s) or
organization(s) shown in the Schedule above.

MWZY 316837 24 Recess Holdco LLC 04/01/24 - 04/01/25
As required by written contract or agreement.

POLICY NUMBER: COMMERCIAL AUTO
CA 04 44 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM
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.

Named Insured:

Endorsement Effective Date:

SCHEDULE
Name(s) Of Person(s) Or Organization(s):

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

The Transfer Of Rights Of Recovery Against
Others To Us condition does not apply to the
person(s) or organization(s) shown in the Schedule,
but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with
that person or organization.

MWTB 316836 24 Recess Holdco LLC 04/01/24 - 04/01/25
Any person or organization for whom the named insured is required to provide a waiver 04/01/23
Recess Holdco LLC

BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below.
(The following " attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). forms a p art of Policy No.

We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization.

The additional premium for this endorsement shall be 2.00% of the total estimated workers compensation premium for this policy.

WC 04 03 61 Countersigned by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Ed. 11/90)
Authorized Representative
This endorsement, effective 12:01 AM 0 4/01/2024
Issued to RECESS HOLDCO LLC
By AIU INSURANCE COMPANY
WC 203-96-033

San Mateo City CouncilJune 3, 2024

San Mateo City Council
June 3, 2024