Exhibit A - Kitchell 3rd Amendment — South San Francisco City Council, October 29, 2025

THIRD AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SOUTH

SAN FRANCISCO AND KITCHELL CEM
THIS THIRD AMENDMENT TO THE CONSULTING SERVICES AGREEMENT is made at South San Francisco, California, as of November 3, 2025 by and between THE CITY OF SOUTH SAN FRANCISCO (“City”), a municipal corporation, and Kitchell CEM (“Consultant”), (sometimes referred together as the “Parties”) who agree as follows:

RECITALS
A. On November 9, 2016, City and Consultant entered that certain Consulting Services Agreement (“Agreement”) whereby Consultant agreed to Program and Construction Management Services. A true and correct copy of the Agreement and its exhibits is attached as Exhibit A to Attachment 1.

B. On January 13, 2021, City and Consultant agreed to the First Amendment whereby the term was extended, and total compensation was adjusted. A true and correct copy of the First Amendment and its exhibits is attached as Exhibit A to Attachment 1.

C. On October 12, 2022, City and Consultant agreed to the Second Amendment whereby the term was extended, and total compensation was adjusted. A true and correct copy of the Second Amendment and its exhibits is attached as Attachment 1.

D. City and Consultant now desire to amend the Agreement.

NOW, THEREFORE, for and in consideration of the promises and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, City and Consultant hereby agree as follows:

1. All terms which are defined in the Agreement shall have the same meaning when used in this Amendment, unless specifically provided herein to the contrary.

2. Section 1: Term. The June 30, 2026 end date for the term of services identified in the Second Amendment is hereby replaced with December 31, 2028.

3. Section 2: Compensation. Section 2 of the Agreement shall be amended by the amount of $651,000.00 such that the City agrees to pay Consultant a sum not to exceed totaling $10,052,479.00, with the understanding that up to $7,631,645.75 has already been paid to Consultant as of October 16, 2025.

Original Contract Amount: $ 5,377,557.00
Amendment #1: $ 862,307.00
Amendment #2: $ 3,161,608.00
Amendment #3: $ 651,007.00
Total Contract Amount: $10,052,479.00
Consultant agreesthisisthe City’stotal contribution for payment of costs under the Agreement unless additional payments are authorized in accordance with the terms of the Agreement and said terms of payment are mutually agreed to by and between the parties in writing.

4. Scope of Services. The Scope of services as identified in Agreement remain unchanged as part of this Amendment.

All other terms, conditions and provisionsin the Agreement remain in full force and effect. If there is a conflict between the terms of this Amendment and the Agreement, the terms of the Agreement will control unless specifically modified by this Amendment. [SIGNATURES ON THE FOLLOWING PAGE]
Dated:

CITY OF SOUTH SAN FRANCISCO CONSULTANT
By: By:

Sharon Ranals, City Manager Wendy Cohen, President
Attest:
_______________________________
City Clerk
Approved as to Form:

By:

City Attorney

CONTRACT/AGREEMENT APPROVAL FORM
Date:

Name of Contract/Agreement
Originating Department/Responsible Person, ext.

Vendor
Routing Instructions:

TYPE OF CONTRACT:

Have there been any changes to the Contract Template? No Yes CONTRACT AMOUNTS:

APPROVAL AUTHORITY:

INSURANCE REQUIREMENTS:

Waivers requested No Yes (If Yes, Route to Risk Manager for signature first) BUDGETARY: Included in Budget (Simpler report attached showing amounts) Amount Project String Accounting String
ATTACHMENTS:

Agreement and all Exhibits Resolution (all contracts over $150k) SIR Questionnaire Certificate of Insurance, naming City of South San Francisco as an Additional Insured DEPARTMENT HEAD ACKNOWLEDGEMENT: _____________________________________________________ The contract, amendments, exhibits, insurance requirements/waivers and attachments have been reviewed and included.

RISK MANAGER APPROVAL OF INSURANCE WAIVER: ________________________________ CITY ATTORNEY APPROVAL OF ENTIRE AGREEMENT: ________________________________ Comments: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Approval of Agreement Approval of Insurance Add Agreement to Contract Tracker ASSISTANT CITY MANAGER’S APPROVAL: _________________________________ (Only if amount is over $25,000)
FINAL APPROVAL: __________________________________
CITY CLERK:

Please attest, keep a copy for your files, and return to Originating Department Please upload to Laserfiche and return to Originating Department COPY SENT TO VENDOR: _______ _____________________
11/3/22 Kitchell Amendment #2 Capital Project - Jacob Gilchrist Kitchell CEM DocuSign Professional Services Amendment Additional Services and Funds Specified Amount(s) indicated below DATE AMOUNT DATE AMOUNT Original 6/11/16 5,377,557.00 1st Amendment 1/13/21 862,307.00 2nd Amendment 10/12/22 3,161,608.00 3rd Amendment 4th Amendment TOTAL 9,401,472.00 Council 9,401,472.00 pf1707-110-600 510-99999-5999 City Manager on behalf of Council DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Attachment 1

SECOND AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SOUTH

SAN FRANCISCO AND KITCHELL CEM
THIS SECOND AMENDMENT to the Consulting Services
agreement is made at South San Francisco, California, as of October 12, 2022, by and between the CITY OF SOUTH SAN FRANCISCO (“City”), a municipal corporation, and KITCHELL CEM (“Consultant”), (sometimes referred together as the “Parties”) who agree as follows:

C. City and Consultant now desire to further amend the Agreement.

1. All terms which are defined in the Agreement shall have the same meaning when used in this Amendment, unless specifically provided herein to the contrary.

2. Section 1: Term. The June 30, 2023, end date for the term of services identified in First Amendment is hereby replaced with June 30, 2026.

3. Section 2: Compensation. Section 2 of the Agreement shall be amended by the amount of $3,161,608.00 such that the City agrees to pay Contractor a sum not to exceed totaling $9,401,472.00, with the understanding that up to $5,903,505.72 has already been paid to Consultant as of August 28, 2022.

Original Contract Amount: $5,377,557.00
Amendment #1: $ 862,307.00
Amendment #2: $3,161,608.00
Total Contract Amount: $9,401,472.00
Consultant agrees that this is the City’s total contribution for payment of costs under the Agreement unless additional payments are authorized in accordance with the terms of the Agreement and said terms of payment are mutually agreed to by and between the parties in writing.

4. Scope of Services. The Scope of services as identified in Agreement remain unchanged as part of this Amendment.

DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 All other terms, conditions and provisions in the Agreement remain in full force and effect. If there is a conflict between the terms of this Amendment and the Agreement, the terms of the Agreement will control unless specifically modified by this Amendment. [SIGNATURES ON THE FOLLOWING PAGE]
DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Dated:

CITY OF SOUTH SAN FRANCISCO CONSULTANT
By: By:

Mike Futrell Wendy Cohen, President
City Manager
Approved as to Form:

By:

City Attorney
Attested:

By:

City Clerk
DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

CONTRACT/AGREEMENT APPROVAL FORM
Date:

Name of Contract/Agreement
Originating Department/Responsible Person, ext.

Vendor
Routing Instructions:

TYPE OF CONTRACT:

Have there been any changes to the Contract Template? No Yes CONTRACT AMOUNTS:

APPROVAL AUTHORITY:

INSURANCE REQUIREMENTS:

Please attest, keep a copy for your files, and return to Originating Department Please upload to Laserfiche and return to Originating Department COPY SENT TO VENDOR: _______ _____________________
1/22/21 1st Amendment Kitchell Professional Services Amendment Additional Services and Funds Specified Amount(s) indicated below DATE AMOUNT DATE AMOUNT Original 6/11/16 5,377,557.00 1st Amendment 1/13/21 862,307.00 2nd Amendment 3rd Amendment 4th Amendment TOTAL 6,239,864.00 Council 862,307.00 pf1707-110-600 City Manager on behalf of Council DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

FIRST AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SOUTH

SAN FRANCISCO AND KITCHELL CEM
THIS FIRST AMENDMENT to the Consulting Services
agreement is made at South San Francisco, California, as of January 13, 2021 by and between the CITY OF SOUTH SAN FRANCISCO (“City”), a municipal corporation, and KITCHELL CEM (“Consultant”), (sometimes referred together as the “Parties”) who agree as follows:

B. City and Consultant now desire to amend the Agreement.

1. All terms which are defined in the Agreement shall have the same meaning when used in this Amendment, unless specifically provided herein to the contrary.

2. Section 1: Term. The June 30, 2021, end date for the term of services identified in Section 1.1 of the Agreement is hereby replaced with June 30, 2023.

3. Section 2: Compensation. Section 2 of the Agreement shall be amended by the amount of $862,307.00 such that the City agrees to pay Contractor a sum not to exceed totaling $6,239,864.00, with the understanding that up to $3,397,230.01 has already been paid to Consultant as of November 29, 2020.

Original Contract Amount: $5,377,557.00
Amendment #1: $ 862,307.00
Total Contract Amount: $6,239,864.00
Consultant agrees that this is the City’s total contribution for payment of costs under the Agreement unless additional payments are authorized in accordance with the terms of the Agreement and said terms of payment are mutually agreed to by and between the parties in writing.

4. Scope of Services. The Scope of services as identified in Agreement remain unchanged as part of this Amendment.

All other terms, conditions and provisions in the Agreement remain in full force and effect. If there is a conflict between the terms of this Amendment and the Agreement, the terms of the Agreement will control unless specifically modified by this Amendment. [SIGNATURES ON THE FOLLOWING PAGE]
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Dated:

CITY OF SOUTH SAN FRANCISCO CONSULTANT
By: By:

Mike Futrell
City Manager
Approved as to Form:

By:

City Attorney
Attested:

By:

City Clerk
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E Wendy Cohen
January 28, 2021 | 3:53:33 PM PST
President
DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Date: PO#
Vendor Name
Project
Account Number
PO balance
Requested Amount Increase (add)
Requested Amount Decrease (less)
PO balance after change order
Requested by:

Name/Title
Approved by:

Name/Title
Finance Approval:

Janet Salisbury, Director of Finance
Please increase/ decrease the PO mentioned above.

CHANGE ORDER REQUEST FORM doc#
Brief Description/ Reason
Date:

Date:

Date:
01/22/2021 0101597 KITCHELL CEM FY2017-20 CONSULTANT SVCS-CIVIC CTR- MEASURE W pf1707 2,140,806.49 1,351,176.00 (488,869.00) $ 3,003,113.49 Move 488,869.00 from contingency to contract per change order and add amount for 1st Amendment $862, 307 per attached Kari Jung / Administrative Assistant II Jacob Gilchrist / Director of Capital Projects DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

SOUTH SAN FRANCISCO
Project: Community Civic Campus Project (Measure W)
CITY PROJECT NO. pf1707-160-600 (PO #0101597)
CONTRACT CHANGE ORDER (CCO) NO. 1
To: Kitchell CEM
2450 Venture Oaks Way, Suite 500
Sacramento, CA 95833
You are hereby directed to make the herein described changes from the plans and specification(s) or do the following described work not included not included in the plans and specifications on this contract.

NOTE: This change order is not effective until approved by Jacob Gilchrist, Director of Capital Projects Description of work: Listed scope of work adjusts the contingency line item, authorizes additional scope of work within the existing contract value. In summary, the final contract value does not change.

Original Contract Values
Base Scope: $4,888,688.00
Contingency: $ 488,869.00 (available)
Total: $5,377,557.00
Scope Changes to Contract – Contingency Use Authorizations

1. Fire Station Scope Removal (CM, Close-out Phases): $468,000.00 (CREDIT)

2. Schematic Design Phase Reset: $161,464.00

3. 3rd Party Permit Support Services (Caltrans Permit Expediters): $105,000.00

4. Utility Pot Holing (PG&E High Voltage Line & Other Utilities): $110,890.00

5. Utility Pot Holing – Additional (PG&E High Voltage Line): $19,010.00

6. Commissioning – Police Operation & 911 Dispatch Center: $110,440.00

7. Commissioning – Library, Parks & Recreation & Community Theater / Council Chamber: $85,210.00

8. Additional Construction Management: $364,855.00
Available contingency after scope changes noted above: $0.00 Updated Contract Values
Base Scope: $5,377,557.00
Contingency: $ 0.00 (available)
Total: $5,377,557.00
Change requested by Director of Capital Projects
The last percentage shown is the net accumulated increase or decrease from the original in the Engineer’s Estimate.

THIS CHANGE ORDER PROVIDES FOR: Contingency use authorizations for additional Base Scope consulting services provided to the Civic Campus project for Phase 1 and Phase 2.

Original Contract Sum $4,888,688.00
Contingency $488,869.00
Net Change on Previous Authorized CCO $0.00
Contract Sum Prior to this CCO $5,377,557.00
Contract Change Order No. X $0.00
New Contract Sum, Including this CCO $5,377,557.00
Estimated Cost Contract Change Order No. 1 (CCO Request No. 1 to No. 1) No Change to Contract Value DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 By Reason of this order the time of completion will be adjusted as follows: No change in completion date.

Submitted by: __________________________________________ Date: __________________ Omar Galvan, Construction Manager (KCEM)

Approved by: __________________________________________ Date: __________________ Jacob Gilchrist, Director of Capital Projects
We, the undersigned consultant, have given careful consideration to the change proposed and hereby agreed, if this proposal is approved that we will provide all equipment, furnish all materials, except as may otherwise by noted above, and perform all services necessary for the work above specified, and will accept as full payment therefore the prices shown above.

Signature: _______________________________________________ Date: __________________ Omar Galvan, Kitchell CEM
If the consultant does not sign acceptance of this change order, his attention is directed to the requirements of the specifications as to proceeding with the ordered work and filing a written protest within the time therein specified.

DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 City of South San Francisco Community Civic Campus
1 Program & Construction Management Services ORIGINAL
(Exhibit "A")

AUTHORIZATION
(Previous)

AUTHORIZATION
(Current)

CONTRACT VALUE
(Updated)
a Pre-Construction 391,440 $ - $ - $ 391,440 $
b Design/Constructability Review 751,408 $ - $ - $ 751,408 $ c Construction Management 3,710,960 $ - $ 488,869 $ 4,199,829 $ d Close-out 34,880 $ - $ - $ 34,880 $
Total Fee for Base Services 4,888,688 $ - $ 488,869 $ 5,377,557 $ 2 Other Services ORIGINAL
(Exhibit "A")

AUTHORIZATION
(Previous)

AUTHORIZATION
(Current)

CONTRACT VALUE
(Updated)
a Contingency 488,869 $ - $ (488,869) $ - $
Total Fee for Other Services 488,869 $ - $ (488,869) $ - $

ORIGINAL
(Exhibit "A")

AUTHORIZATION
(Previous)

AUTHORIZATION
(Current)

CONTRACT VALUE
(Updated)
A Total Compensation 5,377,557 $ - $ - $ 5,377,557 $

CONTRACT VALUE
(Current)

AUTHORIZATION
(Previous)

AUTHORIZATION
(Current)

BALANCE
(Updated)
B Additional Services Authorizations (within Contract) 488,869 $ - $ (488,869) $ - $ Scope Additions - Decreases to Contingency - $ (956,869) $ 1 a. Schematic Design Reset $ (161,464) - $
2 a. 3rd Party Permit Support Services (Caltrans) - $ (105,000) $ 3 a. Utility Pot Holing (PG&E High Voltage Line & Others) - $ (110,890) $ 4 a. Utility Pot Holing (additional) $ (19,010) - $
5 a. Commissioning - Police Operations & 911 Disp. Ctr. - $ (110,440) $ 6 a. Commissioning - Library, Parks & Rec and Chamber - $ (85,210) $ 7 a. Additional Construction Management - $ (364,855) $ D Scope Reductions - Increases to Contingency $ 468,000 - $ a. Fire Station (CM & Close-Out Phases) - $ 468,000 $
Request #7
Request #1

ADDITIONAL SERVICES AUTHORIZATIONS
(within Contract)
EXHIBIT "A"
COMPENSATION R1

CONTRACT SUBTOTALS
Request #6
Request #2
Request #3
Request #4
Request #5
Printed: 1/5/2021 Page 1 of 1
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 File Number: ` f .; r: RES 130- 201f
WHEREAS, on June 11, 2016, City of South San Francisco (" City") staff issued a Request for Qualifications C' RF for program management services for the delivery Community Civic Center Program; and
the selection process;
the firm based on individual qualifications/ experience, team qualifications/experience, relevant projeo experience, project understanding and approach; and
references; and
WHEREAS, staff recommends approving a consulting services agreement, attached hereto as " Exhibit a contingency amount of $488, 869; and
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DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 THIS AGREEMENT for consulting services is made by and between the City • South San Francisco (" City") and Kitchell CEM (" Consultant") ( together sometimes referred to as the " Partles") as of November 9, 2016 ( the " Effective Date").

Section 1. SERVICES. Subject to the terms and conditions set forth in this Agreement, Consultant shall provide to City the services described in the Scope of Work attached as Exhibit A, attached hereto and incorporated herein, at the time and place and in the manner specified therein. In the event of a conflict in or inconsistency between the terms of this Agreement and Exhibit A, the Agreement shall prevail.

1. 3 Assignment of Personnel. Consultant shall assign only competent personnel to perform services pursuant to this Agreement. In the event that City, in its sole discretion, at any time during the term of this Agreement, desires the reassignment of any such persons, Consultant shall, immediately upon receiving notice from City of such desire of City, reassign such person or persons.

1. 4 Time. Consultant shall devote such time to the performance of services pursuant to this Agreement as may be reasonably necessary to meet the standard of performance provided in Sections 1. 1 and 1. 2 above and to satisfy Consultant's obligations hereunder.

No70M WIT111JAI
City of South San Francisco and
UcWiell CEU
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 time and in the manner set forth herein. The payments specified below shall be the only payments from City to Consultant for services rendered pursuant to this Agreement. Consultant shall submit all invoices to City in the manner specified herein. Except as specifically authorized by City, Consultant shall not bill City for duplicate services performed by more than one person.

2.2 Monthly Payment. City shall make monthly payments, based on invoices received, for services satisfactorily performed, and for authorized reimbursable costs incurred. City shall have thirty ( 30) days from the receipt of an invoice that complies with all of the requirements above to pay Consultant. City shall have no obligation to pay invoices submitted ninety (90) days past the performance of work or incurrence of cost.

City South San Francisco and
Kitchell CEM
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

2.4 Total Payment. City shall pay for the services to be rendered by Consultant pursuant to this Agreement. City shall not pay any additional sum for any expense or cost whatsoever incurred by Consultant in rendering services pursuant to this Agreement. City shall make no payment for any extra, further, or additional service pursuant to this Agreement.

In no event shall Consultant submit any invoice for an amount in excess of the maximum amount of compensation provided above either for a task or for the entire Agreement, unless the Agreement is modified prior to the submission of such an invoice by a properly executed change order or amendment.

2. 5 Hourly Fees. Hourly fees for work performed pursuant to the Agreement by Consultant on an hourly basis shall not exceed the amounts shown in Exhibit B,

2.6 Reimbursable Expenses. Expenses not listed below are not chargeable to City.

Reimbursable expenses are included in the total amount of compensation provided under this Agreement that shall not be exceeded.

2.8 Payment upon Termination. In the event that the City or Consultant terminates this Agreement pursuant to Section 8, the City shall compensate the Consultant for all outstanding costs and reimbursable expenses incurred for work satisfactorily completed as of the date of written notice of termination. Consultant shall maintain adequate logs and timesheets in order to verify costs incurred to that date.

2. 9 Authoirization to Perform Services. The Consultant is not authorized to perform any services or incur any costs whatsoever under the terms of this Agreement until receipt of 1i ! 1 fwAt. tie Co-1A7.ct A.,.ijtivistr,?tor.

Section 3. FACILITIES AND EQUIPMENT. Except as set forth herein, Consultant shall, at its sole cost and expense, provide all facilities and equipment that may be necessary to perform the services required by this Agreement. City shall make available to Consultant only the facilities and equipment listed in this section, and only under the terms and conditions set forth herein.

City South San Francisco and
Kitchell CEM
L# V-31MIMON
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 incurring any direct expense, including but not limited to computer, long- distance telephone or other communication charges, vehicles, and reproduction facilities.

KIP 0 11 1
City of South San Francisco and
Kitchell CEM
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 b. Any failure of Consultant to comply with reporting provisions of the policy shall not affect coverage provided to City and its officers, employees, agents, and volunteers.
10 4 1 . . 41111PINO.WUM

4.3. 2 Claims- made limitations. The following provisions shall apply if the professional liability coverage is written on a claims- made form:
a. The retroactive date of the policy must be shown and must be before the date of the Agreement.
b. Insurance must be maintained and evidence of insurance must be provided for at least five ( 5) years after completion of the Agreement or the work, so long as commercially available at reasonable rates.

Consulting Services Agreement between
City of South San Francisco and
Kitchell CEM
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 expense, any extended reporting provisions of the policy, if the Consultant cancels or does not renew the coverage.

MIIOINIOIII 141401HIMIA114d

4.4.1 Acceptabilb of insurers. All insurance required by this section is to be placed with insurers with a Bests' rating of no less than ANIL f......... r.. - WrJ-M7M75TR
City South San Francisco and
itchell CEM i- !
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

4.4.6 Subcontractors. Consultant shall include all subcontractors as insureds under its policies or shall furnish separate certificates and certified endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the requirements stated herein.

4. 4. 7 Wasting Policy. No insurance policy required by Section 4 shall include a Uwasting" policy limit.

4.4.8 Variation. The City may approve a variation in ©! foregoing insurance requirements, upon a determination that the coverage, scope, limits, and forms of such insurance are either not commercially available, or that the City' s interests are otheroAse fully protected.

DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 a. Obtain such insurance and deduct and retain the amount of the premiums for such insurance from any sums due under the Agreement;
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

6. 2 Consultant No Aqent. Except as City may specify in writing, Consultant shall have nf authority, express or implied, to act on behalf of City in any capacity whatsoever as an agent or to bind City to any obligation whatsoever.
li,111RIM, 111541 aUMW I

7. 2 Compliance with Applicable Laws. Consultant and any subcontractors shall comply with all laws applicable to the performance of the work hereunder.

1. 3 Other Governmental Regulations. To the extent that this Agreement may be funded by fiscal assistance from another governmental entity, Consultant and any subcontractors shall comply with all applicable rules and regulations to which City is bound by the terms of such fiscal assistance program.

City of South San Francisco and
VtcWell CFV1
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 of Consultant thereby.

Consultant shall include the provisions of this Subsection in any subcontract approved by the Contract Administrator or this Agreement.

8. 1 Termination. City may cancel this Agreement at any time and without cause upon written totification to Consultant.

Consultant may cancel this Agreement for cause upon 30 days' written notice to City and shall include in such notice the reasons for cancellation.

In the event of termination, Consultant shall be entitled to compensation for services performed to the date • notice of termination; City, however, may condition payment of such compensation upon Consultant delivering to City all materials described in Section

8. 3 Amendments. The parties may amend this Agreement only by a writing signed by all the parties.
r, ..., - I - IriummCity of South San Francisco and
Kitchell CEM 0
0 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

8. 5 Survival. All obligations arising prior to the termination of this Agreement and all provisions of this Agreement allocating liability between City and Consultant shall survive the termination of this Agreement.
3EMM=
4 8. 6.3 Retain a different consultant to complete the work described in Exhibit A not finished by Consultant; or

9. 6. 4 Charge Consultant the difference between the cost to complete the work described in Exhibit A that is unfinished at the time of breach and the amount that City would have paid Consultant pursuant to Section 2 if Consultant had completed the work.
0 tt#= 0 0 VMS MOMMO V
I
City of South San Francisco and
Kitchell CEM
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 the City, Under California Government Code Section 8546. 7, if the amount of public funds expended under this Agreement exceeds TEN THOUSAND DOLLARS ($ 10, 000. 00), thl-I Agreement shall be subject to the examination and audit of the State Auditor, at the request of City or as part of any audit of the City, for a period of three ( 3) years after final payment under the Agreement.

10. 1 Aftorneys' Fees. If a party to this Agreement brings any action, including arbitration or an action for declaratory relief, to enforce or interpret the provision of this Agreement, the prevailing party shall be entitled to reasonable attorneys' fees in addition to any other relief to which that party may be entitled. The court may set such fees in the same action or in a separate action brought for that purpose.

10. 2 Venue. In the event that either party brings any action against the other under this Agreement, the parties agree that trial of such action shall be vested exclusively in the state courts of California in the County San Mateo or in the United States District Court for the Northern District of California.

City of South San Francisco and
Kitchell CEM
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

10. 3 Severabilit V. If a court of competent jurisdiction finds rules that any provision of this Agreement is invalid, void, or unenforceable, the provisions of this Agreement not so adjudged shall remain in full force and effect. The invalidity in whole or in part of any provision of this Agreement shall not void or affect the validity of any other provision of this Agreement.

10. 4 No Implied Waiver of Breach. The waiver of any breach of a specific provision of this Agreement does not constitute a waiver of any other breach of that term or any other term of this Agreement.

R. Successors and Assigns The provisions this Agreement shall inure to the benefit of and shall apply to and bind the successors and assigns of the parties.

10. 6 Use of Recycled Products. Consultant shall prepare and submit all reports, written studies and other printed material on recycled paper to the extent it is available at equal or less cost than virgin paper.

10. 7 Conflict of Interest. Consultant may serve other clients, but none whose activities wit the corporate limits of City or whose business, regardless of location, would plaI Consultant in a " conflict of interest as that term is defined in the Political Reform A codified at California Government Code Section 81000 et seq.

Consultant shall not employ any City official in the work performed pursuant to this Agreement. No officer or employee of City shall have any financial interest in thij Agreement that would violate California Government Code Sections 1090 et seq. wwg= - MMION -a
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 an
Kitchell
1180 Coleman Avenue, Suite 202
San Jose, CA, 95110
Attn: Ross Cooper
City Clerk
City of South San Francisco
400 Grand Avenue
Souti SQn Francisco, CA 94080
4A
report/design responsibility.

10. 12 This Agreement, including all Exhibits attached hereto, and incorporated herein, represents the entire and integrated agreement between City and Consultant a supersedes all prior negotiations, representations, or agreements, either written or oral pertYining to the matters herein. I
City of South San Francisco and
Kitchell CEM
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

10. 13 Counterparts. This Agreement may be executed in multiple counterparts, each of which shall be an original and all of which together shall constitute one agreement.

10. 14 Construction. The headings in this Agreement are for the purpose of reference only and shall not limit or otherwise affect any of the terms of this Agreement. The parties have had an equal opportunity to participate in the drafting of this Agreement; therefore any construction as against the drafting party shall not apply to this Agreement.

The Parties have executed this Agreement as of the Effective Date.

CITY OUTN SAN FRANCISCO KITCHELL M
Mik ' Futre I, City anager /
r4
Approved as to Form:

City Attofhey
2'725735. 1
Consulting Services Agreement between
City of South San Francisco and
Kitchell CEM
NAM . Russell Fox
TITLE: President
y///0/7V(, F
November 9, 2016

Page 15 of 15 ends

DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 W511,11HIMc 111MI
Sam=

1. 0 GENERAL

2. 0 PROGRAM MANAGEMENT

3. 0 PRE- CONSTRUCTION SERVICES

4.0 BIDDING

5. 0 CONSTRUCTION ADMINISTRATION

6. 0 CLOSE- OUT

1. 0 GENERAL
Task 1
Estimated Estimated
Nos. Program Tasks Cost Hours
2, 3, 4 Pre- Construction 391, 440 2, 488
2, 3 Design/ Constructability Review 751, 408 5, 248
2, 5 Construction Management 3, 710, 960 25, 944
2, 6 Close- Out 34, 880 232
Contingency 488, 869 TBD
Total 5, 377, 557 33, 912
Iill II! 11 ijl! Iil I

1. 2 All of the services to be furnished by the Consultant under this AGREEMENT from the inception of the AGREEMENT November 7, 2016 until June 30, 2021 with a one ( 1) year optional extension. All services performed by Consultant shall be in compliance with all Consulting Services Agreement between
City of South San Francisco and
Kitchell CEM - Exhibit A
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 applicable federal, state and local codes, rules and regulations which are in force at the time such services are rendered.

1. 3 Consultant shall coordinate all services with and communications between the City's Assistant City Manager or City's designated representative, and City's separate contractors and consultants performing work on this PROGRAM.

I lieng-r-WII lag] Nit

1. 5 Consultant shall exercise its best professional efforts to, through the construction contractors, and consultants, ensure attendance of all appropriate personnel at all meetings and presentations, as necessary, including, but not limited to, consultants, contractors, all sub- consultants, subcontractors, or employees or persons under the direction or control of a consultant or construction contractor.

1. 6 Consultant shall exercise its best efforts to coordinate the activities of the City of South San Francisco, such that City's Assistant City Manager may provide timely decisions to reach mutually agreed upon decisions on matters affecting the progress of the work, and to coordinate City' s input and decisions that affect the performance of the overall PROGRAM and specific projects.

I Develop and maintain a filing system for all Program related phase/project documents consistent with City' s requirements
L2 Develop and issue, requests for proposals to procure professional services of architects, engineers, or other specialty consultants, as necessary to ensure successful delivery of the Measure W Program.

Consulting Services Agreement between November 9, 2016
City of South San Francisco and
Kitchell CE M - Exhibit A Page 2 of 9
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 or- 5 Prepare the Responsibility Matrix ( RM);-- TVorking with the Assistant City ITIanager and Citizen' s Oversight Committee, as appropriate or directed, prepare and establish ar organizational chart along with a tabular roles and responsibility matrix which defines the assignments of each member on the Program team.

2. 6 Prepare and maintain a Program Master Schedule in cooperation with the City; obtain all Project schedules, including construction contractor Critical Path Method (" CPM") schedules; and create Master Schedule progress graphs for each phase of construction and the overall Program.

2. 8 Maintain one ( 1) complete set of Program and Project Documentation at a location designated by the City, with all updates current to within one ( 1) week of issuance.

2. 10 Organize and maintain file of warranties and closeout items by contract and contract specification sections.

2. 11 Assist City in local entitlement, design review, and permitting processes, including but not limited to the following:

Consulting Services Agreement between November 9, 2016
City of South San Francisco and
Kitchell CEM - Exhibit A Page 3 of 9
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

2. 11. 1 Assist City in obtaining CEQ approval and integrating CEQA requirements itto the bid documents.

M I I
I
W-Ung" IMEMOXTIM
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kI kdJ! JIVA'L4,:I& IJ: IV:V 4111101 IV

3.4 Review Construction and Demolition Waste ( C+ D) specification with recycling/ salvage/ reporting requirements and C& D Waster Management Plan Submittal.

3. 5 Advise City' s Assistant City Manager regarding staging areas, temporary faces, and other Program/ Project requirements common to all phases of the work.

Consulting Services Agreement between November 9, 2016
City of South San Francisco and
Kitchell CEM - Exhibit A Page 4 of 9
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

3. 8 Provide ongoing schedule monitoring and update the Program' s master schedule monthly.

Continually ( at least bi-weekly) report on schedules, delays and conflicts and advise City of all events impacting the Program master schedule. Develop and implement City- approved mitigation plans, as required to maintain the Program master schedule.

3. 9 Consultant is not obligated to perform any activity which requires a professional design license.
330129M

4.2 Advise potential bidders of bidding requirements and bid document availability. Assist City in developing the advertisement for bids and a list of publications recommended for advertising.

4.3 Assist City in distribution of the bid documents to potential bidders, and maintain distribution list.

4.4 Receive written questions from bidders and prepare and assemble written responses in coordination with architects for City's approval. Prepare written addenda, if necessary, Consulting Services Agreement between November 9, 2016
City of South San Francisco and
Kitchell CEM - Exhibit A Page 5 of 9
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 and distribute City-supplied copies of addenda to all bidders in accordance with specified time limits.
f,.6 At the bid openings, record all bids and prepare bid tabulation. Review bids for completeness and responsiveness and advise City's Assistant City Manager of any irregularities in the bids • in the bidding process.

Consultant shall provide all services necessary for the administration of the construction contract consistent with the General Conditions of the Contracts for Construction for each Project specific component of the PROGRAM, including, without limitation, the following:

5. 1 Establish written procedures for the PROGRAM and upon City-approval of written procedures, prepare and revise as necessary a Project Procedures Manual for City's review and comment. Update this manual as necessary to keep current with Project progress within two ( 2) weeks of an event giving rise to a change, The Project Procedures Manual shall include, at a minimum, discussion of the following:

5. 2 Conduct weekly coordination meetings between construction contractors, architects and engineer(s) which will include discussion of LEED compliance and credit documentation.

5.3 Document all meetings and verbal directives and provide copies to City's Assistant City Manager within five ( 5) working days.

5.4 Enforce contractor compliance with Construction and Debris Waste Plan and Indoor Air Quality Plan.

Consulting Services Agreement between November 9, 2016
City of South San Francisco and
Kitchell CE M - Exhibit A Page 6 of 9
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

5. 5 Receive and review all project payment requests, and make recommendations as to payment.

Consulting Services Agreement between November 9, 2016
City of South San Francisco and
Kitchell CEM ® Exhibit A Page 7 of 9
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 6 1 0 •
Consultant shall provide all services necessary for the close- out of each construction contract consistent with the General Conditions of the Contracts for Construction cf each Project, including, without limitation, the following:

6. 1 Prepare schedule of all closeout activities, checkout items, and check-off list, notim'! construction contractor document requirements as set forth in Project documents.

6. 2 Schedule, coordinate and supervise final tests and staft- up of all building systems including supervision of all Commissioning Agent functions. For the purposes of this paragraph, coordinate means to inform all relevant parties with sufficient advance notice of the inspection or startup date, ensure site access and availability of resources or other Project personnel who may be required for the work, and keep City advised of same.

6. 5 Prepare all necessary documentation for City's final acceptance each Project, contract closeout and final reporL
Consulting Services Agreement between November 9, 2016
City of South San Francisco and
Kitchell CEM - Exhibit A Page 9 of 9
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DOUTION" r - A
The Consultant shall bill the City for the work according to the Compensation Schedule outlined below, which include the position titles, hourly rates, and estimated hours that are need to complete the Scope of Work described in Exhibit A.

Position Title Hourly Rate Estimated Hours
Program Manager 182 1, 640
Project Manager 170 5, 360
Project Engineer(s) 145 7, 040
Construction Manager( s) 150 10, 800
Clerical Support 75 4, 036
EAS Services Manager( s) 182 176
Architect 147 587
Structural Engineer 147 302
Mechanical Engineer 147 365
Electrical Engineer 147 302
Civil Engineer 147 257
Specification Reviewer 147 257
Constructability Reviews 147 362
Interdisciplinary 110 210
Estimating Manager 182 170
Estimators 147 1, 140
EAS Services Manager 182 52
Architect/ Engineers 147 564
Estimators 147 140
Clerical 75 152
Consulting Services Agreement between
City of South San Francisco and
Kitchell CEM - Exhibit B
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

EXHIBIT C

PROGRAM ORGANIZATIONAL CHART
Consulting Services Agreement between
City of South San Francisco and
Kitchell CEM - Exhibitl
Gordon RogerS, AM, COOP, LIED AP ON- C
Audrey V11115, UED AP
Kevin lPokrywa, 21T
Tim PrecW
John Arryistrong
If( use,,5qP, pOrt,$W
WON & UTY ( OUNCH, CRIEN' s Mansour AUabadi, CC% Ella
OTY WIMAGER LIVERSIGH' If
ASSWANT 0 r V MANAGER COMMITTEE Ctlak, Y"
Blil Johal, c.cm, coA
WNi,
Ross Cooper Rob' Thacker
Consulting Services Agreement between
City of South San Francisco and
Kitchell CEM - Exhibitl
Gordon RogerS, AM, COOP, LIED AP ON- C
Audrey V11115, UED AP
Kevin lPokrywa, 21T
Tim PrecW
John Arryistrong
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

EXHIBIT D
Consulting Services Agreement between November 9, 2016
City of South San Francisco and
Kitchell CEM - Exhibit D Page 1 of 1
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 ACE?RL> CERTIFICATE OF LIABILITY INSURANCE
III '
DATE (MM1DDfYYYY)
11/ 14/ 2016
THIS CERTIFICATE 1S 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 terns and conditions of the policy, certain policies may require an endorsement. A statement On this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER ACIG Insurance Agency, Inc.
2600 N. Central Ex wy. Suite 800
Richardson, TX 7508th

CONTACT
NAME:

PHONE FAX
972- 7o2 -9ao4 A1c No: 972 - 687 - 0604
ADDRESS: aCCOUntmana erS aCi . COm
INSURERS AFFORDING COVERAGE NAIC#
6/ 172020
www. acig. com INSURERA: American Contractors Ins. Co. RRG 12300

INSURED
Kitchell CEM, Inc.
2450 Venture Oaks Way, Suite '500
Sacramento CA 95833
INSURER B: ACIG Insurance Company 19984
INSURER C:
6/ 1/ 2020
6/ 1/ 2020
INSURER D:
100, 000
INSURER E:

M ( Any one person ) 5, 000
INSURER F:

S 1, 0 00, 000
COVERAGES CERTIFICATE NUMBER: 32817598 REVISION NUMBER:

IL7 TYPE OF INSURANCE

ADDL SUBR POLICY EFF

POLICY NUMBER MMIDDIYYYY MM/ POLICY DDIYYYY EXP LIMITS
A COMMERCIAL GENERAL LIABILITY GL16PA0002 6/ 112016 6/ 172020 EACH OCCURRENCE 1, 000, 000 A
A
i CLAIMS -MADE OCCUR
GL16PB0002 ( GL XS) 6/ 1/ 2016
GLISPC0002 ( GL XS) 61'112016
6/ 1/ 2020
6/ 1/ 2020

DAMAGE TO RENTED
PREMISES (£ a occurrence) 100, 000
f
I... -- M ( Any one person ) 5, 000
PERSONAL BAOVINJURY S 1, 0 00, 000 f_
1 l GFN' L AGGREGATE LIMIT APPIIESPER.

POLICY JE¢ LOC
OTHER.
j
rov:,- as to form
E GENERALAGGREGATE 2, 000, 000
PR COMPIOPAGG 2,000, 000
I

AUTOMOBILE LIABILITY
ANY AUTO m W„ 1 rL '" " _+ 1

COMBINED SINGLE LIMIT
Me accidenh
BODILY INJURY (Per person)

OWNED SCHEDULED

AUTOS ONLY AUTOS

HIRED NON - OWNED'

AUTOS ONLY AUTOS ONLY
j
r*
p """' - ",_
w.... -
BODILY INJURY ( Aar accident}

PROPERTY DAMAGE
ar accident

UMBRELLA LIAB

EXCESS LIAB
OCCUR

CLAIMS -MADE
o,^"°..°` I, ,'
r - ° ^" " msµ

EACH OCCURRENCE

AGGREGATE
DEO 1 RITEIMON$ i
B

WORKERS COMPENSATION

AND EMPLOYERS LIABILITY YIN

ANYPROPRIETOR/ PARTNER/ EXECUTIVE
OFFICERIMEMBEREXCLUDED7
Mandatory In NH)
NIA
WGA000006816 I
6/ 112016 6/ 1/ 2017
PER OTHSTATUTE ER
E. L. EACH ACCIDENT 1, 000,000
E. L. DISEASE- EA EMPLOYE4 1, 0001000
Ifdescribe under
DESCRIPTVONOF OPERATIONS below E. L, DISEASE - POLICY LIMIT 1 1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ( ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) Re: Project pf1707 Community Civic Center
GL - If these policies are cancelled, non - renewed or materially changed, 60 days notice, except 10 days for nonpayment of premium, will be mailed to the Certificate Holder.

WC - If these policies are cancelled, non - renewed or materially changed, 60 days notice, except 10 days for nonpayment of premium, will be mailed to the Certificate Holder.

L" z: 41taVf_A =
City of South San Francisco
400 Grand Avenue
South San Francisco CA 94080

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

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

AUTHORIZED REPRESENTATIVE t
Michael J. O' Neill
0 19 88 -201 5 ACORD CORPORATION. All rights reserved.

ACORD 25 ( 2016103) The ACORD name and logo are registered marks of ACORD 32917598 1 16/ 1? 16PA GLSJS orlass NCRetro CA A2 NV I Peggy Schoonover 1 11/ 14/ 2016 8: 57: 47 AM ( CDT) I Page I of 4 This certificate cancels and supersedes ALL previously issued certificates.

DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Any person or organization that you are required by contract to include as an additional insured on this policy if the contract is executed prior to the loss.

A. Whom above SCHEDULE
called additional me only with " property damage" or "personal and advertising Injury' arising out of your premises or your operations for the additional insured.

B. The Insurance provided mthe additional insured m subject to the following limitations:

I Unless required by written contract, this insurance does not apply m " bodily injufy' or" property damage' occurring after " your work" for the additional insured has been completed or after that portion of "your work" out of which the "bodily Injury" or "property damage' arises has been put to its intended use by any person or organization. o. un|eam required uy written contract, this insurance does not apply to ' bodily Injury' o, " property damage" arising out mthe sole negligence, act mommm| nmof the muomnnu| Insured.
o. damage" " personal and dvem| i ry" for which the
additional insured m obligated to pay damages by reason of the assumption m liability me contract oragreement except to the extent that the additional insured would have been obligated to pay such damages in ihe absence of the contract or agreement.

4. This insurance does not apply m " bodily | Nuw", damage" n/ " personal and advertising injury" arising out nrthe rendering or failure to render any professional services by any insured, Including:
p) The preparing, approving o failing m prepare mr approve maps, drawings, opinions, reports, surveys, change orders, designs ^ specifications; or,
b) Supervisory, inspection or engineering services.

This exclusion applies even i/ the claims against any insured allege negligence vr other wrongdoing mmesvpervismn. hiring, employment, training mr monitoring w others uy that insured. s. This endorsement shall not apply to a person or organization n any other additional insured endorsement attached tmthis policy specifically applies tn that person o, organization. a. The insurance afforded herelin only applies to the extent perm Itted by applicable state law, including statutes governing additional insured coverage in the construction industry.

C. This insurance shall not exceed the scope orcoverage, including limits, mvtm / icy and innm event shall the insurance provided m the additional insured exceed the scope of coverage, Including limits, required by the contract. If a written contract or agreement requires that additional insured stat be mvm u by the use of specified edition dates om the ISO omoo1n and/ or oozoor' then the terms m that endorsement are incorporated mtomisemuursemvm as respects such additional insured and shall supersede me coverage grant and limitations in Sections A. and B. of this endorsement. In the event that CG201 0 and/ or CG2037 are required but nv edition dates are specified, the o4/ 1m editions shall apply.

D. This insurance Is excess m any other insurance, whether primary, excess, contingent = pn any other basis, available mthe additional insured unless a written contract requires that this Insurance be primary or primary and non- contributing. However, this Insurance is always excess to other insurance, whether primary, excess, contingent or on any other basis, when the additional insured has been added m the other insurance anan additional insured.

Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, provisions, agreements or limitations of the mentioned Policy, other than aa above stated.

F3 11111111171111 111 !
1= 0 " CRt" Peggy / 2019°' 57' 47°^( CDT)| Page ` E^
This certificate cancels and " ur° rs" de" ALL previously issued certificates. 11 Mil
Premium $
829
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 OR
IFIMMITIT17042-10MITRMTITRM-M, IM101V ffwll
Any person or organization for whom you have agreed by written contract to furnish this waiver, 10111: 11,04111: 1MallIll M IN IWAKel Lilt] IM] 06*11&5ill a amelgAiamral am vim ia tg,Mn# We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or " your work" done under

2. contract with that person or organization and included in the " products- completed operations hazard". This waiver tripplies only to the person or organization shown in the Schedule above.

Ill
J9J= r*=tt .14101IN474141" Imill K4141# 11VI
insured: Kitchell CEM, Inc.

I. 4
32817599 1 16/ 17 JGPA GL5 / 5 orless WCRt— r-A AZ NV I Peggy S. h.— Vr 1 11114/ 2016 8: 57: 47 M ( CDT) I Page 3 of 4 This certificate cancels and supersedes ALL previously issued certificates. 11011MOTMITTIMITIMMOR
DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 1 *! 06 Ed. 04- 84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA Il—en—a—ve—Ye—rignt to recover our payments Truril , r au ]( I ' pir ' ; 1; 110; F i -, rM" - 77fM r'lmME=LrI - I the person or organization named in the Schedule. ( This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) the Schedule.
16 a"' tonai yiernix- yrt Tor nis Tril Ternen]
such remuneration.

Lit, WdUTO 0,01

9.gainst.

No Additional Premium to be applied
T112-0-10T, =.# I
JIM41M ro jl IIJ fa 411& KQ i IsM &' M i Q#141 0011179 16,11M. 1747 117111 wL* A! j al- Ta i Rejou - Endorsement Effective: Same as Policy Effective Date unless otherwise indicated above.

Policy Effective Date: 611/ 2016 Policy No. WCA000006816 Endorsement No.

Premium $
insured Kitchell CEM, Inc.

Carder Name / Code: ACIG Insurance Company
Countersigned by
4"

1. 1, $ 1.
1q'ininlim
3281758 1 16/ 17 16PA GL5/ 5 orless WCRetro CA AZ NV I Peggy Schoonover 1 11114/ 2016 8: 57: 47 AM ( CDT) I Page 4 of 4 This cart ificate cancels and supersedes ALL previously issued certificates, DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 ACC> R" CERTIFICATE OF LIABILITY INSURANCE
DATE ( MMlDDIYYYY)
11/ 14/ 2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy( ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement( s).

PRODUCER ACIG Insurance Agency, Inc.
2600 N. Central Expwy. Suite 800
Richardson, TX 75080

CONTACT
NAME:

PHONE
972- 702_9004 A No: 972- 687 -0604
ADDRESS: MAIL accountmana ers aci . com
INSURERS AFFORDING COVERAGE NAIC #
wW W. aci9. CAm INSURER A:

INSURED
Kitchell CEM, Inc.
2450 Venture Oaks Way, Suite 500
Sacramento CA 95833
INSURER B;
INSURER C.

INSURER D: _.__ ..._.

INSURER E:

INSURER F: Steadfast Insurance Company 26387
COVERAGES CERTIFICATE NUMBER: 32817631 REVISION NUMBER:

INBR LTR TYPEOFINSURANCE fNSD WV0 POLICYNUMBER MMIDB EFF MMIDDI EXP LIMITS COMMERCIAL GENERAL LIABILITY I` EACH OCCURRENCE
CLAIMS -MAUE n OCCUR DAMAGE TO RENTED
PREMISES Ea occurrence
MED EXP ( Any one person)

PERSONAL R ADV INJURY
I GEN' L AGGREGATE LIMITAPFLIES PER: GENERAL AGGREGATE

POLICY JECT PRO FI LOC PRODUCTS - COMPIOPAGG
OTHER:

AUTOMOBILE LIABILITY II
COMEiiNED SINGLE LIMIT
Ea
ANY AUTO BODILY INJURY ( Per person)

OWNED SCHEDULED

AUTOS ONLY AUTOS

HIRED NON -OWNED

AUTOS ONLY AUTOS ONLY
BODILY INJURY ( Per accident)

PROPERTY DAMAGE
Per accident
i I$

UMBRELLA LIAB HCLAIMS- MADE
OCCUR EACH OCCURRENCE $
EXCESS LIAB AGGREGATE $
DED RETENTION $

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORIPARTNERIEXECUTIVE F- 1
5ATUTE ERH
E. L. EACH ACCIDENT is
OFFICER/ MEMBER EXCLUDED? +,
Mandatory In NH)
N/ A
E.L. DISEASE - EA EMPLOYEEI $
E. L. DISEASE - POLICY LIMIT
1 $ If yes, describe under
DESCRIPTION OF OPERATIONS below
F Contractor Professional /Pollution EOC3999322 - 08 6/ 1/ 2016 6/ 1/ 2017 Per Claim $ 1, 000, 000 Liability
i
Aggregate $ 1, 000, 000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES ( ACORD 101, Additional Remarks Schedule, may ba attached If more space Is required) Re: Project pf1707 Community Civic Center
Professiona( IPoilution * Aggregate limit is total insurance available for all claims presented within the policy period for operations of insured. Limit will be reduced by payments of indemnity and /or expenses.

GCKIItJUAIt: MULUCK I. HIVI. CLLHIIVIV
Project pf1707 Community Civic Center
City of South San Francisco
400 Grand Avenue
South San Francisco CA 94080

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

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

AUTHORVED REPRESENTATIVE t
Michael J. O' Neill
U 19UU -2015 AGURD CORPORATION. All rights reserved.

ACORD 25 ( 2016103) The ACORD name and logo are registered marks of ACORD 32817631 1 16/ 17 PL 1/ 1 I Peggy Schoonover 1 11/ 14/ 2016 9: 00: 14 AM ( CDT) I Page 1 of 1 This certificate cancels and supersedes ALL previously issued certificates.

DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 ACOR ©
0 CERTIFICATE OF LIABILITY INSURANCE 6n/ 2017

DATE ( MMIDDNYYY)
11l14i2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

IMPORTANT- If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.

PRODUCER Lockton Companies
8110 E. Union Avenue
Suite 700
Denver CO 80237
NAME:

PHONE __... .. __._ ..... FAX A/ C No :

ADDRESS: MAIL

EACH OCCURRENCE XXXXXAX
303) 414 - 6000
INSURERS AFFORDING COVERAGE NAIC#
INSURER A; The Charter Oak Fire Insurance Com an 25615

INSURED
Kitchell CENT, Inc.
1328704 2450 Venture Oaks Way, Suite 500
INSURER B:

INSURER C :

XX) CKXXX
Sacramento, CA 95833 INSURER D:

INSURER E :

GENEHALAGG_ RE_ GATE

INSURER F
GEN' L AGGREGATE LIMIT APPLIES PER:

POLICY L._ „_) JEC7 PR{ 3- C LOG
nnVFRAr1PA CFRTIFICATF NIIMRFR- I d17. rnAA REVISION NUMBER: XXXXXXX

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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR LTR TYPE OF INSURANCE

ADDLSUBR

POLICYNUMBER

CYEFI' I MMID Y/YYYY LIMITS
COMMERC} AL GENERAL LIABILITY NOT APPLICABLE
r—1 -
CLAIMS - MADE j _ I OCCUR

EACH OCCURRENCE XXXXXAX
D- ,A 3F. TO RENTED
PREMISES Me awwarice XXXxX.XX
v--
1 MED EXP (Any one person) XXXXXXX

PERSONAL & ADV INJURY XX) CKXXX
GENEHALAGG_ RE_ GATE
i
GEN' L AGGREGATE LIMIT APPLIES PER:

POLICY L._ „_) PR{JEC73- C LOG P RODUCTS - COMP /OP AGG XXXXXXX OTHER:

A AUTOMOBILE LIABILITY N N DT8105JEA11169 6! 112016 611/ 2017 COMBINED SINGLE LIMIT Ea accident 2, 000, 000
X ANY AUTO BODILY INJURY ( Per person) 3CX3fXXXX
BODILY INJURY XX_XXXXX

OWNED SCHEDULED

AUTOS ONLY AUTOS

HIRED NON -OWNED
X AUTOS ONLY AUTOS ONLY Ix PROPERTY DAMAGE
Wer accident XXXXXXX
XDCXXX
UMBRELLA LIAR OCCUR NOT APPLICABLE l EACH OCCURRENCE XXX= X

EXCESS LIAR CLAIMS -MADE I AGGREGATE XXXXXXX
DED RETENTION $ xxxx : KX.

WORKERS COMPENSATION NOT APPLICABLE

AND EMPLOYERS' LIABILITY

ANY PROPRIETORIPARTNERIEXECUTIVE YIN
OFFICERIMEMBER EXCLUDED? NIA
Mandatory In NH)
qqP

STATUTE ER
E. L. EACH ACCIDENT xx-30c =
E. L. DISEASE - EA EMPLOYEE XXXXXXX
E. L. DISEASE - POLICY LIMIT XXXXXXX
If yes, describe under
DESCRIPTION OF OPERATIONS below I
A Hired Auto Physical Damage N N j DT8 t05E496169 6/ 1/ 2016 6/ 1/ 2017 Comp. Ded. $ 1, 000 Coll. Ded $ 1, 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ( ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) Auto Liability carrier in the State of California is The Travelers Indemnity Company of Connecticut. Policy number, coverage, and effective dates above apply.

Re: Project pf1707 Community Civic Center.
14376046
City of South San Francisco
400 Grand Avenue
South San Francisco, CA 94080
L' AIV IiGLLA I 1V IV

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

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

AUTHORIZED
I'"# ofvl
0) 1qRR12015 ACORO CORPO TION_ All rights reservedACORD 25 ( 2016/ 03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Policy # DI' 8105E496169COF16
Kitchell Corporation
Effective 6/ 1/ 2016 - 611/ 2017
NUOUJUT1140410
I
UNION

PROVISIONS
A. BROAD FORM NAMED INSURET
person or organization qualifies as an " insured"
under the Who Is An Insured provision contained
in Section 11.

DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 ge
2 of4 02015 The Travelers Indemnity Company. AM rights reserved. CAT3 53 02 15 Includes copyrighted material of insurance Services Office, Inc. with its permission.

DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 The following is added to Paragraph D., Deductible, of SECTION III — PHYSICAL DAMAGE COVERAGE:

No deductible for a covered " auto" will apply to
this g
r2ki;:4 ;2S-rn- 4,.2n
replaced.

W
750 for any one
I 1 0 . , •
The following replaces Paragraph A.5., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV — BUSINESS AUTO CONDITIONS:

5. Transfer Rights • Recovery Against
Others To Us
CA T3 53 02 15 @2015 The Travelers Indemnity Company- AN rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Page
4 of4
@ 2015 The Travelers Indemnity Company. All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc. with Its permission.

DocuSign Envelope ID: 3E5A360F-0EA3-4EDB-A157-C6960564215E DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Certificate Of Completion
Envelope Id: 3E5A360F0EA34EDBA157C6960564215E Status: Completed Subject: Please DocuSign: Contract Agreement-Kitchell.pdf, 1 28 2021 - Contract Amendment og edits R1.pd...

Source Envelope:

Document Pages: 60 Signatures: 12 Envelope Originator:

Certificate Pages: 6 Initials: 0 Kari Jung
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US &
Canada)
Stamps: 1 329 Miller Ave
South San Francisco, CA 94080
[email protected]
IP Address: 209.234.100.130
Record Tracking
Status: Original
1/28/2021 11:44:19 AM
Holder: Kari Jung
[email protected]
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: Carahsoft OBO City of South San Francisco Location: DocuSign Signer Events Signature Timestamp
Kari Jung
[email protected]
Administrative Assistant
City of South San Francisco
Security Level: Email, Account Authentication
(None)
Signature Adoption: Uploaded Signature Image
Using IP Address: 209.234.100.130
Sent: 1/28/2021 12:24:52 PM
Viewed: 1/28/2021 12:25:10 PM
Signed: 1/28/2021 12:25:36 PM
Electronic Record and Signature Disclosure:

Not Offered via DocuSign
Wendy Cohen
[email protected]
President
Security Level: Email, Account Authentication
(None) Signature Adoption: Pre-selected Style
Using IP Address: 174.222.16.50
Sent: 1/28/2021 12:25:43 PM
Viewed: 1/28/2021 12:26:30 PM
Signed: 1/28/2021 3:53:33 PM
Electronic Record and Signature Disclosure:

Accepted: 1/28/2021 12:26:30 PM
ID: 626cd256-9dfb-457d-b1fb-fe0088e7d022
Omar Galvan
[email protected]
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 68.186.52.207
Sent: 1/28/2021 3:53:40 PM
Viewed: 1/28/2021 3:54:21 PM
Signed: 1/28/2021 3:54:46 PM
Electronic Record and Signature Disclosure:

Accepted: 1/28/2021 3:54:21 PM
ID: 8a2c2cdd-4dc6-4c34-8d29-82f3206b39bb
Jacob Gilchrist
[email protected]
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 157.131.115.82
Sent: 1/28/2021 3:54:52 PM
Viewed: 1/28/2021 4:20:28 PM
Signed: 1/28/2021 4:20:44 PM
Electronic Record and Signature Disclosure:

DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Signer Events Signature Timestamp
Accepted: 6/3/2020 9:39:15 AM
ID: 834891ca-6dd9-4bba-ad3f-9ab770ad10bc
Claire Lai
[email protected]
Approved as to Form- City Attorney
Signing Group: City Attorney
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 206.169.145.130
Sent: 1/28/2021 4:20:50 PM
Viewed: 1/28/2021 5:43:13 PM
Signed: 1/28/2021 5:43:34 PM
Electronic Record and Signature Disclosure:

Accepted: 1/28/2021 5:43:13 PM
ID: d00ed4f3-60ad-41a6-9397-9a29d14d3cc2
Mike Futrell
[email protected]
City Manager
Security Level: Email, Account Authentication
(None) Signature Adoption: Pre-selected Style
Using IP Address: 174.194.197.36
Signed using mobile
Sent: 1/28/2021 5:43:38 PM
Viewed: 1/28/2021 6:24:05 PM
Signed: 1/28/2021 6:24:15 PM
Electronic Record and Signature Disclosure:

Accepted: 1/28/2021 6:24:05 PM
ID: 14be9cc6-6945-4813-b8ca-144faec1412f
Rosa Govea Acosta
[email protected]
City Clerk
City of South San Francisco
Signing Group: City Clerk
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 209.234.100.130
Sent: 1/28/2021 6:24:19 PM
Viewed: 1/29/2021 12:24:14 PM
Signed: 1/29/2021 12:24:25 PM
Electronic Record and Signature Disclosure:

Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Emma Lucey
[email protected]
Security Level: Email, Account Authentication
(None)
Sent: 1/29/2021 12:24:31 PM
Electronic Record and Signature Disclosure:

Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 1/28/2021 12:24:52 PM
Certified Delivered Security Checked 1/29/2021 12:24:14 PM Signing Complete Security Checked 1/29/2021 12:24:25 PM Completed Security Checked 1/29/2021 12:24:31 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
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All notices and disclosures will be sent to you electronically Electronic Record and Signature Disclosure created on: 6/4/2019 3:56:20 PM Parties agreed to: Wendy Cohen, Omar Galvan, Jacob Gilchrist, Claire Lai, Mike Futrell DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us.

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DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

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

INSURER(S) AFFORDING COVERAGE
INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A : NAIC #
NAME: CONTACT
(A/C, No): FAX
E-MAIL ADDRESS:

PRODUCER
(A/C, No, Ext): PHONE

INSURED
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

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.

OTHER:
(Per accident)
(Ea accident)
$
$
N / A

SUBR WVDADDL
INSD

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. $
$
$
$ PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person) COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) DESCRIPTION OF OPERATIONS below
If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEEE.L. EACH ACCIDENT EROTH- STATUTE PER
(MM/DD/YYYY) LIMITS POLICY EXP(MM/DD/YYYY) POLICY EFFLTR TYPE OF INSURANCE POLICY NUMBER INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB
UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $
$
OCCUR
CLAIMS-MADE DED RETENTION $
PRODUCTS - COMP/OP AGG $ GENERAL AGGREGATE $ PERSONAL & ADV INJURY $ MED EXP (Any one person) $
EACH OCCURRENCE $ DAMAGE TO RENTED
PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED

AUTOS ONLY
5/26/2022
IMA, Inc. - Colorado Division
1705 17th Street, Suite 100
Denver CO 80202
IMA Denver Team 303-534-4567 [email protected] National Fire Insurance Company of Hartford 20478 KITCORP Kitchell Corporation
1707 East Highland Ave, Ste 100
Phoenix AZ 85016
289762433
A 5,000,000 X
X X
7014861826 6/1/2022 6/1/2023
A Automobile Physical Damage N N 7014861826 6/1/2022 6/1/2023 Deductibles:

Comprehensive
Collision $1,000
$1,000
Re: Consulting Services Agreement.

City of South San Francisco
400 Grand Avenue
South San Francisco, CA 94080
DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

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

INSURER(S) AFFORDING COVERAGE
INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A : NAIC #
NAME: CONTACT
(A/C, No): FAX
E-MAIL ADDRESS:

PRODUCER
(A/C, No, Ext): PHONE

INSURED
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

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.

OTHER:
(Per accident)
(Ea accident)
$
$
N / A

SUBR WVDADDL
INSD

AUTOS ONLY

AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) DESCRIPTION OF OPERATIONS below
If yes, describe under

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED

AUTOS ONLY
6/7/2022
ACIG Insurance Agency, Inc.
2600 N. Central Expwy. Suite 800
Richardson, TX 75080 972-702-9004 972-687-0601
www.acig.com
Brian Callaghan
[email protected]
Kitchell CEM, Inc.
2450 Venture Oaks Way, Suite 500
Sacramento CA 95833
68629602
✓ ✓
✓
out of activities peprformed by or on behalf of Consultant, including the insured's general supervision of Consultant; products and completed written executed contract.

Consulting Services Agreement
City of South San Francisco
City Clerk
400 Grand Avenue
South San Francisco CA 94080
City, its officiers, employees, agents and volunteers shall be covered as additional insureds with respect to each of the following: liability arising operations of Consultant, as applicable; premises owned, occupied, or used by Consultant in the course of providing services pursuant to a Professional Liability Retroactive Date: 11/11/1978
A GL22A00078 6/1/2022 6/1/2023 10,000,000
100,000 A GL22B00078 (GL Excess) 6/1/2022 6/1/2023
✓
A GL22C00078 (GL Excess) 6/1/2022 6/1/2023
5,000
✓
10,000,000
10,000,000
✓ 10,000,000
✓
B WCA000006822 6/1/2022 6/1/2023 1,000,000 N
1,000,000
1,000,000
F Contractor's Professional and PCAB-5018306-0622 6/1/2022 6/1/2023 Pollution Liability
American Contractors Ins. Co. RRG 12300
ACIG Insurance Company 19984
Berkley Assurance Company 39462
Per Claim $5,000,000
*Aggregate $5,000,000
68629602 | KITCHELL | 22/23 AZ CA GL WC PL ACIG | Abbie Fisher | 6/7/2022 8:46:33 AM (CDT) | Page 1 of 7 This certificate cancels and supersedes ALL previously issued certificates.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED
EFFECTIVE DATE:

Professional/Pollution *Aggregate limit is total insurance available for all claims presented within the policy period for operations of insured. Limit will be reduced by payments of indemnity and/or expenses.

KITCHELL
ACIG Insurance Agency, Inc. Kitchell CEM, Inc.
2450 Venture Oaks Way, Suite 500
Sacramento CA 95833
25 Certificate of Liability (03/16)

ADDENDUM/DOO
HOLDER:

ADDRESS:

City of South San Francisco City Clerk
400 Grand Avenue South San Francisco CA 94080
68629602 | KITCHELL | 22/23 AZ CA GL WC PL ACIG | Abbie Fisher | 6/7/2022 8:46:33 AM (CDT) | Page 2 of 7 This certificate cancels and supersedes ALL previously issued certificates.

DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: Same as policy effective date unless otherwise indicated above.

Policy Effective: Policy No.: Endorsement No.:

Insured: Premium $
Insurance Company: American Contractors Insurance Co. RRG ADDITIONAL INSURED – AUTOMATIC STATUS 1119
AS REQUIRED BY CONTRACT – BLANKET
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE
Any person or organization that you are required by written contract to include as an additional insured on this policy if the contract is executed prior to the loss.

A. Who Is An Insured (Section II) is amended to include as an insured any person or organization shown in the above SCHEDULE (called additional insured), but only with respect to liability for “bodily injury”, “property damage” or “personal and advertising injury” arising out of your premises or your operations for the additional insured, and only to the extent and for the minimum limits required in the written contract.

B. The insurance provided to the additional insured is subject to the following limitations:

1. Unless a written contract specifically requires additional insured coverage for your completed operations, this insurance does not apply to “bodily injury” or “property damage” occurring after “your work” for the additional insured has been completed or after that portion of “your work” out of which the “bodily injury” or “property damage” arises has been put to its intended use by any person or organization, whichever occurs first.

2. Unless specifically required by written contract, this insurance provides additional insured coverage only for liability for “bodily injury”, “property damage” or “personal and advertising injury” to the extent caused by the named insured’s acts or omissions or the acts or omissions of those acting on the named insured’s behalf.

3. This insurance does not apply to “bodily injury”, “property damage” or “personal and advertising injury” for which the additional insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement except to the extent that the additional insured would have been obligated to pay such damages in the absence of the contract or agreement.

4. This insurance does not apply to “bodily injury”, “property damage” or “personal and advertising injury” arising out of the rendering or failure to render any professional services by any insured or on any insured’s behalf, including:
a) The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, drawings or specifications; or
b) Supervisory, inspection, architectural, or engineering services.

This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the “occurrence” which caused the “bodily injury” or “property damage”, or the offense which caused the “personal and advertising injury”, involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services.

5. This endorsement shall not apply to a person or organization if any other additional insured endorsement attached to this policy specifically applies to that person or organization.

6. The insurance afforded herein only applies to the extent permitted by applicable state law, including statutes governing additional insured coverage in the construction industry.

7. The insurance afforded to the additional insured shall not exceed the minimum limits required in the written contract.

C. In no event shall the insurance provided to the additional insured exceed the minimum coverage required by the written contract, including but not limited to minimum limits, minimum scope of coverage, or minimum duration of coverage. If a written contract or agreement requires that additional insured status be provided by the use of specified edition dates of the ISO CG2010 and/or CG2037, then the terms of that endorsement are incorporated into this endorsement as respects such additional insured and shall supersede the coverage grant and limitations in Sections A. and B. of this endorsement. In the event that CG2010 and/or CG2037 are required but no edition dates are specified, the 04/13 editions shall apply.

D. This insurance is excess to any other insurance, whether primary, excess, contingent or on any other basis, available to the additional insured unless a written contract requires that this insurance be primary or primary and non-contributing. However, this insurance is always excess to other insurance, whether primary, excess, contingent or on any other basis, when the additional insured has been added to the other insurance as an additional insured.

Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, provisions, agreements or limitations of the mentioned Policy, other than as above stated.

DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 1139
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: Policy No.: Endorsement No.:

Policy Effective: Premium $
Insured:

Insurance Company: American Contractors Insurance Company Risk Retention Group

ADDITIONAL INSURED – LESSOR OF LEASED EQUIPMENT –

AUTOMATIC STATUS WHEN REQUIRED IN LEASE

AGREEMENT WITH YOU
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Section II - Who Is An Insured is amended to include as an additional insured any person or organization from whom you lease equipment when you and such person or organization have agreed in writing in a contract that such person or organization be added as an additional insured on your policy. Such person or organization is an insured only with respect to their liability caused, in whole or in part, by the maintenance, operation or use by you of equipment leased to you by such person or organization. A person’s or organization’s status as an insured under this endorsement ends when their contract with you for such leased equipment ends.

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

This insurance does not apply:

1. To any “occurrence” which takes place after the equipment lease expires;

2. Unless specifically required by written contract, to “bodily injury” or “property damage” caused by the negligence of such person or organization.

C. This insurance shall not exceed the scope of coverage, including limits, of this policy and in no event shall the insurance provided to the additional insured exceed the scope of coverage, including minimum limits, minimum duration, and minimum scope of coverage required by the contract.

D. It is agreed and understood no other additional insured endorsement attached to this policy will apply unless such a person or organization is specifically designated in that endorsement.

This insurance is excess to any other insurance, whether primary, excess, contingent or on any other basis, available to the additional insured unless a written contract requires that this insurance be primary or primary and noncontributing. However, this insurance is always excess to other insurance, whether primary, excess, contingent or on any other basis, when the additional insured has been added to the other insurance as an additional insured.

Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, provisions, agreements or limitations of the mentioned Policy, other than as above stated.

Kitchell CEM, Inc.

DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 336
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: Same as policy effective date unless otherwise indicated above.

Policy Effective: Policy No.: Endorsement No.:

Insured: Premium $
Insurance Company: American Contractors Insurance Co RRG NOTICE OF CANCELLATION, NONRENEWAL OR MATERIAL CHANGE –

CERTIFICATE HOLDERS
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART
The certificate of insurance holders shown in the schedule below have requested that they receive written notice of cancellation, nonrenewal or material change with respect to this policy. If we decide to cancel, nonrenew or make a material change to this policy, we agree to mail or deliver sixty (60) days advance written notice to the certificate of insurance holders shown in the schedule below. However, if we are cancelling or nonrenewing due to nonpayment of premium, we will only provide the certificate of insurance holders shown in the schedule below with ten (10) days advance written notice.

The notice of cancellation, nonrenewal or material change will be mailed to the addresses provided to us by the certificate of insurance issuer. Proof of mailing will be considered sufficient proof of our good faith attempt to provide notice of cancellation, nonrenewal or material change to the certificate of insurance holders shown in the schedule below.

SCHEDULE
All certificate of insurance holders where written notice of cancellation, nonrenewal or material change to this policy is required by written contract, permit or agreement with the Named Insured.

Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, provisions, agreements or limitations of the mentioned Policy, other than as above stated.

DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 205
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: Same as policy effective date unless otherwise indicated above.

Policy Effective Date: Policy No.: Endorsement No.:

Insured: Premium $
Insurance Company: American Contractors Insurance Co RRG

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE
Name of Person(s) or Organization(s):

Any person or organization for whom you have agreed by written contract to furnish this waiver.

The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV – COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following:

We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or “your work” done under a contract with that person or organization and included in the “products-completed operations hazard”. This waiver applies only to the person or organization shown in the Schedule above.

Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, provisions, agreements or limitations of the mentioned Policy, other than as above stated.

DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT−CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.

The additional premium for this endorsement shall be * % of the California workers’ compensation premium otherwise due on such remuneration.

Schedule
Person or Organization Job Description
Whomever the named insured is required by written
contract executed prior to loss to waive rights of recovery against.
 No Additional Premium to be applied
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: Same as Policy Effective Date unless otherwise indicated above.

Policy Effective Date: Policy No. Endorsement No.

Premium $
Insured
Carrier Name/Code:

WC 04 03 06
(Ed. 04-84)
Kitchell CEM, Inc.

DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Business Auto Policy
Policy Endorsement

ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY
It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows:

SCHEDULE
Name of Additional Insured Person Or Organization

ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED BY WRITTEN CONTRACT OR WRITTEN

AGREEMENT TO NAME AS AN ADDITIONAL INSURED

1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II - LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy.

2. The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the “accident” for which the additional insured seeks coverage under this policy.

All other terms and conditions of the policy remain unchanged This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy.

Endorsement No: 43; Page: 1 of 1
Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL 60606
Form No: CNA71527XX (10-2012)
Endorsement Effective Date: Endorsement Expiration Date:
© Copyright CNA All Rights Reserved.

Policy Page: 188 of 197
Policy Effective Date: 06/01/2022
Policy No: BUA 7014861826
DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Business Auto Policy
Policy Endorsement

CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS I.

1. 2.
a.
b.
(1)
(2)

3. 4.

1. 2.

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

LIABILITY COVERAGE
Who Is An Insured
The following is added to Section II, Paragraph A.1., Who Is An Insured:
a. Any incorporated entity of which the Named Insured owns a majority of the voting stock on the date of inception of this Coverage Form; provided that, b. The insurance afforded by this provision A.1. does not apply to any such entity that is an insured under any other liability "policy" providing auto coverage.

Any organization you newly acquire or form, other than a limited liability company, partnership or joint venture, and over which you maintain majority ownership interest.

The insurance afforded by this provision A.2.:

Is effective on the acquisition or formation date, and is afforded only until the end of the policy period of this Coverage Form, or the next anniversary of its inception date, whichever is earlier.

Does not apply to:

Bodily injury or property damage caused by an accident that occurred before you acquired or formed the organization; or
Any such organization that is an insured under any other liability "policy" providing auto coverage.

Any person or organization that you are required by a written contract to name as an additional insured is an insured but only with respect to their legal liability for acts or omissions of a person, who qualifies as an insured under SECTION II – WHO IS AN INSURED and for whom Liability Coverage is afforded under this policy. If required by written contract, this insurance will be primary and non-contributory to insurance on which the additional insured is a Named Insured.

An employee of yours is an insured while operating an auto hired or rented under a contract or agreement in that employee's name, with your permission, while performing duties related to the conduct of your business.
"Policy", as used in this provision A. Who Is An Insured, includes those policies that were in force on the inception date of this Coverage Form but:

Which are no longer in force; or
Whose limits have been exhausted.

Bail Bonds and Loss of Earnings
Section II, Paragraphs A.2. (2) and A.2. (4) are revised as follows:

In a.(2), the limit for the cost of bail bonds is changed from $2,000 to $5,000; and In a.(4), the limit for the loss of earnings is changed from $250 to $500 a day.

Endorsement No: 41; Page: 1 of 4
Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL 60606
Form No: CNA63359XX (04-2012)
Endorsement Effective Date: Endorsement Expiration Date:
© Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission.

Policy Page: 183 of 197
Policy Effective Date: 06/01/2022
Policy No: BUA 7014861826
DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Business Auto Policy
Policy Endorsement
C.

II.

B.
a.
b.

C.
a.

D.
a.
b.
c.
d.
e.
(1)
(2)
E.

Fellow Employee
Section II, Paragraph B.5 does not apply.

Such coverage as is afforded by this provision C. is excess over any other collectible insurance.

PHYSICAL DAMAGE COVERAGE
Glass Breakage – Hitting A Bird Or Animal – Falling Objects Or Missiles The following is added to Section III, Paragraph A.3.:

With respect to any covered auto, any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced.

Transportation Expenses
Section III, Paragraph A.4.a. is revised, with respect to transportation expense incurred by you, to provide:
$60 per day, in lieu of $20; subject to
$1,800 maximum, in lieu of $600.

Loss of Use Expenses
Section III, Paragraph A.4.b. is revised, with respect to loss of use expenses incurred by you, to provide:
$1,000 maximum, in lieu of $600.

Hired "Autos"
The following is added to Section III. Paragraph A.:

5. Hired "Autos"
If Physical Damage coverage is provided under this policy, and such coverage does not extend to Hired Autos, then Physical Damage coverage is extended to:

Any covered auto you lease, hire, rent or borrow without a driver; and Any covered auto hired or rented by your employee without a driver, under a contract in that individual employee's name, with your permission, while performing duties related to the conduct of your business.

The most we will pay for any one accident or loss is the actual cash value, cost of repair, cost of replacement or $75,000, whichever is less, minus a $500 deductible for each covered auto.

No deductible applies to loss caused by fire or lightning.

The physical damage coverage as is provided by this provision is equal to the physical damage coverage(s) provided on your owned autos.

Such physical damage coverage for hired autos will:

Include loss of use, provided it is the consequence of an accident for which the Named Insured is legally liable, and as a result of which a monetary loss is sustained by the leasing or rental concern.

Such coverage as is provided by this provision will be subject to a limit of $750 per accident.

Airbag Coverage
The following is added to Section III, Paragraph B.3.:

The accidental discharge of an airbag shall not be considered mechanical breakdown.

Endorsement No: 41; Page: 2 of 4
Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL 60606
Form No: CNA63359XX (04-2012)
Endorsement Effective Date: Endorsement Expiration Date:
© Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission.

Policy Page: 184 of 197
Policy Effective Date: 06/01/2022
Policy No: BUA 7014861826
DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Business Auto Policy
Policy Endorsement
F.
c.
d.

G.
a.
b.
c.
d.
(1)
(2)
III.

1. a.
b.
(1)
(2)

2. IV.

Electronic Equipment
Section III, Paragraphs B.4.c and B.4.d. are deleted and replaced by the following:

Physical Damage Coverage on a covered auto also applies to loss to any permanently installed electronic equipment including its antennas and other accessories A $100 per occurrence deductible applies to the coverage provided by this provision.

Diminution In Value
The following is added to Section III, Paragraph B.6.:

Subject to the following, the diminution in value exclusion does not apply to:

Any covered auto of the private passenger type you lease, hire, rent or borrow, without a driver for a period of 30 days or less, while performing duties related to the conduct of your business; and
Any covered auto of the private passenger type hired or rented by your employee without a driver for a period of 30 days or less, under a contract in that individual employee's name, with your permission, while performing duties related to the conduct of your business.

Such coverage as is provided by this provision is limited to a diminution in value loss arising directly out of accidental damage and not as a result of the failure to make repairs; faulty or incomplete maintenance or repairs; or the installation of substandard parts.

The most we will pay for loss to a covered auto in any one accident is the lesser of:
$5,000; or
20% of the auto's actual cash value (ACV).

Drive Other Car Coverage – Executive Officers
The following is added to Sections II and III:

Any auto you don't own, hire or borrow is a covered auto for Liability Coverage while being used by, and for Physical Damage Coverage while in the care, custody or control of, any of your "executive officers", except:

An auto owned by that "executive officer" or a member of that person's household; or An auto used by that "executive officer" while working in a business of selling, servicing, repairing or parking autos.

Such Liability and/or Physical Damage Coverage as is afforded by this provision.

Equal to the greatest of those coverages afforded any covered auto; and Excess over any other collectible insurance.

For purposes of this provision, "executive officer" means a person holding any of the officer positions created by your charter, constitution, by-laws or any other similar governing document, and, while a resident of the same household, includes that person's spouse.

Such "executive officers" are insureds while using a covered auto described in this provision.

BUSINESS AUTO CONDITIONS
Duties In The Event Of Accident, Claim, Suit Or Loss
The following is added to Section IV, Paragraph A.2.a.:

Endorsement No: 41; Page: 3 of 4
Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL 60606
Form No: CNA63359XX (04-2012)
Endorsement Effective Date: Endorsement Expiration Date:
© Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission.

Policy Page: 185 of 197
Policy Effective Date: 06/01/2022
Policy No: BUA 7014861826
DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Business Auto Policy
Policy Endorsement
(4)
(6)
B.

E.
a.

Your employees may know of an accident or loss. This will not mean that you have such knowledge, unless such accident or loss is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager.

The following is added to Section IV, Paragraph A.2.b.:

Your employees may know of documents received concerning a claim or suit. This will not mean that you have such knowledge, unless receipt of such documents is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager.

Transfer Of Rights Of Recovery Against Others To Us
The following is added to Section IV, Paragraph A.5. Transfer Of Rights Of Recovery Against Others To Us:

We waive any right of recovery we may have, because of payments we make for injury or damage, against any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us.

This injury or damage must arise out of your activities under a contract with that person or organization.

You must agree to that requirement prior to an accident or loss.

Concealment, Misrepresentation or Fraud
The following is added to Section IV, Paragraph B.2.:

Your failure to disclose all hazards existing on the date of inception of this Coverage Form shall not prejudice you with respect to the coverage afforded provided such failure or omission is not intentional.

Other Insurance
The following is added to Section IV, Paragraph B.5.:

Regardless of the provisions of Paragraphs 5.a. and 5.d. above, the coverage provided by this policy shall be on a primary non-contributory basis. This provision is applicable only when required by a written contract.

That written contract must have been entered into prior to Accident or Loss.

Policy Period, Coverage Territory
Section IV, Paragraph B. 7.(5).(a). is revised to provide:
45 days of coverage in lieu of 30 days.

DEFINITIONS
Section V. paragraph C. is deleted and replaced by the following:

Bodily injury means bodily injury, sickness or disease sustained by a person, including mental anguish, mental injury or death resulting from any of these.

Endorsement No: 41; Page: 4 of 4
Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL 60606
Form No: CNA63359XX (04-2012)
Endorsement Effective Date: Endorsement Expiration Date:
© Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission.

Policy Page: 186 of 197
Policy Effective Date: 06/01/2022
Policy No: BUA 7014861826
DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1 Business Auto Policy
Policy Endorsement

NOTICE OF CANCELLATION TO CERTIFICATEHOLDERS
It is understood and agreed that:

If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificateholders at least 30 days in advance of the date cancellation is effective.

If notice is mailed, then proof of mailing to the last known mailing address of the Certificateholder on file with the Agent of Record will be sufficient to prove notice.

Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any liability or obligation upon us or the Agent of Record.

Endorsement No: 42; Page: 1 of 1
Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL 60606
Form No: CNA68021XX (02-2013)
Endorsement Effective Date: Endorsement Expiration Date:
© Copyright CNA All Rights Reserved.

Policy Page: 187 of 197
Policy Effective Date: 06/01/2022
Policy No: BUA 7014861826
DocuSign Envelope ID: 9194D198-6444-4C9A-A9C6-B2A5620CA4D1

South San Francisco City CouncilOctober 29, 2025

South San Francisco City Council
October 29, 2025