Vallejo City Council
November 19, 2024










 



 



BUSINESS LIABILITY COVERAGE FORM
(b) b.Rented to, in the care, custody or Coverage under this provision does not control of, or over which physical apply to:
control is being exercised for any (1) "Bodily injury" or "property damage" purpose by you, any of your that occurred; or
"employees", "volunteer workers", (2) "Personal and advertising injury" any partner or member (if you are arising out of an offense committeda partnership or joint venture), or before you acquired or formed the any member (if you are a limited organization.liability company).

4. Operator Of Mobile Equipmentb. Real Estate Manager
With respect to "mobile equipment" registered inAny person (other than your "employee" or your name under any motor vehicle registration"volunteer worker"), or any organization law, any person is an insured while driving suchwhile acting as your real estate manager. equipment along a public highway with yourc. Temporary Custodians Of Your permission. Any other person or organizationProperty responsible for the conduct of such person isAny person or organization having proper also an insured, but only with respect to liabilitytemporary custody of your property if you arising out of the operation of the equipment, anddie, but only: only if no other insurance of any kind is available (1) With respect to liability arising out of the to that person or organization for this liability. maintenance or use of that property; and However, no person or organization is an insured with respect to:(2) Until your legal representative has been appointed. a. "Bodily injury" to a co-"employee" of the person driving the equipment; ord. Legal Representative If You Die b. "Property damage" to property owned by, Your legal representative if you die, but rented to, in the charge of or occupied byonly with respect to duties as such. That you or the employer of any person who is representative will have all your rights and an insured under this provision.duties under this insurance.

5. Operator of Nonowned Watercrafte. Unnamed Subsidiary With respect to watercraft you do not own that Any subsidiary and subsidiary thereof, of is less than 51 feet long and is not being used yours which is a legally incorporated entity to carry persons for a charge, any person is an of which you own a financial interest of insured while operating such watercraft with more than 50% of the voting stock on the your permission. Any other person or effective date of this Coverage Part. organization responsible for the conduct of The insurance afforded herein for any such person is also an insured, but only with subsidiary not shown in the Declarations respect to liability arising out of the operation as a named insured does not apply to of the watercraft, and only if no otherinjury or damage with respect to which an insurance of any kind is available to that insured under this insurance is also an person or organization for this liability.insured under another policy or would be However, no person or organization is an an insured under such policy but for its insured with respect to:termination or upon the exhaustion of its limits of insurance. a. "Bodily injury" to a co-"employee" of the person operating the watercraft; or3. Newly Acquired Or Formed Organization b. "Property damage" to property owned by,Any organization you newly acquire or form, rented to, in the charge of or occupied by other than a partnership, joint venture or you or the employer of any person who is limited liability company, and over which you an insured under this provision.maintain financial interest of more than 50% of the voting stock, will qualify as a Named 6. Additional Insureds When Required By
Insured if there is no other similar insurance Written Contract, Written Agreement Or available to that organization. However: Permit
a. Coverage under this provision is afforded The person(s) or organization(s) identified in only until the 180th day after you acquire a. f.Paragraphs through below are additional or form the organization or the end of the insureds when you have agreed, in a written policy period, whichever is earlier; and
Form SS 00 08 04 05 Page 11 of 24









 



 



BUSINESS LIABILITY COVERAGE FORM
(e)contract, written agreement or because of a Any failure to make such permit issued by a state or political inspections, adjustments, tests or subdivision, that such person or organization servicing as the vendor ha s be added as an additional insured on your agreed to make or normally policy, provided the injury or damage occurs undertakes to make in the usual subsequent to the execution of the contract or course of business, in connection agreement, or the issuance of the permit. with the distribution or sale ofthe products;A person or organization is an additional
(f) Demonstration, installation, insured under this provision only for that servicing or repair operations, period of time required by the contract, except such operations performed agreement or permit.
at the vendor's premises in However, no such person or organization is an connection with the sale of the additional insured under this provision if such product;person or organization is included as an (g) Products which, after distribution additional insured by an endorsement issued or sale by you, have been labeled by us and made a part of this Coverage Part, or relabeled or used as a including all persons or organizations added container, part or ingredient of any as additional insureds under the specific other thing or substance by or for additional insured coverage grants in Section the vendor; orF. – Optional Additional Insured Coverages. (h) "Bodily injury" or "property a. Vendors
damage" arising out of the sole Any person(s) or organization(s) (referred to negligence of the vendor for its below as vendor), but only with respect to own acts or omissions or those of"bodily injury" or "property damage" arising its employees or anyone else out of "your products" which are distributed acting on its behalf. However, thisor sold in the regular course of the vendor's exclusion does not apply to:business and only if this Coverage Part (i) The exceptions contained in provides coverage for "bodily injury" or (d) (f)Subparagraphs or ; or"property damage" included within the (ii)"products-completed operations hazard". Such inspections, adjustments, tests or servicing as the vendor(1) The insurance afforded to the vendor has agreed to make or normallyis subject to the following additional undertakes to make in the usualexclusions:
course of business, inThis insurance does not apply to: connection with the distribution (a) "Bodily injury" or "property or sale of the products. damage" for which the vendor is (2) This insurance does not apply to anyobligated to pay damages by insured person or organization fromreason of the assumption of whom you have acquired such products,liability in a contract or agreement. or any ingredient, part or container,This exclusion does not apply to entering into, accompanying orliability for damages that the containing such products.vendor would have in the absence b. Lessors Of Equipmentof the contract or agreement;
(1) Any person or organization from (b) Any express warranty whom you lease equipment; but only unauthorized by you; with respect to their liability for "bodily (c) Any physicalor chemical change injury", "property damage" orin the product made intentionally "personal and advertising injury"by the vendor; caused, in whole or in part, by your (d) Repackaging, except when maintenance, operation or use of unpacked solely for the purpose of equipment leased to you by such inspection, demonstration, testing, person or organization. or the substitution of parts under
instructions from the manufacturer,
and then repackaged in the
original container;










 



 



BUSINESS LIABILITY COVERAGE FORM
(2) e. Permits Issued By State Or Political With respect to the insurance afforded Subdivisionsto these additional insureds, this
insurance does not apply to any (1) Any state or political subdivision, but "occurrence" which takes place after only with respect to operations you cease to lease that equipment. performed by you or on your behalf for c. Lessors Of Land Or Premises which the state or political subdivision has issued a permit.(1) Any person or organization from (2)whom you lease land or premises, but With respect to the insurance afforded only with respect to liability arising out to these additional insureds, this of the ownership, maintenance or use insurance does not apply to:
of that part of the land or premises (a) "Bodily injury", "property damage" leased to you. or "personal and advertising
(2) With respect to the insurance afforded injury" arising out of operations to these additional insureds, this performed for the state or insurance does not apply to: municipality; or
(a) (b)Any "occurrence" which takes "Bodily injury" or "property damage" place after you cease to lease that included within the "products- land or be a tenant in that completedoperations hazard". premises; or f. Any Other Party
(b) Structural alterations, new (1) Any other person or organization who construction or demolition a.is not an insured under Paragraphs operations performed by or on ethrough . above, but only with behalf of such person or respect to liability for "bodily injury", organization. "property damage" or "personal and
d. Architects, Engineers Or Surveyors advertising injury" caused, in whole or in part, by your acts or omissions or(1) Any architect, engineer, or surveyor, but the acts or omissions of those acting only with respect to liability for "bodily on your behalf:injury", "property damage" or "personal
(a)and advertising injury" caused, in whole In the performance of your or in part, by your acts or omissions or ongoing operations; the acts or omissions of those acting on (b) In connection with your premises your behalf: owned by or rented to you; or
(a) In connection with your premises; (c) In connection with "your work" and or included within the "products-
(b) In the performance of your completed operations hazard", but ongoing operations performed by only if
you or on your behalf. (i) The written contract or written (2) With respect to the insurance afforded agreement requires you to to these additional insureds, the provide such coverage to following additional exclusion applies: such additional insured; and (ii)This insurance does not apply to This Coverage Part provides "bodily injury", "property damage" or coverage for "bodily injury" or "personal and advertising injury" "property damage" included arising out of the rendering of or the within the "products- failure to render any professional completed operations hazard". services by or for you, including: (2) With respect to the insurance afforded (a) The preparing, approving, or to these additional insureds, this failure to prepare or approve, insurance does not apply to:
maps, shop drawings, opinions, "Bodily injury", "property damage" or reports, surveys, field orders, "personal and advertising injury" change orders, designs or arising out of the rendering of, or the drawings and specifications; or failure to render, any professional (b) Supervisory, inspection, architectural, engineering or surveying architectural or engineering services, including:
activities.

Form SS 00 08 04 05 Page 13 of 24









 



 



BUSINESS LIABILITY COVERAGE FORM
(a) The preparing, approving, or This General Aggregate limit does not failure to prepare or approve, apply to "property damage" to premises maps, shop drawings, opinions, while rented to you or temporarily reports, surveys, field orders, occupied by you with permission of the change orders, designs or owner, arising out of fire, lightning or drawings and specifications; or explosion.
(b) 3. Each Occurrence LimitSupervisory, inspection,
architectural or engineering 2.a. 2.bSubject to or above, whichever activities. applies, the most we will pay for the sum of all The limits of insurance that apply to additional damages because of all "bodily injury", D.insureds are described in Section – Limits "property damage" and medical expenses Of Insurance. arising out of any one "occurrence" is the Liability and Medical Expenses Limit shown in How this insurance applies when other the Declarations.insurance is available to an additional insured is described in the Other Insurance Condition The most we will pay for all medical expenses E.in Section – Liability And Medical Expenses because of "bodily injury" sustained by any General Conditions. one person is the Medical Expenses Limit shown in the Declarations.No person or organization is an insured with

4. Personal And Advertising Injury Limitrespect to the conduct of any current or past partnership, joint venture or limited liability 2.b.Subject to above, the most we will pay for company that is not shown as a Named Insured in the sum of all damages because of all the Declarations. "personal and advertising injury" sustained by any one person or organization is the Personal
D. LIABILITY AND MEDICAL EXPENSES
and Advertising Injury Limit shown in the LIMITS OF INSURANCE Declarations.

1. The Most We Will Pay 5. Damage To Premises Rented To You Limit The Limits of Insurance shown in the The Damage To Premises Rented To You Declarations and the rules below fix the most Limit is the most we will pay under Business we will pay regardless of the number of: Liability Coverage for damages because of a. Insureds; "property damage" to any one premises, while b. Claims made or "suits" brought; or rented to you, or in the case of damage by fire, lightning or explosion, while rented to you or c. Persons or organizations making claims or temporarily occupied by you with permission of bringing "suits". the owner. 2. Aggregate Limits
In the case of damage by fire, lightning or The most we will pay for: explosion, the Damage to Premises Rented To a. Damages because of "bodily injury" and You Limit applies to all damage proximately "property damage" included in the caused by the same event, whether such "products-completed operations hazard" is damage results from fire, lightning or explosion the Products-Completed Operations or any combination of these.

Aggregate Limit shown in the 6. How Limits Apply To Additional InsuredsDeclarations.

The most we will pay on behalf of a person or b. Damages because of all other "bodily organization who is an additional insured injury", "property damage" or "personal under this Coverage Part is the lesser of:and advertising injury", including medical a. The limits of insurance specified in a expenses, is the General Aggregate Limit written contract, written agreement or shown in the Declarations. permit issued by a state or political This General Aggregate Limit applies subdivision; orseparately to each of your "locations" b. The Limits of Insurance shown in the owned by or rented to you.

Declarations."Location" means premises involving the
Such amount shall be a part of and not in same or connecting lots, or premises addition to the Limits of Insurance shown in whose connection is interrupted only by a the Declarations and described in this Section.street, roadway or right-of-way of a railroad.










 



 



BUSINESS LIABILITY COVERAGE FORM
(1)If more than one limit of insurance under this Immediately send us copies ofa n y policy and any endorsements attached thereto demands, notices, summonses or applies to any claim or "suit", the most we will pay legal papers received in connection under this policy and the endorsements is the with the claim or "suit"; single highest limit of liability of all coverages (2) Authorize us to obtain records and applicable to such claim or "suit". However, this other information; paragraph does not apply to the Medical Expenses (3) Cooperate with us in the investigation, 3.limit set forth in Paragraph above. settlement of the claim or defense The Limits of Insurance of this Coverage Part apply against the "suit"; and separately to each consecutive annual period and to (4) Assist us, upon our request, in the any remaining period of less than 12 months, starting enforcement of any right against any with the beginning of the policy period shown in the person or organization that may be Declarations, unless the policy period is extended liable to the insured because of injury after issuance for an additional period of less than 12 or damage to which this insurance months. In that case, the additional period will be may also apply.deemed part of the last preceding period for purposesd. Obligations At The Insured's Own Costof determining the Limits of Insurance.

No insured will, except at that insured's ownE. LIABILITY AND MEDICAL EXPENSES cost, voluntarily make a payment, assume GENERAL CONDITIONS any obligation, or incur any expense, other than for first aid, without our consent.1. Bankruptcy
e. Additional Insured's Other InsuranceBankruptcy or insolvency of the insured or of the insured's estate will not relieve us of our If we cover a claim or "suit" under this obligations under this Coverage Part. Coverage Part that may also be covered by other insurance available to an2. Duties In The Event Of Occurrence, additional insured, such additional insuredOffense, Claim Or Suit must submit such claim or "suit" to thea. Notice Of Occurrence Or Offense other insurer for defense and indemnity.

You or any additional insured must see to However, this provision does not apply toit that we are notified as soon as the extent that you have agreed in apracticable of an "occurrence" or an written contract, written agreement oroffense which may result in a claim. To permit that this insurance is primary andthe extent possible, notice should include: non-contributory with the additional (1) How, when and where the "occurrence" insured's own insurance. or offense took place; f. Knowledge Of An Occurrence, Offense, (2) The names and addresses of any Claim Or Suit
injured persons and witnesses; and a. b.Paragraphs and apply to you or to (3) The nature and location of any injury any additional insured only when such or damage arising out of the "occurrence", offense, claim or "suit" is "occurrence" or offense. known to:
b. Notice Of Claim (1) You or any additional insured that is an individual;If a claim is made or "suit" is brought
against any insured, you or any additional (2) Any partner, if you or an additional insured must: insured is a partnership;
(1) Immediately record the specifics of the (3) Any manager, if you or an additional claim or "suit" and the date received; insured is a limited liability company; and (4) Any "executive officer" or insurance
(2) Notify us as soon as practicable. manager, if you or an additional insured is a corporation;You or any additional insured must see to it that we receive a written notice of the (5) Any trustee, if you or an additional claim or "suit" as soon as practicable. insured is a trust; or c. Assistance And Cooperation Of The (6) Any elected or appointed official, if you Insured or an additional insured is a political
subdivision or public entity.You and any other involved insured must:

Form SS 00 08 04 05 Page 15 of 24









 



 



BUSINESS LIABILITY COVERAGE FORM
f. (3)This Paragraph applies separately to We have issued this policy in reliance you and any additional insured. upon your representations.

3. Financial Responsibility Laws b. Unintentional Failure To Disclose Hazardsa. When this policy is certified as proof of
financial responsibility for the future under If unintentionally you should fail to disclose the provisions of any motor vehicle all hazards relating to the conduct of your financial responsibility law, the insurance business at the inception date of this provided by the policy for "bodily injury" Coverage Part, we shall not deny any liability and "property damage" liability will coverage under this Coverage Part comply with the provisions of the law to because of such failure. the extent of the coverage and limits of 7. Other Insurance insurance required by that law. If other valid and collectible insurance is b. With respect to "mobile equipment" to available for a loss we cover under this which this insurance applies, we will Coverage Part, our obligations are limited as provide any liability, uninsured motorists, follows:underinsured motorists, no-fault or other a. Primary Insurancecoverage required by any motor vehicle b.law. We will provide the required limits for This insurance is primary except when those coverages. below applies. If other insurance is also primary, we will share with all that other 4. Legal Action Against Us c.insurance by the method described inNo person or organization has a right under below.this Coverage Form:
b. Excess Insurancea. To join us as a party or otherwise bring us This insurance is excess over any of the into a "suit" asking for damages from an other insurance, whether primary, excess, insured; or
contingent or on any other basis:b. To sue us on this Coverage Form unless (1) Your Workall of its terms have been fully complied
with. That is Fire, Extended Coverage,
Builder's Risk, Installation Risk or A person or organization may sue us to recover similar coverage for "your work";on an agreed settlement or on a final judgment against an insured; but we will not be liable for (2) Premises Rented To You damages that are not payable under the terms of That is fire, lightning or explosion this insurance or that are in excess of the insurance for premises rented to you applicable limit of insurance. An agreed or temporarily occupied by you with settlement means a settlement and release of permission of the owner;liability signed by us, the insured and the (3) Tenant Liabilityclaimant or the claimant's legal representative.

That is insurance purchased by you to 5. Separation Of Insureds cover your liability as a tenant for Except with respect to the Limits of Insurance, "property damage" to premises rented and any rights or duties specifically assigned to you or temporarily occupied by you in this policy to the first Named Insured, this with permission of the owner;insurance applies:
(4) Aircraft, Auto Or Watercrafta. As if each Named Insured were the only If the loss arises out of the maintenanceNamed Insured; and or use of aircraft, "autos" or watercraft tob. Separately to each insured against whom g.the extent not subject to Exclusion ofa claim is made or "suit" is brought. A.Section – Coverages.

6. Representations (5) Property Damage To Borrowed
a. When You
Accept This Policy Equipment Or Use Of Elevators
By accepting this policy, you agree: If the loss arises out of "property damage" to borrowed equipment or (1) The statements in the Declarations the use of elevators to the extent not are accurate and complete; k. A.subject to Exclusion of Section –(2) Those statements are based upon Coverages.representations you made to us; and










 



 



BUSINESS LIABILITY COVERAGE FORM
(6) When You Are Added As An When this insurance is excess over other Additional Insured To Other insurance, we will pay only our share of Insurance the amount of the loss, if any, that
exceeds the sum of:That is other insurance available to (1)you covering liability for damages The total amount that all such other arising out of the premises or insurance would pay for the loss in the operations, or products and completed absence of this insurance; and operations, for which you have been (2) The total of all deductible and self- added as an additional insured by that insured amounts under all that other insurance; or insurance.
(7) When You Add Others As An We will share the remaining loss, if any, with Additional Insured To This any other insurance that is not described in Insurance this Excess Insurance provision and was not
That is other insurance available to an bought specifically to apply in excess of the additional insured. Limits of Insurance shown in the
Declarations of this Coverage Part.However, the following provisions c. Method Of Sharingapply to other insurance available to any person or organization who is an If all the other insurance permits additional insured under this Coverage contribution by equal shares, we will follow Part: this method also. Under this approach,
(a) Primary Insurance When each insurer contributes equal amounts Required By Contract until it has paid its applicable limit of insurance or none of the loss remains, This insurance is primary if you whichever comes first.have agreed in a written contract, written agreement or permit that If any of the other insurance does not permit this insurance be primary. If other contribution by equal shares, we will insurance is also primary, we will contribute by limits. Under this method, each share with all that other insurance insurer’s share is based on the ratio ofi t s c.by the method described in applicable limit of insurance to the total below. applicable limits of insurance of all insurers.
(b) Primary And Non-Contributory 8. Transfer Of Rights Of Recovery Against To Other Insurance When Others To Us
Required By Contract a. Transfer Of Rights Of Recovery
If you have agreed in a written If the insured has rights to recover all or contract, written agreement or part of any payment, including permit that this insurance is Supplementary Payments, we have made primary and non-contributory with under this Coverage Part, those rights are the additional insured's own transferred to us. The insured must do insurance, this insurance is nothing after loss to impair them. At our primary and we will not seek request, the insured will bring "suit" or contribution from that other transfer those rights to us and help us insurance. enforce them. This condition does not
(a) (b)Paragraphs and do not apply to apply to Medical Expenses Coverage. other insurance to which the additional b. Waiver Of Rights Of Recovery (Waiver insured has been added as an Of Subrogation)
additional insured. If the insured has waived any rights of When this insurance is excess, we will recovery against any person or have no duty under this Coverage Part to organization for all or part of any payment, defend the insured against any "suit" if any including Supplementary Payments, we other insurer has a duty to defend the have made under this Coverage Part, we insured against that "suit". If no other also waive that right, provided the insured insurer defends, we will undertake to do waived their rights of recovery against so, but we will be entitled to the insured's such person or organization in a contract, rights against all those other insurers. agreement or
permit that was executed
prior to the injury or damage.

Form SS 00 08 04 05 Page 17 of 24









 



 



BUSINESS LIABILITY COVERAGE FORM

3. Additional Insured - Grantor Of FranchiseF. OPTIONAL ADDITIONAL INSURED C.WHO IS AN INSURED under Section isCOVERAGES
amended to include as an additional insured If listed or shown as applicable in the Declarations, the person(s) or organization(s) shown in the one or more of the following Optional Additional Declarations as an Additional Insured -Insured Coverages also apply. When any of these Grantor Of Franchise, but only with respect to Optional Additional Insured Coverages apply, their liability as grantor of franchise to you.6.Paragraph (Additional Insureds When Required

4. Additional Insured - Lessor Of Leasedby Written Contract, Written Agreement or Permit) EquipmentC.of Section , Who Is An Insured, does not apply to the person or organization shown in the a. C.WHO IS AN INSURED under Section is Declarations. These coverages are subject to the amended to include as an additional terms and conditions applicable to Business insured the person(s) or organization(s) Liability Coverage in this policy, except as shown in the Declarations as an Additional provided below: Insured – Lessor of Leased Equipment,
but only with respect to liability for "bodily 1. Additional Insured - Designated Person Or injury", "property damage" or "personal Organization
and advertising injury" caused, in whole or C.WHO IS AN INSURED under Section is in part, by your maintenance, operation oramended to include as an additional insured use of equipment leased to you by such the person(s) or organization(s) shown in the person(s) or organization(s).Declarations, but only with respect to liability b. With respect to the insurance afforded to for "bodily injury", "property damage" or these additional insureds, this insurance "personal and advertising injury" caused, in does not apply to any "occurrence" which whole or in part, by your acts or omissions or takes place after you cease to lease that the acts or omissions of those acting on your equipment.behalf:

5. Additional Insured - Owners Or Other a. In the performance of your ongoing Interests From Whom Land Has Been operations; or
Leasedb. In connection with your premises owned
a. C. WHO IS AN INSURED under Section is by or rented to you. amended to include as an additional 2. Additional Insured - Managers Or Lessors insured the person(s) or organization(s) Of Premises shown in the Declarations as an Additional a. C.WHO IS AN INSURED under Section is Insured – Owners Or Other Interests From amended to include as an additional insured Whom Land Has Been Leased, but only the person(s) or organization(s) shown in the with respect to liability arising out of the Declarations as an Additional Insured - ownership, maintenance or use of that part Designated Person Or Organization; but only of the land leased to you and shown in the with respect to liability arising out of the Declarations. ownership, maintenance or use of that part of b. With respect to the insurance afforded to the premises leased to you and shown in the these additional insureds, the following Declarations. additional exclusions apply:
b. With respect to the insurance afforded to This insurance does not apply to:these additional insureds, the following (1) Any "occurrence" that takes place additional exclusions apply:
after you cease to lease that land; orThis insurance does not apply to:
(2) Structural alterations, new (1) Any "occurrence" which takes place construction or demolition operations after you cease to be a tenant in that performed by or on behalf of such premises; or person or organization. (2) Structural alterations, new 6. Additional Insured - State Or Politicalconstruction or demolition operations Subdivision – Permitsperformed by or on behalf of such a. C.WHO IS AN INSURED under Section isperson or organization. amended to include as an additional
insured the state or political subdivision
shown in the Declarations as an Additional










 



 



BUSINESS LIABILITY COVERAGE FORM
(e)Insured – State Or Political Subdivision - Any failure to make such Permits, but only with respect to inspections, adjustments, tests or operations performed by you or on your servicing as the vendor has agreed behalf for which the state or political to make or normally undertakes to subdivision has issued a permit. make in the usual course of business, in connection with theb. With respect to the insurance afforded to distribution or sale of the products;these additional insureds, the following (f) Demonstration, installation, additional exclusions apply:
servicing or repair operations, This insurance does not apply to: except such operations performed (1) "Bodily injury", "property damage" or at the vendor's premises in "personal and advertising injury" connection with the sale of thearising out of operations performed for product;the state or municipality; or (g) Products which, after distribution (2) "Bodily injury" or "property damage" or sale by you, have been labeled included in the "product-completed or relabeled or used as a operations" hazard. container, part or ingredient of any

7. Additional Insured – Vendors other thing or substance by or for the vendor; ora. C.WHO IS AN INSURED under Section is
amended to include as an additional (h) "Bodily injury" or "property insured the person(s) or organization(s) damage" arising out of the sole (referred to below as vendor) shown in the negligence of the vendor for its Declarations as an Additional Insured - own acts or omissions or those of Vendor, but only with respect to "bodily its employees or anyone else injury" or "property damage" arising out of acting on its behalf. However, this "your products" which are distributed or exclusion does not apply to:
sold in the regular course of the vendor's (i) The exceptions contained in business and only if this Coverage Part (d) (f)Subparagraphs or ; orprovides coverage for "bodily injury" or (ii) Such inspections, "property damage" included within the adjustments, tests or servicing "products-completed operations hazard". as the vendor has agreed to b. The insurance afforded to the vendor is make or normally undertakes subject to the following additional exclusions: to make in the usual course of (1) This insurance does not apply to: business, in connection with the distribution or sale of the (a) "Bodily injury" or "property products.damage" for which the vendor is
obligated to pay damages by (2) This insurance does not apply to any reason of the assumption of insured person or organization from liability in a contract or agreement. whom you have acquired such This exclusion does not apply to products, or any ingredient, part or liability for damages that the container, entering into, vendor would have in the absence accompanying or containing such of the contract or agreement; products.
(b) Any express warranty 8. Additional Insured – Controlling Interest unauthorized by you; C.WHO IS AN INSURED under Section is (c) Any physical or chemical change amended to include as an additional insured in t
he product made intentionally the person(s) or organization(s) shown in the by the vendor; Declarations as an Additional Insured –
Controlling Interest, but only with respect to (d) Repackaging, unless unpacked their liability arising out of:solely for the purpose of inspection, demonstration, testing, or the a. Their financial control of you; or substitution of parts under b. Premises they own, maintain or control instructions from the manufacturer, while you lease or occupy these premises. and then repackaged in the original
container;
Form SS 00 08 04 05 Page 19 of 24









 



 



BUSINESS LIABILITY COVERAGE FORM
This insurance does not apply to structural The limits of insurance that apply to additional D.alterations, new construction and demolition insureds are described inSection – Limits Of operations performed by or for that person or Insurance. organization. How this insurance applies when other insurance

9. Additional Insured – Owners, Lessees Or is available to an additional insured is described in Contractors – Scheduled Person Or E.the Other Insurance Condition in Section – Organization Liability And Medical Expenses General
Conditions.a. C. WHO IS AN INSURED under Section is
amended to include as an additional
G. LIABILITY AND MEDICAL EXPENSES
insured the person(s) or organization(s) DEFINITIONSshown in the Declarations as an Additional

1. "Advertisement" means the widespread public Insured – Owner, Lessees Or Contractors, dissemination of information or images that but only with respect to liability for "bodily has the purpose of inducing the sale of goods, injury", "property damage" or "personal products or services through:and advertising injury" caused, in whole or in part, by your acts or omissions or the a. (1) Radio; acts or omissions of those acting on your (2) Television; behalf: (3) Billboard;
(1) In the performance of your ongoing (4) Magazine;operations for the additional (5) Newspaper;insured(s); or b. The Internet, but only that part of a web (2) In connection with "your work" site that is about goods, products or performed for that additional insured services for the purposes of inducing the and included within the "products- sale of goods, products or services; orcompleted operations hazard", but c. Any other publication that is given only if this Coverage Part provides widespread public distribution.coverage for "bodily injury" or "property damage" included within the However, "advertisement" does not include:
"products-completed operations a. The design, printed material, information hazard". or images contained in, on or upon the b. With respect to the insurance afforded to packaging or labeling of any goods or these additional insureds, this insurance products; or
does not apply to "bodily injury", "property b. An interactive conversation between ordamage" or "personal an advertising among persons through a computer network.injury" arising out of the rendering of, or

2. "Advertising idea" means any idea for an the failure to render, any professional "advertisement".architectural, engineering or surveying services, including: 3. "Asbestos hazard" means an exposure or threat of exposure to the actual or alleged(1) The preparing, approving, or failure to properties of asbestos and includes the mere prepare or approve, maps, shop presence of asbestos in any form.drawings, opinions, reports, surveys, field orders, change orders, designs or 4. "Auto" means a land motor vehicle, trailer or drawings and specifications; or semi-trailer designed for travel on public roads, including any attached machinery or (2) Supervisory, inspection, architectural equipment. But "auto" does not include or engineering activities. "mobile equipment".10. Additional Insured – Co-Owner Of Insured

5. "Bodily injury" means physical:Premises
a. Injury;C.WHO IS AN INSURED under Section is
amended to include as an additional insured b. Sickness; or the person(s) or Organization(s) shown in the c. DiseaseDeclarations as an Additional Insured – Co- sustained by a person and, if arising out of the Owner
Of Insured Premises, but only with
above, mental anguish or death at any time.respect to their liability as co-owner of the premises shown in the Declarations. 6. "Coverage territory" means:










 



 



ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?

INSR ADDL SUBR

LTR INSD WVD

PRODUCER CONTACT
NAME:

FAXPHONE
(A/C, No):(A/C, No, Ext):

E-MAIL
ADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT
OTHER: $

COMBINED SINGLE LIMIT
$(Ea accident)
ANY AUTO BODILY INJURY (Per person) $

OWNED SCHEDULED
BODILY INJURY (Per accident) $AUTOS ONLY AUTOS

HIRED NON-OWNED PROPERTY DAMAGE
$AUTOS ONLY AUTOS ONLY (Per accident)
$

OCCUR EACH OCCURRENCE
CLAIMS-MADE AGGREGATE $
DED RETENTION $

PER OTH-

STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC #

COMMERCIAL GENERAL LIABILITY
Y / N
N / A
(Mandatory in NH)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

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

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

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

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

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

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

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

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)
$
$
$
$
$The ACORD name and logo are registered marks of ACORD
3/6/2023
(408) 792-5407 (408) 792-3670
11000
Shums Coda Associates, Inc.
5776 Stoneridge Mall Road
Suite 150
Pleasanton, CA 94588
22357
10346
16543
A
2,000,000
XX 57SBABZ4608 3/8/2023 3/8/2024 1,000,000
10,000
2,000,000
4,000,000
4,000,000
1,000,000
B
X 57UECFN0207 12/20/2022 12/20/2023
1,000,000A
57SBABZ4608 3/8/2023 3/8/2024 1,000,000
10,000
C
EIG496370001 3/23/2023 3/23/2024 1,000,000
1,000,000
1,000,000
D E&O/Professional Lia BFLPMLTCA011300_020333_02 3/8/2023 Limit 3,000,000 RE: RFQ Number 604738-18; Inspection Services - Per Written Contract or Agreement with the Named Insured.

Clark County, its officers and employees are included as Additional Insured as respects General Liability, this insurance is primary and non-contributory and Waiver of Subrogation applies, per written contract, per forms SS 00 08 04 05 and SS 12 15 03 00 attached. Clark County, its officers and employees are included as Additional Insured as respects Auto Liability, per written contract, per form HA 99 16 03 12 attached.

Form CIR Attached.

Clark County, Nevada c/o Purchasing and Contracts Division Government Center, Fourth Floor
500 S Grand Central Parkway
PO Box 551217
Las Vegas, NV 89155-1217
SHUMCOD-01 BENNETTVIERHUS
NFP Property & Casualty Services, Inc.
160 West Santa Clara Street
Suite 575
San Jose, CA 95113
Liu Peng
[email protected]
Sentinel Insurance Company Ltd
Hartford Accident and Indemnity Co
Employers Preferred Insurance Company
Texas Insurance Company
X
3/8/2024
X
X
X
X
X
X
X









 



 



FORM NUMBER:

EFFECTIVE DATE:

The ACORD name and logo are registered marks of ACORD

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE
FORM TITLE:

Page of

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ACORD 101 (2008/01)
AGENCY CUSTOMER ID:

LOC #:

AGENCY NAMED INSURED

POLICY NUMBER

CARRIER NAIC CODE
© 2008 ACORD CORPORATION. All rights reserved.

NFP Property & Casualty Services, Inc.

SHUMCOD-01
SEE PAGE 1
1 SEE PAGE 1
ACORD 25 Certificate of Liability Insurance
1 SEE P 1
Shums Coda Associates, Inc.
5776 Stoneridge Mall Road
Suite 150
Pleasanton, CA 94588
SEE PAGE 1

BENNETTVIERHUS
1 CONTRACTUAL INSURANCE REQUIREMENTS
The attached Certificate of Insurance is provided as part of our service to our client, the Insured. If special endorsements have been provided, they also are indicated attached. You may find that these documents do not comply with all the terms and conditions of the underlying contract between the Certificate Holder and the Insured due to the insurance company’s insuring conditions, limitations, exclusions and other terms.

If you have any questions, please contact the undersigned.

NFP Property and Casualty Services, Inc.
160 West Santa Clara Street, Suite #575
CA License #0F15715
TELEPHONE: 408.792.5400
FAX: 408.792.3670









 



 



ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?

INSR ADDL SUBR

LTR INSD WVD
PRODUCER CONTACTNAME:

FAXPHONE
(A/C, No):(A/C, No, Ext):

E-MAILADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT
OTHER: $

COMBINED SINGLE LIMIT
$(Ea accident)
ANY AUTO BODILY INJURY (Per person) $

OWNED SCHEDULED
BODILY INJURY (Per accident) $AUTOS ONLY AUTOS

HIRED NON-OWNED PROPERTY DAMAGE
$AUTOS ONLY AUTOS ONLY (Per accident)
$

OCCUR EACH OCCURRENCE
CLAIMS-MADE AGGREGATE $
DED RETENTION $

PER OTH-

STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC #

COMMERCIAL GENERAL LIABILITY
Y/N
N/A
(Mandatory in NH)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

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

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

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

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

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

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

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

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)
$
$
$
$
$The ACORD name and logo are registered marks of ACORD
3/29/2023
(408) 792-5400 (408) 792-3670
11000
Shums Coda Associates, Inc.
5776 Stoneridge Mall Road, Suite 150
Pleasanton, CA 94588
22357
10346
16543
A
2,000,000
X 57SBABZ4608 3/8/2023 3/8/2024 1,000,000
10,000
2,000,000
4,000,000
4,000,000
1,000,000
B
57UECFN0207 12/20/2022 12/20/2023
1,000,000A
57SBABZ4608 3/8/2023 3/8/2024 1,000,000
10,000
C
X EIG496370001 3/23/2023 3/23/2024 1,000,000
1,000,000
1,000,000
D E&O/Professional Lia BFLPMLTCA011300_020333_02 3/8/2023 Limit 3,000,000 Re: Per Written Contract or Agreement with the Named Insured.

City of Vallejo is included as Additional Insured as respects General Liability, per written contract, per form SS 00 08 04 05 attached. Worker's Compensation waiver of subrogation in favor of City of Vallejo per blanket policy endorsement WC 04 03 06 attached. Form CIR Attached.

City of Vallejo
555 Santa Clara Street
Vallejo, CA 94590
SHUMCOD-01 MARIAVELASQUEZ
NFP Property & Casualty Services, Inc.
160 West Santa Clara Street
Suite 575
San Jose, CA 95113
Sentinel Insurance Company Ltd
Hartford Accident and Indemnity Co
Employers Preferred Insurance Company
Texas Insurance Company
X
3/8/2024
X
X
X
X
X
X
X









 



 



FORM NUMBER:

EFFECTIVE DATE:

The ACORD name and logo are registered marks of ACORD

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE
FORM TITLE:

Page of

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ACORD 101 (2008/01)
AGENCY CUSTOMER ID:

LOC #:

AGENCY NAMED INSURED

POLICY NUMBER

CARRIER NAIC CODE
© 2008 ACORD CORPORATION. All rights reserved.

NFP Property & Casualty Services, Inc.

SHUMCOD-01
SEE PAGE 1
1 SEE PAGE 1
ACORD 25 Certificate of Liability Insurance
1 S E EP1
Shums Coda Associates, Inc.
5776 Stoneridge Mall Road, Suite 150
Pleasanton, CA 94588
SEE PAGE 1

MARIAVELASQUEZ
1 CONTRACTUAL INSURANCE REQUIREMENTS
The attached Certificate of Insurance is provided as part of our service to our client, the Insured. If special endorsements have been provided, they also are indicated attached. You may find that these documents do not comply with all the terms and conditions of the underlying contract between the Certificate Holder and the Insured due to the insurance company’s insuring conditions, limitations, exclusions and other terms.

If you have any questions, please contact the undersigned.

NFP Property and Casualty Services, Inc.
160 West Santa Clara Street, Suite #575
CA License #0F15715
TELEPHONE: 408.792.5400
FAX: 408.792.3670









 



 



BUSINESS LIABILITY COVERAGE FORM

2. Applicable To Medical Expenses Coverage e. A trust, you are an insured. Your trustees are also insureds, but only with respect toWe will not pay expenses for "bodily injury":
their duties as trustees.a. Any Insured

2. Each of the following is also an insured:To any insured, except "volunteer workers". a. Employees And Volunteer Workersb. Hired Person
Your "volunteer workers" only whileTo ap erson hired to dowork foro ron behalf performing duties related to the conduct ofof any insured or a tenant of any insured. your business, or your "employees", otherc. Injury On Normally Occupied Premises than either your "executive officers" (if you To a person injured on that part of are an organization other than a premises you own or rent that the person partnership, joint venture or limited liability normally occupies. company) or your managers (if you are a limited liability company), but only for actsd. Workers' Compensation And Similar within the scope of their employment byLaws
you or while performing duties related toTo a person, whether or not an the conduct of your business."employee" of any insured, if benefits for However, none of these "employees" orthe "bodily injury" are payable or must be "volunteer workers" are insureds for:provided under a workers' compensation or disability benefits law or a similar law. (1) "Bodily injury" or "personal and advertising injury":e. Athletics Activities
(a) To you, to your partners orTo a person injured while practicing, members (if you are a partnershipinstructing or participating in any physical or joint venture), to your membersexercises or games, sports or athletic (if you are a limited liabilitycontests.
company), or to a co-"employee"f. Products-Completed Operations Hazard while in the course of his or her Included with the "products-completed employment or performing duties operations hazard". related to the conduct of your
business, or to your otherg. Business Liability Exclusions "volunteer workers" whileExcluded under Business Liability Coverage. performing duties related to the C. WHO IS AN INSURED conduct of your business;

1. If you are designated in the Declarations as: (b) To the spouse, child, parent, brother or sister of that co-a. An individual, you and your spouse are "employee" or that "volunteerinsureds, but only with respect to the worker" as a consequence ofconduct of a business of which youare the (1)(a)Paragraph above;sole owner.
(c) For which there is any obligationb. A partnership or joint venture, you are an to share damages with or repayinsured. Your members, your partners, and someone else who must paytheir spouses are also insureds, but only with damages because of the injuryrespect to the conduct of your business. (1)(a)described in Paragraphs orc. A limited liability company, you are an (b) above; orinsured. Your members are also insureds, (d) Arising out of his or her providingbut only with respect to the conduct of your or failing to provide professionalbusiness. Your managers are insureds, but health care services.only with respect to their duties as your managers. If you are not in the business of
providing professional health cared. An organization other than a partnership, (d)services, Paragraph does not applyjoint venture or limited liability company, you to any nurse, emergency medicalare an insured. Your "executive officers" and technician or paramedic employed bydirectors are insureds, but only with respect you to provide such services.to their duties as your officers or directors.

Your stockholders are also insureds, but only (2) "Property damage" to property:
with respect to their liability as stockholders. (a) Owned, occupied or used by,

Policy Number: 57SBABZ4608









 



 



BUSINESS LIABILITY COVERAGE FORM
(b) b.Rented to, in the care, custody or Coverage under this provision does not control of, or over which physical apply to:
control is being exercised for any (1) "Bodily injury" or "property damage" purpose by you, any of your that occurred; or
"employees", "volunteer workers", (2) "Personal and advertising injury"any partner or member (if you are arising out of an offense committeda partnership or joint venture), or before you acquired or formed theany member (if you are a limited organization.liability company).

4. Operator Of Mobile Equipmentb. RealEstate Manager
With respect to "mobile equipment" registered inAny person (other than your "employee" or your name under any motor vehicle registration"volunteer worker"), or any organization law, any person is an insured while driving suchwhile acting as your real estate manager. equipment along a public highway with yourc. Temporary Custodians Of Your permission. Any other person or organizationProperty responsible for the conduct of such person isAny person or organization having proper also an insured, but only with respect to liabilitytemporary custody of your property if you arisingout of the operationof the equipment, anddie, but only: only if noother insuranceofa n yk i n di sa v a i l a b l e (1) With respect to liability arising out of the to that person or organization for this liability. maintenance or use of that property; and However,no personor organization is an insured with respect to:(2) Until your legal representative has been appointed. a. "Bodily injury" to a co-"employee" of the person driving the equipment; ord. Legal Representative If You Die b. "Property damage" to property owned by,Your legal representative if you die, but rented to, in the charge of or occupied byonly with respect to duties as such. That you or the employer of any person who isrepresentative will have all your rights and an insured under this provision.duties under this insurance.

5. Operator of Nonowned Watercrafte. Unnamed Subsidiary With respect to watercraft you do not own thatAny subsidiary and subsidiary thereof, of is less than 51 feet long and is not being usedyours which is a legally incorporated entity to carry persons for a charge, any person is anof which you own a financial interest of insured while operating such watercraft withmore than 50% of the voting stock on the your permission. Any other person oreffective date of this Coverage Part. organization responsible for the conduct ofThe insurance afforded herein for any such person is also an insured, but only withsubsidiary not shown in the Declarations respect to liability arising out of the operationas a named insured does not apply to of the watercraft, and only if no otherinjury or damage with respect to which an insurance of any kind is available to thatinsured under this insurance is also an person or organization for this liability.insured under another policy or would be However, no person or organization is anan insured under such policy but for its insured with respectto:termination or upon the exhaustion of its limits of insurance. a. "Bodily injury" to a co-"employee" of the person operating the watercraft; or3. Newly Acquired Or FormedOrganization b. "Property damage" to property owned by,Any organization you newly acquire or form, rented to, in the charge of or occupied byother than a partnership, joint venture or you or the employer of any person who islimited liability company, and over which you an insured under this provision.maintain financial interest of more than 50% of the voting stock, will qualify as a Named 6. Additional Insureds When Required By Insured if there is no other similar insurance Written Contract, Written Agreement Or available to that organization. However: Permit
a. Coverage under this provision is afforded The person(s) or organization(s) identified in only until the 180th day after you acquire a. f.Paragraphs through below are additional or form the organization or the end of the insureds when you have agreed, in a written policy period, whichever is earlier; and
Form SS 00 08 04 05 Page 11 of 24









 



 



BUSINESS LIABILITY COVERAGE FORM
(e)contract, written agreement or because of a Any failure to make such permit issued by a state or political inspections, adjustments, tests or subdivision, that such person or organization servicing as the vendor has be added as an additional insured on your agreed to make or normally policy, provided the injury or damage occurs undertakes to make in the usual subsequent to the execution of the contract or course of business, in connection agreement, or the issuance of the permit. with the distribution or sale of the products;A person or organization is an additional
(f) Demonstration, installation,insured under this provision only for that servicing or repair operations,period of time required by the contract, except such operations performedagreement or permit.
at the vendor's premises inHowever, no such person or organization is an connection with the sale of theadditional insured under this provision if such product;person or organization is included as an (g) Products which, after distributionadditional insured by an endorsement issued or sale by you, have been labeledby us and made a part of this Coverage Part, or relabeled or used as aincluding all persons or organizations added container, part or ingredient of anyas additional insureds under the specific other thing or substance by or foradditional insured coverage grants in Section the vendor;orF. – Optional Additional Insured Coverages. (h) "Bodily injury" or "propertya. Vendors
damage" arising out of the soleAny person(s) or organization(s) (referred to negligence of the vendor for itsbelow as vendor), but only with respect to own acts or omissions or those of"bodily injury" or "property damage" arising its employees or anyone elseout of "your products" which are distributed acting on itsbehalf. However, thisor sold in the regular course of the vendor's exclusion does notapply to:business and only if this Coverage Part (i) The exceptions contained inprovides coverage for "bodily injury" or (d) (f)Subparagraphs or ; or"property damage" included within the (ii)"products-completed operations hazard". Such inspections, adjustments, tests or servicing as the vendor(1) The insurance afforded to the vendor has agreedto make or normallyis subject to the following additional undertakes tomake in the usualexclusions:
course of business, inThis insurance does not apply to: connection with the distribution (a) "Bodily injury" or "property or sale of the products. damage" for which the vendor is (2) This insurance does not apply to anyobligated to pay damages by insured person or organization fromreason of the assumption of whom you have acquiredsuch products,liability in a contract or agreement. or any ingredient, part or container,This exclusion does not apply to entering into, accompanying orliability for damages that the containing such products.vendor would have in the absence b. Lessors Of Equipmentof the contract or agreement;
(1) Any person or organization from(b) Any express warranty whom you lease equipment; but onlyunauthorized by you;
with respect to their liability for "bodily(c) Any physical or chemical change injury", "property damage" orin the product made intentionally "personal and advertising injury"by the vendor; caused, in whole or in part, by your (d) Repackaging, except when maintenance, operation or use of unpacked solely for the purpose of equipment leased to you by such inspection, demonstration, testing, person or organization. or the substitution of parts under
instructions from the manufacturer,
and then repackaged in the
original container;










 



 



BUSINESS LIABILITY COVERAGE FORM
(2) e. Permits Issued By State Or PoliticalWith respect to the insurance afforded Subdivisionsto these additional insureds, this
insurance does not apply to any (1) Any state or political subdivision, but "occurrence" which takes place after only with respect to operations you cease to lease that equipment. performed by you or on your behalffor c. Lessors Of Land Or Premises which the state or political subdivision has issued a permit.(1) Any person or organization from (2)whom you lease land or premises, but With respect to the insurance afforded only with respect to liability arising out to these additional insureds, this of the ownership, maintenance or use insurance does not apply to:
of that part of the land or premises (a) "Bodily injury", "property damage" leased to you. or "personal and advertising
(2) With respect to the insurance afforded injury" arising out of operations to these additional insureds, this performed for the state or insurance does not apply to: municipality; or
(a) (b)Any "occurrence" which takes "Bodily injury" or "property damage" place after you cease to lease that included within the "products- land or be a tenant in that completedoperations hazard". premises; or f. Any Other Party
(b) Structural alterations, new (1) Any other person or organization who construction or demolition a.is not an insured under Paragraphs operations performed by or on ethrough . above, but only with behalf of such person or respect to liability for "bodily injury", organization. "property damage" or "personal and
d. Architects, Engineers Or Surveyors advertising injury" caused, in whole or in part, by your acts or omissions or(1) Any architect, engineer, or surveyor, but the acts or omissions of those actingonly with respect to liability for "bodily on your behalf:injury", "property damage" or "personal
(a)and advertising injury" caused, in whole In the performance of your or in part, by your acts or omissions or ongoing operations; the acts or omissions of those acting on (b) In connection with your premises your behalf: owned by or rented to you; or
(a) In connection with your premises; (c) In connection with "your work" and or included within the "products-
(b) In the performance of your completed operations hazard", but ongoing operations performed by only if
you or on your behalf. (i) The written contract or written (2) With respect to the insurance afforded agreement requires you to to these additional insureds, the provide such coverage to following additional exclusion applies: such additional insured; and (ii)This insurance does not apply to This Coverage Part provides "bodily injury", "property damage" or coverage for "bodily injury" or "personal and advertising injury" "property damage" included arising out of the rendering of or the within the "products- failure to render any professional completed operations hazard". services by or for you, including: (2) With respect to the insurance afforded (a) The preparing, approving, or to these additional insureds, this failure to prepare or approve, insurance does not apply to:
maps, shop drawings, opinions, "Bodily injury", "property damage" or reports, surveys, field orders, "personal and advertising injury" change orders, designs or arising out of the rendering of, or the drawings and specifications; or failure to render, any professional (b) Supervisory, inspection, architectural, engineering or surveying architectural or engineering services, including:
activities.

Form SS 00 08 04 05 Page 13 of 24









 



 



BUSINESS LIABILITY COVERAGE FORM
(a) The preparing, approving, or This General Aggregate limit does not failure to prepare or approve, apply to "property damage" to premises maps, shop drawings, opinions, while rented to you or temporarily reports, surveys, field orders, occupied by you with permission of the change orders, designs or owner, arising out of fire, lightning or drawings and specifications; or explosion.
(b) 3. Each Occurrence LimitSupervisory, inspection,
architectural or engineering 2.a. 2.bSubject to or above, whichever activities. applies, the most we will pay for the sum of all The limits of insurance that apply to additional damages because of all "bodily injury", D.insureds are described in Section – Limits "property damage" and medical expenses Of Insurance. arising out of any one "occurrence" is the Liability and Medical Expenses Limit shown inHow this insurance applies when other the Declarations.insurance is available to an additional insured is described in the Other Insurance Condition The most we will pay for all medical expenses E.in Section – Liability And Medical Expenses because of "bodily injury" sustained by any General Conditions. one person is the Medical Expenses Limit shown in the Declarations.No person or organization is an insured with

4. Personal And Advertising Injury Limitrespect to the conduct of any current or past partnership, joint venture or limited liability 2.b.Subject to above, the most we will pay for company that is not shown as a Named Insured in the sum of all damages because of all the Declarations. "personal and advertising injury" sustained by any one person or organization is the Personal
D. LIABILITY AND MEDICAL EXPENSES
and Advertising Injury Limit shown in theLIMITS OF INSURANCE Declarations.

1. The Most We Will Pay 5. Damage To Premises Rented To You Limit The Limits of Insurance shown in the The Damage To Premises Rented To YouDeclarations and the rules below fix the most Limit is the most we will pay under Businesswe will pay regardless of the number of: Liability Coverage for damages because of a. Insureds; "property damage" to any one premises, while b. Claims made or "suits" brought; or rented to you, or in the case of damage byfire, lightning or explosion, while rented to you orc. Persons or organizations making claims or temporarily occupied by you with permission ofbringing "suits". the owner.2. Aggregate Limits
In the case of damage by fire, lightning orThe most we will pay for: explosion, the Damage to Premises Rented To a. Damages because of "bodily injury" and You Limit applies to all damage proximately "property damage" included in the caused by the same event, whether such "products-completed operations hazard" is damage results from fire, lightning or explosion the Products-Completed Operations or any combination of these.

Aggregate Limit shown in the 6. How Limits Apply To Additional InsuredsDeclarations.

The most we will pay on behalf of a person orb. Damages because of all other "bodily organization who is an additional insuredinjury", "property damage" or "personal under this Coverage Partis the lesser of:and advertising injury", including medical a. The limits of insurance specified in aexpenses, is the General Aggregate Limit written contract, written agreement orshown in the Declarations. permit issued by a state or politicalThis General Aggregate Limit applies subdivision; orseparately to each of your "locations" b. The Limits of Insurance shown in theowned by or rented to you.

Declarations."Location" means premises involving the
Such amount shall be a part of and not insame or connecting lots, or premises addition to the Limits of Insurance shown inwhose connection is interrupted only by a the Declarations and described in this Section.street, roadway or right-of-way of a railroad.










 



 



BUSINESS LIABILITY COVERAGE FORM
(1)If more than one limit of insurance under this Immediately send us copies ofany policy and any endorsements attached thereto demands, notices, summonseso r applies to any claim or "suit", the most we will pay legal papers received in connection under this policy and the endorsements is the with the claim or "suit"; single highest limit of liability of all coverages (2) Authorize us to obtain records and applicable to such claim or "suit". However, this other information; paragraph does not apply to the Medical Expenses (3) Cooperate with us in the investigation,3.limit setforth in Paragraph above. settlement of the claim or defense The Limits of Insurance of this Coverage Part apply against the "suit"; and separately to each consecutive annual period and to (4) Assist us, upon our request, in theany remainingperiod of less than12 months, starting enforcement of any right against anywith the beginning of the policy period shown in the person or organization that may beDeclarations, unless the policy period is extended liable to the insured because of injuryafterissuance for an additional period of less than 12 or damage to which this insurancemonths. In that case, the additional period will be may also apply.deemed part of the last preceding period for purposesd. Obligations At The Insured's Own Costof determining the Limits of Insurance.

No insured will, except at that insured's ownE. LIABILITY AND MEDICAL EXPENSES cost, voluntarily make a payment, assume GENERAL CONDITIONS any obligation, or incur any expense, other than for first aid, without our consent.1. Bankruptcy
e. Additional Insured's Other InsuranceBankruptcy or insolvency of the insured or of the insured's estate will not relieve us of our If we cover a claim or "suit" under this obligations under this Coverage Part. Coverage Part that may also be covered by other insurance available to an2. Duties In The Event Of Occurrence, additional insured, such additional insuredOffense, Claim Or Suit must submit such claim or "suit" to thea. Notice Of Occurrence Or Offense other insurer for defense and indemnity.

You or any additional insured must see to However, this provision does not apply toit that we are notified as soon as the extent that you have agreed in apracticable of an "occurrence" or an written contract, written agreement oroffense which may result in a claim. To permit that this insurance is primary andthe extent possible, notice should include: non-contributory with the additional (1) How, when and where the "occurrence" insured's own insurance. or offense took place; f. Knowledge Of An Occurrence, Offense, (2) The names and addresses of any Claim Or Suit
injured persons and witnesses; and a. b.Paragraphs and apply to you or to (3) The nature and location of any injury any additional insured only when such or damage arising out of the "occurrence", offense, claim or "suit" is "occurrence" or offense. known to:
b. Notice Of Claim (1) You or any additional insured that is an individual;If a claim is made or "suit" is brought
against any insured, you or any additional (2) Any partner, if you or an additional insured must: insured is a partnership;
(1) Immediately record the specifics ofthe (3) Any manager, if you or an additional claim or "suit" and the date received; insured is a limited liability company; and (4) Any "executive officer" or insurance
(2) Notify us as soon as practicable. manager, if you or an additional insured is a corporation;You or any additional insured must see to it that we receive a written notice of the (5) Any trustee, if you or an additional claim or "suit" as soon as practicable. insured is a trust; or c. Assistance And Cooperation Of The (6) Any elected or appointed official, if you Insured or an additional insured is a political
subdivision or public entity.You and any other involved insured must:

Form SS 00 08 04 05 Page 15 of 24









 



 



BUSINESS LIABILITY COVERAGE FORM
f. (3)This Paragraph applies separately to We have issued this policy in reliance you and any additional insured. upon your representations.

3. Financial Responsibility Laws b. Unintentional Failure To Disclose Hazardsa. When this policy is certified as proof of
financial responsibility for the future under If unintentionally you should fail to disclose the provisions of any motor vehicle all hazards relating to the conduct of your financial responsibility law, the insurance business at the inception date of this provided by the policy for "bodily injury" Coverage Part, we shall not deny any liability and "property damage" liability will coverage under this Coverage Part comply with the provisions of the law to because of such failure. the extent of the coverage and limits of 7. Other Insurance insurance required by that law. If other valid and collectible insurance isb. With respect to "mobile equipment" to available for a loss we cover under thiswhich this insurance applies, we will Coverage Part, our obligations are limited asprovide any liability, uninsured motorists, follows:underinsured motorists, no-fault or other a. Primary Insurancecoverage required by any motor vehicle b.law. We will provide the required limits for This insurance is primary except when those coverages. below applies. If other insurance is also primary, we will share with all that other4. Legal Action Against Us c.insurance by the method described inNo person or organization has a right under below.this Coverage Form:
b. Excess Insurancea. To join us as a party or otherwise bring us This insurance is excess over any of theinto a "suit" asking for damages from an other insurance, whether primary, excess,insured; or
contingent or on any other basis:b. To sue us on this Coverage Form unless (1) Your Workall of its terms have been fully complied
with. That is Fire, Extended Coverage,
Builder's Risk, Installation Risk orA person or organization may sue us to recover similar coverage for "your work";on an agreed settlement or on a final judgment against an insured; but we will not be liable for (2) Premises Rented To You damages that arenot payableunder the terms of That is fire, lightning or explosionthis insurance or that are in excess of the insurance for premises rented to youapplicable limit of insurance. An agreed or temporarily occupied by you withsettlement means a settlement and release of permission of the owner;liability signed by us, the insured and the (3) Tenant Liabilityclaimant or the claimant's legal representative.

That is insurance purchased by you to5. Separation Of Insureds cover your liability as a tenant forExcept with respect to the Limits of Insurance, "property damage" to premises rentedand any rights or duties specifically assigned to you or temporarily occupied by youin this policy to the first Named Insured, this with permission of the owner;insurance applies:
(4) Aircraft, Auto Or Watercrafta. As if
each Named Insured were the only
If the loss arises out of the maintenanceNamed Insured; and or use of aircraft, "autos"or watercraft tob. Separately to each insured against whom g.the extent not subject to Exclusion ofa claim is made or "suit" is brought. A.Section – Coverages.

6. Representations (5) Property Damage To Borrowed
a. When You Accept This Policy Equipment Or Use Of Elevators By accepting this policy, you agree: If the loss arises out of "property damage" to borrowed equipment or(1) The statements in the Declarations the use of elevators to the extent notare accurate and complete; k. A.subject to Exclusion of Section –(2) Those statements are based upon Coverages.representations you made to us; and










 



 



BUSINESS LIABILITY COVERAGE FORM
(6) When You Are Added As An When this insurance is excess over other Additional Insured To Other insurance, we will pay only our share of Insurance the amount of the loss, if any, that
exceeds the sum of:That is other insurance available to (1)you covering liability for damages The total amount that all such other arising out of the premises or insurance would pay for the loss in the operations, or products and completed absence of this insurance; and operations, for which you have been (2) The total of all deductible and self- added as an additional insured by that insured amounts under all that other insurance; or insurance.
(7) When You Add Others As An We will sharethe remainingloss, if any,with A d d i t i o n a lI n s u r e dT oT h i sany other insurance that is not described in Insurance this Excess Insurance provision and was not
That is other insurance available to an bought specifically to apply in excess of the additional insured. Limits of Insurance shown in the
Declarations of this Coverage Part.However, the following provisions c. Method Of Sharingapply to other insurance available to any person or organization who is an If all the other insurance permits additional insured under this Coverage contribution by equal shares,we will follow Part: this method also. Under this approach,
(a) Primary Insurance When each insurer contributes equal amounts Required By Contract until it has paid its applicable limit of insurance or none of the loss remains,This insurance is primary if you whichever comes first.have agreed in a written contract, written agreement or permit that If any of the other insurance does not permit this insurance be primary. If other contribution by equal shares, we will insurance is also primary, we will contribute by limits. Under this method,e a c h share with all that other insurance insurer’s share is based on the ratio ofits c.by the method described in applicable limit of insurance to the total below. applicable limits of insurance of all insurers.
(b) Primary And Non-Contributory 8. Transfer Of Rights Of Recovery Against To Other Insurance When Others To Us
Required By Contract a. Transfer Of Rights Of Recovery
If you have agreed in a written If the insured has rights to recover all or contract, written agreement or part of any payment, including permit that this insurance is Supplementary Payments, we have made primary and non-contributory with under this Coverage Part, those rights are the additional insured's own transferred to us. The insured must do insurance, this insurance is nothing after loss to impair them. At our primary and we will not seek request, the insured will bring "suit" or contribution from that other transfer those rights to us and help us insurance. enforce them. This condition does not
(a) (b)Paragraphs and do not apply to apply to Medical Expenses Coverage. other insurance to which the additional b. Waiver Of Rights Of Recovery (Waiver insured has been added as an Of Subrogation)
additional insured. If t
he insured has waived any rights of
When this insurance is excess, we will recovery against any person or have no duty under this Coverage Part to organization for all or part of any payment, defend the insured against any "suit" if any including Supplementary Payments, we other insurer has a duty to defend the have made under this Coverage Part, we insured against that "suit". If no other also waive that right, provided the insured insurer defends, we will undertake to do waived their rights of recovery against so, but we will be entitled to the insured's such person or organization in a contract, rights against all those other insurers. agreement or permit that was executed prior to the injury or damage.

Form SS 00 08 04 05 Page 17 of 24









 



 



BUSINESS LIABILITY COVERAGE FORM

3. Additional Insured - Grantor Of FranchiseF. OPTIONAL ADDITIONAL INSURED C.WHO IS AN INSURED under Section isCOVERAGES
amended to include as an additional insuredIf listed or shown as applicable in the Declarations, the person(s) or organization(s) shown in theone or more of the following Optional Additional Declarations as an Additional Insured -Insured Coveragesalso apply.When any ofthese Grantor Of Franchise, but only with respect toOptional Additional Insured Coverages apply, their liability as grantor of franchise to you.6.Paragraph (Additional Insureds When Required

4. Additional Insured - Lessor Of Leasedby Written Contract, Written Agreement or Permit) EquipmentC.of Section , Who Is An Insured, does not apply to the person or organization shown in the a. C.WHO IS AN INSURED under Section is Declarations. These coverages are subject to the amended to include as an additional terms and conditions applicable to Business insured the person(s) or organization(s) Liability Coverage in this policy, except as shown in the Declarations as an Additional provided below: Insured – Lessor of Leased Equipment,
but only with respect to liability for "bodily1. Additional Insured - Designated Person Or injury", "property damage" or "personalOrganization
and advertising injury" caused, in whole orC.WHO IS AN INSURED under Section is in part, by your maintenance, operation oramended to include as an additional insured use of equipment leased to you by suchthe person(s) or organization(s) shown in the person(s) or organization(s).Declarations, but only with respect to liability b. With respect to the insurance afforded tofor "bodily injury", "property damage" or these additional insureds, this insurance"personal and advertising injury" caused, in does not apply to any "occurrence" whichwhole or in part, by your acts or omissions or takes place after you cease to lease thatthe acts or omissions of those acting on your equipment.behalf:

5. Additional Insured - Owners Or Othera. In the performance of your ongoing Interests From Whom Land Has Beenoperations; or
Leasedb. In connection with your premises owned
a. C.WHO IS AN INSURED under Section isby or rented to you. amended to include as an additional2. Additional Insured - Managers Or Lessors insured the person(s) or organization(s)Of Premises shown in the Declarations as an Additional a. C.WHO IS AN INSURED under Section is Insured – Owners Or Other Interests From amended to include as an additional insured Whom Land Has Been Leased, but only the person(s)or organization(s) shownin the with respect to liability arising out of the Declarations as an Additional Insured - ownership, maintenance or use of that part Designated Person Or Organization; but only of the land leased to you and shown in the with respect to liability arising out of the Declarations. ownership, maintenance or use of that part of b. With respect to the insurance afforded tothe premises leased to youand showni n the these additional insureds, the followingDeclarations. additional exclusions apply:
b. With respect to the insurance afforded to This insurance does notapply to:these additional insureds, the following (1) Any "occurrence" that takes placeadditional exclusions apply:
after you cease to lease that land; orThis insurance does not apply to:
(2) Structural alterations, new(1) Any "occurrence" which takes place construction or demolition operationsafter you cease to be a tenant in that performed by or on behalf of suchpremises; or person or organization. (2) Structural alterations, new 6. Additional Insured - State Or Politicalconstruction or demolition operations Subdivision – Permitsperformed by or on behalf of such a. C.WHO IS AN INSURED under Section isperson or organization. amended to include as an additional
insured the state or political subdivision
shown in the Declarations as an Additional










 



 



BUSINESS LIABILITY COVERAGE FORM
(e)Insured – State Or Political Subdivision - Any failure to make such Permits, but only with respect to inspections, adjustments, tests or operations performed by you or on your servicing as the vendor has agreed behalf for which the state or political to make or normally undertakes to subdivision has issued a permit. make in the usual course of business, in connection with theb. With respect to the insurance afforded to distribution or sale of the products;these additional insureds, the following (f) Demonstration, installation,additional exclusions apply:
servicing or repair operations,This insurance does not apply to: except such operations performed(1) "Bodily injury", "property damage" or at the vendor's premises in"personal and advertising injury" connection with the sale of thearising out of operations performed for product;the state or municipality; or (g) Products which, after distribution(2) "Bodily injury" or "property damage" or sale by you, have been labeledincluded in the "product-completed or relabeled or used as aoperations" hazard. container, part or ingredient of any

7. Additional Insured – Vendors other thing or substance by or for the vendor;ora. C.WHO IS AN INSURED under Section is
amended to include as an additional (h) "Bodily injury" or "property insured the person(s) or organization(s) damage" arising out of the sole (referred to below as vendor) shown in the negligence of the vendor for its Declarations as an Additional Insured - own acts or omissions or those of Vendor, but only with respect to "bodily its employees or anyone else injury" or "property damage" arising out of acting on itsbehalf. However, this "your products" which are distributed or exclusion does notapply to:
sold in the regular course of the vendor's (i) The exceptions contained inbusiness and only if this Coverage Part (d) (f)Subparagraphs or ; orprovides coverage for "bodily injury" or (ii) Such inspections,"property damage" included within the adjustments, tests or servicing"products-completed operations hazard". as the vendor has agreed tob. The insurance afforded to the vendor is make or normally undertakessubject to the following additional exclusions: to make in the usual course of (1) This insurance does not apply to: business, in connection with the distribution or sale of the(a) "Bodily injury" or "property products.damage" for which the vendor is
obligated to pay damages by (2) This insurance does not apply to any reason of the assumption of insured person or organization from liability in a contract or agreement. whom you have acquired such This exclusion does not apply to products, or any ingredient, part or liability for damages that the container, entering into, vendor would have in the absence accompanying or containing such of the contract or agreement; pr
oducts.
(b) Any express warranty 8. Additional Insured – Controlling Interest unauthorized by you; C.WHO IS AN INSURED under Section is (c) Any physical or chemical change amended to include as an additional insured in the product made intentionally the person(s) or organization(s) shown in the by the vendor; Declarations as an Additional Insured –
Controlling Interest, but only with respect to(d) Repackaging, unless unpacked their liability arising out of:solely for the purpose of inspection, demonstration, testing, or the a. Their financial control of you; or substitution of parts under b. Premises they own, maintain or control instructions from the manufacturer, while you lease or occupy these premises. and then repackaged in the original
container;
Form SS 00 08 04 05 Page 19 of 24









 



 



BUSINESS LIABILITY COVERAGE FORM
This insurance does not apply to structural The limits of insurance that apply to additional D.alterations, new construction and demolition insureds are described in Section – Limits Of operations performed by or for that person or Insurance. organization. How this insurance applies when other insurance

9. Additional Insured – Owners, Lessees Or is available to an additional insured is described in Contractors – Scheduled Person Or E.the Other Insurance Condition in Section – Organization Liability And Medical Expenses General
Conditions.a. C.WHO IS AN INSURED under Section is
amended to include as an additional
G. LIABILITY AND MEDICAL EXPENSES
insured the person(s) or organization(s) DEFINITIONSshown in the Declarations as an Additional

1. "Advertisement" means the widespread publicInsured – Owner, Lessees Or Contractors, dissemination of information or images thatbut only with respect to liability for "bodily has the purpose of inducing the sale of goods,injury", "property damage" or "personal products or services through:and advertising injury" caused, in whole or in part, by your acts or omissions or the a. (1) Radio; acts or omissions of those acting on your (2) Television; behalf: (3) Billboard;
(1) In the performance of your ongoing (4) Magazine;operations for the additional (5) Newspaper;insured(s); or b. The Internet, but only that part of a web(2) In connection with "your work" site that is about goods, products orperformed for that additional insured services for the purposes of inducing theand included within the "products- sale ofgoods, products or services; orcompleted operations hazard", but c. Any other publication that is givenonly if this Coverage Part provides widespread public distribution.coverage for "bodily injury" or "property damage" included within the However, "advertisement" does notinclude:
"products-completed operations a. The design, printed material, informationhazard". or images contained in, on or upon the b. With respect to the insurance afforded to packaging or labeling of any goods or these additional insureds, this insurance products; or
does not apply to "bodily injury", "property b. An interactive conversation between ordamage" or "personal an advertising among persons through a computer network.injury" arising out of the rendering of, or

2. "Advertising idea" means any idea for anthe failure to render, any professional "advertisement".architectural, engineering or surveying services, including: 3. "Asbestos hazard" means an exposure or threat of exposure to the actual or alleged(1) The preparing, approving, or failure to properties of asbestos and includes the mereprepare or approve, maps, shop presence of asbestos in any form.drawings, opinions, reports, surveys, field orders, change orders, designs or 4. "Auto" means a land motor vehicle, trailer or drawings and specifications; or semi-trailer designed for travel on public roads, including any attached machinery or(2) Supervisory, inspection, architectural equipment. But "auto" does not includeor engineering activities. "mobile equipment".10. Additional Insured – Co-Owner Of Insured

5. "Bodily injury" means physical:Premises
a. Injury;C.WHO IS AN INSURED under Section is
amended to include as an additional insured b. Sickn
ess; or
the person(s) or Organization(s) shown in the c. DiseaseDeclarations as an Additional Insured – Co- sustained by a person and, if arising out of theOwner Of Insured Premises, but only with above, mental anguish or death at any time.respect to their liability as co-owner of the premises shown in the Declarations. 6. "Coverage territory" means:










 



 












 



 



City of Vallejo
Shums Coda Associates
Plan Review, Permitting and Field Inspection Services
51 Fee Schedule
CityBuilding Plan Check Fees
Fees for comprehensive plan reviews, performed at SCA offices, will be equal to sixty- five percent (65%) of the plan review fees as calculated per the jurisdiction. The City will provide SCA with jurisdiction plan review fees (project-by- project) for use in calculating SCA’s fees. In return, invoicing will be done on a monthly basis with detailed description of each project.

The above fee covers all services associated with the typical plan review, including:
x Pick – up and delivery of design documents to the jurisdiction. x First, second and quick third reviews to approve projects.

Extensive plan reviews (longer third reviews or more) may be required to be charged on an hourly rate shown on the next page. Further, smaller projects that take one or more reviews may also be charged at an hourly rate when agreed upon with the Chief Bu ilding Official (i.e., the amount of time required to approve vastly exceeds the calculated fees). Pre-application, pre-construction, or additional meeting attendance that is necessary for unusual or complex projects may also be charged at the same hourly rate schedule.

If an expedited plan review is requested, the turn-around time can be as quick as a single day, but these types of review schedules are typically determined based on the complexity of the project and the availability of SCA staff to complete the review. Fees for expedited reviews will be negotiated directly with City’s Building Official prior to beginning the review and will be a fixed fee based on determined complexity of the project, availability of SCA staff and requested expedited turnaround schedule. Typically, expedited reviews are completed in half the standard turnaround time for 1.5 times the plan review fee collected.

If plan review staff is required to provide support in City’s offices, they will be charged hourly per the hourly rates.

Building Inspection Services and Fees
SCA will provide qualified ICC Certified building inspectors as needed to the City, within the next day, if requested by noon on the previous business day. Any inspector sent to the City will need to be interviewed and/or accepted by the Building Department staff prior to their commencement of inspections on behalf of the jurisdiction, as we want our staff to be appropriately qualified for and clear of City of Vallejo’s expectations. Our inspection staff will be expected to input each day’s inspection results within the City’s permit software at the end of daily inspections. SCA inspectors will be available to answer questions by phone or email from con tractors and homeowners regarding correction items and are available to attend pre-construction meetings as needed.

The building inspection fees will be based on an hourly rate fo und on the next page, with final rates for each inspector being based on certifications and experience, that will assist in determining agreed upon rates per the table. We provide ranges on inspection services to reflect options related to number of certificates and level of experience provided to the City. $77$&+0(172)(;+,%,7%









 



 



City of Vallejo
Shums Coda Associates
Plan Review, Permitting and Field Inspection Services
52 Fee Schedule
City
Hourly Rates
es
Inspection invoices will be submitted to the jurisdiction on a monthly basis (with the building plan review fees for the same previous month) and be based on hourly rates described below.

Fees for inspection services, Plans Examiners (outside of perce ntage-based fees), and Permit Technicians shall be billed at the following hourly rates:

Job Title Hourly Rate
In-House Plan Review $135
In-House Code Training $150
Principal $150
Senior Plan Review Engineer/Architect (comm., industrial & multi-fam.) $125 Plan Review Engineer/Architect (small comm./residential) $115 Senior Fire Protection Engineer/Fire Inspector (FPE) $205 - $290 Fire Protection Engineer/Fire Inspector (FPE) $190 - $205 Permit Technician $65 - $80
Clerical Support $55 - $65
CASp Specialist – Plan Review $300
CASp Specialist – Inspection $350
CASp Specialist - Report TBD
Acting Supervisor of Inspectors (I.O.R.)** $125-$140
Senior Inspector** $110 - $125
Inspector II** $100 - $110
Inspector I** $90 - $100
Inspector in Training $60-$90
Overtime will not be charged for any plan review services, but SCA does reserve the right to negotiation additional fees for major re-designs or consistently incomplete responses to initial plan review comments (as agreed upon mutually with the jurisdiction) . Inspection overtime services will be charged as stated above (see qualifying statement below.) ** Hours for inspections in excess of 8 hours (per day) will be billed as overtime at the rate shown above.

When inspection overtime is requested, on days when inspector has not already performed inspections on the site (i.e., weekends, holidays, etc.), inspection overtime services will be provided in 4-hour minimum segments.









 



 



City of Vallejo
Shums Coda Associates
Plan Review, Permitting and Field Inspection Services
53 References
SCA takes great pride in the fact that our services are customizable and able to be adjusted to meet our client’s needs. To prove the reliability of our servic es, we provide the following list of client references to speak to the quality of our commitment to meeting project expectations. Feel free to call as many as needed for confirmation.

Nena Bizjak
Chief Building Official
City of Mountain View
500 Castro Street
Mountain View, CA 94041
(650) 903 – 6313
[email protected]
Providing inspections, plan review, building
official, and permit technician services since
2006.

Shawn Huff
Chief Building Official
City of Ventura
501 Poli Street
Ventura, CA 93001
(805) 677 - 3963
[email protected]
Providing inspections, plan review, and
permit technician services since 2021.

Bill Tott
Chief Building Official
City of Milpitas
455 East Calaveras Boulevard
Milpitas, CA
95035
(408) 586 – 3263
[email protected]
Providing plan review services since 2006.

Gary West
Chief Building Official
City of Fremont
39550 Liberty Street
Fremont, CA 94538
(510) 494 – 4460
[email protected]
Providing inspections, plan review and
building official services since 2015.

Chuck Andrew
Assistant Community Development Director
City of Menlo Park
701 Laurel Street, 1st Floor
Menlo Park, CA 94025
(650) 330 – 6757
[email protected]
Providing inspections, plan review, and permit
technician services since 2009.

Melinda Denis
Planning and Permit Center Manager
City of Pleasanton
123 Main Street
Pleasanton, CA 94566
(925) 931 – 5631
[email protected]
Providing inspections, plan review, and
permit technician services since 2017.

Joseph Cuffe
Chief Building Official
City of Rancho Cordova
2729 Prospect Park Drive
Rancho Cordova, CA 95670
(916) 851
– 8866
[email protected]
Providing inspections, plan review, and permit
technician services since 2017.

Tim Wegner
Deputy Director of Building Services
County of Placer
249 Nevada Street
Auburn, CA 9560
(503) 745 – 3125
[email protected]
Providing inspections and plan review
services since 2013.









 



 



Shums Coda Associates
City of Vallejo
Plan Review, Permitting and Field Inspection Services
54 Consultant and Professional Services Agreement/ Insurance CityConsultant and Professional Services Agreement
SCA accepts the City of Vallejo’s standard Consultant and Professional Services Agreement as is, without modifications.

Insurance
SCA can and is willing to obtain the minimum scope and limits of insurance contained in the RFP.

Below is an example of insurance coverage we obtain for each jurisdiction. Our insurance can be modified as required by the City.










 



 



CONSENT CALENDAR 8.E.

DATE: November 19, 2024
TO: Mayor and Members of the City Council
FROM: Kristin Pollot, AICP, Planning & Development Services Director Dale Miller, Administrative Analyst
SUBJECT: ADOPT A RESOLUTION APPROVING THE THIRD AMENDMENT TO THE

CONSULTANT AND PROFESSIONAL SERVICES AGREEMENT WITH INTERWEST CONSULTING GROUP, INC. TO INCREASE COMPENSATION TO A MAXIMUM NOT TO EXCEED $200,000 AND AUTHORIZING THE CITY MANAGER TO EXECUTE SAME

RECOMMENDATION
Adopt a Resolution approving the Third Amendment to the Consultant and Professional Services Agreement with Interwest Consulting Group, Inc. to increase compensation to a maximum not to exceed $200,000 and authorizing the City Manager to execute same.

REASONS FOR RECOMMENDATION
The Planning & Development Services Department (PDS) has been understaffed. While working diligently to fill vacant positions, PDS required the assistance of consultants to support our clients.

BACKGROUND AND DISCUSSION
Interwest Consulting Group, Inc. ("Interwest") is a consulting firm that specializes in planning and environmental review services. Interwest has been providing contract planning services to the Planning Division (a division within PDS) since June 2023, on an as-needed basis, to supplement staffing and provide assistance, while PDS has worked to recruit for full-time positions.

On June 13, 2023, the City executed the initial contract with Interwest to provide services as described, for an amount not to exceed $68,480.

On March 28, 2024, the City and Interwest entered into a First Amendment to the Agreement to increase compensation to a maximum not to exceed amount of $131,520.

On July 1, 2024, the City and Interwest entered into a Second Amendment to the Agreement to increase compensation to a maximum not to exceed amount of $163,040.

Staff is now requesting a Third Amendment to the Agreement to increase compensation to a maximum not to exceed $200,000. It should be noted that the Planning Division staffing vacancies have all recently been filled, so staff is not expecting to require any further amendments to this contract beyond this Third Amendment.

FISCAL IMPACT
The proposed action to amend the agreement with Interwest Consulting Group, Inc. to increase the contract amount from $163,040 to a new not-to-exceed amount of $200,000, will come from the existing professional services budget for the department.

ENVIRONMENTAL REVIEW

Date: November 19, 2024
Subject: ADOPT A RESOLUTION APPROVING THE THIRD AMENDMENT TO THE

CONSULTANT AND PROFESSIONAL SERVICES AGREEMENT WITH INTERWEST CONSULTING GROUP, INC. TO INCREASE COMPENSATION TO A MAXIMUM NOT TO EXCEED $200,000 AND AUTHORIZING THE CITY MANAGER TO

EXECUTE SAME

This action is exempt from the California Environmental Quality Act (CEQA) because it is not a project which has a potential for resulting in either a direct physical change in the environment, or a reasonably foreseeable indirect physical change in the environment, pursuant to CEQA Guidelines section 15378.

ATTACHMENTS

1. Resolution approving Third Amendment_Interwest_CAO Stamp

2. Interwest Third Amendment to Consultant & Professional Services Agreement_9.19.24_CAO Stamp

3. 23PS203 INTERWEST CONSULTING GROUP INC Second Amendment

4. First Amendment_Interwest- Executed

5. Interwest Professional Services Agreement_CAO Stamp- Executed

CONTACT
Kristin Pollot, AICP, Planning & Development Services Director (707) 648-4382 [email protected]

RESOLUTION NO. 24- _____ N.C.

A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF VALLEJO APPROVING THE

THIRD AMENDMENT TO THE EXISTING CONSULTANT AND PROFESSIONAL SERVICES AGREEMENT WITH INTERWEST CONSULTING GROUP, INC. TO INCREASE THE MAXIMUM NOT-TO-EXCEED AMOUNT OF THE AGREEMENT TO $200,000, AND

AUTHORIZING THE CITY MANAGER TO EXECUTE SAME
WHEREAS, the City of Vallejo Planning and Development Services Department Planning Division uses contractual services on an as-needed basis to assist staff with plan review, and other work related to planning permits during periods of high construction activity or for projects requiring specialized knowledge; and
WHEREAS, contractual support supplements the City staff's effort to reduce permit processing turn-around time, manage the workload in light of fluctuating demand; and WHEREAS, contractual services assist the Planning Division to maintain critical staffing levels when positions become vacant and/or service needs increase; and WHEREAS, the Division current staffing level is not sufficient to support the work required to process complex planning applications, and requires outside consultants to provide technical expertise on a range of disciplines necessary to process complex projects in a timely manner; and
WHEREAS, on June 13, 2023, the parties entered into the Agreement with a maximum not to exceed amount of $68,480.00; and
WHEREAS, on March 28, 2024, the parties amended the Agreement to increase the maximum not-to-exceed amount of the contract to $100,000 (“First Amendment”); and WHEREAS, on July 1, 2024, the parties amended the Agreement to increase the maximum not- to-exceed amount of the contract to $131,520 and to extend the term through August 31, 2024 (“Second Amendment”); and
WHEREAS, by letter delivered on August 29, 2024, the City exercised its option to extend the Agreement through June 30, 2025; and
WHEREAS, the parties now desire to amend the Agreement to increase the maximum amount of compensation of the contract to allow Consultant to continue to provide services through the end of the term.

WHEREAS, to continue to receive Consultant’s services, City staff proposes this Third Amendment to the Agreement to increase compensation by an additional $68,480 for a new not to exceed amount of $200,000 through June 30, 2025; and WHEREAS, the City’s Planning and Development Services Department salary savings will pay for these services.

NOW, THEREFORE BE IT RESOLVED that the City Council hereby approves the Third Amendment to the existing Consultant and Professional Services Agreement with Interwest Consulting Group, Inc. to increase the maximum not-to-exceed amount of the Agreement to $200,000 in the form attached hereto as Exhibit A.

BE IT FURTHER RESOLVED that the City Council hereby authorizes the City Manager to execute same.

Adopted by the City Council of the City of Vallejo at a regular meeting held on November 19, 2024, with the following vote:

AYES:

NOES:

ABSENT:

ABSTAIN:
______________________________________

ROBERT MCCONNELL, MAYOR
ATTEST: ______________________________________
DAWN G. ABRAHAMSON, CITY CLERK
Third Amendment to Consultant Professional Services Agreement Between City of Vallejo and Interwest Consulting Group, Inc.

THIRD AMENDMENT TO THE

CONSULTANT AND PROFESSIONAL SERVICES AGREEMENT BETWEEN

CITY OF VALLEJO
AND
INTERWEST CONSULTING GROUP, INC.

This Third Amendment to the Consultant and Professional Services Agreement made and entered into on June 13, 2023, hereinafter referred to as “Agreement,” between Interwest Consulting Group, Inc. a California corporation, therein referred to as “Consultant, and the City of Vallejo, a municipal corporation, therein referred to as “City,” is made and entered into on this 20th day of November 2024.

Whereas, on June 13, 2023, the parties entered into the Agreement with a maximum not to exceed amount of $68,480.00; and
Whereas, on March 28, 2024, the parties amended the Agreement to increase the maximum not-to-exceed amount of the contract to $100,000 (“First Amendment”); and Whereas, on July 1, 2024, the parties amended the Agreement to increase the maximum not-to-exceed amount of the contract to $131,520 and to extend the term through August 31, 2024 (“Second Amendment”); and
Whereas, by letter delivered on August 29, 2024, the City exercised its option to extend the Agreement through June 30, 2025; and
Whereas, the parties now desire to amend the Agreement to increase the maximum amount of compensation of the contract to allow Consultant to continue to provide services through the end of the term.

Now therefore, Consultant and City do mutually agree as follows:

1. Revised Compensation to Consultant. Consultant’s compensation as set forth in Section 1.A of Exhibit B of the Agreement is hereby increased to a maximum not to exceed amount of $200,000.00.

2. Integration. This Third Amendment contains the entire agreement between the parties with respect to its subject matter and supersedes whatever oral or written understanding they may have had prior to the execution of this Third Amendment. This Third Amendment shall not be amended or modified except by a written agreement executed by each of the parties. Except as specifically revised herein, all terms and conditions of the Agreement shall remain in full force and effect, and Consultant shall perform all duties, obligations and conditions required under the Agreement.

Third Amendment to Consultant Professional Services Agreement Between City of Vallejo and Interwest Consulting Group, Inc.

3. Inconsistencies. In the event of any conflict or inconsistency between the provisions of this Third Amendment and the Agreement, the provisions of this Third Amendment shall control in all respects.

4. Ambiguities. The parties have each carefully reviewed this Third Amendment and have agreed to each term of this Third Amendment. No ambiguity shall be presumed to be construed against either party.

5. Counterparts. This Third Amendment may be executed by the parties in one or more counterparts all of which collectively shall constitute one document and agreement.

6. Authority. The person signing this Third Amendment for Consultant hereby represents and warrants that he or she is fully authorized to sign this Third Amendment on behalf of Consultant.

Signatures on the following page
IN WITNESS WHEREOF, the parties have entered into this Third Amendment on the Third Amendment to Consultant Professional Services Agreement Between City of Vallejo and Interwest Consulting Group, Inc.

day and year first hereinabove appearing.

INTERWEST CONSULTING, INC.,
a California corporation
BY:

Paul Meschino
Vice President of Operations
DATE:
11711334
Vallejo Business License No
(City Seal)

CITY OF VALLEJO,
a municipal corporation
BY:

Andrew Murray
City Manager
DATE:

ATTEST:

Dawn G. Abrahamson
City Clerk
APPROVED AS TO CONTENT:

Kristin Pollot, AICP
Planning & Development Services Director
APPROVED AS TO FORM:

Veronica A. F. Nebb
City Attorney
APPROVED AS TO INSURANCE:

Armond Sarkis
Risk Manager
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Contract and Routing Form
Contract Number:36


Date Originated:

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Contract Start Date: -XQ End Date: $XJ 
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Pre-Requisition Form
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Endorsement Effective : Policy No.:

Insured:

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY

WC 99 04 10 C
(Ed. 01-19)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA

BLANKET BASIS
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.)

The additional premium for this endorsement shall be calculated by applying a factor of 2% to the total manual premium, with a minimum initial charge of $350, then applying all other pricing factors for the policy to this calculated charge to derive the final cost of this endorsement.

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule

Blanket Waiver

Person/Organization

Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver.

Waiver Premium (prior to ad justments)

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 No.:

Premium $
Insurance Company:

WC 99 04 10 C

Countersigned by ______________________________________ (Ed. 01-19)
Job Description
All CA Operations
Berkshire Hathaway Homestate Ins Co
SAWC561586
3697.00
05/12/2024
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AGENT COPY
POLICY NUMBER: COMMERCIAL AUTO
CA 20 48 10 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 20 48 10 13 Insurance Services Office, Inc., 2011 Page 1 of 1

DESIGNATED INSURED FOR

COVERED AUTOS LIABILITY COVERAGE

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

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

This endorsement identifies person(s) or organization(s) who are ‘‘insureds’’ for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.

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

Named Insured:

Endorsement Effective Date:

SCHEDULE

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

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

Each person or organization shown in the Schedule is
an ‘‘insured’’ for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an ‘‘insured’’ under the Who Is An Insured
provision contained in Paragraph A.1. of Section II ---- Covered Autos Liability Coverage in the Business
Auto and Motor Carrier Coverage Forms and
Paragraph D.2. of Section I ---- Covered Autos
Coverages of the Auto Dealers Coverage Form.

CF3CA00337231

ALL PERSONS OR ORGANIZATIONS AS REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. THE WRITTEN CONTRACT MUST BE SIGNED PRIOR TO THE DATE OF THE "ACCIDENT".

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COMMERCIAL AUTO
ECA 24 509 04 14
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ECA 24 509 04 14 Copyright, Everest Reinsurance Company, 2014 Includes copyrighted material of Insurance Services Office, Inc., used with its permission

PRIMARY AND NONCONTRIBUTORY –
OTHER INSURANCE CONDITION – BLANKET
This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE PART
Paragraph c. of the Other Insurance General
Condition is replaced by the following:
c. Regardless of the provisions of Paragraph a.
above, this Coverage Form’s Liability Coverage is
primary and we will not seek contribution from any
other insurance for any liability assumed under an
“insured contract” that requires liability to be
assumed on a primary noncontributory basis.

Additionally, only the coverage and limit of
insurance requirements of the “insured contract”
shall apply, and in no event shall those
requirements exceed the coverage and limits of
insurance provided under this policy.

INSURED COPY
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POLICY NUMBER: CF3CA00337231 COMMERCIAL AUTO
CA 04 22 11 20
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 04 22 11 20 © Insurance Services Office, Inc., 2019 Page 1 of 1

EARLIER NOTICE OF CANCELLATION PROVIDED BY US
This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

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

Named Insured: SAFEBUILT, LLC
Endorsement Effective Date: 10/03/2023

SCHEDULE
Number Of Days' Notice:
30 Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

For any statutorily permitted reason other than
nonpayment of premium, the number of days required
for notice of cancellation, as provided in Paragraph 2. of either the Cancellation Common Policy Condition
or as amended by an applicable state cancellation
endorsement, is increased to the number of days
shown in the Schedule above.

INSURED COPY
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First Amendment to Agreement between City of Vallejo and Interwest Consulting Group, Inc. Page 1 of 3 (Rev. 09/13)

FIRST AMENDMENT TO

AGREEMENT BETWEEN

CITY OF VALLEJO
AND
INTERWEST CONSULTING GROUP, INC.

This First Amendment to the Consultant and Professional Services Agreement made and entered into on June 13, 2023, hereafter referred to as “Agreement,” between Interwest Consulting Group, Inc., a California corporation, therein referred to as “Consultant,” and the C ity of Vallejo , a municipal corporation, therein referred to as “City,” is made and entered into on this 28th day of March 2024.

Consultant and City do mutually agree as follows:

1. Revised Compensation to Consultant. Consultant’s compensation as set forth in Section 1.A of Exhibit B of the Agreement is hereby increased by $ 31,520.00 to a maximum not to exceed amount of $100,000.00.

2. Integration. This First Amendment contains the entire agreement between the parties with respect to its subject matter and supersedes whatever oral or written understanding they may have had prior to the execution of this First Amendment. This First Amendment shall not be amende d or modified except by a written agreement executed by each of the parties. Except as specifically revised herein, all terms and conditions of the Agreement , and all prior amendments, if any, shall remain in full force and effect, and Consultant shall perform all duties, obligations and conditions required under the Agreement.

3. Inconsistencies. In the event of any conflict or inconsistency between the provisions of this First Amendment and the Agreement , the provisions of this First Amendment shall control in all respects.

4. Ambiguities. The parties have each carefully reviewed this First Amendment and have agreed to each term of this First Amendment. No ambiguity shall be presumed to be construed against either party.

5. Counterparts. This First Amendment may be executed by the parties in one or more counterparts all of which collectively shall constitute one document and agreement.

6. Authority. The person signing this First Amendment for Consultant hereby represents and warrants that he or she i s fully authorized to sign this First Amendment on behalf of Consultant.

DocuSign Envelope ID: 0198D212-F56B-48AF-A26D-134789BD2746

First Amendment to Agreement between City of Vallejo and Interwest Consulting Group, Inc. Page 2 of 3 (Rev. 09/13)
(SIGNATURES ARE ON THE FOLLOWING PAGE)
DocuSign Envelope ID: 0198D212-F56B-48AF-A26D-134789BD2746

First Amendment to Agreement between City of Vallejo and Interwest Consulting Group, Inc. Page 3 of 3 (Rev. 09/13)
IN WITNESS WHEREOF, the parties have entered into this First Amendment on the day and year first hereinabove appearing.

Interwest Consulting Group,
A California corporation

By:

Paul Meschino
Vice President of Operations

DATE: ____________________

11711334
Vallejo Business License No.

(City Seal)

CITY OF VALLEJO,
A municipal corporation

By:________________________
Michael Malone
City Manager

DATE:___________

ATTEST:

By:________________________
Dawn G. Abrahamson
City Clerk

APPROVED AS TO CONTENT:

__________________________
Christina Ratcliffe, AICP
Planning and Development Services
Director

APPROVED AS TO INSURANCE:

__________________________
Armond Sarkis
Risk Manager

APPROVED AS TO FORM:

Veronica A. F. Nebb
City Attorney

DocuSign Envelope ID: 0198D212-F56B-48AF-A26D-134789BD2746 3/28/2024
4/9/2024

Jun 15, 2023 9:53 AM, 1112261299
Contract and Routing Form

Requisition Number: 1112257716

Date Originated:

Finance Department ∙ 555 Santa Clara Street ∙ Vallejo ∙ CA ∙ 94590 ∙ 707.648.4592 Department: Planning and Building Services, Planning Division Staff Contact: Anthony Cook, [email protected] Contract Type: Professional Services Agreement
Vendor: Interwest Vendor Number:101915
Business License Number: 11711334

Contract Not to Exceed Amount: 68480.00
Contract Start Date: Jun 13, 2023 End Date: Jun 13, 2024 Option to Extend: City shall, at its discretion, have the right to extend the term of this Agreement, in intervals of one year, by written notice to Consultant. The total duration of this Agreement, including the exercise of any options under this section, shall not Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 5 of 10 exceed three years.

Authority to Contract: City Manager
Other Comments:

City Council approved with Reso. 23-085

Insurance attached

Pre-Req #1112257716 attached

Attachments are uploaded for review here: https://bit.ly/vContracts

Approved Pre-Requisition Form

Insurance
I have uploaded additional files.No
DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9 Contract and Routing Form
Signature Page
Department Initial Date Comment
Originating Department/Division
Risk Manager

Finance Department

City Attorney

City Manager

City Clerk

Return executed contract to: Anthony Cook
DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9 6/20/2023
6/22/2023
6/22/2023
6/23/2023
6/26/2023
6/26/2023

Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 1 of 10

CONSULTANT AND PROFESSIONAL SERVICES AGREEMENT

Interwest Consulting Group

This Consultant and Professional Services Agreement ("Agreement") is made at Vallejo, California, dated for reference this 13th day of June, 2023, by and between the City of Vallejo, a municipal corporation ("City"), and Interwest Consulting Group, Inc., a Colorado corporation, hereinafter referred to as “Consultant”, who agree as follows:

1. Services. Subject to the terms and conditions set forth in this Agreement, Consultant shall provide the City professional services as specified in Exhibit A, “Scope of Work.”

2. Payment. City shall pay Consultant for services rendered pursuant to this Agreement at the times and in the manner set forth in Exhibit B, entitled “Compensation.” The payments specified in Exhibit B shall be the only payments to be made to Consultant for services rendered pursuant to this Agreement.

3. Facilities and Equipment. Consultant shall, at its sole cost and expense, furnish all facilities and equipment which may be required for furnishing services pursuant to this Agreement.

4. Indemnification. Consultant shall indemnify, hold harmless, and defend City, its officers, officials, directors, employees, agents, volunteers and affiliates and each of them from any and all claims, demands, causes of action, damages, costs, expenses, actual attorney’s fees, consultant’s fees, expert fees, losses or liability, in law or in equity, of every kind and nature whatsoever arising out of or in connection with Consultant’s operations, or any subcontractor’s operations, to be performed under this agreement for Consultant’s or subcontractor’s tort negligence including active or passive, or strict negligence, including but not limited to personal injury including, but not limited to bodily injury, emotional injury, sickness or disease, or death to persons and/or damage to property of anyone, including loss of use thereof, caused or alleged to be caused by any act or omission of Consultant, or any subcontractor, or anyone directly or indirectly employed by any of them or anyone for the full period of time allowed by the law, regardless to any limitation by insurance, with the exception of the sole negligence or willful misconduct of the City.

The provisions of this section shall survive the expiration or termination of this Agreement.

DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9

Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 2 of 10

5. Insurance Requirements. Consultant agrees to comply with all of the Insurance Requirements set forth in Exhibit C, entitled “Insurance Requirements for Consultant.” Failure to maintain required insurance at all times shall constitute a default and material breach.

6. Accident Reports. Consultant shall immediately report (as soon as feasible, but not more than 24 hours) to the City Risk Manager any accident or other occurrence causing injury to persons or property during the performance of this Agreement. The report shall be made in writing and shall include, at a minimum: (a) the names, addresses, and telephone numbers of the persons involved, (b) the names, addresses, and telephone numbers of any known witnesses, (c) the date, time, and description of the accident or other occurrence.

7. Conflict of Interest. Consultant warrants and represents that to the best of its knowledge, there exists no actual or potential conflict between Consultant’s family, business, real property or financial interests and the services to be provided under this Agreement. Consultant shall comply with the City of Vallejo Conflict of Interest Code and not enter into any contract or agreement during the performance of this Agreement which will create a conflict of interest with its duties to City under this Agreement. In the event of a change in Consultant’s family, business, real property, or financial interests occurs during the term of this Agreement that creates an actual or potential conflict of interest, then Consultant shall disclose such conflict in writing to City. Every individual who performs services on behalf of Consultant pursuant to this Agreement must file a full Statement of Economic Interests (also known as Form 700) with the City Clerk if the work of the individual involves making a governmental decision whether to issue, deny, suspend, or revoke any permit, license, application, certificate, approval, order, or similar authorization or entitlement; authorizes the City to enter into, modify, or renew a contract; grants City approval of specifications for a contract; adopts or approves for the City any policy, standard or guideline; lobbies on behalf of the City, or performs the same or substantially all the same duties for the City that would otherwise be performed by an individual holding a position specified in the City’s Conflict of Interest Code.

8. Independent Contractor. Consultant is an independent contractor.

Neither Consultant nor any of Consultant’s officers, employees, agents, or subcontractors, if any, is an employee of City by virtue of this Agreement or performance of any services pursuant to this Agreement. City shall have the right to control Consultant only insofar as the results of Consultant’s services rendered pursuant to this Agreement; however, City shall not have the right to control the means by which Consultant accomplishes services pursuant to this Agreement.

9. Licenses, Permits, Etc. Consultant represents and warrants to City that all consultant services shall be provided by a person or persons duly licensed by the State of California to provide the type of services to be performed under this Agreement and that Consultant has all the permits, qualifications and approvals of DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9

Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 3 of 10 whatsoever nature which are legally required for Consultant to practice its profession. Consultant represents and warrants to City that it shall, at its sole cost and expense, keep in effect at all times during the term of this Agreement any licenses, permits, and approvals which are legally required for Consultant to practice its profession.

10. Business License. Consultant, and its subcontractors, has obtained or agrees to apply prior to performing any services under this Agreement to City’s Finance Department for a business license, pay the applicable business license tax and maintain said business license during the term of this Agreement. The failure to obtain such license shall be a material breach of this Agreement and grounds for termination by City. No payments shall be made to Consultant until such business license(s) has been obtained.

11. Standard of Performance. Consultant shall provide products and perform all services required pursuant to this Agreement in accordance with generally accepted professional practices and principles and in a manner consistent with the level of care and skill ordinarily exercised under similar conditions by a member of Consultant’s profession currently practicing in California.

Consultant is responsible for making an independent evaluation and judgment of all conditions affecting performance of the work, including without limitation applicable federal, state, and local laws and regulations, and all other contingencies or considerations.

Consultant’s responsibilities under this section shall not be delegated. Consultant shall be responsible to City for acts, errors, or omissions of Consultant’s subcontractors.

Consultant is responsible for making an independent evaluation and judgment of all conditions affecting performance of the work and shall prepare plans, reports, and/or other work products in such a way that additional costs will not be incurred beyond a project budget approved or amended by the City Manager or his or her designee.

Whenever the scope of work requires or permits review, approval, conditional approval or disapproval by City, it is understood that such review, approval, conditional approval or disapproval is solely for the purposes of administering this Agreement and determining whether the Consultant is entitled to payment for such work, and not be construed as a waiver of any breach or acceptance by the City of any responsibility, professional or otherwise, for the work, and shall not relieve the Consultant of responsibility for complying with the standard of performance or laws, regulations, industry standards, or from liability for damages caused by negligent acts, errors, omissions, noncompliance with industry standards, or the willful misconduct of Consultant.

DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9

Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 4 of 10

12. Force Majeure. Neither party shall be considered in default of this Agreement to the extent performances are prevented or delayed by causes or circumstances beyond either party’s reasonable control, such as war, riots, strikes, lockouts, work slowdown or stoppage, acts of God, such as floods or earthquakes, and electrical blackouts or brownouts.

In the event that the Consultant is unable to meet the completion date or schedule of services, Consultant shall immediately inform the City Representative of this in writing. If additional time is required to perform the work, the City Representative may adjust the schedule.

13. Time is of the Essence. Time is of the essence in this Agreement. Any reference to days means calendar days, unless otherwise specifically stated.

14. Personnel. Consultant agrees to assign only competent personnel according to the reasonable and customary standards of training and experience in the relevant field to perform services under this Agreement. Failure to assign such competent personnel shall constitute grounds for termination of this Agreement.

The payment made to Consultant pursuant to this Agreement shall be the full and complete compensation to which Consultant and Consultant’s officers, employees, agents, and subcontractors are entitled for performance of any work under this Agreement. Neither Consultant nor Consultant’s officers or employees are entitled to any salary or wages, or retirement, health, leave or other fringe benefits applicable to employees of the City. The City will not make any federal or state tax withholdings on behalf of Consultant. The City shall not be required to pay any workers' compensation insurance on behalf of Consultant.

Consultant shall pay, when and as due, any and all taxes incurred as a result of Consultant’s compensation hereunder, including estimated taxes, and shall provide City with proof of such payments upon request.

15. Consultant Not Agent. Except as authorized under this Agreement or as City may authorize in a letter of authorization signed by the City Manager or his or her designee, Consultant shall have no authority, express or implied to act on behalf of City in any capacity whatsoever as an agent. Consultant shall have no authority, express or implied, under this Agreement, to bind City to any obligation whatsoever.

16. Term. The term of this Agreement shall commence on June 13, 2023 and shall continue in full force and effect until June 13, 2024.

City shall, at its discretion, have the right to extend the term of this Agreement, in intervals of one year, by written notice to Consultant. The total duration of this Agreement, including the exercise of any options under this section, shall not DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9

Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 5 of 10 exceed three years.

If the term of this Agreement extends into fiscal years subsequent to that in which it is initially approved, such continuation of the Agreement is contingent on the appropriation of funds for such purpose by the City Council of the City of Vallejo.

If funds to effect such continued payment are not appropriated, Consultant agrees to terminate any services supplied to City of Vallejo under this Agreement, and relieve City of any further obligation therefore.

17. Termination or Abandonment by City. The City has the right, at any time and in its sole discretion, to immediately terminate or abandon any portion or all of the services to be provided under this Agreement by giving notice to Consultant.

Upon receipt of a notice of termination, Consultant shall perform no further work except as specified in the notice. Before the date of termination, Consultant shall deliver to City all City records and documents, all work product, whether completed or not, as of the date of termination and not otherwise previously delivered.

The City shall pay Consultant for services performed in accordance with this Agreement before the date of termination. If this contract provides for payment of a lump sum for all services or by task and termination occurs before completion of the work or any defined task which according to the performance schedule was commenced before the notice of termination, the fee for services performed shall be based on an amount mutually agreed to by City and Consultant for the portion of work completed in conformance with this Agreement before the date of termination. In addition, the City will reimburse Consultant for authorized expenses incurred and not previously reimbursed. The City shall not be liable for any fees or costs associated for the termination or abandonment except for the fees, and reimbursement of authorized expenses, payable pursuant to this section.

18. Products of Consulting Services. The work product, including without limitation, all writings, work sheets, reports, recordings, drawings, files, detailed calculations and other work products, whether complete or incomplete, of Consultant resulting from services rendered pursuant to this Agreement, shall become the property of City. Consultant agrees that all copyrights which arise from creation of the work under this Agreement shall be vested in the City and waives and relinquishes all claims to copyright or other intellectual property rights in favor of the City. City acknowledges that its use of the work product is limited to the purposes contemplated by the scope of work and that the Consultant makes no representation of the suitability of the work product for use in or application to circumstances not contemplated by the scope of work.

Documents submitted to the City in electronic format shall be formatted according to specifications provided by the City, or if not otherwise specified, in Microsoft Word, Excel, PowerPoint or other Microsoft Office Suite (2002) format as appropriate for the particular work product or, if directed by the City Representative in Adobe Acrobat PDF format.

DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9

Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 6 of 10

19. Cooperation by City. City shall, to the extent reasonable and practicable, assist and cooperate with Consultant in the performance of Consultant’s services hereunder.

20. Assignment and Subcontracting. Consultant shall not subcontract, assign or transfer voluntarily or involuntarily any of its rights, duties or obligation under this Agreement without the express written consent of the City Manager or his or her designee in each instance, which consent shall not be unreasonably denied or delayed. Any attempted or purported assignment of any right, duty or obligation under this Agreement without said consent shall be void and of no effect.

If subcontracting of work is permitted, Consultant shall pay its subcontractor within ten (10) days of receipt of payment by City for work performed by a subcontractor and billed by the Consultant. Use of the term subcontractor in any other provision of this contract shall not be construed to imply authorization for Consultant to use subcontractors for performance of any service under this Agreement.

The City is an intended beneficiary of any work performed by Consultant’s subcontractor for purposes of establishing a duty of care between the subcontractor and City.

Any subcontractor or assignee consented to by City shall be bound by all terms and conditions of this agreement and the same shall be incorporated into and made a part of any assignment or subcontractor agreement.

21. Successors and Assigns. All terms, conditions, and provisions of this Agreement shall apply to and bind the respective heirs, executors, administrators, successors, and assigns of the parties. Nothing in this section is intended to affect the limitation on assignment.

22. Non-Discrimination/Fair Employment Practices.

(a) Consultant shall not, because of race, religious creed, color, sex, national original, ancestry, disability, medical condition, age, marital status or sexual orientation of any person, refuse to hire or employ, or to bar or discharge from employment, or to discriminate in compensation, or in terms, conditions or privileges any person, and every employee will receive equal opportunity for employment and shall be granted equal treatment with respect to compensation, terms, conditions or other privileges of employment, without regard to his race, religious creed, color, sex, national origin, ancestry, or disability, medical condition, age, marital status or sexual orientation.

Consultant warrants and represents it is an equal opportunity employer and agrees it shall not discriminate on the basis of race, religious creed, color, sex, national origin, ancestry, disability, medical condition, age, marital status or sexual DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9

Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 7 of 10 orientation in the selection and retention of employees, subcontractors or procurement of materials or equipment.

In all solicitations either by competitive bidding or negotiations made by Consultant for work to be performed under any subcontract, including procurement of materials or equipment, each potential subcontractor or supplier shall be notified by Consultant of Consultant’s obligation under this Agreement relative to nondiscrimination and fair employment practices.

Consultant shall include the above provisions of this section in every subcontract, including procurement of materials or equipment.

(b) Consultant agrees to comply with Title VII of the Civil Rights Act of 1964, as amended, the California Fair Employment Practices Act, the Americans with Disabilities Act of 1990, any other applicable federal and state laws and regulations and City ordinances and regulations hereinafter enacted.

23. Notices. All notices or instruments required to be given or delivered by law or this Agreement shall be in writing and shall be effective upon receipt thereof and shall be by personal service or delivered by depositing the same in any United States Post Office, registered or certified mail, postage prepaid, addressed to:

If to City: Christina Ratcliffe, AICP
Planning and Development Services Director
Planning and Development Svcs. Dept.
555 Santa Clara Street
Vallejo, CA 94590
[email protected]

If to Consultant: Richard Smeaton
Principal Planner
Interwest Consulting Group
39355 California St, Suite 200
Freemont, CA 94538
[email protected]

Any party may change its address for receiving notices by giving written notice of such change to the other party in accordance with this section.

24. Integration Clause. This Agreement, including all Exhibits, contains the entire agreement between the parties and supersedes whatever oral or written understanding they may have had prior to the execution of this Agreement. This Agreement shall not be amended or modified except by a written agreement executed by each of the parties hereto.

25. Severability Clause. Should any provision of this Agreement ever be DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9

Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 8 of 10 deemed to be legally void or unenforceable, all remaining provisions shall survive and be enforceable.

26. Law Governing. This Agreement shall in all respects be governed by the law of the State of California
without regard to its conflicts of law rules. Litigation arising out of or connected with this Agreement shall be instituted and maintained in the courts of Solano County in the State of California or in the United States District Court, Eastern District of California, Sacramento, California, and the parties consent to jurisdiction over their person and over the subject matter of any such litigation in such courts, and consent to service of process issued by such courts.

27. Waiver. Waiver by either party of any default, breach or condition precedent shall not be construed as a waiver of any other default, breach or condition precedent or any other right hereunder.

28. Ambiguity. The parties acknowledge that this is a negotiated agreement, that they have had the opportunity to have this Agreement reviewed by their respective legal counsel, and that the terms and conditions of this Agreement are not to be construed against any party on the basis of such party's draftsmanship thereof.

29. Gender. All pronouns and any variations thereof shall be deemed to refer to the masculine, feminine, neuter, singular or plural, as the identifications of the person or persons, firm or firms, corporation or corporations may require.

30. Headings . The section headings contained in this Agreement are inserted for convenience only and shall not affect in any way the meaning or interpretation of this Agreement.

31. Compliance with Laws. Consultant will comply with all statutes, regulations and ordinances in the performance of all services under this Agreement.

32. Confidentiality of City Information. During the performance of services under this Agreement, Consultant may gain access to and use City information regarding, but not limited to, procedures, policies, training, operational practices, and other vital information (hereafter collectively referred to as "City Information") which are valuable, special and unique assets of the City. Consultant agrees that it will not use any information obtained as a consequence of the performance of services under this Agreement for any purpose other than fulfillment of Consultant’s scope of work , to protect all City Information and treat it as strictly confidential and proprietary to City, and that it will not at any time, either directly or indirectly, divulge, disclose or communicate in any manner any City Information to any third party, other than its own employees, agents or subcontractors who have a need for the City Information for the performance of services under this Agreement, without the prior written consent of City, or as required by law.

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Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 9 of 10

Consultant shall treat all records and work product prepared or maintained by Consultant in the performance of this Agreement as confidential.

A violation by Consultant of this section shall be a material violation of this Agreement and will justify legal and/or equitable relief.

Consultant’s obligations under this section shall survive the completion of services, expiration or termination of this Agreement.

33. News and Information Release. Consultant agrees that it will not issue any news releases in connection with either the award of this Agreement, or any subsequent amendment of or efforts under this Agreement, without first obtaining review and approval of said news releases from City through the City Representative.

34. City Representative. The City Representative specified in Exhibit A, or the representative's designee, shall administer this Agreement for the City.

35. Counterparts. The parties may execute this Agreement in one or more counterparts, each of which shall be deemed an original, but all of which together shall be deemed one and the same instrument.

36. Facsimile Signature; Electronic Signature. This Agreement shall be binding upon the receipt of facsimile signatures or e-mailed by PDF or otherwise.

Any person transmitting his or her signature by facsimile or electronically shall promptly send an original signature to the other party pursuant to the notice provision of this Agreement. The failure to send an original shall not affect the binding nature of this Agreement.

37. Authority. The person signing this Agreement for Consultant hereby represents and warrants that he/she is fully authorized to sign this Agreement on behalf of Consultant.

38. Exhibits. The following exhibits are attached hereto and incorporated herein by reference:

Exhibit A, entitled “Scope of Work,” including any attachments Exhibit B, entitled “Compensation,” including any attachments Exhibit C, entitled “Insurance Requirements,” including attachments

[SIGNATURES ON FOLLOWING PAGE]

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Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 10 of 10

IN WITNESS WHEREOF, the parties have executed this Agreement on the day and year shown below the name of each of the parties.

Interwest Consulting Group, Inc.
a Colorado corporation

B y :

Paul Meschino
Vice President of Operations

D A T E :

11711334

Vallejo Business License No.

(City Seal)

CITY OF VALLEJO,
a municipal corporation

B y :

Gillian Hayes
Assistant City Manager

D A T E :

ATTEST:

B y :

Dawn G. Abrahamson
City Clerk

APPROVED AS TO CONTENT:

Christina Ratcliffe, AICP
Planning and Development Services
Director

APPROVED AS TO FORM:

Veronica A.F. Nebb
City Attorney

APPROVED AS TO INSURANCE:

Armond Sarkis
Risk Mana
ger

DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9 6/20/2023
6/26/2023

M ay 3 , 2023
Christina Ratcliffe
Planning and Development Services Director
City of Vallejo
555 Santa Clara St
Vallejo, CA. 94590
R
E: Interwest Consulting Group – Contract Planning Services Dear Ms. Ratcliffe,
Pl
ease accept this proposal package for the Interwest’s Planning Services Group for Contract Planning Services.

We understand the City is seeking assistance in managing complex current planning projects and are pleased to present this proposal for contract planning services.

Our s
taff will be directed from our Fremont office. Our Project Administrator , Richard Smeaton , will be responsible for the contract and billing. His contact information is:

I
nterwest is proposing Erwin Ordonez as the Principal Planner to assist the City. His resume is attached to this proposal.

Scope of Work
W
e understand the City is seeking an experienced Principal Planner to act as an extension of staff under the direction of the Planning Manager or their designee to assist with zoning code amendments , housing policy related work, and/or municipal entitlements. Possible assignments include:

D
eliverables include:
 Researching and Writing Zoning Code Amendments
 Process General Plan Amendments and Zoning Code Amendments as needed.  Assist the City in conducting studies funded through grants.  Update planning regulations, such Accessory Dwelling Units, to meet current State law requirements.  Attend meetings of the City Council, Planning Commission, DRB, AHLC, City staff, community members, developers, contractors and the general public as directed.

Richard Smeaton
Project Administrator | Principal Planner
(408) 430-2203 | [email protected]

EXHIBIT A
DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9

 Other planning-related duties as assigned by the Planning Manager.

The scope of work assumes that the City will make available templates for all required staff reports, standard conditions of approval, resolutions/ordinances, and other documents needed to process the application. It is also assumed that the City will publish and mail public hearing notices.

At the City’s request the scope of work can be expanded to cover specialized studies or projects involving additional Interwest staff. A separate scope of work can be provided for these tasks if they are requested.

Work will be provided onsite or remotely as agreed upon by the City of Vallejo and Interwest.

Payment Schedule

The rates displayed in the fee schedule below reflect Interwest’s current fees. Hourly rates are typically reviewed yearly on July 1 and may be subject to revision unless under specific contract obligations. Our rates will be firm for the first year of the agreement. In addition, there is no charge for shipping, supply, or material costs.

Classification Hourly Billing Rate

Planning Services
Community Development Director ........................................................................................................... $200 Planning Manager ........................................................................................................................................ 185 Principal Planner .......................................................................................................................................... 165 Senior Planner .............................................................................................................................................. 155 Associate Planner ......................................................................................................................................... 125 Assistant Planner ......................................................................................................................................... 100 Planning Tech................................................................................................................................................. 80

No price increases will occur during the first year of the Contract. Thereafter, rates will be increased annually on January 1st. The hourly rates listed shall be increased based upon the annual increase in the Department of Labor, Bureau of Labor Statisti cs or successor thereof, Consumer Price Index (United States City Average, All Items (CPI -U), Not Seasonally adjusted, All Urban Consumers, referred to herein as the “CPI”) for the Municipality or, if not reported for the Municipality the CPI for cities of a similar size within the applicable region from the previous calendar year, such increase, however, not to exceed 4% per annum. The increase will become effective upon publication of the applicable CPI data. If the index decreases, the rates listed shall remain unchanged.

The invoices shall reference the project title, entitlement project or tracking number, and list charges by task, worker classification hours, billing rate, and totals.

The Not to Exceed amount for planning contract services is $68,480. Term is for one calendar year from date of contract execution.

DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9

Erwin Ordonez, AICP, EDFP

PRINCIPAL PLANNER
Erwin has over 25 years of work experience managing community development, housing and economic development programs and projects and 10+ years of managing local housing agencies and supervision. He has worked in conjunction with elected officials, senior management, community groups, developers, nonprofits and colleagues in other agencies to build professional relationships and to identify goal s and complete projects of community significance. He understands housing opportunities at all socio -economic levels, while maintaining safe livable communities with the necessary economic activity required to thrive.

PROFESSIONAL HISTORY
Principal Planner / Interwest Consulting Group / 2021 – Present Erwin performs complex, advanced level professional planning work in current planning, advanced planning, or housing related projects throughout Northern California. He provides supervision to professional planning staff and coordinates and manages all activities related to the project.

Senior Business Development Manager / MidPen Housing, CA / 2017 - 2018
Erwin Served as a manager for the Business Development Team to research, analyze and evaluate potential sites for affordable housing developments and tax credit funding throughout the Bay Area and adjacent counties; He coordinated the preparation of special studies, evaluation reports, memorandum o f understanding, letters of intent and purchase and sale documents. Erwin conducted field visits, site research and met with key stakeholders, elected/public officials and property owners. He also provided support to the Business Development Director and Chief Real Estate Officer for presentations and reports to the non -profit Development Committee and Board of Directors. Erwin also attended local advocacy and public meetings to represent MidPen and support its efforts related to affordable housing. Key pro jects included successful 1st SF Teacher Housing Development RFQ proposal, SJ Moorpark Supportive Housing Development, Mountain View Sobrato Affordable Housing Development, TreeHouse Morgan Hill Intergenerational Housing and the Sobrato Redwood City Homeless Housing Site Evaluation, Destination Home RFQ response.

Community Development Director / City of Saratoga, Ca / 2015 - 2017 Erwin provided leadership as the City's principal planner and a member of its executive management team. He was responsible for overseeing all activities and operations of the community development department, including long-range and current planning, development review permitting, housing element compliance, business licensing and building and code compliance services.

Senior Plan ner | Acting Advance Planning Manager / Town of Los Gatos, CA / 2012 - 2015
Erwin served as the Chair of the Development Review Committee, Housing Programs Manager, Project Planner and former RDA Board Liaison . Tasks included but were not limited to managing Staff and the General Plan Committee

Years of Experience: 25+

Education
 BS, Urban Studies and
Planning, University of
California, San Diego, CA
 Major Coursework
Completed, Urban and
Regional Planning Program,
San Jose State University, CA
Registrations/Certifications
 Certification, American
Institute of Certified
Planners
 Certification, Economic
Development Finance
Professional, National
development Council
Professional Affiliations
 Former Chair, Santa Clara
County Planning Officials
(SCCAPO)
Awards
 2013 Silicon Valley
Leadership Group/Housing
Action Coalition Housing
Hero Recognition
DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9 ERWIN ORDONEZ , AICP, EDFP – PRINCIPAL PLANNER

and Housing Element Advisory Board, Managing the 2014 Housing Element update and managing staff for the Urban County/CDBG Technical Advisory Committees.

Senior Project Manager | Housing Manager / City of Morgan Hill, CA / 2008 - 2012 Erwin managed the Housing Services Division’s seven member staff and administered Morgan Hill’s acclaimed housing programs. He coordinated the annual City/RDA funding process for services and development applications and was responsible for the preparation of the $6M annual budget with Redevelopment housing, CDBG and in-lieu fee funds. Erwin also managed staff to the Mobile Home Rent Commission and City Council’s Community and Economic Development Committee. He coordinated preparation of the State Certified Housing Element and the staffing of the Housing Element Taskforce. Erwin also managed the economic development programs during the wind down of Morgan Hill’s Redevelopment Agency.

Senior Housing Planner / City of Santa Clara, CA / 2002 - 2008 Erwin served as the assistant manager for the Housing and Community Services Division 5 member staff. He was the primary negotiator for the redevelopment agency’s affordable housing projects and served in a Dual-role as RDA housing project manager and development review project planner for residential projects. Erwin also conducted special projects as the planner or planning director.

Associate Planner / City of Sunnyvale, CA / 2000 - 2002 Erwin served as the lead planner on assignments for significant residential and commercial development projects where he coordinated 2000 Comprehensive Zoning Ordinance Updates, Completed Crawford Drive and County Pockets Annexations and served as lead Planner for Moffett Park Specific Plan and EIR preparat ion, including development of TDR concept.

DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9

Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 1 of 2 Exhibit B - Compensation

EXHIBIT B

COMPENSATION

1. Consultant’s Compensation.

A. Services: City agrees to pay Consultant, at the rate(s) specified below, for those services set forth in Exhibit A of this Agreement, for a total not to exceed Sixty-Eight Thousand and Four Hundred Eighty Dollars and Zero Cents ($68,480.00).

2. Appropriate Billable Hourly Rates for Services and Additional Services.

Consultant’s billable hourly rates shall be as listed in Attachment 1 of Exhibit B, attached hereto and incorporated herein by this reference.

3. Consultant’s Reimbursable Expenses. Reimbursable Expenses shall be limited to actual reasonable expenditures of Consultant for expenses that are necessary for the proper completion of the Services and shall only be payable if specifically authorized in advance by City.

4. Payments to Consultant.

A. Payments to Consultant shall be made within a reasonable time after receipt of Consultant’s invoice, said payments to be made in proportion to services performed.

B. Request for payment shall be sent to:

Anthony Cook
Administrative Analyst
Planning and Development Services
555 Santa Clara Street
Vallejo, CA 94590
[email protected]

5. Accounting Records of Consultant. Consultant shall maintain for three (3) years after completion of all services hereunder, all records under this Agreement. Consultant shall keep such records available for audit, inspection and copying by representatives of the City’s Finance Department or other government agencies during regular business hours upon twenty four (24) hours’ notice.

The obligations of Consultant under this section shall survive this Agreement.

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Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 2 of 2 Exhibit B - Compensation

6. Taxes. Consultant shall pay, when and as due, any and all taxes incurred as a result of Consultant’s compensation hereunder, including estimated taxes, and shall provide City with proof of such payments upon request.

7. Taxpayer Identification Number. Consultant shall provide City with Consultant’s complete Request for Taxpayer Identification Number and Certification, Form W-9, as issued by the Internal Revenue Service, and any other State or local tax identification number requested by City.

DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9 ­ Other planning-related duties as assigned by the Planning Manager.

The scope of work assumes that the City will make available templates for all required staff reports, standard conditions of approval, resolutions/ordinances, and other documents needed to process the application. It is also assumed that the City will publish and mail public hearing notices.

At the City’s request the scope of work can be expanded to cover specialized studies or projects involving additional Interwest staff. A separate scope of work can be provided for these tasks if they are requested.

Work will be provided onsite or remotely as agreed upon by the City of Vallejo and Interwest.

Payment Schedule
The rates displayed in the fee schedule below reflect Interwest’s current fees. Hourly rates are typically reviewed yearly on July 1 and may be subject to revision unless under specific contract obligations. Our rates will be firm for the first year of the agreement. In addition, there is no charge for shipping, supply, or material costs.

Classification Hourly Billing Rate
Planning Services
Community Development Director ........................................................................................................... $200 Planning Manager .............................................................................................................. .......................... 185 Principal Planner .......................................................................................................................................... 165 Senior Planner .............................................................................................................................................. 155 Associate Planner ......................................................................................................................................... 125 Assistant Planner ......................................................................................................................................... 100 Planning Tech................................................................................................................................................. 80 No price increases will occur during the first year of the Contract. Thereafter, rates will be increased annually on January 1st. The hourly rates listed shall be increased based upon the annual increase in the Department of Labor, Bureau of Labor Statistics or successor thereof, Consumer Price Index (United States City Average, All Items (CPI-U), Not Seasonally adjusted, All Urban Consumers, referred to herein as the “CPI”) for the Municipality or, if not reported for the Municipality the CPI for cities of a similar size within the applicable region from the previous calendar year, such increase, however, not to exceed 4% per annum. The increase will become effective upon publication of the applicable CPI data. If the index decreases, the rates listed shall remain unchanged.

The invoices shall reference the project title, entitlement project or tracking number, and list charges by task, worker classification hours, billing rate, and totals.

The Not to Exceed amount for planning contract services is $68,480. Term is for one calendar year from date of contract execution.

ATTACHMENT 1 OF EXHIBIT B
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Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 1 of 3 Exhibit C – Insurance Requirements

EXHIBIT C

INSURANCE REQUIREMENTS

Consultant shall procure and maintain for the duration of this Agreement, including any extensions thereto, insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance of services hereunder by the Consultant, their agents, representatives, or employees or subcontractors.

1. Minimum Scope of Insurance. Coverage shall be at least as broad as:

A. Insurance Services Office form number GL 0002 covering Comprehensive General Liability and Insurance Services Office form number GL 0404 covering Broad Form Comprehensive General Liability; or Insurance Services Office Commercial General Liability coverage (occurrence form CG 0001).

B. Insurance Services Office form number CA 0001 covering Automobile Liability, code 1 any auto and endorsement CA 0025.

C. Workers' Compensation insurance as required by the State of California and Employer's Liability Insurance.

D. Professional Liability insurance appropriate to the Consultant’s profession (Errors and Omission).

2. Minimum Limits of Insurance. Consultant shall maintain limits no less than:

A. General Liability: $2,000,000 per occurrence for bodily injury, personal injury, and property damage. If Commercial General Liability Insurance or other form with a general aggregate limit is used, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit.

B. Automobile Liability: $1,000,000 per accident for bodily injury and property damage.

C. Workers’ Compensation and Employer's Liability: $1,000,000 per accident for bodily injury or disease. If Consultant is not subject to California Workers’ Compensation requirements, Consultant shall file a completed certificate of exemption form which may be obtained from the City prior to commencing any activity authorized hereunder.

DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9

Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 2 of 3 Exhibit C – Insurance Requirements
D. Professional Liability (Errors and Omission): $1,000,000 combined single limit per occurrence, and annual aggregate.

3. Deductible and Self-Insured Retention. Any deductibles or self-insured retention must be declared to and approved by the City. At the option of the City, either: the insurer shall reduce or eliminate such deductibles or self-insured retention as respects the City of Vallejo, its officers, officials, employees and volunteers; or the Consultant shall procure a bond guaranteeing payment of losses and related investigations, claim administration and defense expenses.

4. Other Insurance Provisions. The general liability and automobile liability policies, as can be provided, are to contain, or be endorsed to contain, the following provisions:

A. The City of Vallejo, its officers, officials, employees, agents and volunteers are to be covered as additional insureds as respects; liability, including defense costs, arising out of activities performed by or on behalf of the Consultant; products and completed operations of the Consultant; premises owned, occupied or used by the Consultant; or automobiles owned, leased hired or borrowed by the Consultant. The coverage shall contain no special limitations on the scope of protection afforded to the City of Vallejo, its officers, officials, employees, agents or volunteers. The insurance is to be issued by companies licensed to do business in the State of California.

B. Other than workers compensation coverage, for any claims related to this project, the Consultant's insurance coverage shall be primary insurance as respects the City of Vallejo, its officers, officials, employees, agents, and volunteers. Any insurance or self-insurance maintained by the City of Vallejo, its officers, officials, employees, agents, or volunteers shall be excess of the Consultant's insurance and shall not contribute with it.

C. Any failure to comply with reporting or other provisions of the policies including breaches of warranties shall not affect coverage provided to the City, its officers, officials, employees, agents, or volunteers.

D. The Consultant's insurance shall apply separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the insurer's liability.

E. Each insurance policy required by this clause shall be endorsed to state that coverage shall not be suspended, voided, canceled by either party, reduced in coverage or in limits except after thirty (30) days' prior written notice by certified mail, return receipt requested, has been given to the City.

DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9

Consultant and Professional Services Agreement_ Interwest Consulting Group, Inc. Page 3 of 3 Exhibit C – Insurance Requirements
F. The workers’ compensation and employer’s liability policy required hereunder shall be endorsed to state that the workers' compensation carrier waives its right of subrogation against City, its officers, officials, employees, agents and volunteers, which might arise by reason of payment under such policy in connection with Consultant’s performance under this Agreement.

5. Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M. Best's rating of no less than A:VII.

6. Verification of Coverage. Consultant shall furnish the City with certificates of insurance and original endorsements effecting general and automobile liability insurance coverage required by this clause. The certificates and endorsements are to be signed by a person authorized by that insurer to bind coverage on its behalf. All endorsements are to be received and approved by the City before work commences.

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

8. Payment Withhold. City will withhold payments to Consultant if the certificates of insurance and endorsements required in Paragraph F, above, are canceled or Consultant otherwise ceases to be insured as required herein.

DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9

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

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

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

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

OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD

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

CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

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 EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-

STATUTE
PER

LIMITS(MM/DD/YYYY)

POLICY EXP
(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR
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
5/3/2023
RBN Insurance Services
303 E Wacker Dr Ste 650
Chicago IL 60601
Symone White
312-856-9400
312-856-9425
[email protected]
Hartford Fire Insurance Co.
19682
SAFELLC-01
Hartford Casualty Insurance Co
29424
Interwest Consulting Group
444 N. Cleveland Ave.

Loveland CO 80537
Great American E&S Ins. Co.
37532
Bridgeway Insurance Company
12489

TWIN CITY FIRE INS CO CO
29459
Lexington Insurance Company
19437
163133000
A
X
1,000,000
X
1,000,000
10,000
1,000,000
2,000,000
X
Y
83UENZV3951
10/3/2022
10/3/2023
2,000,000
B
1,000,000
X
X
X
83UENPY9100
10/3/2022
10/3/2023
D
F
X
10,000,000
X
8E-A7-XL-0002079-01
011170903
10/3/2022
10/3/2022
10/3/2023
10/3/2023
10,000,000
X
0 E
X
N
Y
83WECE0623
5/12/2022
5/12/2023
1,000,000
1,000,000
1,000,000
C
Professional Liability
TER 4495168
10/3/2022
10/3/2023
Each Claim/Aggregate
10,000,000
RE: Lake Dalwigk project
The City of Vallejo, its officers, officials, employees, agents and volunteers are Additional Insured with respect to General Liability as required by written contract. A waiver of subrogation applies to the workers compensation policy as required by written contract.

City of Vallejo; Attn: Risk Manager
555 Santa Clara Street
Vallejo CA 94590
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/88/31/42/37/29/34/32/80/80/84/94/29/41/51/29/45/29/37/56/53/34/44/31/35/41/47/31/29/30/41/36/31/32/33/31/33/37/34/43/41/35/37/32/31/35/30/28/29/43/34/35/95/34/29/32/37/44/31/32/37/40/35/31/55/39/34/35/36/31/33/41/30/41/i255 /41/33/33/48/30/40/51/30/29/33/29/41/35/56/29/32/46/28/29/42/28/56/34/40/28/41/44/31/41/32 /34/46/32/31/35/30/28/29/43/29/32/37/31/35/31/30/37/34/39/36/34/35/31/37/28/41/32/96/97/98/34/32 /31/57/27/28/31/45/31/30/30/34/35/34/39/41/42/34/44/31/35/31/33/52/41/40/37/34/52/46/28/29/45/31/37/28/31/i255 /37/28/31/31/39/39/31/42/37/29/44/31/33/41/37/31/34/39/37/28/31/53/34/44/31/35/41/47/31/i255/54/34/35/36/57/i255 /52/41/40/37/34/52/29/30/45/31/41/30/31/33/37/34/56/34/40/40/32/33/31/35/41/46/35/29/37/37/31/32/i255 /86/34/46/31/44/31/35/55/37/28/31/79/41/36/31/33/80/32/30/40/35/31/33/33/34/31/30/32/34/37 /41/47/35/31/31/36/31/32/37/29/39/48 /29/32/42/45/40/33/31/41/32/56/30/40/51/30/29/33/29/41/35/56/37/28/41/37/29/30/41/32 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/67/49/48/31/24/24/31/47/32/24/17/31/47/33/25/26/40/21/34/29/17/20/18/31/20/17/18/33/19/33/16/25/33/21/24/26/31/33 /20/16/19/24/21/22/25/29/29/19/21/26/46/32/18/17/27/43/38/29/29/24/32/22/16/29/31/24/24/31/47/32/24/17/24/16/25/29/29 /34/17/27/17/17/28/17/27/33/31/31/22/22/32/18/25/33/33/16/17/33/21/28/17/31/47/33/16/17 /45/31/22/22/32/18/18/17/26/22/17/45/33/16/25/33/22/25/32/24/17/27/21/33/43 /38/24/32/24/17/27/21/26/33/16/21/24/27/17/47/21/26/21/33/21/31/26/39/22/31/28/20/32/33/17/18/21/70/17/27/31/18 /17/29/17/22/33/18/31/26/21/22/25/29/29/19/24/33/31/18/17/27/27/25/33/25/39/20/18/31/40/18/25/28/24 /31/18/24/31/47/33/35/25/18/17 /25/18/17/26/31/33/33/25/26/40/21/34/29/17/20/18/31/20/17/18/33/19/43/86/29/17/22/33/18/31/26/21/22/27/25/33/25/28 /17/25/26/24 /21/26/47/31/18/28/25/33/21/31/26/39/47/25/22/33/24/31/18/20/18/31/40/18/25/28/24/65 /1/49/83/33/31/18/17/27/25/24/31/18/31/26/36
/67/49/15/18/17/25/33/17/27/31/18/32/24/17/27/31/26/36/31/18 /52/49/69/18/25/26/24/28/21/33/33/17/27/33/31/31/18/47/18/31/28/36 /22/31/28/20/32/33/17/18/24/31/47/33/35/25/18/17/39/21/26/22/29/32/27/21/26/40/24/19/24/33/17/28/24 /25/26/27 /25/20/20/29/21/22/25/33/21/31/26/24/24/31/47/33/35/25/18/17/39/16/25/18/27/31/18/47/29/31/20/20/19/27/21/24/23/24/39/15/82/84 DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9

25. "Your work" :ROMS, tapes, drives, cells, data processing devices or any other media which are used with a. Means:
electronically controlled equipment. (1) Work or operations performed by you or

21."Suit" means a civil proceed ing in which on your behalf; and damages because of "bodily injury", "property (2) Materials, parts or equipment furnished in damage" or "personal and advertising injury" to connection with such work or operations.which this insurance applies are alleged. "Suit" b. Includesincludes:
(1) Warranties or representations made at a. An arbitration proceed ing in which such any time with respect to the fitness, damages are claimed and to which the quality, durability, performance or use ofinsured must submit or does submit with our "your work", and consent; or
(2) The providing of or failure to provide b. Any other alternative dispute resolution warnings or instructions.proceedi ng in which such damages are claimed and to which the insured submits with
our consent.

22."Temporary worker" means a person who is
furnished to you to substitute for a permanent
"employee" on leave or to meet seasonal or
short-term workload conditions.

23."Volunteer worker" means a person who
a. Is not your "employee";
b. Donates his or her work;
c. Acts at the direction of and within the scope
of duties determined by you; and
d. Is not paid a fee, salary or other
compens ation by you or anyone else for their
work performed for you.

24."Your product":
a. Means:
(1) Any goods or products , other than real
property , manuf actured, sold, handled,
distributed or disposed of by:
(a) You;
(b) Others trading under your name; or
(c) A person or organization whose
business or assets you have acquired;
and
(2) Containers (other than vehicles),
materials, parts or equipment furnished in
connection with such goods or products.
b. Includes
(1) Warranties or representations made at
any time with respect to the fitness,
quality, durability, performance or use of
"your product"; and
(2) The providing of or failure to provide
warnings or instructions.
c. Does not include vending machines or other
property rented to or located for the use of
others but not sold.

HG 00 01 09 16 Page 21 of 21
DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF OUR RIGHT TO RECOVER

FROM OTHERS ENDORSEMENT
Endorsement Number:

Polley Number: 83 WE CE0623
Effective Date: 05/12/22
Effective hour is the same as stated on the Information Page of the policy.

Named Insured and Address: SAFEBUIL T LLC
3755 PRECISION DR ST 140
LOVELAND CO 80538

INTERWEST CONSUL TING GROUP
PO BOX 18330
BOULDER CO 80308
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 shall not operate directly or indirectly to benefit anyone not named in the Schedule.

SCHEDULE
Any person or organization from whom you are required by contract or agreement to obtain this waiver from us.

Endorsement is not applicable in KY, NH, NJ or for any MO construction risk Form WC 00 03 13 Printed in
U.S.A. Process Date: 05/11/22
Countersigned by -------------------
Authorized Representative
Polley Expiration Date: 05/12/23
DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9

INSR ADDL SUBR

LTR INSR WVD

DATE (MM/DD/YYYY)

PRODUCER CONTACT
NAME:

FAXPHONE
(A/C, No):(A/C, No, Ext):

E-MAIL
ADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBER

POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)

COMMERCIAL GENERAL LIABILITY

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

AUTHORIZED REPRESENTATIVE
INSURER(S) AFFORDING COVERAGE NAIC #
Y / N
N / A
(Mandatory in NH)

ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
EACH OCCURRENCE $
DAMAGE TO RENTED $PREMISES (Ea occurrence)CLAIMS-MADE OCCUR MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER:

PRODUCTS - COMP/OP AGG $
$
PRO-
OTHER:

LOCJECT

COMBINED SINGLE LIMIT
$(Ea accident)
BODILY INJURY (Per person) $ANY AUTO
OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS

AUTOS ONLY
HIRED PROPERTY DAMAGE $AUTOS ONLY (Per accident)
$
OCCUR EACH OCCURRENCE $
CLAIMS-MADE AGGREGATE $
DED RETENTION $ $

PER OTH-

STATUTE ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below POLICY

NON-OWNED

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

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

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

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

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

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

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

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

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03)

ACORDTM CERTIFICATE OF LIABILITY INSURANCE
Berkshire Hathaway Homestate Ins Co
5/18/2023
McGriff Insurance Services LLC
201 Alhambra Circle, 14th Floor
Miami, FL 33134
305 670-0083
Lauren Mayer
305 670-0083 8668028668
[email protected]
Interwest Consulting Group
444 N. Cleveland Avenue
Loveland, CO 80537
20044
A
N
Y SAWC458304 05/12/2023 05/12/2024 X
1,000,000
1,000,000
1,000,000
RE: Lake Dalwigk project
A waiver of subrogation applies to the workers compensation policy as requir City of Vallejo
Attn: Risk Manager
555 Santa Clara Street
Vallejo, CA 94590
1 of 1
#S32165196/M32162319
132SAFEBLLCClient#: 2303750
LEMA
1 of 1
#S32165196/M32162319
DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9 This page has been left blank intentionally.

DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9 RESOLUTION NO. 23-085 N.C.

A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF VALLEJO

APPROVING A CONSULTANT AND PROFESSIONAL SERVICES AGREEMENT WITH INTERWEST, INC. FOR PLANNING SERVICES NOT TO EXCEED $68,480 THROUGH JUNE 2024 AND AUTHORIZING THE CITY MANAGER TO EXECUTE SAME
WHEREAS, the Planning Division’s current staffing level is not sufficient to support the work required to function appropriately and an outside consultant is required to provide technical expertise to process planning applications in a timely manner; and WHEREAS, Interwest, Inc. is well-qualified, willing, and able to provide such staffing and planning services; and
WHEREAS, the City’s Planning and Development Services Department has sufficient funds in its Professional Services budget to pay for this work.

NOW, THEREFORE BE IT RESOLVED that the Council hereby approves a Consultant and Professional Services Agreement between the City of Vallejo and Interwest, Inc., attached hereto as Exhibit A, in an amount not to exceed $68,480 through June 30, 2024.

BE IT FURTHER RESOLVED that the Council hereby authorizes the City Manager to execute the aforementioned Agreement.

Adopted by the City Council of the City of Vallejo at a regular meeting held on June 13, 2023, with the following vote:

AYES: Mayor McConnell, Vice Mayor Verder-Aliga, Councilmembers Arriola, Bregenzer, Loera-Diaz, Matulac, and Palmares
NOES: None
ABSENT: None
ABSTAIN: None
______________________________________

ROBERT MCCONNELL, MAYOR
ATTEST:
_____________________________________
DAWN G. ABRAHAMSON, CITY CLERK









 



DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule
Blanket Waiver
Person/Organization: Blanket Waiver - Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver.

Waiver PremiumJob Description
All CO Operations 827.00
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. © 1983 National Council on Compensation Insurance
(Ed. 4-84)
Countersigned by ____________________________________WC 00 03 13 Insurance Company: Berkshire Hathaway Homestate Ins Co
Insured:

Endorsement No.: Policy No.: SAWC458304Endorsement Effective: 05/12/2023 (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Premium $
DocuSign Envelope ID: 20CA08D6-3AA0-4DF8-81B0-479E3339CEC9 Certificate Of Completion
Envelope Id: 20CA08D63AA04DF881B0479E3339CEC9
Status: Completed
Subject: Complete with DocuSign: Interwest Professional Services Agreement_CAO Stamp- Final.pdf, CO Waiv...

Source Envelope:

Document Pages: 54
Signatures: 6
Envelope Originator:

Certificate Pages: 6
Initials: 6
Anthony Cook
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
555 Santa Clara St
Vallejo, CA 94590
[email protected]
IP Address: 71.128.39.127
Record Tracking
Status: Original
6/15/2023 9:59:44 AM
Holder: Anthony Cook
[email protected]
Location: DocuSign
Security Appliance Status: Connected
Pool: StateLocal
Storage Appliance Status: Connected
Pool: City of Vallejo
Location: DocuSign
Signer Events
Signature
Timestamp
Paul Meschino
[email protected]
President
Interwest Consulting Group
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 24.25.220.226
Sent: 6/15/2023 10:04:04 AM
Resent: 6/15/2023 10:41:13 AM
Resent: 6/15/2023 5:51:51 PM
Resent: 6/20/2023 9:37:19 AM
Resent: 6/20/2023 3:13:03 PM
Viewed: 6/20/2023 3:46:26 PM
Signed: 6/20/2023 3:47:34 PM
Electronic Record and Signature Disclosure:

Accepted: 6/9/2021 3:10:24 PM
ID: 783a13d0-b812-479b-9393-db2de7fa5367
Christina Ratcliffe
[email protected]
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 71.128.39.127
Sent: 6/20/2023 3:47:37 PM
Viewed: 6/20/2023 4:00:33 PM
Signed: 6/20/2023 4:00:42 PM
Electronic Record and Signature Disclosure:

Accepted: 2/9/2021 6:42:03 AM
ID: e7ed1df6-7283-4780-9d61-7b275de9aa19
Armond Sarkis
[email protected]
Risk Manager
City of Vallejo
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 73.222.50.107
Sent: 6/20/2023 4:00:44 PM
Resent: 6/21/2023 11:01:12 AM
Resent: 6/21/2023 3:40:45 PM
Resent: 6/22/2023 1:36:01 PM
Viewed: 6/22/2023 1:36:36 PM
Signed: 6/22/2023 1:37:01 PM
Electronic Record and Signature Disclosure:

Not Offered via DocuSign
Allen French
[email protected]
Purchasing Manager
City of Vallejo
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 71.128.39.127
Sent: 6/22/2023 1:37:04 PM
Viewed: 6/22/2023 5:06:21 PM
Signed: 6/22/2023 5:06:29 PM
Electronic Record and Signature Disclosure:

Not Offered via DocuSign

Signer Events
Signature
Timestamp
Veronica A.F. Nebb
[email protected]
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 75.101.37.162
Sent: 6/22/2023 5:06:31 PM
Resent: 6/23/2023 9:10:21 AM
Viewed: 6/23/2023 4:27:36 PM
Signed: 6/23/2023 4:32:07 PM
Electronic Record and Signature Disclosure:

Accepted: 6/23/2021 5:11:28 PM
ID: efeca5c8-5bd2-4390-adf5-bad54db96447
Gillian Hayes
[email protected]
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Using IP Address: 71.128.39.127
Sent: 6/23/2023 4:32:09 PM
Resent: 6/26/2023 9:38:17 AM
Viewed: 6/26/2023 11:37:59 AM
Signed: 6/26/2023 11:38:58 AM
Electronic Record and Signature Disclosure:

Accepted: 4/15/2020 8:49:56 AM
ID: 64073036-7742-40cb-9ec6-9617d2aada96
Dawn G. Abrahamson
[email protected]
City Clerk
City of Vallejo
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 166.137.163.36
Sent: 6/26/2023 11:39:01 AM
Viewed: 6/26/2023 11:40:25 AM
Signed: 6/26/2023 11:40:33 AM
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
Angelina Joya
[email protected]
Deputy City Clerk
City of Vallejo
Security Level: Email, Account Authentication
(None)
Sent: 6/26/2023 11:40:36 AM
Electronic Record and Signature Disclosure:

Not Offered via DocuSign
Anthony Cook
[email protected]
Security Level: Email, Account Authentication
(None)
Sent: 6/26/2023 11:40:38 AM
Electronic Record and Signature Disclosure:

Not Offered via DocuSign

Carbon Copy Events
Status
Timestamp
Maria Haro-Sullivan
[email protected]
Interwest
Security Level: Email, Account Authentication
(None)
Sent: 6/26/2023 11:40:39 AM
Electronic Record and Signature Disclosure:

Not Offered via DocuSign
Witness Events
Signature
Timestamp
Notary Events
Signature
Timestamp
Envelope Summary Events
Status
Timestamps
Envelope Sent
Hashed/Encrypted
6/15/2023 10:04:04 AM
Envelope Updated
Security Checked
6/22/2023 1:33:45 PM
Certified Delivered
Security Checked
6/26/2023 11:40:25 AM
Signing Complete
Security Checked
6/26/2023 11:40:33 AM
Completed
Security Checked
6/26/2023 11:40:39 AM
Payment Events
Status
Timestamps
Electronic Record and Signature Disclosure

ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of Vallejo (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system.

Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.

Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below.

Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below.

Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us.

All notices and disclosures will be sent to you electronically Electronic Record and Signature Disclosure created on: 10/10/2019 1:09:10 PM Parties agreed to: Paul Meschino, Christina Ratcliffe, Veronica A.F. Nebb, Gillian Hayes 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.

How to contact City of Vallejo:

You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows:

To contact us by email send messages to: [email protected]

To advise City of Vallejo of your new email address
To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at [email protected] and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address.

If you created a DocuSign account, you may update it with your new email address through your account preferences.

To request paper copies from City of Vallejo
To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to [email protected] and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any.

To withdraw your consent with City of Vallejo
To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an email to [email protected] and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process..

Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide- signing-system-requirements.

Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.

By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:
 You can access and read this Electronic Record and Signature Disclosure; and  You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and
 Until or unless you notify City of Vallejo as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by City of Vallejo during the course of your relationship with City of Vallejo.

CONSENT CALENDAR 8.F.

DATE: November 19, 2024
TO: Mayor and Members of the City Council
FROM: Veronica A. F. Nebb, City Attorney
SUBJECT: ADOPT A RESOLUTION ACCEPTING TOBACCO GRANT PROGRAM GRANT FUNDS IN THE AMOUNT OF $931,758 FROM THE STATE OF CALIFORNIA DEPARTMENT OF

JUSTICE, OFFICE OF THE ATTORNEY GENERAL, AUTHORIZING THE CITY OF

VALLEJO TO ENTER INTO A MEMORANDUM OF UNDERSTANDING AND ANY

ADDITIONAL DOCUMENTS NECESSARY TO EFFECTUATE SAME, AND PROVIDING NOTICE OF INTENT TO AMEND THE FISCAL YEAR 2024-25 CAPITAL GRANTS AND CONTRIBUTION FUND #221 BUDGET TO RECEIVE AND EXPEND THE GRANT REVENUE (STEP 1)

RECOMMENDATION
Adopt a Resolution accepting Tobacco Grant Program grant funds in the amount of $931,758 from the State of California Department of Justice, Office of the Attorney General, authorizing the City of Vallejo to enter into a Memorandum of Understanding and any additional documents necessary to effectuate same, and providing notice of intent to amend the fiscal year 2024-2025 capital grants and contribution fund #221 budget to receive and expend the grant revenue (Step 1).

REASONS FOR RECOMMENDATION
A resolution of the City Council is required in order for the City to receive the grant funds and the Memorandum of Understanding must be in place before the City's tobacco retailer enforcement activities are eligible for reimbursement.

Per City Charter Section 703, amending the budget requires public notice and intent prior to any action taken.

A staff report recommending amendment of the capital grants and contribution #221 budget will be presented to the City Council at the next regularly scheduled City Council meeting.

BACKGROUND AND DISCUSSION
In anticipation of the City Council's adoption of a new Tobacco Retailer Licensing Ordinance, on June 28, 2024, City staff applied to the California Department of Justice Tobacco Grant Program for a grant to fund the costs of its Tobacco Licensing, Education, Compliance, & Enforcement Program ("Program"). On October 16, 2024, the City received notice that it was awarded $931,758 in the form of reimbursements for authorized activities through fiscal year 2026-2027 (the "Grant"). These activities include Tobacco Retailer education and outreach, Tobacco Retail Store inspections to confirm compliance with the TRL Ordinance and state and federal law, minor decoy operations, Code Enforcement Officer education, and, if violations are discovered, enforcement actions by the Planning and Development Services Department and Office of the City Attorney, as applicable. The Public Health Division of the Solano County Health and Human Services, in support of the Program and as a partner agency under the terms of the Grant, is willing to undertake some of the educational elements of the Program.

In order to receive the grant, the City must enter into a Memorandum of Understanding with the California Department of Justice (DOJ) (see Exhibit A of the Resolution) and perform only those activities authorized in the Summary of Award and shown as line items in the approved Budget Detail. Requests for reimbursement

Date: November 19, 2024
Subject: ADOPT A RESOLUTION ACCEPTING TOBACCO GRANT PROGRAM GRANT FUNDS IN THE AMOUNT OF $931,758 FROM THE STATE OF CALIFORNIA DEPARTMENT

OF JUSTICE, OFFICE OF THE ATTORNEY GENERAL, AUTHORIZING THE CITY

OF VALLEJO TO ENTER INTO A MEMORANDUM OF UNDERSTANDING AND ANY

ADDITIONAL DOCUMENTS NECESSARY TO EFFECTUATE SAME, AND
PROVIDING NOTICE OF INTENT TO AMEND THE FISCAL YEAR 2024-25 CAPITAL GRANTS AND CONTRIBUTION FUND #221 BUDGET TO RECEIVE AND EXPEND THE GRANT REVENUE (STEP 1)