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21-288 Amendment #1 dated 4-9-24 Mesiti-Miller Engineering for Design Services for Regnart Creek Rd Improvements1
FIRST AMENDMENT TO AGREEMENT 198 BETWEEN
THE CITY OF CUPERTINO AND MESITI-MILLER
ENGINEERING, INC FOR DESIGN SERVICES FOR
REGNART ROAD IMPROVEMENTS
This First Amendment to Agreement 198 between the City of Cupertino and Mesiti-Miller
Engineering, Inc is by and between the City of Cupertino, a municipal corporation (hereinafter "City")
and Mesiti-Miller Engineering, Inc, a Corporation (“Contractor”) whose address is 224 Walnut Ave,
Suite B, Santa Cruz, CA 95060, and is made with reference to the following:
RECITALS:
A. On February 16, 2021 Agreement 198 (“Agreement”) was entered into by and
between City and Contractor for Design Services for Regnart Road Improvements.
B. City and Contractor desire to continue Contractor’s services to the City under the
Agreement, and hereby affirm their intent that it remain in full force and affect as amended
and reinstated by this First Amendment.
C. City and Contractor desire to modify the Agreement on the terms and conditions set
forth herein.
NOW, THEREFORE, it is mutually agreed by and between the undersigned parties as
follows:
1. Paragraph 3.1 of the Agreement is modified to read as follows:
Term. This Agreement begins on the Effective Date and ends on June 30, 2025, unless
terminated earlier as provided herein (“Contract Time”). The City’s appropriate
department head or City Manager may extend the Contract Time through a written
amendment to this Agreement, provided such extension does not include additional
contract funds. Extensions requiring additional contract funds are subject to the City’s
purchasing policy.
2. Except as expressly modified herein, all other terms and covenants set forth in the
Agreement shall remain the same and shall be in full force and effect.
SIGNATURES CONTINUE ON THE FOLLOWING PAGE
2
IN WITNESS WHEREOF, the parties hereto have caused this modification of Agreement
to be executed.
CITY OF CUPERTINO
By
Title
Date
APPROVED AS TO FORM
City Attorney
ATTEST:
City Clerk
Date
MESITI-MILLER ENGINEERING, INC
By
Title
Date
EXPENDITURE DISTRIBUTION
Item PO Number Amount
Original Agreement 2021-324 $110,388.00
Amendment 1 Extend Term to 6/30/2025 -
Principal, Vice President
Apr 9, 2024
Christopher D. Jensen
Assistant Director of Public Works
Apr 9, 2024
Apr 9, 2024
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-MAILADDRESS:
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
EROTH-STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
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
12/5/2023
AssuredPartners Design Professionals Insurance Services,LLC
3697 Mt.Diablo Blvd Suite 230
Lafayette CA 94549
Elise Fisher
510-272-1435
CertsDesignPro@AssuredPartners.com
License#:6003745 US Specialty Insurance Company 29599
MESIENG-01 Sentinel Insurance Company 11000Mesiti-Miller Engineering,Inc.
224 Walnut Avenue,Suite B
Santa Cruz CA 95060
Hartford Accident and Indemnity Company 22357
Hartford Casualty Insurance Company 29424
1140581384
B X 2,000,000
X 1,000,000
X Contractual Liab 10,000
Included 2,000,000
4,000,000
X
Y Y 57SBWBN1671 12/10/2023 12/10/2024
4,000,000
C 1,000,000
X
X X
Y Y 57UEGFN8896 12/10/2023 12/10/2024
B X X 1,000,000Y57SBWBN167112/10/2023Y 12/10/2024
1,000,000
X 10,000
D X
N
Y 57WEGAJ4YSL 12/10/2023 12/10/2024
1,000,000
1,000,000
1,000,000
A Professional Liability USS2334306 12/10/2023 12/10/2024 Per Claim
Aggregate Limit
$2,000,000
$2,000,000
The Umbrella Policy is follow form to its underlying Policies:General Liability/Auto Liability/Employers Liability.No PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER is EXCLUDED from Workers Compensation.
RE:All Operations of the Named Insured The City of Cupertino,its City Council,officers,officials,employees,agents,servants and volunteers are named as
additional insureds as respects general and auto liability as required per written contract.General and Auto Liability are Primary/Non-Contributory per policy
form wording.Insurance coverage includes waiver of subrogation per the attached endorsement(s).
30 Day Notice of Cancellation
The City of Cupertino
Attn:Evelyn Moran
10300 Torre Ave
Cupertino CA 95014
COMMERCIAL AUTOMOBILE BROAD FORM
ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
To the extent that the provisions of this endorsement provide broader benefits to the "insured"than other
provisions of the Coverage Form,the provisions of this endorsement apply.
COMMERCIAL AUTOMOBILE
HA 99 16 12 21
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
1.BROAD FORM INSURED
Paragraph .1.-WHO IS AN INSURED -of
Section II -Liability Coverage is amended to
add the following:
d.Subsidiaries and Newly Acquired or
Formed Organizations
The Named Insured shown in the Declarations
is amended to include:
(1)Any legal business entity other than a
partnership or joint venture,formed as a
subsidiary in which you have an
ownership interest of more than 50%on
the effective date of the Coverage Form.
However,the Named Insured does not
include any subsidiary that is an "insured"
under any other automobile policy or
would be an "insured"under such a policy
but for its termination or the exhaustion of
its Limit of Insurance.
(2)Any organization that is acquired or
formed by you and over which you
maintain majority ownership.However,
the Named Insured does not include any
newly formed or acquired organization:
(a)That is a partnership or joint venture,
(b)That is an "insured"under any other
policy,
(c)That has exhausted its Limit of
Insurance under any other policy,or
(d)180 days or more after its acquisition
or formation by you,unless you have
given us notice of the acquisition or
formation.
Coverage does not apply to "bodily injury"
or "property damage"that results from an
"accident"that occurred before you
formed or acquired the organization.
e.Employees as Insureds
(1).Any "employee"of yours while using a
covered "auto"you don't own,hire or
borrow in your business or your personal
affairs.
f.Lessors as Insureds
(1).The lessor of a covered "auto"while the
"auto"is leased to you under a written
agreement if:
(a)The agreement requires you to
provide direct primary insurance for
the lessor and
(b)The "auto"is leased without a driver.
Such a leased "auto"will be considered a
covered "auto"you own and not a covered
"auto"you hire.
g.Additional Insured if Required by Contract
(1)When you have agreed,in a written
contract or written agreement,that a
person or organization be added as an
additional insured on your business auto
policy,such person or organization is an
"insured",but only to the extent such
person or organization is liable for "bodily
injury"or "property damage"caused by
the conduct of an "insured"under
paragraphs a.or b.of Who Is An Insured
with regard to the ownership,
maintenance or use of a covered "auto."
The insurance afforded to any such
additional insured applies only if the
"bodily injury"or "property damage"
occurs:
(a)During the policy period,and
(b)Subsequent to the execution of such
written contract,and
Form HA 99 16 12 21 Page 1 of 5
©2021,The Hartford
(Includes copyrighted material of Insurance Services Office,Inc.with its permission.)
57UEGFN8896
(c)Prior to the expiration of the period of
time that the written contract requires
such insurance be provided to the
additional insured.
(2)How Limits Apply
If you have agreed in a written contract or
written agreement that another person or
organization be added as an additional
insured on your policy,the most we will
pay on behalf of such additional insured is
the lesser of:
(a)The limits of insurance specified in the
written contract or written agreement;
or
(b)The Limits of Insurance shown in the
Declarations.
Such amount shall be a part of and not in
addition to Limits of Insurance shown in
the Declarations and described in this
Section.
(3)Additional Insureds Other Insurance
If we cover a claim or "suit"under this
Coverage Part that may also be covered
by other insurance available to an
additional insured,such additional insured
must submit such claim or "suit"to the
other insurer for defense and indemnity.
However,this provision does not apply to
the extent that you have agreed in a
written contract or written agreement that
this insurance is primary and
non-contributory with the additional
insured's own insurance.
(4)Duties in The Event Of Accident,Claim,
Suit or Loss
If you have agreed in a written contract or
written agreement that another person or
organization be added as an additional
insured on your policy,the additional
insured shall be required to comply with
the provisions in LOSS CONDITIONS 2.-
DUTIES IN THE EVENT OF ACCIDENT,
CLAIM ,SUIT OR LOSS –OF SECTION
IV –BUSINESS AUTO CONDITIONS,in
the same manner as the Named Insured.
2.Primary and Non-Contributory if Required
by Contract
Only with respect to insurance provided to an
additional insured in A.1.g.-Additional
Insured If Required by Contract,the following
provisions apply:
(1)Primary Insurance When Required By
Contract
This insurance is primary if you have
agreed in a written contract or written
agreement that this insurance be primary.
If other insurance is also primary,we will
share with all that other insurance by the
method described in Other Insurance 5.d.
(2)Primary And Non-Contributory To Other
Insurance When Required By Contract
If you have agreed in a written contract or
written agreement that this insurance is
primary and non-contributory with the
additional insured's own insurance,this
insurance is primary and we will not seek
contribution from that other insurance.
Paragraphs (1)and (2)do not apply to other
insurance to which the additional insured has
been added as an additional insured.
When this insurance is excess,we will have
no duty to defend the insured against any
"suit"if any other insurer has a duty to defend
the insured against that "suit".If no other
insurer defends,we will undertake to do so,
but we will be entitled to the insured's rights
against all those other insurers.
When this insurance is excess over other
insurance,we will pay only our share of the
amount of the loss,if any,that exceeds the
sum of:
(1)The total amount that all such other
insurance would pay for the loss in the
absence of this insurance;and
(2)The total of all deductible and self-insured
amounts under all that other insurance.
We will share the remaining loss,if any,by
the method described in SECTION IV-
Business Auto Conditions,B.General
Conditions,Other Insurance 5.d.
3.AUTOS RENTED BY EMPLOYEES
Any "auto"hired or rented by your "employee"on
your behalf and at your direction will be
considered an "auto"you hire.
The SECTION IV-Business Auto Conditions,B.
General Conditions,5.OTHER INSURANCE
Condition is amended by adding the following:
e.If an "employee’s"personal insurance also
applies on an excess basis to a covered
"auto"hired or rented by your "employee"on
your behalf and at your direction,this
insurance will be primary to the "employee’s"
personal insurance.
Page 2 of 5 Form HA 99 16 12 21
4.AMENDED FELLOW EMPLOYEE EXCLUSION
EXCLUSION 5.-FELLOW EMPLOYEE -of
SECTION II -LIABILITY COVERAGE does not
apply if you have workers'compensation
insurance in-force covering all of your
"employees".
Coverage is excess over any other collectible
insurance.
5.HIRED AUTO PHYSICAL DAMAGE COVERAGE
If hired "autos"are covered "autos"for Liability
Coverage and if Comprehensive,Specified
Causes of Loss,or Collision coverages are
provided under this Coverage Form for any "auto"
you own,then the Physical Damage Coverages
provided are extended to "autos"you hire or
borrow,subject to the following limit.
The most we will pay for "loss"to any hired "auto"
is:
(1)$100,000;
(2)The actual cash value of the damaged or
stolen property at the time of the "loss";or
(3)The cost of repairing or replacing the
damaged or stolen property,
whichever is smallest,minus a deductible.The
deductible will be equal to the largest deductible
applicable to any owned "auto"for that coverage.
No deductible applies to "loss"caused by fire or
lightning.Hired Auto Physical Damage coverage
is excess over any other collectible insurance.
Subject to the above limit,deductible and excess
provisions,we will provide coverage equal to the
broadest coverage applicable to any covered
"auto"you own.
We will also cover loss of use of the hired "auto"if
it results from an "accident",you are legally liable
and the lessor incurs an actual financial loss,
subject to a maximum of $1000 per "accident".
This extension of coverage does not apply to any
"auto"you hire or borrow from any of your
"employees",partners (if you are a partnership),
members (if you are a limited liability company),
or members of their households.
6.PHYSICAL DAMAGE -ADDITIONAL
TEMPORARY TRANSPORTATION EXPENSE
COVERAGE
Paragraph A.4.a.of SECTION III -PHYSICAL
DAMAGE COVERAGE is amended to provide a
limit of $50 per day and a maximum limit of
$1,000.
7.LOAN/LEASE GAP COVERAGE
Under SECTION III -PHYSICAL DAMAGE
COVERAGE,in the event of a total "loss"to a
covered "auto",we will pay your additional legal
obligation for any difference between the actual
cash value of the "auto"at the time of the "loss"
and the "outstanding balance"of the loan/lease.
"Outstanding balance"means the amount you
owe on the loan/lease at the time of "loss"less
any amounts representing taxes;overdue
payments;penalties,interest or charges resulting
from overdue payments;additional mileage
charges;excess wear and tear charges;lease
termination fees;security deposits not returned by
the lessor;costs for extended warranties,credit
life Insurance,health,accident or disability
insurance purchased with the loan or lease;and
carry-over balances from previous loans or
leases.
8.AIRBAG COVERAGE
Under Paragraph B.EXCLUSIONS -of SECTION
III -PHYSICAL DAMAGE COVERAGE,the
following is added:
The exclusion relating to mechanical breakdown
does not apply to the accidental discharge of an
airbag.
9.ELECTRONIC EQUIPMENT -BROADENED
COVERAGE
a.The exceptions to Paragraphs B.4 -
EXCLUSIONS -of SECTION III -PHYSICAL
DAMAGE COVERAGE are replaced by the
following:
Exclusions 4.c.and 4.d.do not apply to
equipment designed to be operated solely by
use of the power from the "auto's"electrical
system that,at the time of "loss",is:
(1)Permanently installed in or upon the
covered "auto";
(2)Removable from a housing unit which is
permanently installed in or upon the
covered "auto";
(3)An integral part of the same unit housing
any electronic equipment described in
Paragraphs (1)and (2)above;or
(4)Necessary for the normal operation of the
covered "auto"or the monitoring of the
covered "auto's"operating system.
b.Section III,Physical Damage Coverage,Limit
of Insurance,Paragraph C.2.is amended to
add the following:
$1,500 is the most we will pay for "loss"in
any one "accident"to all electronic equipment
(other than equipment designed solely for the
reproduction of sound,and accessories used
with such equipment)that reproduces,
receives or transmits audio,visual or data
signals which,at the time of "loss",is:
Form HA 99 16 12 21 Page 3 of 5
(1)Permanently installed in or upon the
covered "auto"in a housing,opening or
other location that is not normally used by
the "auto"manufacturer for the installation
of such equipment;
(2)Removable from a permanently installed
housing unit as described in Paragraph
2.a.above or is an integral part of that
equipment;or
(3)An integral part of such equipment.
c.For each covered "auto",should loss be
limited to electronic equipment only,our
obligation to pay for,repair,return or replace
damaged or stolen electronic equipment will
be reduced by the applicable deductible
shown in the Declarations,or $250,whichever
deductible is less.
10.EXTRA EXPENSE -BROADENED COVERAGE
Under Paragraph A.-COVERAGE -of SECTION
III -PHYSICAL DAMAGE COVERAGE,we will
pay for the expense of returning a stolen covered
"auto"to you.
11.GLASS REPAIR -WAIVER OF DEDUCTIBLE
Under Paragraph D.-DEDUCTIBLE -of
SECTION III -PHYSICAL DAMAGE COVERAGE,
the following is added:
No deductible applies to glass damage if the glass
is repaired rather than replaced.
12.TWO OR MORE DEDUCTIBLES
Under Paragraph D.-DEDUCTIBLE -of
SECTION III -PHYSICAL DAMAGE COVERAGE,
the following is added:
If another Hartford Financial Services Group,Inc.
company policy or coverage form that is not an
automobile policy or coverage form applies to the
same "accident",the following applies:
(1)If the deductible under this Business Auto
Coverage Form is the smaller (or smallest)
deductible,it will be waived;
(2)If the deductible under this Business Auto
Coverage Form is not the smaller (or
smallest)deductible,it will be reduced by the
amount of the smaller (or smallest)
deductible.
13.AMENDED DUTIES IN THE EVENT OF
ACCIDENT,CLAIM,SUIT OR LOSS
The requirement in LOSS CONDITIONS 2.a.-
DUTIES IN THE EVENT OF ACCIDENT,CLAIM,
SUIT OR LOSS -of SECTION IV -BUSINESS
AUTO CONDITIONS that you must notify us of an
"accident"applies only when the "accident"is
known to:
(1)You,if you are an individual;
(2)A partner,if you are a partnership;
(3)A member,if you are a limited liability
company;or
(4)An executive officer or insurance manager,if
you are a corporation.
14.UNINTENTIONAL FAILURE TO DISCLOSE
HAZARDS
If you unintentionally fail to disclose any hazards
existing at the inception date of your policy,we
will not deny coverage under this Coverage Form
because of such failure.
15.HIRED AUTO -COVERAGE TERRITORY
SECTION IV,BUSINESS AUTO CONDITIONS,
PARAGRAPH B.GENERAL CONDITIONS,7.-
POLICY PERIOD,COVERAGE TERRITORY -is
added to include the following:
(6)For short-term hired "autos",the coverage
territory with respect to Liability Coverage is
anywhere in the world provided that if the
"insured's"responsibility to pay damages for
"bodily injury"or "property damage"is
determined in a "suit,"the "suit"is brought in
the United States of America,the territories
and possessions of the United States of
America,Puerto Rico or Canada or in a
settlement we agree to.
16.WAIVER OF SUBROGATION
Paragraph 5.TRANSFER OF RIGHTS OF
RECOVERY AGAINST OTHERS TO US -of
SECTION IV -BUSINESS AUTO CONDITIONS
A.Loss Conditions is amended by adding the
following:
We waive any right of recovery we may have
against any person or organization with whom you
have a written contract that requires such waiver
because of payments we make for damages
under this Coverage Form.
17.RESULTANT MENTAL ANGUISH COVERAGE
The definition of "bodily injury"in SECTION V-
DEFINITIONS,C.is replaced by the following:
"Bodily injury"means bodily injury,sickness or
disease sustained by any person,including
mental anguish or death resulting from any of
these.
18.EXTENDED CANCELLATION CONDITION
Paragraph 2.of the COMMON POLICY
CONDITIONS -CANCELLATION -applies except
as follows:
If we cancel for any reason other than
nonpayment of premium,we will mail or deliver to
the first Named Insured written notice of
cancellation at least 60 days before the effective
date of cancellation.
Page 4 of 5 Form HA 99 16 12 21
19.HYBRID,ELECTRIC,OR NATURAL GAS
VEHICLE PAYMENT COVERAGE
In the event of a total loss to a "non-hybrid"auto
for which Comprehensive,Specified Causes of
Loss,or Collision coverages are provided under
this Coverage Form,then such Physical Damage
Coverages are amended as follows:
a.If the auto is replaced with a "hybrid"auto or
an auto powered solely by electricity or
natural gas,we will pay an additional 10%,to
a maximum of $2,500,of the "non-hybrid"
auto’s actual cash value or replacement cost,
whichever is less,
b.The auto must be replaced and a copy of a
bill of sale or new lease agreement received
by us within 60 calendar days of the date of
"loss,"
c.Regardless of the number of autos deemed a
total loss,the most we will pay under this
Hybrid,Electric,or Natural Gas Vehicle
Payment Coverage provision for any one
"loss"is $10,000.
For the purposes of the coverage provision,
a.A "non-hybrid"auto is defined as an auto that
uses only an internal combustion engine to
move the auto but does not include autos
powered solely by electricity or natural gas.
b.A "hybrid"auto is defined as an auto with an
internal combustion engine and one or more
electric motors;and that uses the internal
combustion engine and one or more electric
motors to move the auto,or the internal
combustion engine to charge one or more
electric motors,which move the auto.
20.VEHICLE WRAP COVERAGE
In the event of a total loss to an "auto"for which
Comprehensive,Specified Causes of Loss,or
Collision coverages are provided under this
Coverage Form,then such Physical Damage
Coverages are amended to add the following:
In addition to the actual cash value of the "auto",
we will pay up to $1,000 for vinyl vehicle wraps
which are displayed on the covered "auto"at the
time of total loss.Regardless of the number of
autos deemed a total loss,the most we will pay
under this Vehicle Wrap Coverage provision for
any one "loss"is $5,000.For purposes of this
coverage provision,signs or other graphics
painted or magnetically affixed to the vehicle are
not considered vehicle wraps.
Form HA 99 16 12 21 Page 5 of 5
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Form SS 51 14 04 17 Page 1 of 1
© 2017, The Hartford
ADDITIONAL INSURED PROVISIONS - CALIFORNIA
This endorsement modifies insurance provided under the following:
BUSINESS LIABILITY COVERAGE FORM
A.It is agreed that paragraph (2)of subsections 6.d.
and 6.f.of Section C. - WHO IS AN INSURED is
replaced by the following:
(2)The insurance afforded by paragraph
(1)above
does not apply if your acts or omissions, or the
acts or omissions of those acting on your behalf,
that are alleged to have caused the "bodily
injury", "property damage" or "personal and
advertising injury", involve professional
architectural, engineering or surveying services,
including but not limited to:
(a)The preparing, approving, editing of or
failure to prepare or approve, shop
drawings, maps, opinions, reports, surveys,
change orders, field orders, designs,
drawings, specifications, warnings,
recommendations, permit applications
payment requests, manuals or instructions;
(b)Supervisory, inspection, quality control,
architectural, engineering or surveying
activities or services;
(c)Maintenance of job site safety, construction
administration, construction contracting,
construction management, computer
consulting or design software development
or programming service, or selection of a
contractor or programming service;
(d)Monitoring, sampling, or testing service
necessary to perform any of the services
included in a. b. or c. above;
(e)Supervision, hiring, employment, training or
monitoring of others who are performing
any of the services included in a., b. or c.
above.
The insurance afforded to such additional
insured:
(a)Only applies to the extent permitted by law;
and
(b)Will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
B.It is agreed that the following paragraphs are added
to the end of subsections 1.and 8.of Section F-
OPTIONAL ADDITIONAL INSURED
COVERAGES;and it is agreed the following
paragraphs replace section b.of subsection 9.of
Section F. - OPTIONAL ADDITIONAL INSURED
COVERAGES.These paragraphs do not attach or
amend the language of any of the other subsections
of Section F - OPTIONAL ADDITIONAL INSURED
COVERAGES:
The insurance afforded by this subsection does not
apply if your acts or omissions, or the acts or
omissions of those acting on your behalf, that are
alleged to have caused the "bodily injury", "property
damage" or "personal and advertising injury",
involve professional architectural, engineering or
surveying services, including but not limited to:
(a)The preparing, approving, editing of or
failure to prepare or approve, shop
drawings, maps, opinions, reports, surveys,
change orders, field orders, designs,
drawings, specifications, warnings,
recommendations, permit applications
payment requests, manuals or instructions;
(b)Supervisory, inspection, quality control,
architectural, engineering or surveying
activities or services;
(c)Maintenance of job site safety, construction
administration, construction contracting,
construction management, computer
consulting or design software development
or programming service, or selection of a
contractor or programming service;
(d)Monitoring, sampling, or testing service
necessary to perform any of the services
included in a. b. or c. above;
(e)Supervision, hiring, employment, training or
monitoring of others who are performing any
of the services included in a., b. or c. above.
The insurance afforded to such additional insured:
(a)Only applies to the extent permitted by law;
and
(b)Will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
3ROLF\57SBWBN1671
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 organizationPropertyresponsible 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 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 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 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
3ROLF\57SBWBN1671
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 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 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 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 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;
Page 12 of 24 Form SS 00 08 04 05
3ROLF\57SBWBN1671
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 operationsyou 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 completed operations hazard".
premises; or f. Any Other Party
(b)Structural alterations, new (1)Any other person or organization whoconstruction or demolition a.is not an insured under Paragraphsoperations performed by or on ethrough . above, but only withbehalf 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 premisesyour behalf:owned by or rented to you; or
(a)In connection with your premises;(c)In connection with "your work" andorincluded 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" orreports, surveys, field orders, "personal and advertising injury"change orders, designs or arising out of the rendering of, or thedrawings 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
3ROLF\57SBWBN1671
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, whicheveractivities.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 forcompany that is not shown as a Named Insured in the sum of all damages because of allthe Declarations."personal and advertising injury" sustained by
any one person or organization is the PersonalD. 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 LimitThe 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 ofa.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 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 Toa.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 explosionthe 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 Part is 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 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.
Page 14 of 24 Form SS 00 08 04 05
3ROLF\57SBWBN1671
BUSINESS LIABILITY COVERAGE FORM
(1)If more than one limit of insurance under this Immediately send us copies of any
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 andapplicable 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"; andseparately to each consecutive annual period and to (4)Assist us, upon our request, in theany remaining period of less than 12 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 injuryafter issuance 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 purposes d. 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, assumeGENERAL 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 Suitinjured 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 suchor 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 additionalinsured must:insured is a partnership;
(1)Immediately record the specifics of the (3)Any manager, if you or an additionalclaim 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 additionalclaim or "suit" as soon as practicable.insured is a trust; or
c. Assistance And Cooperation Of The (6)Any elected or appointed official, if youInsuredor 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
3ROLF\57SBWBN1671
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 Insuranceinsurance 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 Youdamages that are not payable under 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 Borroweda. 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
Page 16 of 24 Form SS 00 08 04 05
3ROLF\57SBWBN1671
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 otherinsurance; or insurance.
(7) When You Add Others As An We will share the remaining loss, if any, withAdditional Insured To This any other insurance that is not described inInsurancethis 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 permitsadditional insured under this Coverage contribution by equal shares, we will followPart: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 of its
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 orcontract, written agreement or part of any payment, includingpermit that this insurance is Supplementary Payments, we have madeprimary and non-contributory with under this Coverage Part, those rights arethe additional insured's own transferred to us. The insured must doinsurance, this insurance is nothing after loss to impair them. At ourprimary and we will not seek request, the insured will bring "suit" orcontribution from that other transfer those rights to us and help usinsurance.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 (Waiverinsured has been added as an Of Subrogation)additional insured.If the insured has waived any rights ofWhen this insurance is excess, we will recovery against any person orhave 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, weother insurer has a duty to defend the have made under this Coverage Part, weinsured against that "suit". If no other also waive that right, provided the insuredinsurer defends, we will undertake to do waived their rights of recovery againstso, 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
3ROLF\57SBWBN1671
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Countersigned by
Authorized Representative
(1) Printed in U.S.A.Form WC 04 03 06
Policy Expiration Date:
WAIVER OF OUR RIGHT TO RECOVER FROM
OTHERS ENDORSEMENT - CALIFORNIA
Endorsement Number:Policy Number:
Effective Date: Effective hour is the same as stated on the Information Page of the policy.
Named Insured and Address:
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our
right against the person or organization named in the Schedule. (This agreement applies only to the extent that you
perform work under a written contract that requires you to obtain this agreement from us.)
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work
described in the Schedule.
The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due
on such remuneration.
SCHEDULE
Person or Organization Job Description
Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights
from us
57WEGAJ4YSL
12/10/2023
Mesiti-Miller Engineering,Inc.
224 Walnut Avenue,Suite B
Santa Cruz,CA 95060
12/10/2024
Design Services for Regnart Creek Rd Improvements
1 of 11
Design Professional Agr (Single) / Nov. 2020
DESIGN PROFESSIONAL SERVICES AGREEMENT (SINGLE)
WITH MESITI-MILLER ENGINEERING, INC
1. PARTIES
This Agreement is made by and between the City of Cupertino, a municipal corporation (“City”),
and Mesiti-Miller Engineering, Inc (“Consultant”), a Corporation for Design Services for Regnart
Creek Rd Improvements (“Project”), and is effective on the last date signed below (“Effective
Date”).
2. SERVICES
2.1 Basic Services. Consultant agrees to provide the Basic Services for the Project, which are set
forth in detail in the Scope of Services, attached here and incorporated as Exhibit A, and as further
specified in Consultant’s written Proposal as approved by City, except for any provision in the
Proposal which conflicts or is inconsistent with this Agreement and the Exhibits hereto, or as
otherwise expressly rejected by City. Consultant further agrees to carry out its work in compliance
with the City’s Shelter In Place and Social Distancing Requirements, attached here and incorporated
as Exhibit A-A.
2.2 Additional Services. City may request at any time during the Contract Time that Consultant
provide additional services for the Project, which are not already encompassed, expressly or implicitly,
in the Agreement, the Scope of Services, or the Proposal (“Additional Services”). Additional Services
must be authorized in writing by City and Consultant will not be paid for unauthorized Additional
Services rendered. Additional Services are subject to all the provisions applicable to Basic Services,
except and only to the extent otherwise specified by City in writing.
All references to “Services” in the Agreement include Basic Services and Additional Services, unless
otherwise stated in writing. The Services may be divided into separate sequential tasks, as further
specified in this Agreement, the Scope of Services, and Consultant’s Proposal.
Consultant is solely responsible for its errors and omissions and those of its subconsultants, and must
promptly correct them at its sole expense. Consultant must take appropriate measures to avoid or
mitigate any delay, liability, and costs resulting from its errors or omissions.
3. TIME OF PERFORMANCE
3.1 Term. This Agreement begins on the Effective Date and ends on January 19, 2024, unless
terminated earlier as provided herein (“Contract Time”). The City’s appropriate department head or
City Manager may extend the Contract Time through a written amendment to this Agreement,
provided such extension does not include additional contract funds. Extensions requiring additional
contract funds are subject to the City’s purchasing policy.
3.2 Schedule of Performance. All Services must be provided within the times specified in Exhibit
B, Schedule of Performance, attached and incorporated here. Consultant must promptly notify City of
Design Services for Regnart Creek Rd Improvements
2 of 11
Design Professional Agr (Single) / Nov. 2020
any actual or potential delay in providing the Services as scheduled to afford the Parties adequate
opportunity to address or mitigate delays. If the Services are divided by tasks, Consultant must begin
work on each separate task upon receiving City’s Notice to Proceed (“NTP”), and must complete each
task within the time specified in Exhibit B.
3.3 Time is of the essence for the performance of all the Services. Consultant must have sufficient
time, resources, and qualified staff to deliver the Services on time.
4. COMPENSATION
4.1 Maximum Compensation. City will pay Consultant for satisfactory performance of the Basic
Services and Additional Services, if approved, a cumulative total amount that will be capped so as not
to exceed $110,388.00 (“Contract Price”), as specified in Exhibit C, Compensation, attached and
incorporated here. The Contract Price includes all expenses and reimbursements and will remain in
place even if Consultant’s actual costs exceed the capped amount. No extra work or payment is
permitted in excess of the Contract Price.
4.2 Basic Services. City will pay Consultant $95,388.00 (“Lump Sum Price”) for the complete
and satisfactory performance of the Basic Services in accordance with Exhibit C. The Lump Sum Price
is inclusive of all time and expenses, including, but not limited to, sub-Consultants’ costs, materials,
supplies, equipment, travel, taxes, overhead, and profit. If the Basic Services are not fully completed,
Consultant will be compensated a percentage of the Lump Sum Price proportionate to the percentage
of Basic Services that were completed to City’s reasonable satisfaction.
4.3 Additional Services. City has the discretion, but not the obligation, to authorize Additional
Services up to an amount not to exceed $15,000.00 Additional Services provided to City’s reasonable
satisfaction will be compensated on a lump sum basis or based on time and expenses, in accordance
will the Hourly Rates and Reimbursable Expenses Schedules included in Exhibit C. If paid on an
hourly basis, Consultant will be compensated for actual costs only of normal business expenses and
overhead, with no markup or surcharge (“Reimbursable Expenses”). Consultant will not be entitled to
reimbursement for copying, printing, faxes, telephone charges, employee overtime, or travel to City
offices or to the Project site.
4.4 Invoices and Payments. Monthly invoices must describe the Services completed and the
Amount due for the preceding month. City will pay Consultant within thirty (30) days following
receipt of a properly submitted and approved invoice for Services. The invoice must separately itemize
and provide subtotals for Basic Services and Additional Services, and must state the percentage of
completion for each task, as specified in Exhibit C. City will notify Consultant in writing of any
disagreements with the invoice or the stated percentage of completion of tasks. If the disagreement is
unresolved, City will pay Consultant only for the undisputed portion of the Services. Disputed amounts
shall be subject to the Dispute Resolution provision of this Agreement.
a. Time and Expenses. For Additional Services provided on an hourly basis, each invoice
must also include, for each day of Services provided: (i) name and title of each person
providing Services; (ii) a succinct summary of the Services performed by each person;
(iii) the time spent per person, in thirty (30) minute increments; (iv) the hourly billing
rate or Sub- Consultant charge and payment due; and (v) an itemized list with amounts
and explanation for all permitted reimbursable expenses.
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b. Rates and Receipts. All hourly rates and reimbursable expenses must conform to the
City- approved rates set forth in Exhibit C, which will be in effect for the entire Contract
Time. Each invoice must attach legible, dated receipts for Reimbursable Expenses.
5. INDEPENDENT CONTRACTOR
5.1 Status. Consultant is an independent Consultant and not an employee, partner, or joint venture
of the City. Consultant is solely responsible for the means and methods of performing the Services
and shall exercise full control over the employment, direction, compensation and discharge of all
persons assisting Consultant in performing the Services. Consultant is not entitled to health benefits,
worker’s compensation, retirement, or any City benefit.
5.2 Qualifications and Standard of Care. Consultant represents on behalf of itself and its sub-
Consultants that they have the qualifications and skills to perform the Services in a competent and
professional manner, as exercised by design professionals performing similar services in the San
Francisco Bay Area. Services may only be performed by qualified and experienced personnel or
subconsultants who are not employed by City and do not have any contractual relationship with City
excepting this Agreement. All Services must be performed as specified to City’s reasonable satisfaction.
5.3 Permits and Licenses. Consultant warrants on behalf of itself and any sub-Consultants that
they are properly licensed, registered, and/or certified to perform the Services, as required by law, and
that they have procured a valid City Business License, if required by the Cupertino Municipal Code.
5.4 Sub-Consultants. Unless prior written approval from City is obtained, only Consultant’s
employees and sub-Consultants whose names are included in this Agreement and incorporated
Exhibits may provide Services under this Agreement. Consultant must require all sub-Consultants to
furnish proof of insurance for workers’ compensation, commercial liability, auto, and professional
liability in reasonable conformity to the insurance required of Consultant. The terms and conditions
of this Agreement shall be binding on all sub-Consultants relative to the portion of their work.
5.5 Tools, Materials, and Equipment. Consultant will supply and shall be responsible for all
tools, materials, and equipment required to perform the Services under this Agreement.
5.6 Payment of Benefits and Taxes. Consultant is solely responsible for the payment of
employment taxes incurred under this Agreement and any similar federal or state taxes. Consultant
and any of its employees, agents, and subcontractors shall not have any claim under this Agreement
or otherwise against City for seniority, vacation time, vacation pay, sick leave, personal time off,
overtime, health insurance, medical care, hospital care, insurance benefits, social security,
disability, unemployment, workers compensation or employee benefits of any kind. Consultant
shall be solely liable for and obligated to pay directly all applicable taxes, fees, contributions, or
charges applicable to Consultant’s business including, but not limited to, federal and state income
taxes. City shall have no obligation whatsoever to pay or withhold any taxes or benefits on behalf
of Consultant. Should any court, arbitrator, or administrative authority, including but not limited to
the California Public Employees Retirement System (PERS), the Internal Revenue Service or the
State Employment Development Division, determine that Consultant, or any of its employees,
agents, or subcontractors, is an employee for any purpose, then Consultant agrees to a reduction in
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amounts payable under this Agreement, or to promptly remint to City any payments due by the City
as a result of such determination, so that the City’s total expenses under this Agreement are not
greater than they would have been had the determination not been made.
5.7 Errors and Omissions. Consultant is solely responsible for its errors and omissions and
those of its sub-Consultants, and must take prompt measures to avoid, mitigate, and correct them at
its sole expense.
6. PROPRIETARY/CONFIDENTIAL INFORMATION
During the Contract Time, Consultant may have access to private or confidential information owned
or controlled by the City, which may contain proprietary or confidential details, the disclosure of
which to third parties may be damaging to City. Consultant shall hold in confidence all City
information and use it only to perform this Agreement. Consultant shall exercise the same standard of
care to protect City information as a reasonably prudent Consultant would use to protect its own
proprietary data.
7. OWNERSHIP OF MATERIALS
7.1 Property Rights. Subject to City meeting its payment obligations for the Services, any interest
(including copyright interests) of Consultant in any product, memoranda, study, report, map, plan,
drawing, specification, data, record, document, or other information or work, in any medium, prepared
by Consultant under this Agreement (“Work Product”), will be the exclusive property of the City upon
completion of the work to be performed hereunder or upon termination of this Agreement, to the
extent requested by City. In any case, no Work Product shall be shown to a third-party without prior
written approval by City
7.2 Copyright. To the extent permitted by Title 17 of the U.S. Code, all copyrights to the Work
Product prepared/created by Consultant and its sub-Consultants and all copyrights in such Work
Product shall constitute City property. If it is determined under federal law that the Work Product is
not “works for hire,” Consultant hereby assigns to City all copyri ghts to the Work Product when and
as created, and shall require sub-Consultants to do the same. Consultant may retain copyrights to its
standard details, but hereby grants City a perpetual, non-exclusive license to use such details.
7.3 Patents and Licenses. Consultant must pay royalties or license fees required for authorized
use of any third party intellectual property, including but not limited to patented, trademarked, or
copyrighted intellectual property if incorporated into the Services or Work Product of this Agreement.
7.4 Re-Use of Work Product. Unless prohibited by law and without waiving any rights, City may
use or modify the Work Product of Consultant and its sub-Consultants to execute or implement any of
the following, but Consultant shall not be responsible or liable for City’s re-use of Work Product:
(a) For work related to the original Services for which Consultant was hired;
(b) To complete the original Services with City personnel, agents or other Consultants;
(c) To make subsequent additions to the original Services; and/or
(d) For other City projects.
7.5 Deliverables and Format. Electronic and hard copies of the Work Product constitute part of
the Deliverables required under this Agreement, which shall be provided to City on recycled paper and
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copied on both sides, except for one single-sided original. Large-scale architectural plans and similar
items must be in CAD and PDF formats, and unless otherwise specified, other documents must be in
Microsoft Office applications and PDF formats.
8. RECORDS
8.1 Consultant must maintain complete, accurate, and detailed accounting records relating to the
Services and Compensation, in accordance with generally accepted accounting principles and
procedures. The records must include detailed information about Consultant’s performance,
benchmarks, and deliverables. The records and supporting documents must be kept separate from
other files and maintained for a period of four (4) years from the date of City’s final payment.
8.2 Consultant will provide City full access to Consultant’s books and records for review and
audit, to make transcripts or copies, and to conduct a preliminary examination of all the work, data,
documents, proceedings, and activities related to this Agreement. If a supplemental examination or
audit of Consultant’s records discloses non-compliance with appropriate internal financial controls, a
contract breach, or a failure to act in good faith, City will be entitled to recover from Consultant the
costs of the supplemental examination. If this is a lump sum fee Agreement, City will be provided
access to records of reimbursable expenses and the instruments of service/deliverables for review and
audit. This Section 8 survives the expiration/termination of this Agreement.
9. ASSIGNMENT
Consultant shall not assign, sublease, hypothecate, or transfer this Agreement, or any interest therein,
directly or indirectly, by operation of law or otherwise, without prior written consent of City. Any
attempt to do so will be null and void. Any changes related to the financial control or business nature
of Consultant as a legal entity will be considered an Assignment subject to City approval, which shall
not be unreasonably withheld. For purposes of this provision, control means fifty percent (50%) or
more of the voting power of the business entity. This Agreement binds Consultant, its heirs, successors
and assignees.
10. PUBLICITY / SIGNS
Any publicity generated by Consultant for the project under this Agreement, during the term of this
Agreement and for one (1) year thereafter, will reference the City’s contributions in making the
project possible. The words “City of Cupertino” will be displayed in all pieces of publicity, including
flyers, press releases, posters, brochures, public service announcements, interviews, and newspaper
articles. No signs may be posted, exhibited, or displayed on or about City property, except signage
required by law or this Agreement, without prior written approval from the City.
11. INDEMNIFICATION
11.1 To the fullest extent allowed by law and except for losses caused by the sole or active
negligence or willful misconduct of City personnel, Consultant agrees to indemnify, defend, and hold
harmless the City as follows:
a. Indemnity for Design Professional Liability: With respect to the performance of
design professional services by a design professional as defined in California Civil Code Section
2782.8, to the fullest extent permitted by law, Consultant shall indemnify and hold harmless City, its
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officers, officials, agents, employees, and volunteers (collectively and/or individually “City”) from
and against any and all liabilities, claims, damages, losses, costs, or expenses (including, without
limitation, costs, attorneys’ fees, and expert fees of litigation and alternative dispute resolution) of
every nature to the extent arising out of, pertaining to, or relating to the negligence, recklessness, or
willful misconduct of Consultant or any of its officers, employees, servants, agents, or subcontractors
(collectively and/or individually “Consultant”), in the performance of this Agreement or failure to
comply with any obligations of the Agreement. If it is finally determined (through a non-appealable
judgment or an agreement between City and Consultant) that liability is caused by the comparative
negligence or willful misconduct of City, then Consultant’s indemnification and hold harmless
obligation shall not exceed Consultant’s finally determined percentage of liability based upon the
comparative fault of Consultant.
Irrespective of any language to the contrary in this Agreement, the Consultant has no duty to provide
or to immediately pay for an up-front defense of City against unproven claims or allegations, but shall
reimburse those litigation costs and expenses (including, without limitation, attorneys’ fees, and expert
fees) incurred by the City to the extent caused by the negligence, recklessness, or willful misconduct
of Consultant. In no event shall the cost to defend charged to Consultant exceed Consultant’s
proportional percentage of fault, except as described in Section 2782.8(a) and (e) of the California
Civil Code.
b. Claims Involving Intellectual Property. Consultant shall indemnify, defend, and
hold harmless Indemnitees from and against any claim involving intellectual property,
infringement, or violation of a United States patent right or copyright, trade secret, trademark, or
service mark or other proprietary or intellectual property rights, which arises out of, pertains to, or
relates to Consultant’s negligence, recklessness, or willful misconduct. Such costs and expenses
will include reasonable attorney fees for legal counsel of City’s choice, expert fees, and all other
costs and fees of litigation.
c. Claims for Other Liability. Except as provided in subsections 11.1(a) and (b), to
the fullest extent permitted by law, Consultant shall hold harmless, defend (with counsel agreed to
by City), and indemnify City and its officers, officials, agents, employees, and volunteers
(collectively and/or individually “City”) from and against any and all liability, claim, loss, damage,
expense, costs (including, without limitation, costs, attorneys’ fees, and expert fees of litigation) of
every nature arising out of, related to, or in connection with the performance of work hereunder by
Consultant or any of its officers, employees, servants, agents, or subcontractors, or the failure of
the same to comply with any of the obligations contained in this Agreement, except such loss or
damage which was caused by the sole negligence or sole willful misconduct of the City.
Consultant’s duty to defend applies immediately, whether or not liability is established. An allegation
or determination that persons other than Contractor are responsible for the claim does not relieve
Contractor from its separate and distinct obligation to defend as stated herein.
11.2 Consultant will assist City, at no additional cost, in the defense of any claim, dispute, or
lawsuit arising out of this Agreement. Consultant’s duties herein are not limited to or subject to the
Contract Price, to Workers’ Compensation claims, or to the Insurance or Bond limits and provisions.
Nothing in this Agreement shall be construed to give rise to an implied right of indemnity in favor of
Consultant against any Indemnitee.
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11.3 Consultant agrees to pay the reasonable costs City may incur in enforcing this provision related
to Consultant’s indemnification duties, including reasonable attorney fees, fees for legal counsel
acceptable to City, expert fees, and all other costs and expenses related to a claim or counterclaim, a
purchase order, another transaction, litigation, or dispute resolution. Without waiving any rights, City
may deduct money from Consultant’s payments to cover moneys due to City.
11.4 Consultant agrees to obtain executed indemnity agreements with provisions identical to those
set forth here in this Section 11 from each and every subcontractor, or any other person or entity
involved by, for, with, or on behalf of Consultant in the performance of this Agreement. Failure of
City to monitor compliance with these requirements imposes no additional obligations on City and
will in no way act as a waiver of any rights hereunder.
11.5 This Section 11 shall survive expiration or termination of this Agreement.
12. INSURANCE
On or before the Contract Time commences, Consultant shall furnish City with proof of compliance
with City Insurance Requirements, attached and incorporated here as Exhibit D. City will not execute
the Agreement until Consultant has submitted and City has reasonably approved receipt of satisfactory
certificates of insurance and endorsements evidencing the type, amount, class of operations covered,
and the effective and expiration dates of coverage. Alternatively, City may terminate this Agreement or
in its sole discretion purchase insurance at Consultant’s expense and deduct costs from payments to
Consultant.
13. COMPLIANCE WITH LAWS
13.1 General Laws. Consultant shall comply with all laws and regulations applicable to this
Agreement. Consultant will promptly notify City of changes in the law or other conditions that may
affect the Project or Consultant’s ability to perform. Consultant is responsible for verifying the
employment authorization of employees performing the Services, as required by the Immigration
Reform and Control Act, or other federal or state law, rule or regulation.
13.2 Labor Laws. Consultant shall comply with all labor laws applicable to this Agreement. If the
Services include a “public works” component, Consultant must comply with prevailing wage laws
under Labor Code Section 1720 and other labor laws. To the extent applicable, Consultant must
comply with City’s Labor Compliance Program and with state labor laws pertaining to working days,
overtime, payroll records and DIR Registration and Oversight. If the Contract Price is $30,000 or
more, Consultant must comply with the apprenticeship requirement in Labor Code Section 1777.5.
13.3 Discrimination Laws. Consultant shall not discriminate on the basis of race, religious creed,
color, ancestry, national origin, ethnicity, handicap, disability, marital status, pregnancy, age, sex,
gender, sexual orientation, gender identity, Acquired-Immune Deficiency Syndrome (AIDS), or any
other protected classification. Consultant shall comply with all anti-discrimination laws, including
Government Code Section 12900 and 11135, and Labor Code Section. 1735, 1777, and 3077.5.
Consistent with City policy prohibiting it, Consultant understands that harassment and discrimination
by Consultant or any of its sub-Consultants toward a job applicant, an employee, a City employee, or
any other person is strictly prohibited. Consultant agrees to provide records and documentation to the
City on request necessary to monitor compliance with this provision.
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13.4 Conflicts of Interest. Consultant shall comply with all conflict of interest laws and regulations
applicable to this Agreement and must avoid any conflict of interest. Consultant warrants that no
public official, employee, or member of a City board or commission who might have been involved in
the making of this Agreement, has or will receive a direct or indirect financial interest in this
Agreement in violation of California Government Code Section 1090 et seq. Consultant may be
required to file a conflict of interest form if Consultant makes certain governmental decisions or serves
in a staff capacity, as provided in Section 18700 of Title 2 of the California Code of Regulations and
other laws. Services may only be performed by persons who are not employed by City and who do not
have any contractual relationship with City, with the exception of this Agreement. Consultant is
familiar with and agrees to abide by the City’s rules governing gifts to public officials and employees.
13.5 Remedies. A violation of this Section 13 constitutes a material breach and may result in City
suspending payments, requiring reimbursement, or terminating this Agreement. City reserves all its
rights and remedies under law and this Agreement, including the right to seek indemnification under
Section 11. Consultant agrees to indemnify, defend, and hold City harmless from and against any loss,
liability, and expenses arising from noncompliance with this Section.
14. PROJECT COORDINATION
14.1 City Project Manager. The City’s Project Manager for all purposes under this Agreement will
be Evelyn Moran, who shall have the authority to manage this Agreement and oversee the progress and
performance of the Services. City in its sole discretion may substitute another Project Manager at any
time and will advise Consultant of the new representative.
14.2 Consultant Project Manager. Subject to City’s reasonable approval, Consultant’s Project
Manager for all purposes under this Agreement will be Rodney Cahill, who shall be the single
representative for Consultant with the authority to manage compliance with this Agreement and
oversee the progress and performance of the Services. This includes responsibility for coordinating and
scheduling the Services in accordance with City instructions, service orders, and the Schedule of
Performance, and providing regular updates to the City’s Project Manager on the Project status,
progress, and any delays. City written approval is required prior to Consultant substituting a new
Project Manager, which shall result in no additional costs to City or Project delays.
15. ABANDONMENT OF PROJECT
City may abandon or postpone the Project with thirty (30) calendar days written notice to Consultant.
Consultant will be compensated for satisfactory Services performed through the date of abandonment
and will be given reasonable time to assemble the work and close out the Services. No close out work
shall be conducted without City reasonable approval of closure costs, which may not exceed ten
percent (10%) of the total time expended to the date of abandonment. All charges including job
closure costs will be paid in accordance with the provisions of this Agreement and within thirty (30)
days of Consultant’s final invoice reasonably approved by the City.
16. TERMINATION
City may terminate this Agreement for cause or without cause at any time, following reasonable
written notice to Consultant at least thirty (30) calendar days prior to the termination date. Consultant
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will be paid for satisfactory Services rendered through the date of termination, but final payment will
not be made until Consultant closes out the Services and delivers all Work Product to City. All
charges approved by City including job closure costs will be paid within thirty (30) days of
Consultant’s final invoice.
17. GOVERNING LAW, VENUE, AND DISPUTE RESOLUTION
This Agreement is governed by the laws of the State of California, excepting any choice of law rules
which may direct the application of laws of another jurisdiction. Any lawsuits filed related to this
Agreement must be filed with the Superior Court for the County of Santa Clara, State of California.
Consultant must comply with the claims filing requirements under the Government Code prior to filing
a civil action in court against City. The Agreement and obligations of the parties are subject to all valid
laws, orders, rules, and regulations of the authorities having jurisdiction over this Agreement (or the
successors of those authorities). If a dispute arises, Consultant must continue to provide the Services
pending resolution of the dispute. If the Parties elect arbitration, the arbitrator’s award must be
supported by law and substantial evidence and include detailed written findings of law and fact.
18. ATTORNEY FEES
If City initiates legal action, files a complaint or cross-complaint, or pursues arbitration, appeal or other
proceedings to enforce its rights or a judgment in connection with this Agreement, the prevailing party
will be entitled to reasonable attorney fees and costs. This Section 18 survives the
expiration/termination of this Agreement.
19. THIRD PARTY BENEFICIARIES
There are no intended third party beneficiaries of this Agreement.
20. WAIVER
Neither acceptance of the Services nor payment thereof shall constitute a waiver of any contract
provision. City’s waiver of any breach shall not be deemed to constitute waiver of another term,
provision, covenant, or condition or a subsequent breach, whether of the same or a different character
21. ENTIRE AGREEMENT
This Agreement represents the full and complete understanding of the Parties, of every kind or nature,
and supersedes any and all other agreements and understandings, either oral or written,
between them. Any modification of this Agreement will be effective only if in writing and signed by
each Party’s authorized representative. No verbal agreement or implied covenant will be valid to amend
or abridge this Agreement. If there is any inconsistency between any term, clause, or provision of this
main Agreement and any term, clause, or provision of the attachments or exhibits thereto, the terms of
the main Agreement shall prevail and be controlling.
22. INSERTED PROVISIONS
Each contractual provision or clause that may be required by law is deemed to be included and will be
inferred in this Agreement. Either party may request an amendment to cure any mistaken insertion or
omission of a required provision.
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23. HEADINGS
The headings in this Agreement are for convenience only, are not a part of the Agreement and in no
way affect, limit, or amplify the terms or provisions of this Agreement.
24. SEVERABILITY/PARTIAL INVALIDITY
If any term or provision of this Agreement, or their application to a particular situation, is found by the
court to be void, invalid, illegal or unenforceable, such term or provision shall remain in force and
effect to the extent allowed by such ruling. All other terms and provisions of this Agreement or their
application to specific situations shall remain in full force and effect.
25. SURVIVAL
All provisions which by their nature must continue after the Agreement ends, including without
limitation those referenced in specific Sections herein, survive this Agreement and shall remain in full
force and effect.
26. NOTICES
All notices, requests, and approvals must be sent to the persons below in writing to the persons
below, and will be considered effective on the date of personal delivery, the delivery date confirmed
by a reputable overnight delivery service, on the fifth calendar day after deposit in the United States
Mail, postage prepaid, registered or certified, or the next business day following electronic
submission:
To City of Cupertino:
Office of the City Manager
10300 Torre Ave.,
Cupertino CA 95014
Attention:Evelyn Moran
Email: evelynm@cupertino.org
To Consultant:
Mesiti-Miller Engineering, Inc
224 Walnut Ave, Suite B,
Santa Cruz, CA 95060
Attention: Rodney Cahill
Email: rodney@m-me.com
27. VALIDITY OF CONTRACT
This Agreement is valid and enforceable only if it complies with the contract provisions of Cupertino
Municipal Code Chapters 3.22 and 3.23, is signed by the City Manager or authorized designee, and is
approved for form by the City Attorney’s Office.
28. EXECUTION
The person executing this Agreement on behalf of Consultant represents and warrants that Consultant
has the right, power, and authority to enter into this Agreement and carry out all actions herein, and
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that he or she is authorized to execute this Agreement, which constitutes a legally binding obligation of
Consultant. This Agreement may be executed in counterparts, each one of which is deemed an original
and all of which, taken together, constitute a single binding instrument.
IN WITNESS WHEREOF, the parties have caused the Agreement to be executed on the Effective
Date stated earlier in this Agreement.
CITY OF CUPERTINO MESITI-MILLER ENGINEERING, INC
A Municipal Corporation
By
Name
Title
Date
By
Name
Title
Date
Tax I.D. No.:
APPROVED AS TO FORM:
HEATHER M. MINNER
Cupertino City Attorney
ATTEST:
KIRSTEN SQUARCIA
City Clerk
Date
Principal
Feb 8, 2021
Rodney Cahill
Heather M. Minner
Feb 16, 2021
Director of Public Works
Roger Lee
Feb 16, 2021
November 16, 2020
David Stillman
Transportation Director
City of Cupertino Department of Public Works
10300 Torre Avenue
Cupertino, CA 95014-3202
Re: Proposal to Provide Engineering Services for Regnart Road
Improvements Phase 1 Retaining Wall Rev 1
MME Project No: 20144
Dear Mr. Stillman,
Thank you for asking MME to provide your engineering services, accordingly we have
prepared the following proposal for your review. We have 30 years of civil and
structural engineering experience and look forward to working with you.
Project Understanding
This project consists of a 140 foot long and approximately 10 feet tall shear pin
retaining wall to stabilize the outboard edge of the road adjacent to Regnart Creek
from Stations 28+40 to 29+80 near 22040 Regnart Road, in Cupertino California.
We understand the approximate cost of construction was estimated as $1,150,000 and
the design schedule is approximately 6 months plus a permitting schedule of
approximately 12-18 months.
Our approach will be to design a retaining wall to support the road as recommended
by the Geotechnical Investigation. Based on our experience with similar projects, we
will take care to reduce cost and schedule by minimizing impacts to the adjacent road,
utilities, and creek as much as possible. We will work to design a wall that avoids
requiring PG&E to relocate the overhead high voltage power lines, since PG&E’s
schedules are extremely impacted. We will also work to avoid the existing San Jose
Water main in the road. Since this is the only access to the Regnart Road
neighborhood, we will develop a repair design that minimizes temporary construction-
phase access closures for residents and emergency vehicles. We will carefully
analyze the wall type, pier locations, excavation depths, and the height and location of
crane and drilling equipment as required. We have already begun conceptualizing a
promising approach where we set the piers back from the creek and out from below
the power lines, then use a small cantilever concrete slab with integral railing to
provide the road width needed with the least disruption possible.
Our work will include the civil and structural engineering services to prepare
construction documents including plans, specifications and estimates for use in
competitive bidding and construction of this project.
Exhibits A, B, C
Proposal for Regnart Road Improvements Phase 1
MME Project No: 20144
November 16, 2020
Page 2 of 7
Scope of Proposed Services
The scope of our services is based on a review of the Geotechnical Investigation Sites
#1 and #2, by Cotton Shires and Associates Inc dated February 2020, observations
made during a visit to the site, and discussions with you. Based on this information, we
intend to provide the following services:
Design Phase Services
Phase One - Schematic Design
1. Participate in correspondence with you and members of the design team as
may be required to accomplish the tasks identified during this phase.
2. Review the Geotechnical Investigation and Engineering Geologic Map provided
by the City prepared by Cotton Shires and Associates. Develop a sub-
consultant agreement with CSA and consult with them regarding design criteria.
3. Visit the project site to further our knowledge of the project site and its
opportunities and constraints.
4. We will build on the City’s basemap for design by adding in the underground
utility locations. W e will prepare the marking request forms for City signature
and will field measure the markings and prepare a new base map with the
existing CSA map and the PG&E and USA underground markings.
5. Explore and evaluate alternative wall layout options to minimize disturbance to
the existing creek, limit road and traffic disruption, avoid overhead utility
relocation, avoid existing underground water utilities, account for geotechnical
constraints, consider constructability, and minimize construction cost and
maintain a reasonable schedule. Discuss our findings with you and provide
recommendations regarding approach options.
6. Provide the administrative support necessary for us to perform these services.
Phase Two - Design Development
1. Participate in correspondence with you and members of the design team as
may be required to accomplish the tasks identified during this phase.
2. Review and discuss your comments on the previously submitted schematic
drawings and resolve the approach to address your comments.
3. Prepare preliminary civil engineering calculations for earthwork volumes, storm
drainage culvert replacement, and other portions of the civil site improvements.
Calculate the replacement culvert size required.
4. Prepare preliminary structural engineering calculations for major components
and elements of the primary structural system.
5. Prepare and deliver one set of Design Development (DD) civil engineering
drawings defining the civil site improvements. DD drawings will be about 60%
complete when compared to the final drawings and will include:
Proposal for Regnart Road Improvements Phase 1
MME Project No: 20144
November 16, 2020
Page 3 of 7
i) Cover Sheet with location and general notes
ii) Wall Plan with layout
iii) Wall Profile showing wall height, approximate pier depth
iv) Wall Section showing thickness, grade beam, and railing
v) Culvert Plan with a replacement pipe crossing the road and wall
vi) Culvert Profile showing culvert details at inlet, wall and creek
6. Assess whether the existing utilities can be avoided and avoid if possible. See
Optional services for an allowance if relocations are needed.
7. Provide an opinion of estimated construction costs for the project represented
by our drawings.
8. Provide a quality assurance and quality control review of the design
development documents by a senior engineer.
9. Provide environmental permit data such as lengths, areas, cut and fill volumes
and technical information to your environmental permit consultant to assist them
to submit permit applications.
10. Geotechnical Engineer consultation and coordination for design criteria and soil
parameters for structural engineering design.
11. Provide the administrative support necessary for us to perform these services.
Phase Three – 90% PS&E
1. Participate in correspondence with you and members of the design team as
may be required to accomplish the tasks identified during this phase.
2. Review your comments on the previous submittal and prepare responses for
your review.
3. Prepare and deliver final civil engineering calculations for earthwork volumes,
storm systems, and other portions of the civil site improvements.
4. Prepare and deliver final structural engineering calculations for the structural
systems.
5. Prepare and deliver 90% engineering drawings. Additional drawings to be
furnished will include:
viii) Culvert Details, section and energy dissipater
ix) Road Details, guardrails, striping, dikes, curbs
x) Erosion Control Plan, fabric, stockpiles, fencing
xi) Erosion Control Details with features such as willow stakes
6. Prepare the 90% Technical Specifications. We anticipate using the 2018
Caltrans Standard format for the material specifications and that the City will
prepare and compile the front end boiler plate specifications.
7. Prepare the 90% cost estimate. We intend to use Caltrans standard cost items
as much as possible to match the technical specifications.
Proposal for Regnart Road Improvements Phase 1
MME Project No: 20144
November 16, 2020
Page 4 of 7
Phase Four – 100% PS&E
1. Review your comments on the 90% submittal and prepare our written response.
If other agencies or departments will be providing comments we will work with
you to resolve any overlap between the comments and develop a
comprehensive response to all items at once.
2. We will complete the design and preparation of 100% level drawings sufficiently
detailed for competitive bidding and for guidance of a qualified, experienced
contractor during construction of the proposed improvements.
3. 100% Technical Specifications for the bid items.
4. 100% Cost Estimate for the construction.
5. Provide a quality assurance and quality control review of the final construction
documents by a senior engineer.
6. Coordinate with CSA to prepare a Geotechnical Plan Review letter confirming
our design is in accordance with the recommendations of the investigation.
7. Provide the administrative support necessary for us to perform these services.
Phase Five - Construction Administration
1. Prepare and issue bulletins in response to RFI’s during construction, if needed,
for clarification of our drawings or specifications.
2. Review submittals and shop drawings, submitted through and checked by the
General Contractor and Construction Manager, for general compliance with the
intent and requirements of our Construction Documents.
3. Visit the construction site at three milestone points to observe the progress of
construction and its general conformance to our Construction Documents and
deliver Site Observation Logs. Provide a letter summarizing the construction
work’s conformance to our plans and specifications.
4. Provide the administrative support necessary for us to perform these services.
Optional Services Allowances
1. If following design development and underground utility location there is
physically not enough room to avoid all impacts to the utilities to keep one lane
of the road mostly open during construction, we can assist in preparing an
application for PG&E to design and relocate the high voltage as an additional
optional service. This will require multiple meetings and tenacious
communication with PG&E, Comcast, AT&T and others and may take 24
months to complete. We have estimated an allowance due to changing
conditions at PG&E.
2. Similarly we have provided an allowance to assist in preparing a request for
San Jose Water to design and perform the water main relocation, although this
seems less likely to be required based on our current understanding that the
main is located beneath the uphill lane based on valve locations near the site.
Proposal for Regnart Road Improvements Phase 1
MME Project No: 20144
November 16, 2020
Page 5 of 7
Additional Services
Additional Services are those items which are not specifically mentioned under the
scope of proposed Design Phase services outlined above and/or those items which
arise as a result of unforeseen circumstances during the design or construction
phases of the project. Any Additional Services and compensation shall be authorized
by the Client in advance and in writing or acknowleged and confirmed by email.
The following is a partial list of work excluded from this scope of services:
Environmental Assesments or Permits, Hazardous Materials Services, Architecture or
Waterproofing, Mechanical, Electrical or Traffic Engineering, Pumps and
Hydromodification Analysis, FEMA studies, Arborists Reports, Tree Protection Plans,
Temporary Traffic Control Plans, Construction Staging Plans, SWPPP, Signalized
Intersections and Crosswalks, Bid Alternates, Value Engineering, Construction
Inspection, Front End Specifications, Expedited Schedule, Demolition Plans,
Construction Contracts, Easements, Creek Restoration Design.
As discussed, the City will contract with consultants to provide the following services:
1. Construction Management and Inspection to observe drilling, test compaction,
break concrete cylinders, etc during construction
2. Environmental Permits
Deliverables
At the following points in the design process, we will furnish the following deliverables
to you for your use, review and comment:
• Design Development – One set of plans in electronic PDF format
• Construction Documents 90% – One set of plans and one set of calculations in
electronic PDF format, and one set of technical specifications on MS W ord format
• Construction Documents 100% – One set of signed plans on paper and in PDF,
one set of signed calculations on paper and PDF, and one set of signed technical
specifications on paper and MS Word format.
Time Schedule
Based on our present workload, we could begin work on this project within two weeks
of receiving a signed copy of this proposal. The work will be completed pursuant to a
mutually agreed upon schedule.
Proposal for Regnart Road Improvements Phase 1
MME Project No: 20144
November 16, 2020
Page 6 of 7
Compensation for Services
Compensation for all services rendered in connection with this project will be based on
time and expenses charged in accordance with our Schedule of Standard Billing
Rates. Based on information available to us at this time, it is our opinion the estimated
cost of our services will be Hourly Not To Exceed $95,388 as detailed in the attached
Engineering Fee Estimate.
Agreement
This proposal assumes we are able to negotiate an agreement with mutually
acceptable terms and conditions. If you would like us to proceed with the work, please
send us your standard agreement referencing this document for understanding, scope
and fee for review.
Thank you for the opportunity to prepare this proposal. Should you have any questions
please call me. We look forward to working together with you.
Respectfully yours,
Rodney Cahill, P.E.
Principal
Proposal for Regnart Road Improvements Phase 1
MME Project No: 20144
November 16, 2020
Page 7 of 7
Schedule of Standard Billing Rates
Effective through December, 2020
Office Personnel
Engineer I $ 116 / hour
Engineer II $ 135 / hour
Engineer III $ 155 / hour
Engineer IV $ 180 / hour
Engineer V $ 200 / hour
Principal Engineer $ 210 / hour
Expert Witness Services $ 345 / hour
Deposition, court appearance and preparation
Administrative Assistant $ 87 / hour
CAD Technician I $ 85 / hour
CAD Technician II $ 105 / hour
Field Technician I $ 100 / hour
Field Technician II $ 125 / hour
Minimum Consultation Fee $ 750
Reimbursable Expenses
Sub-Consultants Direct Billing x 1.10
Outside Services Direct Cost x 1.15
Printing, delivery, equipment rental and other direct project expenses
In-House Services
Photocopies $ 0.10 sheet
Plotting -internal check plots on bond $ 2.00 sheet
-final plots on bond $ 10.00 sheet
Travel
Automobile mileage $ 0.58 mile
Airfare, Car Rental, etc. Direct Cost x 1.15
Per Diem Allowance (varies by location) $ 150/day
i:\20144 city of cupertino - ce se regnart road improvements\proposal\scope 11 13 2020.docx
Engineering Fee Estimate
prepared for City of Cupertino
CE and SE Services for Regnart Road Improvements Phase 1 Retaining Wall Rev 1
Mesiti-Miller Engineering, Inc.
MME Project Number: 20144
11/13/2020
Item Task Description Total
Cahill Hendsbee Doody Diaz Hershberger Potter Ashby Fee
Principal Principal Engineer V Engineer III Engineer III Engineer II Admin
$210 $210 $195 $155 $155 $135 $87
Phase One - Schematic Design
1 Correpondence 2 2 $840
2 Review Geotech and Survey 4 4 2 2 $2,300
3 Site Visit 2 2 4 $1,460
4 Underground utility mapping 4 12 4 $3,240
5 Wall layout evaluation 6 2 2 8 4 $3,930
6 Administration 2 2 4 $1,188
Subtotals: 20 12 2 14 18 4 4 $12,958
Phase Two - Design Development
1 Correpondence 4 4 4 2 $2,610
2 Review Comments 2 2 4 $1,460
3 CE Calculations 4 $620
4 SE Calculations 8 16 $4,040
5 60% Design Dev Dwgs $0
i Cover 8 $1,240
ii Wall Plan 2 4 12 8 $4,300
iii.Wall Profile 2 4 12 4 $3,680
iv.Wall Section 2 4 12 4 $3,680
v Culvert Plan 1 6 $1,140
vi Culvert Profile 1 6 $1,140
6 Utility avoidance assessment 4 2 2 6 $2,500
7 Cost Estimate 4 2 8 4 $3,120
8 QA/QC 60% Review 4 4 8 $3,240
9 Environmental quantities 1 8 $1,450
10 Geotech consultation 1 4 $830
11 Administration 2 2 4 $1,188
Subtotals: 23 23 28 82 52 0 4 $36,238
Personnel and Hourly Billing Rates
Phase Three - 90% PS&E
1 Correpondence 2 2 4 $1,460
2 Review 4 $620
3 CE Calculations 2 2 4 $1,270
4 SE Calculations 2 2 4 $1,430
5 90% drawings $0
i Cover, General Notes $0
ii Wall Plan 2 2 $700
iii Wall Profile 2 2 $700
iv Wall Section 2 2 $700
v Wall Details 2 2 4 $1,430
vi Culvert Plan 8 $1,240
vii Culvert Profile 8 $1,240
viii Culvert Details 8 $1,240
ix Road Details 4 $620
x Erosion Control Plan 4 $620
xi Erosion Control Details 4 $620
6 90% Specs 2 2 4 8 8 $4,100
7 90% Estimate 2 4 2 2 $1,494
Subtotals: 6 8 16 34 48 4 2 $19,484
Phase Four - 100% PS&E
1 Review 4 $620
2 100% drawings 4 4 4 12 12 $6,180
3 100% Specs 2 2 8 8 $3,290
4 100% Estimate 1 1 4 $1,040
5 QA/QC Final Review 4 4 8 $3,240
6 Geo Plan Review Coord 1 1 2 $730
7 Administration 2 2 4 $1,188
Subtotals: 14 12 14 30 20 0 4 $16,288
Phase Five - Construction Administration
1 Respond to RFIs 1 6 $1,140
2 Review Submittals 2 2 12 $2,700
3 Site Visits (3) and letter 2 2 12 $2,700
4 Administration 6 $522
Subtotals: 5 4 0 30 0 0 6 $7,062
Services Subtotal:$92,030
Reimbursable Expenses
1 Mileage 100 0.58 $58
2 Geotechnical Plan Review Letter (Cotton Shires and Associates)3000 1.1 $3,300
Subtotals: $3,358
Total:$95,388
Optional Services Allowances
1 PG&E, ATT, Comcast relocation request allowance $10,000
2 San Jose Water main relocation request allowance $5,000
Optoional Services Subtotal:$15,000
This is our estimate based on currently available information. We may redistribute compensation between phases to be consistent with the hours
of services provided, but shall not exceed the total unless approved by the Client.This estimate is based on hourly rates effective through
December 2020.
Northern California Office Central California Office Southern California Office
330 Village Lane 6417 Dogtown Road 2804 Camino Dos Rios, Suite 201
Los Gatos, CA 95030-7218 San Andreas, CA 95249-9640 Thousand Oaks, CA 91320-1170
(408) 354-5542 • Fax (408) 354-1852 (209) 736-4252 • Fax (209) 736-1212 (805) 375-1050 • Fax (805) 375-1059
www.cottonshires.com
COTTON, SHIRES AND ASSOCIATES, INC.
CONSULTING ENGINEERS AND GEOLOGISTS
August 7, 2020
Rodney Cahill
MME CIVIL & STRUCTURAL ENGINEERS
224 Walnut Avenue, Suite B
Santa Cruz, CA 95060
SUBJECT: Proposal for Geotechnical Consultation and Plan Review Services
RE: Regnart Road Stabilization Project, Sites 1 and 2
Cupertino, CA
Dear Mr. Cahill:
At your request, Cotton, Shires and Associates, Inc. (CSA) is pleased to provide you
with this proposal for providing geotechnical consultation and plan review services to MME
and to the City of Cupertino for the Regnart Road Stabilization Project at combined Sites 1
and 2. As you are aware, CSA performed a geotechnical investigation for this portion of
Regnart Road and generated a geotechnical investigation report, dated February, 2020. In
this report, we summarize the surface and subsurface geologic and geotechnical conditions,
and provide geotechnical design recommendations for stabilizing the outboard edge of the
roadway with a deep, pier-supported shear pin wall with a tie beam along the top of the
shear pins. We understand that MME would be the civil engineer responsible for generated
design drawings for roadway stabilization, and CSA would be the geotechnical engineer of
record. CSA would provide MME with consultation services during the design process and
review the plans for conformance with the geotechnical investigation report. We propose
the following consultation and plan review tasks:
A. Geotechnical Consultation – We will consult with you during the preparation of
roadway stabilization plans.
B. Geotechnical Plan Review – We will review interim (if requested) and final
design drawings for conformance with our geotechnical investigation report.
C. Plan Review Letter – We will summarize the results of our review of the
engineered design drawings in a plan review letter.
SCHEDULE
We would be available to consult with you on the project, as requested, and would
be able to provide you with a geotechnical plan review letter within one week of receiving
the final engineered design drawings.
Mr. Rodney Cahill August 7, 2020
Page 2
COTTON, SHIRES AND ASSOCIATES, INC.
FEE
We propose to invoice you for our services monthly on a time-and-expenses, not-to-
exceed basis in accordance with the attached Schedule of Charges (less a 10% City of
Cupertino Discount). We estimate that our fees for the Geotechnical Consultation and Plan
Review Services would likely not exceed $3,000. However, we cannot anticipate the amount
of consultation or level of requested plan review services at this time. We would not exceed
$3,000 of accumulated fees without authorization from you to do so.
AGREEMENT
If you agree with the Scope of Work, Schedule, and Fee outlined above, as well as
the attached Schedule of Charges, Limitations, and Terms, please sign one copy of this
confirming agreement and return it to our office. Receipt of the signed confirming
agreement will constitute authorization for us to proceed. We look forward to providing
you with the professional services discussed above. If you have any questions, or need
additional information, please contact us.
Very truly yours,
COTTON, SHIRES AND ASSOCIATES, INC.
John M. Wallace
Principal Engineering Geologist, CEG 1923
Reviewed By:
Patrick O. Shires
Senior Principal Geotechnical Engineer, GE 770
Approved and Authorized By Date
Attachment: CSA Schedule of Charges, Limitations and Terms (2 pages)
Revised: April 30, 2020 – Services Agreements
1
Exhibit A-A – SHELTER IN PLACE AND SOCIAL DISTANCING REQUIREMENTS
A. Health Laws Acknowledged. It is acknowledged that Consultant’s/Contractor’s
(“Contractor”) duty to comply with Laws, as defined in Section 13 of the Contract/Agreement
(“Contract”), includes immediate compliance by Contractor and its subcontractors with the
restrictions on travel and the Social Distancing Requirements set forth in the most recent health
order issued by the County of Santa Clara Health Department in response to the COVID-19
pandemic, and any subsequent amendments or superseding orders thereto (the “Health
Order”), and any other local, state, or federal laws that have been or may be enacted in
response to the COVID-19 pandemic (collectively, “Health Laws”).
B. Health Order Compliance. Contractor shall comply with any restrictions on travel and social
distancing requirements in the Health Order when preforming work under this Contract. If a
scope of work item, notice to proceed, or work order under this Contract specifies work that
cannot be performed in compliance with the Health Order or other Health Laws, Contractor
shall refrain from conducting the work and immediately inform the City.
C. Individuals at High Risk of Severe Illness. Nothing in this Contract shall be interpreted to
require any person at high risk of severe illness from COVID-19 to leave their residence to
perform work under the Contract. Contractor will inform the City if other arrangements for the
work must be made, and City will do so, with no penalty to Contractor, although Contractor will
not be compensated for work performed by the City or third parties. Information from the
Center for Disease Control (“CDC”) on “high risk” categories is available at the CDC's website at:
https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/people-at-higher-risk.html.
D. Health Order Requirements and Best Practices. Contractor will immediately undertake all
appropriate measures to ensure compliance with the Social Distancing Requirements in the
Health Order by all individuals performing work under this Contract, including Contractor's or
any subcontractor's workers, employees, representatives, vendors, or suppliers (collectively,
"workers"), and shall maintain these measures for as long as required by the Health Order or
other Health Laws. As long as required by the operative Health Order or other Health Laws,
these measures shall include, but are not limited to, the following:
1. Meetings/Site Access. Use electronic alternatives to in person meetings, e.g.,
conference calls, video-conferencing, etc., to the greatest extent possible. Limit access
to any project site or any work area to workers who are necessary to perform in-person
work. Require non-essential personnel to work from home to the extent possible. Avoid
all non-essential travel.
2. Distancing. Where workers perform in-person work at a project site or a work area,
prohibit workers from being less than six feet apart, unless and only to the extent that
would compromise worker safety or violate safety Laws for specific operations. Prohibit
handshaking or any physical contact among workers, with the sole and limited exception
Revised: April 30, 2020 – Services Agreements
2
of any physical contact required for worker safety or to comply with safety Laws.
Prohibit workers from sharing a vehicle.
E. Changed Requirements. It is understood and acknowledged that circumstances pertaining to
the COVID-19 pandemic are evolving rapidly and that new local, state, or federal requirements
may modify the requirements under this Exhibit. Contractor agrees to work cooperatively with
the City to implement new or changed requirements as quickly as possible.
F. Subcontracts. Contractor shall include the terms of this Exhibit in all subcontracts and require
any agents, subcontractors, or subconsultants to comply with its provisions.
1229192.7
Exh. D-Insurance Requirements for Design Professionals & Consultants Contracts
1
Form Updated Sept. 2019
Consultant shall procure prior to commencement of Services and maintain for the duration of the contract, at
its own cost and expense, the following insurance policies and coverage with companies doing business in
California and acceptable to City.
INSURANCE POLICIES AND MINIMUMS REQUIRED
1.Commercial General Liability (CGL) for bodily injury, property damage, personal injury liability for
premises operations, products and completed operations, contractual liability, and personal and
advertising injury with limits no less than $2,000,000 per occurrence (ISO Form CG 00 01). If a
general aggregate limit applies, either the general aggregate limit shall apply separately to this
project/location (ISO Form CG 25 03 or 25 04) or it shall be twice the required occurrence limit.
a.It shall be a requirement that any available insurance proceeds broader than or in excess of the
specified minimum insurance coverage requirements and/or limits shall be made available to the
Additional Insured and shall be (i) the minimum coverage/limits specified in this agreement; or (ii) the
broader coverage and maximum limits of coverage of any insurance policy, whichever is greater.
b.Additional Insured coverage under Consultant's policy shall be "primary and non-contributory,"
will not seek contribution from City’s insurance/self-insurance, and shall be at least as broad as ISO
Form CG 20 10 (04/13).
c.The limits of insurance required may be satisfied by a combination of primary and umbrella or
excess insurance, provided each policy complies with the requirements set forth in this Contract. Any
umbrella or excess insurance shall contain or be endorsed to contain a provision that such coverage
shall also apply on a primary basis for the benefit of City before the City’s own insurance or self-
insurance shall be called upon to protect City as a named insured.
2.Automobile Liability: ISO CA 00 01 covering any auto (including owned, hired, and non-owned
autos) with limits no less than $1,000,000 per accident for bodily injury and property damage.
3.Workers’ Compensation: As required by the State of California, with Statutory Limits and Employer’s
Liability Insurance of no less than $1,000,000 per occurrence for bodily injury or disease.
Not required. Consultant has provided written verification of no employees.
4.Professional Liability for professional acts, errors and omissions, as appropriate to Consultant’s
profession, with limits no less than $2,000,000 per occurrence or $2,000,000 aggregate. If written on a
claims made form:
a.The Retroactive Date must be shown and must be before the Effective Date of the Contract.
b.Insurance must be maintained for at least five (5) years after completion of the Services.
c.If coverage is canceled or non-renewed, and not replaced with another claims-made policy form with
a Retroactive Date prior to the Contract Effective Date, the Consultant must purchase “extended
reporting” coverage for a minimum of five (5) years after completion of the Services.
OTHER INSURANCE PROVISIONS
The aforementioned insurance shall be endorsed and have all the following conditions and provisions:
EXHIBIT D
Insurance Requirements
Design Professionals & Consultants Contracts
Exh. D-Insurance Requirements for Design Professionals & Consultants Contracts
2
Form Updated Sept. 2019
Additional Insured Status
The City of Cupertino, its City Council, officers, officials, employees, agents, servants and volunteers
(“Additional Insureds”) are to be covered as additional insureds on Consultant’s CGL and automobile
liability policies. General Liability coverage can be provided in the form of an endorsement to Consultant’s
insurance (at least as broad as ISO Form CG 20 10 (11/ 85) or both CG 20 10 and CG 20 37 forms, if later
editions are used).
Primary Coverage
Coverage afforded to City/Additional Insureds shall be primary insurance. Any insurance or self-insurance
maintained by City, its officers, officials, employees, or volunteers shall be excess of Consultant’s insurance
and shall not contribute to it.
Notice of Cancellation
Each insurance policy shall state that coverage shall not be canceled or allowed to expire, except with written
notice to City 30 days in advance or 10 days in advance if due to non-payment of premiums.
Waiver of Subrogation
Consultant waives any right to subrogation against City/Additional Insureds for recovery of damages to the
extent said losses are covered by the insurance policies required herein. Specifically, the Workers’
Compensation policy shall be endorsed with a waiver of subrogation in favor of City for all work performed
by Consultant, its employees, agents and subconsultants. This provision applies regardless of whether or not
the City has received a waiver of subrogation endorsement from the insurer.
Deductibles and Self-Insured Retentions
Any deductible or self-insured retention must be declared to and approved by the City. At City’s option, either:
the insurer must reduce or eliminate the deductible or self-insured retentions as respects the City/Additional
Insureds; or Consultant must show proof of ability to pay losses and costs related investigations, claim
administration and defense expenses. The policy shall provide, or be endorsed to provide, that the self-insured
retention may be satisfied by either the insured or the City.
Acceptability of Insurers
Insurers must be licensed to do business in California with an A.M. Best Rating of A-VII, or better.
Verification of Coverage
Consultant must furnish acceptable insurance certificates and mandatory endorsements (or copies of the policies
effecting the coverage required by this Contract), and a copy of the Declarations and Endorsement Page of the
CGL policy listing all policy endorsements prior to commencement of the Contract. City retains the right to
demand verification of compliance at any time during the Contract term.
Subconsultants
Consultant shall require and verify that all subconsultants maintain insurance that meet the requirements of
this Contract, including naming the City as an additional insured on subconsultant’s insurance policies.
Higher Insurance Limits
If Consultant maintains broader coverage and/or higher limits than the minimums shown above, City shall be
entitled to coverage for the higher insurance limits maintained by Consultant.
Adequacy of Coverage
City reserves the right to modify these insurance requirements/coverage based on the nature of the risk, prior
experience, insurer or other special circumstances, with not less than ninety (90) days prior written notice.
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-MAILADDRESS:
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
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ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
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LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
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
$GENERAL AGGREGATE
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$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
1/21/2021
Dealey,Renton &Associates
P.O.Box 12675
Oakland CA 94604-2675
Elise Fisher
510-465-3090 510-452-2193
certificates@dealeyrenton.com
License#:0020739 US Specialty Insurance Company 29599
MESIENG-01 Sentinel Insurance Company 11000Mesiti-Miller Engineering,Inc.
224 Walnut Avenue,Suite B
Santa Cruz CA 95060
Hartford Accident and Indemnity Company 22357
Trumbull Insurance Company 27120
1403139079
B X 2,000,000
X 1,000,000
X Contractual Liab 10,000
Included 2,000,000
4,000,000
X X
Y Y 57SBWBN1671 12/10/2020 12/10/2021
4,000,000
C 1,000,000
X
X X
Y Y 57UEGFN8896 12/10/2020 12/10/2021
B X X 1,000,000Y57SBWBN167112/10/2020Y 12/10/2021
1,000,000
X 10,000
D XY57WEGAJ4YSL12/10/2020 12/10/2021
1,000,000
1,000,000
1,000,000
A Professional Liability USS2031405 12/10/2020 12/10/2021 Per Claim
Annual Aggregate
$2,000,000
$2,000,000
Umbrella Liability policy is a follow-form underlying General Liability/Auto Liability.
RE:All Operations of the Named Insured
The City of Cupertino,its City Council,officers,officials,employees,agents,servants and volunteers are named as additional insureds as respects general and
auto liability as required per written contract or agreement.General and Auto Liability are Primary/Non-Contributory per policy form wording.Insurance
coverage includes waiver of subrogation per the attached endorsement(s).
30 Day Notice of Cancellation
The City of Cupertino
Attn:Evelyn Moran
10300 Torre Ave
Cupertino CA 95014
COMMERCIAL AUTOMOBILE
HA 99 16 03 12
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL AUTOMOBILE BROAD FORM
ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
To the extent that the provisions of this endorsement provide broader benefits to the "insured"than other
provisions of the Coverage Form, the provisions of this endorsement apply.
1.BROAD FORM INSURED d.Any "employee"of yours while using a
covered "auto"you don't own,hire or A.Subsidiaries and Newly Acquired or
borrow in your business or yourFormed Organizations
personal affairs.The Named Insured shown in the
C.Lessors as InsuredsDeclarations is amended to include:
Paragraph A.1.-WHO IS AN INSURED -of (1)Any legal business entity other than a
Section II -Liability Coverage is amended topartnershiporjointventure,formed as a
add:subsidiary in which you have an
ownership interest of more than 50%on e.The lessor of a covered "auto"while the
the effective date of the Coverage Form. "auto"is leased to you under a written
However,the Named Insured does not agreement if:
include any subsidiary that is an (1)The agreement requires you to"insured"under any other automobile provide direct primary insurance for policy or would be an "insured"under the lessor andsuchapolicybutforitsterminationor
(2)The "auto"is leased without a driver.the exhaustion of its Limit of Insurance.
Such a leased "auto"will be considered a (2)Any organization that is acquired or
covered "auto"you own and not a covered formed by you and over which you
"auto"you hire.maintain majority ownership.However,
the Named Insured does not include any D.Additional Insured if Required by Contract
newly formed or acquired organization:(1)Paragraph A.1.-WHO IS AN INSURED
(a)That is a partnership or joint -of Section II -Liability Coverage is
venture,amended to add:
(b)That is an "insured"under any other f.When you have agreed,in a written
policy,contract or written agreement,that a
(c)That has exhausted its Limit of person or organization be added as
Insurance under any other policy, or an additional insured on your
business auto policy, such person or (d)180 days or more after its
organization is an "insured", but only acquisition or formation by you,
to the extent such person orunlessyouhavegivenusnoticeof
organization is liable for "bodilythe acquisition or formation.
injury"or "property damage"causedCoveragedoesnotapplyto"bodily
by the conduct of an "insured" under injury"or "property damage"that results
paragraphs a.or b.of Who Is Anfroman"accident"that occurred before
Insured with regard to theyouformed or acquired the organization.
ownership,maintenance or use of a B.Employees as Insureds covered "auto."
Paragraph A.1.-WHO IS AN INSURED -of
SECTION II -LIABILITY COVERAGE is
amended to add:
© 2011, The Hartford (Includes copyrighted material
Form HA 99 16 03 12 Page 1 of 5of ISO Properties,Inc.,with its permission.)
57UEGFN8896
E.Primary and Non-Contributory ifTheinsuranceaffordedtoanysuch
Required by Contractadditionalinsuredappliesonlyifthe
"bodily injury"or "property damage"Only with respect to insurance provided to
occurs:an additional insured in 1.D.-Additional
(1)During the policy period, and Insured If Required by Contract,the
following provisions apply:(2)Subsequent to the execution of such
written contract, and (3)Primary Insurance When Required By
Contract(3)Prior to the expiration of the period
of time that the written contract This insurance is primary if you have
requires such insurance be provided agreed in a written contract or written
to the additional insured.agreement that this insurance be
primary.If other insurance is also (2)How Limits Apply
primary,we will share with all that otherIfyouhaveagreedinawrittencontractinsurancebythemethoddescribedinorwrittenagreementthatanother Other Insurance 5.d.person or organization be added as an
(4)Primary And Non-Contributory To Otheradditionalinsuredonyourpolicy,the
Insurance When Required By Contractmostwewillpayonbehalfofsuch
additional insured is the lesser of:If you have agreed in a written contract
or written agreement that this insurance(a)The limits of insurance specified in
is primary and non-contributory with the the written contract or written
additional insured's own insurance,this agreement; or
insurance is primary and we will not(b)The Limits of Insurance shown in seek contribution from that otherthe Declarations.insurance.
Such amount shall be a part of and not (3)(4)Paragraphs and do not apply to other in addition to Limits of Insurance shown insurance to which the additional insuredintheDeclarationsanddescribedinthishasbeen added as an additional insured.Section.
When this insurance is excess,we will have no (3)Additional Insureds Other Insurance duty to defend the insured against any "suit"if
If we cover a claim or "suit"under this any other insurer has a duty to defend the
Coverage Part that may also be covered insured against that "suit".If no other insurer
by other insurance available to an defends,we will undertake to do so,but we will
additional insured,such additional be entitled to the insured's rights against all
insured must submit such claim or "suit"those other insurers.
to the other insurer for defense and When this insurance is excess over otherindemnity. insurance,we will pay only our share of the
However,this provision does not apply amount of the loss,if any,that exceeds the sum
to the extent that you have agreed in a of:
written contract or written agreement (1)The total amount that all such otherthatthisinsuranceisprimaryandnon-insurance would pay for the loss in thecontributorywiththeadditionalinsured's absence of this insurance; andowninsurance.
(2)The total of all deductible and self-insured (4)Duties in The Event Of Accident,Claim,amounts under all that other insurance.Suit or Loss
We will share the remaining loss,if any,by the If you have agreed in a written contract method described in Other Insurance 5.d.or written agreement that another
2.AUTOS RENTED BY EMPLOYEESpersonororganizationbeaddedasan
additional insured on your policy,the Any "auto"hired or rented by your "employee"
additional insured shall be required to on your behalf and at your direction will be
comply with the provisions in LOSS considered an "auto"you hire.
CONDITIONS 2.-DUTIES IN THE The OTHER INSURANCE Condition is amended
EVENT OF ACCIDENT,CLAIM ,SUIT by adding the following:
OR LOSS –OF SECTION IV –
BUSINESS AUTO CONDITIONS,in the
same manner as the Named Insured.
© 2011, The Hartford (Includes copyrighted material
Form HA 99 16 03 12 Page 2 of 5of ISO Properties,Inc.,with its permission.)
5 PHYSICAL DAMAGE -ADDITIONALIfan"employee’s"personal insurance also .
TEMPORARY TRANSPORTATION EXPENSE applies on an excess basis to a covered "auto"
COVERAGEhiredorrentedbyyour"employee"on your
behalf and at your direction,this insurance will Paragraph A.4.a.of SECTION III -PHYSICAL
be primary to the "employee’s"personal DAMAGE COVERAGE is amended to provide a
insurance.limit of $50 per day and a maximum limit of
3.AMENDED FELLOW EMPLOYEE EXCLUSION $1,000.
6.LOAN/LEASE GAP COVERAGEEXCLUSION5.-FELLOW EMPLOYEE -of
SECTION II -LIABILITY COVERAGE does not Under SECTION III -PHYSICAL DAMAGE
apply if you have workers'compensation COVERAGE,in the event of a total "loss"to a
insurance in-force covering all of your covered "auto",we will pay your additional legal
"employees".obligation for any difference between the actual
Coverage is excess over any other collectible cash value of the "auto"at the time of the "loss"
insurance.and the "outstanding balance"of the loan/lease.
4.HIRED AUTO PHYSICAL DAMAGE COVERAGE "Outstanding balance"means the amount you
owe on the loan/lease at the time of "loss"less If hired "autos"are covered "autos"for Liability
any amounts representing taxes;overdueCoverageandifComprehensive,Specified
payments;penalties,interest or chargesCausesofLoss,or Collision coverages are
resulting from overdue payments;additionalprovidedunderthisCoverageFormforany
mileage charges;excess wear and tear charges;"auto"you own,then the Physical Damage
lease termination fees;security deposits not Coverages provided are extended to "autos" you
returned by the lessor;costs for extendedhire or borrow,subject to the following limit.
warranties,credit life Insurance,health,accidentThemostwewillpayfor"loss"to any hired or disability insurance purchased with the loan or "auto"is:lease;and carry-over balances from previous
(1)$100,000;loans or leases.
(2)The actual cash value of the damaged or 7.AIRBAG COVERAGE
stolen property at the time of the "loss"; or Under Paragraph B.EXCLUSIONS -of
(3)The cost of repairing or replacing the SECTION III -PHYSICAL DAMAGE
damaged or stolen property,COVERAGE, the following is added:
whichever is smallest,minus a deductible.The The exclusion relating to mechanical breakdown
deductible will be equal to the largest deductible does not apply to the accidental discharge of an
applicable to any owned "auto"for that airbag.
coverage. No deductible applies to "loss"caused 8.ELECTRONIC EQUIPMENT -BROADENED
by fire or lightning. Hired Auto Physical Damage COVERAGE
coverage is excess over any other collectible
a.The exceptions to Paragraphs B.4 -insurance.Subject to the above limit,deductible
EXCLUSIONS -of SECTION III -PHYSICAL and excess provisions,we will provide coverage
DAMAGE COVERAGE are replaced by the equal to the broadest coverage applicable to any
following:covered "auto"you own.
4.c.4.d.Exclusions and do not apply to We will also cover loss of use of the hired "auto"
equipment designed to be operated solelyifitresultsfroman"accident",you are legally
by use of the power from the "auto's"liable and the lessor incurs an actual financial
electrical system that,at the time of "loss", loss,subject to a maximum of $1000 per
is:"accident".
(1)Permanently installed in or upon This extension of coverage does not apply to
the covered "auto";any "auto"you hire or borrow from any of your
"employees",partners (if you are a partnership),(2)Removable from a housing unit
members (if you are a limited liability company),which is permanently installed in
or members of their households.or upon the covered "auto";
(3)An integral part of the same unit
housing any electronic
equipment described in
Paragraphs (1)and (2)above;or
© 2011, The Hartford (Includes copyrighted material
Form HA 99 16 03 12 Page 3 of 5of ISO Properties,Inc.,with its permission.)
(4)Necessary for the normal If another Hartford Financial Services Group,
operation of the covered "auto"or Inc.company policy or coverage form that is not
the monitoring of the covered an automobile policy or coverage form applies to
"auto's"operating system.the same "accident", the following applies:
b.Section III –Version CA 00 01 03 10 of the (1)If the deductible under this Business Auto
Business Auto Coverage Form,Physical Coverage Form is the smaller (or smallest)
Damage Coverage,Limit of Insurance,deductible,it will be waived;
Paragraph C.2 and Version CA 00 01 10 01 of (2)If the deductible under this Business Auto
the Business Auto Coverage Form,Physical Coverage Form is not the smaller (or
Damage Coverage,Limit of Insurance, smallest)deductible,it will be reduced by
Paragraph C are each amended to add the the amount of the smaller (or smallest)
following:deductible.
$1,500 is the most we will pay for "loss"in 12.AMENDED DUTIES IN THE EVENT OF
any one "accident"to all electronic ACCIDENT, CLAIM,SUIT OR LOSS
equipment (other than equipment designed The requirement in LOSS CONDITIONS 2.a.-solely for the reproduction of sound,and DUTIES IN THE EVENT O F ACCIDENT,CLAIM,accessories used with such equipment)SUIT OR LOSS -of SECTION IV -BUSINESSthatreproduces,receives or transmits AUTO CONDITIONS that you must notify us of audio,visual or data signals which,at the an "accident"applies only when the "accident" istime of "loss", is:known to:
(1)Permanently installed in or upon (1)You, if you are an individual;the covered "auto"in a housing,
(2)A partner, if you are a partnership;opening or other location that is not
normally used by the "auto"(3)A member,if you are a limited liability
manufacturer for the installation of company;or
such equipment; (4)An executive officer or insurance manager, if
(2)Removable from a permanently you are a corporation.
installed housing unit as described 13.UNINTENTIONAL FAILURE TO DISCLOSE in Paragraph 2.a.above or is an HAZARDSintegral part of that equipment; or
If you unintentionally fail to disclose any hazards(3)An integral part of such equipment.existing at the inception date of your policy,we
c.For each covered "auto",should loss be limited will not deny coverage under this Coverage
to electronic equipment only,our obligation to Form because of such failure.
pay for,repair,return or replace damaged or 14.HIRED AUTO -COVERAGE TERRITORYstolenelectronicequipmentwillbereducedby
Paragraph e.of GENERAL CONDITIONS 7.-the applicable deductible shown in the
POLICY PERIOD,COVERAGE TERRITORY -Declarations,or $250,whichever deductible is
of SECTION IV -BUSINESS AUTO less.
CONDITIONS is replaced by the following:9.EXTRA EXPENSE -BROADENED
e.For short-term hired "autos",the coverageCOVERAGE
territory with respect to Liability Coverage isUnderParagraphA.- COVERAGE -of SECTION anywhere in the world provided that if theIII-PHYSICAL DAMAGE COVERAGE,we will "insured's"responsibility to pay damages for pay for the expense of returning a stolen covered "bodily injury"or "property damage"is "auto"to you.determined in a "suit," the "suit" is brought in
10.GLASS REPAIR -WAIVER OF DEDUCTIBLE the United States of America,the territories
and possessions of the United States ofUnderParagraphD.-DEDUCTIBLE -of SECTION
America,Puerto Rico or Canada or in a III -PHYSICAL DAMAGE COVERAGE,the
settlement we agree to.following is added:
15.WAIVER OF SUBROGATIONNodeductibleappliestoglassdamageifthe
glass is repaired rather than replaced.TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US -of SECTION IV -11.TWO OR MORE DEDUCTIBLES
BUSINESS AUTO CONDITIONS is amended byUnderParagraphD.-DEDUCTIBLE -of SECTION adding the following:III -PHYSICAL DAMAGE COVERAGE,the
following is added:
© 2011, The Hartford (Includes copyrighted material
Form HA 99 16 03 12 Page 4 of 5of ISO Properties,Inc.,with its permission.)
We waive any right of recovery we may have c.Regardless of the number of autos deemed a
against any person or organization with whom total loss,the most we will pay under this
you have a written contract that requires such Hybrid,Electric,or Natural Gas Vehicle
waiver because of payments we make for Payment Coverage provision for any one
damages under this Coverage Form."loss"is $10,000.
16.RESULTANT MENTAL ANGUISH COVERAGE For the purposes of the coverage provision,
The definition of "bodily injury"in SECTION V-a.A "non-hybrid"auto is defined as an auto that
DEFINITIONS is replaced by the following:uses only an internal combustion engine to
move the auto but does not include autos"Bodily injury"means bodily injury,sickness or
powered solely by electricity or natural gas.disease sustained by any person,including
mental anguish or death resulting from any of b.A "hybrid"auto is defined as an auto with an
these.internal combustion engine and one or more
electric motors;and that uses the internal17.EXTENDED CANCELLATION CONDITION
combustion engine and one or more electric Paragraph 2.of the COMMON POLICY motors to move the auto,or the internal CONDITIONS -CANCELLATION -applies combustion engine to charge one or more except as follows:electric motors, which move the auto.
If we cancel for any reason other than 19.VEHICLE WRAP COVERAGEnonpaymentofpremium,we will mail or deliver
In the event of a total loss to an "auto"for whichtothefirstNamedInsuredwrittennoticeof
Comprehensive,Specified Causes of Loss,orcancellationatleast60daysbeforetheeffective
Collision coverages are provided under thisdate of cancellation.
Coverage Form,then such Physical Damage18.HYBRID,ELECTRIC,OR NATURAL GAS Coverages are amended to add the following:VEHICLE PAYMENT COVERAGE
In addition to the actual cash value of the "auto", In the event of a total loss to a "non-hybrid"auto we will pay up to $1,000 for vinyl vehicle wraps for which Comprehensive,Specified Causes of which are displayed on the covered "auto"at theLoss,or Collision coverages are provided under time of total loss.Regardless of the number ofthisCoverageForm,then such Physical autos deemed a total loss,the most we will pay Damage Coverages are amended as follows:under this Vehicle Wrap Coverage provision for
a.If the auto is replaced with a "hybrid"auto or any one "loss"is $5,000.For purposes of this
an auto powered solely by electricity or natural coverage provision,signs or other graphics
gas,we will pay an additional 10%,to a painted or magnetically affixed to the vehicle are
maximum of $2,500,of the "non-hybrid"auto’s not considered vehicle wraps.
actual cash value or replacement cost,
whichever is less,
b.The auto must be replaced and a copy of a bill
of sale or new lease agreement received by us
within 60 calendar days of the date of "loss,"
© 2011, The Hartford (Includes copyrighted material
Form HA 99 16 03 12 Page 5 of 5of ISO Properties,Inc.,with its permission.)
BUSINESS LIABILITY COVERAGE
SS 00 08 04 05
POLICY NUMBER: <PNUM>
ADDITIONAL COVERAGES BY WRITTEN CONTRACT, AGREEMENT OR PERMIT
This is a summary of the coverage provided under the following form (complete form available):
BUSINESS LIABILITY COVERAGE FORM SS 00 08 04 05
Additional Insured When Required by Written Contract, Written Agreement or Permit
WHO IS AN INSURED under Section C.is amended to include as an additional insured, but only with respect
to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part,
by your acts or omissions or the acts or omissions of those acting on your behalf:
(a) In the performance of your ongoing operations;
(b) In connection with your premises owned by or rented to you; or
(c) In connection with "your work" and included within the "products completed operations
hazard", but only if
(i)The written contract or written agreement requires you to provide such coverage to
such additional insured; and
(ii)This Coverage Part provides coverage for "bodily injury" or "property damage" included within
the "products completed operations hazard".
The person(s) or organization(s) are additional insureds when you have agreed, in a written contract, written
agreement or because of a permit issued by a state or political subdivision, that such person or organization be
added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of
the contract or agreement, or the issuance of the permit.
A person or organization is an additional insured under the provision only for that period of time required by
the contract, agreement or permit.
With respect to the insurance afforded to the additional insured, this insurance does not apply to: "Bodily injury",
"property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any
professional architectural, engineering or surveying services, including:
(a) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions,
reports, surveys, field orders, change orders, designs or drawings and specification: or
(b) Supervisory, inspection, architectural or engineering activities.
The limits of insurance that apply to additional insureds are described in Section D. Limits Of Insurance.
How this insurance applies when other insurance is available to an additional insured is described in the Other
Insurance Condition in Section E. Liability And Medical Expenses General Conditions.
No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture
or limited liability company that is not shown as a Named Insured in the Declarations.
Other Insurance
If other valid and collectible insurance is available for a loss we cover under this Coverage Part, our
obligations are limited as follows:
When You Add Others As An Additional Insured To This Insurance: That is other insurance available to an
additional insured. However, the following provisions apply to other insurance available to any person or organization who is an
additional insured under this Coverage Part:
(a) Primary Insurance When Required By Contract:This insurance is primary if you have agreed in a written contract,
written agreement or permit that this insurance be primary. If other insurance is also primary, we will share with all that
other insurance by the method described in c.below.
(b) Primary And Non-Contributory To Other Insurance When Required By Contract:If you have agreed in a written
contract, written agreement or permit that this insurance is primary and non-contributory with the additional insured's
own insurance, this insurance is primary and we will not seek contribution from that other insurance.
Rev 5.14 Page 1 of 2
SS 00 08 04 05
Rev 5.14
57SBWBN1671
BUSINESS LIABILITY COVERAGE FORM Summary SS 00 08 04 05
Paragraphs (a)and (b)do not apply to other insurance to which the additional insured has been added as an
additional insured.
c. Method Of Sharing
If all the other insurance permits contribution by equal shares, we will follow this method also. Under this approach,
each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains,
whichever comes first.
If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this
method, each insurer’s share is based on the ratio of its applicable limit of insurance to the total applicable limits of
insurance of all insurers.
Waiver of Subrogation
If you have waived any rights of recovery against any person or organization for all or part of any payment,
including Supplementary Payments, we have made under this Coverage Part, we also waive that right,
provided you waived your rights of recovery against such person or organization in a contract, agreement or
permit that was executed prior to the injury or damage
Rev 5.14 Page 2 of 2Rev 5.14
Summary SS 00 08 04 05
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Countersigned by
Authorized Representative
(1) Printed in U.S.A.Form WC 04 03 06
Policy Expiration Date:
WAIVER OF OUR RIGHT TO RECOVER FROM
OTHERS ENDORSEMENT - CALIFORNIA
Endorsement Number:Policy Number:
Effective Date: Effective hour is the same as stated on the Information Page of the policy.
Named Insured and Address:
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our
right against the person or organization named in the Schedule. (This agreement applies only to the extent that you
perform work under a written contract that requires you to obtain this agreement from us.)
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work
described in the Schedule.
The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due
on such remuneration.
SCHEDULE
Person or Organization Job Description
Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights
from us
57WEGAJ4YSL
12/10/2020
Mesiti-Miller Engineering,Inc.
224 Walnut Avenue,Suite B
Santa Cruz,CA 95060
12/10/2021
MME Amendment 1 for Design Services for
Regnart Road Improvements
Final Audit Report 2024-04-09
Created:2024-03-29
By:Webmaster Admin (webmaster@cupertino.org)
Status:Signed
Transaction ID:CBJCHBCAABAADYeJP7ddzaIB-oCW64QR_8WyEB4cXf8R
"MME Amendment 1 for Design Services for Regnart Road Impr
ovements" History
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