CC 06-18-2024 Item No. 6 Report Crossing Guard_Desk ItemCC 06-18-2024
#6
Approve a first
amendment with All City
Management, Inc
Desk Item
CITY COUNCIL STAFF REPORT
DESK ITEM
Meeting: June 18, 2024
Agenda Item #6
Subject
Approve a first amendment with All City Management Services, Inc. to provide
crossing guard services, for a total not to exceed amount of $1,688,800 extending the
agreement date to June 30, 2026, and approve a budget modification in the amount of
$78,707.
Recommended Action
1. Authorize the City Manager to execute a First Amendment with All City
Management Services, Inc. (ACMS) to continue to provide Crossing Guard
Services, increasing the contract amount by $785,000 for a total not to exceed
amount of $1,688,800 and extending the agreement date to June 30, 2026.
2. Adopt Resolution No. 24-XXX approving budget modification #2324-304 and a
budget adjustment in the amount of $78,707 in the General Fund for Fiscal Year
2024-2025 crossing guard services (100-88-846 700-709).
Background:
Resubmitting attachment “A – Draft Amendment 1” which had exhibits omitted from
original packet submittal. See revised submitted attachment A, now called “C – Draft
Amendment 1 Revised” below.
Attachments Provided with Original Staff Report:
A. Draft Amendment 1
B. Draft Resolution
Attachments Provided with Supplemental 1:
C. Draft Amendment 1 Revised
FIRST AMENDMENT TO AGREEMENT 311 BETWEEN
THE CITY OF CUPERTINO AND ALL CITY
MANAGEMENT SERVICES FOR CROSSING GUARD
SERVICES AT VARIOUS SCHOOL LOCATIONS IN
CUPERTINO
This First Amendment to Agreement 311 is by and between the City of Cupertino, a
municipal corporation (hereinafter "City") and All City Management Services, a Corporation
("Contractor") whose address is PO Box 847436, Los Angeles, CA 90084-7436, and is made with
reference to the following:
RECITALS:
A. OnAugust05,2021Agreement31l("Agreement")wasenteredintobyandbetween
City and Contractor for Crossing Guard Services at Various School Locations in Cupertino.
B. 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 2. of the Agreement is modified to read as follows: Services
Contractor agrees to provide the services and perform the tasks ("Services") set forth in detail
in Scope of Services, attached here and incorporated as Exhibit A-1. Contractor further agrees
to carry out its work in compliance with any applicable local, State, or Federal order regarding
COVID-19.
Exhibit A of the Agreement is replaced with a new Exhibit A-1 attached hereto.
2. Paragraph 3.1 of the Agreement is modified to read as follows: Time of Performance
Tis Agreement begins on the Effective Date and ends on June 30, 2026, with the option to
renew for two additional years ("Contract Time"), unless terminated earlier as provided herein.
Contractor's Services shall begin on the start of Fall 2024 school semester and shall be
completed by the conclusion of the 2026 school session, with the option to renew two years
thereafter. The City's appropriate department head or the 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. Paragraph 3.2 of the Agreement is modified to read as follows: Schedule of Performance
Contractor must deliver the Services in accordance with the Schedule of Performance.
Exhibit B of the Agreement is replaced with a new Exhibit B-I attached hereto.
1
Paragraph 4.1 of the Agreement is modified to read as follows: Maximum Compensation
City will pay Contractor for satisfactory performance of the Services an amount that will based
on actual costs but that will be capped so as not to exceed $1,688,879.04 ("Contract Price"),
based upon the scope of services in Exhibit A-I and the budget and rates included in Exhibit C-
1, Compensation attached and incorporated here. The maximum compensation includes all
expenses and reimbursements and will remain in place even if Contractor's actual costs exceed
the capped amount. No extra work or payment is permitted without prior written approval of
City.
Exhibit C of the Agreement is replaced with a new Exhibit C-I attached hereto.
4. 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.
IN WITNESS WHEREOF, the parties hereto have caused this modification of Agreement
to be executed.
CITY OF CUPERTINO
BY
ALL CITY MANAGEMENT SERWCES
Title Title Secretary
Date paleJLlnl8,2024
APPROVED AS TO FORM
City Attomey
ATTEST:
City Clerk
Date
EXPENDITURE DISTRIBUTION
2
EXHIBIT A-I
ACMS Scope of Services
1. All City Management Services, Inc. will handle the Crossing Guard services for the City
of Cupertino for two years, consisting of tlie 2024/2025 and 2025/2026 school sessions
beginning on or around August, 2024 and ending on or around June, 2026.
2. ACMS will provide sixteen (16) personnel eqriipped and trained in appropriate
procedures for crossing pedestrians in marked crosswalks. Such personnel shall be herein
referred to as a Crossing Griard. ACMS is an independent Consultant and the Crossing
Guards to be furnished by it shall at all times be its employees and not those of the City
of Cupertino.
3. Crossing Guard Services shall be provided by ACMS at designated locations, identified
by City of Cupertino and ACMS shall provide coverage at the school crossings as
required. ACMS shall be flexible and provide guards for the horirs and locations needed
on the instnictions of appropriate City personnel.
4. ACMS and all persons who are employed for assignment to this contract shall undergo
background checks to ensure they have not been convicted of any offense involving
moral turpitude, a felony for violent crimes, or a felony for crimes against children.
ACMS understands no one registered as a sex offender or narcotics offender will be hired
as a crossing guard.
5. ACMS designated Trainer will conduct training for Crossing Guards. ACMS shall
provide personnel properly trained as herein specified for the performance of duties of
Crossing Guards.
6. In the performance of their duties ACMS and employees of the ACMS shall conduct
themselves in accordance with the conditions of this Agreement and the laws and codes
of the State of California pertaining to general pedestrian safety and school crossing
areas.
7. ACMS understands that all crossing guards shall also receive training pertaining to
general traffic safety for pedestrians, motorists and themselves while serving as Crossing
Guards. After completion of training ACMS will provide the City of Cupertino
certificates of training that are signed and dated by the employee that received training
and signed by the ACMS designated Trainer.
8, ACMS employees shall work to the highest professional standards and act in a corirteous,
respectable manner and shall conduct themselves in a manner that is befitting a public
servant. They shall present a professional appearance, that is neat, clean, well-groomed
and be properly uniformed.
EXHIBIT A-1
9. ACMS shall provide all Crossing Guards with apparel by which they are readily visible
and easily recognized as Crossing Guards. Such apparel shall be uniforin for all persons
perforining the duties of Crossing Guards and shall be worn at all times while perfomiing
said duties.
10. ACMS shall provide supervisory personnel to see that Crossing Guard activities are
taking place at the required places and times, and in accordance with all items of this
agreement.
11. ACMS shall monitor, supervise, and assure the safety of all school children who utilize
intersections and crosswalks while moving to and from school zones.
12. ACMS Crossing Guards will report to the Police Department the license plate numbers of
motor vehicles who violate traffic laws or Crossing Guard instnictions.
13. ACMS shall establish a liaison with the school district(s) to monitor changes in school
schedules.
14. ACMS shall maintain adequate reserve personnel to be able to furnish alternate Crossing
Guards in the event that any person fails to report for work at the assigned time and
location and agrees to provide immediate replacement. ACMS shall provide for its
employees a 24-hour answering service and shall establish its own call-out procedures
and this information shall be included in proposal.
15. ACMS shall one month prior to the start of the school year and each school year
thereafter coordinate with the City's Safe Routes to School Coordinator to determine
whether there are any changes to the bell schedules for any of the schools served under
t's conbact.
Exhibits B-1 and C-I
Crossing Guard Fee Schedule
Year 1- July 1, 2024 - June 30, 2025
Hourly billing rate: $38.95 per hour, per Crossing Guard
NTE $380,000.00
Per California State Labor Law pertaining to Split Shift Differential, an additional one hour of
compensation will be provided per guard, per day.
Guards will receive minimum 3.O horir billing per day, inclusive of the additional one horir split
shift compensation.
Year 2 - July 1, 2025 - June 30, 2026
Hourly billing rate: $41.45 per hour, per Crossing Guard
NTE $405,000.00
Per California State Labor Law pertaining to Split Shift Differential, an additional one hour of
compensation will be provided per guard, per day.
Guards will receive minimum 3.O hour billing per day, inclusive of the additional one hour split
shift compensation.
71 Fenchurch Street
London
EC3M 4BS
Telephone: +44 (0)20 3037 8000
Fax: +44 (0)20 3037 8010
T YS E R S ww.tysers.com
CLAIMS MADE SEXUAL MISCONDUCT AND MOLEST ATION INSURANCE
Fortn:Tysers SafeGuard 2021- primary
Policy Number:MR234153
Unique Market Reference: BO572MR234153
Renewal of:MR224153
Named Insured:City of Cupertino - Parks and Recreation Department,
Public Works Department
Principal Address: 10300 Torre Avenue, Cupertino, CA 95014
Policy Period:From: l" July 2023 To: 1"' July 2024
Both dates at 12:01 a.m. Local Time at the Principal Address stated in Item 1.
Limit of Liabfflty:
a) USD 5,000,000
b) USD 5,000,000
and separately:
c) USD 75,000
in the aggregate during the policy period for all claims brought
by or on behalf of each victim, and
in the aggregate during the policy period for all claims brought by or
on behalf of all victims
in the aggregate during the policy period for all safeguard costs
resulting from all circumstances
Such Limit of Liability shall be in addition to the overall Limit of Liability stated in a) and b)
above.
Retention:
USD 35,000 any one Victim
Optional Extension Period: 12 months Additional premium of 100% of the annual premium plus
applicable taxes, provided no claims and/or
circumstances have been reported to the insurance
company.
In the event any claims and/or circumstances have been
reported to the insurance company, the additional
premium for the 12 month optional exteffsion period
will be detertnined by the insurance company at the
time this Policy is not renewed or replaced by the
lnSuranee eOmt)anV
Premium:
USD 34,650 to be paid witliin 25 days of attacbment
Notification pursuant to Clause IX. shall be given to:
Beazley Group
Attn: Claims Group
30 Batterson Park Road
Farmington, CT 06032
claims(,beazley.com
or
Other Notices:
To report a circumstance under the Safeguard Additional Coverage,
Call +1 844 285 4700 wliere a service representative will be available 24 liours a day,
seven days a week
Retroactive Date:
l"' July 2018
Pending or Prior Litigation Date:
l" July 2018
Servtce of Suit:
Senice of process in any suit shall be made upon:
Lloyd's America, hic. Attention: Legal Department 280 Park Avenue, East Tower, 25th Floor
New York, NY 10017
Governing Law:
New York
Conditions:
Application Dated: 26'h June 2023
Califoiuia Srirplris Lines Notice
California Complaints Notice
Small Additional or Return Premiums Clause - NMA 1168
Nuclear Incident Exclusion Clause-Liability-Direct - NMA 1256
Radioactive Contamination Exclusion Clause-Liability - NMA 1477
War and Teirorism Exclusion - NMA 2918
US Terrorism Risk Insurance Act of 2002 as amended New & Renewal
Business Endorsement - LMA5389
Several Liability Notice - LMA5096
Sanctions Limits Clause - LMA 3100
Tysers SafeGuard 2021 - Risk Management & Response Solutions
Cyber Acts Clarification
U.S Classification:
Surplus Lines Broker and State filed in: Risk Placement Services, 2850 Golf Road,
Rolling Meadows, IL 60008
License Number: OC66724
State of Filing:CA
Brokerage:20% or same net equivalent downwards, plus taxes as applicable
Information:Employees - 235 Contractors - 90
Exposure Units - 70,000
Nature of Business - Municipality
Underwriting
Security: l00%Lloyd's(InforixiationAboritL]oyd's)
,r
,,-fflffl
DATE (MMIDD/YYYY)
05/09/2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC;ATE 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
REPRESENT ATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of si ch endorsement(s).
PRODUCER
SiafeFarm Florence Harrison State Farm Agency
&O,License # OF73725
227 S La Brea Ave.
Inglewood CA 90301
, INSuRED
All City Management Services, INC.
10440 Pioneer Blvd. Ste 5
Santa FeSprings CA 90670
cNAME,oNTAcT Jessica Guzman
ptuc.sol=,ll"o"=, 310-330-8220 I iuc.ho')", 310-330-8220
AE-DDREssMA'L, Jessica.guzman.fxxp@statefarm.com
INSURER(S) AFFORDING COVERAGE NAIC #
msuqpp A : State Farm Mutual Automobile Insurance Company 25178
INSURERB: E
INSuRERC: [:'
INSuRERD: E
INSuRERE: $
INSuRERF: ['
COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SLIBJECT TO ALL THE TERMS,
EXCLuSIONS AND CONDITIONS OF SUCH POLI(':IES. LIMITS SHOWN MAY HAVE BEEN REDuCED BY PAID CLAIMS
INSR
LTR TYPE OF INSURANCE
ADD
INSD
SUB
WVD POLICY NLIMBER
POLICY EFF
(MM/DD/'maY)
POLICY EXP
1MM7DD/YYYY)LIMIT!)
COMMERCIAL GENERAL LIABILITY
ICLAIMS-MADE € OCCUR
EACH OCCLIRRENCE $
DAMAGE TO RENTED
PREMISES (Ea occunencej $
MED EXP (Any one person)$
PERSONAL & ADV INJURY $
GEFl'L AGGREGATE LIMIT APPLIES PER:
PRO- ___d POLICY L_J JECT LJ 10C
10THER:
GENERAL AGGREGATE $
PRODuCTS-COMP/OP AGG $
$
ALITOMOBILE LIABILITY
ANY AUTO
OWNED SCHE[)ULED_ AUTOS ONLY u AuTOS
HIRED M NON-OWNED 642_:2)jJjJ-3_JJ,7Jil 08/01/2023 08/01/2024
COMBINED SINGLE LIMIT
(Ea accident1 $ H,'qoQ;@gJ
BODILY INJljRY (Pet person)$
sODILY INJURY (Per accldent)$
PROHbHIY L)AMAGE
_ A:OT-O-S ONLY /( AtIITO-S ON-L-Y Pe;ac-ciaent-l '-'- --$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS-MADE
EACH OCCLIRRENCE $
AGGREGATE $
DED t RETENTION !,'$
WORKERS COMPENSATION
AND EMPLOYER8a LIABILITf Y , N
':'i::o:::':::'x:=:=ECuT"E @
(Mandatory in NH)
IT yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
E'rt.i're I I ER"-$
E,L, EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE
E.L. [IISEASE - POLICY LIMIT
$
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (7iCORC 101, Additional Remarks Schedule, may te attached if more space is requiied)
CERTIFICATE HOLDER CANCELLATION
f'_,_(4_]_ .:j
10300 Torre Ave.
Cupertino CA95014-0000
I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AuTHORIZED REPRESENTATIVE
Completed by State Farm Underwriting Operations. If signature
is required, please refer to contact name above.
ACORD 25 (2016/03)
@ 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
1001486 132849.14 04-13-2022
StateFal STATEFARMa'
Pa Box 2368
Bloomington IL 61702-2368
55A
ATI
002318 0093
CUPERTINO CA 95014-3255
A
111111llill11iiiilllml1il11Illill11i11iiiil1illil11iillllll111l
DATE OF NOTICE: MAY 16 2024
CODE:
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS IISTED AT THE TOP LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
State Farm Mutual Automobile Insurance Company
NAMED INSURED:POLICY NO: [!2:2J91;BO12T5E'l
YR/MAKE/MODEL: NONOWNED AUTO
VIN/CAMPER:
AGENT NAME:
AGENT PHONE: (310)330-8220
ENDORSEMENT NO: 6028BU
FLORENCE HARRISON
6164DP 6165CS6164DP
POLICY MESSAGES: This policy shown above supersedes policy# 642219'l-75D.
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 20 days notice if the policy is terminatedJntil such notice
is provided, it shall be presumed that the required renewal premiums have been paid.The additional insured must notify us within 4 0 days of
any change of interest or ownership coming to their attention.Failure to do so will render this policy null and void.
COVERAGE:
Bt AND PD LIABILITY
$1 MILl$ 1 MIL/$ 1 MIL
$600 DED. COMP/COLL.
POLICY EFFECTIVE
MAY 09 2024 UNTIL TERMINATED
FRT
State Farm Mutual Automobile Insurance Company
PO Box 2368
Bloomington IL 61702-2368
g MATCH 01276 W
DECLARAT10N8 PAGE
PAGE 1 0F 2
POLICYNLIMBER 6422191-BOI-75E
POLl12CYOlPAERMl.0sDtapnd7(aY'r;\17m_(2jen52il,IgJoj_2oN
NAMED INSuRED 01276
75-0825-1 A
IlllI11lliliill1illill11111l111liilli11ll11IlI1111i111ll11111l11i
m
STATE FARM PAYMENT PLAN NUMBER
OJg-6512]
AGENT
a
s
PHONE:m
DO NOT PAY PREMlllMS SHOWN ON THIS PAGE.
IF AN AMOUNT IS DUE, THEN A SEPARATE STATEMENT IS ENCLOSE D.
YOUR CAR
NONOWNED AUTO
kM' 4%jFF.. I
6700DQOO
$1 ,000,000
Each Accident
$100,000 $300,000
IMPORTANT NOTICE
raols'?oourr!aruo5eu?ek'not':naf:'rimfoa'H:n'?oWo'E€n'eosr(ahmeefnoHOiWnsn!aknocaep!o?rwag'fehokhrR':a"kX:a cAlna!rorsrrhewphaoymkneonroinfga"Yj:rsesisen's
guilty of a crime and may be subject to fines and confinement in state prison.
Replaced policy number 6422191 -75[).
Notice of insurance infor.mation pollection practices - personal, family, or household insurance transactions:
Qe maycollect customer information from.p.ersone, other than the individual or individuals applying.for coverage. Such customer
informaUon as well as other personal or privileged information subsequently collected may, in certain circumstances, be disclosed
to third parties without your authorization as permitted by law.
You have the right to submit a written
receive a response within 30 days ofWqbu:i'4ii!!Hay:c:sr:qu'e':.ctl?a::ndde'n'yr ::\equesr7:S 'haiUe't%r:Bhtn:?i'le'aes'E::nt
wonithhouws ctOonfltlaeinsiun&the informaantdio0nuyrofuullfepe(lIViascaycncOutr.IacteecaanndbfaeirfOaulonndgwith.sthtaeterfeaarsmo.ncsomyolcuudsitsOamgererecawrieth/pqrluVradcyensieacl.ulrnlts5purclvtiaocnys
or contact your statr: H: Agent.
Your total renewal premium for AUG Of 2023 to AUG 01 2024 is $'l,353.20.
Location used to determine rate charged-10440 PIONEER BLVD STE 5, SANTA FE SPGS CA 90670.
CONTINUED
11SXON (ola025fe)
See Reverse Side
This policy is issued by State Farm Mutual Automobile Insurance Company.
MUTUAL CONDITIONS
1. Membership. While this policy Is in force, the first Insured shown on the Declarations Page is
entitled to vote at all meetings of members and to receive dividends the Board of Directors in
Its discretion may declare in accordance with reasonable classifications and groupings of
policyholders established by such Board.
2. No Contingent Liability. This policy is non-assessable.
3. Annual Meeting. The annual meeting of the members of the company shall be held at its
home office at Bloomington, lllinois, on the second Monday of June at the hour of 10:00 A.M.i
unless the Board of Directors shall elect to change the time and place of such meetlng, in
which case, but not otherwise, due notice shall be mailed each member at the address
disclosed In this policy at least 10 days prior thereto.
In Witness Whereof, the State Farm Mutual Automobile Insurance Company has caused this
policy to be signed by its President and Secretary at Bloomington, lllinois.
Secretary Prestdeni
IMPORT ANT NOTICE:
California law requires us to provide you with information for filing complaints with the Slate Insurance
Department regarding the coverage and service provided under this policy.
Your agent's name and contact information are provided on the front of this document. Another option is to
reach out by mail or phone directly to:
State Farm" Executive Customer Service
PO Box 2320
Bloomington IL61702
Phone # 1-800-STATEFARM (1-800-782-8332)
Department of Insurance complaints should be filed only after you and State Farm or your agent or other
company representative have failed to reach a satisfactory agreement on a problem.
California Department of Insurance
Consumer Services Division
300 South Spring Street
Los Angeles, CA 90013
Phone # 1-800-927-HELP (4357) or visit www.insurance.ca.qov/Oj-consumers
NOTICE
We are required to furnish you with the following information:
An automobile liability insurance compan.y mta,Yecdacn8cneclejlapfoll0icnyWb:lfc%r@lstlhOecaetnedd plnftTeeGcBunrererant, leorlimcysperiod far reasons described in the provision
sectionofyourpolicy(refertothe Contents inthebeginning ofyaurpolicyforthe page number).
2. Anautomobileliabilityinsurancecompanymayincreasetheprgmiumorrefusetorenewthepolj.yfor
any of the following reasons:
a. Accidentinvolvementbyaninsiired,andwhetheraninsuredisatfaultinthgaccident.
b. A change in, or an addition of, an insured vehicle.
c. A change in, or addition of, an insured under the policy.
d. A change in the location ofgaraging afan insured vehicle.
e. A change in the use of the insured vehicle.
f. 0(,poen:aitc.lt0ionn0sffaormv0iotOlartVinJ,lacneYprovision ofthe Vehicle Code orthe Penal (,ode relating to the
g. The payment made by aninsurer due to a claim filed by an insured or a third party.
An automobile liability insurance company may increase the premium or refuse to renew the policy for
reasons that are not listed above but which are lawful and not unfairly discriminatory.
ctvb2
State Farm Mutual Automobile Insurance Company
PO Box 2368
Bloomington It 61702-2368
01276
75-0825-1 A
NAMED INSuRaD 001276 0058
ALL CITY MANAGEMENT SERVICES,
INC
10440 PIONEER BLVD SrE 5
SANTA FE SPGS CA 90670-8238
02846-1-A MATCH 01276 MLITL VOL
PAGE 2 0F 2
STATE FARM PAYMENT PLAN NUMBER
1348465123
YOUR POLICY CONSISTS OF THIS DECLARATI€NS PAGE THE POLICY BOOKLET
FORM 9805B AND ANY ENDORSEMENTS THAT APPLY. INCLUDING THOSE ISSUED TO YOU
WITH ANY SUBSEQUENT RENEWAL NOTICE
01 6028BU ADDITIONAL INSURE[)-GRAN[) PRAIRIE 300 W MAIN ST GRAN[I PRAIRIE TX
75050-5621
02 6028BU ADDITIONAL INSURED-CITY OF WAUSAU 407 GRANT ST WAUSAU WI
54403-4737
03 6028BU ADDITIONAL INSURa)-CITY OF SOLANA BEACH 635 S HIGHWAY 101
SOLANA BEACH CA 92075-2297
04 6028BU ADDITIONAL INSURED-CITY OF COLLEGE STATION ATTN: RISK MANAGEMENT
Pa BOX 9960 COLLEGE STA TX 77842-7960
05 6028BU ADDITIONAL INSURED-CITY OF CUPERTINO 10300 T0RRE AVE CUPERTINO
CA 95014-3255
6030GF BUSINESS NAMED INSURED
6031[)D ANNUAL PC)LICY PERIOD
6126MD EXCESS COVERAGE FOR PERSCINAL VEHICLE SHARING
6128AC AMENDATORY ENDORSEMENT -EXPIRES AUG 01 2024
6129J AMEN[)ATORY ENDC)RSEMENT -EFF AUG 01 2024
6164DP HIRED CAR LIABILITY CC)VERAGE
6165CS EMPLCIYERS NON-OWNED CAR LIABILITY COVERAGE
6166AM HIRED CAR-COMPREHENSIVE COVERAGE AN[) COLLISION COVERAGE $100OOO
LIMIT: $500 DalUCTIBLE
08080/07066
iola0254i.)
Agent:FLORENCE HARRISON
Telephone: (310)330-8220
Prepared MAY 16 2024 0825-BO7
This policy is issued by State Farm Mutual Automobile Insurance Company.
MUTUAL CONDITIONS
1. Membership. While this policy is in force, the first Insured shown on the Declarations Page is
entitled to vote at all meetings of members and to receive dividends the Board of Directors in
Its discretion may declare in accordance with reasonable classifications and groupings of
policyholders established by such Board.
2. No Contingent Liability. This policy is non-assessable.
3. Annual Meeting. The annual meeting of the members of the company shall be held at its
home office at Bloomington, lllinois, on the second Monday of June at the hour of 10:00 A.M.i
unless the Board of Directors shall elect to change the time and place of such meetlng, in
which case, but not otherwise, due notice shall be malled each member at the address
disclosed In this policy at least 10 days prior thereto.
In Witness Whereof, the State Farm Mutual Automobile Insurance Company has caused this
policy to be signed by its President and Secretary at Bloomington, Illinois.
Secrekaty PresklerA
IMPORT ANT NOTICE:
Califomia law requires us to provide you with information for filing complaints with the State Insurance
Department regarding the coverage and service provided under this policy.
Your agent's name and contact information are provided on the front of this document. Another option is to
reach out by mail or phone directly to:
Slate Farm" Executive Customer Service
Pa Box 2320
Blooinington IL 61 702
Phone # 1-800-STATEFARM (1-800-782-8332)
Department of Insurance complaints should be filed only after you and State Farm or your agent or other
company representative have failed to reach a satisfactory agreement on a problem.
California Department of Insurance
Consumer Services Divit+ion
300 South Spring Street
Los Angelea, CA 90013
Phone # 1-800-927-HELP (4357) or visit www.insurance.ca.gov/01-conaumera
NOTICE
We are required to furnish you with the following information:
" :enrW'dI'f:Orbe':esgnasbj:crnibue:ainnThec0p'r'o!AsniXrW'AYeda["acn:eall!aHlocnywbl'flfcOhreisIlhoec:tneg oinft'tjee(:eunrereran!leOrlmc'!
section ofyour policy (referto the Contents in the beginnmg of your poficy forthe page number).
2. Anautomabileliabilityinsurancecompanymayincreasetheprgmiumorrefusetorenewthepolicyfor
any ofthe following reasons:
a. Accidantinvolvamentbyaninsured,andwhetheraninsuredisatfaultinthgaccident.
b. A change in, or an addition of, an insured vehicle.
c. A change in, or addition of, an insured under the policy.
d. A change in tha location of garaging of an insured vehicle.
e. A change in the use ofthe insured vehicle.
f. OCpoen:aitc.It0ionn0sffaormv0iotOlartvine!lacnleY provision oT the Vehicle Code or the Penal (Sods relating to the
g. The payment made by an insurer due to a claim filed by an insured or a third party.
An automobile liability insurance company may increase the premium or refuse to renew the policy for
reasons that are not listed above but which are lawful and not unfairly discriminatary.
C!V112
6030GF BUSINESS NAMED INSURED
This endorsement is a part of the policy. Because of the type of named insured shown on the
Declarations Page of this policy and the changes made below, all references to resident rela-
tives and non-owned cars in the policy are deleted. Except for the changes this endorsement
makes, all other provisions of the policy remain tlie same and apply to this endorsement.
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1. DEFINITIONS
:Thu or Kur is cliaiiged to read;
lbu or :ffiur means the named insured
or named insureds shown on the Decla-
rations Page.
2. LIABILITYCOVERAGE
a. Additional Definition
Imured is chaiiged to read:
Insured means:
1. you for:
a. the ownership, rnaiiitenance,
or use of
(l) your car;
(2) a neivly acquired car;
or
(3) a trailer; and
b. the maintenance or use of a
temporary substitute car;
2. anyprszmforhisorheruseof:
a. your car;
b. a newly acquired car;
c. a tenporary suhstitute car,
or
d. a trailer while attaclied to a
car described in a., b., or c.
above.
Such veliicle must be used with
your pemiission, express or
implied, and witl'iin the scope
of tl'iat permission; and
3. aiiy other person or organization
vicariously liable for the use of a
veliicle by an imured as defiiied
iii 1. or 2. above, but only for
sucl'i vicarious liability. This
provision applies only if tbe ve-
hicle is:
a. neither mned by, nor hired
by, tliat otlier person or or-
ganization; and
b. neither available for, nor
being used for, cariying
persons for a cliarge.
Imured does not include tlie
United States of Atnerica or any of
its agencies.
b. Exclusions
(1) Exclusion 5. is chai'iged to read:
FOR BODILY INJURY TO
THAT INSURED'S FELLOW
EMPLOYEE WH[lE THE
FELLOW EMPLOYEE IS IN
THE COURSE AND SCOPE
OF HIS OR HER EMPLOY-
MENT;
(2) Exclusion 7. is changed to read:
WHILE MAINTAINING OR
USING A VEHICLE IN
CONNECTION WITH THAI
INSURED'S EMPLOYMENT
IN OR ENGAGEMENT OF
ANY KIND IN A CAR Bun-
MESS. Tliis exclusion does not
apply to:
a. you; or
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@, Copyrigl'it, State Fann Mutual Automobile Insuraiice Company, 2015
6030GF
rrzgti-is
b. any of your agents, em-
ployees, or business part-
ners
wliile maintaining or using
your car, a mvly acquired car,
a temporary substitute car, or a
trailer mned by you;
(3) The following exclusion is added:
THERE IS NO COVERAGE
FOR AN INSURED FOR
DAMAGES RES[TLTING
FROM:
1. THE HANDLING OF
PROPERTY BEFORE IT
IS MOVED FROM THE
PIACE IT IS
ACCEPTm) BY THE l-
SURED FOR MOVE-
MENT INTO OR ONTO A
VEH[CLE FOR WH[CH
THE nVSURED IS PRO-
Vn)ED LIABn,ITY COV-
ERAGE BY TH[S
POLICY;
2. % HANDLNG OF
PROPERTY AFTER IT IS
MOVED FROM THE
VEHICLE DESCRIBED
n'J 1. ABOVE TO THE
PLACE WHERE IT IS FI-
NAI,LY DELrVERED BY
THE INSURErl, OR
3. THE MOVEMENT OF
PROPER"ff BY MEANS
OF A MECHANICAL
DEVICE, OTHER THAN
A HAND TR'UCK, THAT
IS NOT AITACHED TO
THE VEHICLE DE-
SCRIEED IN 1. ABOVE.
3. MEDICAL PAYMENTS COVERAGE
a. Additional Definitions
Imured is clianged to read:
Insured means any person wliile
occupymg:
1. your car,
2. a nesvly acquired car;
3. a tenq>orary substitute car; or
4. a bailer while attaclied to a car
described in 1., 2., or 3. above.
Sucli veliicle must be used within
tlie scope of your consent.
b. Exclusions
(1) Exclusion 1. is deleted.
(2) Exclusion 4. is c)ianged to read:
THERE IS NO COVERAGE
FOR AN INSURED WHO IS
OCCUP1'ING A VEH[CLE
WHu.E IT IS:
a. MADEAVAILABLE; OR
b. BEINGUSF.D
TOCARRY PERSONSFORA
CHARGE;
(3) Exclusion 5. is changed to read:
WH[LE MAINTAW[NG OR
USn'JG A VEH[CLE W
CONNECTION WH M
INSURED'S RMPLOYMENT
TR OR ENGAGEMFJT OF
ANY KIND IN A C,4R BUSI-
S. This exclusion does not
apply to any of your:
a. agents;
b. employees; or
c. business partners
wlff)e maintairffng or using your
car, a newly acquired car, a
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@, Copyriglit, State Fann Muhial Automobile Insurance Company, 2015
6030GF
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tenq>orary substrate car, or a
traibr mned by 3iou;
(4) Exclusions 7. and 9. are deleted.
4. UNINS[mED MOTOR VEHICLE COY-
ERAGF.
a. Additional Definitions
Insured is changed to read:
Insured means:
1. any person wliile occupying.
a. your car;
b. a newl)i acquired car; or
c. a temporary substitute car.
Sucli veliicle nuist be used
witliin tbe scope of your con-
sent. Sucli person occupying a
public or livery conveyance is
not an insured; and
2. you or any person entitled to re-
cover compensatory damages as
El result of bodily irgjury to an
imured defined in item 1.
above.
b. Exclusions
Exclusion 2. is deleted.
5. PHYSICALDAMAGECOVERAGES
Additional Definitions
a. Covered iick is clianged to read:
Cmiered Koliicle means:
1. your car;
2. a newly acquired car;
3. atemporarysubstitutecar,and
4. a camper tl'iat is designed to be
mounted on a pickup truck and
is sliown on tlie Declarations
Page;
including its parts aiid its equip-
ment that are cominon to tlie use of
the veliicle as a veliicle. However,
parts and equipment of cairipers
must be securely fixed as a perma-
nent part of tlie cai'nper.
b. Imured is cliaiiged to read:
Insured means you.
Page 3 of 3
O, Copyriglit, State Fanni Muhial Automobile Insurance Company, 2015
6030GF
6031 DD ANNUAL POLICY PERIOD
This endorsement is a part of tl'ie policy. Except for the clianges this endorsement makes, all other
provisions of the policy remain the same and apply to tlffs endorsement.
GENF!,RALTF,RMS
When Coverage Applies is clianged to read:
The coverages provided by tliis policy are sl'iown on the Declarations Page and apply to acci-
dents and losses tliat occur during the policy period. The policy period is sliown on tlie Decla-
rations Page and is for successive periods of twelve months each for wlffcli the renewal
premium is paid. Tlie policy period begins and ends at 12:01 AM Standard Time at tl'ie address
sliown on the Declarations Page.
Page 1 of 1
Q Copyriglit, State Farni Mutual Automobile Ingurartce Coinpany, 2010
6031DD
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6126MD EXCESS COVERAGE FOR PERSONAL VEHICLE SHARING
Tliis endorsement is a pm of tlie policy. Except for tlie changes this endorsement makes, all otlier
provisions of tbe policy remain tlie same and apply to tlus endorsement.
1. LIABILITY C(W?,RAGE 2. MEDICALPAYMENTS COVERAGE
a. Exclusions a. Exclusions
Exclusion 15. is replaced by tl'ie following:
THERE IS NO COX/ERAGE FOR
AN INSURED FOR THE OWN-
ERSHIP, MAINTENANCE, OR
USE OF YOUR (,4/? OR AAiEW}'
ACQUIRED C.4/? WHILE USED
IN PERSONAL VEHICLE
SHARING. Tliis exclusion does
not apply to you and resident rehi-
tives wlien, and only if, tlie fiill
amount of all available limits of all
other liability bonds, policies, and
self-insurance plans tliat apply liave
been used up by payment of judB-
ments or settlements, or )iave been
offered in writing.
b. If Other Liability Coverage Applies
The first paragrapli of item 2. is
changed to read:
The Liability Coverage provided by
tliis policy applies as primary cov-
erage for the owners)iip, mainte-
nance, or use of your car or a
trailer attached to it, except wliile
your car or a trailer attached to it is
used in personal vehicle sharing.
Tl'ie Liability Coverage provided by
tlus policy applies as excess cover-
age for the ownersliip, mainte-
nance, or use of your car or a
trailer attaclied to it wlffle your car
or a trailer attached to it is used in
personal vehicle sharing.
(1) Exclusion 3. is replaced by the fol-
lowing:
THERE IS NO COVERAGE
FOR AN INSURED WHO IS
OCCUP1'lNG A VEH[CLE
WHILE IT IS RENTED OR
LEASED TO OTHERS BYAN
INSURED. This exclusion
does not apply to you and resi-
dent relatives wliile occupying
your car or a newly acquired
car while used in personal
vehicle s}taring wlieii, and only
if, tlie full amount of all availa-
ble limits of all other sources of
medical payments coverage or
similar veliicle insurance tliat
apply liave been paid.
(2) Exclusion 15. is replaced by tlie
following:
THERE IS NO COVERAGE
FOR AN INSURED WHO IS
OCCUPYING 1'OUR C,4R OR
A NET4'LY ACQUIRED C,4R
WH[LE USED IN PERSON-
,4ff VEHICLE SHARING
Tliis exclusion does not apply
to you and resident relatives
wlien, and only if, the full
amount of all available liniits
of all other sources of medical
payments coverage or similar
velucle insurance tliat apply
have been paid.
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6126MD
Z9Z0-90*0
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b. If Other Medical Payments Coverage
orSimilarVehicle InsuranceApplies
Tlie first paragrapli of item 3. is
clianged to read:
Tlie Medical Payments Coverage
provided by this policy applies as
primary coverage for an ituured
who sustains bodily injury wliile
occupying your car or a trailer
attaclied to it, except wl'iile your
car or a trailer attaclied to it is used
in pemonal veiiicle sharing. Tlie
Medical Payments Coverage provided
by this policy applies as excess
coverage for you and resident rela-
tives who sustain bodily injury
while occupying your car or a
traikr attaclied to it wliile your car
or a trailer attached to it is used in
pemonal vehicle sharing.
3. UNINSURED MOTOR VEHICIJ
COVERAGE
a. Exdusions
Exclusion 6. is replaced by the following:
THERE IS NO COVERAGE FOR
AN INSURED WHO IS OCCU-
PITNG 1'OUR Cl OR A NEW-
LY ACQUIRED CAR WH[LE
USED IN PERSON& g'EHICIJE:
SHARING. This exclusion does
not apply to you and resident rela-
tives wlien, and only if, the full
amount of all available limits of all
other sources of uninsured motor
vehicle coverage that apply have
been paid.
b. If Other Uninsui'ed Motor Vehicle
CoverageApplies
Tlie first paragrapli of item 2. is
changed to read:
Tlie Uninsured Motor Veliicle Cov-
erage provided by this policy ap-
plies as primary coverage for an
imured wlio sustains bodily injury
while occupying your car, except
wliile your car is used in personal
vehicle sharing. The Uninsured
Motor Velffcle Coverage provided
by tl'iis policy applies as excess
coverage for you and resident rela-
tives who sustain bodily injury
while occupying your car wliile
your car is used in personal vehi-
cle s1iaring.
4. PHYSICAL DAMAGE COVERAGES
a. Exclusions
(1) Exclusion 2. is replaced by the fol-
lowing:
THERE IS NO COVERAGE
FOR ANY COIIERED VEHI-
CLE WH[[,E IT IS RENTED
OR LEASED TO OTHERS BY
AN INSURED. This exclusion
does not apply to your car or a
newly acquired car while used
in personal vehiclg sharing
wlien, and only if, tlte full
amount of all available limits
of all other sources of pliysical
damage coverage or similar
coverage that apply liave been
paid.
(2) Exclusion 20. is replaced by tlie
following:
THERE IS NO COVERAGE
FOR 1'OUR CAR ORAa;aF-
LY ACQUIRED Cff WHu,E
USED IN PERSON& VEHI-
C12. SHARING. This exclu-
sion does not apply when, and
only if, the full amount of all
availab)e limits of all other
sources of physical damage
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@, Copyright, State Fann Muhial Automobile Inairance Company, 2013
6126MD
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coverage or similar coverage
that apply have been paid.
b. If Other Physical Damage Coverage
or Similar Coverage Applies
The first paragraph of item 3. is
clianged to read:
Tlie pliysical damage, coverages
provided by tl'iis policy apply as
primary coverage for a Loss to your
car, except while your car is used
iii personal vehicle s/tar%. The
pliysical damage coverages provid-
ed by tliis policy apply as excess
coverage for a lnss to your car
wliile it is used in personal vehicle
sharing.
Page 3 of 3
0, Copyriglit, State Farin Muhial Automobile Insurance Coir+pany, 2013
6126MD
8164DP HIRED CAR LIABILITY COVERAGE
Tlffs endorsement is a part of the policy. Except for the cliaiiges tliis endorsement makes, all otlier
provisions of the policy remain the same and apply to tliis endorsement.
1. DFiFINITIONS 3. anyofyourbusinesspartners;
4. any of your executive officers;
or
a. (hvnedEy is changed to read:
OwnedBy means:
1. owned by,
2. registered to; or
3. leased. if the lease is written for a
periof of 6 or more consecutive
montlis, to.
b. Tlie following definition is added:
5. any person who resides primar-
ily with a person described in
1., '2'+ 3., or 4. immediately
preceding.
2. LIABILITY COVH,RA(a!:
a. Additional Definition
Insured is clianged to read:
Imured means:
2. any person wliile using a liired
car. Tlie hired car must be
used witli your pemission, ex-
press or implied, and within the
scope of that permission; and
3. any other person or or-
ganization vicariously liable for
the use of a hired car by an in-
sured as defined in 1. or 2.
above, but only for sucli vicari-
oris liability.
Imured does not include:
1. you for the maintenance or use
of a liired car;
Hired Car means, when used under
contract on your belialf or loaned to
JOu:
1. a land motor vehicle designed
for use primarily on public
roads;
2. any type of trailer or semitrailer
designed for use primarily on
public roads; and
3. mobile equipment designed for
use primarily off public roads:
a. while used on public roads
solely for locomotion, if
self-propelled and not
equipped witb crawler-
treads; or
b. wliile being transported on
public roads if being towed
by or carried on a land mo-
tor vehicle designed for use
primarily on public roads
and insured with us.
Hired Car does not include any ve-
liicle that is mined by:
1. you',
2. any ofyour employees;
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@, Copyriglit, State Farm Muhia} Automobile Insuraiice Coinpany, 2015
1. tlie owner of a hired car;
2. any other person or or-
ganization, including its agents
or einployees, who rents, leases,
or loans the 1iired car to you or
aiiy persotx or organization for
use on your behalf, or
3. the United States of America or
any of its agencies.
6164DP
b. Exclusions
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Exclusions 9. and 13. are deleted.
3. UNINS[mED MOTOR VEHICLE
COVERAGE
a. Additional Defuiitions
Imured is changed to read:
Imured means any person sgvlsUc
using a hired car. Tlie hired car
inust be used witl'i your pemiission,
express or implied, ai'id within tlie
scope of that permission.
Insured does not include:
1. the OWner of a hired car:
2. any otlier person or or-
ganization, including its agents
or anployees, who rents, leases,
or loans the hired car to you or
any person or organization for
use on your behalf.
b. Exclusions
(1 ) Exclusion 2. is changed to read:
THERE IS NO COVERAGE
FOR AN INSURED WHO
SUSTAn%TS EODILY INJURY
WaE OCCUPYING A MO-
TOR VEHICLE, OTHER
3A HmED Cm.
(2) Exclusion 6. is changed to read:
THERE IS NO COVERAGE
FOR AN INSURm WHO IS
OCCUP'flNG A j Cm
WH[E USED W PERSON&
VEHICLE SHa7V(,;
(3) Exclusion 8. is clianged to read:
THERE IS NO COVERAGE
FOR AN INSURED WH[,E
OCCUPYING A HmED C,4R
IF THE OWNER HAS UN[N-
SURED MOTOR VEH[CLE
COVERAGE OR UNDERIN-
SURED MOTOR VEH[CLE
COVERAGE ON THAT
HmED CAR WITH LIM[TS
EQUAL TO OR GREAIER
THAN THE UNINS[mED
MOTOR VEH[CLE COVER-
AGE LnfflTS PROV[DED BY
TH[S POLICY;
4. GENF.RALTERMS
The following is added:
Audit
VVe have tlie rigl'it to audit your records
as they relate to this insurance. Tliis au-
dit may take place any time up to fl'iree
years after tlffs policy is terminated.
Page2 of2
@, Copyrida, Stafe Fann Mutual Automobile hisumnw Company, 2015
6164DP
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6165CS EMPLOYERS NON-OWNED CAR LIABILITY COVERAGE
This endorsement is a part of the policy. Except for tl'ie chaiiges this endorsement makes, all otlier
provisions of the policy remain the same and apply to this endorsement.
1. DEFINITTONS 2. LIABILITYCOVERAGE
Non-Owned Car is changed to read:
Non-Chvned Car means:
1. a land motor velffcle designed for
use primarily on public roads;
2. any type of trailer or semitrailer de-
signed for use primarily on public
roads; and
3. mobile equipment designed for use
primarily off public roads:
a. while used on public roads
solely for locomotion, if self-
propelled and not equipped
witli crawler-treads; or
b. wliile transported on public
roads if being towed by or car-
ried on a land motor veliicle
designed for use primarily on
public roads and insured with
US.
Non-Owrted Car does not include any
veliicle that is:
1. mnedby you; or
2. used under contract on your belialf
or loaned to you, unless tliat veliicle
is osvnedby:
a. any of your employees;
b. any of your business partners;
c. any of your executive officers;
or
d. any person wlio resides prirnar-
ily witli you or a person de-
scribed in a., b., or c.
immediately preceding.
a. Additional Definition
Imured is changed to read:
Insured means:
1. you for the use of a non-mned
car in your business; and
2. any otlier person or organiza-
tion vicariously liable for tlie
use of a non-oimed car in your
business by an insured as de-
fined in item 1. above, but only
for sucli vicarious liability.
Insured does not include:
1. the owner of a non-mned car,
or
2. theUnitedStatesofArnericaor
any of its agencies.
b. Exclusions
Exclusions 9. and 13. are deleted.
3. UNINSURED MOTOR VEHICLE
COVERAGR
a. Additional Definitions
Imured is changed to read:
Imured means any pemon whUe
using a non-mvned car in your
business. Tlie non-owned car must
be used witli your permission, ex-
press or implied, and within the
scope of that permission.
Insured does not include:
1. the owner of a non-owned car,
2. any other person or or-
ganization, including its agents
or employees, wlio rents, leases,
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@, Copyriglit, State Farm Mutual Autoinobile hisuraiice Company, 2015
6165CS
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or loans tl'ie non-mned car to
you or any person or orBamza-
tion for use on your bcliM.
b. Exdusions
(l) Exclusion 2. is changed to read:
THERE IS NO COVERAGE
FOR AN INSURED WHO
SUSIAINS EODILY INJURY
WH[LE OCCUP1'lNG A MO-
TOR VEH[CLE, OTHER
THAN A NON-OT41NED C.4R.
(2) Exclusion 6. is changed to read:
THERE IS NO COVERAGE
FOR AN INSURED WHO IS
OCCUP1'lNG A NON-
OWNED C,=lR WHILE USED
IN PERSONAL T'EHICLE
SHARING:
(3) Exclusion 8. is clianged to read:
THERE IS NO COVERAGE
FOR AN INSURED WHILE
OCCUPYING ANON-OWNED
CAR IF THE OWNER HAS
UNINS{mED MOTOR VE-
H[CLE COVERAGE OR ?JN-
DERINSURED MOTOR
VEHICLE COVERAGE ON
THAT NON-01;€161) C.4R
WITH LIMITS EQUAL TO
OR GREATER THAN THE
?JNINSURED MOTOR VE-
H[CLE COVERAGE LIM-
ITS PROVIDED BY THIS
POLICY;
4. GE,NERALTERMS
The following is added:
Audit
T41e liave tlie riglit to audit your records
as tliey relate to tliis insurance. Tliis
audit may take place any time up to
tliree years afier this policy is termi-
nated.
Page 2 of 2
O, Copyrigl'it, State Farm Muhial Autoinobile Insuraiice Company, 2015
6165CS
6166AM HIRED CAR - COMPREHENSIVE COVERAGE AND COLLISION COVERAGE
This endorsement is a part of the policy. Except for tl'ie.clianges this endorsement makes, all otlier
provisions of tlie policy remain tlie same and apply to tlns endorsement.
Tliis policy is clianged as follows for the use of a hired car:
1. DEFINITIONS
Owned By is clianged to read:
Owned By meaiis:
1. owned by,
2. registered to; or
3. leased, if tlie lease is written for a
period of 6 or more consecutive
montbs, to.
2. PHYSICAL DAMAGE COVERA(JS
a. The second paragraph tliat begins, "This
policy provides" is replaced by the fol-
lowing:
Tlus policy provides:
1. Compreliensive Coverage; and
2. Collision Coverage
for tlie use of hired cars.
b. DeduchThle is replaced by the following:
Deductible
The deductible tliat applies to any
Compreliensive Coverage or Col)i-
sion Coverage provided by tliis
endorsement is shown on tlie Decla-
rations Page iinmediately following
tlie title and dollar amount limit of
tliis endorsement.
c. Additional Defuiitions
(1) The following is added:
Hired Car meaiis, wlien used
under contract on your belialf or
loaned to you:
1. a land motor veliicle de-
signed for use priiriarily on
public roads;
2. any type of trailer or semi-
trailer designed for use pri-
marily on public roads; and
3. mobile equipment designed
for use primarily off public
roads:
a. while used on public
roads solely for locomo-
tion, if self-propelled
and not equipped w'th
crawler-treads; or
b. while being transported
on public roads if being
towed by or carried on a
land motor vehicle de-
signed for use primarily
on public roads aiid in-
sured with us.
Hired Car does not include any
veliicle that is owned by:
1. you;
2. any ofyur employees;
3. any of your business part-
ners;
4. any of your executive offic-
ers; or
5. any person wlio resides pri-
marily with a person de-
scribed in 1., 2., 3., or 4.
inmediately precediiig;
Page 1 of 2
@, Copyright, State Fariri Mutual Automobile Insurance Coinpany, 2016
6166AM
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(2) Covered vehicle is changed to read:
Covered vehicle means a hired
Car.
(3) Imured is clianged to read:
Insured means:
a. you;
b. anyof)iziuremployees;
c. any of your business part-
ners; and
d. any of your executiye offic-
ers.
d. All references to Non-mned car in
Pliysical Damage Coverages are deleted
and replaced with coveredvehicle as de-
fined in this endorsement.
e. InsugAgreements
Comprehensive Coverage and Colli-
sion Coverage are replacedwith tl'ie fol-
lowing:
Comprehensive Coverage and
Collision Coverage
(1) Wewillpayforlnsstoacmered
vehicb.
(2) If a coveredvehicle is rented on
your behalf from a car business,
tlien sve will pay reasonable loss
of use charges and reasonable
administrative charges cliarged
by the car business if owed un-
der tlie written terms of the
rental contract as the result of a
loss that is payable under the
coverage provided by tl'iis en-
dorsement.
f. Limits and Loss Settlement - Com-
prehensive Coverage and Collision
Coverage
(1) Tlie following is added:
The most we wUl pay for loss to
a covered vehicle is the amormt
sliown on the Declarations Page
immediately following tlie title
of tlffs endorsement.
(2) Items 2. and 3. are deleted.
3. GKNERALTERMS
Tlie following is added:
Audit
We liave the riglitto audit your records as
they relate to t)iis insurance. Tl'iis audit
may take place aiiy time up to tl'ireeyears
affer this policy is termi+iated.
Page 2 of 2
@, Copyright, State Farm Mutual Automobile Insurance Conipany, 2016
6166AM
2920')0%
n'l9ThlS
DATE (MM{00/YYYY)
5/7 /2024
THIS CERTIFICATE IS IS8UED 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 ISSulNG INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed,
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Marsh & McLennan Agency LLC
Marsh & McLennan Ins. Agency LLC
1 Polaris Way #300
Aliso Viejo CA 92656
Licensd: OH18131
CONTACT
NAME:
F
(
)l
A
00
C.4.=xth 17z,ho,
5Sl
V
M
1011:B3, occerts@marshmma.com '
INSURER(8) AFFOFID1N3 COVERAGE NAIC #
ihsuneqa : Lexington Insurance Company 19437
lN8uRE0 ALLCITYMAN
All City Management Services, Inc.
1 0440 Pioneer Blvd., Suite 5
Santa Fe Springs, CA 90670
i+iswen B : AXIS Surplus Insurant,e Company 26620
ixstmat c : Westchester Surplus Lines Insurance Co 10172
i+isuseq o : National Casualty Company 11991
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1164366258 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSLIRANCE LISTED BELOW HAVE BEEN ISSuED TO THE INSLIRED 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 INSLIRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLuSIONS AND CONDITIONS OF SUCH "OLR:IES. LIMITS SHOWN MAY HAVE BEEN P,EDUCED BY PAID CLAIMS.
INSR
LTR TYPE OF IN811RANCE
ADDL
1N8D
SuBR
WVD POLICYNLIMBER lMu?XrfflYl (!PI!'D'/Y'L1MIT8
A x
-X
COMMERCIAL GENERAL uABILITY
ICLAIMS-MADE [U] OCCUR
500.000
Y Y pHil4B 8/1/2023 8/1/2024 EACH OCCURRENCE iT;5t'5:o'nq
-DAMAGE TO RENTED
PREMISES (Ea occurrence)$ 100,000
MED EXP (Any one person)$
PERSONAL & ADV INJURY $1,000,000
GEil'L AGGREGATE LIMIT APPLIES PER:
lPo:Ll=C; tU] j:8 € LOC
GENERAL AGGREGATE [j;6ei0,'Q_d
PRODUCTS - COMP/OP AGG $ 2,000,000
$
AU-OMOBILE LIABILITY
- ANY AUTO
OWNED scheouu:o_ AuTOS ONLY u AuTOS
HIRED n NON-OWNED_ AUTOS ONLY 1_J AUTOS ONLY
N N COMBINED SINGLE LIMIT
(EB accldem)$
BODILY INJURY (Per person)$
BODILY INJtlRY (Per accident)$
PROPERTY DAMAGE
(Per acclden0 $
$
B
-X
LIMBRELLALIAB
EXCESS LIAB
8
I
OCCLIR
CLAIMS-MADE
N N POOI 001 18039401 8/1/2023 8/1/2024 EACH OCCURRENCE la'oTg-,o(jQ
AGGREGATE $ 3,000,000
DED I I RETENTION$$
D WORKERS COMF'ENSATiON
AND EMPLOYERSa LIABILITY Y , N
ANW%%PW(a:Wl,:%'ffl%l,/,,fECuTIVE [E](Mandatory In NH)
ff yes, descrlbe under
DESCRIPTION OF OPERATIONS below
N/A
Y 3_T,f 1/i/2024 1/1/2025 " I SR'TuTE I I ER"-
E.L. EACH ACCIDENT j:o'_,%d
E.L. DISEASE - EA EMPLOYEE $1,000,000
E.L. OISEASE - POLICY LIMIT $1,000,000
c Excess Lsyer G72535522003 8/1/2023 8/1/2024 AGGREGATE $6,000,000
DESCRIPTIONOFOPERATION8/LOCAnONS/VEHICLE8 (ACORD101iAdditionalRamarksSdiaduleimaybiatlaiihedifmorispscelsrequirsd)
r,lhaeb,,i,pe,, waogrde.lnntgs,aspeprvlleasntpsearna%avcohluendteeenrsdoarrseemineclnutM.a_:"aivse:'a"',_rofJu!rog'a"ti"o(fapapsl0ireessptoecGtsenioeraaelneralLiabilityandabac_hedeWnlsdoc"emceonunc'offlAaceM.oo'as'empl'oyees'
CERTIFICATE HOLDER CANCELLATION
City of Cupertino
10300 Torre Ave.
Cupertino CA 95014-0000
I
SHOulD ANY OF THE ABOVE DESCRIBED POLICIE8 BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROV1810N8.
AuTHORIZED REPRESENTATIVE
=
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD
INSURED: All Clfy Management
POLICY#: m POLICY PER10B'91/2023 TO osiomo;io
ENDORSEMENT
This endorsement, effective 12:01 AM
Forms a part of policy no.:
Issued to:
By: LEXINGTON INSURANCE COMPANY
- - OWNER8, LE8SEE8 0R CONTRACTORS-SCHEDuLED
PERSON OR ORGANIZATION
(Based on CG2010 04/13)
This endorsement modifies insurance provided by the following:
COMMERCIAL GENERAL LIABILITY POLICY
SCHEDULE
Name of Additional Insured Person(s)
or Organization(s)
Location of Covered Operations
Blanket where required by contract.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations
A. Section If - Who Is An Insured is amended to Include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property
damage" or "personal and advertising injury" caused, in whole or in part, by:
1. Your acts or omissions or
2. The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations for the additional insured(s) at the location(s)
designated above.
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law;
and
2. If coverage provided to the additional insured is required by a contract or agreement, the
insurance afforded to such additional insured will not be broader than that which you are
required by the contract or agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following additional
exclusions apply:
LX431& (06/%)Includes Copyrighted Information of the Insurance Services
Offices, Inc., with its permission. All Rights Reserved.
Page 1 of 2
This insurance does not apply to "bodily injury" or "property damage" occurring after:
1. All work, including materials, parts or equipment furnished in connection with such work, on the
project (other than service, maintenance or repairs) to be performed by or on behalf of the
additional insured(s) at the location of the covered operations has been completed; or
2. That ponion of "your work" out of which the injury or damage arises has been put to its
intended use by any person or organization other than another contractor or subcontractor
engaged in performing operations for a principal as a part of the same project.
C. With respect to the insurance afforded to these additional insureds, the following is added to
Section Ill - Limits Of Insurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we
will pay on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations
All other terms and conditions of the policy remain the same.
,- I k'9j\L
LX43T5 (06/14) ln%,udel.ssColnpcy.righted.ItlsnpfoermrmalstisglnOnoftuh? RlnlsguhrtasnRceesSeeNrveidces Page 2 0f---2
INSLIRED, AllCltyManagement
POLICY #:
0521 14698
ENDORSEMENT
This endorsement, effective 12:01 AM
Forms a part of polk,y no.:
Issued to:
By: LEXINGTON INSURANCE COMPANY
POLICY pesioff5"'2o23 TO 08/01/2024
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS- COMPIETED OPERATIONS
(Based on CG2037 04/13)
This endorsement modifies insurance provided by the following:
COMMERCIAL GENERAL LIABILITY POLICY
SCHEDULE
Name of Additional Insured Person(s)
or Organization(s)
Blankei where required by contract.
Location of Completed Operations
Information required to complete this Scheduie, if not shown above, will be shown in the Declarations
A. Section II - Who Is An Jnsured is amended to include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only with respect to liability for "bodjly injury", or
"property damage" caused, in whole or in part, by "your work" at the location designated and
described in the Schedule of this endorsement performed for that additional insured and included in
the "products-completed operations hazard".
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law;
and
2. If coverage provided to the additional insured is required by a contract or agreement, the
insurance afforded to such additional insured will not be broader than that which you are
required by the contract or agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following is added to
Section Ill - Limits Of Insurance:
if coverage provided to the additional insured is required by a contract or agreement, the most we
will pay on behalf of the additional insured is the amount or insurance:
LX4316(06714)Includes Copyrighted Information ofthe Insurance Services
Offices, Inc., with its permission. All Rights Reserved.
Page 1 of 2
1. Required by the contract or agreement; or
2. Available under the applicable Limits of Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations
All other terms and conditions of the policy remain the same.
a, '0,L
Authorized Representative
LX43'l6 (o6/") lncWudel.s,Colnpcy,rigwhlThtedl.lnfpoemimaltsio;10,or :,heii RinlsguhratsnceResseeNrvedices Page 2 of 2"
INSURED: AllCityMansgementServicas.lnc.
POLICY #: 052114698 POLICY PERIOD: 08/0112023 TO: 08/01/2024
THIS ENDORSEMENT CHANGE8 THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED RECIUIRED BY WRl'nEN CONTRACT
This endorsemerit modifies insurance provided under the follomng:
COMMERC:IAL GENERAI LlABllflY POLICY, COVERAGE APPLICABLE TO CO'i/ERAGE A. BODILY
INJURY AND PROPEFllY DAMAGE (SECTION I - COVEFIAGES) ONLY
A. 8ection II - Who Is An Insured is amended to
include ariy person or organization you ate
required to Include as sn eddltlonal Insured on
this policy by a wmen contred or wrltten
agreement in effea during this policy period and
exeauted prior to the "orrerce' of the "bodlly
injury" or "property dsmege."
B. The insurance provided to the sbow described A
additional insured under this endorsement is
lirited as follows:
1. COVERAGE A BODILY INJURY AND PROP-
ERTY DAMAGE (SectioriI - Coverages) only.
2 , The person or orqanization is only an
additional insured vith respect to liability
gising out of "your rk" or "your produm".
3 . ki the event that the Limits of Insurance
provided by this policy exwed ttm Llmits of
hsurarce required by the witteri contract or
witten agreement, the Insurance provided by
this endorsernerit shall be limited to the Limits
of Insurance required by the witten contract
or witteri agreement. This endorsemerd shall
rot Increase the Limits of Insurance showi in
ttm Declarations pertaning to the cowrage
provided tmrein.
4 . The insuranoe provided to such an additional
insured does riot apply to "bodily injury' or
'property damage' arising out of an archi-
ttzt's, englneer's, Or surveyor's rendering Of
or failure to render any professional servims,
irz)udin@, but riot limited to:
i. The prepaying, approving, or failing to
prepare or approve maps, shop
dreWrigs, opinlons, reports, surwys,
field ordms, change orders, or dramngs
and specifk.stions; and
ii, Supervisory, inspen, archral, or
engineering ectivtkies.
5 , This insuraice does not apply to 'bodily
injury" or 'property dsmege" arising out of
the 'product-completed operstlons hazard"
unless you are required to pro*de six,h
coverage by wttten mntrset or witten
agreement and then only for the period of
time required by the witten contryt or
witten agreement arid In no event beyond
the expiration dae of the policy.
6 . Any coverage providsd by this endorse-
ment to an addtUonal insured shall be
excess over any other valid and colleetible
insurarce gvatlsble to the addittonsl insured
vtether primary, exwss, contingent or on
any other basis.
C. In azordance v#i the terms and conditions of
the poliq md ss more fully explsined in the
poliq, as soon as pragticable, each addiiional
irisured must give us prompt rztice of any
occurrence" mich may result in a daim,
forward all lepal papers to us, moperate in the
defense of any egUons, md othermse comply
wth sll of the policy's terms end wnditions.
Failure to comply mth this provision may, at our
option, resutt in the claim or "suit' being
denied.
Authorized Representative OR
Countersignature (In states where applicable)
Includea copyrighted iriformation of ths hsurarce Services Offloes, Irc., mth its permission. All rights reserved.
1X9778 €OMA
H,15(1BH() All Cil7 ManagementServices, InC.
POLICY#: 052114698 POLICY PERIOD: O'0'2023 T0, 08/01/2024
ENDORSEMENT
LEXINGTON INSURANCE COMPANY
WAIVER OF SUBROGATION
(BLANKET)
It is agreed that we, in the event of a payment under this policy, waive our right of subrogation against
any person or organization where the insured has waived liability of such person or organization as part
of a written contractual agreement between the insured and such person or organization entered into
prior to the "occurrence" or offense.
All other terms and conditions remain unchanged.
77
Authorized Representative OR
Countersignature (In states where applicable)
1EXOCC234 m/03)
LXO485
IN S IJ RED: All City Management Services, Inc.
POLICY #:7() -i7ppg'fj
(Ed. 484)
Wehavetherighttorecoverourpaymentsfromanyoneliableforaninjiuycoveredbythispolicy. Wewillnotenforce
our right against the person or organization named in the Schedule. (I'his agreement applies only to the extent that
you perform work under a written conh'act that requires you to obtain tbis agreement from us.)
This agreement shall notoperate directly or indirecdy to benefitanyone notnamed in the Schedule.
Schedule
ANY PERSON(S) OR ORGANIZATION(S) WITH WHOM YOU HAVE AGREED
TO SUCH WAIVER, IN A VALID WRITTEN CONTRACT OR WRITTEN
AGREEMENT THAT HAS BEEN EXECUTED PRIOR TO A LOSS.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherw'se stated.
(The information below is required onlywhen this endorsementis issued subsequent to preparation of the policy.)
EndorsementEffective
Insured
Policy No.Endorsement No.
Premium $
Countersigned By
WC 00 08 18
0Ed. 4-84)
INSURED. AllCityManagementServices,Inc.
POLICY #: 'POLICY PERIOD: O'01/20"a TO 08/01/2024
This endorsement modifies insurance provided by the poliq:
Notwithstanding any other proviskin of the poticy to the contrary, the insurance afforded by this policy
for the benefit of the Additional Insured shall be primary insurance, but only with resped to any maim,
lass or liability a7!sing out of the Namm Insured's operauom; and any insurance rnainfflined by the
Additiorml lnsured shall be non<ontributirig,
All other terms and condifiorm of the polmy remain the same.
Aimi6rhed Rapraasmtatlve OR
Countersdgnature (In states where applk=able)
u9ss8 (Da/05)
All Clty Management Services, Inc.
1X9838 €08/05}
CITY OF
CUPERTINO
PROFESSIONAL/CONSULTING SERVICES AGREEMENT
1.PARTIES
This Agreement is made by and between the City of Cupertino, a municipal coiporation ("City"),
andAll City Management, Inc. ("Contractor"), a Corporation, for Crossing Guard Services, and
is effective on the last date signed below ("Effective Date").
2.SERViCES
Contractor agrees to provide the services and perform the tasks ("Services") set forth in detail in
Scope of Services, attached here and incorporated as Exhibit A. Contractor fiuther agrees to carry
out its work in compliance with any applicable local, State, or Federal order regarding COVID-19.
3.TIME OF PERFORMANCE
3.1 This Agreement begins on the Effective Date and ends on June 30, 2024 with the option
to renew for two additional years ("Contract Time"), unless terminated earlier as provided herein,
Contractor's Servicesshall begin on the start of Fall 2021 school semester and shall be completed
by = the conclusion of the 2024 school session, with the option to renew two years thereafter. The
City's appropriate department head or the City Manager may extend the Contract Time tmough a
written amendment to this Agreement, provided such extension does not inchide additional
contract funds. Extensions requiring additional contract funds are subject to the City's purchasing
policy.
3.2 Schedule of Performance. Contractor must deliver the Services in accordance with the
Schedule of Performance, attached and incorporated here Exhibit B.
3.3 Time is of the essence for the performance of all the Services. Contractor must have
sufficient time, resources, and qualified staff to deliver the Services on time.
4.COMPENSATION
4.1 Maximum Compensation. City will pay Contractor for satisfactory perfoimance of the
Services an amount that will based on actual costs but that will be capped so as not to exceed
$903,879.04 ("Contract Price"), based upon the scope of services in Exhibit A and the budget and
rates included in Exhibit C, Compensation attached and incorporated here. Tlie maximum
compensation includes all expenses and reimbursements and will remain in place even if
Contractor's actual costs exceed the capped amount. No extra work or payment is permitted
without prior written approval of City.
Page l of 9
Professional/Consumng Contr'acts /Versroiy.' August 2021
4.2 Invoices and Payments. Monthly invoices must state a description of the deliverable
completed and the amount due for tlie preceding month. Within thirty (30) days of completion of
Services, Contractormust submit arequisition for final and complete payment of costs and pending
claims for City approval. Faihire to timely submit a complete and accutaate payment requisition
relieves City of any further payment or other obligations under the Agreement.
5.INDEPENDENT CONTRACTOR
Sl Status. Contractor is an independent contractor and not an employee, partner, or joint
venture of City. Contractor is solely responsible for the means and methods of performing the
Services and for the persons hired to work under this Agreement. Contractor is not entitled to
health benefits, worker's compensation, or other benefits from the City.
52 Contractor'sQualifications.Contractorwarrantsonbehalfofitselfanditssubcontractors
that they have tl'ie qualifications and skills to perform the Services in a competent and professional
manner and according to the highest standards and best practices in the industry.
53 Permits and Licenses. Contractor wanants on behalf of itself and its subcontractors that
they are properly licensed, registered, and/or certified to perform the Services as required by law
and have procured a City Business License, if reqriired by the Cupertino Municipal Code.
{4 Subcontractors. Only Contractor's employees are authorized to work xmder this
Agreement. Prior written approval from City is required for any subcontractor, and the terms and
conditions of this Agreement will apply to any approved subcontractor
55 Tools, Materials, and Equipment. Contractor will supply all tools, materials and
equipment required to perform the Services under this Agreement.
56 Payment of Benefits and Taxes. Contractor is solely responsible for the payment of
employmenttaxesincutredunderthisAgreementandanysimilarfederalorstatetaxes. Contractor
and anyof its employees, agents, and subcontractors shall not have any claimundertbas 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. Contractor
shall be solely liable for and obligated to pay directly all applicable taxes, fees, contributions, or
charges applicable to Contractor'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 Contractor. 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, determirie that Contractor, or any of its employees,
agents, or subcontractors, is an employee for anypurpose, then Contractor agrees to a reduction in
amounts payable under this Agreement, or to promptly remint to City any payments due by the
City as a result of such detertnination, so that the City's total expenses under this Agreement are
not greater than they would have been had the determination not been made.
Page 2 of 9
Professional/Consulting Contracts /Version.' Augrtst 2021
6.PROPRIET ARY /CONFIDENT't AL INFORMATION
In performing this Agreement, Contractor 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 paities may be damaging to City. Contractor shall hold in confidence
all City information provided by City to Contractor and use it only to perform this Agreement.
Contractor shall exercise the same standard of care to protect City information as a reasonably
prudent contractor would use to protect its own proprietary data.
7.OWNERSHIP OF MATERIALS
7.1 PropertyRights.Anyinterest(inctudingcopyrightinterests)ofContractorinanyproduct,
memoranda, study, report, map, plan, drawing, specification, data, record, document, or other
infornnation or work, in any medium (collectively, "Work Product"), prepared by Contractor in
connection with this Agreement 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 WorkProduct shall be shownto anythird-partywithout priorwritten approval
ofCity.
7:2 Copyright. To the extent permitted by Title 17 of the U.S. Code, all Work Product arising
out of this Agreement is considered "works for hire" and all copyrights to the Work Product will
be the property of City. Alteinatively, Contractor assigns to City all Work Product copyrights.
Contractor may use copies of the Work Product for promotion only with City's writtenapproval.
73 PatentsandLicenses.Contractormustpayroyaltiesorlicensefeesrequiredforauthorized
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
mayuse or modify the Work Product of Contractor or its sub-contractors prepared or created rinder
this Agreement, to execute or implement any of the following:
(a) The original Services for which Contractor was hired;
(b) Completion of the original Services by others;
(c) Subsequent additions to the original Services; and/or
(d) Other City projects.
73 DeliverablesandFormat.ContractorrnustprovideelectronicandhardcopiesoftheWork
Product, on recycled paper and copied on both sides, except for one single-sided original.
8.RECORDS
Contractor must maintain complete and accurate accounting records relating to its performance in
accordance with generally accepted accounting principles. The records must include detailed
information of Contractor's performance, benchmarks and deliverables, which must be available
Page 3 of 9
Professional/Conmdting Contracts /Versron.' August 2021
to City for review and audit. The records and supporting documents must be kept separate from
other records and must be maintained for four (4) years from the date of City's finalpayment.
9.ASSIGNMENT
Contractor shall not assign, sriblease, 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 Contractor as a legal entity is considered an assignment of the Agreement and
subject to City approval, which shall not be unreasonably withheld. Control means fifty percent
(50o/o) or more of the voting power of the business entity.
10. PUBLICITY / SIGNS
Any publicity generated by Contractor for the project under this Agreement, during the term of
this Agreement and for one 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 reqriired by law or this Contract, withorit prior written approval from the City.
11. INDEMNIFICATION
11.1 Except if and to the extent that losses are caused by the negligence or willful misconduct
of City persoiuiel, Contactor shall indemnify, defend and hold harmless City, its City Council,
boards and commissions, officers, officials, employees, agents, servants, volunteers, and
consultants ("Indemnitees"), through }egal counsel acceptable to City, from and against any and
all liability, damages, claims, actions, causes of action, demands, charges, losses, costs, and
expenses (including attorney fees, legal costs, and expenses related to Litigation and dispute
resolution proceedings) of every nature, arising directly or indirectly from this Agreement or in
any manner relating to any of the following:
(a) Breach of contract, obligations, representations, orwarranties;
(b) Negligent or willful acts or omissions committed during performance of the Services;
(c) Personalinjury,propertydamage,oreconomiclossresultingfromtheworkorperformance
of Contractor or its subcontractors or sub-subcontractors;
(d) Unauthorized use or disclosure of City's confidential and proprietary Information;
(e) Claim of infringement or violation of a U.S. patent or copyright, trade secret, trademark,
or service mark or other proprietary or intellectual property rights of any third party.
For the avoidance of doubt, in the event that a court or jury determines that liability with respect to
any loss was caused or contributed to by the negligent act, error, omission or willful misconduct of
the City or City personnel, liability will be apportioned between Consultant on the one hand and the
City on the other hand with regard to such loss based upon the parties' respective degrees of
culpability, as determined by the corirt or jury, and Consultant's duty to indemnify the hidemnitees
will be limited accordingly
11.2 Contractor must pay the costs City,incurs in enforcing this provision. Contractor must
Page 4 of 9
Professional/Corisulting Contracts /Versron.' August 2021
accept a tender of defense upon receiving notice from City of a third-party claim. At City's request,
Contractor will assist City ii'i the defense of a claim, dispute, or lawsuit arising orit of tliis
Agreement.
11.3 Contractor's duties rinder this section are not limited to the Contract Price, workers'
compensation payments, or the insurance or bond amorints reqriired in tlie Agreement. Nothingin
the Agreement shall be construed to give rise to an implied right of indemnity in favor of
Contractor against City or any Indemnitee
11.4. Contractor's payments may be deducted or offset to cover any money the City lost due to a
claim or counterclaim arising out of this Agreement, a purchase order, or othertransaction.
11.5. Contractor agrees to obtain executed indemnity agreements with provisions identical to
those set forth here in this Section II from each and every subcontractor, or any other person or
entity involved by, for, with, or on behalf of Contractor 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.
11.6. This Section 11 shall survive termination of the Agreement.
12. INSURANCE
Contractor shall comply with the hisurance Requirements, attached and incorporated here as
Exhibit D, and must maintain the insurance for the duration of the Agreement, or longer as
required by City. City will not execute the Agreement until City approves receipt of satisfactory
certificates of insurance and endorsements evidencing the type, amount, class of operations
covered, and the effective and expiration dates of coverage. Failure to comply with this provision
may result in City, at its sole discretion and without notice, purchasing insurance for Contractor
and deducting the costs from Contractor's compensation or terminating the Agreement.
13. COMPLI ANCE WITH LAWS
13.1 General Laws. Contractor shall comply with all local, state, and federal laws and
regulations applicable to this Agreement. Contractor will promptly notify City of changes in the
law or other conditions that may affect the Project or Contractor's ability to perform. Contractor
is responsible for verifying the employment authorization of employees performing the Services,
as required by the Immigration Reform and Control Act.
13.2 Labor Laws. Contractor shall comply with all labor laws applicable to this Agreement. If
the Scope of Services includes a "public works" component, Contractor is required to complywith
prevailing wage laws under Labor Code Section 1720 and other labor laws.
13.3 Discrimination Laws. Contractor 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-Immiu'ie Deficiency Syndrome
(AIDS), or any other protected classification. Contractor shall comply with all anti-discrimination
laws, including Government Code Sections 12900 and 11135, and Labor Code Sections 1735,
1777, and 3077.5. Consistent with City policy prohibiting harassment and discrimination,
Page 5 of 9
Professiowl/Consulting Contracts /Version.' Augus[ 2021
Contractor understands that harassment and discrimination directed toward a job applicant, an
employee, a City employee, or any otherperson, by Contractor or its employees or sub-contractors
will not be tolerated. Contractor agrees to provide records and documeptation to the City on
request necessai'y to monitor compliance with this provision.
13.4 Confficts of Interest. Contractor shall comply with all conflict of interest laws applicable
to this Agreement and must avoid any conflict of interest. Contractor warrants that no public
official, employee, or member of a City board or comn'iission 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. Contractor may be
required to file a conflict of interest form if Contractor makes certain governmental decisions or
sei'ves in a staff capacity, as defined in.Section 18700 of Title 2 of the California Code of
Regulations. Contractor agrees to abide by the City's niles governing gifts to public officials and
employees.
13.5 Remedies. Any violation of Section 13 constitutes a material breach and mayresult in City
suspending payments, reqriiring reimbu'sements or terminating this Agreement. City reserves all
other rights and remedies available under the law and this Agreement, including the right to seek
indemnification under Section 11 of this Agreement.
14.PROJECT COORDINATION
City Project Manager. The City assigns Cherie Walkowiak as the City's representative for all
prirposes under this Agreement, with arithority to oversee the progress and performance of the
Scope of Services. City reserves the right to substitute another Project manager at any time, and
without prior notice to Contractor
Contractor Project Manager. Subject to City approval, Contractor assigns Harlan Sims as its
single Representative for all purposes under this Agreement, with authority to oversee the progress
and performance of the Scope of Services. Contractor's Project manager is responsible for
coordinating and scheduling the Services in accordance with the Scope of Services and the Schedule
of Performance. Contractor must regularly update the City's Project Manager about the progress
with the work or any delays, as required rinder the Scope of Services. City written approval is
required prior to substituting a newRepresentative.
15. ABANDONMENT OF PROJECT
City may abandon or postpone the Project or parts therefor at any time. Contractor will be
compensated for satisfactory Services performed through the date of abandoent, and will be
given reasonable time to assemble the work and close out the Services. With City's pre-approval
in writing, the time spent in closing out the Services will be compensated rip to a maximum of ten
percent (20%) of the total time expended to date in the performance of the Services.
16. TERMINATION
Citymay tertninate this Agreement for cause or without cause at any time. Contractor will be paid
for satisfactory Services rendered throrigh the date of termination, but final payment will not be
made until Contractor closes out the Services and delivers the Work Product.
Page 6 of 9
Professional/Consulting Contracts /Version.' August 2021
17. GOVERNING LAW, VENUE, AND DISPUTE RESOLUTION
This Agreement is governed by the laws of the State of California. Any lawsuits filed related to
this Agreement must be filed with the Superior Court for the Coiu'ity of Santa Clara, State of
California. Contractor must comply with the claims filing reqriirements under the Government
Code prior to filing a civil action iii corut. If a dispute arises, Contractor must contimie to provide
the Services pending resolution of tl'ie 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.
19. THIRD PARTY BENEFICIARIES
There are no iixtended third party beneficiaries of this Agreement.
20. i
Neither acceptance of tlie Services nor payment thereof shall constitute a waiver of any contract
provision. City's waiver of a breach shall not constitute waiver of another provision or breach.
21. ENTIRE AGREEMENT
This Agreement represents the full and complete understanding of every kind or nature between
the Parties, and supersedes any other agreement(s) and understanding(s), either oral or written,
between the Parties. Any modification of this Agreement will be effective only if in writing and
signed by each Party's arithorized 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 the 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 provision and clause required by law for this Agreement is deemed to be included and will
be inferred herein. Either paity may request an amendment to cure mistaken insertions or
omissions of required provisions. The Parties will collaborate to implement this Section, as
appropriate
23. HEADmGS
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.
Page 7 of 9
Professroria(/Corisulting Conlracls /Ver'sion.' August 2021
24.SEVERABTI,ITY/PARTIAL INV ALmITY
If any term or provision of this Agreement, or their application to a particular situation, is forind
by the court to be void, invalid, illegal, or iuienforceable, such term or provision shall remain in
force and effect to the extent allowed by such iuling. All other terms and provisions of tliis
Agreement or their application to specific situations shall remain in full force and effect. The
Parties agree to work in good faith to amend this Agreement to carry out its intent.
25. SURVIVAL
All provisions which by their nature must continrie after the Agreement expires or is teiminated,
including the Indemnification, Ownership of Materials/Work Product, Records, Governing Law,
and Attorney Fees, shall survive the Agreement and remain in full force and effect.
26. NOTICES
All notices, requests and approvals must be sent in writing to the persons below, which will be
considered effective on the date ofpersonal delivery or the date confirmed by a reputable ovemight
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
Attn: Roger Lee, Director of Public Works
Email: RogerL@Cupertino.org
To Contractor:
All City Management, Inc. I
10440 Pioneer Blvd, Suite 5
Santa Fe Springs, CA 90670
Attn: Harlan Sims, Director of Marketing
Ph: 800.540.9290, Ext 105
I' Email: harlan@thecrossingguardcompany.com
27. EXECUTION
The person executing this Agreement on behalf of Contractor represents and warrants that
Contractor has fiill right, power, and arithority to enter into and carry orit all actions contemplated
by this Agreement and that he or she is authorized to execute this Agreement, which constitutes a
legally binding obligation of Contractor. This Agreement may be executed in counterparts, each
one of wich is deemed an original and all of which, taken together, constitute a single binding
instrument.
SIGNATURES CONTINUE ON THE FOLLOWING PAGE
Page 8 of 9
Professional/Consul[ing Contrncts /Versron.' August 2021
IN WITNESS WHEREOF, the parties have caused the Agreement to be execrited.
CITY OF CUPERTINO
A Municipal Corporation
By(;reg t-arson
Na,,eGreg Larson
Ti,eCity Manager
DateAug 5, 2021
CONTRACTOR
I)ewtm Ttwd[
BY
Name Demetra Farwell
Title Secretary
Date Aug 3, 2021
APPROVED AS TO FORM:
2>. J
CHRISTOPHER D. JENSEN
Cupertino City Attorney
ATTEST:
KIRSTEN SQUARCIA
City Clerk
DATE:Aug 5, 2021
Page 9 of 9
Professional/Consulling Cordrac[s /Versron.' Augusl 2021
EXHIBIT A
ACMS Scope of Services
1. All City Management Services, Inc. will handle the Crossing Guard services for the City
of Cupertino for a three (3) year period; to commence on: the start of fall 2021 school
semester, ending on the conclusion of the 2024 school session.
2. ACMS will provide sixteen (16) personnel equipped and trained in appropriate
procedures for crossing pedestrians in marked crosswalks. Such personnel shall be herein
referred to as a Crossing Guard. ACMS is an independent Consultant and the Crossing
Guards to be furnished by it shall at all times be its employees and not those of the City
of Cupertino.
3. Crossing Guard Services shall be provided by ACMS at designated locations, identified
by the City of Cupertino and ACMS shall provide coverage at the school crossings as
required. ACMS shall be flexible and provide guards for the hours and locations needed
on the instructions of appropriate City personnel.
4. ACMS and all persons who are employed for assignment to this contract shall undergo
background checks to ensure they have not been convicted of any offense involving
moral turpitude, any felony, or crimes against children. ACMS understands no one
registered as a sex offender or narcotics offender will be hired as a crossing guard.
5. ACMS designated Trainer will conduct training for Crossing Guards. ACMS shall
provide personnel properly trained as herein specified for the performance of duties of
Crossing Guards. In the performance of their duties ACMS and employees ofthe ACMS
shall conduct themselves in accordance with the conditions of this Agreement and the
laws and codes of the State of Califomia pertaining to general pedestrian safety and
school crossing areas.
6. ACMS understands all crossing guards shall also receive training pertaining to general
traffic safety for pedestrians, motorist and themselves while serving as crossing guards.
After completion of training ACMS will provide the City of Cupertino certificates of
training that are signed and dated by the employee that received training and signed by
ACMS designated Trainer.
7. ACMS understand that all Crossing Guards in the City of Cupertino Crossing Guard
program shall undergo a drug screening test prior to deployment.
8. ACMS employees shall work to the highest professional standards and act in a courteous,
respectable manner and shall conduct themselves in a manner that is befitting a public
servant. They shall present a professional appearance, that is neat, clean, well-groomed
and be properly uniformed.
4
9. ACMS shall provide all Crossing Guards with apparel by which they are readily visible
and easily recognized as Crossing Guards. Such apparel shall be uniform for all persons
performing the duties of Crossing Guards and shall be worn at all times while performing
said duties. The apparel must be appropriate for weather conditions.
10, ACMS shall provide supervisory personnel to see that Crossing Guard activities are
taking place at the required places arid times, and in accordance with all items of this
agreement,
11. ACMS shall maintain adequate reserve personnel to be able to furnish altemate Crossing
Guards in the event that any person fails to report for work at the assigned time and
location and agrees to provide immediate replacement. ACMS shall pro'vide for its
employees a 24-hour answering service and shall establish its own call-out procedures
and this information shall be included in proposal.
12. ACMS shall one month prior to the start of school and each school year thereafter
coordinate with the City's Safe Routes to School Coordinator to determine whether there
are any changes to the bell schedule for any of the schools served under this contract.
5
EXHIBIT B & C
4. REQUIRED FORMS
4.I Crossing Guatd Cost Proposal
ALL SERVICES PROVIDED MUST MEET THE SPE.CIFICATiONS DESCRIBE.D IN
THE. REQUEST FOR PROPOSAL. ATI'ACH AL.L DOCUMENTS SUPPORTING THE
PROPOSED SPECIFICATIONS OF THE RFP.
PROPOSER MUST PROVIDE A DETAILED COSI' PROPOSAL, TAKING INTO
ACCOUNT THE EXPECI'ED CHANGES IN MINIMUM WAGE IN CUPERTINO, AS
DET AILED ON CItTY WEBSrI'E:
-ivage
DESCRIPTION
CROSSING GUARD
CROSSING GUARD
CROSSING GUARD
QUANTITY
I HOUR IN 2021
1 HOUR IN 2022
I HOtJR IN 2023
RATE. PAID BY THE CITY
$23.43
$24.92
$26.12
Prolioscr to add ndditiorial lines flS necesstvy here,
TOTAL E.SI'IMATED MONTHLY COST BASED UPON THE =$29,990-40
TENTATIVE ASSIGNMENT MATRIX IN SEa'ION 2.3
Focir (4) )iourg per site per day i'ninimum. Use 20 days in
a montl'i at 2021 rate.
TOTAL ESTIMATED CONTRACT TERM COST (3 years) = $903,879-04
Use 85 da)is from Augcist tlirougli Decen'iber,
and 101 days from Jaiuiary tlirocig)i June.
Pm lcscribctufN,oytal.fe(;s,cimrges,ordiscosintshcr"e.
Print Nqctne: Harlan Sims; Director of Marketing Plione:310 202 8284
(01nPL,n,, H,,:,,e, All City Management Services, Inc.
Address: 10440 Pioneer Bly<l., Suite 5
Santa Fe Springs, CA 90670
harlan@theerossingguardcompamy.com
Einail:
0 ta tsr Cupcrfino
RFQ ror Croqqing L;uard Syivices 9
EXHIBIT D
INSURANCE RE0UIREMENTS
For,Services and Activities Involving Children
Contractor shall procure and maintain for the duration ofthe contract insurance against claims for injuries
to persons or damages to property wliich may arise from or in connection with the performance of the
work hereunder and the results of that work by the Contractor, his agents, representatives, employees,
or subcontractors.
MINIMUM SCOPE AND LIMIT OF INSURANCE
Coverage shall be at least as broad as:
1. Commercial General Liability ("CGL"): Insurance Services Office ("ISO") Form CG 00 01
covering CGL on an "occurrence" basis, inchiding property damage, bodily injury and personal &
advertising injury with limits no less than $2,000,000 per occurrence. If a general aggregate limit
applies, either the general aggregate limit shall apply separately to this project/location (ISO CG 25
03 or 25 04) or the general aggregate limit shall be twice the reqriired occurrence limit.
a) It shall be a requirement under this agreement that any available insurance proceeds broader
than or in excess of the specified minimum insurance coverage reqriirements and/or limits
shall be made available to the Additional Insured and shall be (l) the minimum coverage/limits
specified in this agreement; or (2) the broader coverage and maximum limits of coverage of
any insurance policy, whichever is greater.
b) Additional Insured coverage under Contractor's policy shall be "piimary and non-
contributory," will not seek contribution from City's insurance/self-insurance, and shall be at
least as broad as ISO 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 foith 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. Sexual Abuse/ Molestation insurance or the equivalent are required for contracts involving children
in a'fter school activities, recreational programs, athletics, studies, transportation of students. Covers
potential claims of abuse or child molestation. Sexual Abuse/Molestation coverage must be inctuded
under General Liability or obtained in separate policies in an amount of not less than $1,000,000 per
occurrence ($2,000,000 aggregate) and $3,000,000 excess/umbrella coverage.
3. Automobile Liability: ISO Form Number CA 0001 covering Code l (any auto), or if Contractor
has no owned aritos, Code 8 (med) and 9 (non-owned), with limits no less than $1,000,000 per
accident for bodily injury and property damage. (Note - required only if auto is used in performance
of work; otherwise proof of personal auto liability policy may sriffice)
1
4. Workers' Compensation insurance as required by the State of California, with Statutory Limits,
and Employer's Liability Insurance with limit of no less than $1,000,000 per accident for bodily
ii'ijury or disease. (Not required if Contractor provides written verification it has no employees).
If the Contractor maintains broader coverage and/or higher limits than the minimums shown above, City
requires and shall be entitled to the broader coverage and/or igher limits maintained by the contractor.
Aa'iy available insurance proceeds in excess of the specified minimum limits of insurance and coverage
shall be available to City.
OTHER INSURANCE PROVISIONS
The insurance policies are to contain, or be endorsed to contain, the following provisions:
Additional Insured Status
The City of Cupertino, its City Cormcil, officers, officials, employees, agents, servants and vohinteers are
to be covered as additional insureds on the CGL and automobile liability policies with respect to liability
arising out of the Services perfomed by or on behalf of Contractor including materials, parts, or
equipment furnished. Endorsement of CGL coverage shall be at least as broad as ISO Form CG 20 101185
or if not available, through the addition of both CG 20 10, CG 20 26, CG 20 33, or CG 20 38; andCG 20
37 if a later edition is used.
Primary Coverage
For any claims related to this Contract, the Contractor's insurance coverage shall be primary covemge at
least as broad as ISO CG 20 01 0413 as respects the City, its officers, officials, employees and volrmteers.
Any insurance or self-insurance maintained by the City, its officers, officials, employees, or volunteers
shall be excess of Contractor's insirance 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 ofpremiums.
Waiver of Subrogation
Contractor grants to City a waiver of any right to subrogation which any insurer of said Contractor may
acquire against City by virtue of the payment of any loss under such inswance. Contractor agrees to obtain
any endorsement that may be necessary to affect this waiver of subrogation, but this provision applies
regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer.
Self-Insured Retentions
City may approve self-insured retentions and require proof of Contractor's ability to pay losses andrelated
investigations, claim administration and defense expenses within the retention. The policy shall provide,
or be endorsed to provide, that the self-insured retention may be satisfied by either the named insured or
City.
Acceptabihty of Insurers
Insurers must be acceptable to City and licensed to do business in California, and each insurer must have
an AM Best's financial strength rating of "A" or better and a financial size rating of "VIr' orbetter.
Verification of Coverage
Contractor shall :au'nish the City with acceptable original 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 to City prior to cornmencing the
Services. City retains the right to demand verification of compliance at any time duringthe Contract.
Subcontractors
Contractor shall require and verify that all subcontractors maintain insurance meeting all the requirements
stated herein, and Contractor shall ensure that City is an additional insured on insurance required from
subcontractors
Insurance coverage shall not limit Contractor's duties to indemnify, defend and hold City harmless. City
resetyes the right to modify these requirements based on the nature of the risk, prior experience, insurer,
coverage or other special circumstances
3
ClipntJt: 475947 ALLCITYMAN
DATE (MMtDD/YYYY)
07/30/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Marsh & McLennan Agency LLC
Marsh & McLennan Ins. Agency LLC
350 S Grand Ave, Ste 3410
Los Angeles, CA 90071
j3gj0pcT Nick Newell
PHON
iA/C, INo,Ext)=,9494257312 i(,,No)",
E-N
ADI
IAI
ORLEss, nick.newell@marshmma.com
INSURER(S) AFFORDING COVERAGE NAIC#
lHB4HHp @, Landmark American Insurance Company 33138
INSuRED
All City Management Services, Inc.
10440 Pioneer Blvd., Suite 5
Santa Fe Springs, CA 90670
jNSuRER B , Mercer Insurance Company 14478
jNSuRER C, Berkshire Hathaway Homestate Ins Co 20044
1HBllBHg O, Lexington Insurance Company 19437
INSURER e :
INSLIRER F :
COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQLIIREMENT, TERM OR CONDITIONOF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS,
E>:CLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEESI REDUCED BY PAID CLAIMS.
INSR
LTR TYPE OF INSURANCE iiD%LaX%"POLICY NUMBER
POLICY EFF
(MMIDD/YYY'Q
POLICY EXP
(MMIDD/YYYY)L1M1T3
A x COMMERCIAL GENERAL LIABILITY
]CL_AIMS-MADE [X occus
LHA141591 08/01/2021 08/01/202;EACH OCCURRENCE sl,000,000
W6aU?E'aEo!!ttFr!nce)s50,000
MED EXP (Any one person)s5,000
PERSONAL & ADV INJURY sl,000,000
GErl'L AGGREGATE LIMIT APPLIES PER
rl PRO-
_!p'obicv ll__ JECT ___ LOC
I OTHERI
GENERAL AGGREGATE $2,000,000
PRODUCTS - COMP/OP AGG $2,000,000
$
AUTOMOBILE LIABILITY
H'ANY AUTO
OWNED l SCHEDuLED
AuTOS ONLY n AuTOS- HIRED § NON-OWNED_ AuTOS ONLY LJ AUTOS ONLY
COMBINED SINGLE LIMIT
(Ea accident)$
BODILY INJIIRY (Per person)$
BODILY INJURY (Per accident)$
PROPERTY DAMAGE
(Psr accident)$
$
B x UMBRELLA LIAB
EXCESS LIAB
x OCCUR
CLAIMS-MADE
2000000 €)182 08/01/2021 08/01/2022 EACH OCCURRENCE $3,000,000
AGGREGATE s3,000,000
DED I I RETENTiON $$
c WO,IKERS COMPENSATION
AND EMPLOYERSa LIABILITY Y , N
8flXiSeg';'Hfl'S'e'x'cEU3r8rEcUT'VE@(Mandatory In NH)
IT yes, descrlbe under
DESCRIPTION OF OPERATIONS below
N IA
ALWC238792 01/01/2021 01/Of/2022 X 17'TUTE I IgR"-
E.L. EACH ACCIDENT sl,000,000
E.L. DISEASE - EA EMPLOYEE sl,000,000
E.L. DISEASE - POLICY LIMIT $1,000,000
D 1 st Excess Layer 080877908 08/01 /2021 08/01 /2022 $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE8 (ACORD 101, Additional Remarks Schedule, may ae attached if more space Is required)
The City'of Cupertino, its City Council, officers, officials, employees, agents, servants and volunteers
are included as additional insured as respects to General Liability per attached
endorsement. Primary and Non-Contributory Wording applies per attached endorsement. Waiver of Subrogation
applies to General Liability and Workers Compensation per attached endorsements.
CERTIFICATE HOLDER CANCELLATION
City of Cupertino
10300 Torre Ave.
Cupertino, CA 95014-0000
I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AuTHORIZED REPRESENTATIVE
ptbb (
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) j @j j The ACORD name and logo are registered marks of ACORD
#S8560860/M8560804 WOAQH
INSURED: All City Management Services, Inc.
POLICY #: ALWC238792
POLICY
p=,,,ioo: 01/01/2021 TO: o-ioqizozp
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313
(Ed. 4-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce
our right against the person or organization named in the Schedule. (This agreement applies only to the extent that
you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Where required by written agreement signed prior to loss.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
v 1983NationalCouncilonCompensationlnsurance.
INSURED: All City Management Services, Inc.
POLICY#: LHA141591 POLICY PERIOD: 08/01/2021 TO: 08/01/2022
COMMERCIAL GENERAL LIABILITY
CG 2010 07 04
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s):Location(s) Of Covered Operations
Any person or organization for whom you are
performing operations when you and such person or
organization have agreed in writing in a contract or
agreement that such person or organization be added
as an additional insured on your policy.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A, Section II - Who Js An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s) desig-
nated above.
B. With respect to the insurance afforded to these
additional insureds, the Following additional exclu-
sions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring affer:
1. All work, including materials, parts or equip-
ment furnished in connection with such work,
on the project (other than service, maintenance
or repairs) to be performed by or on behalf of
the additional insured(s) at the location of the
covered operations has been completed; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its in-
tended use by any person or organization other
than another contractor or subcontractor en-
gaged in performing operations for a principal
as a part of the same project.
CG 2010 07 04 @ 180 Properties, Inc., 2004 Page I of 1
INSURED: All City Management Services, Inc.
POLICY#: u-iqizi'isgr POLICY PERIOD: 08/01/2021 TO: 08/01/2022
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY -
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek
contribution from any other insurance available
to an additional insured under your policy
provided that:
(1) The additional insured is a Named Insured
under such other insurance; and
(2) You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution
from any other insurance available to the
additional insured.
CG 20 010413 @ Insurance Services Office, Inc., 20"l2 Page I of 1
INSURED: All City Management Services, Inc.
POLICY#: LHA141591 POLICY PER(OD: oe,ioiizozi TO: 08/01/2022
LANDMARK AMERICAN INSURANCE COMPANY
This Endorsement Changes The Policy. Please Read It Carefully.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST
OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM
SCHEDULE
Name of Person or Organization:
Any person(s) or organization(s)
required by written contract or
agreement.
The following is added to SECTION IV - CONDITIONS, 8. TRANSFER OF RIGHTS OF RECOVERY AGAINST
OTHERS TO US:
We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above
because of payment we make for injury or damage arising out of your ongoing operations, "your producf' or "your
work" done under a written contract with that person or organization and included in the "product-completed
operations hazard". This waiver applies only to the person or organization shown in the SCHEDULE above.
Includes copyrighted material of Insurance Services Office, Inc. 1992
with its permission.
RSG 140481008
i;ffi
RISK PLACEMENT
SE- R- VICES
Confirmation of Coverage
Dear: Esther Ceballos, Bolton & Company - Pasadena Date: Jul 13, 2021
Attached please find (Carrier/Mkt Co) quotation RPS has secured on your behalf for the above mentioned risk.
Please review the attached and below carefully as coverage described herein may be different from the original
application submitted, or prior policy if applicable.
Insured: City of Cupertino DBA: Department of Recreation and Community Services, RPS Reference #: BK1 366362A
Public Works Department
Mailing Address: 10185 N. Stelling Road, Cupertino,CA950M
Carrier: Underwriters at Lloyd's, London / Non-Admitted AM Best Rating: A XV
Policy Number: MR214153
Policy Period: 7/1/2021 to 7/1/2022
Coverage: Special Casualty - Sexual Misconduct
Limit: per Carrier terms attached
Policy Premium:
Taxes:
Fees:
TRIA:
TOT AL:
$31 ,500.00
$1,023.75
$32,523.75
(tax state Surplus Tax/Fee)
(if any are fully earned)
Status:
Commission %:Minimum Earned Premium: 5%
Home State: CA
The State Surplus Lines Notice applies only if Insurance Carrier is shown as Non-Admitted in the Binder
Information Section.
Conditions/ Subjectivities: per Carrier terms attached
Please see attached company quote for complete limits, terms, conditions, and exclusions.
Please note:
@ You are responsible for reviewing and explaining the coverage to the client, including any options, available or not from our
office. The terms hereon are not fully described and no assumption should be made as to the adequacy of the coverage of
the risk to the client.
@ You are not an Agent of the insurer, and as such, cannot bind coverage nor make any commitments on behalf of the
insurer, nor of us. This policy cannot be assigned to another without the written consent of the insurer or their Agent.
* This document is intended for use as evidence that the insurance, as described herein, has been effected and shall be
subject to all terms and conditions of policy(ies) which will be issued and that in the event of any inconsistency herewith, the
terms and provisions of such policy(ies) shall prevail.
* If this policy is issued on a non-admitted basis, your office is responsible for completing, collecting and delivery to RPS any
required surplus lines forms, taxes and fees from the insured. RPS will remit the applicable taxes and forms to the state.
If this policy is subject to the surplus lines laws in your state, you should make every effort to comply with any special
provisions and regulations of your state.
By binding you commit to any provisions contained hereon, such as Minimum Earned Premiums. There are no flat
cancellations allowed.
When requesting a policy change, addition, cancellation, endorsement, etc. you must provide every policy number/
coverage to which the request applies.
You are responsible for the issuance and review of Certificates of Insurance (Cal). COIs cannot amend or alter the terms
provided herein.
In the event of a claim please report immediately and visit the RPS Claims website: https://my.rpsins.com/claimsfnol
All premiums and any fees are due to RPS within 20 days of binding unless otherwise stipulated. Accounts with payments
that are overdue and are not received within this time frame are subject to cancellation.
If you have any questions, please feel free to call or email me. We look forward to our next opportunity to work with you.
Sincerely,
Shawn McCall
Risk Placement Services, Inc. - PNP
Phone: 630-773-3800
Email: shawnmccall@rpsins.com
71 Fenchurch Street
London
EC3M 4BS
Telephone: +44 (0)20 3037 8000
Fax: *44 (0)20 3037 8010
T Y S E R S www.tysers.com
CLAIMS MADE SEXUAL MISCONDUCT AND MOLESTATION INSURANCE
Form:SML Safeguard Wording - 623AFBOO213
Policy Number:TBA
Renewal of:MR204153
Named Insured:City of Cupertino - Parks and Recreation Depart-i'rient,
Public Works Department
Principal Address: 10300 Torre Avenue, Cupertino, CA 95014
Policy Period:From: 1" July 2021 To: P' July 2022
Both dates at 12:01 a.m. Local Time at the Principal Address stated in Item 1.
Limit of Liability:
a) USD 5,000,000 for all Claims for Wrongful Acts against any one Victim
b) USD 5,000,000 for all Claims for Wrongful Acts against all Victims, but
strb-limited to:
c) USD 50,000 for all Safeguard Costs resulting from all Circumstances
Such Sub-limit of Liability shall be part of, and not in addition to, the overall Limit of Liability
stated in 3.b) above.
Retention:
USD 35,000 any one Victim
Premium:
USD 31,500
Notification pursuant to Clause IX. shall be given to:
Claims Department Beazley
30 Batterson Park Road,
Farmington,
CT 06032.
claims(2i:!beazley.com
(860) 677 3765 (phone)
(860) 679 0247 (fax)
Retroactive Date:
l"' July 2018
Pending or Prtor Litigation Date:
1" July 2018
Service of Suit:
Foley & Lardner LLP, 555 California Street, Suite 1700, San Francisco, CA 94104-
Choice of Law:
New York
Conditions:
Application Dated: TBA
California Surplus Lines Notice 1- LMA9098A
California Complaints Notice - LMA9136A
Small Additional or Rehirn Premiums Clause (U.S.A.) - NMA 1168
Nuclear Incident Exclusion Clause-Liability-Direct - NMA 1256
Radioactive Contamination Exclusion Clause-Liability - NMA 1477
War and Terrorism Exclusion - NMA 2918
Several Liability Notice - LSWIOOI
Sanctions Limits Clause - LMA 3100
Beazley Safeguard Education Document
Tysers Safeguard Enhancement Endorsement
Cyber Acts Clai'ification
Amended Definition of Independent Contractor Endorsement - as attached
U.S Classification:
Suiplus Lines Broker and State filed in: Risk Placement Services, 2850 Golf Road,
Rolling Meadows, IL 60008
License Number: OC66724
State of Filing:
CA
Subject to:
1) Renewal application to be resigned and dated within 30 days of inception
2) Confirmation of the Surplus Lines Broker. Including name of individual, company
name, address and license number.
All subjectivities to be received within 7 working days of binding otherwise Underwriters
reserve the right to amend terms or cancel ab initio.
Brokerage:20% or same net equivalent downwards, plus taxes as applicable
Information:Employees - 294 Independent Contractors -70
Exposure Units - 97,000
Nature of Business - Municipality
Cancellation by an Insured may result in a short rate calculation to determine
the return premium, subject to 5% minimum earned of the total premium.