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21-222 Amendment #6 dated 12-17-24 to Cupertino & BMI Imaging, for File Scanning Services1 SIXTH AMENDMENT TO AGREEMENT 352 BETWEEN THE CITY OF CUPERTINO AND BMI IMAGING SYSTEMS FOR FILE SCANNING SERVICES This Sixth Amendment to Agreement 352 between the City of Cupertino and BMI Imaging Systems is by and between the City of Cupertino, a municipal corporation (hereinafter "City") and BMI Imaging Systems, a (“Contractor”) whose address is 1115 E. Arques Ave, Sunnyvale, CA 94086-3941, and is made with reference to the following: RECITALS: A. On October 04, 2021 Agreement 352 (“Agreement”) was entered into by and between City and Contractor for File Scanning Services. B. On July 6, 2022, First Amendment (“Agreement”) was entered into by and between City and Contractor for Public Works Digitization/Archiving Project. C. On September 9, 2022, Second Amendment (“Agreement”) was entered into by and between City and Contractor for City Clerk Microfiche Digitization/Archiving Project. D. On March 16, 2023, Third Amendment (“Agreement”) was entered into by and between City and Contractor for HR Department’s Personnel File Scanning Project. E. On July 24, 2023, Fourth Amendment (“Agreement”) was entered into by and between City and Contractor for Public Works Scanning Project. F. On August 7, 2023, Fifth Amendment (“Agreement”) was entered into by and between City and Contractor for Finance Documents Scanning Project. G. 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. SERVICES. Paragraph 2 of the Agreement is modified to read as follows: 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 A6. 2. TIME OF PERFORMANCE. Paragraph 3 of the Agreement is modified to read as follows: 3.1 Term. This Agreement begins on the Effective Date and ends on December 31, 2026 (“Contract Time”), unless terminated earlier as provided herein. Contractor’s Services shall begin on the effective date and shall be completed by December 31, 2026. The City’s appropriate department head or the City Manager may extend the Contract Time through a 2 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. COMPENSATION. Paragraph 4 of the Agreement is modified to read as follows: 4.1 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 $135,446.43 (“Contract Price”), based upon the scope of services in Exhibit A, A1, A2, A3, A4, A5, & A6 and the budget and rates included in Exhibit C, C1, C2, C3, C4, C5 & C6 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. 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 Title Date APPROVED AS TO FORM City Attorney ATTEST: City Clerk Date BMI IMAGING SYSTEMS By Title Date Jim Detrick Sr. Account Exec. / VP Dec 17, 2024 Christopher D. Jensen CTO Dec 17, 2024 Dec 17, 2024 3 EXPENDITURE DISTRIBUTION Item Amount Original Contract $14,217.50 Amendment No 1 $35,782.500 Amendment No 2 $8,450.00 Amendment No 3 $1,284.19 Amendment No 4 $28,226.45 Amendment No. 5 $24,655.54 Amendment No. 6 $22,830.25 Total $135,446.43 Proposal to City of Cupertino Record Dig itization/ Archiving Project Building/Planning Microfiche and Public Works Maps/Plans Fee Schedules Planning Microfiche Description Project Setup/Management Fee: Microfiche Scanning / Indexing: Approximately 154" of microfiche x an estim ated 75 microfiche/inch. Pick-up/Delivery Via BM! Truck: Contingency: Building Microfiche •Service Description Project Setup/Management Fee: Microfiche Scanning/Indexing: Approximately 27" of microfiche x an estim ated 75 microfiche/inch. Public Works Maps/Plans Service Description File Preparation: Map/Plan Scanning and Indexing: Document Pick-up/Delivery: Project Cost Summary Description Planning Micro fiche Scannin.g/Conversion: Building Microfiche Scanning/Conversion: Public Works Map/Plan Scanning/Conversion: Est. Quantity I Fee 11,550 Fiche 2 trips l Fee Unit Price $1,250.00 $1.25 $100.00 $1,588.75 Estimated Total Cost: Est. Quantity •Unit Price I Fee $750.00 2,025 Fiche $1.25 Estimated Total Cost: Est. Quantity Unit Price 3 Hours $45.00 971 Sheets $1.50 2 Trips $100.00 Estimated Total Cost: Estimated Total Project Cost: Ext. Price $1,250.00 $14,437.50 $200.00 $1,588.75 $17,476.25 Ext. Cost $750.00 $2,812.50 $3,562.50 Ext. Cost $135.00 $1,456.50 $200.00 $1,791.50 Ext. Cost $17,476.25 $3,562.50 $1,791.50 $22,830.25 1115 E. Arques Avenue, Sunnyvale, CA • 800.359.3456 • www.BMlimaging.co111 EXHIBITS A6 & C6 Exh. D-Insurance Requirements for Design Professionals & Consultant Contracts 1 Version: August 2024 Consultant shall procure prior to commencement of Services and maintain for the duration of the contract, at its own cost and expense, the following insurance policies and coverage with companies doing business in California and acceptable to City. INSURANCE POLICIES AND MINIMUMS REQUIRED 1. Commercial General Liability (CGL) for bodily injury, property damage, personal injury liability for premises operations, products and completed operations, contractual liability, and personal and advertising injury with limits no less than $2,000,000 per occurrence (ISO Form CG 00 01). If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location (ISO Form CG 25 03 or 25 04) or it shall be twice the required occurrence limit. a. It shall be a requirement that any available insurance proceeds broader than or in excess of the specified minimum insurance coverage requirements and/or limits shall be made available to the Additional Insured and shall be (i) the minimum coverage/limits specified in this agreement; or (ii) the broader coverage and maximum limits of coverage of any insurance policy, whichever is greater. b. Additional Insured coverage under Consultant's policy shall be "primary and non-contributory," will not seek contribution from City’s insurance/self-insurance, and shall be at least as broad as ISO Form CG 20 10 (04/13). c. The limits of insurance required may be satisfied by a combination of primary and umbrella or excess insurance, provided each policy complies with the requirements set forth in this Contract. Any umbrella or excess insurance shall contain or be endorsed to contain a provision that such coverage shall also apply on a primary basis for the benefit of City before the City’s own insurance or self- insurance shall be called upon to protect City as a named insured. 2. Automobile Liability: ISO CA 00 01 covering any auto (including owned, hired, and non-owned autos) with limits no less than $1,000,000 per accident for bodily injury and property damage. 3. Workers’ Compensation: As required by the State of California, with Statutory Limits and Employer’s Liability Insurance of no less than $1,000,000 per occurrence for bodily injury or disease. Not required. Consultant has provided written verification of no employees. 4. Professional Liability for professional acts, errors and omissions, as appropriate to Consultant’s profession, with limits no less than $2,000,000 per occurrence or claim, $2,000,000 aggregate. If written on a claims made form: a. The Retroactive Date must be shown and must be before the Effective Date of the Contract. b. Insurance must be maintained for at least five (5) years after completion of the Services. c. If coverage is canceled or non-renewed, and not replaced with another claims-made policy form with a Retroactive Date prior to the Contract Effective Date, the Consultant must purchase “extended reporting” coverage for a minimum of five (5) years after completion of the Services. EXHIBIT D Insurance Requirements Design Professionals & Consultants Contracts Exh. D-Insurance Requirements for Design Professionals & Consultant Contracts 2 Version: August 2024 OTHER INSURANCE PROVISIONS The aforementioned insurance shall be endorsed and have all the following conditions and provisions: Additional Insured Status The City of Cupertino, its City Council, officers, officials, employees, agents, servants and volunteers (“Additional Insureds”) are to be covered as additional insureds on Consultant’s CGL and automobile liability policies. General Liability coverage can be provided in the form of an endorsement to Consultant’s insurance (at least as broad as ISO Form CG 20 10 (11/ 85) or both CG 20 10 and CG 20 37 forms, if later editions are used). Primary Coverage Coverage afforded to City/Additional Insureds shall be primary insurance. Any insurance or self-insurance maintained by City, its officers, officials, employees, or volunteers shall be excess of Consultant’s insurance and shall not contribute to it. Notice of Cancellation Each insurance policy shall state that coverage shall not be canceled or allowed to expire, except with written notice to City 30 days in advance or 10 days in advance if due to non-payment of premiums. Waiver of Subrogation Consultant waives any right to subrogation against City/Additional Insureds for recovery of damages to the extent said losses are covered by the insurance policies required herein. Specifically, the Workers’ Compensation policy shall be endorsed with a waiver of subrogation in favor of City for all work performed by Consultant, its employees, agents and subconsultants. This provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. Deductibles and Self-Insured Retentions Any deductible or self-insured retention must be declared to and approved by the City. At City’s option, either: the insurer must reduce or eliminate the deductible or self-insured retentions as respects the City/Additional Insureds; or Consultant must show proof of ability to pay losses and costs related investigations, claim administration and defense expenses. The policy shall provide, or be endorsed to provide, that the self-insured retention may be satisfied by either the insured or the City. Acceptability of Insurers Insurance shall be placed with insurers admitted in the State of California and with an AM Best rating of A- VII or higher. Verification of Coverage Consultant must furnish acceptable insurance certificates and mandatory endorsements (or copies of the policies effecting the coverage required by this Contract), and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements prior to commencement of the Contract. City retains the right to demand verification of compliance at any time during the Contract term. Subconsultants Consultant shall require and verify that all subconsultants maintain insurance that meet the requirements of this Contract, including naming the City as an additional insured on subconsultant’s insurance policies. Higher Insurance Limits If Consultant maintains broader coverage and/or higher limits than the minimums shown above, City shall be entitled to coverage for the higher insurance limits maintained by Consultant. Adequacy of Coverage City reserves the right to modify these insurance requirements/coverage based on the nature of the risk, prior experience, insurer or other special circumstances, with not less than ninety (90) days prior written notice. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 12/12/2024 Andreini &Company-Stockton 220 W.20th Avenue San Mateo CA 94403 Andreini &Company 650-573-1111 650-378-4361 amatthews@andreini.com Hartford Insurance Group 914 BMIIM-1 BMI Imaging Systems Inc 1115 E Arques Ave Sunnyvale CA 94085 874626628 A XY51WECBK9UHD1/1/2025 1/1/2026 1,000,000 1,000,000 1,000,000 Waiver of Subrogation applies to Workers'Compensation per the attached endorsement. City of Cupertino 10300 Torre Avenue Cupertino CA 95014 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Countersigned by Authorized Representative Form WC 00 03 13 Printed in U.S.A. Process Date:12/11/24 Policy Expiration Date:01/01/26 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT Policy Number:51 WEC BK9UHD Endorsement Number: Effective Date:01/01/25 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address:BMI Imaging Systems, Inc 1115 E ARQUES AVE SUNNYVALE CA 94085 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE Any person or organization for whom you are required by contract or agreement to obtain this waiver from us. Endorsement is not applicable in KY, NH, NJ or for any MO construction risk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 11/27/2024 (PT)Heffernan Insurance Brokers 101 Second Street,Suite 120 Petaluma CA 94952 707-781-3400 707-781-0800 License#:0564249 Coalition Insurance Company 29530 BMIIMAG-01 BMI Imaging Systems,Inc. 1115 East Arques Sunnyvale CA 94085 925419208 A Cyber /Professional E&O C-4LR2-177709-CYBER-2024 5/13/2024 5/13/2025 Per Claim /Agg Limit $3000000 /$3000000 Deductible/SIR info:Cyber/Professional -$25,000 retention. Re:As Per Contract or Agreement on File with Insured.This Certificate Replaces and Supersedes all previously issued Certificates. City of Cupertino 10300 Torre Avenue Cupertino,CA 95014 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 11/27/2024 (PT)Heffernan Insurance Brokers 101 Second Street,Suite 120 Petaluma CA 94952 707-781-3400 707-781-0800 License#:0564249 Hartford Accident &Indemnity Company 22357 BMIIMAG-01 Hartford Casualty Insurance Company 29424BMIImagingSystems,Inc. 1115 East Arques Sunnyvale CA 94085 1585829827 A X 1,000,000 X 300,000 X 1,000 10,000 1,000,000 2,000,000 X Y Y 57UUQTM2431 1/15/2024 1/15/2025 2,000,000 A 1,000,000 X X X Y 57UUQTM2431 1/15/2024 1/15/2025 Comp &Coll Ded 1,000 B X X 4,000,00057XHQYC85841/15/2024 1/15/2025 4,000,000 X 10,000 Deductible/SIR info:GL -$1,000 per occurrence. Re:As Per Contract or Agreement on File with Insured.The City of Cupertino,its City Council,officers,officials,employees,agents,servants and volunteers are included as an additional insured (primary and non-contributory)includes completed operations on General Liability policy and additional insured (and primary)on Automobile Liability policy per the attached endorsements,if required.Waiver of Subrogation is included on General Liability policy per the attached endorsement,if required.Cancellation notice endorsement for the General Liability policy is attached,if required.This Certificate Replaces and Supersedes all previously issued Certificates. City of Cupertino 10300 Torre Avenue Cupertino,CA 95014 57UUQTM2431 57UUQTM2431 Sixth Amendment to Cupertino & BMI Imaging, for File Scanning Services Final Audit Report 2024-12-18 Created:2024-12-17 By:Webmaster Admin (webmaster@cupertino.org) Status:Signed Transaction ID:CBJCHBCAABAAswABKxBVLLlIhCiuk2yqpDt2erONjZg2 "Sixth Amendment to Cupertino & BMI Imaging, for File Scannin g Services" History Document created by Webmaster Admin (webmaster@cupertino.org) 2024-12-17 - 5:22:18 PM GMT- IP address: 35.229.54.2 Document emailed to Marilyn Pavlov (marilynp@cupertino.org) for approval 2024-12-17 - 5:40:22 PM GMT Email viewed by Marilyn Pavlov (marilynp@cupertino.org) 2024-12-17 - 5:40:30 PM GMT- IP address: 52.202.236.132 Document approved by Marilyn Pavlov (marilynp@cupertino.org) Approval Date: 2024-12-17 - 5:41:16 PM GMT - Time Source: server- IP address: 69.209.31.163 Document emailed to Araceli Alejandre (aracelia@cupertino.org) for approval 2024-12-17 - 5:41:19 PM GMT Email viewed by Araceli Alejandre (aracelia@cupertino.org) 2024-12-17 - 5:42:24 PM GMT- IP address: 3.232.50.116 Document approved by Araceli Alejandre (aracelia@cupertino.org) Approval Date: 2024-12-17 - 6:58:29 PM GMT - Time Source: server- IP address: 71.204.144.228 Document emailed to jdetrick@bmiimaging.com for signature 2024-12-17 - 6:58:32 PM GMT Email viewed by jdetrick@bmiimaging.com 2024-12-18 - 0:18:34 AM GMT- IP address: 72.194.66.172 Signer jdetrick@bmiimaging.com entered name at signing as Jim Detrick 2024-12-18 - 0:19:42 AM GMT- IP address: 72.194.66.172 Document e-signed by Jim Detrick (jdetrick@bmiimaging.com) Signature Date: 2024-12-18 - 0:19:44 AM GMT - Time Source: server- IP address: 72.194.66.172 Document emailed to Christopher Jensen (christopherj@cupertino.org) for signature 2024-12-18 - 0:19:46 AM GMT Email viewed by Christopher Jensen (christopherj@cupertino.org) 2024-12-18 - 0:19:55 AM GMT- IP address: 3.232.50.116 Signer Christopher Jensen (christopherj@cupertino.org) entered name at signing as Christopher D. Jensen 2024-12-18 - 1:54:30 AM GMT- IP address: 64.165.34.3 Document e-signed by Christopher D. Jensen (christopherj@cupertino.org) Signature Date: 2024-12-18 - 1:54:32 AM GMT - Time Source: server- IP address: 64.165.34.3 Document emailed to Teri Gerhardt (terig@cupertino.org) for signature 2024-12-18 - 1:54:35 AM GMT Email viewed by Teri Gerhardt (terig@cupertino.org) 2024-12-18 - 1:54:42 AM GMT- IP address: 52.202.236.132 Document e-signed by Teri Gerhardt (terig@cupertino.org) Signature Date: 2024-12-18 - 2:18:26 AM GMT - Time Source: server- IP address: 64.165.34.3 Document emailed to Kirsten Squarcia (kirstens@cupertino.org) for signature 2024-12-18 - 2:18:29 AM GMT Email viewed by Kirsten Squarcia (kirstens@cupertino.org) 2024-12-18 - 2:18:37 AM GMT- IP address: 52.202.236.132 Document e-signed by Kirsten Squarcia (kirstens@cupertino.org) Signature Date: 2024-12-18 - 3:09:15 AM GMT - Time Source: server- IP address: 64.165.34.3 Agreement completed. 2024-12-18 - 3:09:15 AM GMT