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24-161 Placeworks Amendment #1 dated 4-16-25 for Peer Review for Phase I and II Environmental Site Assessment at 10621 Madera Drive1 FIRST AMENDMENT TO AGREEMENT 978 BETWEEN THE CITY OF CUPERTINO AND PLACEWORKS, INC FOR PEER REVIEW FOR PHASE I AND II ENVIRONMENTAL SITE ASSESSMENTS FOR THE TENTATIVE MAP (TM) 2024-002 AT 10261 MADERA DRIVE This First Amendment to Agreement 978 is by and between the City of Cupertino, a municipal corporation (hereinafter "City") and Placeworks, Inc., a Corporation (“Contractor”) whose address is 2040 Bancroft Way, Suite 400, Berkeley, CA 94704, and is made with reference to the following: RECITALS A. On December 13, 2024, Agreement 958 (“Agreement”) was entered into by and between City and Contractor for Peer Review for Phase I and II Environmental Site Assessments for the Tentative Map (TM) 2024-002 at 10261 Madera Drive. 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 2.1 of the Agreement is modified to read as follows: 2.1 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 further agrees to carry out its work in compliance with an applicable local, State, or Federal order regarding COVID-19. 2. Exhibit A of the Agreement is replaced with Exhibit A-1, attached hereto. 3. Paragraph 4.1 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 be based on actual costs but that will be capped so as not to exceed $4,724.00 (“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. The maximum compensation includes all expenses and reimbursement 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. Exhibit C of the Agreement is replaced with Exhibit C-1, attached hereto. 5. 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. 2 IN WITNESS WHEREOF, the parties hereto have caused this modification of Agreement to be executed. CITY OF CUPERTINO By Title Date APPROVED AS TO FORM Interim City Attorney ATTEST: City Clerk Date PLACEWORKS, INC By Title Date EXPENDITURE DISTRIBUTION Item PO Number Amount Base 2025-361 $3,226.00 1st Amendment 2025-361 $1,498.00 Total $4,724.00 Principal 04/10/2025 Benjamin Fu Director of Community Development 04/16/2025 Kirsten Squarcia 04/16/2025 SERVICE AUTHORIZATION AMENDMENT NO. 1 PROJECT NO. COCU-32 DATE 4/3/2025 PROJECT NAME Peer Review for Phase I & II Environmental Site Assessments for the Tentative Map (TM) 2024-002 at 10621 Madera Drive AGREEMENT BETWEEN: CLIENT City of Cupertino CONSULTANT PlaceWorks STREET ADDRESS 10300 Torre Avenue STREET ADDRESS 3 MacArthur Place, Suite 1100 CITY STATE AND ZIP Cupertino, CA 95014 CITY STATE AND ZIP Santa Ana, CA 92707 CONTACT Danielle Condit CONTACT Terri McCracken Hereinafter referred to as “Client.” Hereinafter referred to as “Consultant.” This Amendment No. 1 to an existing agreement for services is made and entered into effective as of the date of signature (“Effective Date”), by and between PlaceWorks (Consultant), a California Corporation, and City of Cupertino (Client). RECITAL The Consultant desires to amend, modify and revise that certain Agreement (“Existing Agreement”) with the Client, entered into on December 13, 2024 to provide Services, as defined therein, and to now amend the Existing Agreement. Except as specifically amended by this document, all other terms and conditions of the Existing Agreement will remain in full force and effect, without modification. Now, therefore, in consideration of the above facts and of the covenants and agreement contained herein, the parties hereto agree that: The client has requested PlaceWorks review the revised Phase I and II Environmental Site Assessments (ESA) to ensure the recommendations requested as part of PlaceWorks third-party peer review have been appropriately incorporated into the revised Phase I and II ESAs by the applicant’s consultant. This contract amendment adds an additional $1,498 to the contract for confirmation that the peer review comments have been addressed by the applicant’s consultant and project management tasks. This contract amendment changes the total contract amount as follows. Previous Contract Amount: $3,226.00 Amount of this Amendment: $1,498.00 New Total Contract Amount: $4,724.00 EXHIBIT A-1 EXHIBIT C-1 Service Authorization | Page 2 CONSULTANT: CONSULTANT PlaceWorks STREET ADDRESS 3 MacArthur Place, Suite 1100 CITY STATE AND ZIP Santa Ana, CA 92707 AUTHORIZED REPRESENTATIVE Terri McCracken TITLE Principal 4/3/2025 PlaceWork’s Authorized Representative Date CLIENT: CLIENT City of Cupertino STREET ADDRESS 10300 Torre Avenue CITY STATE AND ZIP Cupertino, CA 95014 AUTHORIZED REPRESENTATIVE Danielle Condit TITLE Associate Planner Client’s Authorized Representative Date 4/3/2025 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 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) Ded. None If yes, describe under DESCRIPTION OF OPERATIONS below $ $ $ 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 EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION None $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) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY B 5,000,000 EPK148300 5,000,000 LOS-002212059-30 1,000,000 4,000,000 X 25674 4,000,000 Irvine, CA 92614 N X Comp/Coll Deductibles BI & PD Ded. $5,000 07/01/2024 3 07/01/2025 07/01/2024 07/01/2025 BA-1N96406A-24-43-G B 5,000,000 5,000,000 Travelers Property Casualty Co. Of America 1,000,000 X A X 1,000 X 07/01/2024 07/01/2024 5,000,000 X Contractors Pollution Cupertino, CA 95014 City of Cupertino DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Cupertino, its city council, boards and commissioners, officers, employees, and volunteers are included as additional insured where required by written contract with respect to General and Auto Liability. This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract with respect to General Liability. Waiver of subrogation is applicable where required by written contract with respect to General and Auto Liability. When required by written contract, the insurer will provide 30 days’ notice of cancellation to the certificate holder as respects to Auto Liability and Workers Compensation policies for any reason other than non-payment of premium, subject to policy terms and conditions. X A CN115158923-01-01-24-25 Each Claim/Aggregate 10,000 07/01/2025 1,000,000 EX-6J328756-24-43 Errors & Omissions-Claims Made - Ded $25,000 Retro Dates: See 2nd Page 5,000,000 44520 100,000 1,000,000 07/01/2025 UB-7K728676-24-43-G 17901 Von Karman Avenue, Suite 1100 Marsh Risk & Insurance Services X (949) 399-5800; License #0437153 Attn: NewportBeach.CertRequest@marsh.com/F: 212-948-4323 3 MacArthur Place, Suite 1100 PlaceWorks, Inc Santa Ana, CA 92707 EPK148300 07/01/2024 10300 Toree Ave. X X 07/01/2024 B X 07/01/2025 Crum & Forster Specialty Insurance Co X BUSINESS AUTO EXTENSION ENDORSEMENT © 2015 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. Policy Number: BA-1N96406A-24-43-G Effective Date: 07/01/2024 © 2015 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. Policy Number: BA-1N96406A-24-43-G Effective Date: 07/01/2024 Includes copyrighted material of Insurance Services Office, Inc. with its permission. © 2015 The Travelers Indemnity Company. All rights reserved. Policy Number: BA-1N96406A-24-43-G Effective Date: 07/01/2024 © 2015 The Travelers Indemnity Compa ny. All rights reserved . Includes copyrighted material of Insurance Services Office, Inc. with its permission. Policy Number: BA-1N96406A-24-43-G Effective Date: 07/01/2024 DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE – PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE Includes copyrighted material of Insurance Services Office, Inc. with its permission. © 2016 The Travelers Indemnity Company. All rights reserved. Policy Number: EPK148300 Term: 07/01/2024-07/01/2025 Policy Number: EPK148300 Term: 07/01/2024-07/01/2025 TRAVELERS] ONE TOWER SQUARE HARTFORD CT 06183 WORKERS COHPEHSATIOR AND EMPLOYERS LIABILITY POLICY we 99 83 76 { A) - 001 ENDORSEMENT PO"i.JCY UB-7K72867624-43-G WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORN (BLANKET WAIVER) We have the right to recover our payments from anyone liable for en Injury covered by this policy. We will not enforce our right against the pets0n or organization named in the Schedule. The additional premium for this endorsement shall be 2. oo mium. Person or Organlzallon ANY PERSON OR ORGANJ:ZAl'XO FOR WlllCH THE INSORRD JlAS AGRDD BY WRITTEN CONTRACT EXEC1J'l'Jro PRIOR TO LOSS TO FURNJ:SH TRIS 'IIAJ:VBR, Sched'-'le % of the Ca6fornia workers' compensation pre- Job Description This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the pollcy.) Endorsement Effective Insured Insurance Company DATE OF ISSUE:07/01/2024 Policy No. ST ASSIGN: Endorsement No. Premium Pagel oft Policy No. EPK148300 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. PLACEWORKS, INC Final Audit Report 2025-04-16 Created:2025-04-10 By:Webmaster Admin (webmaster@cupertino.org) Status:Signed Transaction ID:CBJCHBCAABAAxtViyDNHWc4WehcmFoJgpYcQuygiDo4K "PLACEWORKS, INC" History Document created by Webmaster Admin (webmaster@cupertino.org) 2025-04-10 - 4:21:10 PM GMT- IP address: 35.229.54.2 Document emailed to Araceli Alejandre (aracelia@cupertino.org) for approval 2025-04-10 - 4:23:40 PM GMT Email viewed by Araceli Alejandre (aracelia@cupertino.org) 2025-04-10 - 4:23:47 PM GMT- IP address: 98.81.101.8 Document approved by Araceli Alejandre (aracelia@cupertino.org) Approval Date: 2025-04-10 - 6:00:59 PM GMT - Time Source: server- IP address: 71.202.76.156 Document emailed to Terri McCracken (tmccracken@placeworks.com) for signature 2025-04-10 - 6:01:02 PM GMT Email viewed by Terri McCracken (tmccracken@placeworks.com) 2025-04-10 - 6:09:55 PM GMT- IP address: 73.71.121.61 Document e-signed by Terri McCracken (tmccracken@placeworks.com) Signature Date: 2025-04-10 - 7:28:24 PM GMT - Time Source: server- IP address: 73.71.121.61 Document emailed to Floy Andrews (floya@cupertino.gov) for signature 2025-04-10 - 7:28:27 PM GMT Email viewed by Floy Andrews (floya@cupertino.gov) 2025-04-10 - 7:28:42 PM GMT- IP address: 44.195.62.144 Document e-signed by Floy Andrews (floya@cupertino.gov) Signature Date: 2025-04-16 - 6:48:56 PM GMT - Time Source: server- IP address: 64.165.34.3 Document emailed to Benjamin Fu (benjaminf@cupertino.gov) for signature 2025-04-16 - 6:49:01 PM GMT Email viewed by Benjamin Fu (benjaminf@cupertino.gov) 2025-04-16 - 6:49:09 PM GMT- IP address: 52.202.236.132 Document e-signed by Benjamin Fu (benjaminf@cupertino.gov) Signature Date: 2025-04-16 - 7:11:21 PM GMT - Time Source: server- IP address: 64.165.34.3 Document emailed to kirstens@cupertino.gov for signature 2025-04-16 - 7:11:23 PM GMT Email viewed by kirstens@cupertino.gov 2025-04-16 - 7:11:29 PM GMT- IP address: 3.232.50.116 Signer kirstens@cupertino.gov entered name at signing as Kirsten Squarcia 2025-04-16 - 8:09:14 PM GMT- IP address: 64.165.34.3 Document e-signed by Kirsten Squarcia (kirstens@cupertino.gov) Signature Date: 2025-04-16 - 8:09:16 PM GMT - Time Source: server- IP address: 64.165.34.3 Agreement completed. 2025-04-16 - 8:09:16 PM GMT