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CC 06-21-22 #16 Updated Attachment K - 15-206 Professional Turf Management; Blackberry Farm Golf Course Maintenance (Original Contract and Amendments 1-5)_Written Commmunications1 DEPARTMENT OF RECREATION & COMMUNITY SERVICES CITY HALL 10 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 TELEPHONE: (408) 777-3354 www.cupertino.org CITY COUNCIL STAFF REPORT Meeting: December 1, 2015 Subject Blackberry Farm Golf Course Maintenance, Contract Award Recommended Action Authorize the City Manager to award, negotiate and execute a contract with Professional Turf Management of San Jose, California in the amount of $99,600, as selected through a Request for Qualification process, and further authorize the City Manager to execute annual extensions to the contract for up to five years based upon the pricing in the bid documents, subject to appropriation. Background Maintenance of Blackberry Farm Golf Course has been contracted since spring 2002. The current maintenance contract was bid and awarded in 2010. It had a two-year initial term, with the option for annual renewals for three more years through June 2015. The term was extended by the City Council on June 17, 2015 for an additional six months to December 31, 2015. Bid Process Bid documents for maintenance of Blackberry Farm Golf Course were prepared and issued. Notices were mailed to local plan rooms and builders exchanges, and bid documents posted on the City’s website. The project was advertised on November 7, 2015 in a newspaper with regional circulation (San Jose Mercury News). A pre-bid conference was held on November 13. On November 23, 2015, the City opened bids. One company submitted bids for this project. The following is a summary of bids, for an initial 6 months of maintenance: Bidder Bid Amount Professional Turf Management $ 99,600 The Bid Form addresses a base bid for the first 6 months of maintenance, from January to June 2016. Thereafter two more optional years of maintenance are priced on an annual basis, and structured to align with the city’s fiscal year and the annual appropriation cycle. The price bid for these two years is $205,200. Thereafter up to 2 three further years of maintenance could be added annually, with the fee escalated based upon the San Francisco/Oakland Consumer Price Index (CPI). Maintenance of the golf course was most recently bid in 2010. At that time, two firms submitted bids and associated qualifications information. One firm was found to be non-responsive and the proposal rejected. The second firm, Professional Turf Management, was deemed responsive and responsible, and was awarded a contract. This firm has provided continuous maintenance services at Blackberry Farm Golf Course. They have performed well at our course, especially given the condition of the golf course infrastructure and the proximity of Stevens Creek and sensitive wildlife. Discussion The request for qualification bid process was conducted in a manner consistent with applicable criteria of city ordinance, municipal code and public contracts code. This RFQ process is more appropriate than simply awarding to the lowest bidder for the following reasons:  The irrigation system at BBF Golf Course is over 50 years old and much of it is original. It uses hydraulic valves; such valves and associated parts are no longer available. Manual operation of the valves and controls is also required. Maintaining such antiquated equipment involves specialized knowledge.  There are no ‘as-built’ or record drawings of the infrastructure. The irrigation system does not provide coverage of the turf; extensive hand-watering is needed. Some areas require hand watering year round and additional areas need seasonal hand watering. The system is prone to frequent but unpredictable failures which require immediate repair. These conditions are outside the normal range or experience for golf maintenance.  BBF Golf Course is located along Stevens Creek. It is in the creek’s floodplain and drains to the creek. The creek corridor contains a variety of protected wildlife species. Presence of these species affects how the course may be maintained. Various maintenance actions that are routine in typical settings are inappropriate or prohibited in our setting. In particular, Stevens Creek hosts a year-round population of federally-threatened steelhead and is a known rearing zone for young steelhead. Certain maintenance actions can immediately adversely affect such species. The potential consequences of a poor choice by an ignorant or inexperienced maintenance firm could be dire for wildlife. The Statement of Qualifications for bidders requested information regarding the firms’ experience with old irrigation equipment similar to ours, similarly undocumented and antiquated infrastructure necessitating manual operations, and a similar wildlife setting. Based upon the bid documents received, the firm of Professional Turf Management has the appropriate experience and knowledge to provide the needed maintenance services at the golf course, in a manner that will be safe and successful. 3 Professional Turf Management’s qualifications were reviewed and found to be appropriate for the unique conditions at the Blackberry Farm Golf Course setting. The bid cost is deemed reasonable. The current cost to maintain the golf course is $187,280 per year, equaling $93,640 per 6 months. This amount is based upon bids received in 2010, with an adjustment the last 3 years based upon the San Francisco/Oakland CPI. Staff believes that the effort to keep the golf course properly maintained is now higher than was benchmarked in 2010. Higher effort and associated higher costs are due to continued decline in the course’s infrastructure because of its age, and extensive subsequent failures of the irrigation system necessitating increasing hand watering and manual operations, all of which increase the cost to perform maintenance. Staff recommends that Council find that the RFQ process, rather than lowest bid, is appropriate due to the unique nature of this contract, and authorize the City Manager to award, negotiate and execute the contract to Professional Turf Management as described above; and, further, authorize the City Manager to provide annual extensions to the contract for up to five years based upon the pricing in the bid documents, and subject to appropriation. Fiscal Impact Sufficient funds have been budgeted in FY 2015/16 for the proposed 6-month initial term. No additional funds are required. _____________________________________ Prepared by: Gail Seeds, Park Improvement Manager Reviewed by: Carol Atwood, Director of Recreation & Community Services Approved for Submission by: David Brandt, City Manager Attachments: A - Draft Contract 1 FIFTH AMENDMENT TO AGREEMENT 15-206 BETWEEN THE CITY OF CUPERTINO AND PROFESSIONAL TURF MANAGEMENT FOR BLACKBERRY FARM GOLF COURSE MAINTENANCE This Fifth Amendment to Agreement 15-206 between the City of Cupertino and Professional Turf Management, for reference dated 5/4/2020, is by and between the CITY OF CUPERTINO, a municipal corporation (hereinafter "City") and Professional Turf Management, a California Corporation (“Contractor”) whose address is P.O. Box 700142, San Jose, Ca. 95170, and is made with reference to the following: RECITALS: A. On 12/3/2015, Agreement 15-206 (“Agreement”) was entered into by and between City and Contractor for Blackberry Farm Golf Course Maintenance and soil sample collection and testing. B. On 7/1/2016, City and Contractor agreed to the First Amendment for Blackberry Farm Golf Course Maintenance and soil sample collection and testing. C. On 7/1/2017, City and Contractor agreed to the Second Amendment for Blackberry Farm Golf Course Maintenance and soil sample collection and testing D. On 7/1/2018, City and Contractor agreed to the Third Amendment for Blackberry Farm Golf Course Maintenance and soil sample collection and testing E. On 7/1/2019, City and Contractor agreed to the Fourth Amendment for Blackberry Farm Golf Course Maintenance and soil sample collection and testing F. The Agreement and the First, Second, Third, and Fourth Amendments are collectively referred to as the “Agreement” unless otherwise indicated. 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 and undersigned parties as follows: 1. TERM. Paragraph 1 of the Agreement is modified to read as follows: The Contractor shall continue work through June 30, 2021, and shall diligently prosecute the work. The term of the Agreement shall terminate on June 30, 2021, unless terminated earlier as 2 set forth herein. 2. SERVICES TO BE PERFORMED. Contractor agrees, at its own cost and expense, to furnish all labor, tools, equipment, materials, except as otherwise specified, and to do all work strictly in accordance with the Scope of Work (see Exhibit A). The General and Special Conditions, Technical Provisions and Special Environmental Conditions are hereby referred to and expressly made a part hereof with the same force and effect as if the same were fully incorporated herein. Contractor further agrees to carry out its work in compliance with the City’s Shelter In Place and Social Distancing Requirements, attached here and incorporated as Exhibit A-A. 3. Exhibit A-A, attached hereto, is added to the Agreement. 4. COMPENSATION TO CONTRACTOR. Paragraph 3 of the Agreement is modified to read as follows: Contractor shall be compensated for services performed pursuant to this Agreement in the amount and manner set forth in Contractor’s bid, which is attached hereto as Exhibit B-3 and incorporated herein by reference. 5. Exhibit B-2 of the Agreement is replaced with new Exhibit B-3 attached hereto. 6. 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. CONTRACTOR By Title Date________________________________ CITY OF CUPERTINO By Title Date________________________________ APPROVED AS TO FORM City Attorney ATTEST: City Clerk Michael Basile Owner Jun 16, 2020 Heather M. Minner Deborah L. Feng Jun 21, 2020 City Manager Kirsten Squarcia 6/22/20 3 EXPENDITURE DISTRIBUTION PO #2016-398 560-63-616 700-702 Original $99,600.00 Amendment #1: $205,200.00 Amendment #2: $205,200.00 Amendment #3: $205,200.00 Amendment #4: $205,200.00 Amendment #5: $205,200.00 Total: $1,125,600 Revised: June 5, 2020 – Public Works Contracts 1 Exhibit A-A – SHELTER IN PLACE AND SOCIAL DISTANCING REQUIREMENTS A. Health Laws Acknowledged. It is acknowledged that Consultant’s/Contractor’s Contractor”) duty to comply with Laws, as defined in Section 13 of the Contract/Agreement Contract”), includes immediate compliance by Contractor and its subcontractors with the restrictions on travel and the Social Distancing Requirements set forth in the most recent health order issued by the County of Santa Clara Health Department in response to the COVID-19 pandemic, and any subsequent amendments or superseding orders thereto (the “Health Order”), and any other local, state, or federal laws that have been or may be enacted in response to the COVID-19 pandemic (collectively, “Health Laws”). B. Health Order Compliance. Contractor shall comply with any restrictions on travel and social distancing requirements in the Health Order when preforming work under this Contract. If a scope of work item, notice to proceed, or work order under this Contract specifies work that cannot be performed in compliance with the Health Order or other Health Laws, Contractor shall refrain from conducting the work and immediately inform the City. C. Individuals at High Risk of Severe Illness. Nothing in this Contract shall be interpreted to require any person at high risk of severe illness from COVID-19 to leave their residence to perform work under the Contract. Contractor will inform the City if other arrangements for the work must be made, and City will do so, with no penalty to Contractor, although Contractor will not be compensated for work performed by the City or third parties. Information from the Center for Disease Control ("CDC") on "high risk" categories is available at the CDC's website at: https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/people-at-higher-risk.html. D. Health Order Requirements and Best Practices. Contractor will immediately undertake all appropriate measures to ensure compliance with the Social Distancing Requirements in the Health Order by all individuals on any project site or work area performing work under this Contract, including Contractor's or any subcontractor's workers, employees, representatives, vendors, or suppliers (collectively, "workers"), and shall maintain these measures for as long as required by the Health Order or other Health Laws. In particular, Contractor must comply with the provisions of Appendix B-1 or B-2 (attached hereto) to the Health Order, as applicable. Further, as long as required by the operative Health Order including Appendix B-1 or B-2, or other Health Laws, these measures shall include, but are not limited to, the following best practices: 1. Information. Inform all workers of the Social Distancing Requirements and these best practices, including any updates or modifications, and require compliance as a condition to being present on the project site or work area. 2. Sick Workers. Prohibit any individuals who have been tentatively or conclusively diagnosed with COVID-19 or who have any symptoms of illness, including the following, from entering or remaining on the project site or work area: fever, cough, shortness of Revised: June 5, 2020 – Public Works Contracts 2 breath, sore throat, body aches, chills, sudden loss of smell or taste or other flu-like symptoms. Encourage sick workers to get immediate medical attention. a. Daily Screening. A supervisor must ask the following questions of each worker before the worker is permitted to enter the project site or work area each day, and a worker who responds "yes" to any one of the following questions must be asked to leave immediately and will not be permitted back on the project site or work area until cleared based on meeting the applicable requirements set forth in the CDC's Interim Guidance on Discontinuation of Home Isolation for Persons with COVID-19 (https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-in- home-patients.html): 1) Have you had any of the following symptoms within the past 14 days: fever, cough, shortness of breath, sore throat, body aches, chills, sudden loss or smell or taste, or any other flu-like symptoms? 2) Have you or anyone in your household been in contact with a person that has been diagnosed with, has symptoms of, or is being tested for COVID-19? 3) Have you been medically directed to self-quarantine due to possible exposure to COVID-19? 3. Signage/Posters. In compliance with the Health Order, post a Social Distancing Protocol, substantially in the form attached to the Health Order as Appendix A, at all project site or work area entry points, and in other areas where they are likely to be seen (e.g., project trailers, sanitary facilities, break areas). The Social Distancing Protocol must explain how Contractor is achieving compliance with social distancing requirements. Resources for this purpose are available from the CDC at: https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business- response.html A copy of the Social Distancing Protocol must also be provided to each employee performing work at the project site or work area. 4. Sanitary Facilities. Ensure adequate handwashing and/or hand-sanitizing facilities are available at all times and encourage frequent handwashing and/or hand-sanitizing throughout the day as specified below. Portable sanitary facilities must be serviced and cleaned on a daily basis. Provide hand sanitizer in or around all toilet facilities and common areas, including project trailers. a. Handwashing. Wash hands using soap and water for at least 20 seconds. b. Hand-sanitizer. Use a hand sanitizer that contains at least 60-95% alcohol when handwashing is not immediately available. Revised: June 5, 2020 – Public Works Contracts 3 c. Paper Products. Ensure that toilet paper, tissues, and paper towels are available as appropriate, with designated receptacles for disposal. 5. Distancing. Prohibit workers from being less than six feet apart, unless and only to the extent that would compromise worker safety or violate safety Laws for specific operations. Prohibit handshaking or any physical contact among workers, with the sole and limited exception of any physical contact required for worker safety or to comply with safety Laws. Avoid sharing tools to the extent possible. Require workers to provide their own transportation where possible and to avoid having more than two workers in a vehicle. 6. Groups/Meetings/Site Access. Avoid any group gatherings of 10 or more people. Use electronic alternatives to in person meetings, e.g., conference calls, video-conferencing, etc., to the greatest extent possible. Limit access to the project site or any work area to workers who are necessary to perform the work at that time. Allow non-essential personnel to work from home to the extent possible. Avoid all non-essential travel. Do not stack trades if possible. 7. Frequent Cleaning. Provide for regular and appropriate cleaning of all high touch surfaces at a project site or work area, including, but not limited to, shared tools or equipment, doorknobs and handles, toolboxes, sanitary facilities, common break areas, keypads, touch screens, project trailer surfaces and equipment, light or power switches, workstations, countertops, break areas, and the like. Clean and/or disinfect any reusable items or equipment. Clean surfaces of shared vehicles, including steering wheels, gear shifts, handles, instrument panels, etc. Ensure that cleaning products are used correctly and safely, and avoid cleaning techniques, such as use of pressurized air or water sprays, that may generate bioaerosols. 8. Personal Protective Equipment. When workers cannot avoid close proximity or physical contact, e.g., based on applicable safety laws, or are otherwise at risk for exposure to COVID-19, ensure that the affected workers are provided with appropriate personal protective equipment ("PPE"), which may include disposable gloves and/or other PPE. Instruct workers to wash or sanitize hands after removing gloves or other PPE. Ensure that all personal protective equipment is disposed of properly. 9. Water and Food. Prohibit shared or communal food or common water coolers. Provide individual water bottles for workers or instruct workers to bring their own. 10. Enforcement. Immediately eject any worker who fails or refuses to comply with the Health Laws, Social Distancing Requirements, or these best practices from the project site until or unless the Project Manager issues a written authorization for the worker to return, subject to full compliance. Revised: June 5, 2020 – Public Works Contracts 4 F. Proof of Compliance. If Contractor is subject to Appendix B-1 of the Health Order, Contractor must provide to the City the name and contact information for its designated site-specific COVID-19 supervisor(s). If Contractor is subject to Appendix B-2 of the Health Order, Contractor must provide to the City a copy of its Site-Specific Health and Safety Plan. Any changes to the COVID-19 supervisor or the Site-Specific Health and Safety Plan must be reported to the City immediately. E. Oversight. In other to ensure that all workers comply with the Social Distancing Requirements to the extent possible, Contractor shall designate a named individual to have primary responsibility for implementation and enforcement of the Social Distancing Requirements and these best practices, and to serve as the primary point of contact with the City in this regard. Contractor shall promptly inform the City of the name of this individual. F. Changed Requirements. It is understood and acknowledged that circumstances pertaining to the COVID-19 pandemic are evolving rapidly and that new local, state, or federal requirements may modify the requirements under this Exhibit. Contractor agrees to work cooperatively with the City to implement new or changed requirements as quickly as possible. G. Subcontracts. Contractor shall include the terms of this Exhibit in all subcontracts and require any agents, subcontractors, or subconsultants to comply with its provisions. Attachments to Exhibit A-A Appendix B-1 to June 5, 2020 Health Order Appendix B-2 to June 5, 2020 Health Order 1228578.4 Appendix B-1 Effective June 5, 2020) 1 Small Construction Project Safety Protocol 1. Any construction project meeting any of the following specifications is subject to this Small Construction Project Safety Protocol (“SCP Protocol”), including public works projects unless otherwise specified by the Health Officer: a. For residential projects, any single-family, multi-family, senior, student, or other residential construction, renovation, or remodel project consisting of 10 units or less. This SCP Protocol does not apply to construction projects where a person is performing construction on their current residence either alone or solely with members of their own household. b. For commercial projects, any construction, renovation, or tenant improvement project consisting of 20,000 square feet of floor area or less. c. For mixed-use projects, any project that meets both of the specifications in subsection 1.a and 1.b. d. All other construction projects not subject to the Large Construction Project Safety Protocol set forth in Appendix B-2. 2. The following restrictions and requirements must be in place at all construction job sites subject to this SCP Protocol: a. Comply with all applicable and current laws and regulations including but not limited to OSHA and Cal-OSHA. If there is any conflict, difference, or discrepancy between or among applicable laws and regulations and/or this SCP Protocol, the stricter standard shall apply. b. Designate a site-specific COVID-19 supervisor or supervisors to enforce this guidance. A designated COVID-19 supervisor must be present on the construction site at all times during construction activities. A COVID-19 supervisor may be an on-site worker who is designated to serve in this role. c. The COVID-19 supervisor must review this SCP Protocol with all workers and visitors to the construction site. d. Establish a daily screening protocol for arriving staff to ensure that potentially infected staff do not enter the construction site. If workers leave the jobsite and return the same day, establish a cleaning and decontamination protocol prior to entry and exit of the jobsite. Post the daily screening protocol at all entrances and exits to the jobsite. More information on screening can be found online at: https://www.cdc.gov/coronavirus/2019- ncov/community/index.html. e. Practice social distancing by maintaining a minimum six-foot distance between workers at all times, except as strictly necessary to carry out a task associated with the construction project. Appendix B-1 Effective June 5, 2020) 2 f. Where construction work occurs within an occupied residential unit, separate work areas must be sealed off from the remainder of the unit with physical barriers such as plastic sheeting or closed doors sealed with tape to the extent feasible. If possible, workers must access the work area from an alternative entry/exit door to the entry/exit door used by residents. Available windows and exhaust fans must be used to ventilate the work area. If residents have access to the work area between workdays, the work area must be cleaned and sanitized at the beginning and at the end of workdays. Every effort must be taken to minimize contact between workers and residents, including maintaining a minimum of six feet of social distancing at all times. g. Where construction work occurs within common areas of an occupied residential or commercial building or a mixed-use building in use by on-site employees or residents, separate work areas must be sealed off from the rest of the common areas with physical barriers such as plastic sheeting or closed doors sealed with tape to the extent feasible. If possible, workers must access the work area from an alternative building entry/exit door to the building entry/exit door used by residents or other users of the building. Every effort must be taken to minimize contact between worker and building residents and users, including maintaining a minimum of six feet of social distancing at all times. h. Prohibit gatherings of any size on the jobsite, including gatherings for breaks or eating, except for meetings regarding compliance with this protocol or as strictly necessary to carry out a task associated with the construction project. i. Cal-OSHA requires employers to provide water, which should be provided in single-serve containers. Sharing of any of any food or beverage is strictly prohibited and if sharing is observed, the worker must be sent home for the day. j. Provide personal protective equipment (PPE) specifically for use in construction, including gloves, goggles, face shields, and face coverings as appropriate for the activity being performed. At no time may a contractor secure or use medical-grade PPE unless required due to the medical nature of a jobsite. Face coverings must be worn in compliance with the April 17, 2020 Guidance from the County of Santa Clara Public Health Department, available at: https://www.sccgov.org/sites/covid19/Pages/learn-what-to-do.aspx#howto. k. Strictly control “choke points” and “high-risk areas” where workers are unable to maintain six-foot social distancing and prohibit or limit use to ensure that six-foot distance can easily be maintained between individuals. l. Minimize interactions and maintain social distancing with all site visitors, including delivery workers, design professional and other project consultants, government agency representatives, including building and fire inspectors, and residents at residential construction sites. m. Stagger trades as necessary to reduce density and allow for easy maintenance of minimum six-foot separation. Appendix B-1 Effective June 5, 2020) 3 n. Discourage workers from using others’ desks, work tools, and equipment. If more than one worker uses these items, the items must be cleaned and disinfected with disinfectants that are effective against COVID-19 in between use by each new worker. Prohibit sharing of PPE. o. If hand washing facilities are not available at the jobsite, place portable wash stations or hand sanitizers that are effective against COVID-19 at entrances to the jobsite and in multiple locations dispersed throughout the jobsite as warranted. p. Clean and sanitize any hand washing facilities, portable wash stations, jobsite restroom areas, or other enclosed spaces daily with disinfectants that are effective against COVID-19. Frequently clean and disinfect all high touch areas, including entry and exit areas, high traffic areas, rest rooms, hand washing areas, high touch surfaces, tools, and equipment q. Maintain a daily attendance log of all workers and visitors that includes contact information, including name, phone number, address, and email. r. Post a notice in an area visible to all workers and visitors instructing workers and visitors to do the following: i. Do not touch your face with unwashed hands or with gloves. ii. Frequently wash your hands with soap and water for at least 20 seconds or use hand sanitizer with at least 60% alcohol. iii. Clean and disinfect frequently touched objects and surfaces such as work stations, keyboards, telephones, handrails, machines, shared tools, elevator control buttons, and doorknobs. iv. Cover your mouth and nose when coughing or sneezing, or cough or sneeze into the crook of your arm at your elbow/sleeve. v. Do not enter the jobsite if you have a fever, cough, or other COVID-19 symptoms. If you feel sick, or have been exposed to anyone who is sick, stay at home. vi. Constantly observe your work distances in relation to other staff. Maintain the recommended minimum six feet at all times when not wearing the necessary PPE for working in close proximity to another person. vii. Do not carpool to and from the jobsite with anyone except members of your own household unit, or as necessary for workers who have no alternative means of transportation. viii. Do not share phones or PPE. s. In the event of a confirmed case of COVID-19 at any jobsite, the following must take place: i. Immediately remove the infected individual from the jobsite with directions to seek medical care. ii. Each location the infected worker was at must be decontaminated and sanitized by an outside vendor certified in hazmat clean ups, and work in these locations must cease until decontamination and sanitization is complete. iii. The County Public Health Department must be notified immediately by both telephone (by calling 408.885.4214) and by email (by sending an email to coronavirus@phd.sccgov.org). Any requirements specified by the County health officials must be completed, including full compliance with any tracing efforts by the County. Appendix B-2 Effective June 5, 2020) 1 Large Construction Project Safety Protocol 1. Any construction project meeting any of the following specifications is subject to this Large Construction Project Safety Protocol (“LCP Protocol”), including public works projects unless otherwise specified by the Health Officer: a. For residential construction projects, any single-family, multi-family, senior, student, or other residential construction, renovation, or remodel project consisting of more than 10 units. b. For commercial construction projects, any construction, renovation, or tenant improvement project consisting of more than 20,000 square feet of floor area. c. For construction of Essential Infrastructure, as defined in section 16.c of the Order, any project that requires 20 or more workers at the jobsite at any one time. 2. The following restrictions and requirements must be in place at all construction job sites subject to this LCP Protocol: a. Comply with all applicable and current laws and regulations including but not limited to OSHA and Cal-OSHA. If there is any conflict, difference or discrepancy between or among applicable laws and regulations and/or this LCP Protocol, the stricter standard will apply. b. Prepare a new or updated Site-Specific Health and Safety Plan to address COVID- 19-related issues, post the Plan on-site at all entrances and exits, and produce a copy of the Plan to County governmental authorities upon request. The Plan must be translated as necessary to ensure that all non-English speaking workers are able to understand the Plan. c. Provide personal protective equipment (PPE) specifically for use in construction, including gloves, goggles, face shields, and face coverings as appropriate for the activity being performed. At no time may a contractor secure or use medical-grade PPE, unless required due to the medical nature of a job site. Face coverings must be worn in compliance with the April 17, 2020 Guidance from the County of Santa Clara Public Health Department, available at: https://www.sccgov.org/sites/covid19/Pages/learn-what-to-do.aspx#howto. d. Ensure that employees are trained in the use of PPE. Maintain and make available a log of all PPE training provided to employees and monitor all employees to ensure proper use of the PPE. e. Prohibit sharing of PPE. Appendix B-2 Effective June 5, 2020) 2 f. Implement social distancing requirements including, at minimum: i. Stagger stop- and start-times for shift schedules to reduce the quantity of workers at the jobsite at any one time to the extent feasible. ii. Stagger trade-specific work to minimize the quantity of workers at the jobsite at any one time. iii. Require social distancing by maintaining a minimum six-foot distance between workers at all times, except as strictly necessary to carry out a task associated with the project. iv. Prohibit gatherings of any size on the jobsite, except for safety meetings or as strictly necessary to carry out a task associated with the project. v. Strictly control “choke points” and “high-risk areas” where workers are unable to maintain minimum six-foot social distancing and prohibit or limit use to ensure that minimum six-foot distancing can easily be maintained between workers. vi. Minimize interactions and maintain social distancing with all site visitors, including delivery workers, design professional and other project consultants, government agency representatives, including building and fire inspectors, and residents at residential construction sites. vii. Prohibit workers from using others’ phones or desks. Any work tools or equipment that must be used by more than one worker must be cleaned with disinfectants that are effective against COVID-19 before use by a new worker. viii. Place wash stations or hand sanitizers that are effective against COVID-19 at entrances to the jobsite and in multiple locations dispersed throughout the jobsite as warranted. ix. Maintain a daily attendance log of all workers and visitors that includes contact information, including name, address, phone number, and email. x. Post a notice in an area visible to all workers and visitors instructing workers and visitors to do the following: 1. Do not touch your face with unwashed hands or with gloves. 2. Frequently wash your hands with soap and water for at least 20 seconds or use hand sanitizer with at least 60% alcohol. 3. Clean and disinfect frequently touched objects and surfaces such as workstations, keyboards, telephones, handrails, machines, shared tools, elevator control buttons, and doorknobs. 4. Cover your mouth and nose when coughing or sneezing or cough or sneeze into the crook of your arm at your elbow/sleeve. 5. Do not enter the jobsite if you have a fever, cough, or other COVID- 19 symptoms. If you feel sick, or have been exposed to anyone who is sick, stay at home. 6. Constantly observe your work distances in relation to other staff. Maintain the recommended minimum six-feet distancing at all times when not wearing the necessary PPE for working in close proximity to another person. 7. Do not share phones or PPE. Appendix B-2 Effective June 5, 2020) 3 xi. The notice in section 2.f.x must be translated as necessary to ensure that all non-English speaking workers are able to understand the notice. g. Implement cleaning and sanitization practices in accordance with the following: i. Frequently clean and sanitize, in accordance with CDC guidelines, all high-traffic and high-touch areas including, at a minimum: meeting areas, jobsite lunch and break areas, entrances and exits to the jobsite, jobsite trailers, hand-washing areas, tools, equipment, jobsite restroom areas, stairs, elevators, and lifts. ii. Establish a cleaning and decontamination protocol prior to entry and exit of the jobsite and post the protocol at entrances and exits of jobsite. iii. Supply all personnel performing cleaning and sanitization with proper PPE to prevent them from contracting COVID-19. Employees must not share PPE. iv. Establish adequate time in the workday to allow for proper cleaning and decontamination including prior to starting at or leaving the jobsite for the day. h. Implement a COVID-19 community spread reduction plan as part of the Site-Specific Health and Safety Plan that includes, at minimum, the following restrictions and requirements: i. Prohibit all carpooling to and from the jobsite except by workers living within the same household unit, or as necessary for workers who have no alternative means of transportation. ii. Cal-OSHA requires employers to provide water, which should be provided in single- serve containers. Prohibit any sharing of any food or beverage and if sharing is observed, the worker must be sent home for the day. iii. Prohibit use of microwaves, water coolers, and other similar shared equipment. i. Assign a COVID-19 Safety Compliance Officer (SCO) to the jobsite and ensure the SCO’s name is posted on the Site-Specific Health and Safety Plan. The SCO must: i. Ensure implementation of all recommended safety and sanitation requirements regarding the COVID-19 virus at the jobsite. ii. Compile daily written verification that each jobsite is compliant with the components of this LCP Protocol. Each written verification form must be copied, stored, and made immediately available upon request by any County official. iii. Establish a daily screening protocol for arriving staff, to ensure that potentially infected staff do not enter the construction site. If workers leave the jobsite and return the same day, establish a cleaning and decontamination protocol prior to entry and exit of the jobsite. Post the daily screening protocol at all entrances and exit to the jobsite. More information on screening can be found online at: https://www.cdc.gov/coronavirus/2019-ncov/community/index.html. iv. Conduct daily briefings in person or by teleconference that must cover the following topics: 1. New jobsite rules and pre-job site travel restrictions for the prevention of COVID-19 community spread. 2. Review of sanitation and hygiene procedures. 3. Solicitation of worker feedback on improving safety and sanitation. 4. Coordination of construction site daily cleaning/sanitation requirements. 5. Conveying updated information regarding COVID-19. Appendix B-2 Effective June 5, 2020) 4 6. Emergency protocols in the event of an exposure or suspected exposure to COVID-19. v. Develop and ensure implementation of a remediation plan to address any non- compliance with this LCP Protocol and post remediation plan at entrance and exit of jobsite during remediation period. The remediation plan must be translated as necessary to ensure that all non-English speaking workers are able to understand the document. vi. The SCO must not permit any construction activity to continue without bringing such activity into compliance with these requirements. vii. Report repeated non-compliance with this LCP Protocol to the appropriate jobsite supervisors and a designated County official. j. Assign a COVID-19 Third-Party Jobsite Safety Accountability Supervisor (JSAS) for the jobsite, who at a minimum holds an OSHA-30 certificate and first-aid training within the past two years, who must be trained in the protocols herein and verify compliance, including by visual inspection and random interviews with workers, with this LCP Protocol. i. Within seven calendar days of each jobsite visit, the JSAS must complete a written assessment identifying any failure to comply with this LCP Protocol. The written assessment must be copied, stored, and, upon request by the County, sent to a designated County official. ii. If the JSAS discovers that a jobsite is not in compliance with this LCP Protocol, the JSAS must work with the SCO to develop and implement a remediation plan. iii. The JSAS must coordinate with the SCO to prohibit continuation of any work activity not in compliance with rules stated herein until addressed and the continuing work is compliant. iv. The remediation plan must be sent to a designated County official within five calendar days of the JSAS’s discovery of the failure to comply. k. In the event of a confirmed case of COVID-19 at any jobsite, the following must take place: i. Immediately remove the infected individual from the jobsite with directions to seek medical care. ii. Each location the infected worker was at must be decontaminated and sanitized by an outside vendor certified in hazmat clean ups, and work in these locations must cease until decontamination and sanitization is complete. iii. The County Public Health Department must be notified immediately by both telephone (by calling 408.885.4214) and by email (by sending an email to coronavirus@phd.sccgov.org). Any requirements specified by the County health officials must be completed, including full compliance with any tracing efforts by the County. l. Where construction work occurs within an occupied residential unit, any separate work area must be sealed off from the remainder of the unit with physical barriers such as plastic sheeting or closed doors sealed with tape to the extent feasible. If possible, workers must access the work area from an alternative entry/exit door to the entry/exit door used by Appendix B-2 Effective June 5, 2020) 5 residents. Available windows and exhaust fans must be used to ventilate the work area. If residents have access to the work area between workdays, the work area must be cleaned and sanitized at the beginning and at the end of workdays. Every effort must be taken to minimize contact between workers and residents, including maintaining a minimum of six feet of social distancing at all times. m. Where construction work occurs within common areas of an occupied residential or commercial building or a mixed-use building in use by on-site employees or residents, any separate work area must be sealed off from the rest of the common areas with physical barriers such as plastic sheeting or closed doors sealed with tape to the extent feasible. If possible, workers must access the work area from an alternative building entry/exit door to the building entry/exit door used by residents or other users of the building. Every effort must be taken to minimize contact between worker and building residents and users, including maintaining a minimum of six feet of social distancing at all times. EXHIBIT B-3 COMPENSATION COMPENSATION Payment for services to be performed in Fiscal Year 2020-21 From July 1, 2020 to June 30, 2021 shall be $17,000.00 per month for maintenance activities as described in Exhibit A, plus $100.00 per each soil sample and testing with a maximum Quantity of 12. Payment for services to be performed in Fiscal Year 2020-21 shall not exceed $205,200 as noted below. Item Unit Qty Unit Price Total Cost Blackberry Farm Month 12 $17,000.00 $204,000.00 Golf Course Maintenance Soil Sampling Collection Each 12 $100.00 $1200.00 TOTAL FEE for services, Fiscal Year 2020-21, Not to Exceed: $205,200.00 Ple as e fold a nd tea r here Policy Number: 191 4357-D04-05J Prepared January 22, 2020 Page number 1 of 5 1004583 143562 202 01-15-2018 AT2 State Farm Mutual Automobile Insurance Company PO Box 853922 Richardson, TX 75085-3922 A-0264 A BASILE, MICHAEL DBA PROFESSIONAL TURF MGT 1310 SADDLE RACK ST APT 302 SAN JOSE CA 95126-5105 AUTO RENEWAL AMOUNT DUE: $517.17 Payment is due by April 04, 2020 You r State Fa rm Ag en t JOSEPH FRANGIEH INS AGY INC Office: 408-793-8303 Add ress: 120 W CAMPBELL AVE STE A CAMPBELL, CA 95008-1044 If you have a new or different car, have added any drivers, or have moved, please contact your agent. Th an k you for cho os ing State Fa rm. Policy Number: 191 4357-D04-05J Policy Period: April 4, 2020 to October 4, 2020 Ve hic le: 2013 FORD EDGE Prin cip al Driv er: MICHAEL BASILE CONVENIENT PAYMENT OPTION: You may use one of State Farm’s alternate payment plans which divides your present premium into two separate payments. You may pay one half of the amount due, $258.58, plus a handling charge of $2.00. The amount due on APR 04 2020 will be $260.58. The remaining half will be due on JUN 03 2020. We’ll send you a reminder notice. When you provide a check as payment, you authorize us either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution. Insured: BASILE, MICHAEL Policy Number: 191 4357-D04-05J Amount Due: $517.17 Please pay by April 04, 2020 Make payment to State Farm For Offic e Us e Only AUTO REN $517.17 0426 3-A3 A 0264-FB0C APP DT 05-14-2020 MUTL VOL 10026058 359009500051717 805200191435711102> 0209004267 State Farm Insurance Companies P.O. Box 680001 Dallas, TX 75368-0001 Power To Pay You r Way Online statefarm.com/pay Mobile Use the State Farm m obile app Call Automated Line: 1-800-440-0998 Your agent: 408-793-8303 Mail Send us a check Visit your State Farm agent Key code: 1682102759 Policy Number: 191 4357-D04-05J Prepared January 22, 2020 Page number 2 of 5 VEH IC LE IN F OR MAT ION Re vie w yo ur p olic y in form atio n care fully . If an yth ing is incorre ct, or if there are an y cha ng es to you r ve hicle info rma tio n, pleas e let us kno w rig ht away. Vehicle Descri ption Veh icl e Iden tificatio n Nu mber (VIN)Who principally drives this vehicle?How is this vehicle normally used ? 2013 FORD EDGE 2FMDK3JC1DBA83377 MICHAEL BASILE, a divorced individual, who will have 41 years of driving experience as of April 04, 2020. Business. Oth er Ho us eh old Veh icle (s) Yo ur premiu m may be influ en ce d by othe r State Fa rm policies that curre ntl y ins ure the fol lowin g veh icle (s) in you r ho useh old: 2019 FORD F150 The premium on the expiring policy term was based on 15,900 miles per year. The premium on the renewal policy term was based on 15,900 miles per year. The premium for this renewal was determined using an annual mileage this vehicle is expected to be driven that was developed from information we obtained or was provided by you. Please contact us if you expect your annual mileage to change over the next year. Premium Adjustment Each year, we review our medical payments and personal injury protection coverages claim experience to determine the vehicle safety discount that is applied to each make and model. In addition, we review the comprehensive, collision, bodily injury and property damage claim experience annually to determine which makes and models have earned decreases or increases from State Farm’s standard rates. If any changes result from our reviews, adjustments are reflected in the rates shown on this renewal notice. We’ve taken the hassl e out of onl ine bill payment. Go to statefarm.com/pay to ma ke a payment. We’re here to help life go right with secu re, sim pler way to pay. As secu re as it is co nvenient. Policy Number: 191 4357-D04-05J Prepared January 22, 2020 Page number 3 of 5 D RI VE R IN FOR MAT I ON As sig ne d Driv er(s ) T he fol lowin g driver(s) are as sign ed to the veh icle (s) on this po licy. Name Driving Experience as of April 04, 2020 M arital Statu s MICHAEL BASILE 41 years Divorced Principal Driver & Assigned Drivers For each automobile, the Principal Driver is the individual who most frequently drives it. Each driver is designated as an Assigned Driver on the household automobile that they most frequently drive. Your premium may be influenced by the information shown for these drivers. C OV ER AG E AN D LIM ITS See your policy for an explanat ion of these coverages. A Liability 1,000,000 Bodily Injury & Property Damage $274.74 C Medical Payments 10,000 $14.06 D 250 Deductible Comprehensive $36.26 G 500 Deductible Collision $135.18 H Emergency Road Service $4.23 U Uninsured Motor Vehicle Bodily Injury 250,000/500,000 $50.05 U1 Uninsured Motor Vehicle Property Damage $2.65 Amount Due $517.17 If any coverage you carry is changed to give broader protection with no additional premium charge, we will give you the broader protection without issuing a new policy, starting on the date we adopt the broader protection. D IS CO UN T S These adjustments have already been applied to your premium. Discou nt Name Multiple Line P Multicar P Vehicle Safety P Driving Safety Record P California Good Driver P Loyalty P Total Discounts $2,076.36 Oth er Av aila ble Disc ou nt(s ) Yo u may be eligible for add ition al discou nts Se e the enclo se d insert for mo re info rma tio n. Mature Driver Please fold and tear here Policy Number: 273 4810-A07-05E Prepared April 24, 2020 Page number 1 of 5 1004583 143562 202 01-15-2018 AT2 State Farm Mutual Automobile Insurance Company PO Box 853919 Richardson, TX 75085-3919 A-0264 A BASILE, MICHAEL DBA PROFESSIONAL TURF MGT 1310 SADDLE RACK ST APT 302 SAN JOSE CA 95126-5105 AUTO RENEWAL AMOUNT DUE: $706.90 Payment is due by July 07, 2020 Your State Farm Agent JOSEPH FRANGIEH INS AGY INC Office: 408-793-8303 Address: 120 W CAMPBELL AVE STE A CAMPBELL, CA 95008-1044 Ifyouhaveanewordifferentcar,haveaddedanydrivers,orhavemoved, pleasecontactyouragent. Thank you for choosing State Farm. Policy Number: 273 4810-A07-05E Policy Period: July 7, 2020 to January 7, 2021 Vehicle: 2019 FORD F150 Principal Driver: MICHAEL BASILE CONVENIENT PAYMENT OPTION: You may use one of State Farm's alternate payment plans which divides your present premium into two separate payments. You may pay one half of the amount due, $353.45, plus a handling charge of $2.00. The amount due on JUL 07 2020 will be $355.45. The remaining half will be due on SEP 05 2020. We'll send you a reminder notice. Your auto insurance rates are impacted by the mileage your vehicle is driven. To ensure we've priced our insurance coverage accurately based on the number of miles you drive, we obtained valid mileage information for this vehicle through a third party provider and/or from you. Annual mileage was determined using this data and applied. Please contact your State Farm agent with questions within 30 days of your policy's renewal date. continued on next page ) Insured: BASILE, MICHAEL Policy Number: 273 4810-A07-05E Amount Due: $706.90 Please pay by July 07, 2020 Make payment to State Farm For Office Use Only AUTO REN $706.90 0729 3-A3 A 0264-FB0C APP DT 08-16-2020 MUTL VOL 40035545 059018900070690 905200273481011102> 0209007291 State Farm InsuranceCompaniesP.O. Box680001Dallas, TX 75368-0001 Power To Pay Your Way Online statefarm.com/pay Mobile Use the State Farm mobile app Call Automated Line: 1-800-440-0998 Your agent: 408-793-8303 Mail Send us a check Visit your State Farm agent Key code: 1684007625 Policy Number: 273 4810-A07-05E Prepared April 24, 2020 Page number 2 of 5 When you provide a check as payment, you authorize us either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution. VEHICLE INFORMATION Review your policy information carefully.If anything is incorrect, or if there are any changes to your vehicle information, please let us know right away. Vehicle Description Vehicle Identification Number (VIN) Who principally drives this vehicle? How is this vehicle normally used? 2019 FORD F150 1FTEW1C43KKD28593 MICHAEL BASILE, a divorced individual, who will have 41 years of driving experience as of July 07, 2020. To Work, School or Pleasure. Other Household Vehicle(s) Your premium may be influenced by other State Farm policies that currently insure the following vehicle(s) in your household: 2013 FORD EDGE The premium on the expiring policy term was based on 10,600 miles per year. The premium on the renewal policy term was based on 14,100 miles per year. The premium for this renewal was determined using an annual mileage this vehicle is expected to be driven that was developed from information we obtained or was provided by you. The national average is more than 12,000 miles driven annually according to the U.S. Department of Transportation. Please contact us if you expect your annual mileage to change over the next year. continued on next page) We've taken the hassle out of online bill payment. Go to statefarm.com/pay to make a payment. We're here to help life go right with secure, simpler way to pay. As secure as it is convenient. Policy Number: 273 4810-A07-05E Prepared April 24, 2020 Page number 3 of 5 VEHICLE INFORMATION continued Premium Adjustment Each year, we review our medical payments and personal injury protection coverages claim experience to determine the vehicle safety discount that is applied to each make and model. In addition, we review the comprehensive, collision, bodily injury and property damage claim experience annually to determine which makes and models have earned decreases or increases from State Farm's standard rates. If any changes result from our reviews, adjustments are reflected in the rates shown on this renewal notice. DRIVER INFORMATION Principal Driver & Assigned Drivers For each automobile, the Principal Driver is the individual who most frequently drives it. Each driver is designated as an Assigned Driver on the household automobile that they most frequently drive. Your premium may be influenced by the information shown for these drivers. COVERAGE AND LIMITS See your policy for an explanation of these coverages. A Liability Bodily Injury 1,000,000/1,000,000 Property Damage 1,000,000 $287.14 C Medical Payments 10,000 $16.22 D 250 Deductible Comprehensive $81.43 G 500 Deductible Collision $263.82 H Emergency Road Service $4.23 U Uninsured Motor Vehicle Bodily Injury 250,000/500,000 $51.34 U1 Uninsured Motor Vehicle Property Damage $2.72 Amount Due $706.90 If any coverage you carry is changed to give broader protection with no additional premium charge, we will give you the broader protection without issuing a new policy, starting on the date we adopt the broader protection. DISCOUNTS These adjustments have already been applied to your premium. Multiple Line P Multicar P Vehicle Safety P Driving Safety Record P California Good Driver P Loyalty P Total Discounts $2,786.98 PTM 5th Amendment to Agreement for BBF Golf Course Maintenance Final Audit Report 2020-06-22 Created:2020-06-09 By:Kevin Khuu (KevinK@cupertino.org) Status:Signed Transaction ID:CBJCHBCAABAAsnfNTyYRwE3RKYo0yM5uXpTo6wR2BTmJ PTM 5th Amendment to Agreement for BBF Golf Course Mainte nance" History Document created by Kevin Khuu (KevinK@cupertino.org) 2020-06-09 - 9:53:06 PM GMT- IP address: 73.158.53.147 Document emailed to Araceli Alejandre (aracelia@cupertino.org) for approval 2020-06-09 - 9:57:28 PM GMT Document approved by Araceli Alejandre (aracelia@cupertino.org) Approval Date: 2020-06-11 - 2:49:35 PM GMT - Time Source: server- IP address: 24.23.184.82 Document emailed to m_basile@hotmail.com for signature 2020-06-11 - 2:49:39 PM GMT Kevin Khuu (KevinK@cupertino.org) replaced signer m_basile@hotmail.com with Michael Basile mike_basile@hotmail.com) 2020-06-12 - 1:45:36 PM GMT- IP address: 73.158.53.147 Document emailed to Michael Basile (mike_basile@hotmail.com) for signature 2020-06-12 - 1:45:36 PM GMT Email viewed by Michael Basile (mike_basile@hotmail.com) 2020-06-12 - 1:55:28 PM GMT- IP address: 174.194.194.170 Document e-signed by Michael Basile (mike_basile@hotmail.com) Signature Date: 2020-06-16 - 10:15:46 PM GMT - Time Source: server- IP address: 98.210.121.198 Document emailed to Heather M. Minner (minner@smwlaw.com) for signature 2020-06-16 - 10:15:47 PM GMT Email viewed by Heather M. Minner (minner@smwlaw.com) 2020-06-20 - 10:59:40 PM GMT- IP address: 45.41.142.183 Document e-signed by Heather M. Minner (minner@smwlaw.com) Signature Date: 2020-06-20 - 11:00:24 PM GMT - Time Source: server- IP address: 52.39.49.65 Document emailed to Deborah L. Feng (debf@cupertino.org) for signature 2020-06-20 - 11:00:26 PM GMT Email viewed by Deborah L. Feng (debf@cupertino.org) 2020-06-22 - 4:58:56 AM GMT- IP address: 104.47.44.254 Document e-signed by Deborah L. Feng (debf@cupertino.org) Signature Date: 2020-06-22 - 4:59:20 AM GMT - Time Source: server- IP address: 24.6.12.22 Document emailed to Kirsten Squarcia 6/22/20 (kirstens@cupertino.org) for signature 2020-06-22 - 4:59:23 AM GMT Email viewed by Kirsten Squarcia 6/22/20 (kirstens@cupertino.org) 2020-06-22 - 3:35:43 PM GMT- IP address: 104.47.45.254 Document e-signed by Kirsten Squarcia 6/22/20 (kirstens@cupertino.org) Signature Date: 2020-06-22 - 3:36:15 PM GMT - Time Source: server- IP address: 148.64.105.190 Signed document emailed to Araceli Alejandre (aracelia@cupertino.org), Kevin Khuu (KevinK@cupertino.org), Kirsten Squarcia 6/22/20 (kirstens@cupertino.org), Michael Basile (mike_basile@hotmail.com), and 4 more 2020-06-22 - 3:36:15 PM GMT FOURTH AMENDMENT TO AGREEMENT 15-206 BETWEEN THE CITY OF CUPERTINO AND PROFESSIONAL TURF MANAGEMENT FOR BLACKBERRY FARM GOLF COURSE MAINTENANCE This Fourth Amendment to Agreement 15-206 between the City of Cupertino and Professional Turf Management, for reference dated 5/16/2019, is by and between the CITY OF CUPERTINO, a municipal corporation (hereinafter "City") and Professional Turf Management, a California corporation ("Consultant") whose address is P.O. Box 700142, San Jose, CA 95170, and is made with reference to the following: RECITALS: A. On 12/3/2015, an agreement was entered into by and between City and Consultant (hereinafter "Agreement") for Contract Services for Blackberry Farm Golf Course Maintenance and soil sample collection and testing. The agreement will expire on 6/30/2016. B. On 7/1/2016, City and Consultant agreed to the First Amendment for Contract Services for Blackberry Farm Golf Course Maintenance and soil sample collection and testing. C. On 7/1/2017, City and Consultant agreed to the Second Amendment for Contract Services for Blackberry Farm Golf Course Maintenance and soil sample collection and testing. D. On 7/1/2018, City and Consultant agreed to the Third Amendment for Contract Services for Blackberry Farm Golf Course Maintenance and soil sample collection and testing. E. The Agreement and the First, Second, and Third Amendments are collectively referred to as the "Agreement" unless otherwise indicated. F. City and Consultant desire to modify the Agreement on the terms and conditions set forth herein. NOW, THEREFORE, it is mutually agreed by and between and undersigned parties as follows: 1. TERM Paragraph 1 of the Agreement is modified to read as follows: The contractor shall continue work through June 30, 2020, and shall diligently prosecute the work. This Agreement may be renewed annually for additional one- year terms commencing July 1, 2020, at the City's sole discretion and subject to appropriation, for up to one (1) additional one-year terms. The term of the Agreement shall terminate on June 30, 2020, unless terminated earlier as set for herein. 2. COMPENSATION TO CONTRACTOR Paragraph 3 of the Agreement is modified to read as follows: Contractor shall be compensated for services performed pursuant to this Agreement in the amount and manner set forth in Contractor's bid, which is attached hereto as Exhibit "13-2" and incorporated herein by reference. 3. The following Exhibits to the Agreement, are amended and replaced to read as shown in the attachments to this Amendment: a. Exhibit B-2 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. CONSULTANT CITY OF CUPERTINO 1V By BY C-'- Title Title I RECOMMENDED FOR APPROVAL APPROVED AS TO FORM By Title A tl -.1A t? City Attorney" ATTEST: City Clerk EXPENDITURE DISTRIBUTION PO #2016-398 560-63-616 700-702 Original 99,600.00 Amendment #1: 205,200.00 Amendment #2: 205,200.00 Amendment #3: 205,200.00 Amendment #4: 205,200.00 Total: 920,400.00 EXHIBIT B-2 COMPENSATION COMPENSATION Payment for services to be performed in Fiscal Year 2019-20 From July 1, 2019 to June 30, 2020 shall be $17,000.00 per month for maintenance activities as described in Exhibit A, plus $100.00 per each soil sample and testing with a maximum Quantity of 12. Payment for services to be performed in Fiscal Year 2019-20 shall not exceed $205,200 as noted below. Item Unit Qty Unit Price Total Cost Blackberry Farm Month 12 $17,000.00 204,000.00 Golf Course Maintenance Soil Sampling Collection Each 12 100.00 1200.00 TOTAL FEE for services, Fiscal Year 2019-20, Not to Exceed; 205,200.00 rly 7y— CERTIFICATE BILIOFLIATY INSURANCE 05/06/19 THIS CERTIFICATE IS ISSUED AS A MA"FrER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDtwR, TIft CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EX'rEND OR ALTER THE COVERAGE AFFORDED BY TFW, POLICIES BELOW" THIS CER11MCATE OF INMJRANCK:I DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING Ro1SURER(8), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND 111E CERTIFICATE F-10"DEM @R05RTANT If tho cortifleako Wder Is a"ADMTIONAL.INSUREE Ut FS LT 5 16 7"FA Wil 7ft;T. the terms and rondftlons of 0w pWIey,Carta in polickra may requIro an endorsement A statownent cm Ws ear0ficate does nat confer rlWibi to the warPRODLICER N VOLPATTI INSURANCE SERVICES INC PHONE 92r)243-0133 VA-9-------------......11MLN2)S.225)243-0132511LeisureStreetADr)RESfi,:.R.'ick@"%rolp,a"t'ti.com Livermore, CA 94553, LINSURM(S) AFFORDFNG COYCRAOU. NAWN W.cense#:OE40809 INSURERA:Saotts dal e Insurance Co Professional Turf Management, Inc, I SUREREj:Scottsdale Insurance Company INSURERC:Technology Insurance C'ompany PO Box 700142 Cry.TijfCa_,r_._n1_a" Capital 'Ensurance Company, San Jose, CA 95170 WSURER E: INSURER F: OV I-FIS 1`67LWARTWICATENUMBER: REVISION NUMBER: TIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED To'rHE WWRIED, NAMED ABOVE FOR THE POLICY PEMOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 0111ER DOCOMEN'r WITH RESPEari,o WHICH THIS CEIRTIFICATE MAY BE ISSUED OR WkY PERTAIN, THE INSURANCE AFFORDED BY 'THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF'SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TrAFL.Lr,INSURANCE POLICY N LIMITS m. vwv GENERAL 1JA8ILITY 11___ EACH OCCURRENCE X COMMERCIAL GENERAL LIABILHI( CLAIMS-AIADE OCCUR MED a person) 5,000 A CPS2971848 04/01/2019 04/01/2020 PERSONAL,A ADV INJURY 1. 000,000 y IAEL 0 0 0,0 0 0 GERL AGGREGATr LIMIT APPLIES FIER: P.R(DUCTS-COMPIOP A(a, 0 L f--h OPP— ny I 0C AUTOMOBILE LIABILITY ANYAUTO DODILY INJURY(Per peroon) $ ALL"OWNED SCHEDULED AUTOS AUTOSNON-OWNED DA k: MIRED AUT08 AUT0$JEA jt UMBRELLA [JAH OCCUR 04/01/2019 04/01/2020 B RF EXCE88 LIAO CIAIMS-MADE XBS0107007 AGGREGNT E 3p. 000 000 1) NTION$ WORI 1_Wd3 1Arkj.-' D11' DRY LIM1111117,AND EMPLOYERVIJAWLIW Y/N ANY PRCVRtrrT()RIPPJTrNERA XECtn'tVE C OFFIMIMENSER EXCLU 1--y I NIA y TWC3784198 04/01/19 04/01/20N") DIf EES_1LkLS±. L)Y 0 Ifv29,descrIlLm under IL E.J-DISEASE-POLICY 1.J.L Conmercial Inland Contractors Equip. D Marine 3-MIA-1-026769 6/23/20-1.8 6/23/201.9 $224,082 Deductible $500 AHZ;FaF(;M,77o_i, SPU-W 19 rflqUlmd) The Ci-by of Cupertino, its directors, officers, agents, con,sul,taxi ts and employees are nameIj as additional insured in regard to General Linshility and. Primary/ on-Contxibu toxjr wording, is attached to this poliqy. Waiver of Stair, ogation in rec ard to workers compensation Jm favor of C.ity of Cupertino The issuing insuirer wJ11 endeavor to mail 30 days written notice of canrmllation, CERTIFICATE HOI.DER CANCELJ_KTION SHOULD ANY OF THE AKWE DIR"SCRIFLED POLICIES BE CANCELLED BEFORE City of Cupertino THE F"XNRfi,7'I0N DATE rHEREOF, NOrBGE WILL BE DELIVERED IN 10300 Torre Avenue ACCORDANCE WITH THE POLMY PROVISIONS. C11perdt I= CA 95014 ALII14ORWED REPRESENrAI'VE @ 198iRb i—ts r e"—se n—m(J, ACORD25(2010/06) The ACORD v,mme atid bgo are registered I,narks of ACORD ENDORSEMEN'r a.*...n._.__....m_. v_............._w_........ ._._.,._.__.__..,__.._.__.._... ts ra IIu tFa:..._ .. v___.w__....._..a.....____.°..._. .W,..._ rac:a__,.,_ __ n I°r ¢'w&Va rJ T,0 AND r dR a7F4 ICWHL°N I"G:6^G,'F9V E DA,rE C`'a S2971.848 04/01/2019 1:Fr.Cmrl°r:?,°i a:rwe.1 'tal" ':[°CJ1.t+ tw ANA('1rd1"r,1,r INC., Cr t0A w. 6rmS ENDORSEIVIENTCHANGES THE pOUC Y.Fit„tofu k L-.``fit VT CA EFL9&..i Y, BLANKET ADDITIONAL INSURED ENDORSEMENT this endorsement raacadifres.a insurance provided Under the following: COMMERCIAL GENERAL LIAB11.17Y COVERAGE PART' With resj.,m;t to this endorsement, SECTION it - WHO IS Al work, incipcling materials, psrts or eqUip- AN INSURED ls amended to lrWude as an addldonM in- meet furnished in rconnecalon wfth such wark, soured any person or organization whom you are required on the project: (other than service, rnaminte- to add as an additional ire tired on this policy Iuruder,aa writ- nonce or repairs)to be per"f r'rrasd by or on be, ten contract, written aaCgreernermt or written perrnit which ha f of the addltlonW in su..ured(s) at the location raar.ust be: of the covered calaeraatlorws has, beers corn- a,. C:urm".r'°atly In effect or becoming effective during pieteda or the terra of the poHc,y;aruc.l b. °C°laaat por°don caf° our work"crest of which the in. b. Executed prior to the"bodily inilur"ayo," x" propearty jury or d rnaagge arises has been pert to its in- tended use by any person orororganizationstaauamaucdel, or"personal sand advertising irgiaury.," rather than aanratl"aer contractor or Subcontractor The imsraar°r e provided to these additional insureds is line- engaged in performing operations Star as princk iced as follows;pawl as as part of the same prejecct. i ..I..haat person or organisation is an aadditicanW in- 3. "ffie llmlts of insurance applicable to the-additional srured only with respect to liability for "beadily inSUred rare those spec.i'lc d in tl°ae written contract, W¢°uiaury""property dsr°rmspe"or""personal and sdarer- written agreement or written permit or In the ecl,tam tgaringg injury"c°ca.ar~se*d"in whole or in part,by: rations for tl°ais poHc y,whiclmver is less, These Hrrl- a. of ins ra;recce are incckisuvice of",Brad net In additlon Your acts or,e:a alssicans or to, the Ur°aa6 s of Insurance shown in the Decclaara- b. The acts or or issbrm of those aaccfirap on your tlsaums for t1°a6s pcuiic:y" behalf, 4. Coverage t s not providec.N for"bodfly injury,""prep. person's or or" anizaatgora"s status as an audditior°raal erty darrlam e," or"personal and aadvc,-ttisintg injury" insured [under this endorsement ends when arising out of the scale negligence of the additional yeaeur operations for that addidonai insured are insured. completed, sae insurance provided to the aaddi'honaal lrauserred 2. With respect to the insurance afforded to these ad- asses not applyilaYl" to ""beadily inia.ury," "property darer.,, ditionaal insureds, the following exclusions are age," or "personal and advertising injcury" aarisirag added to itern 2. Exclusions of SECTION l -mart of an architects, engineers or surveyor's rc-ties.. COVERAGES;"t'r derinrd of or fa"allmure to render any professional sear"^i Mi s irmsaur"aanceu does rot apply to 'bofflly lraieury" ie°wes incalrsdlntg. U fro e,t:ydan"ia e" or"personal and advertising l"i° iIrra occc':aurr'n g after: rredudes copyrighted m tr°dzd of ISO Properties,Inc—Wth b r.man sslr°n. e:r"r r'Io,A,60 PropeuVes,Inc.„700r GI.s°150s(7.06) Page"I of 2 CNSCT.rt,ED a. The preparing,.approving or failing to prepare or approve maps, shop drawings,opinions, re- ance be primary, ports, surveys, field onjas, change orders or dra*Osand spac cadonqand nvu ty under SECTION I - COVERAGES to defend b. Supervisory, inspection, architectural orongi- ~ additional insured against any"suk"if any otherh+ neehngoctivihes. suner has o duty to defend the additional insued against that "suit," |f no other insurer defends,e6. Any coverage provided hereunder will be excess will undertake to do so' bu mavvi|| be entitled tooveranyothervalidandco||ecdb!e susnceavail- the additional insumd's rightsagoins aUthooeo h Y able to the additional insured whether primary, ex- cess, contingent oror on any other basis unless m AUTHORIZED REPRESENTATIVE DATE Includes copyrighted material ur ISO Properties,mc,with Its permission. Copyright,ISO Properties,mc..z004 oLs-1os(7-0e) Page 2«ra dP' CPS2971848 COMMERCIAL GENERAL.LIABILITY CG 20 01 0413 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 Condi- 2) You have agreed in writing in a contract or tion and supersedes any provision to the contrary: agreement that this insurance would be pri- Primary And Noncontributory Insurance mary and would not seek contribution from any other insurance available to the additional This insurance is primary to and will not seek con-insured. tribution 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 CG 20 01 0413 Copyright, Insurance Services Office, Inc„2012 Page 1 of 1 INSURED WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 O6 Ed.04-84) WAIVER Of OUR RIGHT To RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA We have the right To recover our payments from anyone liable For an injury covered by this policy,We will Not enforce our right against the person Or organization named In the Schedule. (This agreement applies only To the extent that you perform work under a written contract that requires you To obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration Of your employees While engaged In the work described In the Schedule. The additional premium For this endorsement shall be 5%Of the California workers'compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description City of Cupertino 10300 Torre Avenue Cupertino, CA Specific Waiver per written contract 95014 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 pelicy.) Endorsement Effective 4I1/2019 Policy No. TWC3784198 Endorsement No, 4 insured Professlonal Turf Management,Inc.(A Corp) Premium$ 8,851 Insurance Company Technology Insurance Company,Inc. Countersigned by— WC 04 03 06 Ed.04-84) i I I ACCAR" VEHICLE OR EQUIPMENT CERTIFICATE ®F INSURANCE DATE(MM/DD/YYYY) 05/10/2019 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. This form is used to report coverages provided to a single specific vehicle or equipment.Do not use this form to report liability coverage provided to multiple vehicles under a single policy.Use ACORD 25 for that purpose. PRODUCER CONTACT NAME; CHRIS LEE HONE All StateF rm JOE FRANGIEH STATE FARM AGENT P FAXA/C No Ext: 408-793-8303 A/c No: 408-793-8304 120 W CAMPBELL AVE STE A ADDRESS: CHRISTOPHER.LEE.PHOQ@STATEFARM.COM CAMPBELL,CA 95008 PRODUCER CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: State Farm Mutual Automobile Insurance Company 25178 BASILE,MICHAEL DBA PROFESSIONAL TURF MGT INSURER B 1310 SADDLE RACK ST APT 302 INSURER C SAN JOSE CA 95126-5105 INSURER D: INSURER E: DESCRIPTION OF VEHICLE OR EQUIPMENT YEAR MAKE/MANUFACTURER MODEL BODY TYPE VEHICLE IDENTIFICATION NUMBER 2019 FORD E350 F150 1FDSE35L35HB47643 DESCRIPTION SERIAL NUMBER COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICY(IES)OF INSURANCE LISTED BELOW HAS/HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD(S)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 POLICY(IES)DESCRIBED HEREIN IS/ARE SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICY(IES). INSR ADD•L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) LIMITS X VEHICLE LIABILITY COMBINED SINGLE LIMIT $ Y 273 4810-A07-05E 01/07/2019 07/07/2019 BODILY INJURY(Per person) $ 1,000,000 BODILY INJURY(Per accident) $ 1,000,000 PROPERTY DAMAGE 1,000,000 GENERAL LIABILITY EACH OCCURENCE OCCURRENCE GENERAL AGGREGATE $ CLAIMS MADE INSR LOSS POLICY EFFECTIVE POLICY EXPIRATION LTR PAYEE TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YYYY) DATE(MMIDD/YYYY) LIMITS I DEDUCTIBLE X VEH COLLISION LOSS ACV AGREED AMT $ LIMIT STATED AMT $250 DED X VEH COMP VEH OTC ACV AGREED AMT $ LIMIT STATED AMT $500 DED PROPERTY ACV AGREED AMT BASIC H BROAD RC STATED AMT $ LIMIT SPECIAL DED REMARKS(INCLUDING SPECIAL CONDITIONS I OTHER COVERAGES)(Attach ACORD 101,Additional Remarks Schedule,if more space is required) ALL CALIFORNIA OPERATIONS ADDITIONAL INTEREST CANCELLATION Select one of the following: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED X The additional interest described below has been added to the policy(ies)listed herein by policy number(s).BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE A request has been submitted to add the additional interest described below to the policy(ies) DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.I listed herein by policynumbers. VEHICLE/EQUIPMENT INTEREST: LEASED FINANCED DESCRIPTION OF THE ADDITIONAL INTEREST NAME AND ADDRESS OF ADDITIONAL INTEREST X ADDITIONAL INSURED LOSS PAYEE BLACKBERRY FARM GOLF COURSE LENDER'S LOSS PAYEE PRIMARY WORDING APPLIES 22100 STEVENS CREEK BLVD LOAN I LEASE NUMBER CUPERTINO CA 95014-1037 AUTHORIZED REPPRgEpS E yREPRESENTCHIZISTATIVEEE @ 1997-2010 ACORD CORPORATION.All rights reserved. ACORD 23(2010/05) The ACORD name and logo are registered marks of ACORD 1004361 142987.2 01-28-2013 Ac"Ra VEHICLE OR EQUIPMENT CERTIFICATE OF INSURANCE DATE(MM/DD/YYYY) 05/10/2019 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. This form is used to report coverages provided to a single specific vehicle or equipment.Do not use this form to report liability coverage provided to multiple vehicles under a single policy.Use ACORD 25 for that purpose. PRODUCER CONTACT NAME; CHRIS LEE tateF f"n JOE FRANGIEH STATE FARM AGENT a No EXt: 408 793-8303 qAX No): 408-793-8304 120 W CAMPBELL AVE STE A E-MAIL t4,',„ ADDRESS: CHRISTOPHER.LEE.PHOQ@STATEFARM.COM CAMPBELL,CA 95008 PRODUCERCUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: State Farm Mutual Automobile Insurance Company 25178 BASILE,MICHAEL DBA PROFESSIONAL TURF MGT INSURER B: 1310 SADDLE RACK ST APT 302 INSURER C: SAN JOSE CA 95126-5105 INSURER D: INSURER E: DESCRIPTION OF VEHICLE OR EQUIPMENT YEAR MAKE/MANUFACTURER MODEL BODY TYPE VEHICLE IDENTIFICATION NUMBER 2013 FORD T 350 EDGE 2FMDK3JC1DBA83377 DESCRIPTION SERIAL NUMBER COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICY(IES)OF INSURANCE LISTED BELOW HAS/HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD(S)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 POLICY(IES)DESCRIBED HEREIN IS/ARE SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICY(IES). INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) LIMITS X VEHICLE LIABILITY COMBINED SINGLE LIMIT $ 1000000 Y 191 4357-D04-05J 04/04l2019 10/04/2019 BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ PROPERTY DAMAGE GENERAL LIABILITY EACH OCCURENCE OCCURRENCE GENERAL AGGREGATE $ CLAIMS MADE INSR LOSS POLICY EFFECTIVE POLICY EXPIRATION LTR PAYEE TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) LIMITS/DEDUCTIBLE X VEH COLLISION LOSS 0 ACV AGREED AMT $ LIMIT STATED AMT $250 DED X VEH COMP VEH OTC 0 ACV AGREED AMT $ LIMIT STATED AMT $500 DED PROPERTY ACV AGREED AMT BASIC R BROAD RC STATED AMT $ LIMIT SPECIAL DED REMARKS(INCLUDING SPECIAL CONDITIONS/OTHER COVERAGES)(Attach ACORD 101,Additional Remarks Schedule,if more space is required) ALL CALIFORNIA OPERATIONS ADDITIONAL INTEREST CANCELLATION Select one of the following: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED X The additional interest described below has been added to the policy(ies)listed herein by policy number(s).BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE A request has been submitted to add the additional interest described below to the policy(es) DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.I listed herein by policynumbers. VEHICLE/EQUIPMENT INTEREST: LEASED FINANCED DESCRIPTION OF THE ADDITIONAL INTEREST NAME AND ADDRESS OF ADDITIONAL INTEREST X ADDITIONAL INSURED LOSS PAYEE BLACKBERRY FARM GOLF COURSE LENDER'S LOSS PAYEE PRIMARY WORDING APPLIES 22100 STEVENS CREEK BLVD LOAN/LEASE NUMBER CUPERTINO CA 95014-1037 AUTHORIZED REPRESENTATIVE HRIST HER,, LEA" @ 1997-2010 ACORD CORPORATION.All rights reserved. ACORD 23(2010/05) The ACORD name and logo are registered marks of ACORD 1004361 142987.2 01-28-2013 THIRD AMENDMENT TO AGREEMENT 15-206 BETWEEN THE CITY OF CUPERTINO AND PROFESSIONAL TURF MANAGEMENT FOR BLACKBERRY FARM GOLF COURSE MAINTENANCE This Third Amendment to Agreement 15-206 between the City of Cupertino and Professional Turf Management, for reference dated April 17, 2018, is by and between the CITY OF CUPERTINO, a municipal corporation(hereinafter "City") and Professional Turf Management, a California corporation("Consultant") whose address is P.O. Box 700142, San Jose, Ca., 95170, and is made with reference to the following: RECITALS: A. On December 3, 2015, an agreement was entered into by and between City and Consultant(hereinafter "Agreement") for Contract Services for Blackberry Farm Golf Course Maintenance and soil sample collection and testing. The agreement will expire on 6/30/2016. B. On July 1, 2016, City and Consultant agreed to the First Amendment for Contract Services for Blackberry Fann Golf Course Maintenance and soil sample collection and testing. C. On July 1, 2017, City and Consultant agreed to the Second Amendment for Contract Services for Blackberry Farm Golf Course Maintenance and soil sample collection and testing. D. The Agreement and the First and Second Amendments are collectively referred to as the "Agreement"unless otherwise indicated. E. City and Consultant desire to modify the Agreement on the teens and conditions set forth herein. NOW, THEREFORE, it is mutually agreed by and between and undersigned parties as follows: 1. TERM Paragraph I (Section 1) of the Agreement is modified to read as follows: The Consultant shall continue work through June 30, 2019, and shall diligently prosecute the work. This Agreement may be renewed arnivally for additional one-year teens commencing July 1, 2019, at the City's sole discretion and subject to appropriation, for up to two (2) additional one-year teens. The term of this Agreement shall terminate on June 30, 2019, unless terminated earlier as set for herein. 2. COMPENSATION Paragraph 2 (Section 2) of the Agreement is modified to read as follows: Consultant shall be compensated for services performed pursuant to this Agreement in the arnount and manner set forth in Consultant's bid, which is attached hereto as Exhibit B-3 and incorporated herein by reference. 3. The following Exhibits to the Agreement, are amended and replaced to read as shown in the attachments to this Amendment: a. Exhibit B and Exhibit B-2 b. Insurance requirements are updated as provided in the attached documents, Exhibit C. 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. CONSULTAN CI OF PERTINO By By Title (9 m--e v- Title RECOMMENDED FOR APPROVAL AP VED AS T RM By Title City Attorney ATTEST: City Clerk EXPENDITURE DISTRIBUTION PO #2016-398 560-63-616-700-702 Original Contract: $99,600.00 560-63-616-700-702 Amendment#1: $205,200.00 560-63-616-700-702 Amendment#2: $205,200.00 560-63-616-700-702 Amendment#3: $205,200.00 560-63-616-700-702 Total: 715,200.00 EXHIBIT B-2 COMPENSATION COMPENSATION Payment for services to be performed in Fiscal Year 2018-19 from July 1, 2018 to June 30, 2019 shall be $17,000.00 per month for maintenance activities as described in Exhibit A,plus$100.00 per each soil sample and testing with a maximum quantity of 12. Payment for services to be performed in Fiscal Year 2018-19 shall not exceed$205,200.00 as noted below. Item Unit Qty Unit Price Total Cost Blackberry Farm Golf month 12 $17,000.00 204,000.00 Course Maintenance Soil Sampling Collection each 12 100.00 1,200.00 TOTAL FEE for services, Fiscal Year 2018-19,Not to Exceed: 205,200.00 nature, arising out of, pertaining to, or related to the performance of this Agreement by Contractor or Contractor's employees, officers, officials, agents or independent contractors. Contractor shall not be obligated under this Agreement to indemnify City to the extent that the damage is caused by the sole or active negligence or willful misconduct of City,its agents or employees. Such costs and expenses shall include reasonable attorneys' fees of counsel of City's choice, expert fees and all other costs and fees of litigation. Contractor agrees to obtain executed indemnity agreements with provisions identical to those set forth here in these sections horn 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. If Contractor fails to obtain such indemnity obligations from others as required here, Contractor agrees to be fully responsible according to the terms of this section. 10. INSURANCE: On or before the commencement of the terms of this Agreement, Contractor shall furnish City with certificates showing the type, amount, class of operations covered, effective dates and dates of expiration of insurance coverage in compliance with paragraph 10A; B, C and D. Such certificates, which do not limit Contractor's indemnification, shall also contain substantially the following statement: "Should any of the above insurance covered by this certificate be canceled or coverage reduced before the expiration date thereof, the insurer affording coverage shall provide thirty (30) days' advance written notice to the City of Cupertino by certified mail, "Attention.: City Manager."It is agreed that Contractor shall maintain in force at all times during the performance of this Agreement all appropriate coverage of insurance required by this Agreement with an insurance company that is acceptable to City and licensed to do insurance business in the State of California. Endorsements naming the City as additional insured shall be submitted with the insurance certificates. Contractor to complete the attached Document 00530 Insurance Fortes, A. COVERAGE: Contractor shall maintain the following insurance coverage: 1) Workers'Compensation: St-atutory coverage as required by the State of California;Employers'Liability 1,000,000 per occurrence 2) General.Liabifity: Commercial general liability coverage in the following minimum limits: Bodily' jury: 500,000 z j/i j a ad-L rrence Pnil i D)- all.other Property Dames occuurenceaggregate If subnlitt combined su1g1 .1' vt of$1,000,000 occurrence; 000 in the a negate iIl be ssidered quivale 1- o fhe re wired a nim M is sho vn above. Contractor Ag'eement Page 3 of 17 Blackberry Farm Golf Course Maintenmee 2016 i 3)Automotive: Comprehensive automobile liability coverage in the Gfollowingminunumlimits: o"9odiLy , $, 50,0 Q each ocenrrP Pa:oiae t-D.arx a.g--$59(,09©-eaeli-eecrarrerti' TT-- Combined Single Limit: $1,000,000 each occurrence B. SUBROGATION WAIVER: Contractor agrees that in the event of loss due to any of the perils for which it has agreed to provide comprehensive general and automotive liability insurance, Contractor shall look solely toitsinsuranceforrecovery. Contractor hereby grants to City, on behalf of any insurer providing comprehensive general and automotive liability insurance to either Contractor or City with respect to the services of Contractor herein,a waiver of any right to subrogation which any such insurer of said Contractor may acquire against City by virtue of the 'payment of any loss under suchinsurance. C. )FAILURE TO SECURE: If Contractor at any time during the term hereof should fail to secure or maintain the foregoing insurance, City shall be permitted to obtain such insurance in the Contractor's name or as an agent of the Contractor and shall be compensated by the Contractor for the costs of the insurance premiums at the maximum rate permitted by law and computed from the date written notice is received that the premiums have not been paid. D. ADDITIONAL INSURED: City,its City Council,boards and commissions, officers, employees, and volunteers'shall be named as an additional insured tinder all insurance coverages, except worker's compensation insurance, The naming of an additional insured shall riot affect any recovery to which such additional insured would be entitled under this policy if not named as such additional insured. An additional insured named herein shall not be held liable for any premium, deductible portion of any loss,or expense of any nature on this policy or any extension thereof. Any other insurance held by an additional insured shall not be required to contribute,anytHri- toward any loss or expense covered by the insurance provided by this policy, E. SUFFICIENCY OF INSURANCE: The insurance limits required by City are not represented as being sufficient to protect Contractor. Contractor is advised to consult Contractor's insurance broker to determine adequate coverage for Contractor. 1:1. BONDS: Not applicable. Contractor Agreement Page 4 of 17 Blackberry Farm Golf Course Maintenance 2016 DATE(MM/DDIYYYY)ACORU CERTIFICATE OF LIABILITY INSURANCE 05/08/18 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must 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 VOLPATTI INSURANCE SERVICES INC PHONE FAX 511 Leisure Street EMAIL EXt: (925)243-0131 Arc Ne:(925)243-0132 Livermore, CA 94551 ADDRESS:rick@volpatti.com INSURER(a)AFFORDING COVERAGE NAIL# License#: OE40809 INSURER A:Scottsdale Insurance Com any 41297 INSURED professional Turf Management, Inc.. INSURER B:Technology Insurance Company, Inc. 42376 INSURER C:California Capital Insurance Company 13544 PO Box 700142 INSURER D: San Jose, CA 95170 INSURERE: INSURER 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 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. Te TYPE OF INSURANCE ADDL su R P IC FF E P INSR WVD POLICY NUMBER MW/DD MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2 OOO 0OO X COMMERCIAL GENERAL LIABILITY ILD PREMISESEe c ccurranco $ 100,000 CLAIMS-MADE I -"I OCCUR MED EXP(Any one person) $ 5,000 A CPS2807423 04/01/2018 04/01/2019 PERSONAL&ADVINJURY $ 2,000,000 y GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 1 POLICY X j O- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY D G HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION$ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN X TO Y LI ITS ER ANY PROPRIETORIPARTNER/EXECUTIVE TKC 37 0 94 0 9 E.L.EACH ACCIDENT $ 1,000,000BOFFICER/MEMBER EXCLUDED? NIA X 04/01/1B 04/01/19MandataryInNH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes describe under DESG RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 Commercial Inland Contractors Equip. C Marine 3-MIA-1-026769 6/23/2017 6/23/2018 $224,082 Deductible 500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) The City of Cupertino, its directors, officers, agents, consultants and employees are named as additional insured in regard to General Liability and Primary/Non--Contributory wording is attached to this policy. Waiver of Subrogation in regard to workers compensation in favor of City of Cupertino. The issuing insurer will endeavor to mail 30 days written notice of cancellation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Cupertino THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10300 Torre Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Cupertino, CA 95014 AUTHORIZED RE R ENTATIVE t ) 01988-2010 ACORD CORPORATION. All rights'reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD j StateFarm State Farm Mutual Automobile Insurance Company 53534-3-P MATCH 00148 MUTL VOL PRichar ,OBoxS853TX750853922 DECLARATIONS PAGE NAMED INSURED 00148 05-0264-3 P A POLICY NUMBER 191 4357-DO4-D5J 0 0 0 1 48 ooss POLICY PERIOD APR 06 2018 to OCT 04 2018 DBA PROFESSIONAL TURF MST BASILE, L 12:01 A.M.Standard Time 1310 SADDLE RACK ST APT 302 SAN JOSE CA 95126-5105 AGENT JOSEPH FRANGIEH INS AGY INC 120 W CAMPBELL AVE STE A CAMPBELL,CA 95008-1044 PHONE:(408)793-8303 DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. IF AN AMOUNT IS DUE,THEN A SEPARATE STATEMENT IS ENCLOSED. YOUR CAR YEAT3 1V1AKl=MODEL a:. BQDYSILE I EHICLEID T lUN1BF_fi CLASS y, - 2013 FORD EDGE SPORT WG 2FMDK3JC1 DBAS3377 603HCV1 H Limit-Each Accident C Medical Payments Coverage 19 42 10,000 G Collision Coverage $500 Deductible 191 68 e ioad.N: , U Uninsured Motor Vehicle Coverage 44 09 Each Person, Each Accident Ui Uninsured Motor Vehicle Property Damage Coverage 2.22 Replaced policy number 1914357-051. Your total renewal premium for APR 04 2018 to OCT 04 2018 is$631.20. F_XCEPTiL3NS FOLIC YBOtOKLET&..ENDORSEMENTS{See poi[oy T3ookTe#&in<TivaduaT endorseinentsTorcouerage de#axis,) 3 FOR80YNDSYSNRSNSLTAIAPPAGILUDGLOEOSSUERM 95B AANEDOEMETHTLY, NCINTHSII D TO YOU WIT ANY SI'IBSEQUENT RENEWAL NOTICE. CREDITOR- FORDADDIITIONAL INSUURED-CCITYNO PALOOALTO,7PD'BOXL10250 GA, PALLO ALTO CA 94303-0862. 02 6028BU ADDITIONAL INSURED-BLACKBERRY FARM GOLF COURSE, 22100 STEVENS. CREEK BLVD, CUPERTINO CA 95014-1037. 6126MD EXCESS COVERAGE FOR PERSONAL VEHICLE SHARING. 6128AC AMENDATORY ENDORSEMENT. 6289DW SINGLE LIMIT LIABILITY COVERAGE. Agent: JOSEPH FRANGIEH INS AGY INC Telephone: (408)793-8303 04139102086 See Reverse Side Prepared MAY 03 2018 0264-BOO 2002 (o1e025ic) 148XON (o11 e025W) o1e0254c) SWeFami State Farm Mutual Automobile Insurance Company 53485.3-P MATCH 00035 MUTL VOL kedA93Ba s l C 311 DECLARATIONS PAGE NAMED INSURED 00035 05-0264-3 P A POLICY NUMBER 273 4810-AO7.05D 000035 0058 BASI LE, MICHAEL POLICY PERIOD APR 06 2018 to JAN 07 2019 DBA PROFESSIONAL TURF MOT 12:01 A.M.Standard Time 1310 SADDLE RACK ST APT 302 SAN JOSE CA 95126-5105 AGENT JOSEPH FRANGIEH INS AGY INC 120 W CAMPBELL AVE STE A CAMPBELL,CA 95008-1044 PHONE:(408)793-8303 DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. IF AN AMOUNT IS DUE,THEN A SEPARATE STATEMENT IS ENCLOSED. YOUR CAR m,EAFt MAKT= `VIODE BODY TYLE_ iTEHiCLEli3 lUMBEFi = CLASS„ s 2012 FORD F150 PICKUP 1 FTFW1 CF70FB95742 303HCV1 H YlNBOT_S COVEi4GE€c LIMITS r` ` Q PI?EMIUIi+ISu Bodily Injury Limits r- ..Ad_._- 1=ah PEsbn, Each Accide>tt n- 1,D00 000 $1 OOD 000 r Each Accident C Medical Paymf e-nts Coverage 33 10 10,000 h G Collision Coverage $500 Deductible 383 95n emsmeTgency ::aarU Setaeouer. ge .x. : 6`3 . U Uninsured Motor Vehicle Coverage 78 49 y fly n)uEt=imLts Each Person Each Accident U1 Uninsured Motor Vehicle Property Damage Coverage 3 95 o#al reii um#ar ApFi.D&201 8n BAN 07 201'a _ 3 2I15 5$. Ttjs is nnf a bill Replaced policy number 2734810-05C. Your total renewal premium for JUL 07 2018 to JAN 07 2019 is$800,52. EXCEPTIONS,POLICY60t3Ki=_E&sENt ORSER1lENTS(See psitcy borltiet c(rtclivrdnaTa dorserrfents#ar coves a details YOUR POLICY CONSISTS OF THIS DECLARATIONS PAGE THE POLICY BOOKLETFOR9805BANDANYENDORSEMENTSTHATAPPLY, INCLUDING THOSE ISSUED TO YOUWITHANYSOBSEffNTRENEWALNOTICE. 6028BU ADDITIOINvAL INSURED-BLACKBERRY FARM GOLF COURSE, 22100 STEVENS CREEKBLVD, CUPERTINO CA 95014-1037. 6126MD EXCESS COVERAGE FOR PERSONAL VEHICLE SHARING. 6128AC AMENDATORY ENDORSEMENT. Agent: JOSEPH FRANGIEH INS AGY INC Telephone: (408)793-8303 0 068 1/0041 2 See Reverse Side Prepared MAY 03 2018 0264-BOC155-3866 CA.2 05-2002(o1e025fc) 0.0254) 14SXON (ote025te) I(evin Khuu From: Joseph Costamagna <jcostamagna@bickmore.net> Sent: Wednesday, June 13, 2018 4:12 PM To: Kevin Khuu Cc: Jenny Koverman Subject: Re: FW:Insurance Coverage Questions PTM Auto Actually I had not seen the insurance. This is a commercial policy with sufficient limits, and is acceptable. Thank you! Joe Costamagna, ARM Litigation Management Risk Control Services Bickmore 415.407.4157 cell Notes and suggestions contained in this communication are made by Bickmore staff for the propose of reconunending best risk management practices and enhancing the risk management decisions made by Bickmore clients and member agencies.NOTHING CONTAINED IN THIS EMAIL IS INTENDED TO BE,NOR SHOULD BE CONSTRUED AS,LEGAL ADVICE.Bickmore clients and member agencies are encouraged to seek appropriate counsel with legal professionals to address legal questions. On Wed, Jun 13, 2018 at 3:48 PM Kevin Khuu<KevinKkcupertino.org> wrote: Hi Joe, Just in case, have you seen the insurance in question?Jenny asked me to send it to you just in case. i The contractor is claiming that this is his commercial auto insurance and had highlighted the line that says"DBA Professional Turf Management". Would this work? Thank you. Regards, 1 ENDORSEMENT SCOTTSDALE INSURANCE COMPAA NO. ATTACH130 TO AND HNDORSEMkNT OPPECTIVa DATE PORMIN43 APART OP tY1toYA.M.ETANDARDTIME) NAMED INSURED AaBNTNo,POLICY NUMaER CPS2807423 04/01/2018 PROFESSIONAL TURF MWAGEMENx, INC. 040AO i THIS ENDORSEMENT CHANGES THE POLICY,PLEASE READ IT CAREFULLY, BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies Insurance provided under the following: COMMERCIAL.GENERAL LiA131LiTY COVERAGE PART With respect to this endorsement, SECTION II • WHO IS a. All work, including materials, parts or equip- AN INSURED Is amended to Include as an additional In- ment furnished in connection with such work, sured any person or organization whom you are required on the project (other than service, mainte- to add as an additional insured on this policy under a writ- nance or repairs)to be performed by or on be. ten contract, written agreement or written permit which half of the additional Insured(s) at the location must be: of the covered operations has been com- a. Currently In effector becoming effective during plated;or the term of the policy;and b, That portion of"your work"out of which the In- b. Executed prior to the"bodily Injury," "property jury or damage arises has been put to Its in- damage,"or"personal and advertising Injury," tended use by any person or organization other than another contractor or subcontractor The Insurance provided to these additional insureds is Ilm- engaged In performing operations for a princi- ited as follows; pal as a part of the same project. 1. That person or organization Is an additional In- 3. The limits of Insurance applicable to the additional sured only with respect to liability for "bodily insured are those specified In the written contract, Injury,""property damage"or"personal and adver- written agreement or written permit or in the Decla- tlsing injury"caused,in whole or in part,by:rations for this policy,whichever is less.These lim- Its of insurance are inclusive of,and not in addition a, Your acts or omissions;or to, the Limits of Insurance shown in the Declara- b, The acts or omissions of those acting on your dons for this policy, behalf. 4, Coverage Is not provided for"bodily injury,""prop- A person's or organization's status as an additional erty damage," or"personal and advertising Injury" insured under this endorsement ends when arising out of the sole negligence of the additional your operations for that addltlorial Insured are insured. completed. S. The Insurance provided to the additional Insured 2. With respect to the insurance afforded to these ad- does not apply to "bodily injury," "property dam- ditlonal Insureds, the following exclusions are age," or "personal and advertising Injury" arising added to item 2. Exclusions of SECTION I out of an architect`s, engineer's or surveyor's ren. COVERAGES: during of or failure to render any professional serv- This Insurance does not apply to "bodily Injury," ices Including: property damage"or"personal and advertising In- jury"occurring after; Includes copyrighted material of ISO Properties,Inc„with its permission, Copyright,iSO Propertles,Inc,,200 GhS-1 SOS(7-06) Page 1 of 2 X.GENT a. The preparing, approving or failing to prepare written contract specifically requires that this insu or approve maps,shop drawings,opinions,re- ante be primary. ports, surveys, field orders, change orders or drawings and specifications;and When this insurance is excess, we will have no du- ty under SECTION I-COVERAGES to defend the b. Supervisory, Inspection, architectural or engi- additional Insured against any"suit"If any other In- neering activities, surer has a duty to defend the additional Insured 6. Any coverage provided hereunder will be excess against that"suit." If no other Insurer defends, we over any other valid and collectible Insurance avail- will undertake to do so, but we will be entitled to able to the additional Insured whether primary, ex- the additional Insured's rights against all those oth- c6ss, contingent or an any other basis unless a er Insurers. AUTHORIZED REPRESENTATIVE DATE Includes copyrighted material of ISO Properties,Inc.,with Its permission. Copyright,ISO Properties,Inc.,2004 GLS-150s(7-06) Paga 2 of 2 COMMERCIAL GENERAL LIA>31LITY 4CG20010413 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 Condl- 2) You have agreed In writing in a contract or tion and supersedes any provision to the contrary: agreement that this Insurance would be prl- PrlmaryAnd Noncontributory Insurance mary and would not seek contribution from any other Insurance available to the additionalThisInsuranceIsprimarytoandwillnotseekcon- Insured, tributlon from any other Insurance available to an additional insured under your policy provided that: I) The additional Insured is a Named Insured under such other Insurance;and CG 20 01 0.4'13 Copyright,Insurance services Of i e,Inc„2012 Page 1 of`i MENT WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 Ed.04-84) WAIVER Of OUR RIGHT To RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA We have the right To recover our payments from anyone liable For an injury covered by this policy.We.will Not enforce our right against the person Or organization named In the Schedule.(This agreement applies only To the extent that you perform work under a written contract that requires you To obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration Of your employees While engaged In the work described In the Schedule. The additional premium For this endorsement shall be 5%Of the California workers'compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description City of Cupertino/Blackberry Farm Golf Course 10300 Specific waiver per written contract j Torre Avenue Cupertino, j i i i i i i i i I j This endorsement changes the policy to which It Is attached and is effective on the date issued unless otherwise stated. The information below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement Effective 4/1/2018 Policy No. TWC3709409 Endorsement No. 1 Insured Professional Turf Management,Inc.(A Corp) Premium$ 14375 Insurance Company Technology Insurance Company,Inc.11 Countersigned by I WC 04 03 06 I Ed.04-84) I SECOND AMENDMENT TO THE AGREEMENT BETWEEN THE CITY CUPERTINO AND PROFESSIONAL TURF MANAGEMENT FOR CONTRACT SERVICES FOR BLACKBERRY FARM GOLF COURSE MAINTENANCE This Second Amendment to the Contract between the City of Cupertino and Professional Turf Management, for reference dated June 14, 2017, is by and between the CITY OF CUPERTINO, a municipal corporation (hereinafter "City") and Professional Turf Management, A California corporation whose address is P.O. Box 700142, San Jose, California, 95170, hereinafter"CONTRACTOR"), and is made with reference to the following: RECITALS: A. On December 3, 2015, an agreement was entered into by and between the City and Contractor(hereinafter"Agreement") for Contract Services for Blackberry Farm Golf Course maintenance and soil sample collection and testing. 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 and undersigned parties as follows: 1. Section 1, "TERM" is modified to read as follows: The Contractor shall continue work through June 30, 2018, and shall diligently prosecute the work. This Agreement may be renewed annually for additional one- year terms commencing July 1, 2018, at the City's sole discretion and subject to appropriation, for up to three (3) additional one-year terms. The term of the Agreement shall terminate on June 30, 2018, unless terminated earlier as set for herein. 2. Section 3, "COMPENSATION TO CONTRACTOR', Sentence 1, is modified to read as follows: Contractor shall be compensated for services performed pursuant to this Agreement in the amount and manner set forth in Contractor's bid, which is attached hereto as Exhibit`B" and incorporated herein by reference. 3. 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. Contractor CITY OF CUPERTINO Professional Turf Management A ip 1 Co orati0 "_By By City Managers David Brandt 4-5,A,7- Date 4/z 2/Z0l Title RECOMMENDED h g / FOR APPROVAL: Date By Director of Recreation and Community Services, Jeff Milkes APPROVED AS TO FORM: 13Y &)--A el City C-44 Attorney, ATTEST: k&jff4'L City Clerk, Amendment Amount$205,200.00 Account No. 560-63-616-700-702 CERTIFICATE OF LIABILITY INSURANCE 6/l/(2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME: VOLPATTI INSURANCE SERVICES INC P O No (925)243-0131 uc No:(925)243-0132 511 Leisure Street ADORESS:ra Gk@volpatta .com Livermore, CA 94551 INauRERta)Ar-FORQM COVERPOF NAKStl License#:OE40809 INSURER A:Scottsdale Insurance Company 41297 INSURED Professional 'Turf Management, Inc. INSURER 0:Falls Lake Fire & Casualty Company 24538 INSURER C: balifornia. Capital Insurance Company 13544 PO HOX 700142 INSURER D: San Jose, CA 95170 INSURERE: INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INBR ADUL POLICY EXP TYPE OF INSURANCE LIMIT$ LTR o POLICY NUMBER MM/DOUBIRn MMIDD GENERAL LIABILITY EACH OCCURRENCE s 1,000 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea=Wane s 100,000 CLAIMS-MADE ®OCCUR MED EXP(Any one person) $ 5,000 A y CPS2609259 09/O1J201? 09/Ol/2018 PERSONAL&ADV INJURY s 1,000,000 GENERAL AGGREGATE s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s 2,000,000 POLICY I X J CTEl LOG AUTOMOBILE LIABILITY Ea accident ANYAUTO BODILY INJURY(Per Perron) $ AUT OWNED SCHEDULED BODILY INJURY(Par acddent) $ PRO E HIRED AUTOS AUTOSWNEo Per accdent S UMBRELLA LIAB OCCUR EACH OCCURRENCE s EXCESS LIAB CLAIMS.MADE AGGREGATE DED J I RETENTION$ WORKERS COMPENSATION X T YT T E - AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNEMXECUTIVE YIN NIA y E.L.EACH ACCIDENT $ 1,000,000 B ( MandaMtoNH) EXCLUOEA? PLA005003-00 04/01/17 04 01 18 E.L,DISEASE-EA EMPLOYS-$ 1,000,000MandatorytoNH) I(yyeesdescribeunder E.L.DISEASE-POLICY LIMIT $ 1,000,000 pENIPTION OF OPERATIONS Below Commercial Inland Contractors Equip. C Marine 3--MIA-1-026769 6/23/2016 6/23/2017 $213,275 Deductible 500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is requUed) The City of Cupertino, its directors, officers, agents, consultants and employees are named as additional insured in regard to General Liability and Primary/Non-Contributory wording is attached to this policy. Waiver of Subrogata,on in regard to workers compensation in favor of City of Cupertino. The issuing insurer will endeavor to mail 30 days written notice of cancellation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Cupertino THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10300 Torre Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Cupertino, CA 95014 AUTHORIZED REPRESENTATIVE 0 988-20 0 D CORP T[ON. All rights reserved. ACORD26(2010/06) The ACORD name and logo are registered marks of ACORD FIRST AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF CUPERTINO AND PROFESSIONAL TURF ANAL ENT FOR CONTRACT SERVICES FOR BLACKBERRY FARM GOLF COURSE MAINTENANCE This First Amendment to the Agreement between the City of Cupertino and Professional Turf Management, for reference dated June 22, 2016, is by and between the CITY OF CUPERTINO, a municipal corporation (hereinafter "CITY") and Professional Turf Management, a California Corporation, whose address is P.O. Box 700142, San Jose, California, 95170, (hereinafter referred to as "Contractor"), and is made with reference to the following: RECITALS: A. On December 3, 2015, an agreement was entered into by and between City and Contractor (hereinafter "Agreement") for Contract Services for Blackberry Farm Golf Course maintenance and soil sample collection and testing. B. City and Consultant desire to modify the Agreement on the terms and conditions set forth herein. NOW, THEREFORE, it is mutually agreed by and between and undersigned parties as follows: 1. Section 1, "TERM" is modified to read as follows: The Contractor shall continue work through June 30, 2017, and shall diligently prosecute the work. This Agreement may be renewed annually for additional one-year terms commencing July 1, 2017, at the City's sole discretion and subject to appropriation, for up to four (4) additional one-year terms. The term of this Agreement shall terminate on June 30, 2017, unless terminated earlier as set for herein. 2. Section 3, "COMPENSATION TO CONTRACTOR", sentence 1, is modified to read as follows: Contractor shall be compensated for services performed pursuant to Page I of 2 First Amendment Professional Turf Management Contract,Blackberry Farm Golf Course this Agreement in the amount and manner set forth in Contractor's bid, which is attached hereto as Exhibit "B" and incorporated herein by reference. 3. 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. Professional Turf Management CITY OF WPERTINO AMu ip Corporan B By City Manager, David Brandt Title Date a J 3 LFC' Date RECOMMENDED 111-1OR APPROVAL By Acting b-ir-e"ctor of Recreation and Community Services, Christine M. Hanel APP OVED AS TO FORM: By City Attorney, Randolph Stevenson Horn ATTEST: City Clerk, Grace Schmidt Amendment Amount$205,200.00 Account No. 560-63-616-700-702 Page 2 of 2 First Amendment Professional Turf Management Contract,Blackberry Farm Golf Course CONTRACT AGREEMENT BETWEEN THE CITY OF CUPERTINO AND PROFESSIONAL TURF MANAGEMENT FOR BLACKBERRY FARM GOLF COURSE MAINTENANCE THIS AGREEMENT, for reference dated December 3, 2015, is by and between CITY OF CUPERTE\TO,, a municipal corporation (hereinafter referred to as "City"), and Professional Turf Management, a California corporation, whose address is P.O. Box 700142, San Jose, CA 95170, hereinafter called the Contractor, and is made with reference to the following: RECITALS A. City is a municipal corporation duly organized and validly existing under the laws of the State of California with the power to carry on its business as it is now being conducted under the Constitution and the statutes of the State of California and the Cupertino Municipal Code. B. City and Contractor desire to enter into an agreement for Blackberry Farm Golf Course Maintenance, in accordance with the Technical Provisions, General and Special Conditions, and Special Environmental Conditions. NOW, ITIEREFORE, it is mutually agreed by and between the undersigned parties as follows: 1. TERM: The Contractor shall begin work on January 1, 2016 and continue work through June 30, 2016, and shall diligently prosecute the work. This Agreement may be renewed annually for one- year terms commencing July 1, 2016 through June 30, 2017, at the City's sole discretion and subject to appropriation, for up to five (5) one-year terms (possible total term 5.5 years). 2. SERVICES TO BE PERFORMED: Contractor agrees, at its own cost and expense, to furnish all labor, tools, equipment, materials, except as otherwise specified, and to do all work strictly in accordance with the Scope of Work (see Exhibit A). The General and Special Conditions, Technical Provisions and Special Environmental Conditions are hereby referred to and expressly made a part hereof with the same force and effect as if the same were fully incorporated herein, 3. COMPENSATION TO CONTRACTOR: Contractor shall be compensated for services performed pursuant to this Agreement in the amount and manner set forth in Contractor's bid, which is attached hereto as Exhibit "A" and incorporated herein by this reference. 'Payment will be made in the same manner that claims of a like character are paid by the City, with checks drawn on the treasury of the City, to be taken from the fund as indicated in the city's adopted budget. Contractor Agreement Page I of 17 Blackberry Farm Golf Course Maintenance 2016 4. TIME IS OF THE ESSENCE: Conti-actor and City agree that time is of the essence regarding the performance of this Agreement. 5. STANDARD OF CARE: Contractor agrees to perform all services hereunder in a manner commensurate with the prevailing standards of like professionals in the San Francisco Bay Area and agrees that all services shall be performed by qualified and experienced personnel who are not employed by the City nor have any contractual relationship with City. 6, INDEPENDENT PARTIES: City and Contractor intend that the relationship between them created by this Agreement is that of an independent contractor. The manner and means of conducting the work are under the , control of Contractor, except to the extent they are limited by statute, rule or regulation and the express terms of this Agreement. No civil service status or other right of employment will be acquired by virtue of Contractor's services. None of the benefits provided by City to its employees, including but not limited to unemployment insurance, workers' compensation plans, vacation and sick leave are available from City to Contractor, its employees or agents. Deductions shall not be made for any state or federal taxes, FICA payments, PERS payments, or other purposes normally associated with an employer-employee relationship from any fees due Contractor. Payments of the above items,if required, are the responsibility of Contractor. 7. IMMIGRATION REFORM AND CONTROL ACT(IRCA): Contractor assumes any and all responsibility for verifying the identity and employment authorization of all of its employees performing work hereunder, pursuant to all applicable IRCA or other federal or state rules and regulations. Contractor shall indemnify and hold City harmless from and against any loss, damage, liability, costs or expenses arising from any noncompliance of this provision by Contractor. S. NON-DISCRIMINATION: Consistent with City's policy that harassment and discrimination are unacceptable employer/employee conduct, Contractor agrees that harassment or discrimination directed toward a job applicant, a City employee, or a citizen by Contractor or Contractor's employee on the basis of race, religious creed, color,national origin, ancestry,handicap, disability,marital status, pregnancy, sex, age, or sexual orientation will not be tolerated, Contractor agrees that any and all violations of this provision shall constitute a material breach of this Agreement, 9. HOLD HARMLESS: Contractor shall, to the fullest extent allowed by law,indemnify, defend, and hold harmless the City and its officers, officials, agents, employees and volunteers against any and all liability, claims,stop notices, actions, causes of action or demands whatsoever from and against any of them, including any injury to or death of any person or damage to property or other liability of any Contractor Agreement Page 2 of 17 Blackberry Farm Golf Course Maintenance 201.6 nature, arising out of, pertaining to, or related to the performance of this Agreement by Contractor or Contractor's employees, officers, officials, agents or independent contractors. Contractor shall not be obligated under this Agreement to indemnify City to the extent that the damage is caused by the sole or active negligence or willful misconduct of City,its agents or employees. Such costs and expenses shall include reasonable attorneys' fees of counsel of City's choice, expert fees and all other costs and fees of litigation. Contractor agrees to obtain executed indemnity agreements with provisions identical to those set forth here in these sections from each and every subcontractor or any other person or entity involved by, for, with, or on behalf of Contractor in th"e performance of this agreement. If Contractor fails to obtain such indemnity obligations from others as required here, Contractor agrees to be fully responsible according to the terms of this section. 10, INSURANCE: On or before the commencement of the terms of this Agreement, Contractor shall furnish City with certificates showing the type, amount, class of operations covered, effective dates and dates of expiration of insurance coverage in compliance with paragraph 10A, B, C and D. Such certificates, which do not limit Contractor's indemnification, shall also contain substantially the fallowing statement: "Should any of the above insurance covered by this certificate be canceled or coverage reduced before the expiration date thereof, the insurer affording coverage shall provide thirty (30) days' advance written notice to the City of Cupertino by certified mail, "Attention: City Manager."It is agreed that Contractor shall maintain in force at all tunes during the performance of this Agreement all appropriate coverage of insurance required by this Agreement with an insurance company that is acceptable to City and licensed to do insurance business in the State of California. Endorsements naming the City as additional insured shall be submitted with the insurance certificates. Contractor to complete the attached Document 00530 Insurance Forms. A. COVERAGE: Contractor shall maintain the following insurance coverage: 1) Workers' Compensation; Statutory coverage as required by the State of California;Employers' Liability 1,000,000 per occurrence 2) General Liability: Commercial general liability coverage in the following minimum limits: Bodily Injury: 500,000 each occurrence 1,000,000 aggregate- all other Property Damage: $500,000 each occurrence 1 1,000,000 aggregate If submitted, combined single limit of$1,000,000 per occurrence;$2,000,000 in the aggregate will be considered equivalent to the required minimum limits shown above. Contractor Agreement Page 3 of 17 Blackberry Farm Golf Course Maintenance 2016 3)Automotive: Comprehensive automobile liability coverage in the following minimum limits: Bodily injury: $500,000 each occurrence Property Damage: $500,000 each occurrence or Combined Single Limit: $1,000,000 each occurrence B. SUBROGATION WAIVER: Contractor agrees that in the event of loss due to any of the perils for which it has agreed to provide comprehensive general and automotive liability insurance, Contractor shall look solely to its insurance for recovery. Contractor hereby grants to City, on behalf of any insurer providing comprehensive general and automotive liability insurance to either Contractor or City with respect to the services of Contractor herein, a waiver of any right to subrogation which any such insurer of said Contractor may acquire against City by virtue of the payment of any loss under such insurance. C. FAILURE TO SECURE: If Contractor at any time during the term hereof should fail to secure or maintain the foregoing insurance, City shall be permitted to obtain such insurance in the Contractor's name or as an agent of the Contractor and shall be compensated by the Contractor for the costs of the insurance premiums at the maxi-i-num rate permitted by law and computed from the date written notice is received that the premiums have not been paid. D. ADDITIONAL INSURED: City, its City Council,boards and commissions, officers, employees, and vol-ur-iteers shall be named as an additional insured under all insurance coverages, except worker's compensation insurance. The naming of an additional insured shall not affect any recovery to which such additional insured would be entitled under this policy if not named as such additional insured. An additional insured named herein shall not be held liable for any premium, deductible portion of any loss,or expense of any nature on this policy or any extension thereof. Any other insurance held by an additional insured shall not be required to contribute anything toward any loss or expense covered by the insurance provided by this policy. E. SUFFICIENCY OF INSURANCE: The insurance limits required by City are not represented as being sufficient to protect Contractor. Contractor is advised to consult Contractor's insurance broker to determine adequate coverage for Contractor. 11. BONDS: Not applicable. Contractor Agreement Page 4 of'17 Blackberry Farm Golf Course Maintenance 2016 12. PROHIBITION AGAINST TRANSFERS: Contractor shall not assign, sublease, hypothecate, or transfer this Agreement, or any interest therein, directly or indirectly, by operation of law or otherwise, without prior written consent of City. Any attempt to do so without said consent shall be null and void, and any assignee, sublessee, hypothecate or transferee shall acquire no right or interest by reason of such attempted assignirient, hypothecation or transfer. However, claims for money by Contractor from City under this Agreement may be assigned to a bank, trust company or other financial institution without prior written consent. Written notice of such assignment shall be promptly furnished to City by Contractor. The sale, assignment, transfer or other disposition of any of the issued and outstanding capital stock of Contractor, or of the interest of any general partner or joint venturer or syndicate member or cotenant,if Contractor is a partnership or joint venture or syndicate or cotenancy, which shall result in changing the control of Contractor, shall be construed as an assigninent of this Agreement. Control means fifty percent(50%) or more of the voting power of the corporation. 13. SUBCONTRACTOR APPROVAL: Unless prior written consent from City is obtained, only those people and subcontractors whose names are listed iri Contractor's bid shall be used in the performance of this Agreement. Requests for additional subcontracting shall be submitted in writing, describing the scope of work to be subcontracted and the name of the proposed subcontractor. Such request shall set forth the total price or hourly rates used in preparing estimated costs for the subcontractor's services. Approval of the subcontractor may, at the option of City,be issued in the form of a Work Order. In the event that Contractor employs subcontractors, such subcontractors shall be required to furnish proof of workers' compensation insurance and shall also be required to carry general and automobile liability insurance in reasonable conformity to the.insurance carried by Contractor. In addition, any work or services subcontracted hereunder shall be subject to each provision of this Agreement, 14. PERMITS AND LICENSES: Contractor, at its sole expense, shall obtain and maintain during the term of this Agreement, all appropriate permits, certificates and licenses, including a City Business License, that may be required in connection with the performance of services hereunder. 15. REPORTS: Each and every report, draft, work product, map, record and other document reproduced, prepared or caused to be prepared by Contractor pursuant to or in connection with this Agreement shall be the exclusive property of City. Consultant may retain a copy of any report furnished to the City pursuant to this Agreement. No report information nor other data given to or prepared or assembled by Contractor pursuant to this Agreement shall be made available to any individual or organization by Contractor without prior approval by City. Contractor shall, at such time and in such form as City may require, furnish reports concerning the status of services required under this Agreement. Contractor Agreement Page 5 of 17 Blackberry Farm Golf Course Mau-itertance 2016 16. RECORDS: Contractor shall maintain complete and accurate records with respect to sales, costs, expenses, receipts and other such information required by City that relate to the performance of services Mulder this Agreement. Contractor shall maintain adequate records of services provided in sufficient detail to permit an evaluation of services. All such records shall be maintained in accordance with generally accepted accounting principles and shall be clearly identified and readily accessible. Contractor shall provide free access to such books and records to the representatives of City or its designees at all proper times, and gives City the right to examine and audit same, and to make transcripts therefrom as necessary, and to allow inspection of all work, data, documents, proceedings and activities related to this Agreement. Such records, together with supporting documents, shall be kept separate from other documents and records and shall be maintained for a period of three (3) years after receipt of final payment. If supplemental examination or audit of the records is necessary due to concerns raised by City's preffi-ninary examination or audit of records, and the City's supplemental examination or audit of the records discloses a failure to adhere to appropriate internal financial controls, or other breach of contract or failure to act in good faith, then Contractor shall reimburse City for all reasonable costs and expenses associated with the suppleAlental examination or audit. 17. NOTICES: All notices, demands, requests or approvals to be given under this Agreement shall be given in writing and conclusively shall be deemed served when delivered personally or on the second business day after the deposit thereof in the United States Mail, postage prepaid, registered or certified, addressed as hereinafter provided. All notices, demands, requests, or approvals from Contractor to City shall be addressed to City at: City of Cupertino 10300 Torre Avenue Cupertino CA 9501.4 Attention: Carol Atwood,Director of Recreation and Community Services All notices, demands, requests, or approvals from City to Contractor shall be addressed to Contractor at: Professional Turf Management P.O.Box 700142 San Jose, CA 951,70 Attention:Michael Basile,President Contractor Agreement Page 6 of 17 Blackberry Farm Golf Course Maintenance 2016 18. URBAN RUNOFF MANAGEMENT: The Contractor shall avoid creating excess dust when breaking asphalt or concrete and during excavation and grading or other activities that may create dust or erosion. If water is used for dust control, contractor shall use as little as necessary. Contractor shall take all steps necessary to keep wash water out of the streets, gutters and storm drains, The Contractor shall develop and implement erosion and sediment control to prevent pollution of storm drains. Such control includes but is not limited to: A. Use storm drain inlet protection devices such as sand bag barriers, filter fabric fences, block and gravel filters. (Block storm drain inlets prior to the start of the rainy season October 15), in site de-watering activities and saw-cutting activities; shovel or vacuum saw-cut slurry and remove from the site). B. Cover exposed piles of soil or construction material with plastic sheeting. All construction materials must be stored in containers, C. Sweep and remove all materials from paved surfaces that drain to streets, gutters and storm drains prior to rain as well as at the end of the each work day. At the completion of the project, the street shall be washed and the wash water shall be collected and disposed of offsite in an appropriate location. D. After breaking old pavement, Contractor shall remove all debris to avoid contact with rainfall or runoff, E. Contractor shall maintain. a clean work area by removing trash, litter, and debris at the end of each work day. Contractor shall also clean up any leaks, drips, and other spills as they occur. The objective is to ensure that the City and County of Santa Clara County-Wide Clean Water Program is adequately enforced. These controls should be implemented prior to the start of construction, up-graded as required, maintained during construction phases to provide adequate protection, and removed at the end of construction. These recorru-nendations are intended to be used in conjunction with the State's Best Management Practices Municipal and Construction Handbooks, local program guidance materials from municipalities, Section 7.1.01 of the Standard Specifications and any other appropriate documents on storm water quality controls for construction. Failure to comply with this program will result in the issuance of noncompliance notices, citations, project stop orders or fines. The fine for noncompliance of the above program is two hundred and. fifty dollars ($250.00) per occurrence per day. The State under the Federal Clean Water Act can also impose a fine on the contractor,pursuant to Cal.Water Code '13385. 19. TERMINATION: In the event Contractor fails or refuses to perform any of the provisions hereof at the time and in the mamier required hereunder, Contractor shall be deemed in default in the performance of this Agreement. If such default is not cured within a period of two (2) days after receipt by Contractor from City of written notice of default, specifying the nature of such default and the steps necessary to cure such default, City may terminate the Agreement forthwith by giving to the Contractor written notice thereof. City sball have the option, at its sole discretion and without cause, of terminating this Contractor Agreement Page 7 of 17 Blackberry Farm Golf Course Maintenance 2016 Agreement by giving seven (7) days' prior written notice to Contractor as provided herein. Upon termination of,this Agreement, each party shall pay to the other party that portion of compensation specified in this Agreement that is carried and unpaid prior to the effective date of termination. 20. COMPLIANCES: Contractor shall comply with all state or federal laws and all ordinances,rules and regulations enacted or issued by City. Specifically, and without limitation, Contractor shall comply with all state,federal,or local regulation regarding the removal and disposal of hazardous waste, A. PREVAILING WAGES: To the extent applicable,Contr actor shall comply with the City's Labor Compliance Program and all other requirements set forth in Labor Code section 1770 et seq. Contractor shall pay prevailing wages. Contractor will submit monthly certified payroll records to the City for all employees and subcontractors in a preapproved format or a City provided form. Any delay in remitting certified payroll reports to the City upon request from the City will result in either delay and/or forfeit of outstanding payment to Contractor. B. WORKING DAY: Contractor shall comply with California Labor Code Section 1810, et seq. which provides that work performed by employees of contractors in excess of 8 hours per day, and 40 hours during any one week, must be compensated as overtime, at not less than 1 1/2 times the basic rate of pay, to the extent applicable, C.PAYROLL RECORDS: Contractor shall comply with California Labor Code Section 1776 which requires certified payroll records be maintained with the name, address, social Security number, work classification, straight time and overtime hours worked each day and week, and the actual per diern wages paid to each journeyman, apprentice,worker, or other employee employed by him or her in connection with this Agreement, to the extent applicable, The Payroll Records shall be made available for inspection as provided in California Labor Code Sect-loll 1776. D. APPRENTICES: Contractor shall comply with California Labor Code Section 1777.5 regarding apprentices, to the extent applicable, 21. CONFLICT OF LAW: This Agreement shall be interpreted under, and enforced by the laws of the State of California excepting any choice of law rules which may direct the application of laws of another jurisdiction. The Agreement and obligations of the parties are subject to all valid laws, orders, rules, and regulations of the authorities having jurisdiction over-this Agreement (or the successors of those authorities) Any suits brought pursuant to this Agreement shall be filed with the courts of the County of Santa Clara,State of California. 22. ADVERTISEMENT: Contractor shall not post, exhibit, display or allow to be posted, exhibited, displayed any signs, advertising, show bills, lithographs, posters or cards of any kind pertaining to the services Conti-actor Agreement Page 8 of 17 Blackberry Farm Golf Course Maintenance 2016 performed under this Agreement tmless prior written approval has been secured frorn City to do otherwise. 23, WAIVER: A waiver by City of any breach of any term, covenant, or condition contained herein, shall not be deemed to be a waiver of any subsequent breach of the same or any other term, covenant, or condition contained herein,whether of the same or a different character. 24. INTEGRATED CONTRACT: This Agreement consists of this document as well as the following documents, including all changes, addenda,and modifications thereof which are incorporated herein by reference: Document 00400,Bid Form Document 00430,Subcontractors List Document 00450,Statement of Qualifications Document 00481, Non-Collusion Affadavit Document 00482,Bidder Certifications Document 00530,Insurance Forms Document 00660,Substitution Request Form Document 00700, General Conditions Document 00800, Special Conditions Document 00820,Special Environmental Conditions Document 00821,lrisuranc6 Document 00822,Apprenticeship Program Technical Provisions Addenda(No. I and 2) This Agreement represents the full and complete understanding of every kind or nature whatsoever between the parties hereto, and all preliminary negotiations and agreements of whatsoever kind or nature are merged herein. No verbal agreement or implied covenant shall.be held to vary the provisions hereof. Any modification of this Agreement will be effective only by written execution signed by both City and Contractor. 25. INSERTED PROVISIONS: Each provision and clause required by law to be inserted into the Agreement shall be deemed to be enacted herein, and the Agreement shall be read and enforced as though each were included herein, If through mistake or otherwise, any such provision is not inserted or is not correctly inserted, the Agreement shall be amended to make such insertion on application by either party. 26. CAPTIONS: The captions 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. Contractor Agreement Page 9 of 1.7 Blackberry Farm Golf Course Maintenance 2016 P.O.No.: 10(-3 9 IN WITNESS WHEREOF, the parties have caused the Agreement to be executed on the day and year first above written, CONTRACTOR CITY OF CUPERTINO Professional Turf Management A Municipal Corporation 7 By B 4& David Brandt Name City Manager Title—61,I),1 e r 1l es()C'l Date Date Address: RECOMMENDED FOR APPROVAL: P.O. Box 700142 San Jose, CA 95170 By 4, 1 Carol Atwood Director of Recreation&Community Services APPROVED AS TO FORM: By Col een Winchester,Acting City Attorney ATTEST: Grace Schmidt,City Clerk Contract Amount: $99,600.00 Account No. : 7 0 Contractor Agreement Page 10 of 17 Blackberry Farm Golf Course Maintenance 2016 EXI-11BIT A SCOPE OF WORK BLACKBERRY FARM GOLF COURSE MAINTENANCE Work to provide maintenance of Blackberry Farm Golf Course 1. PUTTING GREENS 1.01 SCOPE: Greens shall be maintained disease and weed free. Complete renovation of any green is not included in this maintenance project. 1.02 MOWING FREQUENCY': Winter—six times per week. Spring/Summer/Fall—six times per week. Contractor to recycle grass trimmings. 1.03 CHANGING CUPS: Contractor shall change the cup location daily year-round. Placement is to be at least 8 feet from edge of green on level surface. When requested,use the 1/3 rule— 1/3 of the pins back, 1/3 pins middle, 1/3 pins up. 1.04 HEIGHT OF CUT: Is to be 0.135 of an inch 1.05 FERTILIZATION: Contractor to collect soil samples yearly to determine recommended nutrients, rates of application and frequency of application, with the goal of a sustainable fertility program. Use organic fertilizers, i.e. Earthworks or approved equivalent. The City shall determine which of the greens are to be tested. Contractor to use Logan Laboratories or City approved equal for soils testing and recorninendations. All fertilizer shall be applied in accordance with all applicable laws, codes, specifications and policies and at minimum rates that are consistent with healthy turf. 1.06 AE RIFICATION/TOP DRESS/VERTI-CUTTING: Contractor is to perform Dryfect aerification or equal twice a year in March/April and September/October, and overseed with Pencross bentgrass in September. Perform a DryJcct Maximus aerification.or equal in July. Verti-cut greens monthly during the growing season. Top-dress with TD320 from TMT enterprises or City approved equal. 1.07 PESTICIDE APPLICATION: All pesticide application shall be completed by a qualified person in accordance with all applicable laws, codes, specifications and policies. Greens to be maintained disease and weed free. Apply all chemicals sparingly. Applications shall be as per EPA regulations. Contractor must possess SDS (safety data sheets) for all materials. All posting and re-entry requirements must be followed. Contractor to submit montl-Ay a written report of all pesticide applications. A recommendation by a licensed Pest Control Advisor(PCA) that is familiar with Blackberry Farm Golf Course and with its setting and protected natural resources is required for applications, and a licensed staffer with a current Qualified Applicator License(QAL) or is a Qualified Applicator Certificate holder(QAC) shall be on site and provide oversight during applications is required. All work shall adhere to all laws, regulations and applicable guidelines for all pesticide applications. Contractor may be required to obtain a Restricted Materials Use Permit and Notice of Intent prior to any applications. 1.08 PROTECTION OF CREEK AND PONDS: No runoff from fertilizer,pesticide or chemical applications shall flow into creeks or ponds nor to drainage hilets that discharge to creeks or ponds. Contractor Agreement Page 11.of 17 Blackberry Farm Golf Course Maintenance 2016 1.09 INTERSEEDING: Contractor shall interseed greens with City approved mix of creeping bentgrass two times per year, in the spring and fall at a rate of 2 lbs.per 1,000 sq. fect unless otherwise directed. 2. COLLAR MAINTENANCE 2.01 MONNTfNG FREQUENCY: Twice weekly in spring/summer/fall and once a week in winter, 2.02 HEIGHT OF CUT: to be 1/2 inch all year 2.03 FERTILIZATION: to be fertilized the same as greens 2.04 NVE ED CONTROL: to be applied the same as greens 3. TEE MAINTENANCE 3.01 MOWING FREQUENCY: Two to three times per week in spring/suminer/fall and one to two times a week in winter. 3.02 HEIGHT OF CUT: to be 1/2 inch all year 3.03 FERTILIZATION: Contractor to collect at least one soil sample yearly to determine the recommended complete fertilizer to use. Contractor to use Logan Laboratories or City approved equal for soils testing and recommendations. Fertilizer to be applied four times a year in March, May, late August and October. The application rate shall be at the manufacturer's recommended rate. All fertilizer shall be applied in accordance with all applicable laws, codes, specification and policies and at mij.-i_muni rates consistent with healthy turf. Special care shall be taken to prevent-fertilizer or fertilizer-containing runoff from getting into creek areas or ponds. 3.04 AERIFICATION: Contractor to aerate four tunes per year in May and October and as needed. 3.05 OVERSEEDING: Contractor to overseed four times per year with peremlial rye grass, at 8 lbs. per 1,000 sq. feet unless otherwise directed. Contractor to use seeder/slicer(verti-cutting)unit. 3.06 TEE AIIARKE RS: Contractor shall move and rotate daily. Keep 10 feet apart and 8 feet from back of tee(except where markers do not allow). 3.07 PERMANENT YARDAGE, MARKERS: Contractor to keel) visible at all times, 3.08 NVE ED CONTROL: Contractor to apply two broadleaf weed control in the spring and fall. Broadleaf weed control is for,but not limited to, English Daisy, clover, spurge and chickweed. Contractor to apply one Crabgrass control in spring. All weed controls shall be applied in accordance with all applicable laws, codes, specification and policies. 3.09 PROTECTION OF CREEK AND PONDS: No runoff from fertilizer,pesticide or chemical applications shall flow into creek areas or ponds nor to drain inlets that discharge to creek areas or ponds. 3.10 SEED AND TOPSOIL TEES: Contractor to place seeds and sand/organic compost mix on.tees daily to repair divots. Contractor Agreement Page 12 of 17 Blackberry Farm Golf Course Mahitenance 2016 4. FAIRWAY MAINTENANCE 4.01 MOWING FREQUENCY: two to three times per week in growing season, and one to two times per week in winter 4.02 HEIGHT OF CUT: 3/ inch all year 4.03 FERTILIZATION: Contractor to collect one soil sample yearly to determine the recommended complete fertilizer to use. Contractor to use Logan Laboratories or City approved equal for soils testing and recommendations. Fertilizer to be applied four times a year in March, May,late August and October. The application rate shall be at the manufacturer's recommended rate. All fertilizer shall be applied in accordance with all applicable laws, codes, specifications and policies and at minimum rates consistent with healthy turf. 4.04 AERIFICATION: VE RTI-CUTTING: Contractor to aerate, verti-cut once per year in April/May. 4.05 OVERSEEDING: Contractor shall overseed with Perennial Rye one time per year, 8 lbs. per 1,000 sq. feet unless otherwise directed. Use seeder/slicer for distribution. Perform spot-overseeding as needed with Perennial Rye. 4.06 WEED CONTROL: Contractor to apply broadleaf weed control twice per year, in the spring and fall. Broadleaf weed control is for,but not limited to, English Daisy, clover, spurge and chickweed. Contractor to apply one Crabgrass control in spring, All weed controls shall be applied in accordance with all applicable laws, codes, specification and policies, 4.07 PROTECTION OF CREED AND PONDS: No runoff from chemical applications shall flow into creek areas or ponds. Contractor shall cover the drain inlets and drainage structures that discharge to the creek for one week after the application of any chemicals. 5. ROUGH MAINTENANCE 5.01 MOWING FREQUENCY: twice per week all year 5.02 HEIGHT OF CUT: I to I V2inches all year 5.03 FERTILIZATION:Same as Fairway Maintenance 5.04 AERIFICATION: Same as Fairway Maintenance 5.05 WEED CONTROL:Contractor to apply two broadleaf weed control in the spring and fall. Broadleaf weed control is for,but not limited to,English Daisy, clover, spurge and checkweed. Contractor to apply one Crabgrass control in spring. All weed controls shall be applied in accordance with all applicable, laws, codes, specification and policies. 5.06 PROTECTION OF CREED AND PONDS:No runoff from chemical applications shall flow into creeks or ponds. 7. EQUIPMENT AND EQUIPMENT STORAGE 7.01 GREEN EQUIPMENT: The City encourages the Contractor to use Environmentally Friendly or Green equipment and supplies for this contract. Contractor Agreement Page 13 of 17 Blackberry Farm Golf Course Maintenance 2016 7.02 SCOPE: All mowing equipment shall be on a regular preventive maintenance schedule for hydraulic and oil lines so as to minin-dze damage to turf and protect the creek and wildlife habitat from leaks. Hydraulic hoses shall be changed off site every six months. 7.03 GREENS: Mowing equipment shall be 9 or more bladed,reel-type mower with a frequency of out at a minimum of.25 at 3.6 mph. 7.04 TEES: Mowing equipment shall be 7 or more bladed,reel-type mower with a frequency of cut at a minimum of.53 at 4.2 mph. 7.05 FAIRWAYS: Mowing equipment shall be 6 or more bladed, reel-type mower with a frequency of cut at a minirnum,of.67 at 5.0 mph. 10. PARKING LOT AT GOLF COURSE ENTRANCE 10.01 SWEEPING: Contractor shall sweep monthly. Manually using a blower is acceptable during the hours of 7:00 am to 8:00 pm on week days and 9:00 am to 6:00 pm on weekend, and in accordance with the City's noise ordinance. 10.02 LOOSE TRASH AND GARBAGE CANS: Contractor shall pick up trash and check area daily. 10.03 BROKEN GLASS/BOTTLES: Contractor shall pick up and dispose of broken glass or similar potentially harmful materials immediately. 11. CLUBHOUSE &MAINTENANCE BUILDING 11.01 REST ROOMS AT INIAI"NTTENANCE BUILDING: Public restroorns for golfers exist on the golf-facing side of the golf maintenance building. The public rest rooms will be cleaned and maintained by the City or City's designee. 11.02 PATIO: Contractor shall sweep daily. 11.03 RECYCLED CARDBOARD CONTAINERS: Shall be emptied at least once per week. 12. ENTRY AREA/CLUBHOUSE GROUNDS 12.01. FLOWER BEDS: Contractor shall weed,mulch,water and replenish as needed. 12.02 TRASH: Contractor shall pick up daily, 12.03 FOOT BRUSHES: Contractor shall clean and check weekly and replace when worn. 12.04 WALKWAYS: Contractor shall S IA7eep daily when weather permits, 12.05 TRASH AND CIGARETTE CANS: Contractor shall empty cans daily and comply with City's recycling standards. 12.06 LEAKS FROM GOLF CARTS: Contractor shall clean inunediately. 12.07 LANDSCAPE SHRUBBERY: Contractor shall trim monthly and as needed. 12.08 ANNUAL PLANTINGS: Contractor shall remove and re-plant minimum 2 times per year the two planter boxes located at the clubhouse. The planter box on number one tee measuring roughly 4.5 ft.by 35.5 ft. (160 S.F.)and the planter box to the left Conti-actor Agreement Page 14 of 17 Blackberry Ferret Golf Course Mavitenarice 2016 of the building along the restroom walkway measuring roughly 8 ft. by 34 ft. (272 S.F.). 12.09 DRIVING RANGE: Contractor shall cut grass weekly and fertilize and aerate the same as fairways. 12.10 WEED CONTROL(NON-SELECTIVE): Conti-actor shall use mechanical method of trimming or removing undesirable vegetation in tree wells,perimeter and interior fence lines,barriers, railroad ties, delineators, and along edges of golf play areas that are along the creek or associated native planting areas. 12.11 LITTER: Contractor shall remove daily, 12.12 TRASH AND DEBRIS (FROM MAINTENANCE): Contractor shall remove as it occurs and dispose of it in a safe and legal manner. 12.13 SOIL,WATER SAMPLES: Contractor shall take samples annually or more often if unusual growth habits develop, 12.14 RODENT CONTROL: Contractor shall begin i-ininediate eradication action following local, state and federal guidelines when gopher or ground squirrel activity occurs. Contractor is not allowed to use rodemicides nor any chemicals to control. rodents. Acceptable methods may include carbon dioxide use, trapping, exclusion, or burrow sealing/removal, or using other techniques as acceptable to City. 12.15 SAND TRAPS: Complete renovation of any sand trap is not included in this maintenance project. Contractor shall rake daily. Contractor shall keep sand at 4 inches in depth minimum and keep clean of all weeds. When using power rake, stay about one foot from edge of trap. When hand-raking edge of trap,put sand inward on low side and pull outward on high side. Contractor to edge traps monthly and as needed. Do not drag sand out of trap when exiting trap with power rake, 12.16 TREES: Any tree removal or tree replacement must be approved by the City and any expenditures incurred will be outside the standard scope of work, Contractor shall keep all trees trimmed at least 6 feet from the ground to prevent damage to golf cart tops and maintenance equipment, except for trees and shrubs along the creek which shall only be trimmed as acceptable to the City Naturalist. Contractor shall maintain trees in a safe,healthy, and aesthetically pleasing condition at all times, Contractor shall mow,weed and/or mulch tree wells as needed. Contractors shall iminediately remove any broken tree limbs. Downed blush shall be removed as soon as possible, All trimmings or debris shall be removed from the course,unless they are chipped, and used for mulch on site. Contractor shall not be responsible for removal of dead or fallen trees; such removal shall be at the City's expense unless it is determined that the condition was caused by the Contractor's negligence. 12.17 USDA GREEN SECTION VISIT: Contractor shall have a USGA staff agronomist visit the course yearly on the following schedule: first year in the spring, second year in the sumnier,third year in the fall, no winter visits. Contractor shall act on all appropriate recoininendations that result from these visits. 12.18 LEAF PICKUP: Contractor shall remove leaves daily or as necessary. 12.19 VANDALISAI/GRAFFITT: Contractor shall correct vandalism immediately and remove graffiti within 24 hours. Contractor Agreement Page 15 of 17 Blackberry Farm Golf Course Maintenance 2016 14. OTHER AREAS 14.01 TEE MARKERS: Contractor shall have two sets each hole. Missing or broken markers shall be replaced immediately. 14.02 BENCHES/TEE SIGNS: Contractor shall immediately remove any damaged bench, and notify supervisor so that City can replace it. Any damaged tee sip shall be removed as soon as possible, and notify supervisor so that City can replace it. 14.03 YARD MARKERS: Contractor shall replace as needed any yard markers. 14.04 GREENS FLAGS, POLE, CUPS: Contractor shall replace flags, poles and cups when they are discolored, frayed or damaged in any way, 14.05 BALL WASHERS: Contractor shall check for water/soap daily. Contractor shall replace tee towels monthly or more often if towel is frayed, discolored, or aesthetically unpleasing. 14.06 SAND TRAP RAKES: Contractor shall keep two rakes per trap or more as needed, and replace any missing or broken rake immediately. 14.07 OUT-OF-BOUNDS/HAZARD STAKES: Contractor shall replace white our-of- bounds stakes immediately if missing or broken. 14.08 OVERSEEDING: Contractor shall spot-overseed with Perennial Rye when needed. 14.09 PONDS: Contractor shall keep the ponds free from algae and excessive growth of plant material. 14.10 BRIDGE: Contractor shall inspect bridge daily for safe conditions and repair structures immediately when necessary. 14.11 FOOT GOLF: Contractor shall maintain 9 hole foot golf course, with all tee markers,holes, cups, flagpoles, and flags. Edging around the cups shall be done weekly. 15. IRRIGATION 15.01 SCOPE: Irrigation system shall be maintained in a maniier to provide proper watering. Any major irrigation system repairs or improvements are not included in this maintenance project. 15.02 MAINTENANCE: Contractor shall maintain system, including lateral lines, sprinkler heads, and controllers in good operating repair, functioning properly, and conforming to related laws, codes and regulations. No valves or water main repairs are included in this maintenance project. Contractor shall notify the City immediately when valve or water main repairs are necessary for proper operation. 15.03 FREQUENCY: Contractor is to irrigate as required to maintain adequate moisture for growth rate and appearance. Contractor is to hand-water as needed any and all portions of the course that do not receive adequate water from the irrigation system, 15.04 TESTING FOR ADEQUATE SOIL MOISTURE: Contractor shall determine by visual observation,plant resiliency,turgidity, examining cores removed by soil probe, and moisture sensor devices. 15.05 WATER CONSERVATION: Irrigation controllers shall be programmed to maintain course appearance and health of vegetation while maximizing water conservation. ' Contractor Agreement Page 16 of 17 Blackberry Farin Golf Course Maintenance 2016 15.06 WIND PROBLEMS: In areas where wind creates problems of spraying onto private property or road rights of way, operation shall occur during period of lowest wind velocity. 15.07 MONITORING: Contractor shall make corrections for coverage, adjustment, clogging of lines, and removal of obstacles, tilting of heads, and management of plant materials that obstruct the spray as they occur. 15.08 SYSTEM CHECK: Contractor shall check the system daily during months of operation. 15.09 PUMPING PLANT: Pumping plant shall be maintained the City. 15.10 WATER COST: Water costs shall be paid for by the City. Contractor Agreement Page 17 of 17 Blackberry Farm Golf Course Maintenance 2016 EXHIBIT B - 1 SCHEDULE OF BID PRICES Conti-actor's Name: fad, 4nQ, ul, SCHEDULE OF BID PRICES All Bid items,including lump sums and unit prices,must be filled in completely, Allowances and Alternative Bid items if applicable are described in Document 00800(Special Conditions). Quote in figures only,unless words are specifically requested. ITEM SPEC DESCRIPTION UNIT EST UNIT TOTAL REF QTY PRICE Qty x Unit Price) 1 Technical Provide one month of maintenance at Provisions Blackberry Farm Golf Course,Jan.—June month 6 00800 2016 2 Technical Provisions Soil Sample Collection&Testing EA 6 OJ200, TOTAL BASE BID V11 Total Bid: N t M 9 VJ_S ' Itit IP2X1 words) SCHEDULE OF ALTERNATES ALTERNATES ITEM SPEC DESCRIPTION UNIT EST UNIT TOTALIREFQTY. PRICE Qty x Unit Price) BID ALTERNATE 1: Provide Maintenance at Blackberry Farm Golf Course,Jul 2016-June 2017 Technical Provide maintenance,each month,July IQ3Provisions 2016-June 2017 month 12 2-oq oo(D00800 4 Technical Soil Sample Collection and Testing EA 12Provisions 00 BID ALTERNATE 1,TOTAL,ITEMS 3+4 z o,5, zoo,- BID ALTERNATE 2:Provide Maintenance at.Blackberry Farm Golf Course,July 2017-June 2018 Technical Provide maintenance,each month,July5Provisions 2017-June 2018 month 12 %& 00800 11000 2-DI4, Dou Technical6 Provisions Soil Sample Collection and Testing EA 12 BID ALTERNATE 2,TOTAL,ITEMS 5+6 2-0 Unit Legend LS=Lump Sum AL=Allowance EA=Each SF=Square Feet LF=Linear Feet TON=Ton or 2,000 Pounds CY=Cubic Yards LB=Pounds City 017cupertillo Bid Form Blackberry Farm Golf Course Maintenance 2016 00400-3 Amendment 1,Agmt.between City of Cupertino Exhibit B,Page I Exhibit B Professional Turf Management EXHIBIT B - 1 SCHEDULE OF BID PRICES, continued Contractor's Name:N 54L LA ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUMS Bidder herby acknowledges receipt and examination of all Contract Documents and the following Addenda: Addendum No. Addendum Datp 1 11 /S OwNeup, Z_ Bidder proposes and agrees to fully perform the Work within the time stated and in strict accordance with the Contract Documents for the sums of money listed in this Bid Form. NAME OF BIDDER:.---.PA,0 6 S(t,jJ A Julu q,4A v licensed in accordance lvithlan act for the registration of Contractors,and with license number: Expiration Date: i U 1( 311110 1-7 N I ' Where incorporated,if applicable Principals I certify(or declare)under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Signature of Bidder NOTE: If Bidder is a corporation,set forth the legal name of the corporation,state where incorporated,together with the signature of the officer or officers authorized to sign contracts on behalf of the corporation.If Bidder is a partnership,set forth the name of the firm together with the signature of the partner or partners authorized to sign contracts on behalf of the partnership. n I Business Address: 0, 7 00 1 Sals; rA Officers authorized to sign contracts: Ty d Fu l Name: Telephone Number(s): rq()'I S- 3?61 Fax N urn ber(s): CI- d g 9- L oq q- E-Mail Address: M I ke kfts I END OF DOCUMENT City of Cupertino Bid Form Blackberry Farm Golf Course Maintenance 2016 00400-4 Amendment 1,Agmt.between City of Cupertino Exhibit B,Page 2 Exhibit B Professional Turf Management EXHIBIT B-2 COMPENSATION COMPENSATION Payment for services to be performed in Fiscal Year 2016-17 from July 1, 2016 to June 30, 2017 shall be $17,000.00 per month for maintenance activities as described in Exhibit A, plus $100.00 per each soil sample and testing with a maximum quantity of 12. Payment for services to be performed in Fiscal Year 2016-17 shall not exceed$205,200.00 as noted below. Item Unit Oty Unit Price Total Cost Blackberry Farm Golf Course month 12 17,000.00 204,000.00 Course Maintenance Soil Sample Collection each 12 100.00 1,200.00 Testing TOTAL FEE for services, fiscal year 2016-17, Not to Exceed:205,200.00 Amendment 1,Agnit.between City of Cupertino Exhibit B,Page 3 Exhibit B Professional Turf Management 1 CONTRACT AGREEMENT BETWEEN THE CITY OF CUPERTINO AND PROFESSIONAL TURF MANAGEMENT FOR BLACKBERRY FARM GOLF COURSE MAINTENANCE THIS AGREEMENT, for reference dated December 3, 2015, is by and between CITY OF CUPERTINO, a municipal corporation (hereinafter referred to as "City"), and Professional Turf Management, a California corporation, whose address is P.O. Box 700142, San Jose, CA 95170, hereinafter called the Contractor, and is made with reference to the following: RECITALS A. City is a municipal corporation duly organized and validly existing under the laws of the State of California with the power to carry on its business as it is now being conducted under the Constitution and the statutes of the State of California and the Cupertino Municipal Code. B. City and Contractor desire to enter into an agreement for Blackberry Farm Golf Course Maintenance, in accordance with the Technical Provisions, General and Special Conditions, and Special Environmental Conditions. NOW, THEREFORE, it is mutually agreed by and between the undersigned parties as follows: 1. TERM: The Contractor shall begin work on January 1, 2016 and continue work through June 30, 2016, and shall diligently prosecute the work. This Agreement may be renewed annually for one- year terms commencing July 1, 2016 through June 30, 2017, at the City's sole discretion and subject to appropriation,for up to five(5) one-year terms (possible total term 5.5 years). 2.SERVICES TO BE PERFORMED: Contractor agrees, at its own cost and expense, to furnish all labor, tools, equipment, materials, except as otherwise specified, and to do all work strictly in accordance with the Scope of Work (see Exhibit A). The General and Special Conditions, Technical Provisions and Special Environmental Conditions are hereby referred to and expressly made a part hereof with the same force and effect as if the same were fully incorporated herein. 3.COMPENSATION TO CONTRACTOR: Contractor shall be compensated for services performed pursuant to this Agreement in the amount and manner set forth in Contractor's bid, which is attached hereto as Exhibit "A" and incorporated herein by this reference. Payment will be made in the same manner that claims of a like character are paid by the City, with checks drawn on the treasury of the City, to be taken from the fund as indicated in the city's adopted budget. Contractor Agreement Page 1 of 17 Blackberry Farm Golf Course Maintenance 2016 4. TIME IS OF THE ESSENCE: Contractor and City agree that time is of the essence regarding the performance of this Agreement. 5. STANDARD OF CARE: Contractor agrees to perform all services hereunder in a manner commensurate with the prevailing standards of like professionals in the San Francisco Bay Area and agrees that all services shall be performed by qualified and experienced personnel who are not employed by the City nor have any contractual relationship with City. 6. INDEPENDENT PARTIES: City and Contractor intend that the relationship between them created by this Agreement is that of an independent contractor. The manner and means of conducting the work are under the control of Contractor, except to the extent they are limited by statute, rule or regulation and the express terms of this Agreement. No civil service status or other right of employment will be acquired by virtue of Contractor's services. None of the benefits provided by City to its employees, including but not limited to unemployment insurance, workers' compensation plans, vacation and sick leave are available from City to Contractor, its employees or agents. Deductions shall not be made for any state or federal taxes, FICA payments, PERS payments, or other purposes normally associated with an employer-employee relationship from any fees due Contractor. Payments of the above items,if required, are the responsibility of Contractor. 7. IMMIGRATION REFORM AND CONTROL ACT (IRCA): Contractor assumes any and all responsibility for verifying the identity and employment authorization of all of its employees performing work hereunder, pursuant to all applicable IRCA or other federal or state rules and regulations. Contractor shall indemnify and hold City harmless from and against any loss, damage, liability, costs or expenses arising from any noncompliance of this provision by Contractor. 8. NON-DISCRIMINATION: Consistent with City's policy that harassment and discrimination are unacceptable employer/employee conduct, Contractor agrees that harassment or discrimination directed toward a job applicant, a City employee, or a citizen by Contractor or Contractor's employee on the basis of race, religious creed, color,national origin, ancestry,handicap, disability,marital status,pregnancy, sex, age, or sexual orientation will not be tolerated. Contractor agrees that any and all violations of this provision shall constitute a material breach of this Agreement. 9. HOLD HARMLESS: Contractor shall, to the fullest extent allowed by law,indemnify, defend, and hold harmless the City and its officers, officials, agents, employees and volunteers against any and all liability, claims, stop notices, actions, causes of action or demands whatsoever from and against any of them, including any injury to or death of any person or damage to property or other liability of any Contractor Agreement Page 2 of 17 Blackberry Farm Golf Course Maintenance 2016 nature, arising out of, pertaining to, or related to the performance of this Agreement by Contractor or Contractor's employees, officers, officials, agents or independent contractors. Contractor shall not be obligated under this Agreement to indemnify City to the extent that the damage is caused by the sole or active negligence or willful misconduct of City, its agents or employees. Such costs and expenses shall include reasonable attorneys' fees of counsel of City's choice, expert fees and all other costs and fees of litigation. Contractor agrees to obtain executed indemnity agreements with provisions identical to those set forth here in these sections 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. If Contractor fails to obtain such indemnity obligations from others as required here, Contractor agrees to be fully responsible according to the terms of this section. 10. INSURANCE: On or before the commencement of the terms of this Agreement, Contractor shall furnish City with certificates showing the type, amount, class of operations covered, effective dates and dates of expiration of insurance coverage in compliance with paragraph 10A; B, C and D. Such certificates, which do not limit Contractor's indemnification, shall also contain substantially the following statement: "Should any of the above insurance covered by this certificate be canceled or coverage reduced before the expiration date thereof, the insurer affording coverage shall provide thirty (30) days' advance written notice to the City of Cupertino by certified mail, "Attention: City Manager."It is agreed that Contractor shall maintain in force at all times during the performance of this Agreement all appropriate coverage of insurance required by this Agreement with an insurance company that is acceptable to City and licensed to do insurance business in the State of California. Endorsements naming the City as additional insured shall be submitted with the insurance certificates. Contractor to complete the attached Document 00530 Insurance Forms. A. COVERAGE: Contractor shall maintain the following insurance coverage: 1) Workers' Compensation: Statutory coverage as required by the State of California;Employers'Liability 1,000,000 per occurrence 2) General Liability: Commercial general liability coverage in the following minimum limits: Bodily Injury: 500,000 each occurrence 1,000,000 aggregate-all other Property Damage: $500,000 each occurrence 1,000,000 aggregate If submitted, combined single limit of$1,000,000 per occurrence;$2,000,000 in the aggregate will be considered equivalent to the required minimum limits shown above. Contractor Agreement Page 3 of 17 Blackberry Farm Golf Course Maintenance 2016 3)Automotive: Comprehensive automobile liability coverage in the following minimum limits: Bodily injury: $500,000 each occurrence Property Damage: $500,000 each occurrence or Combined Single Limit: $1,000,000 each occurrence B. SUBROGATION WAIVER: Contractor agrees that in the event of loss due to any of the perils for which it has agreed to provide comprehensive general and automotive liability insurance, Contractor shall look solely to its insurance for recovery. Contractor hereby grants to City, on behalf of any insurer providing comprehensive general and automotive liability insurance to either Contractor or City with respect to the services of Contractor herein, a waiver of any right to subrogation which any such insurer of said Contractor may acquire against City by virtue of the payment of any loss under such insurance. C. FAILURE TO SECURE: If Contractor at any time during the term hereof should fail to secure or maintain the foregoing insurance, City shall be permitted to obtain such insurance in the Contractor's name or as an agent of the Contractor and shall be compensated by the Contractor for the costs of the insurance premiums at the maximum rate permitted by law and computed from the date written notice is received that the premiums have not been paid. D. ADDITIONAL INSURED: City, its City Council,boards and commissions, officers, employees, and volunteers shall be named as an additional insured under all insurance coverages, except worker's compensation insurance. The naming of an additional insured shall not affect any recovery to which such additional insured would be entitled under this policy if not named as such additional insured. An additional insured named herein shall not be held liable for any premium, deductible portion of any loss,or expense of any nature on this policy or any extension thereof. Any other insurance held by an additional insured shall not be required to contribute anything toward any loss or expense covered by the insurance provided by this policy. E. SUFFICIENCY OF INSURANCE: The insurance limits required by City are not represented as being sufficient to protect Contractor. Contractor is advised to consult Contractor's insurance broker to determine adequate coverage for Contractor. 11. BONDS: Not applicable. Contractor Agreement Page 4 of 17 Blackberry Farm Golf Course Maintenance 2016 12. PROHIBITION AGAINST TRANSFERS: Contractor shall not assign, sublease, hypothecate, or transfer this Agreement, or any interest therein, directly or indirectly, by operation of law or otherwise, without prior written consent of City. Any attempt to do so without said consent shall be null and void, and any assignee, sublessee, hypothecate or transferee shall acquire no right or interest by reason of such attempted assignment, hypothecation or transfer. However, claims for money by Contractor from City under this Agreement may be assigned to a bank, trust company or other financial institution without prior written consent. Written notice of such assignment shall be promptly furnished to City by Contractor. The sale, assignment, transfer or other disposition of any of the issued and outstanding capital stock of Contractor, or of the interest of any general partner or joint venturer or syndicate member or cotenant,if Contractor is a partnership or joint venture or syndicate or cotenancy, which shall result in changing the control of Contractor, shall be construed as an assignment of this Agreement. Control means fifty percent(50%) or more of the voting power of the corporation. 13. SUBCONTRACTOR APPROVAL: Unless prior written consent from City is obtained, only those people and subcontractors whose names are listed in Contractor's bid shall be used in the performance of this Agreement. Requests for additional subcontracting shall be submitted in writing, describing the scope of work to be subcontracted and the name of the proposed subcontractor. Such request shall set forth the total price or hourly rates used in preparing estimated costs for the subcontractor's services. Approval of the subcontractor may,at the option of City,be issued in the form of a Work Order. In the event that Contractor employs subcontractors, such subcontractors shall be required to furnish proof of workers' compensation insurance and shall also be required to carry general and automobile liability insurance in reasonable conformity to the.insurance carried by Contractor. In addition, any work or services subcontracted hereunder shall be subject to each provision of this Agreement. 14. PERMITS AND LICENSES: Contractor, at its sole expense, shall obtain and maintain during the term of this Agreement, all appropriate permits, certificates and licenses, including a City Business License, that may be required in connection with the performance of services hereunder. 15. REPORTS: Each and every report, draft, work product, map, record and other document reproduced, prepared or caused to be prepared by Contractor pursuant to or in connection with this Agreement shall be the exclusive property of City. Consultant may retain a copy of any report furnished to the City pursuant to this Agreement. No report, information nor other data given to or prepared or assembled by Contractor pursuant to this Agreement shall be made available to any individual or organization by Contractor without prior approval by City. Contractor shall, at such time and in such form as City may require, furnish reports concerning the status of services required under this Agreement. Contractor Agreement Page 5 of 17 Blackberry Farm Golf Course Maintenance 2016 16. RECORDS: Contractor shall maintain complete and accurate records with respect to sales, costs, expenses, receipts and other such information required by City that relate to the performance of services under this Agreement. Contractor shall maintain adequate records of services provided in sufficient detail to permit an evaluation of services. All such records shall be maintained in accordance with generally accepted accounting principles and shall be clearly identified and readily accessible. Contractor shall provide free access to such books and records to the representatives of City or its designees at all proper times, and gives City the right to examine and audit same, and to make transcripts therefrom as necessary, and to allow inspection of all work, data, documents, proceedings and activities related to this Agreement. Such records, together with supporting documents, shall be kept separate from other documents and records and shall be maintained for a period of three (3) years after receipt of final payment. If supplemental examination or audit of the records is necessary due to concerns raised by City's preliminary examination or audit of records, and the City's supplemental examination or audit of the records discloses a failure to adhere to appropriate internal financial controls, or other breach of contract or failure to act in good faith, then Contractor shall reimburse City for all reasonable costs and expenses associated with the supplemental examination or audit. 17. NOTICES: All notices, demands, requests or approvals to be given under this Agreement shall be given in writing.and conclusively shall be deemed served when delivered personally or on the second business day after the deposit thereof in the United States Mail, postage prepaid, registered or certified, addressed as hereinafter provided. All notices, demands, requests, or approvals from Contractor to City shall be addressed to City at: City of Cupertino 10300 Torre Avenue Cupertino CA 95014 Attention: Carol Atwood,Director of Recreation and Community Services All notices, demands, requests, or approvals from City to Contractor shall be addressed to Contractor at: Professional Turf Management P.O.Box 700142 San Jose, CA 95170 Attention:Michael Basile,President Contractor Agreement Page 6 of 17 Blackberry Farm Golf Course Maintenance 2016 18. URBAN RUNOFF MANAGEMENT: The Contractor shall avoid creating excess dust when breaking asphalt or concrete and during excavation and grading or other activities that may create dust or erosion. If water is used for dust control, contractor shall use as little as necessary. Contractor shall take all steps necessary to keep wash water out of the streets, gutters and storm drains. The Contractor shall develop and implement erosion and sediment control to prevent pollution of storm drains. Such control includes but is not limited to: A. Use storm drain inlet protection devices such as sand bag barriers, filter fabric fences, block and gravel filters. (Block storm drain inlets prior to the start of the rainy season October 15), in site de-watering activities and saw-cutting activities shovel or vacuum saw-cut slurry and remove from the site). B. Cover exposed piles of soil or construction material with plastic sheeting. All construction materials must be stored in containers. C. Sweep and remove all materials from paved surfaces that drain to streets, gutters and storm drains prior to rain as well as at the end of the each work day. At the completion of the project, the street shall be washed and the wash water shall be collected and disposed of offsite in an appropriate location. D. After breaking old pavement, Contractor shall remove all debris to avoid contact with rainfall or runoff. E. Contractor shall maintain a clean work area by removing trash, litter, and debris at the end of each work day. Contractor shall also clean up any leaks, drips, and other spills as they occur. The objective is to ensure that the City and County of Santa Clara County-Wide Clean Water Program is adequately enforced. These controls should be implemented prior to the start of construction, up-graded as required, maintained during construction phases to provide adequate protection, and removed at the end of construction. These recommendations are intended to be used in conjunction with the State's Best Management Practices Municipal and Construction Handbooks, local program guidance materials from municipalities, Section 7.1.01 of the Standard Specifications and any other appropriate documents on storm water quality controls for construction. Failure to comply with this program will result in the issuance of noncompliance notices, citations, project stop orders or fines. The fine for noncompliance of the above program is two hundred and fifty dollars ($250.00) per occurrence per day. The State under the Federal Clean Water Act can also impose a fine on the contractor,pursuant to Cal.Water Code '13385. 19. TERMINATION: In the event Contractor fails or refuses to perform any of the provisions hereof at the time and in the manner required hereunder, Contractor shall be deemed in default in the performance of this Agreement. If such default is not cured within a period of two (2) days after receipt by Contractor from City of written notice of default, specifying the nature of such default and the steps necessary to cure such default, City may terminate the Agreement forthwith by giving to the Contractor written notice thereof. City shall have the option, at its sole discretion and without cause, of terminating this Contractor Agreement Page 7 of 17 Blackberry Farm Golf Course Maintenance 2016 Agreement by giving seven (7) days' prior written notice to Contractor as provided herein. Upon termination of this Agreement, each party shall pay to the other party that portion of compensation specified in this Agreement that is earned and unpaid prior to the effective date of termination. 20. COMPLIANCES: Contractor shall comply with all state or federal laws and all ordinances,rules and regulations enacted or issued by City. Specifically,and without limitation, Contractor shall comply with all state,federal, or local regulation regarding the removal and disposal of hazardous waste. A. PREVAILING WAGES: To the extent applicable,Contractor shall comply with the City's Labor Compliance Program and all other requirements set forth in Labor Code section 1770 et seq. Contractor shall pay prevailing wages. Contractor will submit monthly certified payroll records to the City for all employees and subcontractors in a preapproved format or a City provided form. Any delay in remitting certified payroll reports to the City upon request from the City will result in either delay and/or forfeit of outstanding payment to Contractor. B. WORKING DAY: Contractor shall comply with California Labor Code Section 1810, et seq. which provides that work performed by employees of contractors in excess of 8 hours per day, and 40 hours during any one week, must be compensated as overtime, at not less than 1 1/2 times the basic rate of pay, to the extent applicable. C.PAYROLL RECORDS: Contractor shall comply with California Labor Code Section 1776 which requires certified payroll records be maintained with the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem.wages paid to each.journeyman, apprentice, worker, or other employee employed by him or her in connection with this Agreement, to the extent applicable. The Payroll Records shall be made available for inspection as provided in California Labor Code Section 1776. D. APPRENTICES: Contractor shall comply with California Labor Code Section 1777.5 regarding apprentices,to the extent applicable. 21. CONFLICT OF LAW: This Agreement shall be interpreted under, and enforced by the laws of the State of California excepting any choice of law rules which may direct the application of laws of another jurisdiction. The Agreement and obligations of the parties are subject to all valid laws, orders, rules, and regulations of the authorities having jurisdiction over this Agreement (or the successors of those authorities.) Any suits brought pursuant to this Agreement shall be filed with the courts of the County of Santa Clara,State of California. 22. ADVERTISEMENT: Contractor shall not post, exhibit, display or allow to be posted, exhibited, displayed any signs, advertising, show bills, lithographs, posters or cards of any kind pertaining to the services Contractor Agreement Page 8 of 17 Blackberry Farm Golf Course Maintenance 2016 performed under this Agreement unless prior written approval has been secured from City to do otherwise. 23. WAIVER: A waiver by City of any breach of any term, covenant, or condition contained herein, shall not be deemed to be a waiver of any subsequent breach of the same or any other term, covenant, or condition contained herein,whether of the same or a different character. 24. INTEGRATED CONTRACT: This Agreement consists of this document as well as the following documents, including all changes, addenda,and modifications thereof which are incorporated herein by reference: Document 00400,Bid Form Document 00430,Subcontractors List Document 00450,Statement of Qualifications Document 00481,Non-Collusion Affadavit Document 00482,Bidder Certifications Document 00530,Insurance Forms Document 00660,Substitution Request Form Document 00700, General Conditions Document 00800, Special Conditions Document 00820,Special Environmental Conditions Document 00821,Insurance Document 00822,Apprenticeship Program Technical Provisions Addenda(No. 1 and 2) This Agreement represents the full and complete understanding of every kind or nature whatsoever between the parties hereto, and all preliminary negotiations and agreements of whatsoever kind or nature are merged herein. No verbal agreement or implied covenant shall be held to. vary the provisions hereof. Any modification of this Agreement will be effective only by written execution signed by both City and Contractor. 25. INSERTED PROVISIONS: Each provision and clause required by law to be inserted into the Agreement shall be deemed to be enacted herein, and the Agreement shall be read and enforced as though each were included herein. If through mistake or otherwise, any such provision is not inserted or is not correctly inserted, the Agreement shall be amended to make such insertion on application by either party. 26. CAPTIONS: The captions 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. Contractor Agreement Page 9 of 17 Blackberry Farm Golf Course Maintenance 2016 P.O.No.: 7i01 IN WITNESS WHEREOF, the parties have caused the Agreement to be executed on the day and year first above written. CONTRACTOR CITY OF CUPERTINO Professional Turf Management A Municipal Corporation By By David Brandt Name/r e. r/ City Manager Title 64)n e r; &5()C"'?1` Date/ l Dater/ / Address: RECOMMENDED FOR APPROVAL: P.O. Box 700142 San Jose, CA 95170 By_ Carol Atwood Director of Recreation&Community Services APPROVED AS TO FORM: By Col een Winchester,Acting City Attorney ATTEST: r Grace Schmidt, City Clerk Contract Amount: $99,600.00 Account No. : SCvo--(v 3-(01 G Tom-'70-- Contractor Agreement Page 10 of 17 Blackberry Farm Golf Course Maintenance 2016 EXHIBIT A SCOPE OF WORIC BLACKBERRY FARM GOLF COURSE MAINTENANCE Work to provide maintenance of Blackberry Farm Golf Course 1. PUTTING GREENS 1.01 SCOPE: Greens shall be maintained disease and weed free. Complete renovation of any green is not included in this maintenance project. 1.02 MOWING FREQUENCY: Winter—six times per week. Spring/Summer/Fall—six times per week. Contractor to recycle grass trimmings. 1.03 CHANGING CUPS: Contractor shall change the cup location daily year-round. Placement is to be at least 8 feet from edge of green on level surface. When requested,use the 1/3 rule— 1/3 of the pins back, 1/3 pins middle, 1/3 pins up. 1.04 HEIGHT OF CUT: Is to be 0.135 of an inch 1.05 FERTILIZATION: Contractor to collect soil samples yearly to determine recommended nutrients,rates of application and frequency of application, with the goal of a sustainable fertility program. Use organic fertilizers, i.e. Earthworks or approved equivalent. The City shall determine which of the greens are to be tested. Contractor to use Logan Laboratories or City approved equal for soils testing and recommendations. All fertilizer shall be applied in accordance with all applicable laws, codes, specifications and policies and at minimum rates that are consistent with healthy turf. 1.06 AERIFICATION/TOP DRESS/VERTI-CUTTING: Contractor is to perform DryJect aerification or equal twice a year in March/April and September/October, and overseed with Pencross bentgrass in September. Perform a DryJect Maximus aerification or equal in July. Verti-cut greens monthly during the growing season. Top-dress with TD320 from TMT enterprises or City approved equal. 1.07 PESTICIDE APPLICATION: All pesticide application shall be completed by a qualified person in accordance with all applicable laws, codes, specifications and policies. Greens to be maintained disease and weed free. Apply all chemicals sparingly. Applications shall be as per EPA regulations. Contractor must possess SDS (safety data sheets) for all materials. All posting and re-entry requirements must be followed. Contractor to submit monthly a written report of all pesticide applications. A recommendation by a licensed Pest Control Advisor(PCA)that is familiar with Blackberry Farm Golf Course and with its setting and protected natural resources is required for applications, and a licensed staffer with a current Qualified Applicator License(QAL) or is a Qualified Applicator Certificate holder(QAC) shall be on site and provide oversight during applications is required. All work shall adhere to all laws, regulations and applicable guidelines for all pesticide applications. Contractor may be required to obtain a Restricted Materials Use Permit and Notice of Intent prior to any applications. 1.08 PROTECTION OF CREEK AND PONDS: No runoff from fertilizer,pesticide or chemical applications shall flow into creeks or ponds nor to drainage inlets that discharge to creeks or ponds. Contractor Agreement Page 11 of 17 Blackberry Farm Golf Course Maintenance 2016 i 1.09 INTERSEEDING: Contractor shall interseed greens with City approved mix of creeping bentgrass two times per year, in the spring and fall at a rate of 2 lbs.per 1,000 sq. feet unless otherwise directed. 2. COLLAR MAINTENANCE 2.01 MOWING FREQUENCY: Twice weekly in spring/summer/fall and once a week in winter. 2.02 HEIGHT OF CUT: to be %2 inch all year 2.03 FERTILIZATION: to be fertilized the same as greens 2.04 WEED CONTROL: to be applied the same as greens 3. TEE MAINTENANCE 3.01 MOWING FREQUENCY: Two to three times per week in spring/summer/fall and one to two times a week in winter. 3.02 HEIGHT OF CUT: to be 1/2 inch all year 3.03 FERTILIZATION: Contractor to collect at least one soil sample yearly to determine the recommended complete fertilizer to use. Contractor to use Logan Laboratories or City approved equal for soils testing and recommendations. Fertilizer to be applied four times a year in March, May, late August and October. The application rate shall be at the manufacturer's recommended rate. All fertilizer shall be applied in accordance with all applicable laws, codes, specification and policies and at minimum rates consistent with healthy turf. Special care shall be taken to prevent fertilizer or fertilizer-containing runoff from getting into creek areas or ponds. 3.04 AERIFICATION: Contractor to aerate four times per year in May and October and as needed. 3.05 OVERSEEDING: Contractor to overseed four times per year with perennial rye grass, at 8 lbs.per 1,000 sq. feet unless otherwise directed. Contractor to use seeder/slicer(verti-cutting)unit. 3.06 TEE MARKERS: Contractor shall move and rotate daily. Keep 10 feet apart and 8 feet from back of tee(except where markers do not allow). 3.07 PERMANENT YARDAGE MARKERS: Contractor to keep visible at all times. 3.08 WEED CONTROL: Contractor to apply two broadleaf weed control in the spring and fall. Broadleaf weed control is for,but not limited to, English Daisy, clover, spurge and chickweed. Contractor to apply one Crabgrass control in spring. All weed controls shall be applied in accordance with all applicable laws, codes, specification and policies. 3.09 PROTECTION OF CREEK AND PONDS: No runoff from fertilizer,pesticide or chemical applications shall flow into creek areas or ponds nor to drain inlets that discharge to creek areas or ponds. 3.10 SEED AND TOPSOIL TEES: Contractor to place seeds and sand/organic compost mix on tees daily to repair divots. Contractor Agreement Page 12 of 17 Blackberry Farm Golf Course Maintenance 2016 4. FAIRWAY MAINTENANCE 4.01 MOWING FREQUENCY: two to three times per week in growing season, and one to two times per week in winter 4.02 HEIGHT OF CUT: 3/ inch all year 4.03 FERTILIZATION: Contractor to collect one soil sample yearly to determine the recommended complete fertilizer to use. Contractor to use Logan Laboratories or City approved equal for soils testing and recommendations. Fertilizer to be applied four times a year in March, May, late August and October. The application rate shall be at the manufacturer's recommended rate. All fertilizer shall be applied in accordance with all applicable laws, codes, specifications and policies and at minimum rates consistent with healthy turf. 4.04 AERIFICATION: VERTI-CUTTING: Contractor to aerate, verti-cut once per year in April/May. 4.05 OVERSEEDING: Contractor shall overseed with Perennial Rye one time per year, 8 lbs. per 1,000 sq. feet unless otherwise directed. Use seeder/slicer for distribution. Perform spot-overseeding as needed with Perennial Rye. 4.06 WEED CONTROL: Contractor to apply broadleaf weed control twice per year, in the spring and fall. Broadleaf weed control is for,but not limited to, English Daisy, clover, spurge and chickweed. Contractor to apply one Crabgrass control in spring. All weed controls shall be applied in accordance with all applicable laws, codes, specification and policies. 4.07 PROTECTION OF CREEK AND PONDS: No runoff from chemical applications shall flow into creek areas or ponds. Contractor shall cover the drain inlets and drainage structures that discharge to the creek for one week after the application of any chemicals. 5. ROUGH MAINTENANCE 5.01 MOWING FREQUENCY: twice per week all year 5.02 HEIGHT OF CUT: 1 to 1 %2 inches all year 5.03 FERTILIZATION:Same as Fairway Maintenance 5.04 AERIFICATION: Same as Fairway Maintenance 5.05 WEED CONTROL:Contractor to apply two broadleaf weed control in the spring and fall. Broadleaf weed control is for,but not limited to, English Daisy, clover, spurge and checkweed. Contractor to apply one Crabgrass control in spring. All weed controls shall be applied in accordance with all applicable, laws, codes, specification and policies. 5.06 PROTECTION OF CREEK AND PONDS:No runoff from chemical applications shall flow into creeks or ponds. 7. EQUIPMENT AND EQUIPMENT STORAGE 7.01 GREEN EQUIPMENT: The City encourages the Contractor to use Environmentally Friendly or Green equipment and supplies for this contract. Contractor Agreement Page 13 of 17 Blackberry Farm Golf Course Maintenance 2016 i 7.02 SCOPE: All mowing equipment shall be on a regular preventive maintenance schedule for hydraulic and oil lines so as to minimize damage to turf and protect the creek and wildlife habitat from leaks. Hydraulic hoses shall be changed off site every six months. 7.03 GREENS: Mowing equipment shall be 9 or more bladed,reel-type mower with a frequency of cut at a minimum of.25 at 3.6 mph. 7.04 TEES: Mowing equipment shall be 7 or more bladed,reel-type mower with a frequency of cut at a minimum of.53 at 4.2 mph. 7.05 FAIRWAYS: Mowing equipment shall be 6 or more bladed, reel-type mower with a frequency of cut at a minimum of.67 at 5.0 mph. 10. PARKING LOT AT GOLF COURSE ENTRANCE 10.01 SWEEPING: Contractor shall sweep monthly. Manually using a blower is acceptable during the hours of 7:00 am to 8:00 pm on week days and 9:00 am to 6:00 pm on weekend, and in accordance with the City's noise ordinance. 10.02 LOOSE TRASH AND GARBAGE CANS: Contractor shall pick up trash and check area daily. 10.03 BROKEN GLASS/BOTTLES: Contractor shall pick up and dispose of broken glass or similar potentially harmful materials immediately. 11. CLUBHOUSE &MAINTENANCE BUILDING 11.01 REST ROOMS AT MAINTENANCE BUILDING: Public restrooms for golfers exist on the golf-facing side of the golf maintenance building. The public rest rooms will be cleaned and maintained by the City or City's designee. 11.02 PATIO: Contractor shall sweep daily. 11.03 RECYCLED CARDBOARD CONTAINERS: Shall be emptied at least once per week. 12. ENTRY AREA/CLUBHOUSE GROUNDS 12.01 FLOWER BEDS: Contractor shall weed,mulch,water and replenish as needed. 12.02 TRASH: Contractor shall pick up daily. 12.03 FOOT BRUSHES: Contractor shall clean and check weekly and replace when worn. 12.04 WALKWAYS: Contractor shall sweep daily when weather permits. 12.05 TRASH AND CIGARETTE CANS: Contractor shall empty cans daily and comply with City's recycling standards. 12.06 LEAKS FROM GOLF CARTS: Contractor shall clean immediately. 12.07 LANDSCAPE SHRUBBERY: Contractor shall trim monthly and as needed. 12.08 ANNUAL PLANTINGS: Contractor shall remove and re-plant minimum 2 times per year the two planter boxes located at the clubhouse. The planter box on number one tee measuring roughly 4.5 ft. by 35.5 ft. (160 S.F.) and the planter box to the left Contractor Agreement Page 14 of 17 Blackberry Farm Golf Course Maintenance 2016 of the building along the restroom walkway measuring roughly 8 ft. by 34 ft. (272 S.F.). 12.09 DRIVING RANGE: Contractor shall cut grass weekly and fertilize and aerate the same as fairways. 12.10 WEED CONTROL(NON-SELECTIVE): Contractor shall use mechanical method of trimming or removing undesirable vegetation in tree wells,perimeter and interior fence lines,barriers, railroad ties, delineators, and along edges of golf play areas that are along the creek or associated native planting areas. 12.11 LITTER: Contractor shall remove daily. 12.12 TRASH AND DEBRIS (FROM MAINTENANCE): Contractor shall remove as it occurs and dispose of it in a safe and legal manner. 12.13 SOIL,WATER SAMPLES: Contractor shall take samples annually or more often if unusual growth habits develop. 12.14 RODENT CONTROL: Contractor shall begin immediate eradication action following local, state and federal guidelines when gopher or ground squirrel activity occurs. Contractor is not allowed to use rodenticides nor any chemicals to control rodents. Acceptable methods may include carbon dioxide use, trapping, exclusion, or burrow sealing/removal, or using other techniques as acceptable to City. 12.15 SAND TRAPS: Complete renovation of any sand trap is not included in this maintenance project. Contractor shall rake daily. Contractor shall keep sand at 4 inches in depth minimum and keep clean of all weeds. When using power rake, stay about one foot from edge of trap. When hand-raking edge of trap,put sand inward on low side and pull outward on high side. Contractor to edge traps monthly and as needed. Do not drag sand out of trap when exiting trap with power rake. 12.16 TREES: Any tree removal or tree replacement must be approved by the City and any expenditures incurred will be outside the standard scope of work. Contractor shall keep all trees trimmed at least 6 feet from the ground to prevent damage to golf cart tops and maintenance equipment, except for trees and shrubs along the creek which shall only be trimmed as acceptable to the City Naturalist. Contractor shall maintain trees in a safe,healthy, and aesthetically pleasing condition at all times. Contractor shall mow,weed and/or mulch tree wells as needed. Contractors shall immediately remove any broken tree limbs. Downed brush shall be removed as soon as possible. All trimmings or debris shall be removed from the course,unless they are chipped, and used for mulch on site. Contractor shall not be responsible for removal of dead or fallen trees; such removal shall be at the City's expense unless it is determined that the condition was caused by the Contractor's negligence. 12,17 USGA GREEN SECTION VISIT: Contractor shall have a USGA staff agronomist visit the course yearly on the following schedule: first year in the spring, second year in the summer,third year in the fall, no winter visits. Contractor shall act on all appropriate recommendations that result from these visits. 12.18 LEAF PICKUP: Contractor shall remove leaves daily or as necessary. 12.19 VANDALISM/GRAFFITI: Contractor shall correct vandalism immediately and remove graffiti within 24 hours. Contractor Agreement Page 15 of 17 Blackberry Farm Golf Course Maintenance 2016 I 14. OTHER AREAS 14.01 TEE MARKERS: Contractor shall have two sets each hole. Missing or broken markers shall be replaced immediately. 14.02 BENCHES/TEE SIGNS: Contractor shall immediately remove any damaged bench, and notify supervisor so that City can replace it. Any damaged tee sign shall be removed as soon as possible, and notify supervisor so that City can replace it. 14.03 YARD MARKERS: Contractor shall replace as needed any yard markers. 14.04 GREENS FLAGS, POLE, CUPS: Contractor shall replace flags, poles and cups when they are discolored, frayed or damaged in any way. 14.05 BALL WASHERS: Contractor shall check for water/soap daily. Contractor shall replace tee towels monthly or more often if towel is frayed, discolored, or aesthetically unpleasing. 14.06 SAND TRAP RAKES: Contractor shall keep two rakes per trap or more as needed, and replace any missing or broken rake immediately. 14.07 OUT-OF-BOUNDS/HAZARD STAKES: Contractor shall replace white our-of- bounds stakes immediately if missing or broken. 14.08 OVERSEEDING: Contractor shall spot-overseed with Perennial Rye when needed. 14.09 PONDS: Contractor shall keep the ponds free from algae and excessive growth of plant material. 14.10 BRIDGE: Contractor shall inspect bridge daily for safe conditions and repair structures immediately when necessary. 14.11 FOOT GOLF: Contractor shall maintain 9 hole foot golf course,with all tee markers, holes, cups, flagpoles, and flags. Edging around the cups shall be done weekly. 15. IRRIGATION 15.01 SCOPE: Irrigation system shall be maintained in a manner to provide proper watering. Any major irrigation system repairs or improvements are not included in this maintenance project. 15.02 MAINTENANCE: Contractor shall maintain system, including lateral lines, sprinkler heads, and controllers in good operating repair, functioning properly, and conforming to related laws, codes and regulations. No valves or water main repairs are included in this maintenance project. Contractor shall notify the City immediately when valve or water main repairs are necessary for proper operation. 15.03 FREQUENCY: Contractor is to irrigate as required to maintain adequate moisture for growth rate and appearance. Contractor is to hand-water as needed any and all portions of the course that do not receive adequate water from the irrigation system. 15.04 TESTING FOR ADEQUATE SOIL MOISTURE: Contractor shall determine by visual observation,plant resiliency,turgidity, examining cores removed by soil probe, and moisture sensor devices. 15.05 WATER CONSERVATION: Irrigation controllers shall be programmed to maintain course appearance and health of vegetation while maximizing water conservation. Contractor Agreement Page 16 of 17 Blackberry Farm Golf Course Maintenance 2016 15.06 WIND PROBLEMS: In areas where wind creates problems of spraying onto private property or road rights of way, operation shall occur during period of lowest wind velocity. 15.07 MONITORING: Contractor shall make corrections for coverage, adjustment, clogging of lines, and removal of obstacles, tilting of heads, and management of plant materials that obstruct the spray as they occur. 15.08 SYSTEM CHECK: Contractor shall check the system daily during months of operation. 15.09 PUMPING PLANT: Pumping plant shall be maintained the City. 15.10 WATER COST: Water costs shall be paid for by the City. Contractor Agreement Page 17 of 17 Blackberry Farm Golf Course Maintenance 2016 DOCUMENT 00530 INSURANCE FORMS INSURANCE FORMS INSTRUCTIONS FOR ITEMS 3, 4 AND 5, THE FORMS PROVIDED BY THE CITY OF CUPERTINO MUST BE USED. FORMS OTHER THAN THESE WILL NOT BE ACCEPTED. ALL DOCUMENTS MUST BE ORIGINALS -SUBMIT IN TRIPLICATE 1. Insurance Agreement -Must be signed by Contractor. 2. Certificate of Insurance to the City of Cupertino - must be completed by the insurance agent or must provide a certificate on the company's form. They must contain the same information. 3. Endorsement of Additional Insured and Primary Insurance and Notice of Cancellation - must be signed by the insurance agent for general liability and automobile liability only. 4. Comprehensive general liability/commercial general liability endorsement of aggregate limits of insurance per project- must be signed by the insurance agent for general liability only. 5. Waiver of subrogation endorsement worker's compensation insurance - must be signed by the insurance agent for worker's compensation only. City of Cupertino 00530-1 Insurance Forms Blackberry Farm Golf Course Maintenance 2016 i CITY OF CUPERTINO INSURANCE AGREEMENT A. Contractor is aware of the provisions of Section 3700 of the Labor Code, which requires every employer to be insured against liability for worker's compensation or undertake self- insurance in accordance with the provisions of that Code, and will comply with such provisions before commencing the performance of the work of this Contract. B. Contractor and all subcontractors will carry worker's compensation insurance for the protection of its employees during the progress of the work. The insurer shall waive its rights of subrogation against the City, the City's officers, agents and employees and shall issue an endorsement to the policy evidencing same. C. Contractor shall carry at all times, on all operations hereunder, commercial general liability insurance, and automobile liability insurance. All insurance coverage shall be in amounts required by the City and shall be evidenced by the issuance of a certificate in a form prescribed by the City and shall be underwritten by insurance companies satisfactory to the City for all operations, sub- contract work, contractual obligations, product or completed operations, all owned vehicles and non-owned vehicles. Said insurance coverage obtained by the Contractor, excepting worker's compensation coverage, shall name the City, its engineer, and each of its directors, officers, agents and employees, as determined by the City, as additional insureds on said policies. Insurers must be licensed to do business in the State of California. The Insurers must also have an "A" policyholder's rating and a financial rating of at least Class VII in accordance with the current Best's Guide Rating or that is otherwise acceptable to the City. D. Before Contractor performs any work at, or prepares or delivers materials to, the site of construction, Contractor shall furnish certificates of insurance evidencing the foregoing insurance coverages and such certificates shall provide the name and policy number of each carrier and policy and that the insurance is in force and will not be canceled or modified without thirty (30) days written notice to the City. Contractor shall maintain all of the foregoing insurance coverages in force until the work under this Contract is fully completed. The requirement for carrying the foregoing insurance shall not derogate from the provisions for indemnification of the City by Contractor under this Contract and for the duration of the warranty period. Notwithstanding nor diminishing the obligations of Contractor with respect to the foregoing, Contractor shall maintain in full force and effect during the life of this Contract,the following insurance in amounts not less than the amounts specified and having a Best's Guide Rating of A, Class VII or better or that is otherwise acceptable to the City. City of Cupertino 00530-2 Insurance Forms Blackberry Farm Golf Course Maintenance 2016 LIMITS Worker's Compensation In accordance with the Worker's Compensation Employers' Liability Act of the State of California—Worker's comp statutory"per CA Law;Employers' Liability 1,000,000 per occurrence. General Liability- commercial general liability; Combined single limit of$1.0 million per including provisions for contractual liability, occurrence; $2.0 million in the aggregate personal injury, independent contractors and products-completed operations hazard. Automobile Liability- comprehensive covering Combined single limit of$1.0 million per owned,non-owned and hired automobiles. occurrence. b19,ro41,55tV',tcr i / ,r-1//,,ageme4 By:_AZZ 41111eaae,Z_ Contractor's Name) City of Cupertino 00530-3 Insurance Forms Blackberry Farm Golf Course Maintenance 2016 CITY OF CUPERTINO CERTIFICATE OF INSURANCE TO THE CITY OF CUPERTINO This certifies to the City of Cupertino that the following described policies have been issued to the insured named below and are in force at this time. Insured: Address: Description of operations/locations/products insured(show contract name and/or number, if any): WORKER'S COMPENSATION * Statutory Min. Employer's Liability name of insurer) Insurance Company's State License No. Check Policy Type: Each Occurrence COMPREHENSIVE GENERAL LIABILITY Premises/Operations General Aggregate if applicable) Owners& Contractors Protective Aggregate Contractual for Specific Contract Personal Injury Products Liability XCU Hazards Broad Form P.D. Fire Damage (any one fire) $ Severability of Interest Clause Personal Injury with Medical Expense Employee Exclusion Removed any one person) or Self-Insured COMMERCIAL GENERAL LIABILITY Retention name of insurer) Policy No.Expiration Date City of Cupertino 00530-4 Insurance Forms Blackberry Farm Golf Course Maintenance 2016 CITY OF I.[a CUPERTINO INSURANCE AGREEMENT A. Contractor is aware of the provisions of Section 3700 of the Labor Code, which requires every employer to be insured against liability for worker's compensation or undertake self-insurance in accordance with the provisions of that Code,and will comply with such provisions before commencing the performance of the work of this Contract. B. . Contractor and all subcontractors will carry worker's compensation insurance for the protection of its employees during the progress of the work. The insurer shall waive its rights of subrogation against the City,the City's officers,agents and employees and shall issue an endorsement to the policy evidencing same. C. Contractor shall carry at all times, on all operations hereunder, commercial general liability insurance, and automobile liability insurance. All insurance coverage shall be in amounts required by the City and shall be evidenced by the issuance of a certificate in a form prescribed by the City and shall be underwritten by insurance companies satisfactory to the City for all operations, sub-contract work, contractual obligations, product or completed operations, all owned vehicles and non-owned vehicles. Said insurance coverage obtained by the Contractor,excepting worker's compensation coverage,shall name the City,its engineer,and each of its directors, officers,agents and employees, as determined by the City, as additional insureds on said policies. Insurers must be licensed to do business in the State of California. The Insurers must also have an"A"policyholder's rating and a financial rating of at least Class VII in accordance with the current Best's Guide Rating or that is otherwise acceptable to the City. D. Before Contractor performs any work at, or prepares or delivers materials to, the site of construction, Contractor shall furnish certificates of insurance evidencing the foregoing insurance coverages and such certificates shall provide the name and policy number of each carrier and policy and that the insurance is in force and will not be canceled or modified without thirty(30)days written notice to the City. Contractor shall maintain all of the foregoing insurance coverages in force until the work under this Contract is fully completed. The requirement for carrying the foregoing insurance shall not derogate from the provisions for indemnification of the City by Contractor under this Contract and for the duration of the warranty period. Notwithstanding nor diminishing the obligations of Contractor with respect to the foregoing,Contractor shall maintain in full force and effect during the life of this Contract,the following insurance in amounts not less than the amounts specified and having a Best's Guide Rating of A,Class VII or better or that is otherwise acceptable to the City. LIMITS Worker's Compensation In accordance with the Worker's Compensation Employers' Liability Act of the State of California—Worker's comp statutory"per CA Law;Employers' Liability 1,000,000 per occurrence. General Liability'-commercial general liability; Combined single limit of$1.0 million per occurrence; including provisions for contractual liability,personal $2.0 million in the aggregate injury,independent contractors and products— completed operations hazard. Automobile Liability-comprehensive covering owned, Combined single limit of$1.0 million per occurrence. non-owned and hired automobiles. C ew aPIg 6 t'sxtvld By: i Contractor's Name) Dated: 20/6-- City of Cupertino 00530-2 Insurance Forms Blackberry Farm Golf Course Maintenance 2016 P. CITY Or- CUPERTINO CERTIFICATE OF INSURANCE TO THE CITY OF CUPEETINO This certifies to the City of Cupertino that the following described policies have beets issued to the insured named below and are in force at this time. Insured: JD'L' ldnGl tY 1`hl1Hfif l`GI' Address: 5/ 7 Description of operations/locations/products insur d (show contract name and/or number, if any): 6 (1-(ik b f1y-y\,1 k-r-m c l ou Vila 4 a WORKER'S COMYE%TiON *Statutory Min. j (i7C1 q +? <s<d rIC * Employer's At,l c.G/)111o,OV a vs S. Liability name of insurer) 6lao No Insurance Company's State License No. Ay5 3 81 Check Policy Type: Each Occurrence_.____.___.$ COMPREHENSIVE GENERAL Premises/Operations General Aggregate e0o,6160 if applicable) Owners & Contractors Protective Aggregate Contractual for Specific Contract Personal Injury 11.000_1__e)L70 Products Liability XCU Hazards Broad Form I'_D, Hire Damage (any one tire) $ .(0, 00C Severability of Interest Clause Personal Injury with Medical Expense d0 Employee Exclusion Removed any one person) or Self-Insured CON1 MERCIAL GENERAL LIABILITY Retention name of insurer) policy No.So `71G 7 Expiration Date City of Cupertilto 00530-3 Insurance Forms Slaokberry Pam Coif Course Maintenance 2016 I I p.2 CITY OF ADDITIONAL INSURED ENDORSEMENT and CUR` INO ENDORSEMENT OF PI2 MARY INSURANCE and NOTICE OF POLICY CANCELLATION ENJDORSEiY ENT Project Title and Number:R/ar In consideration of the policy premium and notwithstanding any inconsistent statement in the policy to which this Endorsement is attached or any other Endorsement attached thereto, it is agreed as follows: The City of Cupertino("City")and its directors,officers,engineers,agents and employees,and all public agencies from whom permits will be obtained and their directors, officers, engineers,agents acid employees, and the State of California,and its officers,agents and employees,are:Hereby declared to be additional insureds under the terms of this policy,but only with respect to the operations of the Contractor at or upon any of the premises of the City in connection with the Contract with the City, or acts or omissions of the additional insureds in connection with,but limited to its general supervision or inspection of said operations. The insurance afforded by this policy is primary insurance,and no additional insurance held or owned by the designated additional insured(s)shall be called upon to cover a loss under said additional policy. Cancellation Notice. The insurance afforded by this policy shall not be suspended, voided, canceled, reduced in coverage or in limits, or materially altered, except after thirty (30) days' prior written notice by certified mail, return receipt requested, has been ,given to the City of Cupertino ("City"). Such notice shall be addressed to the City as indicated below. POLICY INFORMATION 1. insurance Company: 560q-561e, t;,6 CM 7 2. Insurance Policy Number: 13. Effective Date ofthis Endorsement: i , j 20 4. Insured: Ali notices herein provided to be given by the Insurance Company to the City in connection with this policy and these Endorsoments,shall be mailed to or delivered to the City at 10300`Torre Avenue; Cupertino, California 95014, I, print/type name) warrant that I hav 1 t' o d e below ed Insurance Company and by arty signature hereon do so bind this Company, Signature of Authorized Representative:_ Original signature required on all Endorsemen s furnislwV M the District) Names of ,, JJAgent/Agency:W Vgsp l',ff 6;W11 J4e5 Title:—_640 LAY Address: 6 14,5#0 '! 1rr r d11'l r °J Facsimile: al,5 d Y3 e13d- City of Cupertino 00530-S Insurance Foilns Blackberry Farm Golf Course Maintenance 2016 i I p.3 CITY OF IRI COMPREHENSIVE GENERAL LIABILITY COMMERCIAL GENES{AL LIABILITY ENDORSEMENT OF AGGREGATE LIMIT'S OF CUPER"CINO INSURANCE PER PROJECT Project Title and Number: &ac kL'e, In consideration of the policy preiniutn and notwithstanding any inconsistent statement in the policy to Which this Endorsement is attached or any other Endorsement attached thereto, it is as follows: This Endorsement modifies the insurance provided under the General Liability Coverage part of the below-referenced policy of insurance_ The general aggregate limit under LIMITS OF INSURANCE applies separately to the project described as POLICY JNFORMATION 1. Insurance Company: 2. Insurance Policy Number: ( P s of IMi g 7 3. Effective Date of this Endorsement- k 20_L6 4. 1llsured: f y^04 5-51 U l(, b Tlir--( r la mageol ey)-f- 5. Additional insured: City of Cupertino, its directors,officers, agents and employees. All notices herein provided to be given by the Insurance Company to the City in connection with this policy and this Endorsement, shall be mailed to or delivered to the City at 10300 Torre Avenue; Cupertino, Californiaalifornia 95014. 1, k-t I/L/ V 0 t ' f' 11 print/type name) warrant that I have authority to bind the below listed Insurance Company and by my signature hereon do so bind this Company. Signature of Authorized Representative: Original signature required on all Endorsement furni-A&W the District) Names of yAgent/Agency: U0 ,_t"nSrf lai?L' , rV1C Title:^ /7Iw Address: 5/1 G /S 41 r"e S IV ee—t" Telephone: qA5 03 3 Gil yey/W 6y(' r (- a Facsimile: qAJ ,i D/ ' VOLPA` 'TI INSURANCE SERVICES INC. 511 LEISURE STREET LIVERMOW CA 94551 City of Cuperthlo 00530-6 Insurance Forms 131ao1,bcrry Farm Golf Course Maintenance 2016 I COMMERCIAL GENERAL LIABILITY CG 20 33 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWN.ERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following* COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11 - Who Is An Insured Is amended to B. With respect to the insurance afforded to these ad- include as an additional Insured any person or or- ditional Insureds, the following additional exclu- ganization for whom you are performing opera- sions apply: tions when you and such per-son or organization This insurance does not apply to: have agreed In writing in a contract or agreement that such person or organization be added as an- I• "Bodily injury","property damage"or"personal additional insured on your policy. Such person or and advertising Injury" arising out of the ren- organization is an additional insured only with re-- dering of, or the failure to render, any profes- spect to liability for "bodily injury", "property dam-slonal architectural, engineering or surveying age"or"personal and advertising injury"Caused,In services, including; whole or in part,by: a. The preparing, approving, or failing to 1. Your acts or omissions;or prepare or approve, rnaps, shop draw- ings, opinions, reports, surveys, field or- 2. The acts or omissions of those acting on your ders, change orders or drawings and behalf, specifications;or in the performance of your ongoing operations for h. Supervisory, inspection, architectural or lie additional Insured, engineering activities. However,the Insurance afforded to such additional This exclusion applies even if the claims against insured: any Insured allege negligence or other wrongdoing 1. Only applies to the extent permitted by law; in the supervision, hiring, employment, training or, and monitoring of others by that Insured, if the "occur_ 2. Will not be broader than that which You are re- rence" which caused the "bodily injury" or "prop- quired by the contract or agreement to provide erty damage", or the offense which caused the for such additional insured. personal and advertising injury", involved the ren- dering of or the failure to render any professional A person's or organization's status as an addi- architectural,engineering or surveying services. tional Insured under this endorsement ends when your operations for that additional Insured are completed. CG 20 33 04 13 Copyright, Insurance Services Office, Inc.,2012 Page I of 2 TNSURED 2. "Bodily injury"or"property damage"occurring C. With respect to the insurance afforded to these after: additional Insureds, the following is added to Sec- a. All work, including materials, parts or tion III-Limits Of Insurance: equipment furnished in connection with The most we will pay on behalf of the additional In- such work,on the project(other than serv- sured is the amount of insurance: ice, maintenance or repairs) to be per- I. Required by the contract or agreement you formed by or on behalf of the additional have entered into with the additional insured; insured(s) at the location of the covered or operations has been completed;or 2. Available under the applicable Limits of Insur b. That portion of "your work" out of which anae shown in the Declarations; the injury or damage arises has been put to Its intended use by any person or or- whichever is less. ganization other than another contractor This endorsement shall not increase the applicable or subcontractor engaged in performing Limits of Insurance shown In the Declarations. operations for a principal as a part of the same project. I Page 2 of 2 Copyright, Insurance Services Office, Inc.,2012 CG 20 33 04 13 0 DATE(MIND D/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/18/201.5 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 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 hl lieu of such endorsement(s). PRODUCER NAME: VOLPATTI INSURANCE SERVICES INC PHONE FAX Ext: (925)243-0t Arc No:(925)243-0132 511 Leisure Street ADDRI ss:rick@volpatta .com Livermore, CAp94551 License#:OE40809 INSURER(S) AFFORDWO COVERAGE HAICM INSURERA:Scottsdale Insurance Company 41297 INSURED Rep zo Underwriters Insurance Company 24538ProfessionalTurdManagement, Inc. INSURER B: INSURER C:Cali orzria Capital Insurance Company 13544 PO Box 700142 INSURERD: San Jose, CA 95170 INSURER E INSURER 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 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. INSR ADDL SUER POUCY EFF P L C EXP LrR TYPE OF INSURANCE INSR 1'!VD POLICY NUMBER A4PA/DD IAP.'I/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 x COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 CLAIMS-MADE I "-1 OCCUR MED EXP(Any one person) $ 5,000 A y CPS2189797 04/01/2015 04/01/2016 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COIAP/OP AGG $ 2,000,000 1 POLICY R PE0 LOC AUTOMOBILE LIABILITY Ea accident) SINGLE LIMIT ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accidenl) $AUTOS AUTOS NON-OWNED PROP RTY DAA GE $ HIRED AUTOS AUTOS Peraccident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LPABH CLAIMS-MADE AGGREGATE DED I I RETENTIONS S WORKERS COMPENSATION X WCSTATU- 07H- AND EMPLOYERS'LIABILITY Y/NTORY LIPAITSI ER g ANYOFF1C P,i E+ IFTOABERPARNEReLUDED ECUTM — NIA E.L.EACH ACCIDENT- $ 1,000,000 6londato7inNN) ATW 004386-01.04/01/15 04/01/16 E DISEASE-EAEMPLOYE $ 1,000,000 beuMerDE$CRIPTI ON OF OPERATIONS bettry E.L.1 00 Commercial Inland Contractors Equip. C Marine 3--MIA-1--026769 6/23/2015 6/23/201(5 $213,275 Deductible $500 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (Attach ACORD got,Add-Monat Remarks Schedule,if more space Is required]) The City of Cupertino, its directors, officers, agents, consultants and employees are named as additional insured in regard to General Liability and Primary/Pion-Contributory wording is attached to this policy. Waiver of Subrogation in regard to workers compensation in favor of City of Cupertino. The issuing insurer will endeavor to mail 30 days written notice of cancellation, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Cupertino THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10300 Torre Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Cupertino, CA 95014 JAUTHORIZEDEPRESENTATIVE A l O 1988-'A O CORD CORPORATION. All r1ghts reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD I I Dec 141E 05:58p p.2 C D VEHICLE OR EQUIPMENT CERTIFICATE OF INSURANCE DATE(MMIDDNYYY) lk. 11211412015 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 INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND TIME CERTIFICATE HOLDER. This form is used to report coverages provided to a single specific vehicle or equipment,Do not use this form to report liability coverage provided to multiple vehicles under a single policy,Use ACORD 25 for that purpose. PRODUCER CONTACT NAMF- Elena Rivera 5tateili rm JOE FRANGIEH ON . x40793-8303 793-8304NCaEt: 120 W CAMPBELL AVE STE A ADMDRESS: alana.rivera.fhvp@statefarrn.Corn CAMPBELL,CA 96008 PRODUCER CUSTOMER ID9: INSURER(S)AFFORDING COVERAGE NAIC A INSURED INSURER A: State Farm Mutual Automobile insurance Company 25178 Basile,Michael INSURER B: OBA Professional Turf MG_T INSURER C: 1310 Saddle Rack St Apt 302. INSURER D: San Jose,CA 9.5126 INSURERE. DESCRIPTION OF VEHICLE OR EQUIPMENT YEAR MAKE 1 MANUFACTURER MODEL BODY TYPE VEHICLE IDENTIFICATION NUMBER 2012 Ford F150 Pickup 1FTFW1CF7CF695742 DESCRIPTION SERIAL NUMBER COVER AC+ES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICY(IES)OF INSURANCE LISTED BELOW HASIHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD(S)INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY-CONTRACT OR OTHER DOCUMENT YwTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICY(IES)DESCRIBED HEREIN ISIARE SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICY(IES). INSR ADOL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPEOFINSURANCE POLICYNUMBER DATE(MIAI)DIYYYYI DATE(MWDDiYYYY) LIMITS Oe VEHICLE LIABILITY COMBINED SINGLE LIMIT $ A 273 4810-A07-05A 01/07/2016 07/07/2016 BODILY INJURY(Per person) S 1,000,000- BODILY INJURY(Per-accident) $ 1,000,000 - PROPERTYDAMACE 1,000,000 GENERAL LIABILITY EACH OCCURENCE OCCURRENCE GENERAL AGGREGATE S ' CLAIMS MADE MEDICAL PMNTS is 10,000 INSR LOSS- POLICYEFFECTIVE PODCYEXPIRATION LINtITSrOEDUC7IBLELTRPAYEETYPEOFINSURANCEPOLICYNUMBERDATE(UrAIDDIYYYY) DATE IMMIDDIYYYY) K VEH COLLISION LOSS ACV AGREED AMT S LIMIT" G 273 4810-A07-05A 01/07/2016 07107/2018 STATED AMT $50O DEO VEH COMP VEH OTC ACV AGREED AMT S LIMIT C1 273 4610-A07-05A 0110712016 07107/2016 STATED MAT S 290 DIED PROPERTY ACV L1 AGREED AMT 5 LIMIT BASIC BROAD ClRC STATED WAT 5 DED SPECIAL n' REMARKS(INCLUDING SPECIAL CONDITK)NS/OTHER COVERAGES)(AHach ACORD 101,Additional Remarks Schedule,if more space As required) ADDITIONAL INTEREST CANCELLATION Select one of the following:-SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE-CANCELLED Tie additional Interest dasc dried below has been added to the poticy(les)listed herein by PoNcy nurmerm.BEFORE THE EXPIRATION DATE THEIREOF,NOTICE WILL BE A request has been submitted to add`headdiGsna.Inmest described below to the poliey(les) DELIVERED IN ACCORDANCE INITH THE POLICY PROVLSIONS. Used herein w.,Poicy numb@_fflS)_ VEHIOLEI EQUIPMENT INTEREST-. LEASED FINANCED DESCRIPTION OF THE ADDITIONAL INTEREST NACAE AND ADDRESS OF ADDITIONAL INTER£ST ADDIYIDNALINSURED LOSS PAYEE LENDER'S LOSS PAYEE LOAN[LEASE NUMBER UTHORIZE.D REPRESENTVE at tlle C osv TI 9Vj MII;iC YfR P19A1'IIa000 j 1997-2010 ACORD CORPORATION,All rights reserved. ACORD 23 201010E The ACORD name and logo are registered marks of ACORD 1004361 142987.2 01-28-2013 Dec 1415 05:58p P 3 A 0 VEHICLE OR EQUIPMENT CERTIFICATE OF INSURANCE DATE(MPAIDOmYY)112/1412015 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. This form is used to report coverages provided to a single.specific vehicle or equipment.Do not use this form to report liability coverage provided to multiple vehicles under a single policy.Use ACORD 25 forthatpurpose. PRODUCER NAMEACT Elans Rivera StatBFarm JOE FRANGIEH w No Exc: 408-793-8303 ac No: 448-793-8304 120 W CAMP13ELL AVE STE A AEOnRIE st elona.rivera.fhvp@statefarm.com CAMPBELL,CA 95008 PRODUCER cusronlER ID K: I INSURERS)AFFORDING COVERAGE NAIC P INSURED INSURER A; Stale Fart Mutual Automobile Insurance Company 25178 Basile,Michael INSURER 13 DBA Professional Turf MGT INSURER C: 1310 Saddle Rack St Apt 302 INSURER D- San Jose,CA 95126 1 INSURERE: DESCRIPTION OF VEHICLE OR EQUIPMENT YEAR MAKE 1 rAANUFACTURER N)DEL BODY TYPE VEHICLE IDENTIFICATION NUMBER 20,13 Ford Edgy SportWG 2FMU1(3JC1D18A83577 DESCRIPTION SERIAL NUMBER COVERAGES. CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICY(IES)OF INSURANCE LISTED BELOW HAS/HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD(S)INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICY(IES)DESCRIBED HEREIN ISIARE SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICY(IES). INSR ADDL POLICY EFFECTIVE POLICY EXPIRATION LTR %N5RD TYPE OF INSURANCE FOUCY NUMBER DATE(rA11D131YYYY) DATE(MMIDONYYY) LIMITS VEHICLE LIABILITY COMBINEU SINGLE LIMIT 3 1,000,000 A 1914357-DO4-05G 10/04/2015 04104/2016 BOOILY INJURY(Per person) 5 BODILYINJURY(Peraxident) S PROPERTY DAMAGE GENERAL LIABILITY EACH OCCURRENCE S OCCURRENCE GENERAL AGGREGATE s C'-AIMSMADE MEDICAL PMNTS s 10,000 IN SR LDsS POLICY EFFECTIVE POLICY EXPIRATION LTR PAYEE TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDIYYYY) DATE(MMIDDIYYYY) LIMITS!DEDUCTIBLE G V_H COLLISION LOSS 191 4357-D04-05G 10/04/2015 04/04/2016 0 ACV" C3 AGREZDAMT s- LIMIT 1:1 STATED MAT $500 DED D VEHCOh1P VET:OTC 1914357-D04-05G 10/04/2015 04/04/2016 ` ACV -AGREED AMT -S LIMIT SrATEDAMT $250 DED PROPERTY ACV AGREEDAMT LIMIT BASIC BROAD RC STATED AMT S DED SPECIAL REMARKS(INCLUDING SPECIAL CONDITIONS/OTHER COVERAGES)[Attach ACORn 101,Additional Remarks SchedUe,rf mare apace Is required) ADDITIONAL INTEREST CANCELLATION Selectone of the following: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1RThe additional interest described balm has been added to the policypes)listed herelr.by policy ntonber(sl.BEFORE THE EXPIRATION DATE THEREOF,NOTICE WALL.BE Arequest has been subm:l:ed to add the addl9onalinlerest descrioed below to the poliay(ies) DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. lisisd herein b"'Illcy number s. VEHICLE I EQUIPMENT INTEREST; LEASED FINANCEp DESCRIPTION OF'THE ADDITIONAL INTEREST NAMEAND ADDRESS OF ADDITIONAL INTEREST ADDITIONAL INSURED LOSS PAYEE LENDER'S LOSS RRYEE LOAN!LEASE NUMBER AUTHORIZED REP ESENTATIVE Car aile vuley oi.:rarsm.0 roaes,tew 01997-2010 ACORD CORPORATION.All rights reserved. AGGRO 23(2010106) The ACORD name and logo are registered marks of ACORD 1004361 142987.2 01-28-2013 i p.4 crrY or WAIVE,R OF SUBROGATION ENDORSEMENT WORKER'S COMPENSATION INSURANCE CUPER'rINO Project Title and Nurnber: 91(zc `&AV rorrA Q-(Gev se RofelT vtah r e. In consideration of the policy premium and notwithstanding any inconsistent statement in the policy to which this Endorsement is attached or any other Endorsement attached thereto, it is agreed as follows; It is agreed that with respect to such insurance as is afforded by the policy, the Insurance Company waives any right of subrogation against the City of Cupertino, and each of its directors, officers, agents, consultants and employees by reason of any payrnent made on account of injury, including death resulting therefrom, sustained by any employee of the insured, arising out of the perforniance of the above-referenced Contract. POLICY INFORMATION t. Insurance Company: f 11Ppu' &I U u-eeGrw''i lei--s -'t l o ¢r F C:e— 2. Insurance Policy Number: A IT-14/ Co y & '-0 1 3. Effective Date of this Endorsement, -- -dal) 20 Je, 4. Insured:_^&0 All notices herein provided to be given by the Insurance Company to the City in connection with this policy and this Endorsement, shall be mailed to or delivered to the City at 10300 Torre Avenue; Cupertino, California 950I4. T V 0 t 6 - J print/typo name) warrant that I hav authority to-biiAd the below listed Insurance Company and by my signature hercon do so bind this Company. Signature of Authorized Representative: Original signature required on all Endorsement furnis e W the District) Names of AgentlAgency; t' JfJUCe JlailrG L''` Title: 6 '-d Address: /f 1(%sa Ir(? Telephoner 0/3 r Co'1 d"Mdv"'f co facsimile:p 0 VOLPATTI INSURANCE SERVICES INC. END OF DOCUMENT 511 LEISURE STREET LIVERMORE, CAS. 94551 City nor Cupertino 00530-7 Insurance Forms Blookberry Farm Golf Course A4ainteuance 7.01 G I i WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 Ed.4-841 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 5% of the California workers'compensation premium otherwise due on such reurtuneration. Schedule Person or Organization Job Description The City of Cupertino; Blackberry Farm Oolf Course 22100 Stevens Creek Blvd. 10300 Torre Ave Cupertino, CA 95014 Cupertino,CA 95014 general maintenance on the golf course This endorsement changes the policy to which It is attached and is effective on the date Issued unless otherwise stated The information below Is required only when this endorsement is Issued subsequent to preparation of the policy.) Endorsement Effective 04-01-2015 Policy No. ATV 004386-01 Endorsement No. 1 Insured Insurance Company Professional Turf Management,W.(A Corp) Republic Underwriters Insurance Company Countersigned By