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24-029 Sparkl for Earth Day 2024 - Reusable Foodware Service for Food TrucksEarth Day 2024 - Reusable Foodware Service for Food Trucks 1 of 5 Services Agreement ($5,000) / February 2024 SERVICES AGREEMENT ($5,000 OR LESS) 1. Parties. This Agreement (“Agreement”) is made by and between the City of Cupertino, a municipal corporation (“City”) and Sparkl Sustainable Solutions (“Contractor”), a Sole Proprietorship/Individual, and is effective on the last date signed below (“Effective Date”). 2. Services. Contractor agrees to provide the programs, classes or activities (“Services”) set forth in detail in the Scope of Services, attached and incorporated here as Exhibit A. Contractor further agrees to carry out its work in compliance with any applicable local, State, or Federal order regarding COVID-19. 3. Time of Performance. This Agreement begins on the Effective Date and ends on April 28, 2024 (“Contract Time”), unless terminated earlier as provided herein. Contractor must deliver the Services in accordance with the Schedule of Performance included or attached to Exhibit A. Time is of the essence for the performance of all the Services. Contractor must have sufficient time, resources, and qualified staff to deliver the Services on time. The City’s designated supervisor for this Agreement may extend the Contract Time by up to six (6) months through a written amendment to this Agreement, provided such extension does not include additional contract funds. 4. Compensation. City will pay Contractor for satisfactory performance of the Services an amount that will based upon actual costs but that will be capped so as not to exceed $4,000.00 (“Contract Price”), based upon the Scope of Services and the budget and rates included in Exhibit A. The maximum compensation includes all expenses and reimbursements and will remain in place even if Contractor’s actual costs exceed the capped amount. Upon City approval of written invoices, Contractor will be paid as follows: (check one; cross out others): ☐ A lump sum amount of $________which shall not exceed the Contract Price. ☐ At the rate of $______per hour for a total not to exceed the Contract Price. ☒ Based on the payment schedule included or attached to Exhibit A which shall not exceed the Contract Price. 5. Independent Contractor. Contractor is an independent contractor and not an employee, partner, or joint venture of City. Contractor is solely responsible for the means and methods of performing the Services and for the persons hired to work under this Agreement. Contractor is not entitled to health benefits, workers compensation or other benefits from the City. Contractor must have the skills and qualifications to perform the Services in a competent and professional manner, and must be licensed, registered, and/or certified and have a City Business License. Contractor will supply all tools, materials and equipment required to perform the Services under this Agreement. 6. Payment of Benefits and Taxes. Contractor is solely responsible for the payment of employment taxes incurred under this Agreement and any similar federal or state taxes. Contractor and any of its employees, agents, and subcontractors shall not have any claim under this Agreement or otherwise Earth Day 2024 - Reusable Foodware Service for Food Trucks 2 of 5 Services Agreement ($5,000) / February 2024 against City for seniority, vacation time, vacation pay, sick leave, personal time off, overtime, health insurance, medical care, hospital care, insurance benefits, social security, disability, unemployment, workers compensation or employee benefits of any kind. Contractor shall be solely liable for and obligated to pay directly all applicable taxes, fees, contributions, or charges applicable to Contractor’s business including, but not limited to, federal and state income taxes. City shall have no obligation whatsoever to pay or withhold any taxes or benefits on behalf of Contractor. Should any court, arbitrator, or administrative authority, including but not limited to the California Public Employees Retirement System (PERS), the Internal Revenue Service, or the State Employment Development Division, determine that Contractor, or any of its employees, agents, or subcontractors, is an employee for any purpose, then Contractor agrees to a reduction in amounts payable under this Agreement, or to promptly remint to City any payments due by the City as a result of such determination, so that the City’s total expenses under this Agreement are not greater than they would have been had the determination not been made. In the event that Contractor or any employee, agent, or subcontractor of Contractor providing services under this Agreement is determined by a court of competent jurisdiction or PERS to be eligible for enrollment in PERS as an employee of City, Contractor shall indemnify, defend, and hold harmless City for the payment of any employee and/or employer contributions for PERS benefits on behalf of Contractor or its employees, agents, or subcontractors, as well as for the payment of any penalties and interest on such contributions, which would otherwise be the responsibility of City, and actual attorney’s fees incurred by City in connection with the above. 7. Assignment. This Agreement is not assignable. Contractor may not substitute another or transfer any rights or obligations under this Agreement without prior written approval of City. Only those persons whose names are included in Exhibit A may perform the Services. 8. Indemnification. To the fullest extent allowed by law and except for losses caused by the sole and active negligence or willful misconduct of City personnel, Contractor shall indemnify, defend, and hold harmless City, its City Council, boards and commissions, officers, officials, employees, agents, servants, volunteers and consultants (“Indemnitees”), through legal counsel acceptable to City, from and against any and all liability, damages, claims, actions, causes of action, demands, charges, losses, costs and expenses (including attorney fees, legal costs and expenses related to litigation and dispute resolution proceedings), of every nature, arising directly or indirectly from this Agreement or in any manner relating to any of the following: (a) Breach of contract, obligations, representations or warranties; (b) Negligent or willful acts or omissions committed during performance of the Services; (c) Personal injury, property damage, or economic loss resulting from the work or performance of Contractor or its subcontractors or sub-subcontractors; Contractor must pay any costs City may incur in enforcing this provision and must accept a tender of defense upon receiving notice from City. Contractor’s payments may be deducted or offset to cover any money the City lost due to a claim or counterclaim arising out of this Agreement. 9. Insurance. Contractor shall comply with the Insurance Requirements, attached and incorporated here as Exhibit B, and must maintain the insurance for the duration of the Agreement, or longer as required Earth Day 2024 - Reusable Foodware Service for Food Trucks 3 of 5 Services Agreement ($5,000) / February 2024 by City. City will not execute the Agreement until City approves receipt of satisfactory certificates of insurance and endorsements evidencing the type, amount, class of operations covered, and the effective and expiration dates of coverage. Failure to comply with this provision may result in City, at its sole discretion and without notice, purchasing insurance for Contractor and deducting the costs from Contractor’s compensation or terminating the Agreement. 10. Compliance with Laws. Contractor shall comply with all laws and regulations applicable to this Agreement, included without limitation the following laws: Labor Laws. Contractor shall comply with all labor laws applicable to this Agreement. If the Scope of Services includes a “public works” component, Contractor is required to comply with prevailing wage laws under Labor Code Section 1720 and other labor laws. ☒ Sole Proprietor. If Contractor is a sole proprietorship/individual, it must sign the Affidavit of No Employees included in this Agreement. Discrimination Laws. Contractor shall not discriminate on the basis of race, religious creed, color, ancestry, national origin, ethnicity, handicap, disability, marital status, pregnancy, age, sex, gender, sexual orientation, gender identity, Acquired-Immune Deficiency Syndrome (AIDS) or any other protected classification. Contractor shall comply with all anti-discrimination laws, including Government Code Sections 12900 and 11135, and Labor Code Sections 1735, 1777 and 3077.5. Consistent with City policy, Contractor understands that harassment and discrimination directed toward a job applicant, an employee, a City employee, or any other person, by Contractor or Contractor's employees or sub-contractors will not be tolerated. Contractor agrees to provide records and documentation to the City on request necessary to monitor compliance with this provision. Conflicts of Interest. Contractor shall comply with all conflict of interest laws applicable to this Agreement and must avoid any conflict of interest. Contractor warrants that no public official, employee, or member of a City board or commission who might have been involved in the making of this Agreement, has or will receive a direct or indirect financial interest in this Agreement, in violation of California Government Code Section 1090 et seq. Contractor may be required to file a conflict of interest form if Contractor makes certain governmental decisions or serves in a staff capacity, as defined in Section 18700 of the California Code of Regulations. Contractor agrees to abide by the City’s rules governing gifts to public officials and employees. 11. Abandonment. City may abandon or postpone the Project at any time. Contractor will be compensated for satisfactory Services performed through the date of abandonment. 12. Termination. City may terminate this Agreement for cause or without cause at any time. City reserves the right to terminate the Agreement and the remainder of the Services offered by Consultant without notice based upon Contractor’s cancellation of a Service (i.e., program, class or activity) without giving advance notice or obtaining written approval from City. 13. Governing Law. This Agreement is governed by the laws of the State of California. Any lawsuits filed related to this Agreement must be filed with the Superior Court for the County of Santa Clara, State of California. Contractor must comply with the claims filing requirements under the Government Code Earth Day 2024 - Reusable Foodware Service for Food Trucks 4 of 5 Services Agreement ($5,000) / February 2024 prior to filing a civil action in court. If a dispute arises, Contractor must continue to provide the Services pending resolution of the dispute. If the Parties elect arbitration, the arbitrator’s award must be supported by law and substantial evidence and include detailed written findings of law and fact. 14. Entire Agreement. This Agreement represents the full and complete understanding of every kind or nature between the Parties, and supersedes any other agreement or understanding, either oral or written, between the Parties. Any changes to this Agreement will be effective only if in writing and signed by each Party’s authorized representative. No verbal agreement or implied covenant will be valid to amend or abridge this Agreement. If there is any inconsistency between any term, clause, or provision of the main Agreement and any term, clause, or provision of the attachments or exhibits thereto, the terms of the main Agreement shall prevail and be controlling. Each provision and clause required by law for this Agreement is deemed to be inserted and will be inferred herein. 15. Services Coordinator. The Parties designate the following persons as Services Coordinators for this Agreement. Contractor’s designation and any substitution are subject to City approval. For City: For Contractor: Ursula Syrova Paul Liotsakis Environmental Programs Manager CWO/Owner ursulas@cupertino.org Paul@sparklsfbay.com 16. Contract Interpretation. There are no intended third party beneficiaries of this Agreement. Neither acceptance of the Services nor payment therefor shall constitute a waiver of any contract provision. City’s waiver of a breach shall not constitute waiver of another provision or breach. The headings in this Agreement are for convenience only. The Indemnification and Governing Law sections expressly survive this Agreement. 17. Severability. If a term or provision of the Agreement or its application to a particular situation is found by the court to be void, invalid, illegal, or unenforceable, such term or provision shall remain in effect to the extent allowed by such ruling. All other terms and provisions of this Agreement or their application to specific situations shall remain in full force and effect. 18. Notices. All notices, demands, requests, and approvals must be sent to the persons below in writing, and will be considered effective on the date of personal delivery, upon confirmation of delivery by a reputable overnight delivery service, on the fifth calendar day after deposit thereof in the United States Mail, postage prepaid, registered or certified, or the next business day following electronic submission: To City of Cupertino: Office of the City Manager 10300 Torre Ave. Cupertino CA 95014 Attention: Ursula Syrova Email: ursulas@cupertino.org To Contractor: Sparkl Sustainable Solutions 621 Taylor Ave, Alameda, CA 94501 Attention: Paul Liotsakis Email: Paul@sparklsfbay.com Earth Day 2024 - Reusable Foodware Service for Food Trucks 5 of 5 Services Agreement ($5,000) / February 2024 19. Execution. Contractor’s signatory warrants that he or she is authorized to execute the Agreement and to legally bind Contractor. This Agreement may be executed in counterparts, each one of which is deemed an original and all of which, taken together, constitute a single binding instrument. IN WITNESS WHEREOF, the Parties have caused the Agreement to be executed as of the Effective Date written above. CITY OF CUPERTINO A Municipal Corporation SPARKL SUSTAINABLE SOLUTIONS By: By: Name: Name: Title: Date: Title: Date: APPROVED AS TO FORM: By: CHRISTOPHER D. JENSEN City Attorney ATTEST: By: KIRSTEN SQUARCIA City Clerk Date: Paul Liotsakis Founder and CEO Mar 19, 2024 Christopher D. Jensen Ursula Syrova Environmental Programs & Sustainability Manager Mar 19, 2024 Mar 19, 2024 Revised 2024 Contractor/Consultant Affidavit of No Employees State of California County of Santa Clara City of Cupertino I, the undersigned, declare as follows: I am an independent contractor and the owner of . I wish to enter into a services contract with the City of Cupertino. I am fully aware of the provisions of section 3700 of the California Labor Code, which requires every employer to provide Workers' Compensation coverage for employees in accordance with the provisions of that Code. I am also aware that I must provide proof of workers’ compensation insurance to the City of Cupertino for any and all employees I may have, pursuant to Section 12 of the City of Cupertino’s contract. I hereby certify that I do not have any employees nor will I have any employees working for me or my business during the term of any service contract with the City of Cupertino. I am not required to have Workers’ Compensation insurance. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on this ____day of ____________, 2024, at , California. ______________________________ PRINT NAME ______________________________ SIGNATURE Paul liotsakis Paul Liotsakis ZERO-WASTE EVENT SERVICE SPARKL Reusables - City of Cupertino Earth Day 2024 Event Name:Cupertino Earth Day (Arbor Day) Event Date 4/20/2024 Event Hours 8 am - 3 pm Estimated Attendance 5,000 Number of food vendors 3 Deposit Type $2.00 - $5.00 taken by vendor & refunded at SPARKL Booth Sparkl Staff 4+ Foodware Type*Quantities (Up to) Plates 600 ½ Size Clamshells Tbd 8oz Cups 600 16 oz Cups Tbd Accessories (Forks & Knives)300 Insurance Requirement: Waiver of Subrogation $50 Total Price $4,000 Responsibilities of Event Organizer: (4 weeks before the event) 1. Identify reusables-friendly food vendors (SPARKL can also recommend vendors) 2. Ensure that vendors are agreeable with taking a deposit on their side for reusables 3. Alert vendors that a SPARKL rep will contact them about their foodware needs Exhibit- A 4.Alert vendors that SPARKL may ask for access to their P.O.S for deposit refunds 5.Communicate to SPARKL the vendor names and contact information 6.Assign a booth space to SPARKL next to or across from the food vendors (and inform SPARKL if a table will be provided for them or not) 7.Announce in event promotions and on event day that this is a zero-waste event utilizing reusable and returnable foodware. Responsibilities of SPARKL Reusables: 1.Share SPARKL Reusables logo for use on promotional flyers 2.Contact vendors to understand their service ware needs and explain reuse program 3.Supply vendors with pre-agreed quantities of reusable plates/containers/cups 4.Place signage announcing “Zero Waste Event”and “How it works” 5.Conduct direct outreach to event attendees explaining the deposit and refund process 6.Educate event attendees about the benefits of reusables to single-use disposables 7.Have available compostable to-go clamshells for those needing a to-go option 8.Provide receptacles for returns,and technology for deposit tracking and refunds FEES:A deposit of 50%of the total price is required for date reservation.Cancellations with less than 15-day notice will result in a cancellation fee equal to 25%of the reserved amount. Please make checks payable to Sparkl Reusables,621 Taylor Ave,Alameda,CA 94501. COMPETITION:The event organizer acknowledges that all market strategies,business information,and proprietary implementation designs developed by SPARKL (collectively referred to as “Confidential Information”)are the sole Intellectual property of SPARKL and cannot be duplicated or used in any way by the event organizer or its agents.The event organizer agrees that its employees or agents will not disclose any Confidential Information to any person or entity.Upon completion of client engagement,competition parameters will continue to be enforced. SPARKL Reusables The Event Organizer (City of Cupertino) By:By: Name:Paul Liotsakis CEO Name: Date:Date: Insurance Requirements for Services Agreement ($5,000 or less) 1 Version: Sept. 2019 Contractor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance and results of the Services hereunder by the Contractor, his agents, representatives, employees, or subcontractors. MINIMUM SCOPE AND LIMIT OF INSURANCE Coverage shall be at least as broad as: 1. Commercial General Liability (“CGL”): Insurance Services Office (“ISO”) Form CG 00 01 covering CGL on an “occurrence” basis, including products and completed operations, contractual liability, property damage, bodily injury, and personal and advertising injury with limits no less than $2,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this Project (ISO CG 25 03 or 25 04) or it shall be twice the required occurrence limit. a. It shall be a requirement under this agreement that any available insurance proceeds broader than or in excess of the specified minimum insurance coverage requirements and/or limits shall be made available to the Additional Insured and shall be (1) the minimum coverage/limits specified in this agreement; or (2) the broader coverage and maximum limits of coverage of any insurance policy, whichever is greater. b. Additional Insured coverage under Contractor's policy shall be "primary and non- contributory," will not seek contribution from City’s insurance/self-insurance, and shall be at least as broad as ISO CG 20 10 04 13 c. The limits of insurance required may be satisfied by a combination of primary and umbrella or excess insurance, provided each policy complies with the requirements set forth in this Contract. Any umbrella or excess insurance shall contain or be endorsed to contain a provision that such coverage shall also apply on a primary basis for the benefit of City before the City’s own insurance or self-insurance shall be called upon to protect City as a named insured. 2. Automobile Liability: ISO Form Number CA 00 01 covering any auto (Code 1), or, if Contractor has no owned autos, then hired autos (Code 8) and non-owned autos (Code 9), with limits no less than $1,000,000 per accident for bodily injury and property damage. 3. Workers’ Compensation: As required by the State of California, with Statutory Limits, and Employer’s Liability Insurance of no less than $1,000,000 per occurrence for bodily injury or disease. (Not required if Contractor provides written verification it has no employees). 4. Professional Liability. Insurance which includes coverage for professional acts, errors and omissions, with limits no less than $2,000,000 per occurrence or claim, $2,000,000 aggregate (if applicable). If Contractor maintains broader coverage and/or higher limits than the minimums shown above, City requires and shall be entitled to the broader coverage and higher insurance limits maintained by Contractor. OTHER INSURANCE PROVISIONS The insurance policies are to contain, or be endorsed to contain, the following provisions: Additional Insured Status The City of Cupertino, its City Council, officers, officials, employees, agents, servants and volunteers are to be covered as additional insureds on the CGL and automobile liability policies with respect to liability arising out of the Services performed by or on behalf of Contractor including materials, parts, or equipment EXHIBIT B Insurance Requirements Services Agreement ($5,000 or less) Insurance Requirements for Services Agreement ($5,000 or less) 2 Version: Sept. 2019 furnished. Endorsement of CGL coverage shall be at least as broad as ISO Form CG 20 10 11 85 or if not available, through the addition of both CG 20 10, CG 20 26, CG 20 33, or CG 20 38; and CG 20 37 if a later edition is used. Primary Coverage For any claims related to this Contract, the Contractor’s insurance coverage shall be primary coverage at least as broad as ISO CG 20 01 04 13 as respects the City, its officers, officials, employees and volunteers. Any insurance or self-insurance maintained by the City, its officers, officials, employees, or volunteers shall be excess of Contractor’s insurance and shall not contribute to it. Notice of Cancellation Each insurance policy shall state that coverage shall not be canceled or allowed to expire, except with written notice to City 30 days in advance or 10 days in advance if due to non-payment of premiums. Waiver of Subrogation Contractor grants to City a waiver of any right to subrogation which any insurer of said Contractor may acquire against City by virtue of the payment of any loss under such insurance. Contractor agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation, but this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. Self-Insured Retentions City may approve self-insured retentions and require proof of Contractor’s ability to pay losses and related investigations, claim administration and defense expenses within the retention. The policy shall provide, or be endorsed to provide, that the self-insured retention may be satisfied by either the named insured or City. Acceptability of Insurers Insurers must be acceptable to City and licensed to do business in California, and each insurer must have an A.M. Best’s financial strength rating of “A” or better and a financial size rating of “VII” or better. Claims Made Policies (applicable only to professional liability) If any of the required policies provide coverage on a claims-made basis: 1. The Retroactive Date must be shown and must be before the Effective Date of the Contract. 2. Insurance must be maintained for at least five (5) years after completion of the Services. 3. If coverage is canceled or non-renewed, and not replaced with another claims-made policy form with a Retroactive Date prior to the Contract Effective Date, the Contractor must purchase “extended reporting” coverage for a minimum of five (5) years after completion of the Services. Verification of Coverage Contractor shall furnish the City with acceptable original certificates and mandatory endorsements (or copies of the policies effecting the coverage required by this Contract), and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to City prior to commencing the Services. City retains the right to demand verification of compliance at any time during the Contract. Subcontractors Contractor shall require and verify that all subcontractors maintain insurance meeting all the requirements stated herein, and Contractor shall ensure that City is an additional insured on insurance required from subcontractors. Insurance coverage shall not limit Contractor’s duties to indemnify, defend and hold City harmless. City reserves the right to modify these requirements based on the nature of the risk, prior experience, insurer, coverage or other special circumstances. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY N 02/13/2024 ArmstrongHull & Company, LLC Pamela 10220 SW Greenburg Rd, Ste 600 Bldg 2 (503)296-0077 (503)296-0044 Portland OR 97223 pamelaa@lacoinsurance.com Mesa Underwriters Specialty Insurance Company36838 Sparkl Sustainable Solutions LLC Sparkl Reusables 621 Taylor Ave Alameda CA 94501 A 8 1,000,000 8 100,000 8 5,000 1,000,000 2,000,000 2,000,000 Y MP003600200691102 11/01/23 11/01/24 CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED PER FORM CG2404 05/09 -WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US City of Petaluma City Manager’s Office P.O.Box 61 Petaluma,CA 94953 City of Cupertino 10300 Torre Avenue Cupertino CA 95014 *CG2001 04/13 -PRIMARY AND NON-CONTRIBUTORY-OTHER INSURANCE CONDITION ,CG2010 04/13 -OWNERS,LESSEES OR CONTRACTORS –SCHEDULED PERSON OR ORGANIZATION-AUTOMATIC STATUS/BLANKET Y ADDITIONAL PREMIUM:$50.00 SL TAX:$1.50 STAMPING FEE:$0.09 ADDITIONAL PREMIUM IS FLAT/FULLY EARNED Form_SCTNID_CTGRY.CA05216489_DECPAGE 00599149 R CA15229 INS DECPAGE U POLWHITEFONT FFKJWVVSAFT5E726A6SAAOTBKE0001 RPUID TRACWHITEFONT BDF_PCA Policy number: 00599149 Underwritten by: United Financial Cas Co Page of Policy Period: Jan 19, 2024 1 2 - January 18, 2024 Jul 19, 2024 Online Service Make payments, check billing activity, print policy documents, update your policy or check the status of a claim. agent.progressive.com LEONARD ADAMS INS Contact your agent for personalized service. 1-503-296-0077 For customer service if your agent is unavailable or to report a claim. 1-800-444-4487 PORTLAND, OR 97221 5201 SW WESTGATE #300 LEONARD ADAMS INS Named insured 621 TAYLOR AVENUE SPARKL REUSABLES SPARKL SUSTAINABLE SOLUTIONS, LLC ALAMEDA, CA 94501 Commercial Auto Insurance Coverage Summary This is your revised Renewal Declarations Page Your coverage begins on January 19, 2024 at 12:01 a.m. This policy expires on July 19, 2024 at 12:01 a.m. This coverage summary replaces your prior one. Your insurance policy and any policy endorsements contain a full explanation of your coverage. The policy limits shown for an auto may not be combined with the limits for the same coverage on another auto, unless the policy contract allows the stacking of limits. The policy contract is form 6912 (02/19) . The contract is modified by forms 2852CA (02/19), 4757 (02/19), 1198 (07/16), Z311 (02/19), 4852CA (02/19), 4881CA (02/19) and Z228 (01/11). The named insured organization type is a corporation. Outline of coverage Description Limits Deductible Premium……………………………………………………………………………………………………………………………………………………….. Bodily Injury and Property Damage Liability $1,000,000 combined single limit Liability To Others $667 ……………………………………………………………………………………………………………………………………………………….. Uninsured/Underinsured Motorist $1,000,000 combined single limit 216……………………………………………………………………………………………………………………………………………………….. Rejected --Uninsured Motorist Property Damage……………………………………………………………………………………………………………………………………………………….. Medical Payments $5,000 each person 20……………………………………………………………………………………………………………………………………………………….. See Auto Coverage Schedule Limit of liability less deductible 44Comprehensive ……………………………………………………………………………………………………………………………………………………….. See Auto Coverage Schedule Limit of liability less deductible 76Collision ……………………………………………………………………………………………………………………………………………………….. See Auto Coverage Schedule 34Rental Reimbursement Subtotal policy premium………………………………………………………………………………………………………………………………………………………..$1,057.00……………………………………………………………………………………………………………………………………………………….. Additional Insured Fee 15.00 ……………………………………………………………………………………………………………………………………………………….. California Vehicle Assessment Fee 0.88 ……………………………………………………………………………………………………………………………………………………….. Total 6 month policy premium and fees $1,072.88 Important information about fees The following additional fees may apply: Late payment fee $10.00 Fee for returned checks or refused payments $20.00 Rated drivers 4 Continued Form 6489 CA (05/21) 00599149 R CA15229 INS DECPAGE U POLWHITEFONT FFKJWVVSAFT5E726A6SAAOTBKE0001 RPUID TRACWHITEFONT BDF_PCA Policy number: 00599149 SPARKL SUSTAINABLE SOLUTIONS, LLC Page of 2 2 ………………………………………………………………………………………………………………………………………………….. PAUL LIOTSAKIS1.………………………………………………………………………………………………………………………………………………….. MICHELLE LIOTSAKIS2. Auto coverage schedule 2014 TOYOTA RAV4 Stated Amount: * $8,000 (including Permanently Attached Equip) VIN: 2T3YL4DV9EW002775 Garaging Zip Code: 94501 Radius: 300 miles Personal use: Y Body type: Sport Utility Vehicle 1. Liability Premium ……………………………………………………………………………………………………………………………………………… Liability Premium $667 UM/UIM Premium $216 Med Pay Premium $20 Physical Damage ………………………………………………………………………………………………………………………………………………Premium Comp Deductible $1,000 Comp Premium $44 Collision Deductible $1,000 Collision Premium $76 Other Coverages ………………………………………………………………………………………………………………………………………………Premium Rental Limit $40 per day Rental Premium $34 $1,057 Auto Total Max $1,200 *A vehicle's stated amount should indicate its current retail value, including any special or permanently attached equipment. In the event of a total loss, the maximum amount payable is the lesser of the Stated Amount or Actual Cash Value, less deductible. Be sure to check stated amount at every renewal in order to receive the best value from your Progressive Commercial Auto policy. Premium discount ………………………………………………………………………………………………………………………………………………………..Policy 00599149 Multi-Product Additional Insured information ………………………………………………………………………………………………………………………………………………..Additional Insured CITY OF CUPERTINO 10300 TORRE AVE CUPERTINO, CA 95014 1. Important Notice For your protection California law requires the following to appear on this form. Any person who knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. Company officers President Secretary Form 6489 CA (05/21) Sparkl for Earth Day 2024 - Reusable Foodware Service for Food Trucks Final Audit Report 2024-03-19 Created:2024-03-19 By:Webmaster Admin (webmaster@cupertino.org) Status:Signed Transaction ID:CBJCHBCAABAA_0-oSShtRSmWoVZrXmD-aTVMssQgYtkS "Sparkl for Earth Day 2024 - Reusable Foodware Service for Fo od Trucks" History Document created by Webmaster Admin (webmaster@cupertino.org) 2024-03-19 - 3:56:36 PM GMT- IP address: 35.229.54.2 Document emailed to Julia Kinst (juliak@cupertino.org) for approval 2024-03-19 - 4:00:21 PM GMT Document approved by Julia Kinst (juliak@cupertino.org) Approval Date: 2024-03-19 - 4:01:19 PM GMT - Time Source: server- IP address: 98.97.57.2 Document emailed to Araceli Alejandre (aracelia@cupertino.org) for approval 2024-03-19 - 4:01:27 PM GMT Document approved by Araceli Alejandre (aracelia@cupertino.org) Approval Date: 2024-03-19 - 6:18:12 PM GMT - Time Source: server- IP address: 64.165.34.3 Document emailed to paul@sparklsfbay.com for signature 2024-03-19 - 6:18:21 PM GMT Email viewed by paul@sparklsfbay.com 2024-03-19 - 6:18:38 PM GMT- IP address: 66.249.88.161 Signer paul@sparklsfbay.com entered name at signing as Paul Liotsakis 2024-03-19 - 6:23:07 PM GMT- IP address: 99.9.97.139 Document e-signed by Paul Liotsakis (paul@sparklsfbay.com) Signature Date: 2024-03-19 - 6:23:09 PM GMT - Time Source: server- IP address: 99.9.97.139 Document emailed to christopherj@cupertino.org for signature 2024-03-19 - 6:23:17 PM GMT Email viewed by christopherj@cupertino.org 2024-03-19 - 6:23:59 PM GMT- IP address: 104.47.73.254 Signer christopherj@cupertino.org entered name at signing as Christopher D. Jensen 2024-03-19 - 6:24:14 PM GMT- IP address: 64.165.34.3 Document e-signed by Christopher D. Jensen (christopherj@cupertino.org) Signature Date: 2024-03-19 - 6:24:16 PM GMT - Time Source: server- IP address: 64.165.34.3 Document emailed to Ursula Syrova (ursulas@cupertino.org) for signature 2024-03-19 - 6:24:24 PM GMT Email viewed by Ursula Syrova (ursulas@cupertino.org) 2024-03-19 - 6:25:19 PM GMT- IP address: 104.47.74.126 Document e-signed by Ursula Syrova (ursulas@cupertino.org) Signature Date: 2024-03-19 - 6:26:16 PM GMT - Time Source: server- IP address: 64.165.34.3 Document emailed to Kirsten Squarcia (kirstens@cupertino.org) for signature 2024-03-19 - 6:26:23 PM GMT Email viewed by Kirsten Squarcia (kirstens@cupertino.org) 2024-03-19 - 7:20:21 PM GMT- IP address: 104.47.73.126 Document e-signed by Kirsten Squarcia (kirstens@cupertino.org) Signature Date: 2024-03-19 - 7:20:30 PM GMT - Time Source: server- IP address: 64.165.34.3 Agreement completed. 2024-03-19 - 7:20:30 PM GMT