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13-164 CSG Consultants, Inc., Consultant Services for 2013 Park Accessibility Improvements Project
October 30, 2013 OFFICE OF THE CITY CLERK CITY HALL 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 TELEPHONE: (408) 777 -3223 • FAX: (408) 777 -3366 WEBSITE: WWW.CUPE :rtino.org CSG Consultants, Inc. 1700 South Amphlett Blvd., 3,d Floor San Mateo, CA 94402 RE: Agreement Enclosed for your records is a fully executed original copy of your agreement with the City of Cupertino. If you have any questions, please contact the Public Works Department at (408) 777 -3354. Sincerely, Dorothy Steenfott Senior Office Assistant cc: Public Works Enclosure AGREEMENT BETWEEN THE CITY OF CUPERTINO AND CSG CONSULTANTS, INC. FOR CONSULTANT SERVICES FOR 2013 PARK ACCESSIBILITY IMPROVEMENTS PROJECT V THIS AGREEMENT, for reference dated September 20, 201 s by and between CITY OF CUPERTINO, a municipal corporation (hereinafter referred to as "City "), and CSG Consultants, a California corporation, whose address is 1700 South Amphlett Boulevard, 3,d Floor, San Mateo, CA 94402 (hereinafter referred to as "Consultant "), 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. Consultant is specially trained, experienced and competent to perform the special services which will be required by this Agreement; and C. Consultant possesses the skill, experience, ability, background, certification and knowledge to provide the services described in this Agreement on the terms and conditions described herein. D. City and Consultant desire to enter into an agreement for upon the terms and conditions herein. NOW, THEREFORE, it is mutuall37 agreed by and between the undersigned parties as follows: 1. TERM: The term of this Agreement shall commence on the date this agreement is executed and shall terminate on May 1, 2014, unless terminated earlier as set forth herein. 2. SERVICES TO BE PERFORMED:: Consultant shall perform each and every service set forth in Exhibit "A" titled "Proposal for 2013 Park Accessibility Improvements" which is attached hereto and incorporated herein by this reference. Page 1 of 12 Design Professional Agreement 3. SCHEDULE OF PERFORMANCE: The Services of Consultant are to be completed according to the schedule set out in Exhibit A, which is attached hereto and incorporated herein by this reference. 4. COMPENSATION TO CONSULTANT: The maximum compensation to be paid to Consultant under this agreement shall not exceed Twenty Three Thousand Three Hundred Ninety Five Dollars ($23,395). The rate of payment is set out in Exhibit B, titled "Compensation ", which is attached hereto and incorporated herein. Consultant shall furnish to City a detailed statement of the work performed for compensation during the term of this Agreement. Consultant may submit monthly invoices for interim progress payments during the course of each phase, clearly stating as a minimum the total Contract amount, amount paid to date, percent complete and amount due. 5. TIME IS OF THE ESSENCE: Consultant and City agree that time is of the essence regarding the performance of this Agreement. 6. STANDARD OF CARE: Consultant 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. 7. INDEPENDENT PARTIES: City and Consultant intend that the relationship between them created by this Agreement is that of employer - independent contractor. The manner and means of conducting the work are under the control of Consultant, 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 Consultant'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 Consultant, 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 Consultant. Payments of the above items, if required, are the responsibility of Consultant. Page 2 of 12 Design Professional Agreement 8. IMMIGRATION REFORM AND CONTROL ACT (IRCA): Consultant assumes any and all responsibility for verifying the identity and employment authorization of all of his /her employees performing work hereunder, pursuant to all applicable IRCA or other federal, or state rules and regulations. Consultant shall indemnify and hold City harmless from and against any loss, damage, liability, costs or expenses arising from any noncompliance of this provision by Consultant. 9. NON - DISCRIMINATION: Consistent with City's policy that harassment and discrimination are unacceptable employer /employee conduct, Consultant agrees that harassment or discrimination directed toward a job applicant, a City employee, or a citizen by Consultant or Consultant's employee or subcontractor 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. Consultant agrees that any and all violations of this provision shall constitute a material breach of this Agreement. 10. PROJECT COORDINATION CITY: Director of Public Works shall be representative of City for all purposes under this Agreement. Roger ]Lee, Assistant Director of Public Works, is hereby designated as the Director of Public Works' designee and Project Manager, and shall supervise the progress and execution of this Agreement. CONSULTANT: Consultant shall assign a single Consultant Project Manager to have overall responsibility for the progress and execution of this Agreement for Consultant. Should circumstances or conditions subsequent to the execution of the Agreement require a substitute Consultant Project Manager for any reason, the Consultant Project Manager designee shall be subject to the prior written acceptance and approval of the City Project Manager. The designated Consultant Project Manager shall be Ed Slintak, Project Manager. 11. HOLD HARMLESS: Indemnification: A. Claims for Professional Liability. Where the law establishes a standard of care for Consultant's professional services, and to the extent the Consultant breaches or fails to meet such established standard of care, or is alleged to have breached or failed to meet such standard of care, Consultant shall, to the fullest extent allowed by law, with respect to all Page 3of12 Design Professional Agreement services performed in connection with the Agreement, indemnify, defend, and hold harmless the City and its officers, officials, agents, employees and volunteers from and against any and all liability, claims, actions, causes of action or demands whatsoever against any of them, including any injury to or death of any person or damage to property or other liability of any nature, that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of Consultant or Consultant's employees, officers, officials, agents or independent contractors. 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. Consultant 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. B. Claims for Other Liability:. Consultant shall, to the fullest extent allowed by law, with respect to all services performed in connection with the Agreement, indemnify, defend, and hold harmless the City and its officers, officials, agents, employees and volunteers against any and all liability, claims, 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 nature, that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of Consultant or Consultant's employees, officers, officials, agents or independent contractors. 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. Consultant 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. C. Claims involving intellectual property. In addition to the obligations set forth in (A) and (13) above, Consultant shall indemnify, defend, and hold the City, its elected and appointed officers, employees, and volunteers, harmless from and against any Claim in which a violation of intellectual property rights, including but not limited to copyright or patent rights, is alleged that arises out of, pertains to, or relates to Consultant's negligence, recklessness or willful misconduct under this Agreement. 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. Page 4 of 12 Design Professional Agreement 12. INSURANCE: On or before the commencement of the term of this Agreement, Consultant 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 paragraphs 12A, B, C, D and E. Such certificates, which do not limit Consultant'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 Consultant 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. A. COVERAGE: Consultant shall maintain the following insurance coverage: (1) (2) (3) (4) Workers' Compensation: Statutory coverage as required by the State of California. Liability: Commercial general liability coverage in the following minimum limits: Bodily Injury: $500,000 each occurrence $1,000,000 aggregate - all other Property Damage: $100,000 each occurrence 5250,000 aggregate If submitted, combined single limit policy with aggregate limits in the amounts of $1,000,000 will be considered equivalent to the required minimum limits shown above. Automotive: Comprehensive automotive liability coverage in the following minimum limits: Bodily Injury: $500,000 each occurrence Property Damage: 5000,000 each occurrence or Combined Single Limit: $500,000 each occurrence Professional Liabilily: Page 5 of 12 Design Professional Agreement Professional liability insurance which includes coverage for the professional acts, errors and omissions of Consultant in the amount of at least $1,000,000. B. SUBROGATION WAIVER.: Consultant agrees that in the evens: of loss due to any of the perils for which he /she has agreed to provide comprehensive general and automotive liability insurance, Consultant shall look solely to his /her insurance for recovery. Consultant hereby grants to City, on behalf of any insurer providing comprehensive general and automotive liability insurance to either Consultant or City with respect to the services of Consultant herein, a waiver of any right to subrogation which any such insurer of said Consultant may acquire against City by virtue of the payment of any loss under such insurance. C. FAILURE TO SECURE: If Consultant 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 Consultant's name or as an agent of the Consultant and shall be compensated by the Consultant 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 any professional liability insurance, required by this Agreement. 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 Consultant. Consultant is advised to confer with Consultant's insurance broker to determine adequate coverage for Consultant. 13. CONFLICT OF INTEREST: Consultant warrants that it is not a conflict of interest for Consultant to perform the services required by this Agreement. Consultant may be required to fill out a conflict of interest form if the services provided under this Agreement require Consultant to make certain governmental decisions or serve in a staff capacity as defined in Title 2, Division 6, Section 18700 of the California Code of Page 6 of 12 Design Professional Agreement Regulations. 14. PROHIBITION AGAINST TRANSFERS: Consultant 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 Consultant 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 Consultant. The sale, assignment, transfer or other disposition of any of the issued and outstanding capital stock of Consultant, or of the interest of any general partner or joint venturer or syndicate member or cotenant, if Consultant is a partnership or joint venture or syndicate or cotenancy, which shall result in changing the control of Consultant, shall be construed as an assignment of this Agreement. Control means fifty percent (50 %) or more of the voting power of the corporation. 15. SUBCONTRACTOR APPROVAL: Unless prior written consent from City is obtained, only those people and subcontractors whose names are included in this Agreement shall be used in the performance of this Agreement. In the event that Consultant employs subcontractors, such subcontractors shall be required to furnish proof of workers' compensation insurance and shall also be required to carry general, automobile and professional liability insurance in reasonable conformity to the insurancE! carried by Consultant. In addition, any work or services subcontracted hereunder shall be subject to each provision of this Agreement. 16. PERMITS AND LICENSES: Consultant, at his /her sole expense, shall obtain and maintain during the term of this Agreement, all appropriate permits, certificates and licenses including, but not limited to, a City Business License, that may be required in connection with the performance of services hereunder. 17. REPORTS: A. Each and every report, draft, work product, map, record and other document, hereinafter collectively referred to as "Report ", reproduced, prepared or caused to be prepared by Consultant pursuant to or in connection with this Agreement, shall be the exclusive property of City. Consultant shall not Page 7 of 12 Design Professional Agreement copyright any Report required by this Agreement and shall execute appropriate documents to assign to City the copyright to Reports created pursuant to this Agreement. Any Report, information and data acquired or required by this Agreement shall become the property of City, and all publication rights are reserved to City. Consultant may retain a copy of any report furnished to the City pursuant to this Agreement. B. All Reports prepared by Consultant may be used by City in execution or implementation of: (1) The original Project for which Consultant was hired; (2) Completion of the original Project by others; (3) Subsequent additions to the original project; and /or (4) Other City projects as appropriate. C. Consultant shall, at such time and in such form as City may require, furnish reports concerning the status of services required under this Agreement. D. All Reports required to be provided by this Agreement shall be printed on recycled paper. All Reports shall be copied on both sides of the paper except for one original, which shall be single sided. E. No Report, information or other data given to or prepared or assembled by Consultant pursuant to this Agreement shall be made available to any individual or organization by Consultant without prior approval by City. F. Electronic and hard copies of Consultant's work product shall constitute the Project deliverables. Plans to be in CAD and PDF formats, and other documents to be in Microsoft Word. and PDF formats. City holds Consultant harmless for any modifications to the documents. 18. RECORDS: Consultant 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. Consultant 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. Consultant 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 there from 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 Page 8 of 12 Design Professional Agreement 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 Consultant shall reimburse City for all reasonable costs and expenses associated with the supplemental examination or audit. 19. 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 Consultant to City shall be addressed to City at: City of Cupertino 10300 Torre Ave. Cupertino CA 95014 Attention: Roger Lee All notices, demands, requests, or approvals from City to Consultant shall be addressed to Consultant at: CSG Consultants, Inc. 1700 South Amphlett Boulevard, Y11 Floor San Mateo, CA 94402 20. TERMINATION: In the event Consultant fails or refuses to perform any of the provisions hereof at the time and in the manner required hereunder, Consultant shall be deemed in default in the performance of this Agreement. If such default is not cured within the time specified after receipt by Consultant 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 Consultant written notice thereof. City shall have the option, at its sole discretion and without cause, of terminating this Agreement by giving seven (7) days' prior written notice to Consultant 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. In the event of termination, Consultant shall deliver to City, copies of all Page 9, of 12 Design Professional Agreement reports, documents, and other work performed by Consultant under this Agreement. 21. COMPLIANCES: Consultant shall comply with all state or federal laws and all ordinances, rules and regulations enacted or issued by City. 22. 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. 23. ADVERTISEMENT: Consultant 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 performed under this Agreement unless prior written approval has been secured from City to do otherwise. 24. 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. 25. INTEGRATED CONTRACT: 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 covenanL 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 Consultant. Page 10 of 12 Design Professional Agreement 26. GIFTS: A. Consultant is familiar with City's prohibition against the acceptance of any gift by a City officer or designated employee, which prohibition is found in City Administrative Procedures. B. Consultant agrees not to offer any City officer or designated employee any gift prohibited by the Administrative Procedures. C. The offer or giving of any prohibited gift shall constitute a material breach of this Agreement by Consultant. In addition to any other remedies, City may have in law or equity, City may terminate this Agreement for such breach as provided in Section 19 of this Agreement. 27. 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. 28. 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. Page 11. of 12 Design Professional Agreement P.O. No.: , �V V , , ? �� IN WITNESS WHEREOF, the parties have caused the Agreement to be executed. CONSULTANT CITY OF CUPERTINO A Municipal Corporation CSG Consultants, Inc. By '41 J-1—All 13y�,�� Timm Borden, Director of Public Works Name )n7'1 IA�/fOJ/L _ Date Title Date ` J Tax I.D. No.: ' � 14 �� APPROVED AS TO FORM: Address: � �� S' L�rr Carol Korade, City Attorney ATTEST: Grace Schmidt, City Clerk 0-30-13 Contract Amount: %F ,'3, 39 5— Account No.: H a0' 91 S`{ - CT 3 Co Page 12 of 12 Design Professional Agreement August 30, 2013 Mr. Roger Lee Assistant Director of Public Works City of Cupertino 10300 Torre Avenue Cupertino, CA 95014 EXHIBIT A SUBJECT: Proposal for 2013 Park Accessibility Improvements Dear Mr. Lee: In response to your request, dated August 21.0, we have prepared this proposal for the improvements to accessibility features at five city -owned parks. The primary nature of the improvements appear to be centered around bringing the accessible parking spaces up to current standards. In addition a new play area improvement at Hoover Park requires an improved path to provide access from the parking area. You indicated in our phone conversation that the existing and out -dated asphalt ramps had been recently removed as part of a resurfacing project. Potential deficiencies include inadequate landing areas, ramps missing or out of compliance, requiring travel behind other cars to access a ramp, and possibly parking areas that exceed a 2% slope. Some walkways will need to be extended to service new ramp locations and in some cases parking layouts may need to be revised to accommodate properly dimensioned spaces and landing areas. Scope of Work We intend to pursue the project as follows; • Project kick -off meeting • Site visit and investigation • Topographic survey at the 5 park sites (survey will be limited to those areas affected by the anticipate improvements) • Evaluation of existing conditions as i -I relates to accessibility standards • Provide recommendations for proposed improvements o Recommendations will be transmitted using a memorandum format with written descriptions of the proposed improvements supplemented with annotated digital or aerial photos as necessary for clarity. • Hold a telephone or in- person meeting to review and agree on the proposed improvements 1700 South Amphlett Boulevard, 3ftl Floor; San Mateo, CA 94402 Phone: 650 -522 -2500; Fax: 650- 522 -2599 Email: csgstaff @csgengr.com; Online at www.csgwebsite.com August 30, 2013 Mr. Roger Lee City of Cupertino Page 2 • Develop the PS &E package to a 900X) completion stage and submit to the City for review and comment • Hold an in- person or telephone meeting to discuss review comments as necessary • Complete the bid ready PS &E package • Provide clarifications and assist with addenda, as required, during the bid process • Provide construction staking • Provide clarifications or interpretations as necessary during construction We have visited the park sites and see the ibllowing as the issues and remediation strategies: Varian Park — This project appears fairly straight forward, install a new ramp and approximately 15' of new path to connect the ramp to existing improved paths. Linda Vista Park — This project offers the most significant engineering challenge. The existing accessible spaces, and the majority of the parking lot, are on a slope of about 4.5 %, which exceeds the 2% max allowable for accessible spaces. The parking area and the adjacent curb and path would need to be regraded to a 2% slope. This would result in a grade differential at the downhill End of approximately 9 ". This would also require regrading a portion of the transition between the parking area and the vehicle turn around. To make the existing path alignment accessible after the recontouring of the parking spaces would require a. 8.33% ramp complete with handrails to make up the grade difference, however in order to make up the elevation difference and provide the required landing top and bottom, the total length would exceed 30'. An alternative would be to create a new path segment (20 -30' in length) that is perpendicular to the existing path that would then connect to the path leading to the picnic area and complete an accessible path of travel. The grade elevation difference in the area adjacent to the turn around could be made up with either a more steeply inclined path or a couple of stair steps. 1700 South Amphlett Boulevard, 3" Floor; San Mateo, CA 94402 Phone: 650 - 522 -2500; Fax: 650 - 522 -2599 Email: csgstaff @csgengr.com; Online at www.csgwebsite.com August 30, 2013 Mr. Roger Lee City of Cupertino Page 3 Hoover Park - The existing accessible spaces located on Leeds Avenue are very near the 2% total slope limit for parking. They might require some grading adjustments, to be determined when a detailed survey is completed. The other portion of the project includes the construction of a path from the spaces along Donegal to the new play structure. The path alignment appears very straight forward, assuming the accessible spaces are located at the north end of the Donegal parking area. The play structure has a path around half the circumference and it includes a seating area and a widened path area that would serve as a wheelchair parking area and turnaround space. By code only two total accessible spaces are required for the entire park. Along Leeds, if the number of accessible spaces is kept to one the new ramp can be built into the existing path. If two spaces are maintained on Leeds, a 15' segment of new path will be required to connect the ramp to near the existing drinking fountain and would require the addition of a wheel stop in the eastern most parking space. Three Oaks Park —There are two parking areas, one on Shadowhill Ln, the other on Ruppel Place. The single accessible space on Shadowhill is sufficient to serve the total number of spaces provided. The landing area would need to be increased to 8' wide to accommodate a van accessible space and construction of the ramp is not problematic. There is an existing AC ramp at the corner of Ruppel and Moltzen, while functional, it does not have detectable warning surface or grooves and is a candidate for replacement ultimately. Jollyman Park — The main lot off of Stelling contains 50 spaces and requires 2 accessible spaces. The landing area needs to widened to 8' to create a van accessible space. The existing ramp does not include truncated domes and has a lip at the bottom of the ramp, so it should be replaced. A slight widening of the walkway is also required to provide the minimum 4' of width behind the ramp. Along Dumas replacement of the projecting PCC ramp is straightforward. If the parallel spaces along Da Foe are included in the total count, two accessible spaces should be provided on Dumas. ASSUMPTIONS • Project will be incorporated into another City project • City will prepare all specifications (General Conditions, Special Provisions, and Technical Provisions) and basis of payment sections • No modifications to lighting are required • City maintenance staff will provide input on locations of existing irrigation systems that might be affected • Project is locally funded • Schematic plans are acceptable where construction is primarily the application of standard details. • Schematic plans are assumed for Jollyman, Varian, and Three Oaks Park. • No topo survey is required for Jollyman, Varian, and Three Oaks Park 1700 South Amphlett Boulevard, V Floor; San Mateo, CA 94402 ' Phone : 650 - 522 -2500; Fax: 650- 522 -2599 Email: csgstaff @csgengr.com; Online at www.csgwebsite.com August 30, 2013 Mr. Roger Lee City of Cupertino Page 4 • Construction staking is only required at Linda Vista and Hoover Park • Staking will be done one time at each location and both sites will be staked at the same time. • City inspectors will provide detailed direction to the contractor where improvements are being built from schematic plans using standard details COSTS Our estimate of costs is broken down on thf; attached spreadsheet. We will use BGT Surveying to do both the topographic survey and construction staking. After a reconnaissance visit and discussions with you, it appears that three sites can be developed without detailed topo survey and could be constructed without the need for staking. Topo survey will be based on an assumed local coordinate system and assumed datum. The estimate for construction staking at the two sites assumes a single round of stakes. An estimate for minimal support during the bidding and construction phases is provided. We look forward to the opportunity to work with the City of Cupertino to aid in their bringing the park facilities up to current acce=ssibility standards. If you have any questions, please call me at 650- 522 -2533. 6144 :141114 Topo survey will be conducted in the first week after NTP. Conceptual Plans will be completed in the next week. 90% design submittal will be approximately one week after the Conceptual Review Meeting. The draft and final 100% submittals will be submitted within one week successively after the 90% review meeting and the draft 90% review meeting, respectively. For construction staking, a minimum of one week notice is required to allow the surveyor to add the work into their schedulE!. Construction activities and construction staking can be affected by adverse weather which may affect completion times. Sincerely CSG Consultants, Inc. Ed Slintak, P.E. Design Manager 1700 South Amphlett Boulevard, V Floor; San Mateo, CA 94402 Phone: 650- 522 -2500; Fax: 650 - 522 -2599 Email: csgstaff @csgengr.com; Online at www.csgwebsite.com EXHIBIT B -- COMPENSATION Cupertino - 2013 Park Accessibility Improvements Project o °a_ rn E E 3 m c o n c m w Task Description m `m m m v c d .� c V U u) Totals y .3 - E `o.- .o iv N E my cL E ' E pU 'c 'E N 171 '(/) N a E U aw rnw QLU Qw ❑rA wt- rn Category Notes $175 $160 $140 $125 $115 $100 $275 $160 $85 Hours Cost Lfask 1 — P-reliminary nl vestigation, Conceptual Plans Project kick -off meeting and site visit 3 3 6 $ 945 Topo Survey (Note 1) 1 1 $ 140 $ 5,000 Review options and provide recommendations 3 6 9 $ 1,365 Preliminary design 1 4 8 13 $ 1,735 Taask 1- Subtotal 7 0 14 8 0 0 0 0 0 29 $ 4,185 $ 5,000 Task 2 - Design Development / Constru_ction Documents (90 %Submittal) Conceptual Review Meeting 1 1 2 $ 315 Develop Site Improvement Plans 2 1E- 18 $ 2,590 Develop Details 2 8 10 $ 1,280 Develop Construction Cost Estimate 2 2 $ 250 Prepare Grading details at Linda Vista Park 1 8 9 $ 1,295 Task 2- Subtotal 4 0 27' 10 0 0 0 0 0 41 $ 5,730 Task 3 - Design—TDevelopment /Construction Documents (Final 100 " /o Submittal) 90% Submittal Review Meeting 1 2 2 4 $ 630 Complete PS &E package 1 4 8 13 $ 1,735 Draft 100% Review Meeting 2 2 4 $ 630 Finalize PS &E package 1 4 6 11 $ 1,485 Task 3- Subtotal 6 0 12 14 0 0 0 0 0 32 $ 4,480 Design Period Services Subtotal I $ 14,3951 $ 5,000 T�k 4 - Bidding Support Clarifications and Addenda prep 2 2 $ 280 Task 4- Subtotall 0 1 0 1 2 1 0 1 0 1 0 1 0 1 0 1 0 1 2 I$ 280 rTasWS - Construction up o Shop Drawing, RFI & Submittal Review 1 1 $ 140 Advise on CCO's 2 2 $ 280 Construction Staking (Note 2) 1 1 $ 115 $ 3,300 Task 5- Subtotal 0 0 3 0 1 0 0 0 0 3 $ 420 $ 3,300 TOTAL - ALL TASKS 1 17 0 58 32 1 0 0 0 0 107 $ 15,095 $ 8,300 TOTAL FEE /BUDGET $23,395 Notes: 1. Assumes topo survey only required at Hoover and Linda Vista Parks 2. Assumes staking at only Hoover and Linda Vista, assumes one time staking CSG Consultants, Inc. Exhibit B - Compensation Park Accessibility 2013 fee estimate 21 Aug 2013 Page 1 L CERTIFICATE OF LIABILITY INSURANCE DATE16 /2 /Y3 09/16/2013 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 (oolicy(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 0726293 1- 415 -546 -9300 CONTACT Don Tarantino NAME: Arthur J. Gallagher & Co. PHONE FAX Insurance Brokers of California, Inc., License #0726293 C No xt:415- 536 -8617 (A/C No): 415-536-8627 1255 Batter Street #450 E -MAIL don tarantino@ajg..com ADDRESS: jg.com (San Francisco, CA 94111 INSURED CSG Consultants Inc. Precision Inspection - CSG 1700 S. Amphlett Blvd 3rd Floor San Mateo, CA 94402 INSURER A: TRAVELERS PROP CAS, CO OF AMER 125674 INSURER B: TWIN CITY FIRE INS CO CO 29459 INSURERC - ARCH INS CO 111150 INSURER E: COVERAGES CERTIFICATE NUMBER: 35724034 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 LTR TYPE OF INSURANCE ADDL IN SR SUER I WVb I POLICY NUMBER POLICY EFF MMIODIYYYY POLICY EXP MMIDDIYYYY LIMITS • GENERAL LIABILITY X 680294MOS50- TIL -12 12/04/1 12/04/13 EACH OCCURRENCE $ 1,000,000 }� COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 11000,000 CLAIMS -MADE lxl OCCUR MED EXP(Any one person). $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMI IT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY PRO X LOC S • AUTOMOBILE LIABILITY X BA- 461M7612 -12 12/04/12 12104/13 13 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY,DAMAGE Per accident $ X X NON -OWNED HIRED AUTOS AUTOS • X UMBRELLALIAB X OCCUR CUP294M1060 -12 12/04/1 12/04/13 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE RETENTION$ Fol owing Form $ ___DEDTJ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY ROPRIETOR/PARTNER/EXECU' X 57WEEP4360 -01 12/04/1 12/04/13 WCSTATU- OT X TOR ITS E.L. EACH ACCIDENT $ 1,000,000 OFFICER)ME MBER EXCLUDED? ❑ N I A E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Prof Liability AEP 004731501 12/04/1 12/04/13 Limit: 3Mil /3Mil Retention 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City, its City Council, boards and commissions, officers, employees and volunteers are named as additional insured as respects General, Auto, and Umbrella Liability policy(ies), pursuant to and subject to the policy's terms, definitions, conditions and exclusions. Waiver of Subrogation applies to additional insureds, as respects General, Auto Liability policy(s), pursuant to and subject to the policy's terms, definitions, conditions and exclusions. CERTIFICATE H City of Cupertino Attn: Roger Lee 10300 Torre Ave. (Cupertino , CA 95014 ACORD 25 (2010105) jabersan 35724034 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE USA © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 680- 294MOB50- TIL -12 ISSUE DATE: 10 -25 -12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): PER SCHEDULE ON FILE WITH AGENT PROJECT /LOCATION OF COVERED OPERATIONS: PROVISIONS A. The following is added to WHO IS AN INSURED (Section II): The person or organization shown in the Sched- ule above is an additional insured on this Cover- age Part, but only with respect to liability for "bod- ily injury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products- completed operations hazard ". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply to the render- ing of or failure to render any "professional services ". e. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance" that, for the addi- tional insured shown in the Schedule, the insur- ance provided to that additional insured under this CG D3 82 09 07 © 2007 The Travelers Companies, Inc. Page 1 of 2 Includes the copyrighted material of Insurance. Services Office, Inc., with its permission COMMERCIAL GENERAL LIABILITY Coverage Part must apply on a primary basis, or a primary and non- contributory basis, this insur- ance is primary to other insurance that is avail- able to such additional insured which covers such additional insured as a named insured, and wee will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" fo,r which coverage is sought occurs; and (2) The "personal injury' for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance" for such addi- tional insured. But this insurance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any, other basis, that is available to the additional in- sured when the additional insured is also an addi- tional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against the additional insured shown in the Schedule above because of payments we make for "bodily injury', "property damage" or "personal injury' arising out of "your work" on or for the pro- ject, or at the location, shown in the Schedule above, performed by you, or on your behalf, un- der a 'contract or agreement requiring insurance" with that additional insured. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insur- ance" with that additional insured entered into by you before, and in effect when, the "bodily injury' or "property damage" occurs, or the "personal in- jury' offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include the person or organization shown in the Schedule as an ad- ditional insured on this Coverage Part, provided that the "bodily injury' and "property damage" oc- curs, and the "personal injury' is caused by an of- fense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 © 2007 The Travelers Companies, Inc. CG D3 82 09 07 Includes the copyrighted material of Insurance Services Office, Inc., with its permission COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE - ADDITIONAL INSUREDS This endorsement modifies Insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS COMMERCIAL GENERAL LIABILITY CONDITIONS (Secllon IV), Paragraph 4. (Other Insurance), Is amended as follows; 1. The following is added to Paragraph a. Primary Insurance: However, if you specifically agree In a written con- tract or written agreement that the insurance pro- vlded to an additional Insured under this Coverage Part must apply on a primary basis, or a primary and non - contributory basis, this insur- ance Is primary to other Insurance that Is avail- able to such additional Insured which covers such additional Insured as a named Insured, and we will not share with that other Insurance, provided that a. The "bodily Injury" or "property damage" for which coverage is sought occurs; and b. The "personal Injury" or "advertising Injury" for which coverage is sought arises out of an of- fense committed subsequent to the signing and execution of that contractor agreement by you, 2. The flrst Subparagraph (2) of Paragraph b. Ex- cess Insurance regarding any other primary In- surance available to you Is deleted. . 3. The following is added to paragraph b, Excess Insurance, as an additional subparagraph under Subparagraph (1); That Is available to the Insured when the Insured Is added as an addltlonal.lnsured under any other policy, Including any umbrella or excess policy. CG DO 37 04 05 Copyright 2005 The St. Paul Travelors Companies, Inc, All rights reserved, Page 1 of 1 r C> 0 r-1 0 1i 0 0 M a, w Ln N O 0 to .-1 4C F"I THIS ENDORSEMENT CHANGES THE 1 ?OLICY. PLEASE READ IT CAREFULLY. WORKERS' COMPENSATION BROAD FORM ENDORSEMENT EXTENDED OPTIONS P [icy Number: 57 WE EP4360 Endorsement Number: Effectiv Date: 12/04/12 Effective hour is the sarne as stated on the Information Page of the policy. Nam d Insured and Address: CSG CONSULTANTS :CNC 1700 S AMPHLETT 13LVD 3RD FL SAN MATEO, CA 944102 Section I of this endorsement expands coverage provided under WC 00 00 00. Section ii of this endorsement provides additional coverage usually only provided by endorsement. Section III of this endorsement is a Schedule of Covered States. You may use the Index to locate these coverage features quickly: SUBJECT SECTION I PARTS ONE and TWO 01 We Will Also Pay PART -THREE 02 How This Insurance Works PART - SIX 03 Transfer of Your Rights and Duties 04 Liberalization SECTION II VOLUNTARY COMPENSATION INSURANCE 05 Voluntary Compensation Insurance A. How This Insurance Applies B. We Will Pay C. Exclusions D. Before We Pay E. Recovery From Others F. Employers' Liability Insurance EMPLOYERS' LIABILITY STOP GAP ENDORSEMENT 06 Employers' Liability Stop Gap Coverage A. Stop Gap Coverage Limited to Montana, North Dakota, Ohio, Washington, West Virginia and Wyoming Fond WC 99 03 03 B Printed in U.S.A. (Ed. 8/00) Process Dat : 10/09/12 INDEX PAGE I SUBJECT 2 B. Part One Does Not Apply 2 C. Application of Coverage 2 D. Additional Exclusions 2 E. West Virginia 2 EXTENDED OPTIONS 2 01 Employers' Liability Insurance 2 02 Unintentional Failure to Disclose 2 Hazards 2 03 Waiver of Our Right to Recover from 2 Others 04 Foreign Voluntary Compensation 2 A. How This Reimbursement Applies 2 B. We Will Reimburse 3 C. Exclusions 3 D. Before We Pay 3 E. Recovery From Others 3 F. Reimbursement For Actual Loss 3 Sustained 3 G. Repatriation H. Endemic Disease 3 05 Longshore and Harbor Workers' Compensation Act Coverage 3 Endorsement SECTION III 01 Schedule of Covered States 2000, The Hartford Page 1 of 6 Policy Expiration Date: 12104/13 3 3 3 3 4 4 4 4 4 4 4 4 5 5 5 5 5 5 SECTION I PARTS ONE and TWO PART THREE 1. WE WILL ALSO PAY 2. How This Insurance Applies D. W Will Also Pay of Part One (WORKERS' Paragraph 4. of A. How This Insuranc Appli s COMPENSATION INSURANCE); and of Part 3 (Other States Insurance) is replaced by E. We Will Also Pay of Part Two (EMPLOYERS' the following: LIABILITY INSURANCE) is replaced by the 4. If you have work on the effective date of this following: policy in any state not listed in Item S.A. of the We Will Also Pay Information Page, coverage will not be afforded for that state unless we are notified We will also pay these costs, in addition to within sixty days. other amounts payable under this insurance; as part of any claim, proceeding, or suit we PART SIX defend: 3. Transfer Of Your Rights and Duties 1. reasonable expenses incurred at our request, INCLUDING loss of. earnings; C. Transfer Of Your Rights and Duties of Par 6 (Conditions) Is replaced by the following: 2. premiums for bonds to release attachments and for appeal bonds in bond Your rights or duties under this policy may not amounts up to the limit of our liability be transferred without our written consent. under this Insurance; If you die and we receive notice within sixty 3. litigation costs taxed against you: days after your death, we will cover your legal 4. interest on a judgment as required by law representative as insured. until we offer the amount due under this 4. Liberalization law; and If we adopt a change in this form that would 5. expenses we incur. broaden the coverage of this form without extra charge, the broader coverage will apply to this policy. It will apply when the change becomes effective In your state. SECTION II VOLUNTARY COMPENSATION AND EMPLOYERS' 3. The bodily Injury must occur in the United LIABILITY COVERAGE States of America, its territories or S. Voluntary Compensation Insurance possessions, or Canada, and may occur elsewhere if the employee is a United A. H w This Insurance Applies States or Canadian citizen, or otherwise This Insurance applies to bodily injury by legal resident, and legally employed, in the accident or bodily injury by disease. Bodily United States or Canada and temporarily injury includes resulting death. away from those places. 1. The bodily injury must be sustained by any 4. Bodily injury by accident must occur officer or employee not subject to the during the policy period. workers' compensation law of any state 5. Bodily Injury by disease, must be caused shown in Item S.A. of the Information or aggravated by the conditions of the Page. 2. The bodily Injury must arise out of and in the course of employment or Incidental to work in a state shown In Item S.A. of the Information Page. Form WC tag 03 03 B Printed in U.S.A. (Ed. 8/00) Page 2 f 6 Form WC 99 03 03 B Printed in U.S.A. (Ed. 8/00) Page 3 of 6 officer's or employee's employment. The If the persons entitled to the benefits of this officer's or employee's last day of last insurance make a recovery from others, they exposure to the conditions causing or must reimburse us for the benefits we paid aggravating such bodily injury by disease them. must occur during the policy period. F. Employers' Liability Insurance B. W Will Pay Part Two (Employers' Liability Insurance) We will pay an amount equal to the benefits applies to bodily Injury covered by this that would be required of you as if you and endorsement as though the State of your employees were subject to the workers' Employment was shown in Item 3.A. of the compensation law of any state shown in Item Information Page. 3.A. of the Information Page. We will pay This provision 5. does not apply in New Jersey or n those amounts to the persons who would be Wisconsin. entitled to them under the law. EMPLOYERS' LIABILITY STOP GAP COVERAGE 0 C. Exclusion 6. Employers' Liability Stop Gap Coverag •-� o This insurance does not cover: A. This coverage only applies in Montana, North 0 1. any obligation Imposed by workers' Dakota, Ohio, Washington, West Virginia and compensation or occupational disease law Wyoming. a or any similar law. B. Part One (Workers' Compensation Insurance) w 2. bodily Injury Intentionally caused or does not apply to work in states shown in L aggravated by you. Paragraph A above. 3. officers or employees who have elected C. Part Two (Employers' Liability insurance) Co Ln not to be subject to the state workers' applies in the states, shown in Paragraph A., 4- compensation law. as though they were shown in Item 3.A. of the 4. partners or sole proprietors not covered Information Page. es under the Standard Sole Proprietors, D. Part Two, Section C. Exclusions is changed Partners, Officers and Others Coverage by adding these exclusions. r� Endorsement. This insurance does not cover; D. Before We Pay S. bodily injury intentionally caused or Before we pay benefits to the persons entitled aggravated by you or in Ohio bodily injury to them, they must: resulting from an act which is determined 1. Release you and us, In writing, of all by an Ohio court of law to have been responsibility for the injury or death. committed by you with the belief than an OEM 2. Transfer to us their right to recover from injury is substantially certain to occur. However, the cost of defending such — others who may be responsible for the claims or suits in Ohio is covered. 10-- injury or death. 3. Cooperate with us and do everything 13. bodily . injury sustained by any member of necessary to enable us to enforce the right the flying crew of any aircraft. to recover from others. 14. any claim for bodily injury with respect to If the persons entitled to the benefits of this which you are deprived of any defense or Insurance fail to do those things, our duty to defenses or are otherwise subject to penalty because of default In premium pay ends at once. If they claim damages from you or from us for the injury or death, our duty under the provisions of the workers' MEN to pay ends at once. compensation law or laws of a state shown in Paragraph A. E. Recovery From Others E. This insurance applies to damages for which If we make a recovery from others, we will you are liable under West Virginia Code Annot. keep an amount equal to our expenses of S23-4-2. recovery and the benefits we paid. We will I pay the balance to the persons entitled to it. Form WC 99 03 03 B Printed in U.S.A. (Ed. 8/00) Page 3 of 6 EXTENDED OPTIONS 1. Empl yers' Liability Insurance 4. Item 3.B. of the Information Page is replaced by the following: B. Employers' Liability Insurance: 1. Part Two of the policy applies to work in each state listed in Item 3.A. 2. 3. The Limits of Liability under Part Two are the higher of: Bodily Injury by Accident $500,000 Each Accident Bodily Injury by Disease $500,000 Policy Limit Bodily Injury by Disease $500,000 Each Employee OR 2. The amount shown In the Information Page. This provision 1 of EXTENDED OPTIONS does not apply in New York because the Limits Of Our Liability are unlimited. In this provision the limits are changed from $500,000 to $1,000,000 In California. Unint ntional Failure to Disclose Hazards If you unintentionally should fail to disclose all existing hazards at the inception date of your policy, we shall not deny coverage under this policy because of such failure. Waiver of Our Right To Recover From Others A. 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 any person or organization for whom you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit anyone not named in the agreement. B. This provision 3. does not apply In the states of Pennsylvania and Utah. Foreign Voluntary Compensation and Employers' Liability Reimbursement A. How This Reimbursement Applies This reimbursement provision applies to bodily injury by accident or bodily injury by disease. Bodily injury includes resulting death. 1. The bodily injury must be sustained by an officer or employee. 2. The bodily injury must occur in the course of employment necessary or Incidental to work in a country, not listed In Exclusion C.1. of this provision. 3. Bodily injury by accident must occur during the policy period. 4. Bodily injury by disease must be caused or aggravated by the conditions of your employment. The officer or employee's last exposure to those conditions of your employment must occur during the policy period. B. We Will Reimburse We will reimburse you for all amounts paid by you whether such amounts are: 1. voluntary payments for the benefits that would be required of you if you and your officers or employees were subject to any workers' compensation law of the state of hire of the individual employee. 2. sums to which Part Two (Employers' Liability Insurance) would apply If the Country of Employment were shown in Item 3.A. of the Information Page. C. Exclusions This Insurance does not cover: 1. any occurrences in the United States, Canada, and any country or jurisdiction which is the subject of trade or economic sanctions Imposed by the laws or regulations of the United States of America in effect as of the inception date of this policy. 2. any obligation imposed by a workers' compensation or occupational disease law, or similar law. 3. bodily injury Intentionally caused or aggravated by you. Form WC 99 03 03 B Printed In U.S.A. (Ed. 8/00) Page 4 of 6 4. liability for any consequence, whether direct or Indirect, of war, invasion, act of Foreign enemy, hostilities (whether war be declared or not), civil war, rebellion, revolution, insurrection or military or usurped power. No endorsement now or subsequently attached to this policy shall be construed as overriding or waiving this limitation unless specific reference Is made thereto. of America necessarily Incurred as a direct result of bodily injury. Our reimbursement shall be limited as follows: 1. to the amount by which such expenses exceed the normal cost of returning the officer or employee if in good health, or 2. in the event of death, to the amount by which such expenses exceed the normal cost of returning the officer or employee if alive and In good health. In no event shall our reimbursement exceed the bodily injury by accident limit shown in item S.B. of the Information Page as respects any one such officer or employee whether dead or alive. H. Endemic Disease The word "disease" includes any endemic diseases. The coverage applies as If endemic diseases were included in the provisions of the workers' compensation law. 5. Longshore and Harbor Workers' Compensati n Act Coverage General Section C. Workers' Compensati n Law is replaced by the following: C. Workers' Compensation Law Workers' Compensation Law means the workers or workers' compensation law and occupational disease law of each state or territory named in Item 3.A. of the Information Page and the Longshore and Harbor Workers' Compensation Act .(33 USC Sections 901- 950). It includes any amendments to those laws that are in effect during the policy period. It does not include any other federal workers or workers' compensation law, other federal occupational disease law or the provisions of any law that provide nonoccupational disability benefits. Part Two (Employers' Liability Insurance), C. Exclusions, exclusion 8, does not apply to work subject to the Longshore and Harbor Workers' Compensation Act. This coverage does not apply to work subject to the Defense Base Act, the Outer Continental Shelf Lands Act, or the Nonappropriated Fund Instrumentalities Act. Form WC 99 03 03 B Printed in U.SA (Ed. 8100) Peg 5 f 6 D. Before We Pay r- Before we reimburse you for the benefits to the M persons entitled to them, you must have them: 1. release you and us, in writing, of all responsibility for the Injury or death, H 2. transfer to us their right to recover from 0 others who may be responsible for their injury or death, 3. cooperate with us and do everything necessary to enable us to enforce the right Ln N to recover from others. Ln If the persons entitled to the benefits paid fail ri to do these things, our duty to reimburse ends it at once. If they claim damages from us for the injury or death, our duty to reimburse ends at once. E. Recovery From Others If we make a recovery from others, we will keep an amount equal to our expenses of recovery and the benefits we reimbursed. We will pay the balance to the persons entitled to BMW it. If persons entitled to the benefits make a c recovery from others, they must repay us for the amounts that we have reimbursed you. F. R imbursement for Actual Loss Sustained This endorsement provides only for reimbursement for the loss you actually sustain. In order for you to recover loss or expenses under this reimbursement you must: ;= 1. actually sustain and pay the loss or expense In money after trial, or 2. secure our consent for the payment of the loss or expense. i= G. Repatriation Our reimbursement includes the additional expenses of repatriation to the United States of America necessarily Incurred as a direct result of bodily injury. Our reimbursement shall be limited as follows: 1. to the amount by which such expenses exceed the normal cost of returning the officer or employee if in good health, or 2. in the event of death, to the amount by which such expenses exceed the normal cost of returning the officer or employee if alive and In good health. In no event shall our reimbursement exceed the bodily injury by accident limit shown in item S.B. of the Information Page as respects any one such officer or employee whether dead or alive. H. Endemic Disease The word "disease" includes any endemic diseases. The coverage applies as If endemic diseases were included in the provisions of the workers' compensation law. 5. Longshore and Harbor Workers' Compensati n Act Coverage General Section C. Workers' Compensati n Law is replaced by the following: C. Workers' Compensation Law Workers' Compensation Law means the workers or workers' compensation law and occupational disease law of each state or territory named in Item 3.A. of the Information Page and the Longshore and Harbor Workers' Compensation Act .(33 USC Sections 901- 950). It includes any amendments to those laws that are in effect during the policy period. It does not include any other federal workers or workers' compensation law, other federal occupational disease law or the provisions of any law that provide nonoccupational disability benefits. Part Two (Employers' Liability Insurance), C. Exclusions, exclusion 8, does not apply to work subject to the Longshore and Harbor Workers' Compensation Act. This coverage does not apply to work subject to the Defense Base Act, the Outer Continental Shelf Lands Act, or the Nonappropriated Fund Instrumentalities Act. Form WC 99 03 03 B Printed in U.SA (Ed. 8100) Peg 5 f 6 SEC1rm 111 1. SCHEDULE OF COVERED STATES A. This endorsement only applies in the states listed In this Schedule of Covered States. C. Schedule of Covered States: CA Countersigned by B. If a state, shown in Item 3.A. of the Information Page, approves this endorsement after the effective date of this policy, this endorsement will apply to this policy. The coverage will apply in the new state on the effective date of the state approval. Authorized Representative F rm WC 99 03 03 B Printed In U.SA (Ed. 8 /00) Page 6 of 6 o o� o= m— o x= a= o 001639 Policy #BA461M761212 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. GENERAL DESCRIPTION OF COVERAGE – This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage Is excluded or limited -by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions mar apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BLANKET ADDITIONAL INSURED H. AUDIO, VISUAL AND DATA ELECTRONIC B. EMPLOYEE HIRED AUTO C. EMPLOYEES AS INSURED D. SUPPLEMENTARY PAYMENTS – INCREASED LIMITS E. TRAILERS – INCREASED LOAD CAPACITY F. HIRED AUTO PHYSICAL DAMAGE G. PHYSICAL DAMAGE – TRANSPORTATION EXPENSES– INCREASED LIMIT A. BLANKET ADDITIONAL INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION 11 – LIABILITY COV- ERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an `'insured" for Liability Covor- age, but only for damages to which this insurance applies and only to the extent that person or or- ganization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. S. EMPLOYEE HIRED AUTO 1, The following is added to Paragraph A.1., Who Is An Insured, of SECTION 11 – 1 -1- ABILITY COVERAGE: EQUIPMENT – INCREASED LIMIT 1. WAIVER Or DEDUCTIBLE – GLASS J. PERSONAL EFFECTS K. AIRBAGS L. AUTO LOAN LEASE. GAP M. BLANKET WAIVER OF SUBROGATION performing duties related to the conduct of your business. 2. The following replaces Paragraph b. in B.S., Other Insurance, of SECTION IV – BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover - age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you tease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while perform- ing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto ". C. EMPLOYEES AS INSURED An "employee" of yours is an "insured" while The following Is added to Paragraph AA., Who Is operating a covered "auto" hired or rented An Insured, of SECTION II – LIABILITY COV- under a contract or agreement in that "em- ployee's" name, with your permission, while ERAGE: CA T4 20 07 10 02010 The Travelers Indemnity Company. All rights reserved. Page 1 of 3 Includes copyrighted materlal of Im,urance Services Office, Inc. with its permission. COMMERCIAL AUTO Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. D. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS 1. The following replaces Paragraph A.2.a.(2) of SECTION II — LIABILITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4) of SECTION 11— LIABILITY COVERAGE: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. E. TRAILERS — INCREASED LOAD CAPACITY The fallowing replaces Paragraph C.1. of SEC TION I— COVERED AUTOS: 1. "Trailers" with a load capacity of 3,000 pounds or less designed primarily for travel on public roads. F. HIRED AUTO PHYSICAL DAMAGE The following is added to Paragraph AA., Cover - age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Hired Auto Physical Damage Coverage If hired "autos" are covered "autos" for Liability Coverage but not covered "autos" for Physical Damage Coverage, and this policy also provides Physical Damage Coverage for an owned "auto ", then the Physical Damage Coverage is extended to "autos" that you hire, rent or borrow subject to the following: (1) The most we will pay for 'loss" in any one "accident" to a hired, rented or borrowed "auto" is the lesser of: (a) $50,000; (b) The actual cash value of the damaged or stolen property as of the time of the "loss "; or (c) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. (2) An adjustment for depreciation and physical condition will be made in determining actual cash value in the event of a total "loss ". (3) If a repair or replacement results in better than like kind or quality, we will not pay for the amount of betterment. (4) A deductible equal to the highest Physical Damage deductible applicable to any owned covered "auto". (5) This Coverage Extension does not apply to: (a) Any "auto" that is hired, rented or bor- rowed with a driver; or (b) Any "auto" that Is hired, rented or bor- rowed from your "employee". G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph AA.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. H. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT — INCREASED LIMIT Paragraph C.2.. Limit Of Insurance, of SEC- TION III — PHYSICAL DAMAGE COVERAGE is deleted. I. WAIVER OF DEDUCTIBLE —GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. J. PERSONAL EFFECTS The following is added to Paragraph A.4., Cover- age Extensions, of SECTION 111 — PHYSICAL DAMAGE COVERAGE: Personal Effects Coverage We will pay up to $400 for. "loss" to wearing ap- parel and other personal effects which are: (1) Owned by an "insured "; and (2) In or on your covered "auto ". This coverage only applies in the event of a total theft of your covered "auto ". No deductibles apply to Personal Effects cover- age. Page 2 of 3 © 2010 The Travelers Indemnity company. All rights reserved. CA T4 20 07 10 Includes copyrighted material of Insurance Services Office, Inc. with its permission. o° o= o= as r— I o® o® coisao K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION 111 — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to 'loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "toE s" set forth in Paragraphs A.1.1b. and A.1.c., but only; a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss ". L. AUTO LOAN LEASE GAP The following is added to Paragraph AA., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Auto Loan Lease Gap Coverage for Private Passenger Type Vehicles In the event of a total "loss" to a covered "auto" of the private passengertype shown in the Schedule or Declarations for which Physical Damage Cov- erage is provided, we will pay any unpaid amount due on the lease cr loan for such covered "auto" less the following: (1) The amount paid under the Physical Damage Coverage Section of the policy for that "auto "; and COMMERCIAL AUTO (2) Any: (a) Overdue lease or loan payments at the time of the "loss "; (b) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (c) Security deposits not returned by the les- sor; (d) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and (e) Carry -over balances from previous loans or leases. M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.S., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: S. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract exe- cuted prior to any "accident" or "loss", pro- vided that the "accident" or "loss" arises out of the operations contemplated by such con- tract. The waiver applies only to the person or organization designated in such contract. CA T4 20 07 10 02010 The Travelers Indemnity Company. All rights reserved. Page 3 of 3 Includes copyrighted material of Insurance Services Office, Inc. with its permission. DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 09/16/2013 NAME OF INSURED: CSG Consultants Inc. Precision Inspection - CSG Additional Description of Operations /Remarks from Page 1: Additional Information: SUPP (05/04) �PRi�uu!srw? C� ® D12/09/2013Y) A - �. CERTIFICATE OF LIABILITY INSURANCE 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 in lieu of such endorsement(s). PRODUCER 0726293 1 -415 -546 -9300 CONTACT NAME: Arthur J. Gallagher fi Co. PHONE FAX 415- 536 -8617 Insurance Brokers of California, Inc., License #0726293 IA/C, He, E,d): (A/C Ne): 415 - 536 -6627 1255 Battery Street #450 ADDRESS: E;�S: San Francisco, CA 94111 INSURER(S) AFFORDING COVERAGE NAIC If - THIS IS-TO CERTIFY-THAT °THE POLICIES'OF' INSURANCE - LISTED BELOW HAVE'BEEN- ISSUED"TO THE INSURED NAMED'ABOVE FOR- THE - POLICY PERIOD INSURER A: TRAVELERS PROP CAS CO OF AMER 125674 1 INSURED INSUFIER B: CYPRESS INS CO 10855 CSG Consultants Inc. INSUF,ERC: ARCH INS CO 111150 Precision Inspection - CSG PREMISES'(Ea occurrence) $ � CLAIMS -MADE I X 1 OCCUR (MED EXP (Any one person) $ 10,000 1700 S. Amphlett Blvd 3rd Floor INSUF:ERD: I I INSURER E : GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS - COMP/OP AGG $ POLICY I PRO- ( X LOC I San Mateo, CA 94402 7+ AUTOnIOeaEUaeluiv X 461M7612 -13 i 12/04/13 12/04/14' COMBINED SINGLE LIMIT 1,000,000 'I $ i IBA- (Ea accident) 1 I $ X ANY AUTO 1 I I INSUF;ER F I ALL OWNED I SCHEDULED I BODILY INJURY (Per accident) $ AUTOS AUTOS I I NON -OWNED X I X ( rcD—ClCATC \11111IDCD• 772769nn HIRED AUTOS I AUTOS I RFVISIrTN NIIMRFR- A X UMBRELLA LIAB X OCCUR ICUP294M1060 -13 - 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 SUBR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS MMIDDIYYYY MMIDDIYYYY A GENERAL LIABILITY X 680294MO850- TIL -13 12/04/13 12/04/14 EACH OCCURRENCE $ 1,000,000 1 I X DAMAGE TO RENTED 1,000,000 I COMMERCIAL, GENERAL LIABILITY i PREMISES'(Ea occurrence) $ � CLAIMS -MADE I X 1 OCCUR (MED EXP (Any one person) $ 10,000 I PERSONAL 8 ADV INJURY $ 1,000,000 I AGGREGATE $ 2,000,000 (GENERAL 2;000,000 ! GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS - COMP/OP AGG $ POLICY I PRO- ( X LOC I I $ 7+ AUTOnIOeaEUaeluiv X 461M7612 -13 i 12/04/13 12/04/14' COMBINED SINGLE LIMIT 1,000,000 'I $ i IBA- (Ea accident) 1 I $ X ANY AUTO 1 I I BODILY INJURY (Per person) I I I ALL OWNED I SCHEDULED I BODILY INJURY (Per accident) $ AUTOS AUTOS I I NON -OWNED X I X ( PROPERTY DAMAGE $ (Per t) HIRED AUTOS I AUTOS I I t$ A X UMBRELLA LIAB X OCCUR ICUP294M1060 -13 12/04/13 12/04/14 EACH OCCURRENCE I $ 5,000,000 EXCESS LIAB CLAIMS-MADE 1 I i AGGREGATE 1 $ 5,000,000 DED 'RETENTION$ I 'Following Form 1$ B I WORKERS COMPENSATION I X 13300065922 -131 _ i WC -: STATU- i IOTH- 12/04/13 12/04/141 ; X; TORY LIMITS, , ER AND EMPLOYERS' LIABILITY YIN 1 ANY PROPRIETORIPARTNERIEXECUTIVE I i E.L. EACH ACCIDENT I $ 1,000,000 OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEEi $ 1,000,000 Ib,yes, describe under I 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C (Prof Liability IAEP004731502 12/04/13 12 /04 /14ILimit: 3MIL /3MIL iRetention: I 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, _ if more space is required) The City, its officers, officials, employees, agents and volunteers are Additional Insured; GL primary insurance applies per attached endorsements. CERI It- IGA I E HULUEK L M14t,CLLFi I IVIY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Cupertino TFIE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10300 Torre Averse AUTIIORIZED REPRESENTATIVE Cupertino, CA 95014 I USA U 1988- ZUIU.A(;UKU CUKFL)KAI IUN. All rlgnis reserveo ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ranjithasan 37236500 w (D 11 ;n ,n Z Ctl P526U028(X)2 a n m� r o=—= M, AM a� H= NN m� eorese Policy #BA -461 M7612 -13 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO COVERAGE PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Wtth respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described In any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do ,not apply to the extent that coverage Is excluded or limited by such an endorsement. The following listing Is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BLANKET ADDITIONAL INSURED H. AUDIO, VISUAL AND DATA ELECTRONIC B. EMPLOYEE HIRED AUTO EQUIPMENT - INCREASED LIMIT C. EMPLOYEES AS INSURED 1. WAIVER OF DEDUCTIBLE - GLASS D. SUPPLEMENTARY PAYMENTS - INCREASED J. PERSONAL EFFECTS LIMITS K. AIRBAGS E. TRAILERS - INCREASED LOAD CAPACITY L. AUTO,LOAN LEASE GAP F. HIRED AUTO PHYSICAL DAMAGE M. BLANKET WAIVER OF SUBROGATION G. PHYSICAL DAMAGE'- TRANSPORTATION EXPENSES - INCREASED LIMIT A. BLANKET ADDITIONAL INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION 11 - LIABILITY COV- ERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that Is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an -"insured' for Liability Cover- age, but only for damages to which this insurance applies and only to the extent that person or or- ganization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. B. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION 11 - LI- ABILITY COVERAGE: An "employee" of yours is an "insured" while operating a covered "auto" hired or rented under a contract or agreement in that 'em- ployee's" name, with your permission, while performing duties related to the conduct of your business. 2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV - BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract In that individual 'employee's" name, with your permission, white perform- ing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto ". C. EMPLOYEES AS INSURED The following Is added to Paragraph A.1., Who Is An Insured, of SECTION 11 - LIABILITY COW ERAGE: CA T4 20 07 10 ® 201 0 The Travelers Indemnity Company. All rights reserved. Page 1 of 3 Includes copyrighted material of Insurance Services Office, Inc. with its permission. co w 0 r4 z w COMMERCIAL AUTO Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. D. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS 1. The following replaces Paragraph A.2.a.(2) of SECTION U — LIABILITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. — 2: The following "repiaces Paragraph-A:2:a:(4) of - SECTION 11— LIABILITY COVERAGE: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. E. TRAILERS — INCREASED LOAD CAPACITY The following replaces Paragraph C.I. of SEC - TION I — COVERED AUTOS: 1. "Trailers" with a load capacity of 3,000 pounds or less designed primarily for travel on public roads. F. HIRED AUTO PHYSICAL DAMAGE The following is added to Paragraph A-4., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Hired Auto Physical Damage Coverage If hired "autos" are covered "autos" for Liability Coverage but not covered "autos" for Physical Damage Coverage, and this policy also provides Physical Damage Coverage for an owned "auto ", then the Physical Damage Coverage is extended to "autos" that you hire, rent or borrow subject to the following: (1) The most we will pay for "loss" in any one "accident" to a hired, rented or borrowed "auto" is the lesser of: (a) $50,000; (b) The actual cash value of the damaged or stolen property as of the time of the "loss "; or (c) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. (2) An adjustment for depreciation and physical condition will be made in determining actual cash value in the event of a total "loss ". Page 2 of 3 (3) If a repair or replacement results in better than like kind or quality, we will not pay for the amount of betterment. (4) A deductible equal to the highest Physical Damage deductible applicable to any owned covered "auto ". (5) This Coverage Extension does not applyto: (a) Any "auto" that is hired, rented or bor- rowed with a driver; or (b) Any "auto" that is hired, rented or bor- rowed from your "employee ". 43. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES - INCREASED LIM11- The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. IA. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT — INCREASED LIMIT Paragraph C.2.. Limit Of Insurance, of SEC- TION 111 — PHYSICAL DAMAGE COVERAGE is deleted. I. WAIVER OF DEDUCTIBLE — GLASS The following is added to Paragraph D., Deducti- ble, of SECTION 111 — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. .1. PERSONAL EFFECTS The following is added to Paragraph A.4., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Personal Effects Coverage We will pay up to $400 for "loss" to wearing ap- parel and other personal effects which are: (1) Owned by an "insured "; and (2) In or on your covered "auto'. This coverage only applies in the event of a total theft of your covered "auto ". No deductibles apply to Personal Effects cover- age. 0 2010 The Travelers Indemnity Company. All rights reserved. CA T4 20'07 10 Includes copyrighted material of Insurance 3ervlce3 Office, Inc. with Its permission. r LL LL, M Z w 1 +i2(%N12 %INI? as oO i� ot. m� a.� J C� .gym r� o= r� m� 001640 K L. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that In- flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.1b. and A.1.c., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss ". AUTO LOAN LEASE GAP The following is added to Paragraph A.4., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Auto Loan Lease Gap Coverage for Private Passenger Type Vehicles In the event of a total 'loss" to a covered "auto" of the private passenger type shown in the Schedule or Declarations for which Physical Damage Cov- erage is provided, we will pay any unpaid amount due on the lease or loan for such covered "auto" less the following: (1) The amount paid under the Physical Damage Coverage Section of the policy for that "auto "; and CA T4 20 0710 COMMERCIAL AUTO (2) 'Any' (a) Overdue lease or loan payments at the time of the "loss' (b) Financial penalties Imposed under a lease for excessive use, abnormal wear and tear or high mileage; (c) Security deposits not returned by the les- sor; (d) Costs for extended warranties, Credit Life Insurance, Health, Accident or. Disability Insurance purchased with the loan or lease; and (e) Carry-over balances from previous loans orleases. M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: 6. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract exe- cuted prior to any "accident" or 'loss ", pro- vided that the "accident" or "loss" arises out of the operations contemplated by such con- tract. The waiver applies only to the person or organization designated in such contract. ® 2010 The Travelers Indemnity Company. AD rights reserved. Page 3 of 3 Includes copydghled material of Insurance Services Office, Inc. With Its permission. U. 0 M a z w 680294MO850- TIL -13 COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section II): Any person or organization that you agree in a "contract.or agreement requiring insurance".to_in- dude as an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products- completed operations hazard ". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover- age as an additional insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render- ing of or failure to render any "professional services ". f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits. of insurance stated in the LIMITS OF CG D3 8109 07 INSURANCE (Section III) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance_ in_ COMMERCIAL _GENERAL _ LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non - contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance ". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily © 2007 The Traveleis Companies, Inc. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its permission. 0 Ir P526(X12&02 COMMERICAL GENERAL LIABILITY injury" or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organization as an additional insured on this Cov- erage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal in- jury" is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office, Inc., with its permission. CG D3 81 09 07 oa �n 0 .n rn z cu Nszaxzxxz WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 0410A (Ed 07 -07) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA LL BLANKET BASIS LL 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.) z w The additional premium for this endorsement shall be 2.00 % of the total policy premium otherwise due on such remuneration. The minimum premium for this endorsement is $ 3sn no Schedule Person or Organization Job Description ALL ORGANIZATIONS FOR'WHOM "THE WAIVER OF SUBROGATION IS _ ALL CALIFORNIA OPERATIONS - — - ISSUED 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 12/0412013 Policy No. 3300065922 -131 Endorsement No. 1 Insured CSG CONSULTANTS, INC. Premium $ Insurance Company Cypress Insurance Company WC 99 04 10A (Ed 07 -07) Pi2Nb281MR 3 DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 12/09/2013 CSG Consultants Inc. Precision Inspection - CSG Additional Description of Operations /Remarks from Paae 1: Additional Information: P52&.12tp X12 Arthur J. Gallagher & Co. 1255 Battery Street 9450 San Francisco, CA 941 1 1 Electronic Service Requested MIXED AADC 950 9553 1.0129 FP 0.433 IIIIIIIIIIIIIIIIIIIIIIIIIlluIrrluIIIIIIrvIlll -nluII -luu -u City of Cupertino 216 10300 TORRE AVENE Cupertino, CA 95014 2u13 12 I to 13 EBIX BPO This document was brought to you by Ebix /CertificatesNlov7 and Arthur J. Gallagher & Co. Insurance Brokers of California, Inc. in San Francisco, CA. - Any documents forwarded with the certificate request ware reviewed for the sole purpose of completing _the_cer.tificate,. - If you have questions regarding the content of this do(aunent, please contact the Producer /Agent listed on the certificate of insurance— The data included in this notice and in the attached document is confidential to - Ebix /CertificatesNow and Arthur J. Gallagher & Co. Instrrance Brokers of California, Inc.- cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CerlificatesNow - www.ContirmNet.com - 877.669.8600 0 rn Z u0 P526()0281Mr2 A� Q® CERTIFICATE OF LIABILIIrY INSURANCE -DATE 12 / 09 IDDIY 3 12/09/2013 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(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 0726293 1- 415 - 546 -9300 Arthur J. Gallagher & Co. Insurance Brokers of California, Inc., License #0726293 1255 Battery Street #450 _ CONTACT NAME: (&r_N,FI • 415 -536 -8617 F No: 415 -536 -8627 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # San Francisco, CA 94111 INSURER A: TRAVELERS PROP CAS CO OF AMER 25674 12/04/14 INSURED INSURER 8: CYPRESS INS CO 10855 CSG Consultants Inc. Precision inspection - CSG INSURER C_ ARCH INS CO 11150 INSURER D: 1700 S. Amphlett Blvd 3rd Floor INSURER E_ $ 1,000,000 San Mateo, CA 94402 CLAIMS -MADE 1XI OCCUR INSURER F: CAVFRAnFS CFRTIFICATF NIIMRFR- 37236670 REVISION NUMRFR- THIS -IS TO CERTIFY THAT .THE- POLICIES OF-INSURANCE LISTED BELOW.. HAVE - BEEN_,ISSUED.T,O THE INSURED NAMED ABOVE_FOR_T.HE 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 LTR TYPE OF INSURANCE ifin UBR POLICY NUMBER MM /LOICDY EFF MMIDO EXP LIMITS A GENERAL LIABILITY X 680294MO850- TIL -13 _ 1:1/04/1 12/04/14 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES eEOCCUnenoe $ 1,000,000 CLAIMS -MADE 1XI OCCUR MED.EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2.000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG j 2,000,000 $ POLICY PRO- X LOC JECT A AUTOMOBILE LIABILITY X BA- 461M7612 -13 27MIT101 12/04/14 COMBINED SINGLE LIMIT Ea accident 1, 000, 000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS 'PROPERTYDAMAGE Peraaident _ X X NON -OWNED HIRED AUTOS AUTOS $ A X UMBRELLA LIAB X OCCUR CUP294M1060 -13 12/04/1 12/04/14 EACH OCCURRENCE $ 51000,000 AGGREGATE $ 5,000,000 EXCESS LWB CLAIMS -MADE DELI I RETENTION Followin Form $ B WORKERS COMPENSATION ANOEMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED' N I NIA X 3300065922 -131 _ 1:E /04/1 12/04/14 X WC STATU- OTH- E.L. EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYE E 1,000,000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below C Prof Liability AEP004731502 12 /04/1 12/04/14 Limit: 3MIL /3MIL Retention: 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If inure space Is required) City, its City Council, boards and ccamissions, officers, employees and volunteers are named as additional insured as respects General, Auto, and Umbrella Liability policy(ies), pursuant to and subject to the policy's terms, definitions, conditions and exclusions. Waiver of Subrogation applies to additional insureds, as respects General, Auto Liability policy(s), pursuant to and subject to the policy's terms, definitions, conditions and exclusions. UEK I RIGA I L KULUtK City of Cupertino Attn: Roger Lee 10300 Torre Ave. Cupertino , CA 95014 ACORD 25 (2010105) ranjithasan 37236670 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE USA ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD iw u, O N c, 00 W Y52MR128(912 m= o o� o x_ 001638 Policy #BA -461 M7612 -13 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO COVERAGE PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any Injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage Is excluded or limited by such an endorsement. The following listing is a general cover - age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BLANKET ADDITIONAL INSURED B. EMPLOYEE HIRED AUTO C. EMPLOYEES AS INSURED D. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS E. TRAILERS — INCREASED LOAD CAPACITY F. HIRED AUTO PHYSICAL DAMAGE G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT A. BLANKET ADDITIONAL INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — LIABILITY COW ERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional, insured is an 'Insured" for - Liability - Cover- - age, but only for damages to which this insurance applies and only to the extent that person or or- ganization qualifies as an "insured" under the Who Is An Insured provision contained in Section I[. B. EMPLOYEE HIRED AUTO 1, The following is added to Paragraph A.1., Who Is An Insured, of SECTION 11 — LI- ABILITY COVERAGE: H. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT — INCREASED LIMIT I. WAIVER OF DEDUCTIBLE — GLASS J. PERSONAL EFFECTS K. AIRBAGS L. AUTO LOAN LEASE GAP M. BLANKET WAIVER OF SUBROGATION performing duties related to the conduct of your business. 2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract In that individual "employee's" name, with your permission, while perform- ing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto ". C. EMPLOYEES AS INSURED An "employee" of yours is an "insured" while operating a covered 'auto" hired or rented The following Is added to Paragraph A.1., Who Is under a contract or agreement in that 'em- An Insured, of SECTION It — LIABILITY COV- ployee's" name, with your permission, while ERAGE: CA T4 20 0710 02010 The Travelers Indemnity company. AN tights ieserved. Page 1 of 3 Includes copyrighted material of Insurance Services Office. Inc. with its permission. .n LL, 0 z w P521d QMX12 COMMERCIAL AUTO Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. D. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS, 1. The following replaces Paragraph A.2.a.(2) of SECTION II — LIABILITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The fallowing replaces Paragraph A.2.a.(4) of SECTION 11- 1JABIIJ1Y COVERAGE: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. E. TRAILERS — INCREASED LOAD CAPACITY The following replaces Paragraph C.I. of SEC- TION 1— COVERED AUTOS: 1. 'Trailers" with a load capacity of 3,000 pounds or less designed primarily for travel on public roads. F. HIRED AUTO PHYSICAL DAMAGE The following is added to Paragraph AA., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Hired Auto Physical Damage Coverage If hired "autos" are covered "autos" for Liability Coverage but not covered "autos" for Physical Damage Coverage, and this policy also provides Physical Damage Coverage for an owned "auto ", then the Physical Damage Coverage is extended to "autos" that you hire, rent or borrow subject to the following: (1) The most we will pay for "loss" in any one "accident" to a hired, rented or borrowed "auto" is the lesser of. (a) $50,000; (b) The actual cash value of the damaged or stolen property as of the time of the "loss ": or (c) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. (2) An adjustment for depreciation and physical condition will he made In determining actual cash value in the event of a total "loss". (3) If a repair or replacement results in better than like kind or quality, we will not pay for the amount of betterment. (4) A deductible equal to the highest Physical Damage deductible applicable to any owned covered "auto", (5) This Coverage Extension does not apply to: (a) Any "auto" that is hired, rented or bor- rowed with a driver; or (b) Any "auto" that is hired, rented or bor- rowed from your "employee ". G. PHYSICAL DAMAGE — TRANSPORTATION ---EXPENSES--INCREASED-LIMIT -- — The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. Hl. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT — INCREASED LIMIT Paragraph C.2.. Limit Of Insurance, of SEC- TION III — PHYSICAL DAMAGE COVERAGE is deleted. 1. WAIVER OF DEDUCTIBLE — GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. J. PERSONAL EFFECTS The following is added to Paragraph A.C. Cover- age Extensions, of SECTION 111 — PHYSICAL DAMAGE COVERAGE: Personal Effects Coverage We will pay up to $400 for "loss" to wearing ap- parel and other personal effects which are: (1) Owned by an "insured "; and (2) In or on your covered "auto ". This coverage only applies in the event of a total theft of your covered "auto ". No deductibles apply to Personal Effects cover- age. Page 2 of 3 ® 2010 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material or Insurance Sarvkes Office. Inc. with its permission. CA T4 20 07 10 Jr� .n w 0 M rn z w P5260028INl2 a of� o� o� O� ho Oo s O° d 001040 K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to 'loss" to one or more airbags in a covered "auto" you own that In- flate due to a cause other than a cause of 'loss" set forth in Paragraphs AA.b. and A.1.c., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss ". L. AUTO LOAN LEASE GAP The following is added to Paragraph AA., Cover- age Extensions, of SECTION III — PHYSICAL « DAMAGE COVERAGE: Auto Loan Lease Gap Coverage for Private Passenger Type Vehicles In the event of a total 'loss" to a covered "auto" of the private passengertype shown in the Schedule or Declarations for which Physical Damage Cov- erage is provided, we will pay any unpaid amount due on the lease or loan for such covered "auto' less the following: (1) The amount paid under the Physical Damage Coverage Section of the policy for that "auto "; and COMMERCIAL AUTO (2), Any, (a) Overdue lease or loan payments at the time of the 'loss "; (b) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (c) Security deposits not returned by the les- sor; (d) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and (e) Carry -over balances from previous loans orleases. M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: 5: Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract exe- cuted prior to any "accident' or "loss ", pro- vided that the "accident' or "loss" arises out of the operations contemplated by such con - tract. The waiver applies only to the person or organization designated in such contract. CA T4 20 07 10 © 2010 The Travelers indemnity Company. All rights reserved. Page 3 of 3 Includes copyrighted material of Insurance Services Office, Inc. will) its permission. �n 0 0 5, Z IU P526(A)2X(X)2 680294MO850- TIL -13 COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section II): Any person or organization that you agree in a "contract or agreement requiring insurance" to in- - clude as -an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury', "property damage" or "personal injury' caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products- completed operations hazard Such person or organization does not qualify as an additional insured for "bodily injury', "property damage" or "personal injury' for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover- age as an additional insured specifically .is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render- ing of or failure to render any "professional services ". f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. 6. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Sectl6n IV) However, if you specifically agree in a "contract or agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non - contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that 'contract or agreement requiring insurance ". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an add_ itional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury' arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract'or agreement requiring insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily CG D3 81 09 07 © 2007 The Travelers Companies, Inc. Includes Ilia copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 2 LL w 0 z w Y526W2%IN12 COMMERICAL GENERAL LIABILITY injury or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organization as an additional insured on this Cov- Page 2 of 2 erage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal in- jury" is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. v 2007 The Travelers companies, Inc. CG D3 81 09 07 Includes the copyrighted material of Insurance Services Office; Inc., with its permission. m �n LL. v z w P5261M12 %11112 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 0410A (Ed 07 -07) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA w BLANKET BASIS 0 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.) > z 10 The additional premium for`this endorsement shall be 2.00 % of the total policy premium otherwise due on such remuneration. The minimum premium for this endorsement is $ ,j�rn nn Schedule Person or Organization Job Description - ALL ORGANIZATIONS- FOR -WHOM THE WAIVER -OF— SUBROGATION IS - -- -ALL CALIFORNIXOPERATIONS. - ISSUED 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 12/04/2013 Policy No. 3300065922 -131 Endorsement No. 1 Insured CSG CONSULTANTS, INC. Premium $ Insurance Company Cypress Insurance Company WC 99 0410A (Ed 07 -07) a'sz�;ui�zx�xiz SUPPLEMENT TO CERTIFICATE OF INSURANCE NAME OF INSURED: CSG Consultants Inc. Precision Inspection - CSG Additional Description of Operations /Remarks from Page 1: Additional Information: t SUPP DATE 12/09/2013 m LL O 0 00 W P52(AX)2MX)2 Arthur J. Gallagher & Co. 1255 Battery Street #450 San Francisco, CA 941 1 1 Electronic Service Requested 3 -DIGIT 950 7890 1.0129 AT ,0.381 II���1�11�1�11�' �1��11��11���11�111�11�111111 '1'�I1�1"�1'�I'1��' City of Cupertino 33 10300 TORRE AVE- CUPERTINO, CA 95014 -3202 201312103338 )3 EBIX BPO This document was brought to you by Ebix /CertificatesNow and Arthur J. Gallagher & Co. Insurance Brokers of California, Inc. in San Francisco, CA. - Any documents forwarded with the certificate request were reviewed for the sole purpose of completing the certificate.- If you have questions regarding the content of this document, please contact the Producer /Agent listed on the certificate of insurance. - The data included in this notice and in the attached document is confidential to - Ebix /CertificatesNow and Arthur J. Gallagher & Co. Insurance Brokers of California, Inc.- cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertificatesNo", - www.ConfirmNet.com - 877.669.8600 RM 0 CD z u�