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15-157 Sprig Electric, Installation of IP Cameras at the Librarypo ·.ti:' ?o/ b -17'.l..
AGREEMENT BETWEEN THE CITY OF CUPERTINO AND SPRIG ELECTIUC FOR
INSTALLATION OF IP CAMERAS AT LIBRARY
THIS AGREEMENT, for reference dated July 20TH, 2015, is by and between CITY OF
CUPERTINO, a municipal corporation (hereinafter referred to as "City"), and
"Sprig Electric", a California corporation whose address is
1860 S. 10th Street San Jose, CA. 95112 hereinafter called the Contractor, and is made with
reference to the following:
RECITALS:
A. City is a municipal corporation duly organized and validly existing under the laws
of the State of California with the power to cany on its business as it is now being conducted
under the Constitution and the statutes of the State of California and the Cupertino Municipal
Code.
B. City and Contractor desire to enter into an agreement for
Installation of 3 Samsung IP Cameras at the Library, in accordance with the proposal dated July
20 111 2015
NOW, THEREFORE, it is mutually agreed by and between the undersigned parties as
follows:
1. TERM:
The Contractor shall begin work within thirty (30) calendar days after receiving notice
from the Facilities Supervisor to commence the work, and shall diligently prosecute the work to
completion before the expiration of thirty (30) consecutive working days from the date of receipt
of notice to begin work.
2. SERVICES TO BE PERFORMED:
Contractor agrees, at its own cost and expense, to furnish all labor, tools, equipment,
materials, except as otherwise specified, and to do all work strictly in accordance with the
proposal dated July 20th 2015 hereby refoned to and expressly made a part hereof with the same
force and effect as ifthe same were fully incorporated herein.
3. COMPENSATION TO CONTRACTOR:
Contractor shall be compensated for services performed pursuant to this Agreement in the
amount and manner set forth in Contractor's proposal, which is attached hereto as exhibit "A"
and incorporated herein by this reference. Payment will be made in the same manner that claims
of a like character are paid by the City, with checks drawn on the treasmy of the City, to be taken
from the general fund.
1
4. TIME IS OF THE ESSENCE:
Contractor and City agree that time is of the essence regarding the performance of this
Agreement.
5. STANDARD OF CARE:
Contractor agrees to perform all services hereunder in a manner commensurate with the
prevailing standards of like professionals in the San Francisco Bay Area and agrees that all
services shall be performed by qualified and experienced persom1el who are not employed by the
City nor have any contractual relationship with City.
6. INDEPENDENT PARTIES:
City and Contractor intend that the relationship between them created by this Agreement
is that of employer-independent contractor. The manner and means of conducting the work are
under the control of Contractor, except to the extent they are limited by statute, rule or regulation
and the express tenns of this Agreement. No civil service status or other right of employment
will be acquired by virtue of Contractor's services. None of the benefits provided by City to its
employees, including but not limited to unemployment insurance, workers' compensation plans,
vacation and sick leave are available from City to Contractor, its employees or agents.
Deductions shall not be made for any state or federal taxes, FICA payments, PERS payments, or
other purposes normally associated with an employer-employee relationship from any fees due
Contractor. Payments of the above items, ifrequired, are the responsibility of Contractor.
7. IMMIGRATION REFORM AND CONTROL ACT (IRCA):
Contractor assumes any and all responsibility for verifying the identity and employment
authorization of all of its employees perfonning work hereunder, pursuant to all applicable IRCA
or other federal, or state rules and regulations. Contractor shall indemnify and hold City
harmless from and against any loss, damage, liability, costs or expenses arising from any
noncompliance of this provision by Contractor.
8. NON-DISCRIMINATION:
Consistent with City's policy that harassment and discrimination are unacceptable
employer/employee conduct, Contractor agrees that harassment or discrimination directed
toward a job applicant, a City employee, or a citizen by Contractor or Contractor's employee on
the basis of race, religious creed, color, national origin, ancestry, handicap, disability, marital
status, pregnancy, sex, age, or sexual orientation will not be tolerated. Contractor agrees that any
and all violations of this provision shall constitute a material breach of this Agreement.
9. HOLD HARMLESS:
Contractor shall, to the fullest extent allowed by law, indemnify, defend, and hold
harmless the City and its officers, officials, agents, employees and volunteers against any
and all liability, claims, stop notices, actions, causes of action or demands whatsoever
from and against any of them, including any injury to or death of any person or damage
2
to property or othe1· liability of any nature, arising out of, pertaining to, or related to the
performance of this Agreement by Contractor or Contractor's employees, officers,
officials, agents or independent contractors. Contractor shall not be obligated under this
Agreement to indemnify City to the extent that the damage is caused by the sole
negligence or willful misconduct of City, its agents or employees. Such costs and
expenses shall include reasonable attorneys' fees of counsel of City's choice, expert fees
and all other costs and fees of.litigation.
Contractor agrees to obtain executed indemnity agreements with provisions identical to
those set forth here in these sections from each and every subcontractor or any other
person or entity involved by, for, with, or on behalf of Contractor in the performance of
this agreement. If Contractor fails to obtain such indemnity obligations from others as
required here, Contractor agrees to be fully responsible according to the terms of this
section.
10. INSURANCE:
On or before the commencement of the terms of this Agreement, Contractor shall furnish
City with certificates showing the type, amount, class of operations covered, effective dates and
dates of expiration of insurance coverage in compliance with paragraphs 1 OA, B, C and D. Such
ce1iificates, which do not limit Contractor's indemnification, shall also contain substantially the
following statement: "Should any of the above insurance covered by this certificate be canceled
or coverage reduced before the expiration date thereof, the insurer affording coverage shall
provide thirty (30) days' advance written notice to the City of Cupertino by certified mail,
"Attention: City Manager." It is agreed that Contractor shall maintain in force at all times
during the performance of this Agreement all appropriate coverage of insurance required by this
Agreement with an insurance company that is acceptable to City and licensed to do insurance
business in the State of California. Endorsements naming the City as additional insured shall be
submitted with the insurance ce1iificates.
A. COVERAGE:
Contractor shall maintain the following insurance coverage:
(1) Workers' Compensation:
Statutory coverage as required by the State of California.
(2) Liability:
Commercial general liability coverage in the following minimum limits:
Bodily Injmy: $1,000,000
each occurrence
$2,000,000
aggregate • all other
Property Damage: $500,000 each occurrence
$1,000,000 aggregate
If submitted, combined single limit policy with aggregate limits in the
amounts of $2,000,000 will be considered equivalent to the required
3
minimum limits shown above.
(3) Automotive:
Comprehensive automobile liability coverage in the
following minimum limits:
Bodily injury: $500,000 each occurrence
Property Damage: $500,000 each occun·ence
or
Combined Single Limit: $1,000,000 each occurrence
B. SUBROGATION WAIVER:
Contractor agrees that in the event of loss due to any of the perils for which it has agreed
to provide comprehensive general and automotive liability insurance, Contractor shall look
solely to its insmance for recovery. Contractor hereby grants to City, on behalf of any insurer
providing comprehensive general and automotive liability insurance to either Contractor or City
with respect to the services of Contractor herein, a waiver of any right to subrogation which any
such insurer of said Contractor may acquire against City by virtue of the payment of any loss
under such insurance.
C. FAILURE TO SECURE:
If Contractor at any time during the tenn hereof should fail to secure or maintain the
foregoing insurance, City shall be permitted to obtain such insurance in the Contractor's name or
as an agent of the Contractor and shall be compensated by the Contractor for the costs of the
insurance premiums at the maximum rate pennitted by law and computed from the date written
notice is received that the premiums have not been paid.
D. ADDITIONAL INSURED:
City, its City Council, boards and commissions, officers, employees, and volunteers shall
be named as an additional insured under all insurance coverages, except worker' s compensation
insurance. The naming of an additional insured shall not affect any recovery to which such
additional insured would be entitled tmder this policy if not named as such additional insured.
An additional insured named herein shall not be held liable for any premium, deductible portion
of any loss, or expense of any nature on this policy or any extension thereof. Any other
insurance held by an additional insured shall not be required to contribute anything toward any
loss or expense covered by the insurance provided by this policy.
E. SUFFICIENCY OF INSURANCE:
The insurance limits required by City are not represented as being sufficient to protect
Contractor. Contractor is advised to consult Contractor1s insurance broker to determine adequate
coverage for Contractor.
11. BONDS:
Contractor is not required to provide bonds.
12. PROHIBITION AGAINST TRANSFERS:
Contractor shall not assign, sublease, hypothecate, or transfer this Agreement, or any
interest therein, directly or indirectly, by operation of law or otherwise, without prior written
consent of City. Any attempt to do so without said consent shall be null and void, and any
assignee, sublessee, hypothecate or transferee shall acquire no right or interest by reason of such
4
attempted assignment, hypothecation or transfer. However, claims for money by Contractor
from City under this Agreement may be assigned to a bank, trust company or other financial
institution without prior written consent. Written notice of such assignment shall be promptly
furnished to City by Contractor.
The sale, assignment, transfer or other disposition of any of the issued and outstanding
capital stock of Contractor, or of the interest of any general partner or joint venturer or syndicate
member or cotenant, if Contractor is a partnership or joint venture or syndicate or cotenancy,
which shall result in changing the control of Contractor, shall be construed as an assignment of
this Agreement. Control means fifty percent (50%) or more of the voting power of the
corporation.
13. SUBCONTRACTOR APPROVAL:
Unless prior written consent from City is obtained, only those people and subcontractors
whose names are listed in Contractor's bid shall be used in the performance of this Agreement.
Requests for additional subcontracting shall be submitted in writing, describing the scope
of work to be subcontracted and the name of the proposed subcontractor. Such request shall set
forth the total price or hourly rates used in preparing estimated costs for the subcontractor's
services. Approval of the subcontractor may, at the option of City, be issued in the form of a
Work Order.
In the event that Contractor employs subcontractors, such subcontractors shall be
required to furnish proof of workers' compensation insurance and shall also be required to cruTy
general and automobile liability insurance in reasonable conformity to the insurance carried by
Contractor. In addition, any work or services subcontracted hereunder shall be subject to each
provision of this Agreement.
14. PERMITS AND LICENSES:
Contractor, at its sole expense, shall obtain and maintain during the term of this
Agreement, all appropriate permits, certificates and licenses, including a City Business License,
that may be required in connection with the pe1formance of services hereunder.
15. REPORTS:
Each and every report, draft, work product, map, record and other docmnent reproduced,
prepared or caused to be prepared by Contractor pursuru1t to or in connection with this
Agreement shall be the exclusive property of City. Consultant may retain a copy of any report
furnished to the City pursuant to this Agreement.
No rep01i, information nor other data given to or prepared or assembled by Contractor
pursuant to this Agreement shall be made available to any individual or organization by
Contractor without prior approval by City.
Contractor shall, at such time and in such form as City may require, furnish reports
concerning the status of services required under this Agreement.
16. RECORDS:
5
Contractor shall maintain complete and accurate records with respect to sales, costs,
expenses, receipts and other such information required by City that relate to the performance of
services under this Agreement.
Contractor shall maintain adequate records of services provided in sufficient detail to
permit an evaluation of services. All such records shall be maintained in accordance with
generally accepted accounting principles and shall be clearly identified and readily accessible.
Contractor shall provide free access to such books and records to the representatives of City or
its designees at all proper times, and gives City the right to examine and audit same, and to make
transcripts 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 concerns raised by
City's preliminary examination or audit of records, and the City's supplemental examination or
audit of the records discloses a failure to adhere to appropriate internal financial controls, or
other breach of contract or failure to act in good faith, then Contractor shall reimburse City for
all reasonable costs and expenses associated with the supplemental examination or audit.
17. NOTICES:
All notices, demands, requests or approvals to be given under this Agreement shall be
given in writing and conclusively shall be deemed served when delivered personally or on the
second business day after the deposit thereof in the United States Mail, postage prepaid,
registered or certified, addressed as hereinafter provided.
City at:
All notices, demands, requests, or approvals from Contractor to City shall be addressed to
City of Cupertino
10555 Mary Avenue
Cupertino CA 95014
Attention: Cln'is On-
All notices, demands, requests, or approvals from City to Contractor shall be addressed to
Contractor at:
Sprig Electric
1860 S. 101b St.
San Jose, CA. 95112
Attention: Jose Rivera
18. URBAN RUNOFF MANAGEMENT:
The Contractor shall avoid creating excess dust when breaking asphalt or concrete and
during excavation and grading. If water is used for dust control, contractor shall use as little as
necessary. Contractor shall take all steps necessary to keep wash water out of the streets, gutters
and storm drains.
The Contractor shall develop and implement erosion and sediment control to prevent
pollution of storm drains. Such control includes but is not limited to:
6
A. Use storm drain inlet protection devices such as sand bag barriers, filter fabric
fences, block and gravel filters. (Block storm drain inlets prior to the start of the rainy season
(October 15), in site de-watering activities and saw-cutting activities; shovel or vacuum saw-cut
slurry and remove from the site).
B. Cover exposed piles of soil or construction material with plastic sheeting. All
construction materials must be stored in containers.
C. Sweep and remove all materials from paved surfaces that drain to streets, gutters
and storm drains prior to rain as well as at the end of the each work day. At the completion of
the project, the street shall be washed and the wash water shall be collected and disposed of
offsite in an appropriate location.
D. After breaking old pavement, Contractor shall remove all debris to avoid contact
with rainfall or runoff.
E. Contractor shall maintain a clean work area by removing trash, litter, and debris at
the end of each work day. Contractor shall also clean up any leaks, drips, and other spills as they
occur.
The objective is to ensure that the City and County of Santa Clara County-Wide Clean
Water Program is adequately enforced. These controls should be implemented prior to the start
of construction, up-graded as required, maintained during construction phases to provide
adequate protection, and removed at the end of construction.
These recommendations are intended to be used in conjunction with the States Best
Management Practices Municipal and Construction Handbooks, local program guidance
materials from municipalities, Section 7.1.01 of the Standard Specifications and any other
appropriate documents on storm water quality controls for construction.
Failure to comply with this program will result in the issuance of noncompliance notices,
citations, project stop orders or fines. The fine for noncompliance of the above program is two
hundred and fifty dollars ($250.00) per occurrence per day. The State under the Federal Clean
Water Act can also impose a fine on the contractor, pursuant to CaL Water Code '13385.
19. TERMINATION:
In the event Contractor fails or refuses to perform any of the provisions hereof at the time
and in the manner required hereunder, Contractor shall be deemed in default in the perfonnance
of this Agreement. If such default is not cured within a period of two (2) days after receipt by
Contractor from City of written notice of default, specifying the nature of such default and the
steps necessary to cure such default, City may term,inate the Agreement forthwith by giving to
the Contractor written notice thereof.
City shall have the option, at its sole discretion and without cause, of terminating this
Agreement by giving seven (7) days' prior written notice to Contractor as provided herein. Upon
termination of this Agreement, each party shall pay to the other party that portion of
compensation specified in this Agreement that is earned and unpaid prior to the effective date of
termination.
20. COMPLIANCES:
Contractor shall comply with all laws, state or federal and all ordinances, rules and
regulations enacted or issued by City.
7
21. CONFLICT OF LAW:
This Agreement shall be interpreted under, and enforced by the laws of the State of
California excepting any choice of law rules which may direct the application of laws of another
jurisdiction. The Agreement and obligations of the parties are subject to all valid laws, orders,
rules, and regulations of the authorities having jurisdiction over this Agreement (or the
successors of those authorities.) Any suits brought pursuant to this Agreement shall be filed
with the courts of the County of Santa Clara, State of California.
~ if-f1. ADVERTISEMENT: V, Contractor shall not post, exhibit, display or allow to be posted, exhibited, displayed any
signs, advertising, show bills, lithographs, posters or cards of any kind pertaining to the services
performed under this Agreement unless prior written approval has been secured from City to do
otherwise.
23. WAIVER:
A waiver by City of any breach of any term, covenant, or condition contained herein,
shall not be deemed to be a waiver of any subsequent breach of the same or any other term,
covenant, or condition contained herein, whether of the same or a different character.
24. INTEGRATED CONTRACT:
This Agreement represents the full and complete understanding of every kind or nature
whatsoever between the parties hereto, and all preliminary negotiations and agreements of
whatsoever kind or nature are merged herein. No verbal agreement or implied covenant shall be
held to vary the provisions hereof. Any modification of this Agreement will be effective only by
written execution signed by both City and Contractor.
25. SAFETY REQUIREMENT
All work performed under this Agreement shall be performed in such a manner as to
provide safety to the public and to meet or exceed the safety standards outlined by CAL-OSHA.
City reserves the right to issue restraints or cease and desist orders to Contractor when unsafe or
harmful acts or conditions are observed or reported relative to the performance of the work under
this Agreement.
Contractor shall maintain the work sites free of hazards to persons and/or property
resulting from his or her operations. Any hazardous condition noted by Contractor, which is not
a result of his or her operations, shall immediately be reported to City.
26. HOURS OF OPERATION
Contractor shall be allowed to operate only for the hours of 7:00 a.m. to 3:30 p.m. unless
prior written approval has been secured from City to do otherwise.
8
27. REQUIREMENT TO PAY PREVAILING WAGES
Consistent with the City's policy to pay prevailing wage rates, Contractor shall
comply with the City's Labor Compliance Program and all other requirements set forth in Labor
Code section 1770 et seq. The City shall require payment of the general rate of per diem wages
or the general rate of per diem wages for holiday and overtime work. Contractor will submit
(monthly or biweekly) certified payroll records to the City for all employees and subcontractors
in a preapproved format or a City provided form. Any delay in remitting certified payroll reports
to the City upon request from the City will result in either delay and/or forfeit of outstanding
payment to Contractor.
28. 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. ·
9
29. 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 pmvisions of this Agreement.
IN WITNESS WHEREOF, the parties have caused the Agreement to be executed on the
day and year first above written.
RECOMMENDED FOR APPROVAL:
By c.. ~ r-~ s or-r
Title Pvkl'" wor\<s s ... fk'"V·«?oJ-'
APPROVED AS TO FORM:
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Request for Price
Customer: City of Cupertino
Attn: RudyL
10555 Mary Ave.
City Of Cupertino, California 95014
Project Name:
Job#:
Date:
Item
Cupertino Library IP Camera add 7-20-15
TBD
7120115
Description
1. Supply the following:
a. Provide materials and labor to install 2 Samsung IP cameras at the
2nd floor Cupertino Library.
b. Provide materials and labor to install 1 Samsung IP camera at
Cupertino Library book drop location.
c. Provide labor to terminate, program, configure and test cameras.
d. Provide, instalJ, configure and test 3IP camera licenses on
Exacqvision NVR.
All prices are valid for 30 days from date of response.
Labor
Material
Tax
Total
$2,400.00
$2,854.60
$ 249.78
$5,504.38
Submitted by: .;;:;..~=os=e:;._R=.=.;iv'-"e:.:-r=u _______ _
Project Engineer
(408) 298-3134
( 408) 210-4 702 Cell
Jrivera(cV,sprigelectric.com
Date: 7/20/2015
Date: ff-/(""' :<ot..S
Confidential 7/20/2015
~
-1_C<?RD® CERTIFICATE OF LIABILITY INSURANCE j 31 ~~~~~1M~DDNYYY)
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
Arthur J. Gallagher & Co.
Insurance Brokers of CA., Inc.UC #0726293
One Almaden Blvd.Suite 960
San Jose CA 95113
INSURED
Sprig Electric Co.
1860 S. 10th Street
San Jose, CA 95112
COVERAGES CERTIFICATE NUMBER: 364612736
CONTACT
NAME:
PHONE IA/C No Extl:
E-MAIL ADDRESS:
I FAX
IA/C, Nol:
INSURER(S) AFFORDING COVERAGE
INSURER A :Olri Renublic General Insurance Coro
INSURER B :Starr lndemnitv & Liabilitv Comoanv
INSURER c :Continental Casualtv Comnanv
INSURER D :Great American E&S Insurance Com nan
INSURER E:
INSURER F:
REVISION NUMBER:
NAIC #
04139
~8318
?0443
t:\7532
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 ADD L SUBR I ( POLICY EFF!l POLICY EXP TYPE OF INSURANCE LIMITS LTR INSR WVD POLICY NUMBER MMIDDNYYY I (MM/DDNYYY)
A GENERAL LIABILITY y A 1 CG02321500 ~/1/2015 ~/1/2016 EACH OCCURRENCE $1,000,000 ~ DAMAGE TO RENTED x COMMERCIAL GENERAL LIABILITY PREMISES /Ea occurrence' $500,000 ~ D CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $15,000
x Blanket Add'I PERSONAL & ADV INJURY $1,000,000 ,__
x Insured GENERAL AGGREGATE $2,000,000 ,__
n'L AGGRE~E LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2,000,000
POLICY X ~,f9,: n LOG Deductible $25,000
A AUTOMOBILE LIABILITY
~ A 1 CA02321402 ~/1/2015 ~/1/2016 IEa accide~t~INGU: LIMI' $1,000,000
x ANY AUTO BODILY INJURY (Per person) $ ,__ -ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ ,__ AUTOS >-----AUTOS
x x NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) >----->-----
$
B x UMBRELLA LIAB H OCCUR 1000021680 ~/1/2015 ~/1/2016 EACH OCCURRENCE $10,000,000
~
x EXCESS LIAS CLAIMS-MADE AGGREGATE $
OED Ix I RETENTION $0 $
A WORKERS COMPENSATION A 1 CW02321403 1/1/2015 H1112016 x I WC STATU-I /OTH-
AND EMPLOYERS' LIABILITY TORY LIMITS ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE D N/A E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) E.L. DISEASE -EA EMPLOYEE $1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000
c Leased/Rented Equipment 6017183521 'l/1/2015 ~/1/2016 Limit 75,000 D Pollution/Professional Incl. Mold PCE394893203 4/1/2015 ~/1/2016 LimiULimit 2MM/5MM
DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
RE: All Operations for City of Cupertino
Additional Insured (where required by written contract, per attached forms): City of Cupertino, 10981 Franco Court & 10555 Mary Avenue,
Cupertino, CA 95014
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Cupertino ACCORDANCE WITH THE POLICY PROVISIONS.
10300 Torre Ave
Cupertino CA 95014 AUTHORIZED REPRESENTATIVE
/ ,;/ 1lv
I
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© 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
Policy #GL5091243880 G-18652-J
(Ed. 07-12) C'NA
1. ADDITIONAL INSURED
SECTION II -WHO IS AN INSURED is amended to
include as an insured any person or organization
(called additional insured) described in paragraphs
A. through G. below whom you are required to add
as an additional insured on this policy under a
written contract or written agreement, provided the
written contract or written agreement:
i. Is currently in effect or becomes effective
during the term of this policy; and
ii. Was executed prior to the "bodily injury,"
"property damage" or "personal injury and
advertising injury" for which the additional
insured seeks coverage.
However, we will not provide the additional
insured any broader coverage or any higher
limit of insurance than the least that is:
a. The maximum permitted by law;
b. Required in the written contract or written
agreement;
c. Afforded to you under this policy; or
d. Described in the applicable paragraphs A.
through G. below.
A. Controlling Interest
Any persons or organizations with a controlling
interest in you but only with respect to their
liability arising out of:
1. Their financial control of you; or
2. Premises they own, maintain or control
while you lease or occupy these premises.
This insurance does not apply to structural
alterations, new construction and demolition
operations performed by or for such additional
insured.
8. Co-owner of Insured Premises
A co-owner of a premises co-owned by you and
covered under this insurance but only with
respect to the co-owner's liability as co-owner
of such premises.
C. Lessor. Equipment
1. Any person or organization from whom you
lease equipment, but only with respect to
liability for "bodily injury," "property
damage" or "personal and advertising
injury" caused, in whole or in part, by your
maintenance, operation or use of
equipment leased to you by such person or
· organization.
G-18652-J (Ed. 07-12)
Page 2 of 12
2. With respect to the insurance afforded to
these additional insureds, this insurance
does not apply to any "occurrence" which
takes place after the equipment lease
expires.
D. Lessor -Land
An owner or other interest from whom land has
been leased by you but only with respect to
liability arising out of the ownership,
maintenance or use of that specific part of the
land leased to you and subject to the following
additional exclusions:
This insurance does not apply to:
1. Any "occurrence" which takes place after
you cease to lease that land; or
2. Structural alterations, new construction or
demolition operations performed by or on
behalf of such additional insured.
E. Lessor · Premises
A manager or lessor of premises but only with
respect to liability arising out of the ownership,
maintenance or use of that specific part of the
premises leased to you and subject to the
following additional exclusions:
This insurance does not apply to:
1. Any "occurrence" which takes place after
you cease to be a tenant in that premises;
or
2. Structural alterations, new construction or
demolition operations performed by or on
behalf of such additional insured.
F. Mortgagee, Assignee or Receiver
A mortgagee, assignee or receiver but only with
respect to their liability as mortgagee, assignee,
or receiver and arising out of the ownership,
maintenance, or use of a premises by you.
This insurance does not apply to structural
alterations, new construction or demolition
operations performed by or for such additional
insured.
G. State or Governmental Agency or
Subdivision or Political Subdivisions
A state or governmental agency or subdivision
or political subdivision subject to the following
provisions:
1. This insurance applies only with respect to
the following hazards for which the state or
governmental agency or subdivision or
political subdivision has issued a permit or
authorization in connection with premises
Copyright, CNA All Rights Reserved.
C'NA Policy #GL5091243880 G-18652-J
(Ed. 07-12)
1. Management control means:
a. Ownership interest representing more
than 50% of the voting, appointment, or
designation power for the subsidiary
organization's governing body; or
b. Having the right, pursuant to a written
contract, or pursuant to the by-laws,
charter, operating agreement, or similar
document of a specifically shown
Named Insured or controlled subsidiary
organization to select, appoint, or
designate a majority of the subsidiary
organization's governing body. Such
contract or document must have been
created prior to the time of loss; or
c. Having the right, pursuant to a written
trust agreement, to protect, control the
use of, encumber or transfer and sell
property held by a trust.
2. Governing body means the Board of
Directors of a corporation.
3. Loss means:
a. The occurring of the "bodily injury" or
"property damage"; or
b. The committing of the offense that
caused the "personal and advertising
injury."
D. The insurance provided by this policy applies to
Named Insureds when trading under their own
names, or under such trading names or doing-
business-as (OBA) names as any should
choose to employ.
5. BROADENED LIABILITY COVERAGE FOR
DAMAGE TO "YOUR PRODUCT" AND "YOUR
WORK"
A. Under SECTION I -COVERAGE A -BODILY
INJURY AND PROPERTY DAMAGE
LIABILITY, Paragraph 2. Exclusions is
amended to delete exclusions k. and I. and
replace them with the following:
[This insurance does not apply to:]
k. Damage to Your Product
"Property damage" to "your product" arising
out of it, or any part of it except when
caused by or resulting from:
(1) Fire;
(2) Smoke;
(3) Collapse; or
(4) Explosion.
G-18652-J (Ed. 07-12)
Page 4 of 12
I. Damage to Your Work
"Property damage" to "your work" arising out of
it, or any part of it and included in the "products-
comp leted operations hazard."
This exclusion does not apply:
(1) If the damaged work or the work out of
which the damage arises was
performed on your behalf by a
subcontractor; or
(2) If the cause of loss to the damaged
work arises as a result of:
(a) Fire;
(b) Smoke;
(c) Collapse; or
(d) Explosion.
B. The following paragraph is added to SECTION
Ill -LIMITS OF INSURANCE:
Subject to 5. above, $100,000 is the most we
will pay under Coverage A for the sum of
damages arising out of any one "occurrence"
because of "property damage" to "your product"
and "your work" that is caused by fire, smoke,
collapse or explosion and is included within the
"product-completed operations hazard." This
sublimit does not apply to "property damage" to
"your work" if the damaged work or the work out
of which the damage arises was performed on
your behalf by a subcontractor.
C. This Provision 5. Broadened Liability
Coverage For Damage To "Your Product"
And "Your Work" does not apply if an
endorsement of the same name is attached to
this policy.
6. CONTRACTUAL LIABILITY -RAILROADS
With respect to operations performed within 50 feet
of railroad property, the definition of "insured
contract" in SECTION V -DEFINITIONS is
replaced by the following:
"Insured Contract" means:
a. A contract for a lease of premises. However,
that portion of the contract for a lease of
premises that indemnifies any person or
organization for damage by fire to premises
while rented to you or temporarily occupied by
you with permission of the owner is not an
"insured contract";
b. A sidetrack agreement;
c. Any easement or license agreement;
Copyright, CNA All Rights Reserved.
C'NA Policy #GL5091243880 G-18652-J
(Ed. 07-12)
this policy, then the $100,000 limit provided by
this Provision 8. Electronic Data Liability is
part of, and not in addition to, that higher limit.
9. EXPANDED PERSONAL AND ADVERTISING
INJURY· DISCRIMINATION OR HUMILIATION
A. SECTION V -DEFINITIONS is amended to
add the following to the definition of "Personal
and advertising injury":
h. Discrimination or humiliation that results in
injury to the feelings or reputation of a
natural person, but only if such
discrimination or humiliation is:
(1) Not done intentionally by or at the
direction of:
(a) The insured; or
(b) Any "executive officer," director,
stockholder, partner, member or
manager (if you are a limited
liability company) of the insured;
and
(2) Not directly or indirectly related to the
employment, prospective employment,
past employment or termination of
employment of any person or persons
by any insured.
8. Under SECTION I -COVERAGE 8 -
PERSONAL AND ADVERTISING INJURY
LIABILITY, Paragraph 2. Exclusions is
amended to add the following additional
exclusions:
[This insurance does not apply to:]
Discrimination Relating To Room,
Dwelling or Premises
"Personal or advertising injury" caused by
discrimination directly or indirectly related to
the sale, rental, lease or sub-lease or
prospective sale, rental, lease or sub-lease
of any room, dwelling or premises by or at
the direction of any insured.
Fines Or Penalties
Fines or penalties levied or imposed by a
governmental entity because of
discrimination.
This provision 9. does not apply to any person
or organization who otherwise qualifies as an
additional insured on this Coverage Part.
10. EXPECTED OR INTENDED INJURY
Under SECTION I -COVERAGE A-BODILY
INJURY AND PROPERTY DAMAGE
LIABILITY, Paragraph 2. Exclusions is
G-18652-J (Ed. 07-12)
Page 6 of 12
amended to delete exclusion a. Expected or
Intended Injury and replace it with the
following:
[This insurance does not apply to:]
a. Expected or Intended Injury
"Bodily injury" or "property damage"
expected or intended from the standpoint of
the insured. This exclusion does not apply
to "bodily injury" or "property damage"
resulting from the use of reasonable force
to protect persons or property.
11. GENERAL AGGREGATE LIMITS OF
INSURANCE ·PER PROJECT
A. For each construction project away from
premises you own or rent, a separate
Construction Project General Aggregate
Limit, equal to the amount of the General
Aggregate Limit, is the most we will pay for
the sum of:
8. All:
1. All damages under Coverage A, except
damages because of "bodily injury" or
"property damage" included in the
"products-completed operations
hazard"; and
2. All medical expenses. under Coverage
C,
that arise from "occurrences" or
. accidents which can be attributed solely
to· ongoing operations at that
construction project. Such payments
shall not reduce the General Aggregate
Limit shown in the Declarations, nor the
Construction Project Aggregate Limit of
any other construction project.
1. Damages under Coverage 8, regardless of
the number of locations or construction
projects involved;
2. Damages under Coverage A, caused by
"occurrences" which cannot be attributed
solely to ongoing operations at a single
construction project, except damages
because of "bodily injury" or "property
damage" included in the "products-
completed operations hazard"; and
3. Medical expenses under Coverage C
caused by accidents which cannot be
attributed solely to ongoing operations at a
single construction project,
will reduce the General Aggregate Limit shown
in the Declarations.
Copyright, CNA All Rights Reserved.
C'NA Policy #GLS091243880 G-18652-J
(Ed. 07-12)
m. Provider of first aid or Good Samaritan
services rendered in an emergency and for
which no payment is demanded or
received_
D. SECTION I -COVERAGE A -BODILY
INJURY AND PROPERTY DAMAGE,
Paragraph 2. Exclusions is amended to add the
following additional exclusions. These new
exclusions apply only to this Incidental Health
Care Malpractice Coverage:
[This insurance does not apply to:]
Dishonesty or Crime
Any dishonest, criminal or malicious act, error
or omission_
Clinical Trials I Product Testing
Acts, errors or omissions that occur in the
course of human clinical trials or product
testing.
Medicare/Medicaid Fraud
Medicare or Medicaid fraud or abuse.
Services Excluded by Endorsement
Any "health care incident" for which coverage is
excluded by endorsement.
E. SECTION V -DEFINITIONS is amended to
add the following subparagraph to Paragraph f.
of the definition of "insured contract":
Paragraph f. does not include that part of any
contract or agreement:
(4) Under which you assume another's tort
liability for "bodily injury" arising out of the
rendering of or failure to render
professional health care services.
F. SECTION II -WHO IS AN INSURED is
amended to add the following provisions:
1. Your "employees" are insureds with respect
to:
a. "bodily injury" to a co-"employee" while
in the course of the co-"employee's"
employment by you or while performing
duties related to the conduct of your
business; and
b. "bodily injury" to a "volunteer worker"
while performing duties related to the
conduct of your business;
when such "bodily injury" arises out of a
"health care incident."
2. Your ·"volunteer workers" are insureds with
respect to:
G-18652-J (Ed. 07-12)
Page 8 of 12
a. "bodily injury" to a co-"volunteer
worker" while performing duties related
to the conduct of your business; and
b. "bodily injury" to an "employee" while in
the course of the "employee's"
employment by you or while performing
duties related to the conduct of your
business;
when such "bodily injury" arises out of a
"health care incident."
3. Paragraphs 2.a. (1)(a}, (b) and (c) of
SECTION II -WHO IS AN INSURED do
not apply to "bodily injury" for which
insurance is provided this Provision 13.
4. Paragraph 2.a.(1)(d) of SECTION II -WHO
IS AN INSURED is deleted.
G. With respect to the insurance provided by this
Provision 13., the following is added to
Paragraph 4.b.(1) of SECTION IV
COMMERCIAL GENERAL LIABILITY
CONDITIONS:
To the extent this insurance applies, it is excess
over any of the other insurance (including
qualified self insurance), whether primary,
excess, contingent or on any other basis,
except for insurance purchased specifically by
you to be excess of this policy.
14. JOINT VENTURES I PARTNERSHIP I LIMITED
LIABILITY COMPANIES
A. The following is added to SECTION II -WHO
IS AN INSURED:
4. You are an insured when you had an
interest in a joint venture, partnership or
limited liability company which terminated
or ended prior to or during this policy
period, but only to the extent of your
interest in such joint venture, partnership or
limited liability company_ This coverage
does not apply:
a. Prior to the termination date of any joint
venture, partnership or limited liability
company;
b. If there is other valid and collectible
insurance purchased specifically to
insure the partnership, joint venture or
limited liability company; or
c. To a joint venture, partnership or limited
liability company which is or was
insured under a "consolidated (wrap-
up) insurance program."
Copyright, CNA All Rights Reserved.
C'NA Policy #GL5091243880 G-18652-J
(Ed. 07-12)
b. The Damage To Premises Rented To
You Limit shown in the Declarations.
E. Paragraph 4.b.(1)(a)(ii) of SECTION IV -
COMMERCIAL GENERAL LIABILITY
CONDITIONS is deleted and replaced by the
following:
(ii) That is property insurance for premises
rented to you, for premises temporarily
occupied by you with the permission of the
owner; or for personal property of others in
your care, custody or control;
F. This Provision 15. does not apply if Damage To
Premises Rented To You Liability under
SECTION -I -COVERAGE A is excluded by
endorsement.
16. LIBERALIZATION CLAUSE
If we adopt a change in our forms or rules which
would broaden coverage for contractors under this
endorsement without an additional premium charge,
your policy will automatically provide the additional
coverage as of the date the revision is effective in
your state.
17. LIQUOR LIABILITY
Under SECTION I -COVERAGE A -BODILY
INJURY AND PROPERTY DAMAGE, Paragraph 2.
Exclusions is amended to delete exclusion c.
Liquor Liability.
This provision 17. does not apply to any person or
organization who otherwise qualifies as an
additional insured on this Coverage Part.
18. MEDICAL PAYMENTS
A. Paragraph 7. Medical Expense Limit, of
SECTION Ill -LIMITS OF INSURANCE is
deleted and replaced by the following:
7. Subject to Paragraph 5. above (the Each
Occurrence Limit), the Medical Expense
Limit is the most we will pay under
SECTION -I -COVERAGE C for all
medical expenses because of "bodily injury"
sustained by any one person. The Medical
Expense Limit is the greater of:
(1) $15,000; or
(2) The amount shown in the Declarations
for Medical Expense Limit.
B. Paragraph 1.a.(3)(b) of SECTION I
COVERAGE C MEDICAL PAYMENTS, is
replaced by the following:
(b) The expenses are incurred and reported to
us within three years of the date of the.
accident; and
G-18652-J (Ed. 07-12)
Page 10of12
This paragraph B. does not apply to medical
expenses incurred in the state of Missouri.
19. NON-OWNED AIRCRAFT
Under SECTION I -COVERAGE A -BODILY
INJURY AND PROPERTY DAMAGE LIABILITY.
Paragraph 2. Exclusions is amended such that
exclusion g. Aircraft, Auto or Watercraft does not
apply to an aircraft you do not own, provided that:
1. The pilot in command holds a currently effective
certificate issued by the duly constituted
authority of the United States of America or
Canada, designating that person as a
commercial or airline transport pilot;
2. The aircraft is rented to you with a trained, paid
crew; and
3. The aircraft does not transport persons or cargo
for a charge.
20. NON-OWNED WATERCRAFT
Under SECTION I-COVERAGE A-BODILY
INJURY AND PROPERTY DAMAGE LIABILITY,
Paragraph 2. Exclusions is amended to delete
subparagraph (2) of exclusion g. Aircraft, Auto or
Watercraft and replace it with the following.
[This exclusion does not apply to:]
(2) A watercraft you do not own that is:
(a) Less than 75 feet long: and
(b) Not being used to carry persons or property
for a charge.
21. PRIMARY AND NON-CONTRIBUTORY TO
OTHER INSURANCE
With respect to any person or organization that is
an additional insured under this Coverage Part, the
following is added to Paragraph 4. of SECTION IV -
COMMERCIAL GENERAL LIABILITY
CONDITIONS:
If you have agreed in writing in a contract or
agreement that this insurance is primary and non-
contributory relative to an additional insured's own
insurance, then this insurance is primary and we
will not seek contribution from that other insurance.
For the purpose of this Provision 21., the additional
insured's own insurance means insurance on which
the additional insured is a Named Insured.
This Provision 21. does not apply in situations
where the endorsement on this policy affording
coverage to the additional insured specifies that this
insurance is excess over any other insurance
available to that additional insured.
22. PROPERTY DAMAGE-ELEVATORS
Copyright, CNA All Rights Reserved.
C'NA Policy #GL5091243880 G-18652-J
(Ed. 07-12)
respects your involvement in that
"consolidated (wrap-up) insurance
program."
C. SECTION V -DEFINITIONS is amended to
add the following definition:
"Consolidated (wrap-up) insurance program"
means a construction, erection or demolition
project for which the prime contractor/project
manager or owner of the construction project
has secured general liability insurance covering
some or all of the contractors or subcontractors
involved in the project, such as an Owner
Controlled Insurance Program (O.C.l.P.) or
Contractor Controlled Insurance Program
(C.C.l.P.).
"Residential structure" means any structure
where 30% or more of the square foot area is
used or is intended to be used for human
All other terms and conditions of the Policy remain unchanged.
residency including but not limited to single or
multifamily housing, apartments,
condominiums, townhouses, co-operatives or
planned unit developments and also includes
their common areas and/or appurtenant
structures (including pools, hot tubs, detached
garages, guest houses or any similar
structures). When there is no individual
ownership of units, residential structure does
not include military housing, college/university
housing or dormitories, long term care facilities,
hotels, or motels. Residential structure also
does not include hospitals or prisons.
This provision 26. does not apply to any person
or organization who otherwise qualifies as an
additional insured on this Coverage Part.
This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes
effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown
below, and expires concurrently with said Policy.
G-18652-J (Ed. 07-12)
Page 12 of 12
Material used with permission of ISO Properties, Inc
Copyright, CNA All Rights Reserved.
Pol# GL5091243880 G-140331-0
(Ed. 01113)
4. Notwithstanding anything to the contrary in Condition 4. Other Insurance (Section IV}, this insurance is excess of
all other insurance available to the additional insured whether on a primary, excess, contingent or any other basis.
But if required by the 'written contract' to be primary and non-contributory, this insurance will be primary and non-
contributory relative to insurance on which the additional insured is a Named Insured.
5. The insurance provided to the additional insured does not apply to 'bodily injury,• 'property damage,' or 'personal
and advertising injury• arising out of:
a. The rendering of, or the failure to render, any professional architectural, engineering, or surveying services,
including:
(1) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports,
surveys, field orders, change orders or drawings and specifications; and
(2) Supervisory, inspection, architectural or engineering activitles; or
b. Any premises or work for which the additional insured is specifically listed as an additional insured on another
endorsement attached to this Coverage Part.
C. SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows:
1. The Duties In The Event o1 O~urrence, Offense, Claim or Suit condition is amended to add the following
additional conditions applicable to the additional insured:
An additional insured under this endorsement will as soon as practicable:
(1) Give us written notice of an 'occurrence' or an offe_nse which may result in a claim or ·suit" under this
insurance, and of any claim or 'suit" that does result;
(2) Except as provided in Paragraph B.4. of this endorsement, agee to make available any other insurance the
additional Insured has for a loss we cover under this Coverage Part;
(3) Send us copies of all legal papers received, and otheiwise cooperate with us In the Investigation, defense, or
settlement of the claim or "suit"; and
(4) Tender the defense and indemnity of any claim or "suit" to any other insurer or self insurer whose policy or
program applies to a loss we cover under this Coverage Part. But if the "written contract" requires this
insurance to be primary and non-contributory, this provision (4) does not apply to Insurance on which the
additional insured is a Named Insured.
We have no duty to defend or indemnify an additional insured under this endorsement until we receive from the
additional insured written notice of a claim or 'suit.•
D. Only for the purpose of the insurance provided by this endorsement, SECTION -V -DEFINITIONS is amended to add
the following definition:
"Written contract• means a written contract or written agreement that requires you to make a person or organization an
additional insured on this Coverage Part, provided the contract or agreement:
1. Is currently In effect or becomes effective during the term of this policy; and
2. Was executed prior to:
a. The "bodily injury• or "property damage'; or
b. The offense that caused the "personal and advertising Injury,•
for which the additional insured seeks coverage under this Coverage Part.
All other terms and conditions of the Policy remain unchanged.
G-140331-D (Ed. 01/13}
Page 2 of 2
Material used with permission of ISO Properties, Inc.
Copyright, CNA All Rights AeseJVed.