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17-044 Curren Consulting, 2017 Pavement Maintenance Project Phase 1, Project No. 2017-104f lJ ~ ( 1--c./{,, 3 AGREEMENT BETWEEN THE CITY OF CUPERTINO AND CURREN CONSULTING FOR CONSUL TANT SERVICES FOR PROJECT MANAGEMENT OF 2017 PAVEMENT MAINTENANC PROJECT PHASE 1 CITY PROJECT NO. 2017-104 THIS AGREEMENT, for reference dated March 24, 2017, is by and between CITY OF CUPERTINO, a municipal corporation (hereinafter referred to as "City"), and Curren Consulting, a sole proprietor whose address is 214 Bodega Avenue, Petaluma, California 94952 (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 know ledge 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 project management consulting services upon the terms and conditions herein. NOW, THEREFORE, it is mutually 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 September 1, 2017, 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 "Scope of Services" which is attached hereto and incorporated herein by Page 1 of 13 Curre n Con s ulting 201 7 Pavem ent Mainte na n ce Project City No. 201 7-10 4 No n-Des ig n Profess ion a l Agreem en t this reference. 3. SCHEDULE OF PERFORMANCE: The Services of Consultant are to be completed according to the schedule set out in Exhibit B, titled "Schedule of Performance ", which is attached hereto and incorporated herein by this reference. 4. COMPENSATION TO CONSULT ANT: The maximum compensation to be paid to Consultant under this agreement shall not exceed Thirty Three Thousand One Hundred Fifty Dollars ($33,150). The rate of payment is set out in Exhibit C, 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 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 Page 2 of 13 Curren Co n s ulting 2017 P av e m ent Ma intena n ce Proj ec t City No . 201 7-104 No n -Des ig n P ro fession a l Agree m ent Consultant, its employees or agents. Deductions shall not be made for any state or federal taxes, FICA payments, PE RS payments, or o ther purposes normally associated with an employer-employee relationship from any fees due Consul tant. Payments of the above items, if required, are the responsibility of Consultant. 8. IMMIGRATION RE FORM AND CONTROL ACT (IRCA ): Consul tant assumes any and all responsibility for verifying th e identity and employment a uthorization of all of his/her employees performing work hereu n d er, p u rsuant to all applicable IRCA or other federal, or state rules and regulations. Consultant shall indemnify and hold City harmless from and again st any loss, damage, liability, costs or expenses arising from any noncompliance of this provision by Consultant. 9. NON-DISCRIMIN A TIO N: 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 . PRO JE CT COORDINATI O N CITY : Director of Public Works shall be representative of City for all purposes under this Agreement. Roger Lee is hereby designated as the Director of Public Works' designee and Project Manager, and shall supervise the progress and execution of this Agreement. CONSULT ANT: Consultant shall assign a single Consultant Project Manager to have overall responsibility for the progress and execution of thi s 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 Paul Curren. 11. H O LD HARMLESS: Page 3 of 13 Curren Con s ulti ng 2017 Pavem e nt Mai nten a nce Pro ject City No. 2017-104 \:on-Design Professional Agreement 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 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 attorney s' 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 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 from and against any and all liability, claim s, 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 an y nature, that arise out of, pertain to, or relate to the performance of thi s Agreement by Consultant or Consultant's employees, officers, officials, agents or independent conh·actors. Such co s t s and expenses shall include reasonable attorneys' fees of counsel of City's choice, expert fee s and all other costs and fees of litigation. 12. INSURANCE: On or before the commencement of th e term of thi s Agreement, Consultant shall furnish City with ce rtificates showing the type, amount, clas s of operations covered, effective dates and dates of ex piration of insurance coverage in compliance with paragraph 12A, B, C, D and E. Such certificates, which do Page 4 of 13 C u rren Co ns ulting 2017 Pa\'emen t Main tenan ce Project City No. 201 7-104 '\<1 11-De s ign Profess iona l Ag reement not limit Consultant's indemnification, shall also contain substantially the following statement: "Should any of the above insurance covered by thi s 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) Workers' Compensation: Statutory coverage as required b y the State of California. (2) 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 $250 ,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. (3) Automotive: Comprehensive automotive liability coverage in the following minimum limits: Bodily Injury: $500,000 each occurrence Property Damage: $100,000 each occurrence or Combined Single Limit: $500,000 each occurrence ( 4) Professional Liability: Professional liability insurance which includes coverage for the professional acts, errors and omissions of Consultant in the amount of at least $1,000,000. Page 5 of 13 Curren Consulting 2017 Pavement Maintenance Prnject City No. 2017-104 '.\:on-Design Professional Agreement B. SUBROGATION WAIVER: Consultant agrees that in the event 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 Regulations. Page 6 of 13 C u rren Con s ulting 20]7 Pavem en t Mai ntenance Project City No. 20 17-104 \:o n-Design Profession a l Agreemen t 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 attemp ted 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 professio nal 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 13 Curren Consulting 2017 Pavement Maintenance Project City No. 2017-104 t'-:on-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. REC ORDS: 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 thi s 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 therefrom as neces s ary, 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 Page 8 of 13 Curren Cons ulting 2017 Pavem e nt Maintenance Project City No . 2017-104 '\on-Design Professio na l Agreement 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 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 w hen 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: Curren Consulting 214 Bodega Avenue Petaluma, California 94952 Attention: Paul Curren 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 b y Consultant from City of written notice of default, specifying the nature of s uch default and the steps necessary to cure such default, City may terminate the Ag reement forthw ith by giving to the Page 9 of 13 Curren Consultin g 2017 Pavem ent Ma inten a n ce Proje ct City No. 2017-104 \!on-Design Professional Agreement Consultant written notice thereof. City shall have the option, at its sole dis cretion and without cause, of terminating this Agreement by giving seven (7) day s ' 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 reports, documents, and other work performed b y Consultant under this Agreement. 1. COMPLIANCES: Consultant shall comply with all state or federal laws and all ordinances, rules and regulations enacted or issued b y Ci ty. A. PREY AILING WAGES : To the extent applicable, Contractor shall comply with the City's Labor Compliance Program and all other requirements set forth in Labor Code section 1770 et seq. Contractor shall pay prevailing wages. Contractor will submit monthly certified pay roll records to the City for all employees and subcontract9rs 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 pay ment to Contractor. B. WORKING DAY: To the e xtent a pplicable, Contractor shall comply with California Labor Code Se ction 18 10, et se q . w hich provides that wo rk p e rfo r m e d by employees of co ntracto rs in excess of 8 ho u rs per day, a nd 40 h o urs during any one week, mu s t b e co mpensa ted as overtime, a t no t less th an 1 ½ tim es the b asic rate of p ay. C. PAYROLL RECORDS: To the ex tent applicable, Contractor shall comply with California Labor Code Se ction 1776 w hich requires certified payroll records be maintained with the name, address, soci a l security number, w ork classification, s traight ti me an d overtime hours worked each day and week, and the a ctua l per diem wages p ai d to each journeyman, apprentice, vvorker, or o ther em p loyee employed by h im or h er in connection ·with this Agreement. The P ayroll Record s shall be made ava ilable for inspection as provided in California La bor Code Section 1776 . D . A PPRENTIC ES : To th e ex tent a pplica ble, C o ntractor shall comply with California Labor Code Section 1777.5 re garding apprentices. Page 10 of 13 Curren Consu lting 2017 Pavement Maintenance Project City ,\o. 201 7-104 \.'on-Design Professional Agreement 2. 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. 3. 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. 4. 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. 5. 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 Consultant. 6. 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 thi s Agreement b y Cons ultant. In addition to any other remedies, City may Page 11 of 13 Curren Consul ti n g 2017 Pavem ent Mainten ance Project Ci ty No. 2017-104 \:on-D es ign Professional Agreemen t have in law or equity, City may terminate this Agreement for such breach as provided in Section 19 of this Agreement. 7. 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. 8. 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 12 of 13 Curren Consulting 2017 Pavement Maintenance Project Citv No. 2017-104 \:on-Design Prnfessional Agreement P.O. No.: ZVl 1----tf ~ 3 IN WITNESS WHEREOF, the parties have caused the Agreement to be executed . CONSULTANT Byµ,.,z..i,a,:c..-:._:_i,.,£.-'==--=----- Name ¼ uL E7, (v,tl't.JOJ Title Qw,.J c!" Date .:3 /?-..'f / '.2.o f"I I Address: :21't 0~0\!~A Av(:. CITY OF CUPERTINO A Municipal Corporation Date __ ~_lyr_((_l __ APPROVED AS TO FORM: Randolph Stevenson Hom City Attorney ATTEST: Grace Schmidt, City Clerk l,,( r'/ 0-(7 Contract Amount: $33,150 Account No. : --------- Page 13 of 13 Curren Consulting 2017 Pavement Maintenance Project City No . 2017-104 .\:on-Design Professional Agreement EXHIBIT A SCOPE OF SERVICES The requirements for Basic Services are set forth in this Exhibit A , including general requirements and specific Tasks. The CONSULTANT shall perform all services to the satisfaction of the CITY 's Public Works Director or authorized Agent. The CONSUL TANT shall perform all services under this agreement to the currently prevailing professional standards and quality found among Project Managers of similar knowledge and skill engaged in related work throughout California under the same or similar circumstances . The CONSUL TANT shall coordinate with City inspection / quality control consultant Pavement Engineers, Inc. (PEI) all inspection and material quality assurance as needed for the 2017 Pavement Maintenance Project -Phase 1 City Project No . 2017-104 (PROJECT). The Consultant shall provide Project Management services for the PROJECT. Services include , but are not limited to: A. Pre-Construction Phase a. Timely review/comment/authorization of contractor submittals as required by PROJECT b . Attend and support pre-construction meeting with contractor a. Coordinate attendance of necessary PEI personnel c. Assist City designated Project Manager with quality control of materials and processes as required by PROJECT contract documents . d. Files (both hard copies and electronic copies) containing the above along with communications, City instructions , punch lists and other project information will be maintained . e. Timely transmit information written and digital form to City designated Project Manager. f. Coordinate with PEI schedule and PEI resources needed to support Project requirements . 8. Construction Phase: 1. Support City staff and City designated Project Manager with project management of PROJECT. Services to include: a. Attend and participate in field meetings . b. Coordinate with City and PEI the timely tabulation of bid quantities as needed to review and recommend pay requests from contractor . c. Timely respond to Contractor and PEI questions in the field d . Timely forward unresolved and/or disputed project/contractor issues to the City . e . Review and coordinate with City and PEI the implementation of the various traffic control plans submitted by the contractor . f . Coordinate with City local resident and business concerns including access to driveways, maintenance of work areas , noise complaints and needs of City of Cupertino Curren Consulting 2017 Pavement Maintenance Phase 1 City Project No . 2017-104 Page 1 of 5 temporary signage . g . Report to City and/or PEI any questions or concerns that materially affect cost , quality, time , safety or relat ions with residents/ businesses . h . Files (both hard copies and electronic copies) containing the above along with communications , City instructions , punch lists and other project information will be maintained . · i. Ability to act on behalf of City during City staff absence . j. Ability to match City, PEI & Contractor work schedule , including work at night. k . Assist with daily inspection reports. I. At the direction of the Project Manager, collect and review material tags , test results and other records as required by Contract documents . C. Post-Construction Phase: a . Complete and coordinate with contractor and/or PEI the completion of punch list work items to facilitate City PROJECT acceptance . Reference is made to Curren Consulting proposal dated February 8 , 2017 attached . City of Cup ertino Curren Consulting 2017 Pavement Maintenance Phase 1 City Project No . 2017-104 Page 2 of 5 EXHIBIT B SCHEDULE OF PERFORMANCE This Schedule of Performance establishes the milestones for commencement and completion of the Tasks for Basic Services as specified in Exhib it A, Scope of Services . TASK# TASK DESCRIPTION 1 Pre -Construction Phase 2 Construction Phase 3 Post -Construction Phase City of Cupertino Curren Consulting 20 17 Pavement Maintenance Phase 1 City Proj ect No. 2017 -104 DURATION 4 weeks after Notice to Proceed for this Task 2 weeks after Notice to Proceed for this Task 2 weeks after Notice to Proceed for this Task Page 3 of 5 EXHIBIT C COMPENSATION Capitalized terms which are defined in the Agreement have the same meaning in this Exhibit C. This Exhibit C on Compensation supplements the provisions of Section 4 of the Agreement o n Compensation , as further specified in Section 4 . 1. HOURLY COMPENSATION FOR SERVICES A. Hourly Rate Schedule. The City will compensate the Design Professional for satisfactory performance of duly authorized Additional Services which are subject to hourly billing , based on the hourly rate(s) set forth below , but subject to the compensation limits in Section 4 of the Agreement. The hourly rates are deemed to include all costs including , salary , wages , benefits , taxes , insurance , and the like paid to or on behalf of each individual providing the Services , and are also deemed to include profit, overhead , vehicle , equipment and supply costs and the like . The hourly rates do not include Reimbursable Expenses , which are addressed below and in Section 4 of the Agreement. These hourly rates will rema in in effect for the Term of the Agreement unless changed by written amendment to the Agreement. Design Professional Hourly Rates : Principal $ 195 8 . Reimbursable Expenses . The following are allowed Reimbursable Expenses for authorized Additional Services compensated on an hourly bas is (time and expenses ), subject to the compensation limits in Section 4 of the Agreement: • Individual or multiple document reproductions that exceed 50 pages • Drawing or bid set reproductions to the extent authorized by City • Special software required by City specifically for the Project, excluding standa rd software programs such as Microsoft Office suite applications (i.e. Word , Exce l, PowerPoint, Project , etc.), Adobe Acroba t, or standard photo editing programs • Safety equ ipment required by City policy or the Project scope of serv ices City of Cupertino Curren Consulting 2017 Pavement Maintenance Phase 1 City Project No . 2017-104 Page 4 of 5 ( u r n.' 11 l on~ u I t i n g Februa ry 8, 2017 Mr. Ro g er Lee C ity of Cupertino 10 300 Torre Avenue C u pertino , CA 95014-3255 Subject: Proposal for Construction Engineering Services Dear Roger· As we discussed last year. I am proposing to work directly for the City of Cupertinc with Pavement Engineering performing services similar to those performed In pre have coordinated with Enc NeJedlo to assure cont inuity with PEl 's staff incIua1ng h, as the lead inspector for a ll of the Cupertino proJects supplemented as needed with staff I will be performing construction oversight . submittal revi ew . part 1cIpate 1 meeting . perform construction design /problem solving . etc The following table outlines the proJects as I understand them and my proposed proiect. ------------------------------------ _P_ro~je_c_t_D_e_s_cr~ip~t_1o_n ____________ C_o_n_t_ra_c..,...t _A_m_o_u_n_t __ W_o_rk_1n~g D~_ 2017 Pavement Ma intenance -Phase 1 $3 350 ,000 80 20 17 Pavement Maintenance -Phase 2 -S 650.00 0 45* 20 17 Pavemen t Ma intenance -Phase 3 -$2 .000 ,000 60 2C, 1 7 Concrete Support Services -$2 . 000. 000 r/a Tot al Hours --,-----------~--,---------------------"Th,s 1s oased on Joanne s est,m ate 35 days 1f like ly more a ppropriate .. Cr>,o ar,d slurry seais taKe more adm 1ni strat ,on a no ,n spect1on time a.ie to less $.'day My proposed hourly rate Is $195/hour the same as previous years With tre abov work . the total fees would be $70 .200 I have attached my insurance cert ifi cate fo as we ll. I look forward to working with Cupertino on another successful pavement proJect. Let me know what I neea to do to move th is forward or to answe r any que Very truly yours Curren Consulting l City of Cupertino Curren Consu lting 20 17 Pavement Ma intenance Phase 1 City Project No . 20 17-104 Page 5 of 5 ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM /DD/YYYY) ~ 03/17/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER . IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed . If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Joerg Olson NAME : SHERZER & ASSOCIATES PETALUMA PHONE (707)782-1010 I rffc Nol : (707)782-1015 620 E. Washington St Suite 110 'Air" Nn J=xt\· E-MA IL joerg@sherzer.com Petaluma, CA 94952 ADDRESS : INSURER($) AFFORDING COVERAGE NAIC# License#: 0814729 Sentinel Insurance Comoanv INSURER A: INSURED INSURER B : MERCURY CASUALTY COMPANY 38342 Paul Curren Admiral Insurance Comoanv INSURER C: OBA Curren Consulting INSURER D : 214 Bodega Ave INSURER E : Petaluma, CA 94952 INSURER F : COVERAGES CERTIFICATE NUMBER : 00000000-136052 REVISION NUMBER: 3 THIS IS TO CERTIFY TH AT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIC Y PERIOD INDICATED . NOTWITHSTANDING ANY REQUIREMENT, TER M OR CONDI TI ON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESP ECT TO WHICH TH IS CERTIFICATE MAY BE ISSUED OR MAY PERTA IN , THE INSURANCE A FFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXC LUSIONS AND COND ITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAI D CLAIMS. INSR ADDLISUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ,.,on UMn POLICY NUMBER IMM/DD/YYYYl IMM/DD/YYYYl LIMITS A _x COMMERCIAL GENERAL LIABILITY y y 57SBMBH7102 04/06/2016 04/06/2017 EACH OCCURRENCE s 2 000 000 D CLAIMS -MAD E [x] OCCUR DAMAGE TO RENTED 1 000 000 PREMISES !Ea occurrence\ $ MED EXP (Any one person) s Included - PERSONAL & ADV INJURY s NA - GE N"L AGGREGATE LIMIT APP LIE S PER : GENERA L AGGREG ATE s 4 000 000 M D PRO-D LOC PRODUCTS -COMP/OP AGG s 4 000 000 POLICY JECT OTHER : s B AUTOMOBILE LIABILITY y y BA040000030384 11/08/2016 11/08/2017 COMBIN ED SINGLE LIMIT $ 1 000,000 !Ea accident\ -ANY AUTO BODILY INJURY (Per person) s -OWNED X SCHEDULED AUTOS ONLY BODILY INJURY (Per ac cident) S -HIRED ~ ~~1~JWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY !Per accident\ s --s UMBRELLA LIAB H OCCUR EACH OCCURRENCE s - EXCESS LIAB CLAIMS-MADE AGGREGATE s OED I I RETENT ION$ s WORKERS COMPENSATION I ~~fTurE I I OT H- AND EMPLOYERS" LIABILITY ER YIN ANY PR OPRIETOR/PARTNE R/EXECU TI VE D N/A E.L. EACH ACC ID EN T s OFFICER/MEMBER EXC LUDED? (Mandato ry in NH) E.L. DISEASE -EA EMPLOYE E S ~~;~~ft~r8~ 'b1gPERATIONS below E.L. DISEASE -POLICY LIMIT s C Professional Liab. E0000030990-02 10/21/2016 10/21/2017 Per Claim/Aggregate 1 ,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHI CLES (A CORD 101, Additional Remarks Sch edul e, ma y be attac hed if more spac e is required) Engineering , consulting services are provided by Curren Consulting for: 2017 Pavement Maintenance Project including Phase 1-3, and Concrete Support Services for the City of Cupertino. The City Of Cupertino, its City Council, boards and commissions , officers, employees and volunteers shall be named as an additional insured as indicated . See attached endorsements. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLI CIES BE CAN CELLED BEFORE City of Cupertino THE EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS . 10300 Torre Avenue Cupertino, CA 95014 AUTHORIZED REPRESENTATIVE 0~ I (JTO) © 1988-2015 ACORD CORPORATION . All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registe red marks of ACORD Print ed by JTO on March 17 , 2017 at 11 :50AM THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Business Auto Broadening Endorsement This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. NEWLY ACQUIRED OR FORMED ENTITY (BROAD FORM NAMED INSURED) II. EMPLOYEES AS INSUREDS Ill. AUTOMATIC ADDITIONAL INSURED IV . EMPLOYEE HIRED AUTO LIABILITY V. SUPPLEMENTARY PAYMENTS VI. FELLOW EMPLOYEE COVERAGE VII. ADDITIONAL TRANSPORTATION EXPENSE VIII. HIRED AUTO PHYSICAL DAMAGE COVERAGE IX . ACCIDENTAL AIRBAG DEPLOYMENT COVERAGE X. LOAN/LEASE GAP COVERAGE XI. GLASS REPAIR -DEDUCTIBLE WAIVER XII. TWO OR MORE DEDUCTIBLES XIII. AMENDED DUTIES IN EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS XIV. WAIVER OF SUBROGATION XV. UNINTENTIONAL ERROR , OMISSION, OR FAILURE TO DISCLOSE HAZARDS XVI. EMPLOYEE HIRED AUTO PHYSICAL DAMAGE XVII. PRIMARY AND NONCONTRIBUTORY IF REQUIRED BY CONTRACT XVIII. HIRED AUTO -COVERAGE TERRITORY XIX. BODILY INJURY REDEFINED TO INCLUDE RESULTANT MENTAL ANGUISH Copyright 2013 Mercury Insurance Services, LLC. All rights reserved. MCA85101213-CA Includes copyrighted material of Insurance Services Office, Inc ., with its Permission Page 1 of 6 BUSINESS AUTO COVERAGE FORM I. NEWLY ACQUIRED OR FORMED ENTITY (Broad Form Named Insured) SECTION II -LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, the following is added : d . Any business entity newly acquired or formed by you during the policy period provided you own 50% or more of the business entity and the business entity is not separately insured for Business Auto Coverage . Coverage is extended up to a maximum of 180 days following acquisition or formation of the business entity. Coverage under this provision is afforded only until the end of the policy period. Coverage does not apply to an "accident" which occurred before you acquired or formed the organization . II. EMPLOYEES AS INSUREDS SECTION II -LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, the following is added: e. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs . Ill. AUTOMATIC ADDITIONAL INSURED SECTION II -LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured , the following is added: f. Any person or organization that you are required to include as additional insured on the Coverage Form in a written contract or agreement that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. IV. EMPLOYEE HIRED AUTO LIABILITY SECTION II -LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured , the following is added: g. An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. V. SUPPLEMENTARY PAYMENTS SECTION II -LIABILITY COVERAGE, A. Coverage, 2. Coverage Extensions, a. Supplementary Payments, Subparagraphs (2) and (4) are replaced by the following: MCA85101213-CA (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We are not obligated to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. Copyr ight 2013 Mercury Insurance Services, LLC. All rights reserved . Includes copyrighted material of Insuran ce Services Office, Inc., with its Permission Page 2 of 6 VI. FELLOW EMPLOYEE COVERAGE : SECTION II -LIABILITY COVERAGE , B. Exclu sions , 5 . Fellow Employee This exclusion does not apply if you have workers' compensat ion insurance in-force covering all of your "employees ". Coverage is exc ess over any other collectible insurance . VII. ADDITIONAL TRANSPORTATION EXPENSE SECTION Ill -PHYSICAL DAMAGE COVERAGE , A. Coverage , 4. Coverage Extensions , a. Transportat ion Ex pen ses, is replaced with the following : We will pay up to $50 per day to a ma ximum of $1000 for temporary transportat ion expense incurred by you because of the total theft of a covered "auto" of the private passenger type . We w i ll pay only for those covered "autos" for which you carry either Comp r ehen sive or Specified Causes of Loss Coverage. We will pay for temporary tran sportation ex penses incurred during the period beginning 48 hours after the theft and ending, regardle ss of the policy's expiration, when the cove r ed "auto" is returned to use o r we pay for its "loss ". If your business shown in the Declarations is other than an auto d ealership, we will also pay up to $1 ,000 for reasonable and necessary costs incurred by you to return a stolen covered auto from the place where it is r ecove r ed to its usual garaging location . VIII. HIRED AUTO PHYSICAL DAMAGE COVERAGE SECTION Ill -PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions , the following is added : c. If hired "autos " are covered "autos " for Liability Coverage in this policy and Comprehensive , Specified Causes of Loss , or Collision coverages are provided under this cove r age form for any "auto" you own , then the Physical Damag e Coverage s provided are extended to "autos" you hire , subject to the followin g limit : (1) The most we will pay for "loss" to any hired "auto" is $50,000 or Actual Cash Value or Cost of Repair, whichever is less (2) $500 deductible will apply to any loss under this coverage extension, except that no deductible shall apply to "l oss " caused by fire or lightning Subje ct to the above limit and deductible we w i ll provide cove r age equal to the broade st coverage applicable to any covered "auto" you own of similar si ze and type. Thi s coverage exten sion is excess coverage over any other collectible in suran ce. IX. ACCIDENTAL AIRBAG DEPLOYMENT COVERAGE SECT ION Ill -PHYSICAL DAMAGE COVERAGE, B. Ex clusions, 3.a., is amended to add the following : Thi s exclusion does not apply to the accidental discharge of an airbag . Copy ri ght 2013 Mercu ry Insura nce Se rvices, LL C. A ll ri ghts reserved. MCA85101213-CA Includes copyrighted material of In surance Serv ices Office, Inc ., with its Perm iss ion Page 3 of 6 X. LOAN/LEASE GAP COVERAGE SECTION Ill -PHYSICAL DAMAGE COVERAGE C. Limit of Insurance, the following is added : 4. In the event of a "total loss" to a covered "auto" shown in the schedule or declarations for which Collision and Comprehensive Coverage apply, we will pay any unpaid amount due on the lea se or lo a n for that covered "auto," less : a. The amount paid under the Physical Damage Coverage Section of the b. policy; and Any : (1) (2) (3) (4) Overdue lease/loan payments at the t i me of the "loss "; Financial penalties imposed under a lease for excessive use , abnormal wear and tear or high mileage . Security deposits not returned by the lessor ; Co sts for extended warranties, Credit Life In surance, Health , Accident or Disability Insurance purchased with the loan or lease ; and (5) Carry-over balances from previous loans or lease s. XI. GLASS REPAIR-DEDUCTIBLE WAIVER SECTION Ill -PHYSICAL DAMAGE COVERAGE , D. Deductible, the following is added : No deductible applies to glass damage if the glass is repaired rathe r than replaced . XII. TWO OR MORE DEDUCTIBLES SECTION Ill -PHYSICAL DAMAGE COVERAGE, D. Deductible, the following is added : If two or more "company" policie s or coverage forms apply to the same accident : l. If the applicable Busine ss Auto deductible is the smallest, it will be waived; or 2. If the applicabl~ Business Auto deductible is not the smallest, it will be reduced by t h e amount of the smallest deductible; or 3. If the loss involves two or more Business Auto cove r age fo r ms or policie s the smalle st deductible will be waived. For the purpose of this endorsement "company" means the company providing this insurance and any of the affiliated members of the Mercury Insurance Group of companies. XIII. AMENDED DUTIES IN EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS The requirement in SECTION IV , BUSINESS AUTO CONDITIONS , A. Loss Conditions , 2. Duties In The Event Of Accident , Claim, Suit, Or Loss, a., In the event of "accident", you mu st notify us of an "accident" applies only when the "accident" is known to : (1) You , if you are an individual ; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An ex ecutive officer or insurance manager, if you are a corporation. Copyr ight 2013 Mercury In surance Ser vices, LL C. All rig hts reserved . MCA85101213-CA Inc ludes copyrighted ma t e ri al of In surance Se rv ices Office, In c., w it h its Perm iss ion Page 4 of 6 XIV. WAIVER OF SUBROGATION SECTION IV -BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer of Rights Of Recovery Against Others To Us, section is replaced by the following: 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 extent required of you by a written contract executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. XV. UNINTENTIONAL ERROR, OMISSION, OR FAILURE TO DISCLOSE HAZARDS SECTION IV -BUSINESS AUTO CONDITIONS, B. General Conditions, 2. Concealment, Misrepresentation, or Fraud, the following is added: Any unintentional omission of or error in information given by you, or unintentional failure to disclose all exposures or hazards existing as of the effective date or at any time during the policy period shall not invalidate or adversely affect the coverage for such exposure or hazard or prejudice your rights under this insurance. However, you must report the undisclosed exposure or hazard to us as soon as reasonably possible after its discovery. This provision does not affect our right to collect additional premium or exercise our right of cancellation or non-renewal. XVI. EMPLOYEE HIRED AUTO PHYSICAL DAMAGE SECTION IV-BUSINESS AUTO CONDITIONS, B. General Conditions, 5. Other Insurance, b. For Hired Auto Physical Damage Coverage, is replaced by the following: b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered "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 performing 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". XVII. PRIMARY AND NONCONTRIBUTORY IF REQUIRED BY CONTRACT SECTION IV-BUSINESS AUTO CONDITIONS, B. General Conditions, 5. Other Insurance, the following is added and supersedes any provision to the contrary: MCA85101213-CA e. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. Copyright 2013 Mercury Insurance Services, LLC. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., with its Permission Page 5 of 6 XVIII. HIRED AUTO -COVERAGE TERRITORY SECTION IV -BUSINESS AUTO CONDITIONS, B. General Conditions, 7. Policy Period, Coverage Territory, e. Anywhere in the world if:, is replaced by the following: e. Anywhere in the world if: (1) A covered "auto" is leased, hired, rented or borrowed without a driver for a period of 30 days or less; and (2) The "insured's" responsibility to pay damages is determined in a "suit" on the merits , in the United States of America, the territories and possessions of the United States of America , Puerto Rico, or Canada or in a settlement we agree to. XIX. BODILY INJURY REDEFINED TO INCLUDE RESULTANT MENTAL ANGUISH SECTION V -DEFINITIONS, C. "Bodily Injury" is amended by adding the following: MCA85101213-CA "Bodily injury" also includes mental anguish but only when the mental anguish arises from other bodily injury, sickness, or disease. Copyright 2013 Mercury Insurance Services, LLC. All rights reserved. Includes copyrig hted material of Insurance Services Office, In c., with its Permission Page 6 of 6 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFUL LY. POLICY CHANG E Th is end o rsement changes the pol icy effective on the Inception Date of the polic y unless another da te is indi cated below: Policy Number: 57 SBM BH7 1 02 SC Named Insured and Mailing Address; PAUL R. CURREN ' PE OBA: CURR EN CONSU LTI NG 214 BODEGA AVE CA 94952 Policy Change Effective Date: PETALUMA 04/06/17 Effective hour is the same as stated in the Declarations Page of the Policy. Policy Change Number: 001 Agent Name: SHERZER & ASSOCIATES INS AGCY INC Code: 110553 POLICY CHANGES : SENTINEL INSURANCE COMPANY, LIMITED ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BI LLING STATEMENT. IF YOU ARE ENROLLED I N REPETITIVE EFT DRAWS FROM YOUR BANK ACCOUNT , CHANGES IN PREMIUM WI LL CHANGE FUTURE DRAW AMOUNTS. TH I S r s NOT A BILL . NO PREMIUM DUE AS OF POLICY CHANGE EFFECTIVE DATE BUSINESS LIABILITY OPTIONAL COVERAGES ARE REVISED ADDITIONAL INSURED(S) ARE ADDED THE FOLLOWING ARE ADDITIONAL INSURED FOR BUSINESS LIABILITY COVERAGE IN THIS POLICY . LOCATION 001 BUILDING 001 PERSON /ORGANIZATION: SEE FORM IH 12 00 FORM NUMBERS OF ENDORSEMENTS ADDED AT ENDORSEMENT ISSUE: PRO RATA FACTOR: 1 . 000 THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. Form SS 12 11 0405 T Proces s Date: 03/16/17 Pa ge 001 (CONTINUED ON NEXT PAGE) Policy Effective Date : 04/06/1 7 Policy Ex piration Date: 04/06/18 POLICY CHANGE (Continued) Policy Number: 57 SBM BH7102 Policy Change Number: 001 IH1 2 001185 ADDITIONAL INSURED -PERSON-ORGANIZATION Form SS 1211 04 05 T Process Date: 03/16/17 Page 002 Policy Effective Date: 04 /0 6/1 7 Policy Expiration Date: 04/06/18 POLICY NUMBER: 57 SBM BH7102 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -PERSON-ORGANIZATION CI TY OF CU PE RTINO, CITY COUNCIL, BOARDS AND COMMISSIONS, OFF I CER , EMPLOYEES, AND VOLUNTEERS 1 03 00 TORR E AV E . CUPER T INO , CA 95014 Form IH 120011 85 T SEQ. NO. 00 1 Printed in U .S.A . Page 001 Process Date : 0 3/1 6/1 7 Expiration Date: 0 4/06/1 8