99-090 Wilbur Smith Associates – pedestrian transportation plan AGREEMENT oy 0
s CITY OF CUPERTINO
City of I / �� 10300 Torre Avenue
Cupertino i/� - Cupertino, CA 95014
VVV 408-777-3200 NO. ��.1 /�j L1
BY THIS AGREEMENT ma e and entered into on the 27th day of July 1999
by and between the CITY OF CUPERTINO (Hereinafter referred to as CITY) and
Name (1) Wilbur Smith Associates (2)
Address 1145 Market St. , 10th Flr City San Francisco Zip 94103 Phone (415)436-9030
(Hereinafter referred as CONTRACTOR), in consideration of their mutual covenants, the parties hereto agree as
follows:
CONTRACTOR shall provide or furnish the following specified services and/or materials:
Preparation of Pedestrian Transportation Plan
EXHIBITS:The following attached exhibits hereby are made part of this Agreement:
Exhibit A
TERMS:The services and/or materials furnished under this Agreement shall commence on 7/1/99
and shall be completed before 6/30/00
COMPENSATION: For the full performance of this Agreement, CITY shall pay CONTRACTOR:
Amout not to exceed $14,000.00
GENERAL TERMS AND CONDITIONS
Hold Harmless.Contractor agrees to save and hold harmless the City, its officers, agents and employees from any
and all damage and liability of every nature, including all costs of defending any claim,caused by or arising out of the
performance of this Agreement.City shall not be liable for acts of Contractor in performing services described herein.
Insurance. Should the City require evidence of insurability Contractor shall file with City a Certificate of Insurance
before commencing any services under this Agreement. Said Certificate shall be subject to the approval of City's
Director of Administrative Services.
Non-Discrimination.No discrimination shall be made in the employment of persons under this Agreement because
of the race, color, national origin, ancestry, religion or sex of such person.
Interest of Contractor.It is understood and agreed that this Agreement is not a contract of employment in the sense
that the relation of master and servant exists between City and undersigned.At all times Contractor shall be deemed
to be an independent contractor and Contractor is not authorized to bind the City to any contracts orother obligations
in executing this Agreement. Contractor certifies that no one who has or will have any financial interest under this
Agreement is an officer or employee of City.
Changes.This Agreement shall not be assigned or transferred without the written consent of the City. No changes
or variations of any kind are authorized without the written consent of the City.
CONTRACT CO-ORDINATOR and representative for CITY shall be:
NAME Raymond Chong DEPARTMENT Public Works
This Agreement shall become effective upon its execution by CITY, in witness thereof,the parties have executed this
Agreement the day and year first written above.
CONTRACTO � � / CITY OF CUPERT':
By G/�/ L d By
Title adl4JOL VCr pitcfWtA.✓ Title City Traffic Engineer
RD ZQ,Oe,,. zm.,.# /
APPROV. `` A/ EXPENDITURE DISTRIBUTION
DEPARTMEN]JAj' r - /24-
f / ACCOUNT NUMBER AMOUNT
+�C41// 110-8601-7014 $14,000.00
CIN117)1 /1,� O1/9/ [
WILBUR
SMITH
ASSOCIATES
ENGINEERS • ECONOMISTS • PLANNERS
5 S[LFET TENTH F_JOR • SAN FRANCISCO. CA 94103-i 545 • (4:5; -3o-9030 • FAX(415)436-9337
April21, 1999
Pl I rn
Mr. Ray Chong
City Traffic Engineer
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014
Re: Cupertino Pedestrian Transportation Plan
Dear Mr. Chong:
This letter presents our proposal to prepare a Pedestrian Transportation Plan for the City of
Cupertino. The proposed project manager would be Michelle DeRobertis. We understand that
the City will provide assistance throughout the study. We have described how we propose to
utilize City staff(and/or the CUPBAC volunteers)in the following scope of work. This proposal
assumes a start date of July 1, 1999, with the inclusion of a May 20'h field review as described in"
Task 4.
APPROACH
The following workscopefocuses on four main areas: Policies, Accident Review, Needs
Assessment, and Facility/Design Recommendations. Given the fact that pedestrians have access
to every block of the City, this workscope focuses more on policies and needs assessment rather
than on detailed recommendations or design solutions. Nevertheless, we have included a review
of four of the most popular pedestrian locations or locations where pedestrian circulation should
be facilitated and encouraged.
WORK PLAN •
Task 1: Project Kick-Off
The WSA project manager and the City project manager will meet to begin the project, refine the
process and discuss format of the final plan. At this kick-off meeting, WSA will obtain
background data listed in Table 1 to begin the Pedestrian Plan.
•
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CLEVELAND.OH • COLUMBIA SC • COLUMBUS.CH • FAILS CHURCH.VA • HONOLULU. ill • HONG KCNG • HOUSTON.TX • ISUN,NJ • KUWAIT• KNOXVILLE.TN
LEXINGTON.KV •LONDON.ENGLAND•MILWAUKEE`A1 •NEW HAVEN.CT •ORLANDO,FL•OVERLAND PARK KS •Pi-OLADELPHIA PA•PITTSBURGH.PA•RALEIGH NC
CHMOND.VA •SALT LAKE CITY.UTAH •SAN FRANC:SCO.CA •SAN JOSE.CA•TALLAHASSEE.FL• TAMPA.FL•TORONTO.CANADA• WASHINGTON.DC
EMPLOYEE-OWNED COMPANY
•
Mr. Ray Chong
April 21, 1999
Page 2
i
Table 1
EXISTING DATA TO BE PROVIDED BY THE CITY
Due Item Needed
Kick-off Pertinent reports and studies
Kick-off SWITRS accident reports —Report 8 pedestrians for 1996, 1997, 1998
Kick-off ADA policies and practices: e.g. ramps, audible traffic signals
Kick-off Policies and ordinances related to pedestrians
Kick-off Policies and ordinances related to school routes
Kick-off Suggested route to school maps
Kick-off Signal timing- pedestrian phasing policies and practices
As requested Aerial photo of the city,
As requested City base maps as needed
Meeting: City staff
Deliverable: Revised workscope and schedule
City Assistance: City to provide assistance as outlined in Table 1
Task 2: Policies
WSA will review existing city policies and practices that affect pedestrian circulation and safety.
We will also review the policies of other agencies that affect pedestrian trips such as transit.
service. The policy review will include:
• Transit schedules and shelters
• Suggested routes to school
• High School parking policies -
• Signal timing-pedestrian phasing
• Flashing yellow beacons
•
• Crosswalks
• Sidewalks
• ADA compliance
We would require city and/or volunteer help to contact appropriate agencies and staff persons and
obtain information related to the aforementioned practices. The collected information should be
transmitted to WSA. WSA would then organize and analyze the existing policies and practices.
We would make recommendations for new policies and/or revisions to existing policies to
improve pedestrian safety and to encourage more trips to be made by walking. We would present
our recommendations in Working Paper# 1-Policy Review.
Mr. Ray Chong
April 21, 1999
Page 3
Due Date: August 1, 1999
Deliverable: Working Paper#1--Policy Review
Meeting: Present Working Paper#1-Policy Review and Working Paper#2
Accident Review to CUPBAC
City Assistance: The City will supply information on existing policies and practices
affecting pedestrians. (To be supplied by July 15, 1999.)
Task 3: Accident Review
WSA will review pedestrian accident statistics for the last three years. With the help of City staff,
we will plot the accidents by type and determine the high-accident locations.
The accident review will determine:
• The ten highest pedestrian accident locations;
•. The five most common.causes of pedestrian-at-fault pedestrian accidents;
• The five most common causes of motorist-at-fault pedestrian accidents; and
• The most vulnerable age groups for pedestrian accidents.
Due Date: August 15
Deliverable: Working Paper#2 Accident Review .
Meeting: Present Working Paper#1-Policy Review and Working Paper#2 - -
Accident Review to CUPBAC in August
City Assistance: The City will prepare a map of the pedestrian accident locations and other
maps as needed.
City Assistance: WSA will rely on the field measurements and other data gathering by the
City.
Task 4: Needs Assessment
Based on the findings of the two previous tasks, this task will look at the needs ofpedestrians at
the macro level and determine if there are unmet needs. It will be a "state of the state of
pedestrian circulation" and will make recommendations for general improvements. With city
assistance, we will make use of census data and existing surveys of employers colleges, high
schools and elementary schools to determine the existing level of walking in Cupertino. It will
• also address barriers, both,physical and institutional, to walking and will address the need for
additional studies.
This task also includes attendance of the field review on May 20'h with City staff and Dan Burden
of Walkable Communities. Recommendations emanating from this field review will be
incorporated into the draft and final plan. •
•
Mr. Ray Chong
April21, 1999
Page 4
i
Due Date: September 15
Meeting: Present Working Paper# 3 and Working Paper #4 to CUPBAC
Deliverable: Working Paper#3 -Needs Assessment
City Assistance: The City will provide to WSA data on commute mode share of pedestrians
to large employers, schools colleges, and any updates of the 1990 census in
terms of the extent of walking in Cupertino. This includes those who walk
to transit stops or school bus stops.
Task 5: Facility Design and Recommendations
This task will review and assess four high volume pedestrian areas. This task will also incorporate
the comments and recommendations from the May 20th field review with Dan Burden.
The four study areas would be locations such as high-volume plazas, transit transfers points or
frontages to schools/colleges and will be selected in conjunction with City staff and the CUBPAC.
Each area would be the scale of one-city block or a large plaza-type space. WSA would visit
each site during the pedestrian peak period, and observe pedestrian circulation and any conflicts
with other pedestrians, cSralists, buses, trucks and passenger cars. With the help of City staff
and/or volunteers, measurements and counts will be taken as needed. Detailed traffic warrants
analyses will not be performed, but will be included as a need for further study. (Alternatively, we
can include warrant analyses for an additional fee.)
Recommendations would be made to improve pedestrian safety or circulation for the four study"
areas and for the issues discovered on the May 20th field review. These recommendations will be
described and illustrated as necessary and would include:
• New or widened sidewalks or crosswalks;
• Amenities such as benches, shelters, shade;
• Traffic control devices;
• Removal of barriers and disincentives to walking; and
• Removal of hazards or obstacles.
Due Date: September 15
Deliverable: Working Paper#4 -Facility Design
Meeting: Present Working Paper# 3 and Working Paper#4 to CUPBAC
City Assistance: WSA will rely on the field measurements and other data gathering by the
City, of obstacles and impediment to pedestrian circulation, based on field
observations and local knowledge.
•
Task 6: Draft and Final Pedestrian Transportation Plan .
Based on comments of City staff and the CUBPAC on the previous work products, WSA will
revise the previous submittals and prepare the Draft Pedestrian Transportation Plan. The WSA
•
Mr. Ray Chong
April 21, 1999
Page 5
i
project manager will attend a CUBPAC meeting to present the Draft Pedestrian Transportation
Plan.
WSA will incorporate the comments on the Draft Pedestrian Transportation Plan and prepare the
Final Pedestrian Transportation Plan.
Due Date: October 15 -Draft report
October 31 -Final report
Meeting: Present and discuss Draft Pedestrian Transportation Plan to CUBPAC.
Deliverable: (1) Two copies of the Draft Pedestrian Transportation Plan and one
camera-ready copy.
(2) Two copies of the Final Pedestrian Transportation Plan, plus one
(3) camera-ready copy, plus electronic versions of all work products
usable on PC and in a format suitable for inclusion on the City's
- Web page.
City Assistance: Final copies of all maps and graphics
WORK TO BE PERFORMED BY THE CITY
It is our understanding that the City of Cupertino will be directly involved in the preparation of
this Plan. In keeping with this intent, we have identified several areas that will be the
responsibility of the City. This enables the project to utilize the.best talents of both city staff and
the consultant, and enables city staff to utilize resources available to them. Consequently, our'
proposed fee is considerably less and the time schedule is accelerated. This of course depends on
the availability of City staff to meet the proposed schedule.
The required City assistance is described under each task and are listed below in Table 2. Briefly,
the City will assist in the data gathering-phase to determine the pertinent policies of other agencies
and city departments. The City will conduct field work as needed including measurements,
pedestrian or vehicle counts, spot checking, and other tasks. The City will also prepare all
mapping and graphics.
Mr. Ray Chong
April 29, 1999
Page 6 L-LIC V.. -
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.k( ti .
Table 2
CITY ASSISTANCE
Due Item Needed
Kick-off Pertinent reports and studies
Kick-off SWITRS accident reports—Report 8- pedestrians for 1996,
• 1997, 1998
July 10 ADA policies and practices: e.g. ramps, audible traffic signals
July 10 Policies and ordinances related to pedestrians
July 10 Policies and ordinances related to school routes
July 10 Suggested route to school maps •
July 10 Signal timing- pedestrian phasing policies and practices
As requested Aerial photo of the city,
As requested - City base maps as needed
As needed throughout study Field measurements and counts
•
July 28 Accident mapping
August 15 Pedestrian commute share for major employers/schools
September 30 Mapping and graphics to be determined
MEETINGS -
This proposal includes one kick-off meeting with City staff and three CUBPAC meetings.-
Additional contact with City staff will be made by phone and in person throughout the course of
the study as needed. These will be scheduled to be most convenient with respect to the
deliverables. Suggested dates have been listed in the workscope.
SCHEDULE
We can complete the above work and prepare a final report October 31, 1999, assuming a start
date of July 1, 1999. This schedule includes a draft report by September 15, 1999-to present to
the September CUBPAC meeting
Our maximum fee for this work is $14,000, to be billed on a time and materials basis to the
maximum fee. This assumes the assistance of the City as outlined in this proposal. The cost may
vary depending on the extent of the recommendations resulting from the May 20th field review,
the availability of City staff to conduct the work tasks outlined in this proposal, and the number
of meetings WSA attends.
The billing rates will be based on our standard overhead of 2.65 plus a modest fee. Additional .
costs not included in the billing rates are mileage, postage, photocopying and phone charges, •
which would be billed at cost. This translates to the following billing rates:
Mr. Ray Chong
April21, 1999
Page 7
Project Manager $115
Project Planner $65
Secretarial/Clerical $55
Thank you for considering us for this project for the City of Cupertino. If you have any
questions, please contact Michelle DeRobertis.
Very truly yours,
WILBUR SNIT SO 'S
awt
William E. Hurrell
Regional Vice President
WEH:MMD/pfh
044204/9901-08
Attachments
•
411 04
tes
• City of
Cupertino
INSURANCE FORMS INSTRUCTIONS
FOR ITEMS 1, 3, 4, 5 AND 6, THE FORMS PROVIDED BY THE CITY OF
CUPERTINO MUST BE USED. FORMS OTHER THAN THESE WILL NOT BE
ACCEPTED. ALL DOCUMENTS MUST BE ORIGINALS - MUST HAVE A RATING
OF "A" OR BETTER AND CLASS 7 OR BETTER FOR EACH COMPANY
PROVIDING INSURANCE. SUBMIT ONE SET.
• If you have any questions concerning the insurance requirements, feel free to contact our
insurance agent, Albert Fierro, ABAG Plan Corporation, at 510.464.7969. For any other
questions , please contact Vicki Guapo, Senior Traffic Technician, at 408.777.3243.
—>1. Insurance Agreement-Must be signed by Applicant/Contractor.
2. Certificate of Insurance to the City of Cupertino - Must be completed by the insurance
agent or provide a certificate on the company's form containing the same information.
a.Public Liability: $ 1,000,000 per occurrence for bodily injury, personal injury, and property damage.
b. If Commercial General Liability Insurance or other form with a general aggregate limit is used, either
the general aggregate limit shall apply separately to this project/ location or the general aggregate limit
shall be TWICE (Public Liability)the required occurrence limit.
c.Automobile Liability:$ 1,000,000 per accident for bodily injury and property damage. (page 2)
->3. Endorsement of Primary Insurance - Must be signed by the insurance agent for general
liability and automobile liability only.
-4. Additional insured endorsement - Must be signed by the insurance agent for general
liability and automobile liability only.
—>5. Comprehensive general liability/commercial general liability endorsement of aggregate
limits of insurance per project - Must be signed by the insurance agent for general liability only.
IF YOU ARE OWNER/OPERATOR, THIS FORM IS NOT REQUIRED
-a6. Waiver of subrogation endorsement worker's compensation insurance - must be
signed by the insurance agent for worker's compensation only.
• Workers Compensation Liability: $ 1,000,000 per accident for bodily injury or disease. (excluding block
party in residential areas)
7. Notice of policy cancellation endorsement - must be signed by the insurance agent or must
be on the company's certificate of insurance form for all insurance's.
Insurance Forms Instructions Page 1 of 1
insuran.doc
et
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City of
Cup ertino
INSURANCE AGREEMENT
A. Contractor is aware of the provisions of Section 3700 of the Labor Code, which requires
every employer to be insured against liability for worker's compensation or undertake self-
insurance in accordance with the provisions of that Code, and will comply with such provisions
before commencing the performance of the work of this Contract.
B. Contractor and all subcontractors will carry worker's compensation insurance for the
protection of its employees during the progress of the work. The insurer shall waive its rights of
subrogation against the City, the City's officers, agents and employees and shall issue an
endorsement to the policy evidencing same.
•
C. Contractor shall carry at all times, on all operations hereunder, commercial or
comprehensive general liability insurance, automobile liability insurance and builder's all risk
insurance. All insurance coverage shall be in amounts required by the City and shall be
evidenced by the issuance of a certificate in a form prescribed by the City and shall be
underwritten by insurance companies satisfactory to the City for all operations, sub-contract
work, contractual obligations, product or completed operations, all owned vehicles and non-
owned vehicles. Said insurance coverage obtained by the Contractor, excepting worker's
compensation coverage, shall name the'City, its engineer, and each of its directors, officers,
agents and employees, as determined by the City, as additional insureds on said policies. Insurers
must be licensed to do business in the State of California. The Insurers must also have an "A"
policyholder's rating and a financial rating of at least Class VII in accordance with the current
Best's Guide Rating.
D. Before Contractor performs any work at, or prepares or delivers materials to, the site of
construction, Contractor shall furnish certificates of insurance evidencing the foregoing insurance
coverages and such certificates shall provide the name and policy number of each carrier and
policy and that the insurance is in force and will not be canceled or modified without thirty (30)
days written notice to the City. Contractor shall maintain all of the foregoing insurance
coverages in force until the work under this Contract is fully completed. The requirement for
carrying the foregoing insurance shall not derogate from the provisions for indemnification of the
City by Contractor under this Contract and for the duration of the warranty period.
Notwithstanding nor diminishing the obligations of Contractor with respect to the foregoing,
Contractor shall maintain in full force and effect during the life of this Contract, the following
insurance in amounts not less than the amounts specified and issued by a company admitted in
California and having a Best's Guide Rating of A, Class VII or better.
Worker's Compensation Liability In accordance with the Worker's Compensation
Act of the State of California- $1,000,000 per
occurrence
•
Insurance Agreement Page 1 oft
Public Liability - either commercial general liability Combined single limit of$1.0 million per or
or comprehensive general liability; including occurrence; $2.0 million in the aggregate.
provisions for contractual liability, personal injury,
independent contractors and property damage
coverages.
Automobile Liability- comprehensive covering Combined single limit of$1.0 million per
owned, non-owned and hired automobiles. occurrence.
Consultants only: Errors and Omissions liability. $1.0 million per occurrence.
Builder's All Risk. Amount equal to 100% of the contract
price bid; $25,000 deductible is allowed.
By:
(Contractor's Name)
Dated 19
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Insurance Agreement Page 2 of 2
see��:.
Do.
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City of -
Cupertino.
CERTIFICATE OF INSURANCE TO THE CITY OF CUPERTINO
This certifies to the City of Cupertino that the following described policies have been issued to
the insured named below and are in force at this time.
Insured: -
Address:
Description of operations/locations/products insured (show contract name and/or number, if any):
WORKER'S COMPENSATION * Statutory Min.
* Employer's
Liability
(name of insurer)
$ $ $
Insurance Company's State License No.
Check Policy Type: Each Occurrence $
COMPREHENSIVE GENERAL
LIABILITY
[ ] Premises/Operations General Aggregate
(if applicable) •
[ ] Owners&Contractors
Protective Aggregate $
[ ] Contractual for Specific
Contract Personal Injury $ . .
[ ] Products Liability
[ ] XCU Hazards
[ ] Broad Form P.D. Fire Damage(any one fire) $
[ ] Severability of Interest
Clause
[ ] Personal Injury with Medical Expense $
Employee Exclusion Removed (any one person) •
or Self-Insured
COMMERCIAL GENERAL LIABILITY Retention $
(name of insurer).
Policy No. Expiration Date
Certificate of Insurance Page 1 of 2
AUTOMOTIVE/VEHICLE LIABILITY BODILY INJURY PROPERTY DAMAGE
Commercial Form Each Person Each Accident
Liability Coverage
$ $
Each Accident
(name of insurer)
$ or
Combined Single Limit $
•
Policy No. Expiration Date
BUILDER'S RISK"ALL RISK"
This is to certify that the following policy has been issued by the below-stated company in
conformance with the requirements of Section 6-C of the General Provisions and is in force at
this time.
(name of insurer)
POLICY EXPIRATION LIMITS OF DEDUCTIBLE
NUMBER DATE LIABILITY
A copy of all Endorsements to the policy(ies) which in any way •
(agent's initial) limit the above-listed types of coverage are attached to this
Certificate of Insurance.
This Certificate of Insurance is not an insurance policy and does not amend, extend or alter the
coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or
condition of any contract or any other document with respect to which this Certificate of
Insurance 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.
IT IS HEREBY CERTIFIED that the above policy(ies) provide liability insurance as required by
the Agreement between the City and the insured.
By: Dated: 19
Attach Certificate of Insurance and Additional Insured Endorsement on company forms.
'Certificate of Insurance Page 2 of 2
•
AUTOMOTIVE/VEHICLE LIABILITY BODILY INJURY PROPERTY DAMAGE
Commercial Form Each Person Each Accident
Liability Coverage •
$ $
Each Accident
(name of insurer)
$ or
Combined Single Limit $
Policy No. Expiration Date
A copy of all Endorsements to the policy(ies) which in any way
(agent's initial) limit the above-listed types of coverage are attached to this
Certificate of Insurance.
This Certificate of Insurance is not an insurance policy and does not amend, extend or alter the
coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or
condition of any contract or any other document with respect to which this Certificate of
Insurance 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.
IT IS HEREBY CERTIFIED that the above policy(ies) provide liability insurance as required by
the Agreement between the City and the insured.
By: Dated: 19
•
Attach Certificate of Insurance and Additional Insured Endorsement on company forms.
•
•
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Certificate of Insurance Page 2 of 2
gift
-"City of
Cupertino ENDORSEMENT OF PRIMARY INSURANCE
In consideration of the policy premium and notwithstanding any inconsistent statement in the
policy to which this Endorsement is attached or any other Endorsement attached thereto, it is
agreed as follows:
The insurance afforded by this policy is primary insurance, and no additional insurance
held or owned by the designated additional insured(s) shall be called upon to cover a loss under
said additional policy.
POLICY INFORMATION
1. Insurance Company:
2. Insurance Policy Number:
3. Effective Date of this Endorsement: , 19
• 4. Insured:
•
All notices herein provided to be given by the Insurance Company to the City in
connection with this policy and this Additional Insured Endorsement, shall be mailed to or
delivered to the City at 10300 Torre Avenue; Cupertino, California 95014.
(print/type name)
warrant that I have authority to bind the below listed Insurance Company and by my signature
hereon do so bind this Company.
Signature of Authorized Representative:
(Original signature required on all Endorsements furnished to the District)
Name of
Agent/Agency: Title:
Address: Telephone:
Facsimile:
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Primary Endorsement Page 1 of 1
efire
City of
Cupertino
ADDITIONAL INSURED ENDORSEMENT
In consideration of the policy premium and notwithstanding any inconsistent statement in the
policy to which this Endorsement is attached or any other Endorsement attached thereto, it is
agreed as follows:
The City of Cupertino ("City") and its directors, officers, engineers, agents and employees,
and all public agencies from whom permits will be obtained and their directors, officers,
engineers, agents.and•employees are hereby declared to be additional insureds under the terms of
this policy, but only with respect to the operations of the Contractor at or'upon any of the
premises of the City in connection with the Contract with the City, or acts or omissions of the
additional insureds in connection with,but limited to its general supervision or inspection of said
operations.
POLICY INFORMATION
1. Insurance Company: •
-
2. Insurance Policy Number:
3. Effective Date of this Endorsement: 19
4. Insured:
All notices herein provided to be given by the Insurance Company to the City in connection
with this policy and this Additional Insured Endorsement, shall be mailed to or delivered to the
City at 10300 Tone Avenue; Cupertino, California 95014.
I (print/type name)
warrant that I have authority to bind the below listed Insurance Company and by my signature
hereon do so bind this Company.
Signature of Authorized Representative:
(Original signature required on all Endorsements furnished to the District)
Names of
Agent/Agency: Title:
Address: Telephone: _
- Facsimile: -
Additional Insured Endorsement Page I of I
esti
tress
City of
Cupertino COMPREHENSIVE GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
ENDORSEMENT OF AGGREGATE LIMITS OF INSURANCE PER PROJECT
In consideration of the policy premium and notwithstanding any inconsistent statement in the
policy to which this Endorsement is attached or any other Endorsement attached thereto, it is
agreed as follows: ,
This Endorsement modifies the insurance provided under the General Liability Coverage part
of the below-referenced policy of insurance.
The general aggregate limit under LIMITS OF INSURANCE applies separately to the project
described as
•
POLICY INFORMATION
1. Insurance Company:
2. Insurance Policy Number:
3. Effective Date of this Endorsement: ' 19_
4. Insured:
5. Additional Insured: City of Cupertino, its directors, officers, agents and employees.
All notices herein provided to be given by the Insurance Company to the City in connection
with this policy and this Additional Insured Endorsement, shall be mailed to or delivered to the
City at 10300 Torre Avenue; Cupertino, California 95014.
I (print/type name)
warrant that I have authority to bind the below listed Insurance Company and by my signature
hereon do so bind this Company. -
Signature of Authorized Representative:
(Original signature required on all Endorsements furnished to the District)
Names of
Agent/Agency: Title:
Address: Telephone:
Facsimile:
•
Aggregate Limits Endorsement Page 1 of 1
sem:,
tut Cit
Cis,0
City of
Cupertino
WAIVER OF SUBROGATION ENDORSEMENT
WORKER'S COMPENSATION INSURANCE
In consideration of the policy premium and notwithstanding any inconsistent statement in the
policy to which this Endorsement is attached or any other Endorsement attached thereto, it is
•
agreed as follows:
It is agreed that with respect to such insurance as is afforded by the policy, the Insurance
Company waives any right of subrogation it may require against the City of Cupertino, and each
of its directors, officers, agents, consultants and employees by reason of any payment made on
account of injury, including death resulting therefrom, sustained by any employee of the insured,
arising out of the performance of the above-referenced Contract.
POLICY INFORMATION
1. Insurance Company:
2. Insurance Policy Number:
3. Effective Date of this Endorsement: 19
4. Insured:
All notices herein provided to be given by the Insurance Company to the City in connection
with this policy and this Additional Insured Endorsement, shall be mailed to or delivered to the
City at 10300 Tone Avenue; Cupertino, California 95014.
I, - (print/type name)
warrant that I have authority to bind the below listed Insurance Company and by my signature
hereon do so bind this Company.
Signature of Authorized Representative:
(Originalsignature required on all Endorsements furnished to the District)
Names of
Agent/Agency: Title:
Address: Telephone:
Facsimile:
•
Subrogation Endorsement Page 1 of I
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41.141 rict
cra
:••
City of
Cupertino
NOTICE OF POLICY
CANCELLATION ENDORSEMENT
In consideration of the policy premium and notwithstanding any inconsistent statement in
the policy to which this Endorsement is attached or any other Endorsement attached thereto, it is
agreed as follows:
Cancellation Notice. The insurance afforded by this policy shall not be suspended,
voided, canceled, reduced in coverage or in limits, or materially altered, except after thirty (30)
days' prior written notice by certified mail,return receipt requested, has been given to the City of
Cupertino ("City"). Such noticeshall be addressed to the City as indicated below.
POLICY INFORMATION
1. Insurance Company: -
2. Insurance Policy Number:
3. Effective Date of this Endorsement: 19
4. Insured:
All notices herein provided to be given by the Insurance Company to the City in connection
with this policy and this Additional Insured Endorsement, shall be mailed to ordelivered to the
City at 10300 Tone Avenue; Cupertino, California 95014.
I (print/type name)
warrant that I have authority to bind the below listed.Insurance Company and by my signature
hereon do so bind this Company.
Signature of Authorized Representative:
(Original signature required on all Endorsements furnished to the District)
Names of
Agent/Agency: - Title:
Address: Telephone:
Facsimile:
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