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HomeMy WebLinkAboutGladwell Governmental Services, Inc. (11)AGREEMENT THIS AGREEMENT is made and entered into on the 5th day of July 2024 by and between the TOWN OF LOS ALTOS HILLS (hereinafter referred to as "TOWN") and Gladwell Governmental Services, Inc. (hereinafter referred to as "CONTRACTOR"). In consideration of their mutual covenants, the parties hereto agree as follows: 1. CONTRACTOR. Shall provide or furnish the following specified services and/or materials: Election Management Consulting Services 2. EXHIBITS. The following attached exhibits are hereby incorporated into and made a part of this Agreement: Proposal from CONTRACTOR dated July 5, 2024 3. TERMS. The services and/or materials furnished under this Agreement shall commence July 5, 2024, and shall be completed by November 30, 2024, unless terminated pursuant to Section 5(f). 4. COMPENSATION. For the full performance of this Agreement: a. TOWN shall pay CONTRACTOR an amount not to exceed two thousand nine hundred dollars and no cents ($2,900.00) within thirty (30) days following receipt of invoice and completion/delivery of services/goods as detailed in Sections 1, 2, and 3 of this Agreement and only upon satisfactory delivery/completion of goods/services in a manner consistent with professional/industry standards for the area in which CONTRACTOR operates. TOWN is not responsible for paying for any work done by CONTRACTOR or any subcontractor above and beyond the not to exceed amount. b. Town shall not reimburse for any of CONTRACTOR's costs or expenses to deliver any services/goods. Town shall not be responsible for any interest or late charges on any payments from Town to CONTRACTOR. c. CONTRACTOR is responsible for monitoring its own forces/employees/agents/ subcontractors to ensure delivery of goods/services within the terms of this Agreement. TOWN will not accept or compensate CONTRACTOR for incomplete goods/services. 5. GENERAL TERMS AND CONDITIONS. a. HOLD HARMLESS. CONTRACTOR agrees to indemnify, defend and hold harmless the TOWN, its officers, agents and employees from any and all demands, claims or liability of personal injury (including death) and property damage of any nature, caused by or arising out of the performance of CONTRACTOR under this Agreement. With regard to CONTRACTOR'S work product, CONTRACTOR agrees to indemnify, defend and hold harmless the TOWN, its officers, agents and employees from any and all demands, claims or liability of any nature to the extent caused by the negligent performance of CONTRACTOR under this Agreement. b. NON-DISCRIMINATION. No discrimination shall be made in the employment of persons under this Agreement because of the race, color, national origin, age, ancestry, religion or sex of such person. c. INTEREST OF CONTRACTOR. It is understood and agreed that this Agreement is not a contract of employment and does not create an employer-employee relationship between the TOWN and CONTRACTOR. At all times CONTRACTOR shall be an independent contractor and CONTRACTOR is not authorized to bind the TOWN to any contracts or other obligations without the express written consent of the TOWN. 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 TOWN. d. CHANGES. This Agreement shall not be assigned or transferred without advance written consent of the TOWN. No changes or variations of any kind are authorized without the written consent of the City Manager. This Agreement may only be amended by a written instrument signed by both parties. e. TERMINATION. This Agreement may be terminated by TOWN upon seven (7) days written notice to CONTRACTOR. Monies owed for work satisfactorily completed shall be paid to CONTRACTOR within 14 days of termination. RECORDS. All reports, data, maps, models, charts, studies, surveys, calculations, photographs, memoranda, plans, studies, specifications, records, files, or any other documents or materials, in electronic or any other form, that are prepared or obtained pursuant to this Agreement and that relate to the matters covered hereunder shall be the property of the TOWN. CONTRACTOR hereby agrees to deliver those documents to the TOWN at any time upon demand of the TOWN. It is understood and agreed that the documents and other materials, including but not limited to those described above, prepared pursuant to this Agreement are prepared specifically for the TOWN and are not necessarily suitable for any future or other use. Failure by CONTRACTOR to deliver these documents to the TOWN within a reasonable time period or as specified by the TOWN shall be a material breach of this Agreement. TOWN and CONTRACTOR agree that until final approval by TOWN, all data, plans, specifications, reports and other documents are preliminary drafts not kept by the TOWN in the ordinary course of business and will not be disclosed to third parties without prior written consent of both parties. All work products submitted to the TOWN pursuant to this Agreement shall be deemed a "work for hire." Upon submission of any work for hire pursuant to this Agreement, and acceptance by the TOWN as complete, non- exclusive title to copyright of said work for hire shall transfer to the TOWN. The compensation recited in Section 4 shall be deemed to be sufficient consideration for said transfer of copyright, CONTRACTOR retains the right to use any project records, documents and materials for marketing their professional services. g. CONTRACT ADMINISTRATION. The TOWN hereby designates the City Clerk and the City Manager as Contract Administrator for this agreement. The CONTRACTOR shall only take direction regarding the services provided under this Agreement from the Contract Administrator. Furthermore, CONTRACTOR agrees that the Contract Administrator shall be included any meeting, teleconference or written communication between any Town representative including Committee members and the CONTRACTOR., The TOWN may modify the Contract Administrator at any time upon providing written notice to the CONTRACTOR. h. ENTIRE AGREEMENT. This Agreement represents the entire agreement between the Parties. Any ambiguities or disputed terms between this Agreement and any attached Exhibits shall be interpreted according to the language in this Agreement and not the Exhibits. 6. INVOICING. Send all invoices to the contract coordinator at the address below. This Agreement shall become effective upon its approval and execution by TOWN. In witness whereof, the parties have executed this Agreement the day and year first written above. CONTRACT COORDINATOR and representative for TOWN: Arika Birdsong -Miller City Clerk Town of Los Altos Hills 26379 Fremont Road Los Altos Hills, CA 94022 CONTRACTOR: Gladwell Governmental Services, Inc. By: '��� 1/3/2024 Signature Date Diane R. Gladwell, President Print name, Title TOWN F L ALT S HILLS: By: _ a Peter Pirnejad ity Manager To: CONTRACTOR From: Town of Los Altos Hills Re: Agreement Transmittal Memo Enclosed, please find the following documents: AGREEMENT — If you require a fully executed, signed original of the Agreement for your records, please photocopy the Agreement prior to signing the enclosed document. Return both originals with your signature to the Town and a fully executed Agreement will be returned. IRS FORM W-9 — Request for Taxpayer Identification Number (TIN) and Certification. This form is required for all vendors of the Town and it is important that you provide the Town with the correct TIN. If your company is a: Sole Proprietorship - The taxpayer identification number must be the social security number of the sole proprietor. Lola Partnerships or Corporations — The taxpayer identification number must be the employer identification number issued to the partnership or corporation. Once all documents have been completed, please return the signed Agreement(s) and IRS Form W-9 to the following address: Town of Los Altos Hills Contracts 26379 Fremont Road Los Altos Hills, CA 94022 AGREEMENT THIS AGREEMENT is made and entered into on the day of July 2024 by and between the TOWN OF LOS ALTOS HILLS (hereinafter referred to as "TOWN") and Northern California Fire Protection Services (hereinafter referred to as "CONTRACTOR"). In consideration of their mutual covenants, the parties hereto agree as follows: 1. CONTRACTOR. Shall provide or furnish the following specified services and/or materials: • Perform a Five Year Test as required by the State of California Fire Marshall. 2. EXHIBITS. The following attached exhibits are hereby incorporated into and made a part of this Agreement: EXHIBIT A — Proposal from contractor dated July 2, 2024. 3. TERMS. The services and/or materials furnished under this Agreement shall commence July 8, 2024 and shall be completed by July 30, 2024, unless terminated pursuant to Section 5(f). 4. COMPENSATION. For the full performance of this Agreement: a. TOWN shall pay CONTRACTOR an amount not to exceed one thousand nine hundred sixty five dollars($1,965.00) within thirty (30) days following receipt of invoice and completion/delivery of services/goods as detailed in Sections 1, 2, and 3 of this Agreement and only upon satisfactory delivery/com-pletion of goods/services in a manner consistent with professional/industry standards for the area in which CONTRACTOR operates. TOWN is not responsible for paying for any work done by CONTRACTOR or any subcontractor above and beyond the not to exceed amount. b. Town shall not reimburse for any of CONTRACTOR's costs or expenses to deliver any services/goods. Town shall not be responsible for any interest or late charges on any payments from Town to CONTRACTOR. c. CONTRACTOR is responsible for monitoring its own forces/employees/agents/ subcontractors to ensure delivery of goods/services within the terms of this Agreement. TOWN will not accept or compensate CONTRACTOR for incomplete goods/services. Town of Los Altos Hills Page 1 of 5 Short form Updated 4/26/22 5. GENERAL TERMS AND CONDITIONS. a. HOLD HARMLESS. CONTRACTOR agrees to indemnify, defend and hold harmless the TOWN, its officers, agents and employees from any and all demands, claims or liability of personal injury (including death) and property damage of any nature, caused by or arising out of the performance of CONTRACTOR under this Agreement. With regard to CONTRACTOR'S work product, CONTRACTOR agrees to indemnify, defend and hold harmless the TOWN, its officers, agents and employees from any and all demands, claims or liability of any nature to the extent caused by the negligent performance of CONTRACTOR under this Agreement. b. INSURANCE. CONTRACTOR shall file with the TOWN a certificate of insurance before commencing any services under this Agreement as follows: WORKERS COMPENSATION INSURANCE: Minimum statutory limits. COMMERCIAL GENERAL LIABILITY AND PROPERTY DAMAGE INSURANCE: General Liability and Property Damage Combined. $1,000,000.00 per occurrence including comprehensive form, personal injury, broad form personal damage, contractual and premises/operation, all on an occurrence basis. If an aggregate limit exists, it shall apply separately or be no less than two (2) times the occurrence limit. iii. AUTOMOBILE INSURANCE: $1,000,000.00 per occurrence. iv. ERRORS AND OMISSIONS INSURANCE: $1,000,000.00 aggregate. v. NOTICE OF CANCELLATION: The City requires 30 days written notice of cancellation. Additionally, the notice statement on the certificate should not include the wording "endeavor to" or "but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives." vi. CERTIFICATE OF INSURANCE: Prior to commencement of services, evidence of insurance coverage must be shown by a properly executed certificate of insurance and it shall name "The Town of Los Altos Hills, its elective and appointed officers, employees, and volunteers" as additional insureds. vii. To prevent delay and ensure compliance with this Agreement, the insurance certificates and endorsements must be submitted to: Town of Los Altos Hills Page 2 of 5 Short form Updated 4/26/22 Town of Los Altos Hills 26379 Fremont Road Los Altos Hills, CA 94022 c. NON-DISCRIMINATION.. No discrimination shall be made in the employment of persons under this Agreement because of the race, color, national origin, age, ancestry, religion or sex of such person. d. INTEREST OF CONTRACTOR. It is understood and agreed that this Agreement is not a contract of employment and does not create an employer-employee relationship between the TOWN and CONTRACTOR. At all times CONTRACTOR shall be an independent contractor and CONTRACTOR is not authorized to bind the TOWN to any contracts or other obligations without the express written consent of the TOWN. 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 TOWN. e. CHANGES. This Agreement shall not be assigned or transferred without advance written consent of the TOWN. No changes or variations of any kind are authorized without the written consent of the City Manager. This Agreement may only be amended by a written instrument signed by both parties. f. TERMINATION. This Agreement may be terminated by TOWN upon seven (7) days written notice to CONTRACTOR. Monies owed for work satisfactorily completed shall be paid to CONTRACTOR within 14 days of termination. g. RECORDS. All reports, data, maps, models, charts, studies, surveys, calculations, photographs, memoranda, plans, studies, specifications, records, files, or any other documents or materials, in electronic or any other form, that are prepared or obtained pursuant to this Agreement and that relate to the matters covered hereunder shall be the property of the TOWN. CONTRACTOR hereby agrees to deliver those documents to the TOWN at any time upon demand of the TOWN. It is understood and agreed that the documents and other materials, including but not limited to those described above, prepared pursuant to this Agreement are prepared specifically for the TOWN and are not necessarily suitable for any future or other use. Failure by CONTRACTOR to deliver these documents to the TOWN within a reasonable time period or as specified by the TOWN shall be a material breach of this Agreement. TOWN and CONTRACTOR agree that until final approval by TOWN, all data, plans, specifications, reports and other documents are preliminary drafts not kept by the TOWN in the ordinary course of business and will not be disclosed to third parties without prior written consent of both parties. All work products submitted to the TOWN pursuant to this Agreement shall be deemed a "work for hire." Upon submission of any work for hire pursuant to this Agreement, and acceptance by the TOWN as complete, non- exclusive title to copyright of said work for hire shall transfer to the TOWN. The compensation recited in Section 4 shall be deemed to be sufficient consideration Town of Los Altos Hills Page 3 of 5 Short form Updated 4/26/22 for said transfer of copyright. CONTRACTOR retains the right to use any project records, documents and materials for marketing of their professional services. h. CONTRACT ADMINISTRATION. The TOWN hereby designates the Utility Engineering Manager and the City Manager as Contract Administrator for this agreement. The CONTRACTOR shall only take direction regarding the services provided under this Agreement from the Contract Administrator. Furthermore, CONTRACTOR agrees that the Contract Administrator shall be included any meeting, teleconference or written communication between any Town representative including Committee members and the CONTRACTOR. The TOWN may modify the Contract Administrator at any time upon providing written notice to the CONTRACTOR. i. ENTIRE AGREEMENT. This Agreement represents the entire agreement between the Parties. Any ambiguities or disputed terms between this Agreement and any attached Exhibits shall be interpreted according to the language in this Agreement and not the Exhibits. 6. INVOICING. Send all invoices to the contract coordinator at the address below. This Agreement shall become effective upon its approval and execution by TOWN. In witness whereof, the parties have executed this Agreement the day and year first written above. CONTRACT COORDINATOR and representative for TOWN: Melissa Elian Assistant Engineer Town of Los Altos Hills 26379 Fremont Road Los Altos Hills, CA 94022 CONTRACTOR: By: a 7/9/24 Signature Date Eddie Rodriguez Print name, Title TOWN LOS By: Peter PirnE S HI Manager Date Town of Los Altos Hills Page 4 of 5 Short form Updated 4/26/22 NORTHERN CALIFORNIA FIRE PROTECTION SERVICES, INC. 16840 Joleen Way Bldg #A -Morgan Hill, Ca. 95037 Office: (408)-776-1580 Fax: (408)-776-1590 License # C16-688213 PROPOSAL#T-70224-145 July 2, 2024 PROPOSAL SUBMIT TO: WORK TO BE PERFORMED AT: Town of Los Altos Hills Heritage House 26379 Fremont Road 26379 Fremont Road Los Altos Hills, Ca. 94022 Los Altos Hills, Ca. 94022 T-650-947-2517 F-650-941-3160 Attn: Melissa Elian-Carrillo melian-carrillonlosaltoshills.ca.gov NORTHERN CALIFORNIA FIRE PROTECTION SERVICES is pleased to submit this proposal to the individual or firm named above, hereafter referred to as the customer and agrees to provide labor and equipment to: Perform a Five Year Test as required by The State of California Fire Marshall per 2013 California edition (based on NFPA 25, 2011 edition) Scope of work: 1. Test, Service and Inspection of the fire sprinkler system and components as directed by codes and regulations. 2. Includes complete inspection of sprinklers, piping, bracing etc., riser alarm check valve service/interior inspection, riser & branch line interior obstruction investigation/inspection, exercise control valves lube & service valves and main drain/ tamper/alarm test. 3. The customer agrees to allow up to $750.00 for miscellaneous repairs in order to certify system. This provision is to conserve the customer a return trip charge, and will only be used if necessary. 4. Work to be performed during normal business hours 7:30am-400pm M -F System type: Residential wet -pipe automatic sprinkler system. Notes & Exclusions 1. This proposal is based a one -time -only agreement for the five-year test of the fire sprinkler/standpipe system(s) at the above referenced job location. 2. Certification upon fire sprinkler/standpipe system(s) compliance only. 3. System(s) shall be inspected and tested in strict accordance with NFPA 25 2013 California edition (as amended by CCR, Title 19) 4. All System(s) meeting the requirements of NFPA 25 2013 California edition (as amended by CCR, Title 19) shall be properly tagged, at the conclusion of each inspection, with the approved tags noting the date and technician performing the inspection. System(s) must be free from deficiencies prior to the placement of said tag. 5. When the test is complete a California State Report will be generated and sent to the customer by mail or electronic mail. 6. If any code compliance repair work is required by NFPA 25, Nor -Cal Fire will include a repair quote with the report. 7. Payment is due for services after the initial test is completed. 8. If the customer chooses to use another contractor to do any required repair work and/or we are not provided access to all areas for inspection, a re -inspection fee of these areas and items not corrected will be required. 9. Repairs needed in excess of $750.00 will require written approval by customer. 10. All electrical work needed to be done by others 11. Customer to provide complete and total uninterrupted access to all areas at time of inspection or a return inspection fee will be charged. 12. If customer misses their scheduled appointment or access to building is not provided at time of service there will be a $350.00 trip charge. Expedite Option: If you need to expedite service, to have started within 7 working days, additional fee will be $475.00 Initial here: X PAYMENT: THE CUSTOMER AGREES TO PAY THE SUM OF 1,490.00. PAYMENT IS DUE IN FULL ON RECEIPT OF INVOICE AND MUST BE RECEIVED WITHIN 30 DAYS OF THE INVOICE DATE. ALL OVERDUE ACCOUNTS ARE SUBJECT TO A 1.5% MONTHLY INTEREST CARRYING CHARGES. THE UNDERSIGNED HAS READ THIS PROPOSAL, HEREBY AUTHORIZES NORTHERN CALIFORNIA FIRE PROTECTION SERVICES TO PROCEED WITH THE WORK. Eddie Rodriguez 7/2/24 DATE ACCEPTED BY: DATE *PLEASE SIGN AND RETURN TO SCHEDULE * Form W=9 Request for Taxpayer (Rev. October 2018) Identification Number and Certification Give Form to the requester. Do not Department of the Treasury Internal Revenue Service b� Go to wwwdrs,gov/ForrmW9 for instructions and the latest information. send to the FRS. 1 Name (as shown on your Income tax return). Name is required on this line; do not leave this line Dank, Northern California Fire Protection Services, Inc. 2 Business name/disregarded entity name, If different from above C6 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not Individuals; see 0' o ElIndividual/sole proprietor or M C Corporation El Corporation ❑ Partnership ❑ Trust/estate Instructions an page 3): ai 0 single -member LLC ❑ Limited liability Exempt payee code (If any) , tt company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) h o J rn Note: Check the appropriate box In the line above for the tax classification of the single -member owner. Do not check LLC if the LLC Is classified as a single -member LLC that Is disregarded from the owner unless the owner of the LLC Is Exemption from FATCA reporting danother LLC that Is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that code (if any) -0 is disregarded from the owner should check the appropriate box for the tax classification of Its owner. 8 ❑ Other (see Instructions) I► (Applies to accounts maintained outside the U.S.) (0 5 Address (number, street, and apt, or suite no.) See Instructions. Requester's name and address (optional) A 16840 Joleen Way Bldg. #A 6 City, state, and ZIP code Morgan Hill, Ca. 95037 7 List account number(s) here (optional) millmadmi—J luGrrunGquVniVumber(iii11 Enter your TIN in the appropriate box, The TIN provided must match the name given on line 1 to avoid social security number backup withholding. For individuals, this Is generally your social security number (SSN). However, fora resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it Is your employer identification number (EIN). If you do not have a number, see How to get a TiN, later. or Note: if the account is in more than one name, see the instructions for line 1. Also see What Name and LBmploye, identification number Number To hive the Requester for guidelines on whose number to enter. I "I --I M©©0©0ORE Under penalties of perjury, I certify that; 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2.1 am not subject to backup withholding because; (a) I am exempt from backup withholding, or (b)1 have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA codes) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above If you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return, For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the Instructions for Part II, later, aiyn I signature of I Here I U.S. person 4!1 Date ► 1/9/2024 General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest Information about developments related to Form W-9 and Its instructions, such as legislation enacted after they were published, go to wwwJrs,gov/FormW9. Purpose of Form An Individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer Identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an Information return, Examples of Information returns include, but are not limited to, the following. • Form 1099 -INT (Interest earned or paid) • Form 1099 -DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of Income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-8 (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage Interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-0 (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN, it you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Formes -9 (Rev. 10-2018) ACC> " CERTIFICATE OF LIABILITY INSURANCE �� D/YYYY) DAT7/10/2024 7/10/2 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 pollcy(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 Marsh &McLennan Agency LLC Marsh &McLennan Ins Agency LLC 1255 Treat Blvd #950 CONTACT NAME: Felicia MCArO PHONE FAX N E : 925-482-9337 A/c No):925 482-9390 E-MAIL Felicia.McAroy@MarshMMA.com INSURERS AFFORDING COVERAGE NAIC# Walnut Creek CA 94597 INSURER A: Everest Indemnity Insurance Company 10851 Licen e : OH18131 INSURED NORTHCALIFI Northern California Fire Protection 16840 Joleen Way, Bldg A een INSURER B : Everest Denali Insurance Company 16044 INSURER C: Insurance Company of the West 27847 INSURER D ; Morgan Hill, CA 95037 INSURER E : PRODUCTS - COMP/OP AGG $ 2,000,000 INSURER F : B COVERAGES CERTIFICATE NUMBER: 450070177 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCEADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR X BI/PD Ded: $1000 Y N 61GLO15383231 10/1/2023 10/1/2024 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES a occurrence) $100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT F—] LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIREDX NON -OWNED AUTOS ONLY AUTOS ONLY comp/Coll: $1,000 Ded. N N 51CAD00682231 10/1/2023 10/1/2024 COMBINED SINGLE LIMIT $1,000,000 Ea accident X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTYDAMAGE $ Per accident X $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N 51CCO05835231 10/1/2023 10/1/2024 EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 DED X RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANYPROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? F9 (Mandatory in NH) If as, describe under DESCRIPTION OF OPERATIONS below N / A N WSD507347900 10/1/2023 10/1/2024 X STATUTE EORH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Errors & Omissions N N 51GLO15383231 10/1/2023 10/1/2024 $1,000,000 Ea. Claim $10,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) The Town of Los Altos Hills, their elective and appointed officers, employees, and volunteers are included as additional insured per the attached endorsements. CERTIFICATE HOLDER CANCELLATION The Town of Los Altos Hills 26379 Fremont Road Los Altos Hills CA 94022 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY #: 51GLO16383231 EFFECTIVE: 11111/2023 EXPIRATION: 1111112024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EFULLY. This endorsement modifies insurance, provided under the following: COMMERCIAL M, MERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/C0,10PLETED OPERATION$! LIABILITY COVERAGE PART OCKDoLt Name Of Additional Insured Person(s)Or Orga nization(s). Location And Description Of Completed Operations Where Required By Written Contract Where Required By Written Contract Information required to complete this Schedule, `if not shown above" will be shown In the Declarations. A. Section 11 — Who Is An Insured is: amended to Include as an additional insured. the, person (0) or organization(s) shown in the Schedule, but only with respect to liability r ty for "bodily injury,", or `"property damage" caused, n whole or in park, by "yoor work" at the lccation designated and described in the Schedule of this en,dorsement performed for that additional insured and included in the "produots-,completed operations hazard". However'. 1. The insurance afforded to such additional insured only applies, to, the extent permitted by law; and - 2. If coverage provided to the additionalinsured is required by a contrao or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement tot provide for such additional insured. B. With respect to, the insurance afforded to these additional insureds, the following is added to. Section III --Limits Of Insurance-., If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract oragreemen.t;. or 2. Available, under the applicable Limits of Insurance showri, in the Declarations' whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CQ 20 37 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY #: 51GLO16383231 EFFECTIVE: 1011112023 EXPIRATION: 1110112024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMS] 01 k 0 _kTA" 0 0 This endorsement modifies insurance provided under the fol.lowing, COMMERCIAL GENERAL LIABILITY COVERAGE. PART SCHEDULE Name Of Addiflonpi lInspred, . Person($) Or Organjzqt1on(,!0; Location(s) Of Covered Operations Where Required By Written Contract Where Required By Written 'Contract Information required to complete this ,.Schedule, Jf not shown above,,willbe shown in the Declarations., A. 600110h 11 — Who Is An Insured is amended to include as, an additional insured the persons} Or organizations) shown in the Schedule, but only with respect to liability for "bodily injury" "Property damage" or "personal and, �advertising i , njury caused, in whole or in parl, by,: 1, Your acts or omissions; or 2'. The acts or omissions of those acting, on your behalf; in the performance of your ongoing operations for , ,the additional insured(s) at. the looation(s) designated above. However: I. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If cove'na , ge. provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide. for such additional insured, , B. With respect to the insuranceaffordedto these additional Insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: I All work, including materials, parts., or equipment furnished in connection with such Work, on the project (other than service,, maintenance, or repairs) to be performed. by or on behalf of the additional insured(s) at the location of the covered qperatio�ns, has been, completed or 2. That portion :Of "your work." out of which the. Injury or damage. 'arises has been out to its intended use by any person. or Organization other than, another contractor or suboohtra0tor engaged in performing operations, for a principal as a. part of the some Project. C. With respect to the insurance afforded to, these additional insureds, the following is added to Section III —Linilits Of Insur6n6o*. If coverage provided r to the additional insured Is required by a contract or agreement, the most we will pay on behalf of the additionalinsured is the amount of insurance:. 1.. Required by the contract oragreerne,nt; or 2. Available under the, applicable Limits, of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 2010 0413 Q Insurance Services Office, Inc., 2012 Page 1 of 1