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HomeMy WebLinkAboutGovernment Technology Group LLCAGREEMENT THIS AGREEMENT is made and entered into on the � day of L`&(" 'b&,, 2024 by and between the TOWN OF LOS ALTOS HILLS (hereinafter referred to as "TOWN") and Government Technology Group, LLC (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: Support the Town with broadband consultant technical services on an as -needed basis. 2. EXHIBITS. The following attached exhibits are hereby incorporated into and made a part of this Agreement: Proposal from CONTRACTOR (Exhibit A) 3. TERMS. The services and/or materials furnished under this Agreement shall commence October 4, 2024, and shall be completed by December 31. 2026, 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 Ten Thousand dollars and zero cents ($10,000.00) 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. 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 snort form Page 2 of 5 Updated 4/28/22 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. 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 Town of Los Altos Hills Page 3 of 5 Short forth Updated 42622 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 [insert applicable staff title] 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: WooJae Kim Public Works Director Town of Los Altos Hills 26379 Fremont Road Los Altos Hills, CA 94022 CONTRACTOR: it By: - &1 `lb Signat r Date (Print name and title) TOWN'dF LQS ALTOS HILLS: 0 Peter Pirnej*,/City Manager Town of Los Altos Hills snonrorm Page 4 of 5 upaatea 4r26122 Government Technology Group Turlock, CA 95382 ♦ 209.678.3077 ♦ Proiects(a)GovTechGroup.net Proposal for Broadband Consulting Services to LOS ALTOS HIIJIWQ CALIFORNIA Town of Los Altos Hills 26379 Fremont Rd Town of Los Altos Hills, CA 94022 From GOVERNMENT TECHNOLOGY GROUP, LLC 2930 Geer Rd, Suite 273 Turlock, CA 95382 (209) 678-3077 Jeff(a.GovTechGroup.net Copyright© ♦ Government Technology Group ♦ 2024 ♦ All rights reserved. P a a e 1 1 Government Technology Group Turlock, CA 95382 1209.678.3077 1 Proiects cr GovTechGroua.net Summary • Type of Service: Broadband Consultation Services to the Town of Los Altos Hills • Cost of Services: Time/plus travel expenses (when applicable) • Consultation Rate: $195.00 per consultant hour • Not to exceed: $10,000.00 • Contract Start Date: Issuance of a purchase order • Contract End Date: As contractually agreed upon Abstract To support the Town of Los Altos Hills with broadband consultant technical services on an as needed basis. Copyright© ♦ Government Technology Group ♦ 2024 ♦ All rights reserved. P a g e 12 Government Technology Group Turlock, CA 95382 ♦ 209.678.3077 ♦ Proiects(&GovTechGroup.net Firms Qualifications Government Technology Group LLC (GTG) was formed in 2019 when Priest Consulting (with 10 years of consulting services) merged with the Government Technology Group. Its principals have more than 70 years of professional technology experience combined. After 20 plus years of joint inter -agency cooperation, consulting and personal collaboration with each other and their respective agencies' technologies, this group of former Bay Area CIO's expanded a technology consulting firm and specializes in government technology challenges. The team we have put together has assisted a number of clients with broadband planning, smart city initiatives, IT assessments, strategic planning, and master plans including Santa Barbara, Hayward, Fremont, EI Monte, Merced, Modesto, Concord, Vacaville, DSRSD, Housing Authority of Santa Clara County, Housing Authority of Alameda, and the Greater Vallejo Recreation District to name a few. Litigation History: GTG has not had any litigation since its inception. Our expertise includes planning and implementation of complex, fiber optic systems including funding. Areas where we have assisted agencies include: Broadband Planning Design Engineering Broadband Master Plans Conventional Design -Bid -Build Feasibility studies Design -Build Fiber Master Plans Performance Specifications Needs Assessments Value Engineering Funding Sources Cost Estimating Policy Constructability Review Turnkey Implementation Construction Sequencing And Project Management Constraints Fieldwork Fiber Optic High Level Design Smart City Advisory Services Network Infrastructure Public Wi-Fi Enterprise Network Architecture Emerging Technologies Network Operations & Engineering Smart Parking SCADA WAN & IP Network Engineering Smart Transportation Availability & Capacity Management Smart Public Safety Contingency Planning/ Business Smart Utilities Resumption Internet of Things Security Administration — Zero Trust Firewall/VPN/I DP/Antivirus/ AntiSpyWare/AntiMalware/Web Filtering Internet Service Provision Telephony - Voice - Telephones — Cell Phones - Call Center - Presence Messaginri n Copyright© ♦ Government Technology Group ♦ 2024 ♦ All rights reserved. P a g e 13 Government Technology Group Turlock, CA 95382 ♦ 209.678.3077 ♦ ProiectsAGovTechGroua.net Management Information Systems System Administration Data Warehousing Windows System Administration Business Intelligence File and Print Services Management Dashboard Microsoft Office 365 Cloud Local & Cloud Directory Services Technical Workforce Management Administration Enterprise Resource Planning (ERP) Server Configuration Management SQL Database Operations & Storage Area Network Administration Administration ECMS (Enterprise Content Software Training Management) System Administration Internet Websites Application & Storage Virtualization SharePoint Exchange Messaging Operations CMMS Asset Management Backup Operations Desktop and Mobile Hardware & Software Software Licensing Application Administration Application Support and Administration Application Change/Release Management Application Integration Application Configuration Reporting Programming eO&M Automated Meter Infrastructure Secure Utility Billing and Permitting Customer Internet Portals Help Desk Management Copyright© ♦ Government Technology Group ♦ 2024 ♦ All rights reserved. P a 7 c 14 Government Technology Group Turlock , CA 95382 ♦ 209.678.3077 ♦ Pro iectsAGovTechGroup.net Project Team Qualifications Government Technology Group Project Team GTG will assign Jeff Lewis as the Primary Consultant, with Robert Beckler, Bill Pugh and Dave Gonsalves as Subject Matter Experts (SME)/Senior Consultants to the project. GTG will also partner with Young Fiber and Subject Matter Expert (SME) Preston Young to expand our expertise. Jeff Lewis, MPA, PMP, CGEIT — Project Manager Jeff Lewis is a veteran in the field of Information Technology and has a career that spans over thirty- eight years in public, private, and non-profit sectors including positions in local government, medical, and technology consulting. He has served as Chief Information Officer for multiple local government and non-profit agencies, is a founding member of the Government Technology Group (www.GovTechGroup.net) and has served as the Director of Smart Region Initiative at Joint Venture Silicon Valley. As a CIO Jeff has led Smart City, broadband, technology strategic and GIS planning, enterprise architecture, policy, and research initiatives for local government including building fiber optic systems in three agencies over a span of twenty plus years. Robert Beckler — Project Manager and GIS Subject Matter Expert Robert Beckler is a retired municipal IT Manager working in the public sector for his entire career, which spans more than 30 years. His duties include serving as GIS Coordinator for a regional transportation planning agency (Merced County Association of Governments (MCAG)) and a large municipality (City of Modesto, CA), as well as Public Safety IT Manager while employed by the City of Concord, CA. Mr. Beckler is currently an independent technology consultant offering a wide range of technical expertise coupled with strong IT management abilities including project management, public speaking, geographical information systems, broadband and strategic planning. David B. Gonzalves, CBO, Director Public Infrastructure Advisor and Construction Inspector, Planning Subject Matter Expert David B. Gonzalves is a seasoned professional in the public sector, bringing over 30 years of experience in project delivery and oversight of engineering, capital, and construction projects. As a Certified Inspector and Building Official, he has extensive expertise in managing public sector initiatives. His career includes long-standing roles with the County of Merced, City of Merced, Tuolumne County, UC Merced, UC ANR, and the City of Salinas. Currently, Mr. Gonzalves is a consultant with a broad technical portfolio. His areas of expertise include public speaking, project management, construction management and inspections, and planning. Copyright© ♦ Government Technology Group ♦ 2024 ♦ All rights reserved. P a b e 15 Government Technology Group Turlock, CA 95382 ♦ 209.678.3077 ♦ Proiects(&GovTechGroup.net Preston Young - Senior Advisor/Consultant — Fiber Optic Expert Preston Young has worked in construction management, project, and program management, and been part of and managed internal teams of 10+ as well as vendor teams. He has been responsible for communications to executive level management on project status and risk management. The main area of his career has been focused on broadband deployment through fiber optics and fiber optic networking. Mr. Young is an accomplished and respected Senior Broadband Consultant who is passionate about creating a culture of integrity and excitement in an organization. He is recognized for accelerating operational initiatives while partnering with senior executives in defining long-term initiatives, goals, and objectives. Bill Pugh, Smart City Consulting Expert Mr. Pugh has over 25 years of experience in wired/wireless strategy of platform development and deployment of networking technologies for several private and public companies. Most recently over the past 7 years, working with cities on strategies for executing Smart City initiatives around Street lights, Smart Parking, Intelligent Traffic and Security. Several technologies include, but not limited to; • Wireless solutions • Digital Twins • Distributed Ledger Technologies • Standards and Interoperability • Cloud strategy and distributed Networking Copyright© ♦ Government Technology Group ♦ 2024 ♦ All rights reserved. P a g e 16 Fom -9 Request for Taxpayer Give form to the (Kati. October 2007) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. internal Revenue Samce 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 Name (as shown on your income tax return) N Dots 110 - General General Instructions m O1 Business name, 4 different from above considered a U.S. person if you are: otherwise noted. a An Individual who Is a U.S. citizen or U.S. resident alien, Purpose Form m �L Check appropriate box: pprop ❑ Individual/Sole proprietor ❑ Corporation ❑ Partnership Exempt P A person who is required to file an information return with the ❑ Limited liability company. Enter the tax classification (D-dfsregarded entity, C=corporation. Partnership) ► ------- ❑ payee I ❑ Cther (see matrucfirns) ► to report, for example, income paid to you, real estate e A domestic trust (as defined in Regulations section Address (number, street, and apt, or suite no.) Requester's name and address (optional) a --- - - Town of Los Altos Hills g�c tiles for partnerships Partnerships that conduct a is City, state, and ZIP code 26379 Fremont Road resident alien), to provide your correct TIN to the person from such business. Further, in certain cases where a Form W-9 i Los Altos Hills, CA 94022 has not been received, a partnership is required to presume that List account number(a) here (optional) a partner is a foreign person, and pay the withholding tax, e Taxpayer Idenfification Number (TIN) 2. Certify that you are not subject to backup withholding, or Fetter 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 your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a 77N on page 3. or Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer idemification number number to enter. 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) I 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. 1 am a U.S. citizen or other U.S. person (defined below). Certiflcatlon 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 on page 4. Sign signature of Here I U.S. person ► Dots 110 - General General Instructions Dettinition of a U.S. person. For federal tax purposes, you are Section references are to the Internal Revenue Code unless considered a U.S. person if you are: otherwise noted. a An Individual who Is a U.S. citizen or U.S. resident alien, Purpose Form e A partnership, corporation, company, or association created or of organized in the United States or under the laws of the United A person who is required to file an information return with the States, IRS must obtain your correct taxpayer identification number (TIN) a An estate (other than a foreign estate), or to report, for example, income paid to you, real estate e A domestic trust (as defined in Regulations section transactions, mortgage Interest you paid, acquisition or 301.7701-7). abandonment of secured property, cancellation of debt, or contributions you made to an IRA g�c tiles for partnerships Partnerships that conduct a Use Form W-9 only if you are a U.S. person (including a trade or business in the United States are generally required to pay a withholding tax on any foreign partners' share of income resident alien), to provide your correct TIN to the person from such business. Further, in certain cases where a Form W-9 requesting it (the requester) and, when applicable, to: has not been received, a partnership is required to presume that 1. Certify that the TIN you are giving is correct (or you are a partner is a foreign person, and pay the withholding tax, waiting for a number to be issued), Therefore, If you are a U.S. person that is a partner in a 2. Certify that you are not subject to backup withholding, or partnership conducting a trade or business in the United States, provide Farm W-9 to the partnership to establish your U.S. 3. Claim exemption from backup withholding If you are a U.S. status and avoid withholding on your share of partnership exempt payee. if applicable, you are also certifying that as a income. U.S. person, your allocable share of any partnership Income from a U.S. trade or business is not subject to the withholding tax on The person who gives Form W-9 to the partnership for foreign partners' share of effectively connected income. purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership Note. If a requester gives you a form other than Form W-9 to conducting a trade or business In the United States Is In the request your TIN, you must use the requester's form if it Is following cases: substantially, similar to this Form W-9. a The U.S. owner of a disregarded entity and not the entity, Cat. No. 10231X Form W-9 (Rev. 10-2007) A4CC) a CERTIFICATE OF LIABILITY INSURANCE 411.� DATE(MM/DD/YYYY) EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 10/08/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must 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 NAME: Steve Mayfield insureCAL Insurance Agency a/c No Ext : (209) 250-0269 C No): (209) 633-5799 E-MAIL @ ADDRESS: info@insurecal.com 3508 Dale Rd INSURERS AFFORDING COVERAGE NAIC # EACH OCCURRENCE $ 2,000,000 INSURERA: HISCOX INS CO INC 10200 Modesto CA 95356 INSURED INSURER B Government Technology Group LLC dba GTG INSURER C: 2930 Geer Rd INSURER D : STE 273 1 INSURER E : Turlock CA 95382 1 INSURER F: COVERAGES CERTIFICATE NUMBER: REVICInM MILIMPER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCE ADDL lNRn SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY(MM/DDIYYYYI POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F-1 OCCUR EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL a ADV INJURY $ 2,000,000 A P101.851.414.2 06/28/2024 06/28/2025 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ] PEC LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ ( ) HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED F RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? ❑ N I A STATUTE I ER EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) - r IVIV'+ I c nvwr_r% t;ANUtLLAI IUN 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 ACORO� CERTIFICATE OF LIABILITY INSURANCE `.�1 DATE(MM/DD/YYYY) 05/14/2024 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 Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA 5 Concourse ParkwayA/c Suite 2150 CONTACT NAME: PHONE$$$ 202.3007 FAX No Ext): ( ) A/c No): E-MAIL ADDRESS: contact@hiscox.com INSURER(S) AFFORDING COVERAGE NAIC# Atlanta GA, 30328 INSURER A: Hiscox Insurance Company Inc 10200 INSURED Government Technology Group LLC DBA GTG 2930 Geer Rd, Suite 273 INSURER B: INSURER C : EACH OCCURRENCE $ Turlock, CA 95382 INSURER D: INSURER E: INSURER F: 1_UVtKA1jt=5 CERTIFICATE NHMRFR- RFVIRInIu nlllnnrxl=ra• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC GENERALAGGREGATE $ PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITYMBINEDSINGLELIMIT W$ accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident $ ( ) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatoryin NH) If yes, describe under E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS below A Professional Liability P101.851.415.2 06/28/2024 06/28/2025 Each Claim:$ 2,000,000 Aggregate: S 2,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) IiCR 111-IIiH I C 1-IVLUtK GANGELLATION 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