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Home My WebLink AboutTask Order 10701.a SCADA Technical Support - CH2M Engineers Page 1 Memo To: CJ Coles, City Clerk, From: Keith Watts, Purchasing Manager CC: Adam Jennings, Laurelei McVey Date: 7/11/2017 Re: July 18 th City Council Meeting Agenda Item The Purchasing Department respectfully requests that the following item be placed on the July 18 th City Council Consent Agenda for Council’s consideration. Approval of Change Order No. 2 to Task Order 10701.a to CH2M Engineers, Inc. for the “SCADA TECHNICAL SUPPORT FY17” project for a Not-To-Exceed amount of $25,000.00. Recommended Council Action: Award of Change Order No. 2 to Task Order 10701.A to CH2M Engineers, Inc. for the Not-To-Exceed amount of $25,000.00. Thank you for your consideration. City of Meridian Purchasing Dept. E I DIAN�- Public IDAHO Works Department TO: Mayor Tammy de Weerd Members of the City Council FROM: Laurelei McVey Deputy Director of Utility Operations DATE: 7/10/17 Mayor Tammy de Weerd City Council Mernberso Keith Bird Joe Borton Luize Cavener Genesis Milam Anne Little Roberts Ty Palmer SUBJECT: Change Order #2- $25,000- SCADA Technical Support FY17 for Wastewater I. II III RECOMMENDED ACTION A. Move to: 1. Approve Change Order #2 in the amount of $25,000 to the SCADA Technical Support FYI Task Order with CH2M. 2. Authorize the Mayor to sign the change order. DEPARTMENT CONTACT PERSONS Laurelei McVey DESCRIPTION 985-1259 A. Background The City currently contracts out technical assistance for the ongoing programming, troubleshooting, repair and maintenance of the City's SCADA system. This work is highly technical in nature and is beyond the current scope and abilities of City staff. This work is critical to keep the SCADA system operationally functional. B. Reason for Chane Order The Wastewater Division entered into a task order for $25,000 for SCADA Technical Support in November 2016 for FYI 7. This task order is spent based on time and materials for each support service provided. The Division exhausted this original task order, and submitted Change Order #1 in April 2017 for an additional $25,000. This first change order has also been nearly exhausted. Page I of 2 There are additional SCADA technical support projects for the remainder of FY17 necessitating Change Order #2 in the amount of $25,000. Change Order #2 will bring the total task order value to $75,000 thus requiring Council approval. IV. IMPACT A. Strategic Impact: This project meets our mission requirements to achieve NPDES compliance and to provide automation and security for our Wastewater Division. B. Service/Delivery pact: If this change order is not approved, the Division will be unable to complete critical SCADA projects, repairs, and maintenance which could compromise plant performance and NPDES compliance. This work cannot be completed in house by current staff. C. Fiscal Impacts The funding for this change order comes from Wastewater Plant Maintenance (3510-53101) which has sufficient funding to cover this change order. V. ALTERNATIVES The City could choose not to approve this change order; however, this will result in critical SCADA technical support not being available for the remainder for FY17. VI. TIME CONSTRAINTS The Division has nearly spent all funds from Change Order #1. If Change Order #2 is not approved, the Division will not be able to utilize critical SCADA technical support services which could result in plant operational and NPDES compliance issues. Approved for Council Agenda Page 2 of 2 7 AD l Date --A,COfr'D MATETES.O2 U H CERTIFICATE OF LIABILITY INSURANCE 7111t2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZED REPRESENTATIVE OR PROOUCER, ANO THE CERTIFICATE HOLDER. rt ifi hate old Ittf thesDDTINALtoNIRSUDE st h AD tTl0 No L Np US RED s b ndolicy()orsedp It S DIVE 5 to the te s na d itnd t he ol c rtainb.iect I mres a n ndpv nt st ntatemepoayqu th s rtili doecate s not nf lo the rtiuhts cat ho td lieu h dorse s ! ll$uaER(sllE!:oEQlllc covERAGE NAlc, nsune8arCharterOallEitelrEulalcqlpmpany t*UfS llquRER B , Travelers Property Casualty Company of America 25674 CT No.l4)NE 20 5j Materials Testing & Inspoction, lnc. 2791 S Viclory View Way Boise, lD 83709 pRooucER License # 26480 HUB International Mountain States Limited 2600 Rose Hill, Suit€ 10't PO Box 5815 Boise, lD 83705 8) 4.3-!!!. [iI, *"r (a66) 8ea-neos JEUSEBq: INSURERD: COVERAGE TE ER CER NUMBER SION NUI'JIBER NC ON THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW INOICATED, NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITIO CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOR EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD N OF ANY CONTRACT OR OTHER DOCUMENTwlTH RESPECTTO WHICH THIS DED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS BEEN REDUCED BY PAID CLAIMS LllltlTS oaorrzore BAIhBE{?.!EJ5B""", s l4!1Eler41r!!c**. 1L I PF RSONAL & ADV INJURY t COMMERCIAL GENERAL LIAAIf ITY 1,000,000 cLAIMs-MADE f occu* E:ACH OCCURRENCE 6307800M02ACOF t 7 0410112017 ! x A x 300,00 0 5,000 GEML AGGREGATE LIMIT APPLIES PER: ],o,""lxI5PP; f I,oc $ 2,000,000 LG!!E84! ^GEBEGATE L PRooucrs colq/op4qql 1,000,000 2,OOO,OOO = fl SCHEDUTED AI.TTOSi trotrowrueol l Auros oNLY I aE. acc,denfl I [qgq,",*u"" 1"", o"oonl BODILY ITUURY lP€faccidenu l PfOPERIY DAII,I,AGEI- -t 'r,000,000 8't 07800[r02ATcT17 0410112017 04101t201A A P AUTOMOBILE LIABILITY COMBINEO SINGLE LIMIT OWNEO AUTOS ONLY s i x .*".r.l1 DED OCCUR 9rMlap! 3,000,000 RETENTIONS B xr:l 3J358't28EX0 AGGREGAIE $ $ 3,000,000rll 88C73675017 04t01t2017 04t01t2018 EASE - POL CY LM B H. uT] E L E]ACH ACC DENT EMEA o EYE 1,000,000 1,000,000 't,000,000 f r iBii-i I er.rt enoea ETorueAerNER/Execurrve QFF CE&1,|EMAER EACLIJOEO? WORKERS COMPENSATION AND EMP LOYERS' LIAB IL Iry VEHICLES(ACORo10t,AddronrtR6m.risSch.dute,maybeanch.d,lmore!D.cets.edu,redI l::.:l1lI:.r:..9._ l: 9"n€rat Ltabitiry ir r6quired b.y written cont-{CipEiii,iii 6oolrlo+oe inctudins primary andAuro-Lraorlrty ll roquirsd by wrltten contract por form CAT353. waivsr of Subrogation applios with-regardsio csneralp6r form cGD4r 50508 and appries wrth regards to Auto Liabirity if reqrir"a uy "rritt"n cont."ct per form cAT353. DESCRIPTION OF OPERATIONS / LOCAIIONS /Cenificate holder is an additionat inau Non-Contributory and with regards to Liabilily if required by written contract SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE Ige".Flilff [1p[,9il."o1?i""i5,.l[i,J:.wrr_eeDEL,v-eiio-,N-City of Meridian 33 East Broadway Avenue Meridlan, lO 83642-0000 k*X//"*AUTHORIZEO REPRESENIATIVE ACORD 2s (2016/03) rhe AcoRD name and roso are resistered ,"?*lnjrt;llt"lto*o "o*PORATION. All rights reserved t IMPORTANT: SUBROGATION I o4to,t I 2017 o 4l O't t2o1 I |r COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - WRITTEN CoNTRACTS (ARCHITECTS, ENGTNEERS AND SURVEYORS) This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION tl - WHO lS AN INSUREO: Any person or organization that you agree in a "wrilten conlracl requiring insurance" to include as an additional insured on this Coverage Part, but: a. Only with respecl to liability for "bodily injury", "property damage" or "personal in.iury"; and b. lf, and only to the extenl that, the iniury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written conlract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. The insurance provided to such additional insured is limited as follows: c. ln the event that the Limits ol lnsurance of this Coverage Part shown in the Declarations exceed lhe limits of liability required by the "written contract requiring insurance", the in- surance provided to the additional insured shall be limited to lhe limits of tiability required by that "written contract requiring insurance". This endorsement shall nol increase the limits of insurance described in Section lll - Limits Of lnsurance. d. This insurance does not apply to lhe render_ ing of or failure to render any ,,professional services" or construction management errors or omissions. e. This insurance does not apply to ,,bodily in_jury" or "property damage', caused by',yourwork" and included in the ,,products- completed operations hazard,, unless lhe ''written contract requiring insurance,' specifi_ cally requires you to provide such covetage for that additional insured, and then the insJr- ance provided to the additional insured ap_ plies only to such "bodily injury. or "property damage" that occurs before the end of the pe- riod of lime for which the "written contract re- quiring insurance'' requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following is added to Paragraph 4.a. of SEC- TION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured is excess over any valid and collectible "other in- surance", whether primary, excess, contingent or on any other basis, that is available to the addi- tlonal insured for a loss we cover. However, if you specifically agree in the'written contract requiring insurance" lhat this insurance provided to the ad- ditional insured under this Coverage part must apply on a primary basis or a primary and non- conlributory basis, this insurance is primary to "other insurance" avsllable to the additional in- sured which covers lhat person or organization as a named insured for such loss, and we will not share wilh that "other insurance". But this insur- ance provided to the additional insured still is ex- cess over any valid and colleclible ',olher insur- ance", whelher primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under any,,other insurance',. 3. The following is added to SECTION tV - COM- MERCIAL GENERAL LIABILITYCONOITIONS: Duties Of An Additional lnsured As a condition of coverage provided to the addi- tional insured: a. The additional insured must give us written notice as soon as practjcable of an ,,occur_ rence" or an offense which may result in aclaim. To the extent possible, such notice should include: cG D4 14 04 08 @ 2OO8 The Traveters Companies tnc Page 1 of 2 6: ^=- COMMERCIAL GENERAL LIABILITY i. How, when and wherc the "occurrence'' or offense took place; ii. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any iniury or damage arising out of the "occurrence" or offense. b. lf a claim is made or "suil" is brought against the additional insured, the additional insured musl: i, lmmediately record the specifics of the claim or "suit" and the date received; and ii. Notify us as soon as practicable. The additional insured musl see to i1 that we receive written notice of lhe claim or "suit" as soon as practicable. c. The addilional insured must immediately send us copies of all legal papers received in con- nection with the claim or "suit", coop€rate with us in the investigation or setllement of the claim or defense against the "suit", and olh- erwise comply with all policy conditions. d. The addilional insured musl tender the de- fense and indemnily of any claim or'suit" to any provider of olher insurance which would cover lhe additional insured for a loss we cover. However. this condition does nol affect whether this insurance provided t0 the addi- tional insured is primary to that other insur- ance available to the additional insured which covers that person or organization as a named insured. 4. The following is added to lhe DEFINITIONS Sec- tion: 'Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or or- ganization as an additional insured on this Cover- age Part, provijed that the "bodily iniury" and "property damage" occurs and the "personal in- iury" is caused by an offense committed: a. After the signing and execulion of the contract or agreement by you; b. While lhat part of the contracl or agreemenl is in effect: and c. Eefore the end ofthe policy period. 011693 Page 2 ot 2 O 2008 The T.avelers Companies, lnc.cG D4 14 04 08 CO IV!MERCIAL G ENERAL LIAB I LITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ARCHITECTS, ENGINEERS AND SURVEYORS INDUSTRY EDGE ", ENDoRSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILIry COVERAGE PART GENERAL DEscRlPTloN oF covERAGE - This endorsement broadens coverage. However, coverage for anyinjury, damage or medical expenses described in any of the provisions of this endorsement may be excluded orlimited by another endorsement to this coverage Parl, and these coverage broadening provisioni do not apply tothe extenl that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exctusions may apply to these coverages. Read ;ll the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and wtlat is and is not covered. A. Broadened Named lnsured B. lncidental Medical Malpractice C. Reasooable Force - Bodily lnjury Or property Damage O. Non-Owned Watercraft - lncreased To Up To 75 feet E. Aircrafl Chartered With Pilot F. Exlension Of Coverage - Damage To Premises Rented To You G. Personal lnjury - Assumed by Contracl H. lncreased Supplementary payments l. Additional lnsured - Owner, Manager Or Lessor Of Premises J. Additional lnsured - Lessor Of Leased Equip- ment K. Additional lnsured - state or potitical Subdivisions - permits Relating To premises L. Additional lnsured - State Or potilicat Subdivisions - permits Relating To Operations PROVTSTONS A. BROADENED NAMED INSURED - UNNAMED SUBSIDIARIES The Named lnsured in ltem L of the Declarations is amended as follows: The person or organization named in ltem 1. ofthe Declarations and any organizalion. other thena partnership, ioint venture, limited liabilily com_pany or trust. of which you are the sole owl.ler ortn whtch you maintain the majority ownership in-lerest on the effective date of the poticy. iow- a. R. s. B- ever, coverage for any such additional organiza_ tion will cease as of the date, if any, during thepolicy p€riod, that you no longer are the sole oMler. of, or maintain the majority ownership in_terest in. such organizalion. INCIDENTAL MEDICAL MALPRACTICE l. The fo owing is added to lhe deflnition of ,,oc- currence" in the DEFINITIONS Section: Unless you are in the business or occupalion of providing professional health care services,"occunence. also means an act or omission Who ls An lnsured - Newly Acquired Or Formed Organizations lnjury To Co-Employees And Co-Volunleer Workers Medical Payments Limit Knowledge And Notice Of Occunence Or Offense Other lnsurance Condition Unintentional Omission Waiver Of Transfer Of Rights Of Recovery Against Others To Us When Required By Contracl Amended Bodily tnjury Definilion Amended lnsured Contract Delinition - Rail- road Easement Additional Definition - Written Contract Re_ quiring lnsurance M. N. o. P. o: T U CG D4 15 OS 08 (Rev. j o-os)O 2008 The Travelers Companies lnc Page 1 of 8 COIVIVIERCIAL GENERAL LIABILIry committed by any of your "employees" who is employed by you as a registered nurse, li- censed practical nurse, emergency medical technician or paramedic, in providing or failing to provide "incidental medical services" or "Good Samaritan services" to a person. 2. The following is added to the DEFtNtTtoNs Section: a. "lncidental medical services" means medical, surgical, dental, laboratory, x-ray or nursing service, treatment, advice or inslruction; the relaled furnishing of food or beverages; the furnishing or dispens- ing of drugs or medical supplies or appli- ances; or flrst aid. b, "Good Samaritan services', means those medical servlces rendered or provided in an emergency and for which no remu- neration is demanded or received. 3. The following is added lo Paragraph 2.a.(1) of SECTION ll - WHO tS AN TNSURED Paragraphs (1) (a), (b), (c) and (d) above do not apply to any of your "employees" who are employed by you as a registered nurse, li- censed praclical nurse, emergency medical technician or paramedic but only while per- foming the services described in paragraph 1. above and while acting within lhe scope of their employment by you. Any such "employ- ees" rendering "incidental medical services" or "Good Samaritan services" will be deemed to be acting within the scope of their employ- ment by you. 4. The following exclusion is added to para- graph 2. Exclusions of SECTION I - COV- ERAGES - COVERAGE A BOOILY INJURY AND PROPERTY DAMAGE LIABILITY: Sale of Pharmaceuticals "Bodily injury" or ,'property damage,, arising out of the willful violation of a penal stalute or ordinance relating to the sale of pharmaceuti- cals commi(ed by or with the knolviedge or consent of the insured. 5. The following is added to paragraph 4.b., Ex_cess lnsurance, of SECTION lV _ COM_ MERCIAL GENERAL LIABILITY CONDI- TIONS: This insurance is excess over any valjd and collectible "other insurance,', whether primary, excess, contingent or on any olher basis, that is available to you or any of your ',employees,, for "bodily lnjury" that arises out of providing or Failing to provide "incidental medical ser- vices" or'Good Samaritan services", excepl for insuranc€ purchased specifically by you to apply in excess of the Limils of lnsuTance shown in the Declarations for this Coverage Part. 6. The following is added to Paragraph S. of SECTION III - LIMITS OF INSURANCE: For the purposes of determining the applica- ble Each Occunence Limit, all related acts or omissions committed by any of your "employ- ees" in providing or failing to provide "inciden- tal medical services" or "Good Samaritan ser- vices" to any one person will be deemed to be one "occurrence". C. REASONABLE FORCE PROPERTY DAMAGE - EXCEPTION TO EXPECTED OR INTENDED IN- JURY EXCLUSION The following replaces Exclusion a., Expected Or lntended lnjury, in Paragraph 2. of SECTTON I - COVERAGES - COVERAGE A BODILY IN- JURY AND PROPERTY DAMAGE LIABILITY: a. Expected Or lntended lnjury Or Damage 'Bodily in.iury" or "property damage" expected or intended from the standpoint of the in- sured. This exclusion does not apply to',bod- ily injury' or "property damage" resul{ing from the use of reasonable force to protect any person or properly. D. NONOWNEO WATERCRAFT - INCREASED TO UP TO 75 FEET '1. The following replaces paragraph (2) of Ex- clusion 9., Aircraft, Auto Or Watercraft, in Paragraph 2. of SECTTON | - COVERAGES - COVERAGE A BODILY INJURY AND PROPERTY DAMAGE UABILITY: (2) A watercran you do not own that is; (a) Less than 75 feet longi and (b) Not being used to carry any person or property for a charge. 2. The following is added to SECTTON _ WHO IS AN INSURED: Any person who, with your expressed or im_ plied consent, either uses or is responsible for the use of a oonowned walercrafl that is less than 75 feet and not being used to carry per- son or property for a charge is included as an insured under this Coverage pa(. Page 2 of 8 O 2006 The Traveters Companies, lnc_CG D4 15 05 08 (Rev 1rlo8) o: F:= E. AIRCRAFT CHARTERED WTH PILOT The following is added lo Exclusion g., Aircraft, Auto Or Watercrafr, in paragraph 2. of SECTION I - COVERAGES - COVERAGE A BODILY IN. JURY AND PROPERTY DAMAGE LIABILIry: This exclusion does not apply to an aircran that is: (a) Chartered with a pilot to any insured; and (b) Not owned by any insured. F. EXTENSION OF COVERAGE - DAMAGE TO PREMI$ES RENTED TO YOU 1. The following replaces the last paragraph of SECTION I- COVERAGES - COVERAGE A BODILY INJURY AND PROPERry DAM- AGE LIABILITY: Exclusions c, through n. do not apply to dam- age to premises while rented to you, or lem_ porarily occupied by you with permission of the owner, caused by: a. Fire: b. Explosion: c. Lightning; d. Smoke resulting from such rire, explosion, or tightning; or e. Waler A separate limit of insurance applies to this coverage as described in SECTTON lll _ LIM_ ITS OF INSURANCE 2. The insurance under this provision F. does not apply to damage to premises while rented to you, or temporarily occupied by you with permission of the owner, caused by: a. Rupture, bursling, or operation of pres_ sure relief devices: b. Rupture or bursting due to expansion or swelling of the contents of any building or slructure, caused by or resulting from wa_ ler; or c. Explosion of steam boilers, steam pipes, steam engines, or steam turbines. 3. Th,e following replaces paragraph 6. of SEC- TION III - LIMITS OF INSURAIiCE Subject to 5. above, the Damage To prem_ ises Renled To you Limit is the most we willpay under Coverage A for the sum of alldamages because of ',property damage. toany one premises while rented lo you, ortemporarily occupied by you with permission COIVIMERCIAL GENERAL LIABILIry of the owner, caused by: tire; explosion; light_ ning; smoke resulting from such fire, explo_ sion, or lightning; or waler. The Damage To Premises Rented To you Limit will appty to all "property damage" proximately caused by the same "occurrence", lvhether such damage results from: tire; explosion; lightning, smoke resulting from such fire, explosion, or ligh! ning; or water; or any combination of any of these causes The Damage To premises Rented To you Limit will be the higher of: a. S300,000; or b. The amounl shown for the Damage To Premises Rented To you Limit in the Declarations for this Coverage parl 4. The following replaces paragraph a. of the definition of "insured contract,'in the DEF|Nt- TIONS Seclion: a. A conlracl for a lease of premises. How. ever, thal portion of lhe contract for a lease of premises that indemnifies any person or organization for damage to premises while rented lo you, or lempo_ rarily occupied by you with permission ofthe owner, caused by: fire; explosion; lightning; smoke resulting from such fire. explosion, or lightning; or water is not an "insured conlract,'; G. PERSONAL INJURY - ASSUMED BY CON. TRACT The following replaces Exclusion e., Contractual Liability in paragraph Z. of SECTTON I _ COV- ERAGES - COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY: "Advertising injury', for which the insured has as_ sumed liability in a contracl or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence oflhe contract or agleement. H. INCREASED SUPPLEMENTARY PAYMENTS 1. The following replaces paragraph 1.b. of SUPPLEMENTARY PAYMENiS - COVER. AGES A AND B of SECTTON t_ COVER- AGES: b. Up to 92,500 for cost of bail bonds re-quired because of accidents or trafflc lawviolations arising out of ttre use of anyvehicte to which the Bodity tn.iury Liabititicoverage appties. We oo not nave to iuil nish these bonds o1J9.a CG D4 l5 05 08 (Rev 1o,os)@ 2008 The Travelers Compantes lnc Page 3 of 8 COI\4MERCIAL GENERAL LIABILITY 2. The following replaces Paragraph 1.d. of SUPPLEMENTARY PAYMENTS - COVER- AGES A AND B of SECTION I - COVER- AGES: d. All reasonable expenses incurred by the insured at our request to assist us in the invesligation or defense of the claim or "suit", including aclual loss of eamings up to $500 a day because of time off from work. I. ADDITIONAL INSURED - OWNER, MANAGER OR LESSOR OF PREMISES 1. The following is added to SECTION ll - WHO lS AN INSUREDI Any person or organization lhat you have agreed in a "written contract requiring insur- ance" to include as an additional insured on this Coverage Part is an insured, but: a. Only with respect to liabilily for'bodily in- iury" or "property damage" that occurs, or "personal injury" caused by an ofrense committed, afler you have entered into that "written contract aequlring insurance"; and b. Only if the "bodily iniury', "property dam- age" or .personal injury' is caused, in whole or in part, by acts or omissions of you or any person or organization per- forming operalions on your behalf, and arises oul of the ownership, maintenance or use of that parl of any premises leased lo you under that "written conlract requif- ing insurance". 2. The insurance provided to such additional in- sured under this Provision l. is subject to the following provisions: a. The limits of insurance afforded to such additional insured shall be the limits which you agreed to provide in the "vrrit- ten conlract requiring insurance',, or the limits shown in the Declarations for this Coverage Part, whichever are less: and b. The insurance afforded to such additional insured does not apply to: (i) Any "bodity injury,, or',property dam- age" that occurs, or.personal injury. caused by an offense committed, af_ ter you cease to be a lenant in that premises; (2) Any struclural alterations, new con- struction or demolition operations performed by or on behalf of such addilional insured: or (3) Any premises for which coverage is excluded by another endorsement lo this Coverage Part. 3. This Provision l. does not apply on any basis to any person or organization for which cov- erage as an additional insured specifically is added by another endorsemenl to this Cover- age Part. J. AODITIONAL INSURED - LESSOR OF LEASED EQUIPMENT 1. The following is added to SECTION ll - WHO IS AN INSUREO: Any person or organization that you have agreed in a "writlen contract requiring insur- ance" lo include as an additional insured on lhis Coverage Part is an insured, but: a. Only with respect to liability for "bodity in- jury" or "property damage" lhat occurs, or "personal injury" caused by an offense committed, afler you have entered into that "written contracl requiring insurance"; and b. Only if lhe "bodily iniury", .property dam- age" or "personal in.,ury" is caused, in whole or in part, by acts or omissions of you or any person or organization per- forming operations on your behalf, in the maintenance, operation or use of equiP ment leased to you by such additional in- sured. 2. The insurance provided to such addilional in- sured under this Provision J. is subject to the following provisions: a. The limits of insurance afforded lo such additional insured shalt be lhe limits which you agreed to provide in the,,wrif ten contract requiring insurance',, or the limits shown in the Declarations for this Coverage Part, whichever are lessi and b. The insurance afforded to such additional insured does not apply: (1) To any ,'bodity injury,, or ,,property damage" that occurs, or "personal in-jury" caused by an offense commit- ted, after the equipment lease ex- pires: or (2) tf the equipment is leased with an operat0r. Page 4 of 8 @ 2008 The Travelers Companies, tnc CG D4 15 05 08 (Rev 10,08) 3. This Provision J. does not apply on any basis lo any person or organization for which cov- erage aS an additional insured speciflcally is added by another endorsement to this Cover- age Parl. K. ADDITIONAL INSURED - STATE OR POLITI- CAL SUBDIVISIONS - PERMITS RELATING TO PREMISES The following is added to SECTTON [ - WHO tS AN INSURED: Any slate or political subdivision that has issued a permil in connection with premises owned or oc- cupied by, or renled or loaned to, you, is an in- sured, but only with respect to ,'bodily injury,', ''property damage", "personal injury,, or ,,advertis- ing iniury" arising out of the existence, ownership, use, maintenance, repair, construction, erection or removal of advertising signs, awnings, cano- pies, cellar enlrances, coal holes, driveways, manholes, marquees, hoist away openings, side- walk vaults, elevators, streel banners or decora- tions for which that state or political subdivision has issued such permit. L. ADDITIONAL INSURED - STATE OR POLITI- CAL SUBDIVISIONS - PERMITS RELATING TO OPERATIONS The following is added ro SECTION [ - WHO tS AN INSURED: Any state or political subdivision thal has issued a permil is an insured, but only with respect to,,bod- ily injury", "property damage,', ,'personal injury, or "advertising iniury" arising oul of operations per_ formed by you or on your behalf for vvhich that state or political subdivision has issued such permit. However, no such state or political suHi_ vision is an insured for: 1. "Bodily in.iury", ,property damage., ,personal injury" or "advertising injury,,arising out of op- erations performed for that state or political subdivision: or 2. "Bodily injury,, or,,property damage', included within the ',products - completed op€rations hazard'. M. WHO IS AN INSUREO - NEWLY ACQUIRED OR FORMED ORGANIZATIONS The following replaces paragraph 4.a. of SEC_ TION II - WHO IS AN INSURED; a. Coverage under this provision is afforded only untit the 1Both day after you acquire or fonn lhe organization or the end of the policy pe- COMMERCIAL GENERAL LIABILITY riod, whichever is earlier. Any such newly ac- quired or formed organization that you report in writing to us within 180 days after you ac- quire or form the organization will be covered under this provision untal the end of the policy period, even if there are more lhan 1BO days remaining until the end of the policy period. N. INJURY TO CO.EMPLOYEES AND CO- VOLUNTEER WORKERS The following is added to SECTTON [ - WHO tS AN INSURED: 1. Your'employees" are insureds with respecl to "bodily injury', to a co-,,employee,, in the course of the co-"employee,s,, employment by you, or to your "volunteer workers" while per_ formlng duties related lo the conduct of your business, provided that this coverage for your 'employees" does not apply to acts outside the scope of their employment by you or while performing duties unrelated to the conduct of your business. 2. Your 'volunteer workers', are insureds with respect to "bodily injury', to a co-,,volunteer workei' while performing duties related to the conducl of your business, or to your ,,employ- ees" in the course of the ',employee's' em- ploymenl by you, provided that this coverage For your "volunteer workers" does not apply while performing duties unrelated lo lhe con_ duct of your business. 3. Subparagraphs 2.a.(1Xa), (b) and (c) and 3.a. oi SECTTON [ - WHO ls AN TNSURED do not apply to ,,bodily injury,'for which insur- ance is provided by paragraph 1. or 2. above. O, MEDICAL PAYMENTS LIMIT The following replaces paragraph 7. of SECTIONIII- LIMITS OF INSURANCE: Subject lo 5. above, the Medical Expense Limit isthe most we will pay under Coverage C for all medical expenses because of "bodily injury,,sus- tained by any one person, and will be the higher of: a. $10,000; or b. The amount shown on the Declarations for Medical Expense Limit. P. KNOWLEDGE AND NOTICE OF RENCE OR OFFENSE occuR- The following is added to paragraph 2. Duties lnThe Event of Occurrence, Offense, Claim Or 0119 r € GG D4 15 05 OE (Rev 1o-o8)@ 2008 The Travelers Companies, lnc Page 5 of 8 o: COMMERCIAL GENERAL LIABILITY Suit of SECTION lV - COMMERCIAL GENERAL LIAEILITY CONDITIONS: Notice of an 'occurrence" or of an offense which may result in a claim must be given as soon as practicable after knowledge of lhe "occurrence" or offense has been reported to you, one of your "execulive officers" (f you are a corporation), one of your partners who is an individual (if you are a partnership), one of your managers (if you are a limited liability company), one of your trustees who is an individual (if you are a trust), or an "employee" (such as an insurance, loss control or risk manager or administrator) designated by you to give such notice. Knowledge by any other "employee'of an "occur- rence" or offense does not imp'y that you also have such knowledge. Notice of an "occurrencr" or of an offense which may result in a claim will be deemed to be given as soon as practicable to us if it is given in good faith as soon as practicable to your workers' com- pensation, accident, or health insurer. This ap- plies only if you subsequently give nolice of the "occurrence" or offense to us as soon as practi- cable after you, one of your "executive offlcers" (f you are a corporation), one of your partners who is an individual (if you are a partnership), one of your manegers (if you are a limited liabilily com- pany), one of your truslees who is an individual (if you are a trust), or an'employee" (such as an in- surance, loss control or risk manager or adminis- trator) designated by you to give such notice dis- covers thal the "o@urrence" or offense may in- volve this policy. Q. OTHER INSURANCE CONDITION 1. The following replaces Paragraph 4., Other Insurance of SECTTON tV - COMMERCTAL GENERAL LIABILIry CONDITIONS: 4. Other lnsurance lf valid and collectible ,,olher insurance', is available to the insured for a loss we cover under Coverages A or B of lhis Coverage Part, our obligations are limited as follows: a. Primary lnsurance This insurance is primary except when b. below applies. lf this insur- ance is primary, our obligations are not atfected unless any of lhe ,olher insurance,, is also primary. Then, we will share with all that .other insur- ance" by the method described in c. below. b. Excess lnsurance This insurance is excess over any of the "other insurance", whether pri- mary, excess, contingent or on any other basis: (1) That is Fire, Extended Coverage, Bualder's Risk, lnstallation Risk,or similar coverage for "your work"; (2) Thal is Fire irsurance for prem- ises rented to you or temporarily occupied by you with permission of the owner; (3) That is insurance purchased by you lo cover your liability as a lenant for "property damage' to premises rented to you or tempo- rarily occupied by you with per- mission of the owner: or (4) lf the loss arises out of the main- tenance or use of aircraft, "aulos", or watercrafl to the ex- tent not subject to Exclusion g. of Section I - Coverage A - Bodily lnjury And Property Damage Li- ability; or (5) That is avallable to the insured when the insured is an additional insured under any other policy, including any umbrella or excess policy. When this insurance is excess, we wlll have no duty under Coverages A or B to defend the insured against any "suit" if any provider of "other in- surance" has a duty to defend the in- sured against thal "suit". lf no pro- vider of 'other insurance', defends, we will underlake to do so, but we will be entitled to the insured's righls against all those providers of ,,other insurance". When this insurance is excess over "other insurance", we will pay only our share of the amount of the loss. if any, lhat exceeds the sum of: (1) The total amount that all such "other insurance,, would pay for the loss in the absence ot this in- surance; and Page 6 oF I @ 2008 The Travete.s Companies, lnc CG D4 15 05 08 (Rev. 1o-os) 6: (2) The total of all deductible and self-insured amounts under lhat "other insurance'. We will share lhe remaining loss, if any, with any "other insurance,, thal is not described in this Excess lnsur- ance provision. c. Method Of Sharing lf all of lhe "other insurance,' permits contribution by equal shares, we will follow this method also. Under this approach each provider of insumnce contributes equal amounts until it has paid ils applicable limit of insurance or none of the loss remains, which- ever comes first. lf any of the "other insurance, does not permit contribution by equal shares, we will contribute by limits. Under lhis melhod. the share of each provider of insurance is based on the ratio oF its appticable limil of insur- ance to lhe total applicable limits of insurance of all providers of insur- ance. 2. The following definition is added to SECTION V - DEFINITIONS: "Other insurance": a. Means insurance, or the funding of losses, that is provided by, lhrough or on behalf of: (1) Another insurance company: (2) Us or any of our affiliated insurance companies, except when lhe Non cumulalion of Each Occunence Limit section of paragraph 5. of L|MITS OF INSURANCE (Section l[) or the Non cumulation of personal and Advertis_ ing lnjury limit sections of paragraph 4. of LtMtTS oF |NSURANCE isdc-tion l ) appties; (3) Any nsk retention group; (41 Any self-insurance method or pro_ gram, other than any funded by you and over which lhis Coverage iart applies; or (5) Any similar risk transfer or risk man_ agement method. b. Does not include umbrella insurance, orexcess insurance, that you bought spe- cificalty to appty in excess ot ttre Limiti of COM[\ilERCIAL GENERAL LIABILITY lnsurance shown on the Declarations of this Coverage Part. R. UNINTENTIONALOMISSION l. The following is added to paragraph 6. Rep- resentations of SECTION lV - COMMER- CIAL GENERAL LIABILIry CONDITIONS: The unintentional omission of, or uninten- lional error in, any information provided by you which we relied upon in issuing this policy shall not prejudice your rights under this in- surance 2. This Provision R. does not affect our right lo colled additional premium o[ to exercise our right of cancellation or nonrenewal in accor- dance with applicable insurance laws or regu- lations. S. WAIVER OF TRANSFER OF RIGHTS OF RE- COVERY AGAINST OTHERS TO US WHEN REQUIRED BY CONTRACT The following is added to paragraph 8. Transfer of Rights of Recovery Against Others to Us of SECTION IV - COMMERCIAL GENERAL LI. ABILITY CONDITIONS: We waive any rights of recovery we may have against any person or organization because of paymenls we make for "bodily injury,,, ,'property damage", "personal iniury,, or ,'advertising injury', arising out of: 1. Premises owned by you, temporarily occu- pied by you with permission of lhe owner, or leased or rented lo you; 2. Ongoing operauons performed by you, or on your behalf, under a contract or agreement Wth lhat person or organization: 3. 'Your work"; or 4. .Your products,,. We waive these rights only where you have agreed to do so as part of a',vfitten contracl re_quiring insurance,,entered into by you before. andin effect when, the "bodily injury, or ,'property oamage" occurs, or the ,,personal injury,, offense or "advertising injury,,offense is committed T. AMENOED BODILY INJURY DEFINITION The following replaces the definition of ,bodily injury" in the OEF|N|TIONS Secrion: "Bodily injury" means bodity injury. mentat an_ 9ulsn, menlat injury, shock, frighl, disabitity, hu_miliation, sickness or disease sustained Uy a per- oi 1a20 CG D4 15 05 08 (Rev. 1o_o8)O 2006 The Travelers Companies, tnc Page 7 of 8 COI\4MERCIAL GENERAL LIABILITY son, including death resulting From any of lhese at any time. U. AMENDED INSURED CONTRACT DEFINITION - RAILROAD EASEMENT l. Subparagraph c. of the definition of "insured conlfact" in the DEFlNlTtoNs section is re- placed by the following: c. Any easemenl or license agreement; 2. Subparagraph f.(l) of the definition of "in- sured contract. in the DEF|NtTloNs seclion is deleted. V. ADDITIONAL DEFINITION - WRITTEN CON. TRACT REQUIRING INSURANCE The following delinition is added to the DEF|NI- TIONS Seclion: 'Written contract requiring insurance" means that part of any wrilten contract or witten agreemenl under which you are required to include a person or organization as an additional insured on this Coverage Part, provided that the 'bodily injury" and "property damage" occurs, and the "personal in.iury" is caused by an offense committed: a. After the signing and execution of the conlract or agreemenl by you: b. While that part of the contrad or agreemenl is in effect: and c. Before the end of the policy period. Page I of 8 @ 2008 The Travelers Companies, Inc CG 04 15 05 08 (Rev lo-os) COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, BUSINESS AUTO EXTENSION ENDORSEMENT This endorsernent modifies insurance pro\riJed under the following: BUSINESS AUTO COVERAGE FORM With respect to cororage p.ovidd by this endorsenEnt, the pro/isions of the Coverage Form apply unless modi- fied by ttle endors€ rnent. GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the pro/isions of this endorsement may be exduded or limited by another endorsemenl lo the Coverage Part, and these coverage broadening provisions do not apply to the extent that cov€rage is excluded or limiled by such an endorsernent. The tollowing listing is a gpneral cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisbns of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAIIED II{SUREO H. HIRED AUTO PHYSICAL DAilAGE - LOSS OF USE - INCREASED LIMIT B. BLAI{KET ADO]TIONAL INSURED I. PHYSICAL OAMAGE - TRATTISPORTATION EXPET{SES - INCREASED LIMIT C. EMPLOYEE HIRED AUTO J. PERSONAL EFFECTS D. EMPLOYEES AS INSUREO K. AIRBAGS E. SUPPLEMENTARY PAYMENTS - INCREASED L. NOTICE AND XNOWLEOGE OF ACCIOENI LIUITS OR LOSS F. HIRED AUTO - LIMITEO WORLDWDE iil. BLANKET WAI\rER OF SUBROGATIOI{ COVERAGE - INDEMNIry BASIS G. WAIVER OF OEOUCTIBLE - GLASS N. UNINTENTIONAL ERRORS OR OI|IISSIOI{S PROVTSTONS A, BROAD FORi,I NAIIEO INSUREO The following is added to Paragraph A.1., Who ls An lnsursd, of SECTION ll - LIABILITY COV- ERAGE: Any organization you nevvly acquire or form dur ing th€ policy period over which you maintain 50% or rntre ownership interest and that is not separately insured for Eusiness Auto Coverage. Coverage under this provision is afforded only un- til the 180th day after you acquire or lorm the or- ganizalion or the end of the policy p€riod, which- ever is earlier. B. BLANXET ADDIIOI{AL II{SURED The following is added to Paragraph c. in A.1., Who ls An lnsurad, of SESTION ll - LABILIrY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you belore the "bodily iojury" or 'property damage' occurs and that is in €ffect during the policy period, to be narn€d as an addi- tional insured is an "insured" for Liability Cover- age, but only for damages lo which this insurance apdi€s and only to the extent that p€rson or or- ganization qualifies as an 'insured' under the Who ls An lnsured provision contained in Section [. C. EIIPLOYEE HIREO AUTO 1. The following is added to Paragraph A.1., Who ls An lnaured, of SECTION ll - Ll- ABILIIY GOVERAGE: An "employee" of yours is an "insured" while ope.zlting an "auto" hired or rented under a contract or agreement in that 'employee's' name, with your permission. while performing dulies related to the conduct of your busi- tl€ss. @ 20'10 The IrEvehrs lndemnily Company. lncludes copyr0hted rnalenal of lo$urance Se ice3 Office. lnc_ wth il! permr3sron cA T3 53 03 't0 Page 1 ol 4 COMMERCIAL AUTO 2. Th€ following replaces Paragraph b. in 8.5., Othor lnsuranco, ot SECTION lV - BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deerned to b€ cov- ered "autos" you own: (1) Any covered 'auto" you lease, hire, rent or borrou4 and (2) Any covered'auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while perfonn- ing duties related to the conduct ol your business. However, any "auto" that is leased, hired, rented or bonowed with a driver is nol a cor'ered "auto". D. EUPLOYEES AS INSUREO The following is added to Paragraph A.1., Who ls An ln3ur€d, of SECTION ll - LIABILITY COV. ERAGE: Any "emdoyee" of yours is an 'insured" while us- ing a covered "auto" you don'l own, hire or bonow in your business or your p€rsonal affairs. E. SUPPLEMENTARY PAYI{ENTS - INCREASED LIM]TS 1, The following replaces Paragraph A.2.a.(2), of SEGTION ll - LIABIL]TY COVERAGE: (2) Up to $3,000 for cost of bai bonds (in- cluding bonds for related traffic law viola- tions) required because of an 'accident" v\€ crver. We do not have to furnish these bonds. 2. The following replaces Paragraph 4.2.a.(4), of SECTION ll - L|AaILIIY COVERAGE: (4) All reasonable expenses incuned by ttle "insured" at out request, ineluding aclual loss of earnings up to $50o a day be- cause of tirne of, from work. F. H]RED AUTO - LIM|rED WORLOWOE COV. ERAGE - INOEilINtrY BASIS The following replaces Subparagraph (5) in Para- graph 8.7., Pollcy Perbd, Coverage Torritory, of SECTION lV - BUSINESS AUTO CONDI- TIONS: (5) Anywt'€re in the world, except any country or jurisdiction while any trade sanction, em- bargo, or similar regulatbn imposed by the United States of Am€rica applies to and pro- hibits the transaclion of business with or within such country or jurisdiction, for Liability Coverage for any covered 'auto' that you lease, hire, rent or borrow wilhout a driver for a period of 30 days or less arld that is not an "auto" you lease, hire, renl or borrow fiom any of your "emdoye€s", partners (if you are a partnership), memb€rs (if you are a limited liability company) or members of their house- holds. (a) With resp€cl to any claim made or "suit" brought outside the United States of Arnerica, the teltitories and possessions of the United States of Am€rica, Puerto Rico and Canada: (i) You must arrange to derend the "in- sured" against, and investigate or set- tle any such claim ot "suit" and keeP us advised of all proce€dings and ac- tions. (ii) Neither you nor any other involved "insured" wil| make any set{ement withoul our consenl. (iii) We may, at our discrction, Participate in def€nding th€ "insured" against, or in the setUement of, any claim or "suit'. (iv) We will reimburse the "insured" for sums that th€ "insured" legElly must gay as damag6 beceuse of 'bodily injury" or "prop€rty damage' to which this insurance applbs, that the "in- sured" pays with olr consent, but only up to the limit described in Para- graph C., Limit Of lnsurance, of SEC- TION II- LIABILITY COVERAGE. (v) We w l reimburse the 'insured" for the reasonable expenses incured with our consent for your investba- tion of such claims and your defense of the "insured" against any such "suit", but only up to and included within the limit described in Para- graph G., Limit Of lnsurance, of SECTION II - LIABILITY COVER- AGE, and not in addition to such limit. Our duty to make such payments ends when uc have used up the atr plicaUe limit of insurance in pay- ments for damages, setuemenls or defense expenses. (b) This insurance is excess over any valid and collectible other insurance available @2010 The Trav6lors lndeffi ty Co,npany. lncludes copy.rghled matenat of tisuranc€ Solvices Otfice, lnc. w h ttg pemrsslon Page 2 ol 4 cA T3 53 03 10 to the .insured' whether primary, excess contingenl or on any other basis. (c) This insurance is not a substitute for re- quired or compulsory insurance in any country outside the united states, its ter- ritories and possessrons, Puerto Rico and Canada. You agree to maintain all required or compulsory insurance in any such mun- try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but tt€ will only be liable to th€ sarne extent ure would have been liable had you complied wi{h the compulsory in- surance requirements. (d) lt is understood that tle are not an admit- ted or aulhorized insurer outside the United States of America, its tenilories and possessions, Puerto Rico and Can' ada. We assume no responsibility for the furnishirg of cerliticates of insurance, or for compliance in any way with the laws of olher countries relating lo insuranc€. G. WAIVER OF DEDUCTIBLE - GLASS The following is added to Paragraph D., Doductl- blo, of SECTION lll - PHYSICAL OANIAGE COVERAGE: No deductible for a covered "auto" will apply to glass darnage if the glass is repaired rather than redac€d. H. I{IREO AUTO PHYSICAL DAi'AGE - LOSS OF USE . INCREASED LIi']T The following replaces the lasl sentence of Para- graph A.4.b., Loss Ot Use ExperBes, of SEG TION III - PHYSICAL DAIIAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 p6r day, to a maximum of S750 for any one "accid€nt". I. PHYSICAL OA AGE - TRANSPORTATION EXPEI{SES - INCREASEO LIiIIT The following redaces lh€ first senlence in Para- graph 4.4.a., Transportatbn ExporEes, of SECTION III . PHYSICAL DAiIAGE COVER. AGEI We will pay up to $50 p€r day to a maximum of $1,5O0 for temporary transportation expense in- curred by you because ol the totral theft of a cov- ered "auto" of the private passenger type. COMMERCIAL AUTO J. PERSONAL EFFECTS The following is added to Paragraph A.4., Cover' ago Eltonsions, of SECTION lll - PHYSICAL DAMAGE COVERAGE: Porsonal Efrocts We wifl pay up to $400 for "loss" to wearing ap- parel and other personal effocts which are: (1, Owned by an "insured"; and (2) ln or on your covered "auto". This cor'erage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Effects coverage. K. AIRBAGS The follo\,ving is added to Paragraph 8.3., Ercls- slons, of SECTION lll - PHYSICAL DAIIAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one ot more airbags in a covered "aulo" you own that in- f,ate due to a cause other than a cause of "loss" set forth in Paragraphs A.l.b. and 4.1.c., but onlY: a. ll that "aulo" is a covered "aulo" for Compre- hensive Co/etage under this policy; b. The airbags ate not covered urder any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one 'loss". L. NOTICE AND KNOYI'LEDGE Of ACCIDEI{T OR LOSS The following is added to Paragraph A.2.a., of SECTIOI{ IV - BUSINESS AUTO CONDTTIOI{S: Your duty to give us or our authorized represenla- tive Fompt nolice of the "accident' or 'loss' ap- plies only when the *accident" or "loss" is known to: (a) You (if you are an indivUual); (b) A partner (if you are a partnership); (c) A member (if you are a limiled liability com- Pany); (d) An executive dficer, dir€ctor or insurance manager (if you are a corporalion or other or- ganlzation); or (e) Any "employee" authorized by you to give no- tice of lhe "acc Jent" or loss". O 2010 The TEvelsrs tndemrity Company lndud€8 copyr€mod ll€brbl or lmufance Ee.vicls OlTtce. lnc. fith s pc.nilaron cA T3 53 03 10 Page 3 of 4 IiI. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Othors To Us, Of SECTION lV - BUSINESS AUTO CONDI. TIONS: 5. Transfer Of RighB Of Rocov€ry Against OthoB To Us We waive any right of recovery wts may have against any person or organization to the ex- tent required of yor.r by a written contract signed and executed prior to any'accident" or "loss,, provided that the 'accident" or 'loss" arises out of operations contemdated by such contract. The waiver applies only to the person or organizalion designated in such contract. N. UNINTENTIONAL ERRORS OR Oi,llSSlONS The following is added to Paragraph 8.2., Con- c€almonl, Misreprasentation, Or Fraud, of SECTION lV - BUSINESS AUTO CONDlTlOltlS: The unintenlional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance. How- ever this provision does not affect our right to col- lect additional Femium or exercise our right of cancellation or non-renewal. @ 2010 The Travellr8 lndemnity Cqmpany. ,ncltdes copyrighted rnatorEl ol lnsuhnce Servic6 OfFE!, hc wth its permtsBlon Page 4 ol 4 cA T3 53 03 'r0 COMMERCIAL AUTO COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (coNTRACTORS) This endorsement modifies insurance provided under the following COIVMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO lS AN INSURED - (Section tt) is amended c) to include any person or organization thal you agree in a "written contract requiring insurance" to include as an additional insured on this Cover- age Part, but: a) Only with respect to liability for "bodily injury,,, "property damage" or "personal injury"; and b) lf, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organizalion. 2. The insurance provided to the additional insured by this endorsement is limited as follows: a) ln the event that the Limits of lnsurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the in- surance provided to the additional insured shall be limited to the timits of liability re- quired by that "written contract requiring in- surance". This endorsement shall not in- crease the limits of insurance described in Section lll - Limits Of lnsurance. b) The insurance provided to the additional in- sured does not apply to "bodily injury,,, .prop- erty damage" or "personal injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or sur_ veying services, including: i. The preparing, approving, or failing to prepare or approve, maps, shop draw_ ings, opinions, reports, surveys, field or_ ders or change orders, or the preparing, approving, or failing to prepare or ap_ prove, drawings and specifications; and ii. Supervisory, inspection, architectural or engineering activities. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the "written contract requiring insurance" specifically requires that this insurance apply on a primary basis or a primary and non-contributory basis, lhis insurance is primary to "other insurance,, available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with that "other insurance". But the insurance provided to the addilional insured by this endorsement still is excess over any valid and collectible ',other in- surance", whether primary, excess, contingent or on any other basis, that is available to the addi- tional insured when that person or organization isan additional insured under such ,,other insur- ance". 4. As a condition of coverage provided to the additional insured by this endorsement: a) The additional insured must give us written notice as soon as practicable of an .occur_ rence" or an offense which may result in a claim. To the extent possible, such notice should include: The insurance provided to the additional in- sured does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products-completed op- erations hazard" unless the "wriflen contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that oc- curs before the end of the period of time for which the "written contract requiring insur- ance" requires you to provide such coverage or the end of the policy period, whichever is earlier. cG D2 46 08 0s @ 2005 The St. Paul Travelers Companies, lnc.Page 1 of 2 COMIVERCIAL GENERAL LIABILITY i. How, when and where the "occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the "occurrence" or offense. b) lf a claim is made or "suit" is brought against the additional insured, the additional insured must: i. lmmediately record the specifics of the claim or "suit" and the date received; and ii. Notify us as soon as practicable. The additional insured must see to it that we receive writlen notice of the claim or "suit" as soon as practicable. c) The additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. d) The additional insured must tender the de- fense and indemnity of any claim or "suit" to any provider of "other insurance" which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the insur- ance provided to the additional insured by this endorsement is primary to "other insur- ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V. _ DEFINITIONS: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional in- sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- curs and the "personal injury" is caused by an offense commitled: a. After the signing and executlon of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 ol 2 @ 2005 The St. Paul Travelers Companies, lnc.cG D2 46 08 05 IRAYEtERS? ox! roflER squaRE a,,RIFoRJ, CT 0 5181 ENDORSEMENT WC 00 03 t3 (00)-01 POLICY NUMBER: ( EirIrB - 8c?3 o7s - 0 -18 ) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT W-o-have the.right to.recoler our payments from anyono liable for an injury covered by lhis pollcy. We will notefforce our nght against lhe Person or organiz8tion narned in the Schedule. fnris agre;ment applles only to thesxtent that you parform work under a Mitten contract that requires you to obtain lhis agreeme'ni t o, ,i11 This agreement shall not operato direcfly or indirec y to benefit any one nor named in the schaduie. SCHEDULE DESIGNATED PERSON: WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY DESIGNATED ORGANIZATION: TNY PET,SON OR OROAIIIZATION TOR iIEICB TEE IIISURED f,AS AGREED BY r TTTBT COIITRAeI EXBCIXTBD PRIOR TO I,Og8 TO FURNISE TEIS WAIVER. DAIEOFISSUE: 04-12-16 ST ASSTGN: CONTRACT CHECKLIST Date: REQUESTING DEPARTMENT Project Name: Project Manager: Contract Amount: Contractor/Consultant/Design Engineer: Is this a change order? Yes No Change Order No. Fund: Budget Available ( Purchasing attach report ): Department Yes No Construction GL Account FY Budget: Task Order Project Number: Enhancement: Yes No Professional Service Equipment Will the project cross fiscal years? Yes No Grant Grant #: Wage Determination Received Wage Verification 10 Days prior to bid due date Debarment Status (Federal Funded) Print and Attach the determination Print, attach and amend bid by addendum (if changed) www.sam.gov Print and attach Master Agreement Category (Bid Results Attached) Yes No (Ratings Attached) Yes No Date MSA Roster Approved: Typical Award Yes No If no please state circumstances and conclusion: Date Award Posted: 7 day protest period ends: PW License Expiration Date: Corporation Status Insurance Certificates Received (Date): Expiration Date: Rating: A++ Payment and Performance Bonds Received (Date): Rating: N/A Builders Risk Ins. Req'd: Yes No (Only applicabale for projects above $1,000,000) Reason Consultant Selected 1 Performance on past projects Check all that apply Quality of work On Budget On Time Accuracy of Construction Est 2 Qualified Personnel 3 Availability of personnel 4 Local of personnel Description of negotiation process and fee evaluation: Date Submitted to Clerk for Agenda: By: Purchase Order No.: Date Issued: WH5 submitted (Only for PW Construction Projects) NTP Date: Contract Request Checklist.5.24.2016.Final $25,000.00 Adam Jennings If yes, has policy been purchased? CH2M III. Contract Type II. BUDGET INFORMATION (Project Manager to Complete) 60 3510 53101 10701.a TASK ORDER 7a RFP / RFQ BID VII. TASK ORDER SELECTION (Project Manager to Complete) This task order is T&M. Costs associated with this change order will be tracked in the same manner as the original PO request and CO1 for SCADA Technical Support FY17. All expenditures are entered into a spreadsheet as they come in. The cost sheet is reviewed monthly with the standard operating monthly budget for appropriate hours spent and work completed. Additionally we have our service provider, CH2m in this case, supply us with a Work Authorization form. This form gives an estimated level of effort including hours, why the N/A Award based on Low Bid Highest Ranked Vendor Selected VIII. AWARD INFORMATION Approval Date Enter Supervisor Name Date Approved N/A July 13, 2017 N/A I. PROJECT INFORMATION 7/11/2017 4/1/2018 N/A 2 17 7/6/2017 PUBLIC WORKS SCADA Technical Support FY17 V. BASIS OF AWARD N/A N/A IV. GRANT INFORMATION - to be completed only on Grant funded projects VI. CONTRACTOR / CONSULTANT REQUIRED INFORMATION This change order is a 68% increase over the original task order. 10/1/2015 N/A N/A N/A N/A Goodstanding N/A N/A city Of r.blidian Detailed Statement of Revenues and Expenditures - Rev and Exp Report 3510 - afl Tleatreot Plant 60 - Ent rpriac Eund Fron 10 / 1/2 016 Through 9/30/2017 Kei!h Budget with Current Year Actual Budget Remainiog Percent of Budget Remaining 5 3101 0000 10699.A 10701.a 15000 374,000-00 0-00 0. 00 0.00 112,564 .29 24,000-00 3r4,000.00 1112,564 -29) (24,000,00) 00r 00t 00t OPEB.ATING COSTS PIant Maintenance 100 0 0 0.00 0 .00 50,000.00 14 ,3A6 .23 (50,000.00) (14,385.23) 0.003 0.00* TOTAL EXPENDITURES 30.239 Dal:.: )/tA/t'1 O3:S3:39 pB NON-DEPARTMENTAL WRRE Process ControL System SrJpport aYll SCADA Technical Support EY 2011 Declared Emergencies - coods, Services & Rentals Total OPEBATING COSTS 30.231_____l_7-t -9_a-q.:_00 374, 000.00 _____2.991-!19-_52 260,950 -52 ______11_1_91_2-l_q_ 113,049.48