Loading...
HomeMy WebLinkAboutINFOSENDr_ ON FILE A-2020-255 WORK MAY PROCEED iNTIL INSURANCE EXPIRES CLERK OF COUNCIL rATE: (W1ltitolt) FIRST AMENDMENT TO AGREEMENT WITH INFOSEND, INC. 1 MSR%) TO PROVIDE BILL PRINTING, MAIL SERVICES, AND PAYMENT PROCESSING SERVICES THIS FIRST AMENDMENT TO AGREEMENT, dated as of this 15°i day of December by and between InfoSend, Inc.. a California corporation (hereinafter "Consultant'). and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City" ), collectively "the Parties". RECITALS: A. The Parties entered into that certain Agreement 4A-2019-153, dated September 3, 2019. ("said Agreement") by which Consultant, having special skill and knowledge in the field of Bill Print - Processing, Printing and Mailing (PPM) services as well as Electronic Bill Presentment and Payment (EBPP) services, agreed to perform such services for the City. B. The Parties desire to amend the Scope of Services, Compensation, and Term clauses of said Agreement. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the Parties agree as follows: The Parties hereto now desire to amend Sections I, 2, and 3 of said Agreement to read as follows: 1. SCOPE OF SERVICES: 1. SCOPE OF SERVICES Consultant shall provide paper bill processing, printing and mailing services along with electronic bill presentment and payment services, and other related professional services as detailed in the scopes of services attached hereto as Exhibits A and C and hereby incorporated herein by reference. a. Processing, Prinling and Mailing (PPA1) Services. The paper bill processing, printing and mailing (PPM) process consists of processing data, address validation and POSTNET bar coding, printing documents, mail preparation, applying presorted postage and sending via the United States Postal Service for the City's: (1) Municipal Utility Services bills; water conservation program notices, water quality program notices. Municipal Utility Services rate change advisories, awareness & education campaign notices, advanced meter infrastructure notices and advisories, penalty and/or collection notices, and other related miscellaneous notices, form correspondence and advisories including paramedic subscription notices. (2) Business License Tax bills, renewal statements, certificates and licenses, penalty/and or collection notices, and other related miscellaneous notices, form correspondence and advisories; (3) Dog License Bills, rabies reminders, certificates, penalty/and or collection notices, and other related miscellaneous notices, form correspondence and advisories: (4) Proactive Residential Enforcement Program (PREP) bills, renewal statements, certificates, penalty/and or collection notices, and other related miscellaneous notices. form correspondence and advisories: and (5) assorted public notices, community advisories, outreach program letters. associated form correspondence, as well as City newsletters and a variety of other miscellaneous independent City agency communications and program literature. b. Basic Electronic Bill Presentment and Payment (EBPP) Services. Basic Electronic Bill Presentment and Payment (EBPP) services consists of: (i.) Maintaining an online customer payment portal and presenting Dog License bills online and accepting payment transaction information to facilitate ACH or credit card payment via Consultant's merchant processing provider. EPX (EPX Acquisition Company. LLC, and successor to Phoenix Payment Systems, Inc.). City's right to bifurcate agreement and terminate PPA4and Basic EBPP services,%r Dog License billing. During the Term of this First Amended Agreement and any extension hereto, but beginning not sooner than January I, 2021, City may upon one hundred -twenty days (120) days prior written notice by the City's Executive Director of Finance and Management Services. terminate PPM and Basic EBPP services for Dog License billing, plus associated merchant processing services currently provided by Consultant's contracted merchant processor, Electronic Payment Exchange, Inc. (hereinafter "EPX"). Whereupon City shall have the right to continue Consultants PPM services for Dog License Billing for the term of this Agreement or City may continue either Consultant's PPM and/or Basic EBPP services for Dog License Bill ing on a month - to -month basis and terminate the PPM and Basic EBPP portion of the Agreement in connection with Dog License Billing, with no termination penalty or fees applied by Consultant by providing fifteen (15) days written notice of its intent to terminate said PPM and Basic EBPP portion of the Agreement. c. Electronic Bill Data Conversion and Grulyhical Document File Presentment /br Third -Party Enhanced EBPP Services Provider. Electronic Bill Data Conversion and Graphical File Presentment services consists of: (i) Receiving graphical bill data file information from an integrated City billing application ("enQuesta ") maintained by a designated billing application provider ("Systems and Software, Inc.") and converting said graphical bill data file information into a graphical document file and presenting said file to a designated Third -Party Enhanced EBPP Services Provider ("Invoice Cloud. Inc."). 2. COMPENSATION: 2. COMPENSATION a. City agrees to pay. and Consultant agrees to accept as total payment for its services. the rates and charges identified in Exhibit B and Exhibit C which are hereby incorporated herein by this reference. The total sum to be expended under this First Amendment for the time period of January I. 2021 through June 30. 2021 shall not exceed $550,000.00, Compensation for fiscal year 2020-2021 shall not exceed $750.000. b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. c. City shall be responsible for payment related to United States Postal Service postage including rate increases. City will be invoiced by Consultant for postage including the amount charged for overweight and foreign mai I. 3. TERM: 3. TERM This First Amendment shall cover the six-month period of January 1. 2021 through June 30, 2021. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full force and effect. (.Signatures on, following page/ 3 A-2020-255 IN WITNESS WHEREOF. the Parties hereto have executed this First Amendment to Agreement the date and year first above written. ATTEST: APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney-- By: e(g�L Lisa Storck Assistant City Attorney RECOMMENDED FOR APPROVAL: �khr' ...>„ KATHRYN DOWNS Executive Director of Finance and Management Services Agency CITY OF SANTA ANA K STINE RIDGE City Manager CONSULTANT R XANA WEIL Executive Vice President City of Santa Ana -First Amend ment_Executed_ 12.03.2020 Final Audit Report 2020-12-03 Created: 2020-12-03 By: Kristin Andrade (kandrade@sanla-ana.org) Status: Signed Transaction ID: CBJCHBCAABAAGQ4msv2JSZiNV9ybawWuTbPuK4RSszDD "City of Santa Ana -First Amendment_Executed_12.03.2020" His tory Document created by Kristin Andrade (kandrade@santa-ana.org) 2020-12-03 - 7:43:34 PM GMT- IP address: 98.153.69.210 12+ Document emailed to Kathryn Downs (kdowns@santa-ana.org) for signature 2020-12-03 - 7:44:05 PM GMT Email viewed by Kathryn Downs (kdowns@santa-ana.org) 2020-12-03 - 7:46:06 PM GMT- IP address: 98.153.69.210 ba Document e-signed by Kathryn Downs (kdowns@santa-ana.org) Signature Date: 2020-12-03 - 7,46:20 PM GMT - Time Source: server- IP address: 98.153.69.210 0 Agreement completed. 2020-12-03 - 7:46:20 PM GMT Q Adobe Sign Client#: 581763 INFOSENDI ACORD. CERTIFICATE OF LIABILITY INSURANCE DarE IMMIODn'YY1 5126/2020 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 poliey(les) must have ADDRIONAL INSURED provisfone or be andorsed. 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 any rights to the certificate holder in lieu of such endorsement(0- PRooucER Rocio Gutierrez Marsh & McLennan Agency LLC Moue _--- A/C E EMR 949.425.7301 ____.- �LAX,N1._ Marsh & McLennan Ins. Agency LLC E-MAIL occerts@marshmma.com -aDOBEes, @ --- 1 Polaris Way #300 — i IN$UI AFFORDING COVERAGE SAM0 Allso Viejo, CA 92656 . INSURER A: Federal Insurance Company 20281 INSURED InfoINSURER 8: NOVA Casualty Company Inc. 42552 555555 4240E Laend, 240 La Palma Avenue 1 INSURER C, Undenwriters at Lloyd's London Anaheim, CA 92807 INSURER 0: INSURER E : ^^, ^^•^� ____ :INSURER F: 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 CONTRACTOR 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. NLITR TYPE OF INSURANCE ADD SUB POLICY NUMBER PO EFF MMIDD Pa``IC EXP MMI00 _ DMRB A X COMMERCIAL GENERAL UABILITY 36031148 4/011I2020 02/01/2021 EDApCWH� occTURRENCE f t 000 000 CLAIMS -MADE a OCCUR ✓ PRi�MR 5 eENTEO $1 000,00 $10000 -- . NED EXPSAny one perFoni . 0,000,000 PERSONAL S ADV INJURY AGGREGATE LIMIT APPLIES PER [:1JECOT f2,000 O00 GENL X GENERAL AGGREGATE POLICY LOC PRODUCTS -COMPIOP AOG , fIRCIDd@d OTHER: f A AUTOMOBILE X LIABILITY ANY AUTO i j73587120 4/O1/2020 O�IOtI2O.21 COMSI(118 eNEDI3INGLE LIMIT 1,000,000 OWNED SCHEDULEO ✓/ BODILY INJURY (Per pemn) f f AUTOSONLY AUTOS iBODILV INJURY (Peraamenq HIRED NONOWN AUTOS ONLY AUTOS ONLY '., I'PROPERtY DAMAGE fPer ecrAtlentl _ -- f 8 A X UMBRELLALIA9 X OCCUR 79896856 4/01/2020 02/01/2021 EACHOCcuRRENCE a50�00,D00 E%CE33 LIA9 CLAIMS -MADE AGGREGATE TS OOOyODO OED RETENTIONS S B MOWERS DENIPL YERS'LI ATION AND EMPLOYEgB' LIABILITY ' BBVVWK1000066300 2/01/2,02a 02101/202 X PER IOTw 0FFICMY &PRIETORPEAXCLNEWE%ECUTIVE IN OFFICERWEMBER E%CLUDEOi � N/A: ,/ E.LEACHACCIDENT $1000000 St OOO OOO (Maod" in NH) R yee tleuebe under I E.L. DISEASE - EA EMPLOYEE $1 00O 0 DESCRIPTION OF OPERATION36&ow .L. DISEASE - POLICY LIMIT C 'Tech E&C 8 Cyber .TRICE01263 ti S5,000,000 Agg./Claim Retro 12/01/06 =A/n117nJA E25,000 Retention A Crime :88054862 202f $300 000 IS5 000 Rot. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 1101, Additional Remark. Sehetlule, may be aaachetl II men epeee is reeobed) The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; Its officers, employees, agents, volunteers and representatives are included as additional insured as respects to General Liability per ✓ attached endorsements. Waiver of Subrogation applies to Workers Compensation per attached endorsement. Primary and Non -Contributory Wordin applies to G n I ayI�p( hed endarsement.Cancellation provisions apply per the attached. REVIEW � AYYI�tS�ED By Risk MANAGEMENT DivisiON City of Santa Ana SHO ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ANCtiE ACEVE ACCORDANCE WITH THE POLICY PROVISIONS, 20 Civic Center Plaza, 4th Boor SANTA ANA, CA 92701.0000 AUTHORIZED REPRESENTATIVE C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S48563331M4842093 WOJKL INSURED: InloSend, Inc. POLICY#: 36031149 CHUBB• POLICY PERIOD: 04/01/2020 Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured Name of Company Data Issued This Endorsement applies to the following forms: GENERAL LIABH,rrY Who Is An Insured FEDERAL INSURANCE COMPANY NNE 1, 2018 Under Who Is An Insured the following provision is added TO: 02101/2021 Additional Insured - Persons or organizations shown in the Schedule are Insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded. by Or Organization this policy. However, the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule: • to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that did not occur, in whole or in part, before the execution of the contract or agreement and • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: • that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. Ibis limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. REVIEWED & APPROVED By Risk MANAGEMENT DMSION JUN6 2020 ANCIE ACEVEdo UsbfSry Insurance Addiriooal Insured - Scheduled Parson Or Organizadan _ _ contlnuad Form aD-02.2367(Rev. 5-07) Endorsement Page I INSURED: Intosend. Inc. POLICY#: 36031149 POLICY PERIOD: 04/01/2020 TO: 02/01/2021 cHUaae Liabli ty Endorsement (continued) Under Conditions, the following provision is added to the condition titled Other Insurance. Condition Other Insurance — If you are obligated, pursuant to a contract or agreamem, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Schedule PERSONS OR ORGANIZATIONS THAT YOU ARE OBLIGATED, PURSUANT TO WRITTEN CONTRACT OR AGREEMENT BETWEEN YOU AND SUCH PERSON OR ORGANIZATION, TO PROVIDE WITH SUCH INSURANCE AS IS AFFORDED BY THIS POLICY; BUT THEY ARE INSUREDS ONLY AND TO THE MINIMUM EXTENT THAT SUCH CONTRACT OR AGREEMENT REQUIRES THE PERSON OR ORGANIZATION TO BE AFFORDED STATUS AS AN INSURED. HOWEVER, NO PERSON OR ORGANIZATION IS AN INSURED UNDER THIS PROVISION OF THE WHO IS AN INSURED SECTION OF THIS POLICY (REGARDLESS OF ANY LIMITATION APPLICABLE THERETO). All other terms and conditions remain unchanged. Authorized Representative REVIEWED & APPROVED By Risk MANAGEMENT DivtsiON JUNV020 ANgiE ACEVEIO Liability Insurance Additional Insured • Solredulad Person Or Organization last page Form 80-02-2367(Rev. 5.07) Endomement Page 2 INSURED: InfoSend, Inc. POLICY #: BBWVVK1000066300 POLICY PERIOD: 02/01/2020 TO 02MI12021 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 OS (Ed. 4-14) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT —CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named In the Schedule. (This agreement applies only to the extent that you perform work under a written ccintract that requires you to obtain this agreement from us.) You must maintain payroll records accurately, segregating the remuneration of your employees while engaged In the work described in the Schedule. The additional premium for this endorsement shell be _2_u/, of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION WHEN SUCH WAIVER IS REQUIRED BY A WRITTEN CONTRACT THAT YOU HAVE AGREED TO PRIOR TO LOSS WC 04 03 06 (Ed. 4-84) This endoraemcre chansai the policy to which it N almehed eti'ectNe on the dote issued unkm othtiu-w MWd. (The leraetnallon below h refrained only when this eadnnerwst is homed wbsequent to preparation elite policy.) C'wmfersilmel by REVIEWED & APPROVED By Risk MANAGEMENT DIVISION J l N 1 2020 AN,l ACEVEdc INSURED: infosend, Inc. POLICY #: 36031 lac CondlHons POLICY PERIOD: W0112020 TO o2toi/2o2t Duties In The Event Of F. Knowledge of an occurrence or offense by an agent or employee of the insured will not Occurrence, Offense, constitute knowledge by the insured, unless an officer (whether or not an employee) of any Claim Or Suit insured or an officer's designee knows about such occurrence or offense. (confined) G. Failure of an agent or employee of the insured, other than an officer (whether or not an employee) of any insured or an officer's designee, to notify us of an occurrence or offense that such person knows about will not affect the insurance afforded to you. H. If a claim or ions does not reasonably appear to Involve this insurance, but it later develops into a claim or loss to which this insurance applies, the failure to report it to us will not violate this condition, provided the insured gives us immediate notice as soon as the insured is aware that this Insurance may apply to such claim or loss. Legal Action Against Us No person or organization has a right under this insurance In: • join us as a party or otherwise bring as into a suit seeking damages from an Insured; or • sue us on this insurance unless all of the terms and conditions of this insurance have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured obtained after an actual: • trial in a civil proceeding; or • arbitration or other alternative dispute resolution proceeding; but we will not be liable for damages that are not payable under the terms and conditions of this insurance or that are in excess of the applicable Limits Of Insurance, Other Insurance If other valid and collectible insurance is available to the Insured for loss we would otherwise cover under this insurance, our obligations are limited as follows. Primary Insurance This insurance is primary except when the Excess Insurance provision described below applies. If this Insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insurance by the method described in the Method of Sharing provision described below. Excess Insurance This insurance is excess over any other insurance, whether primary, excess, contingent or on any other basis: A. that is Fire, Extended Coverage, Builder's Risk, Imlallation Risk or similar insurance for your work; B. that is insurance that applies to property damage to premises rented to you or temporarily occupied by you with permission of the owner; C. if the loss arises out of aircraft, autos or watercraft (to the extent not subject to the Aircraft, Autos Or Watercraft exclusion); Liability Insurance d-01) REVIEWED & APPROVED By Risk MANAGEMENT DtvtsiON Page 22 or 32 Acmdo CH US B' General Liability Conditlons Other Insurance D. that is insurance: (continued) 1. provided to you by any person or organization working under contract or agreement for you; or 2, under which you are included as an insured; or E. that is insurance under any Property section of this policy. When this insurance Is excess, we will have no duty to defend the insured against any suitif any other insurer has a duty to defend such itwured against such suit. if no other insurer defends, we will undertake to do so, but we will be entitled to the ittsured's rights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of loss, if any, that exceeds the sum of the total: • amount that all other insurance would pay for loss in the absence of this insurance; and • of all deductible and self -insured amounts under all other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess insurance provision and was not negotiated specifically to apply in excess of the Limits Of Insurance shown in the Declarations of this insurance. Method of Sharing if all of the other insurance permits contribution by equal shares, we will follow this method also. Under this method each insurer contributes equal amounts until it has paid its applicable limits of insurance or none of the loss remains, whichever comes first. if any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limits of insurance to the total applicable limits of insurance of all insurers. Premium Audit We will compute all premiums for this insurance in accordance with our rules and rates. In accordance with the Estimated Premiums section of the Premium Summary, premiums shown with an asterisk (•) are estimated premiums and are subject to audit. In addition to or in lieu of such designation in the Premium Summary, premiums may be designated as estimated premiums elsewhere in this policy. In that case, these premiums will also be subject to audit. and the second paragraph of the Estimated premiums section of the Premium Summary will apply. Separation Of insureds Except with respect to the Limits Of insurance, and any rights or duties specifically assigned in this insurance to the first named insured, this insurance applies: • as if each named kwured were the only named insured; and • separately to each insured against whom claim is made or suit is br.mght. REVIEWED & APPROVED By Risk MANAGEMENT DivisiON LAWRy lneursnca JU i N-Tj ANgiE (continued) Transfer Or Waiver Of We will waive the right of recovery we would otherwise have had against another person or Rights Of Recovery organization, for loss to which this insurance applies, provided the insured has waived their rights Against Others of recovery against such person or organization In a contract or agreement that is executed before such loss. To the extent that the Insured's rights to recover all or part of any payment made under this insurance have not been waived those rights arc transferred to us. The im'ured must do nothing after loss to impair them. At our request, the Insured will bring suit or transfer those rights to us and help us enforce them. This condition does not apply to medical expenses. REVIEWED & APPROVED By Risk MANAGEMENT DiVisiON iu%f020 ANCiiE ACEVEdO LIMW Insurance Fam Bb022WO (Pov. 4-01) Contract Page 24 of 32 Policy Conditions Endorsement Policy Period 04/01/2020 Effective Date 04/0112020 Policy Number 36031149 'to: 02/0112021 Insured InloSend, Inc. Name of Company FEDERAL INSURANCE COMPANY Date Issued 'SWKM14xixoxV]9fxxxfeM[eevq'emWYm� X>gXeY.RXietfYxpSyYyayxyxyo-aeaMWOitlSMOSYiiYgTenhYRNMMNMyM1pLAYgiSWp��.YnYYFyxppW}Stlq;eµyy,y. This Endorsement applies to the following limns: COMMON POLICY CONDITIONS Ender Conditions. the following condition is added. Conditions Notice Of Cancellation When we cane this policy we wi ll notify penon(s) or nrganizations(s) shown in the Schedule at To Scheduled Persons least 30 da t 10 days in the event ol'nonpnymenI oi' premium! in advance of the cancellation date. Cancel zafionsifNhen We Cancel ✓ Aar I'ailum by us to notilj such person(s) or nrganization(s) will not: • impose anyIiahi lily or obligation ot'any kind upon us: or • invalidate such cancellation. .nasXrneaarxnmmemoeaamasaaaaansaxmxxaewerrnrewnesaaeaaaaa:mrnaaxmxrxaxaaanxnxzxxaxrxmwaxaawm:nxsaxaaaaazmassan»axr.�xvnxxaa:.x».aK vaaxxav«xaamaieea Schedule Pcrsont s) or Orgunization(s ): Address: Person(s) or Organ ization(s I: City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor SANTA ANA, CA 92701-0000 REVIEWED & APPROVED Address: By Risk i4MANAGEMENi DNisiQN JUNiE2020 ANCiiE AcEVEdo Policy Conditions Notice Of Cancellation To Scheduled Versons Or Organizations coMieued Form 80-02-9780 (Ed. 3-11) Endorsement Page 1 Conditions (continued) All other terms and conditions remain unchanged. Authorized Representative e REVIEWED & APPROVED By Risk MANAGEMENT DivisiON JUN 12020 ANdE ACEVEdo Policy Conditions Noaee Or Cancellation To Sche iled Persons Or Organizations last page Form 89-02-9780 (Ed. 3-1f) Endorsamant page 2