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HomeMy WebLinkAboutMOORE IACOFANO GOLTSMAN INCORPORATED dba MIGA-2022-031 FIRST AMENDMENT TO AGREEMENT WITH MOORE IACOFANO GOLTSMAN INC. ;IVCE ON PILE DBA MIG MAY PROCEED INSURANCE EXPIRES THIS FIRST AMENDMENT to the above -referenced agreement is entered into March 1, 2022, by and 6. m.M2I _ between Moore Iacofano Goltsman Incorporated, a California corporation, dba MIG ("Consultant'), and OF COUNCIL the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). F PCSIT (Nt i Rep) i) ( I) IT . RECITALS A. The parties entered into Agreement No. A-2020-240 ("Agreement") dated December 1, 2020, cfor preparation of the Parks, Recreations and Community Services Agency ("PRCSA") ten (10) N year Master Plan. U B. On November 10, 2021, the parties exercised the first of six (6) optional six (6) month extensions of the Agreement through June 30, 2022 (A-2020-240-01). The Agreement is current and in -effect. C. The parties wish to amend the Agreement to expand the scope and increase the compensation amount. The Parties therefore agree: Section 1, Scope of Work, is hereby amended to include the services, as detailed in the attached Exhibit A-1 to this First Amendment, attached hereto. 2. Section 2, Compensation, is hereby amended to increase the total amount for this Amended Agreement by $44,970.00 and shall not exceed $205,570.00 for the term of this Agreement, including any extension periods. 3. Except as modified by this First Amendment, all terms and conditions of the Agreement, shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to the Agreement on the date and year first written above. ATTEST DAISY GOMEZ Clerk of the Council APPROVED AS TO FORM SONIA R. CARVALHO City Attorney CITY OF SANTA ANA KRISTINE RIDGE City Manager MOORE IACOFANO GOLTSMAN, INC., DBA NIG /' 1 N I & , nt C don Salvatierra py; Deputy City Attorney Title: [signatures continued on next page] Pagel of 2 FOR APPROVAL LI DLOFF —�� Executive Director, Parks, Recreation, & Community Services Agency Page 2 of 2 EXHIBIT A-1 January 17, 2022 Lisa Rudloff, Executive Director Suzi Furjanic, Planner Santa Ana Parks, Recreation and Community Services Re: Parks Master Plan Funding Request Following several discussions with PRCSA staff about the desired contents of the Parks Master Plan, MIG has outlined the Master Plan and created a timeline to present the Draft Master Plan for Council adoption on May 17, 2022. As noted on the attached table, MIG is requesting an additional $44,970 to complete the tasks associated with this new outline and project extension. We'll address and questions and discuss any changes needed on Tuesday, 1/18/22. Nature of Funds Requests The attached spreadsheet notes the rationale for funds requested. These fall into four categories: • New Tasks: Four new tasks are added and described in detail below. • Greater Detail Requested: The City has requested additional maps or information, more extensive revisions, or an added level of effort for various tasks —including meetings with more extensive guest lists to involve in the Parks and Community Services Commission in plan review. • Funds Expended: For some tasks, the original budget was expended on other agreed -upon services, coordination meetings and tasks. The funds request is replenishing those funds. • Timeline extension: Project management is extended through the May timeline. New Tasks The following new tasks have been added: New (6.1): Consolidated Outreach Summary (including GP Findings): MIG will develop a chapter of consolidated outreach findings that identifies cross -cutting themes and key findings from the more extensive survey process, the added Phase 5 staff and advisory group meetings, and the additional General Plan outreach findings that were provided by the City on 1211121. New (6.2): Park Design and Development Guidelines: MIG will create a set of standards and guidelines by park type for City Parks, Community Parks, Neighborhood Parks, Pocket Parks, Urban Plazas, and Special Use Facilities. This information will be presented in an appendix to the Master Plan to guide park renovations, development, and operations (capital projects, facility operations, and activities). PLAN N ING I DES] GN I COMM UN I CATIONS I MANAGEMENT I SC I ENCE I TECH NO LOGY 815 SW 2nd Avenue, Suite 200 • Portland, OR 97204 • USA • 503-297-1005 • www.migcom. com Offices in: California • Colorado • Oregon • Texas • Washington New (6.3): Residential Impact Fee/Funding Approach: MIG Team member Economic & Planning Systems (EPS) will lead the evaluation of the City's Residential Development Impact Fee to provide consolidated directions on a new funding approach. The task includes: o Existing Fee Program and Funding Review. EPS will review the original ordinance, current resolution, and other background documents (annual fee reports) to establish a clear picture of the levels of park development and improvement funding that have been historically established along with how they have been used. EPS will interview staff and/or review budget documents to obtain a broad and qualitative picture as to how new park acquisition, development and improvements are funded as a whole, including the role of parks fees and other sources. o Current Funding Needs and Fee Adjustment Options. Based on recommendations for future development, EPS will consider: (1) the extent to which the City's current fee program will help cover funding needs; and (2) the potential justification for increasing and/or expanding the current fee program. As an example, fee adjustment options could include: (1) Increasing current fees based on current data on park development and improvement costs; (2) expanding fee structure to incorporate the costs of acquiring parkland; (3) adjusting the range of land uses required to pay the fee; (4) no change to the fee program etc. This information will be incorporated into Task 4.1 and the Administrative Draft Master Plan. New (6.4): Terms (Glossary): As an attachment to the plan, MIG will create a glossary of terms for parks, open space, and facilities by type, along with terms such as level of service (LOS). This information will be incorporated into the Administrative Draft Master Plan. (This includes the January requests to define parks and open space for the Planning.) Tasks Eliminated For efficiencies, staff agreed that the following tasks should be eliminated, and funds used to support other tasks: 2.9 Council Meeting #1: Issues, Opportunities and Needs 4.7 Allowance for Printed Copy of Draft & Final Plan Tasks Not Included Over the last few months, MIG and the City have discussed several other additional tasks. The following are not included in this funds request: Coordination meetings on each deliverable or additional rounds of revisions General Plan coordination or response to other requested information Additional meetings with the PRCS Commission, Art Commission, Youth Commission, Community Partners or other groups MIG, Inc. \\\{\\\ \. \ .,,.,..:° a §, . , , !!!!`\ � ;! !!!!l.l., � }!!;|!!!;\| !|!!! !!•!|!� |!!!!| ,o i , ! !\.2 . — !))i))!`; : o |)�!!;; ) {\{\\2/)\{ \}/) � !�)! _- )/�) | \!!!!ZE| !!!!|!§!!;| � , | TOfI PI2YSOf1 one:'iozlu91n DRQ92 tic CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/1'YY7) 8/30/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(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 endorsementtsi- PRODUCER CONTACT NAME: The 3697 t. Diablo Design Professionals Insurance Services, LLC PHONE 3697 Mt. Diablo Blvd Suite 230 uc a Ext: Lafayette CA 94549 EAODDRRLEss. Ce INSURED MIG, Inc. 800 Hearst Ave Berkeley CA 94710 25682 COVERAGES CERTIFICATF NItMRF0-o00g773g3S - . _- — V IOIvre NUMOC l: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OFINSURANCE BR POLICYNUMBER MMI0DYEFF fYYMMhO11L0 YEXP LIMITS B X COMMERCIALGENERALLWBILIY Y Y 6801HB99998 8/312021 8131/2022 CLAIMS -MADE ff] OCCUR EACH OCCURRENCE $1,000,000 PREMISES EacccuRenca $1,000,000 X Contracluel List MED E%P (Any one person) $10,000 brcludeel PERSONAL It ADV INJURY $1,000,DDO AGGREGATE LIMIT APPLIES PER: 711 GENERAL AGGREGATE $2,000,000 GEN'L PRODUCTS-COMP/OP AGO $2,000,000 POLICY ja 1 I LOC OCHER: C AUTONYAUTLIgBILRY V V ggpg579947 BrJ72021 61312022 CO klent)SINGLEUMIT (Ea accident $1,000,000 BODILY INJURY (Par Person) $ OWNED OWNED SCHEDULED BODILY INJURY (PeremMeM) $ Ix AUTOS ONLY AUTOS HIRED AUTOS ONLY X NON-OWNED ONLY PROPERTY DAMAGE $ Per acddenl e X UMBRELLA LIAB N OCCUR Y Y CUPOH768762 8/312021 W312022 EACH OCCURRENCE $10.000.000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DEO X RETENTION $ $ B WORKERSCOMPENSATION ANDEMPLOYERS'LIABILITY Y UB2L553909 81312021 BI312022 ER OTH- X STATUTE ER YIN ANYPROPRIETOWPAR NEREXECUTIVE OFRCERIMEMBEREXCLUDED? Li NIA E.L. EACH ACCIDENT $1,000,000 (Mandatory6d.rin NH) If yes, descdba antler E.L. DISEASE - EA EMPLOYEE $1.000,000 E.L. DISEASE - POLICY LIMIT $1,000,0DO DESCRIPTION OF OPERATIONS below A Professional Uabllliy N Y AEC904725003 8/312021 8/312022 Each Claim $3,000,000 Annual Aggregate $5,000,000 DESCRIPTIONOFOPE MONS/LOCATIONSIVEMCLES(ACORD101, Additional Remark, schedule, may ba a .d Rmore apace is required) Umbrella Liability policy is a follow -form underlying General Liability/Auto Liability/Employers Liability. RE: Santa Are Parks, Facilities, Trails and Open Space Master Plan City of Santa Ana, Risk Management, it's officers, employees, agents, representatives, and volunteers are named as additional Insureds as respects general and auto liability as required per written contract or agreement. General and Auto Liability are Primary/Non-Contributory per policy form wording. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 'RESENTATNE RhkManymaattNwbn ' RknEwm6Arpgov®Br -. 1< ©1988.2015 ACORD C( rsauM.r.,arawiralA.dr -- ACURO 25 (2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER 6801H899998 COMMERCIAL GENERAL LIABILITY ISSUED DATE: 8/30/2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Person(s) or Organization(s): Any person or organization that you agree in a written contract, on this Coverage Part, provided that such written contract was signed and executed by you before, and is in effect when the "bodily injury" or "property damage" occurs or the "personal injury' or "advertising injury" offense is committed. Location of Covered Operations: Any project to which an applicable written contract with the described in the Name of Additional Insured Person(s) or Organization(s) section of this Schedule applies. (Information required to complete this Schedule, if not shown above, will be shown in the Declarations.) A. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage", "personal injury" or "advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring, or "personal injury" or "advertising injury" arising out of an offense committed, after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, mainte- nance or repairs) to be performed by or on behalf of the additional insured(s) at the loca- tion of the covered operations has been com- pleted; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontrac- tor engaged in performing operations for a principal as a part of the same project. e*o ���I,,,����t-t�}.}tt�����.,'..'..���`'pp���.�`�����q��:%aal %�urvn CG D3 61 03 05 Copyright 2005 The St. Paul Travelers Companies, Inc. All rights rese'a�n Rye aAwiaae Includes copyrighted material of Insurance Services Office, Inc. with its pe POLICY NUMBER: 6801 H899998 COMMERCIAL GENERAL LIABILITY ISSUED DATE: 8/30/2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization that you agree in a written contract to include as an additional insured on this Coverage Part for "bodily injury" or "property damage" included in the "products - completed operations hazard", provided that such contract was signed and executed by you before, and is in effect when, the bodily injury or property damage occurs. Location And Description Of Completed Operations Any project to which an applicable contract described in the Name of Additional Insured Person(s) or Organization(s) section of this Schedule applies. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or or- ganization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work' at the location designated and described in the schedule of this endorsement performed for that additional in- sured and included in the "products -completed opera- tions hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 netx�.A� Sr. y �X�ED6 PVPRCN®BY: F �f /OH PiC4.�OK �kM1Urugere�,tOmrilAiJe Policy# 68011-1899998 COMMERCIAL GENERAL LIABILITY c. Method Or Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit 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 limit of insurance to the total applicable limits of or an d. Primary And Non -Contributory Insurance If Required By Written Contract If you specifically agree in a written contract or agreement that the insurance afforded to an insured under this Coverage Part must apply on a primary basis, or a primary and non- contributory basis, this insurance is primary to other insurance that is available to such insured which covers such insured as a named insured, and we will not share with that other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal and advertising injury" for which coverage is sought is caused by an offense that is committed; subsequent to the signing of that contract or agreement by you. a. We will compute all premiums for this Coverage Part in accordance with our rules and rates. b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured. c. The first Named Insured must keep records of the information we need for premium computation, and send us copies at such times a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in issuing this policy will not prejudice your rights under this insurance. However, this provision does not affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or "suit" is brought. 8. Transfer Of Rights Of Recovery Agamsr Inners To Us If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured 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. 9. When We Do Not Renew If we decide not to renew this Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed, proof of mailing will be sufficient proof of notice. SECTION V — DEFINITIONS 1. "Advertisement" means a notice that is broadcast or published to the general public or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition: a. Notices that are published include material placed on the Internet or on similar electronic means of communication; and as we may request. b. Regarding websites, only that part of a website 6. Representations that is about your goods, products or services By accepting this policy, you agree: for the purposes of supporters is considerE wkrnna� ..„I.,, I�.mxhn6Aevao.�Br. e %sl >aie+.Wx —•Rul, Miw9e^a^t On iu INde Page 16 of 21 © 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Policy # 6801 H899998 occupational therapist or occupational therapy assistant, physical therapist or speech -language pathologist; or (b) First aid or "Good Samaritan services" by any of your "employees" or "volunteer workers", other than an employed or volunteer doctor. Any such "employees" or "volunteer workers" providing or failing to provide first aid or "Good Samaritan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing duties related to the conduct of your business. 3. The following replaces the last sentence of Paragraph 5. of SECTION III — LIMITS OF INSURANCE: For the purposes of determining the applicable Each Occurrence Limit, all related acts or omissions committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan services" to any one person will be deemed to be one "occurrence". 4. The following exclusion is added to Paragraph 2., Exclusions, of SECTION 1 — COVERAGES — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY: Sale Of Pharmaceuticals "Bodily injury" or "property damage" arising out of the violation of a penal statute or ordinance relating to the sale of pharmaceuticals committed by, or with the knowledge or consent of the insured. 5. The following is added to the DEFINITIONS Section: "Incidental medical services" means: a. Medical, surgical, dental, laboratory, x- ray or nursing service or treatment, advice or instruction, or the related furnishing of food or beverages; or b. The furnishing or dispensing of drugs or medical, dental, or surgical supplies or appliances. 6. The following is added to Paragraph 4.1b., Excess Insurance, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is excess over any valid and collectible other insurance, whether primary, excess contingent or on an oth b ' CG D3 79 02 19 COMMERCIAL GENERAL LIABILITY that is available to any of your "employees" for "bodily injury" that arises out of providing or failing to provide "incidental medical services" to any person to the extent not subject to Paragraph 2.a.(1) of Section II — Who Is An Insured. K. MEDICAL PAYMENTS —INCREASED LIMIT The following replaces Paragraph 7. of SECTION III — LIMITS OF INSURANCE: 7. Subject to Paragraph 5. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person, and will be the higher of: a. $10,000;or b. The amount shown in the Declarations of this Coverage Part for Medical Expense Limit. L. AMENDMENT OF EXCESS INSURANCE CONDITION — PROFESSIONAL LIABILITY The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis, that is Professional Liability or similar coverage, to the extent the loss is not subject to the professional services exclusion of Coverage A or Coverage B. M. BLANKET WAIVER OF SUBROGATION — WHEN REQUIRED BY WRITTEN CONTRACT OR AGREEMENT The following is added to Paragraph 6., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If the insured has agreed in a written contract or agreement to waive that insured's right of recovery against any person or organization, we waive our right of recovery against such person or organization, but only for payments we make because of: a. "Bodily injury" or "property damage" that occurs; or b. "Personal and advertising injury' caused by an offense that is committed; subsequent to the signing of that contract or y er ass, I agreement. RhkMoYgetirLofWYnn ej.d�' �nehncnrxorrfler © 2017 The Travelers Indemnity Company. All rights reserved. �0S �LldOat Includes copyrighted material of Insurance Services Office, Inc. with its permissioa`kM1zi"e�ie1On"'1Aitla Policy: BAOs579947 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE in the BUSINESS AUTO COVERAGE FORM and Paragraph e. in A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE in the MOTOR CARRIER COVERAGE FORM, whichever Coverage Form is part of your policy: This includes any person or organization who you are required under a written contract or agreement between you and that person or organization, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to name as an additional insured for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent of that person's or organization's liability for the conduct of another "insured". xr�Mo.yo„amu� .1 `s,q �twFni Mrxa+IDBv: e«YL.11f � %u aleWars �mwnww�.m"omrxiane CA T4 37 0216 © 2016 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. BA6K931299 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided under the fallowing: BUSINESS AUTO COVERAGE FORM PROVISIONS 2. The following is added to Paragraph B.S., Other 1. The following is added to Paragraph A.1.c., Who Insurance of SECTION IV — BUSINESS AUTO Is An Insured, of SECTION 11 — COVERED CONDITIONS: AUTOS LIABILITY COVERAGE: Regardless of the provisions of paragraph a. and This includes any person or organization who you paragraph d. of this part S. Other Insurance, this are required under a written contract or insurance is primary to and non-contributory with agreement between you and that person or applicable other insurance under which an organization, that is signed by you before the "bodily injury" or "property damage" occurs and additional insured person or organization is the that is in effect during the polity period, to name first named insured when the written contract or as an additional insured for Covered Autos agreement between you and that person or Liability Coverage, but only for damages to which organization, that is signed by you before the "bodily this insurance applies and only to the extent of injury" or "property damage" occurs and that person's or organization's liability for the that is in effect during the policy period, requires conduct of another "insured". this insurance to be primary and non-contributory. ItW �bgemdllrWmn CA T4 74 02 16 ® 2016 The Travelers Indemnity Com Tau �icrmK Parry. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. Policy # BAo5579947 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following replaces Paragraph A.S., Transfer of Rights Of Recovery Against Others To Us, of the CONDITIONS Section: 5. Transfer Of Rights Of Recovery Against Oth- ers To Us We waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "accident' or 'loss", provided that the "accident' or 'loss" arises out of the operations contemplated by such contract. The waiver ap- plies only to the person or organization desig- nated in such contract. CA T3 40 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance services Office, Inc. with its permission. phkMvwwdDWAm Bi P; - %au Pccr.�ax '" asunw�.,gA�� an�viaar TRAVELERS/�, WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 ( A) — POLICY NUMBER: ue2L553909 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description Any Person or organization for which the insured has agreed by written contract executed prior to loss to furnish this waiver. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Insurance Company Countersigned by Travelers Property Casualty Company of America ? 6Avwo�Bv: .. lase DATE OF ISSUE: 8/30/2021 uum en�mmuraa