HomeMy WebLinkAboutWILLDAN HOMELAND SOLUTIONS (7) - 2015cJ
INSURANCE ON FILE-,
WORK MAY PROCEED
UNTIL INS�U�RANNE EXPIRES
C
CLERK OFCOUNCIL
DATE: g -2,D
PROFESSIONAL SERVICES AGREEMENT
TO PROVIDE
GRANT PROJECT & FISCAI. COORDINATOR SERVICES
A- 2015 -154
'I HIS AGREEMENT, tirade and entered into this 4"' day of August, 2015 by and
between WiLLDAN HOMELAND SERVICES, an operating division of WILLDAN GROUP,
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 laces of the State of
California (hereinafter "City„).
RECrrALS
A. City, acting through the Santa Ana Police Department in its capacity as a Core City and
lead agency for the Anaheim 1 Santa Ana Urban Area under the Urban Areas Security
Initiative ( "UASI "), has applied for, received and accepted a grant from the federal
Department of Homeland Security, Office of Domestic Preparedness, through the State
of California, Office of Emergency Services, to enhance countywide emergency
preparedness, hereinafter referred to as "the Grant ".
S. The City desires to contract with an expert in providing Grant Project and Fiscal
Coordinator Services,
C. Consultant represents that it has the necessary skills and experience to provide
assistance in developing grant applications, invoicing and processing payment
documents in compliance with grant policies, and maintaining guidelines and polices
required by grant providers.
D. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in the field.
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:
1. SCOPE OF SERVICES
Consultant shall develop and provide project and fiscal grant management services as
set forth in Exhibit A, attached hereto and incorporated by reference. All services required
hereunder shall conform in all respects to standards and regulations for funding by the U.S.
Department of Homeland Security, and the California Office of Emergency Services.
Consultant will be responsible for continued training to remain current on the management:
and reporting obligations required of the various Homeland Security Grant funds.
2. COMPENSATION
tu, City agrees to pay, and Consultant agrees to accept as total payment for its
services an hourly rate as noted in the Cost Price Proposal — Exhibit i3 incorporated herein by
reference. Additionally, Consultant shall be reimbursed for training, travel and materials which
have been pre - approved, in writing, by City. The total sum that can be expended under this
Agreement shall not exceed $135,000 annually and $405,000 during the three year term of this
Agreement. Funding for this Agreement is contingent upon grant Rmding.
b. Payment by City shall be made within thirty (30) 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.
3. USE AND OWNERSHIP OF DOCUMENTS
It is understood by and agreed to between the parties that all written papers or materials
prepared pursuant to this Agreement, paid for with Grant Rinds, or composed utilizing
information provided by Santa Arta, shall be the property of Santa Ana and shall be delivered to
Santa Ana upon completion of the services hereunder,
4. TERM
This Agreement shall commence on Septernber 1, 2015 and tenninate on August 31,
2013. Agreement unless terminated earlier pursuant to Section 13, below. This Agreement
contains three one -year performance periods and is contingent upon grant funding being secured
by the City.
5. INDEPENDENT CONTRACTOR
Consultant shall, during the entire tenn of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer - employee relationship, ajoint venture relationship, or
to allow the City to exercise discretion or eontrot over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries
and wages, employer's social security taxes, unemployment insurance and similar taxes relating
to employees and shall be responsible for all applicable withholding taxes.
6, INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall maintain
and shall require its subcontractors, if any, to obtain and maintain insurance as described below:
a. Commercial General I.aability Insurance. Consultant shall maintain commercial general
liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and shall include, but not be limited to protection
against claims arising from bodily and personal injury, including death resulting
therefrom and damage to property, resulting from any act or occurrence arising out of
Consultant's operations in the performance of this Agreement, including, without
limitation, acts involving vehicles. The arnounts of insurance shall be not less than the
following: single limit coverage applying to bodily and personal injury, including death
resulting therefrom, and property damage, in the total amount of $1,000,000 per
occurrence, with $2,000,000 in the aggregate. Consultant shall supply City with a firlly
executed additional insured endorsement in substantially the form attached hereto as
Exhibit C. upon execution of this Agreement,
b. Business automobile liability insurance, or equivalent form, with a combined single
limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage
for owned, hired and non -owned automobiles.
c. Worker's Compensation Insurance. In accordance with the provisions of Section 3700
of the Labor Code, Consultant, if Consultant has any employees, is required to be
insured against liability for worker's compensation or to undertake self - insurance. Prior
to commencing the performance of the work under this Agreement„ Consultant agrees to
obtain and maintain any employer's liability insurance with limits not less than
$1,000,000 per accident.
d. If Consultant is or employs a licensed professional such as an architect or engineer:
Professional liability (errors and omissions) insurance, with a combined single limit of
not less than $1,000,000 per claim with $2,000,000 in the aggregate.
e. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
(i) Consultant shall maintain all insurance required above in fill force and effect for
the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of this
Agreement and shall be approved by the City.
(iii) Certificates and policies shall state that the policies shall not be canceled or
reduced in coverage or changed in any other material aspect without thirty (30) days
prior written notice to the City.
E If Consultant faits or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been
procured and is in force and paid for, the City shall have the right, at the City's election,
to forthwith terminate this Agreement. Such termination shall not affect Consultant's
right to be paid for its time and materials expended prior to notification of termination.
Consultant waives the right to receive compensation and agrees to indemnify the City
for any work performed prior to approval of insurance by the City.
7. INDEnMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, and special counsel from liability for personal injury, orjust compensation, arising
out of "claims for personal injury, including death, and claims for property damage, to the extent
they arise from the negligent or willful misconduct in the performance of operations or errors or
omissions of the Consultant or its contractors, subcontractors, agents, employees, or other
persons acting on their behalf which relates to the services described in section I of this
Agreement.
8. CONFIDENTIALCIY
If Consultant receives from the City information which due to the nature of such
information is reasonably understood to be confidential and /or proprietary, Consultant agrees
that it shall not use or disclose such infor'mation except in the performance of this Agreement,
and Further agrees to exercise the same degree of care it uses to protect its own information of
like importance, but in no event less than reasonable care. "Confidential Information" shaft
include all nonpublic information. Confidential information includes not only written
information, but also information transferred orally, visually, electronically, or by other means.
Confidential information disclosed to either party by any subsidiary and /or agent of the other
party is covered by this Agreement. The foregoing obligations of non -use and nondisclosure
shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is,
through no fault of the Consultant disclosed in a publicly available source; (c) is in rightf'ut
possession of the Consultant without an obligation of confidentiality (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
4. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
10. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City: Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (i'v1 -30)
P.O. Box 1938
Santa Ana, CA 92702 -1988
Telefacsimile (7 [4) 647 -6956
With crnutesy copies to:
Santa Ana Police Department
UASI / Homeland Security Division
60 Civic Center Plaza
P.O. Box 1981 (NI-97)
Santa Ana, California 92702
T'elefacsimile (714) 245 -3745
Attn: Brad Hadley
and
City Attorney
City of Santa Ana
20 Civic Center Plaza (M -29)
P.O. Box 1988
Santa Ana, California 92702
Telefa.esimile (714) 647 -6515
To Consultant: Jim Bailey
Wiltdan Homeland Solutions
2401 East Katetla Avenue, Suite 220
Anaheim, California 92806
Office (714) 940 -6389
Entail: jbaileyCawiltdan.con
A party may change its address by giving notice in writing to the other party. Thereafter,
any communication shalt be addressed and transmitted to the new address. If sent by mail,
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duty registered or certified, with postage prepaid, and
addressed as set forth above. If sent by telefacsimile, communication shall be effective or
deemed to have been given twenty -four (24) hours after the time set forth on the transmission
report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of
calculating these time frames, weekends, federal, state, County or City holidays shall be
excluded.
11. EXCLUSIVITY AND AtMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, that terms and conditions hereof, shall not bind or obligate Consultant nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agreements, orally or otherwise, have been made: by any patty, or anyone acting on
behalf of any party, which are not embodied herein.
12. ASSIGNiiIENT
Inasmuch as this Agreement is intended to sMIN the specialized services of Consultant,
Consultant may not assign, trarsfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
13, TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In the event that grant funding is not secured, City has the right to terminate the
Agreement immediately upon exhaustion ofthe grant funds. Consultant shall be entitled to
receive and the City shall pay Consultant compensation for all services performed by Consultant
prior to receipt of such notice of termination, subject to the following conditions:
a. As a condition of such payment, the Chief of Police may require Consultant to deliver
to the City all work product completed as of such date, and in such case such work product shall
be the property of the City unless prohibited by law, and Consultant consents to the City's use
thereof for such purposes as the City deems appropriate.
b. Payment need not be made for work that fails to meet the standard of performance
specified in the Recitals of this Agreement,
14. DISCRIMINATION
Consultant shall riot discriminate because of race, color, creed, religion, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited .
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related activities. Consultant affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local taws and regulations.
15. JURISDICTION - VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
16, PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by tire laws and regulations of the United States, the State of California,
the City of Santa Ana and at[ other governmental agencies. Consultant shall notify the City
immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals,
waivers, and exemptions. Said inability shall be cause for termination of this Agreement.
17. CONSULTANT CERTIFICATIONS
a. Audit Records - With respect to all matters covered by this agreement all records
shall be made; available for audit and inspection by the City, the grant agency and/or their duly
authorized representatives for a period of three (3) years from the termination of this Agreement.
For a period of three years alter final delivery hereunder or until all claims related to this
Agreement are finally settled, whichever is later, Consultant shall preserve and maintain all
documents, papers and records relevant to the services provided in accordance with this
Agreement, including the Attachments hereto. For the same time period, Consultant shall make
said documents, papers and records available to City and the agency from which City received
grant funds or their duly authorized representative(s), for examination, copying, or mechanical
reproduction on or off the premises of Consultant, upon request during usual working hours.
b. Consultant shall provide to City all records and information requested by City for
inclusion in quarterly reports and such other reports or records as City may be required to
provide to the agency from which City received grant funds or other persons or agencies.
C. Section 504 of the Rehabilitation Act of 1973 (Elandicap )ed - All recipients of
federal funds must comply with Section 504 of the Rehabilitation Act of 1973 (The Act).
Therefore, the federal funds recipient pursuant to the requirements of The Act hereby gives
assurance that no otherwise qualified handicapped parson shall, solely by reason of handicap be
excluded from the participation in, be denied the benefits of or be subject to discrimination,
including discrimination in employment, in any program or activity that receives or benefits tiom
federal financial assistance. The Consultant agrees it will ensure that requirements of The Act
shall be included in the agreements with and be binding on all of its contractors, subcontractors,
assignees or successors.
d. Americans with Disabilities Act of 1990(ADA) Consultant must comply with
all requirements of the Americans with Disabilities Act of 1990 (ADA), as applicable.
e. Political Activity - None of the funds, materials, property, or services provided
directly or indirectly under this agreement shall be used for any partisan political activity, or to
Rather the election or defeat of any candidate for public office, or otherwise in violation of the
provisions of the "Hatch Act".
f. Civil Rights Compliance and Notification of Fin ins - Consultant will comply,
and all its contractors (or subrecipients) will comply, with the nondiscrimination requirements of
the Omnibus Crime Control and Safe Streets Act of 1968, as amended, 42 USC 3789 (d), or
Victims of Crime Act (as appropriate); Title VI of the Civil Rights Act of 1964, as amended;
Section 504 of the Rehabilitation Act of '1964, as amended; Subtitle A, 'Title II of the Americans
with Disabilities Act (ADA) (1990); Title LX of the Education Amendments of 1972; the Age
Discrimination Act of 1975; Department of Justice Non - Discrimination Regulations, 28 CFR
Part 42, Subparts C, D, E, and G; and Department of Justice regulations on disability
discrimination, 28 CFR Part 35 and 39. In the event a Federal or State court, Federal or State
administrative agency, or the Consultant makes a finding of discrimination after a due process
hearing on the grounds of race, color, religion, national origin, sex, or disability against a
recipient of funds, the Consultant will forward a copy of the findings to the City which will, in
turn, submit the findings to the Office of Civil Rights, Office of Justice Programs, U.S.
Department of Justice.
g. Consultant will comply, and all its contractors (or subrecipients) will comply,
with all requirements of the Executive Order 11246 of September 24, 1965, entitled "Equal
Employment Opportunity," as amended by Executive Order 11375 of October 13, 1967, and as
supplemented in Department of Labor regulations (41 CFR chapter 60), as applicable.
h. Consultant will comply, and all its contractors (or subrecipients) will comply,
with all requirements of the Copeland "Anti - Kickback" Act (18 U.S.C. 874) as supplemented
in Department of Labor regulations (29 CFR Pail 3), as applicable.
i. Consultant will comply, and all its contractors (or subrecipients) will comply,
with all requirements of the Davis -Bacon Act (40 U.S.C. 276a to 276a -7) as supplemented by
Department of Labor regulations (29 CPR Part 5), as applicable.
j. Consultant will comply,, and all its contractors (or subrecipients) will comply,
with all requirements of Sections 103 and 107 of the Contract Work and Safety Standards Act
(40 U.S.C. 327 -330) as supplemented by Department of Labor regulations (29 CFR Part 5), as
applicable.
k. Consultant will comply, and all its contractors (or subrecipients) will comply,
with all applicable standards, orders or requirements issued under Section 306 of the Clean Air
Act (42 U.S.C. 1857(h)), Section 508 of the Clean Water Act (33 U.S.C. 1368), Executive
Order 1 1733, and the Environmental Protection Agency regulations (40 CFR part 15), as
applicable.
1. Consultant will comply, and all its contractors (or subrecipients) will comply,
with all requirements of the Energy Policy and Conservation Act (Pub. L. 94 -163, 89 Stat.
871), (53 FR 8078, 8087, Mar. 11, 1988, as amended at 60 FR 19639, 19645, Apr. 19, 1995),
as applicable.
M. Consultant agrees that the Department of Homeland Security shalt have the
authority to seek patent rights for any process, product, invention or discovery developed and
paid for with finding through this Agreement.
n. Recipient may copyright any books, publications or other copyrightable
materials developed in the course of or under this Agreement. However, the federal awarding
agency, State Administrative Agency (SAA) and City reserve a royalty -free, non- exelusive,
and irrevocable license to reproduce, publish or otherwise use, and to authorize others to use,
for federal government, SAA and /or City purpose
{ t ) the copyright in any work developed through this Agreement; and
(2) any rights ofcopyright to which the subcontractor purchases ownership with
support through this grant. The Federal government's, SAA's and City's tights identified
above must be conveyed to the publisher and the language of the publisher's release form must
ensure the preservation of these rights,
18. MISCELLANEOUS PROVISIONS
a. Each undersigned reptesents and warrants that its signature herein below has the
power, authority and right to bind their respective parties to each of the terms of this Agreement,
and shalt indemnify City filly, including reasonable costs and attorney's fees, for any injuries or
damages to City in the event that such authority or power is not, in fact, held by the signatory or
is withdrawn.
b. All Exhibits referenced herein and attached hereto shalt be incorporated as if fully set
forth in the body of this Agreement.
ICI WITNESS WHEREOF, the parties hereto have executed this Agreement the (late and
year first above written.
CITY OF SANTA ANA, a municipal
Corporation of the State or California
ATTEST:
MA t1A D. HUIZAI DAVID C
Clerk of the Council City Manager
SONIA R. CARVALHO
City Attorney
Latin Rossini
Senior Assistant City Attorney
APPROVED AS TO FORM:
--c
CARLOS ROJA:S
Chief oHolice
WILLDAN HOMELAND SOLUTIONS
V
JIM BAILEY --
President
EXH [SIT A
GRANT PROJECT & FISCAL, COORDINATOR
SCOPE OF SERVICES
EXHIBIT A
Grant Project & Fiscal Coordinator
Job Description
Reporting Relationships /Supervision
Reports to the UASI Grant Coordinator and Administrator. Works in close coordination with
Project Coordinators, Sub - Recipients, City Finance, and the California Office of Emergency
Services. Liaison to the UASI Working Group (UAWG), UASI Steering Committee, UAWG
Sub- Committees, and Orange County Intelligence Assessment Center (OCIAC) Fusion Center.
Basic Function
The Grant Project & Fiscal Coordinator plans, organizes, manages, and directs activities related
to project management and the Financial and Audit Unit. Ensures successful integration of all
aspects of projects, including technical, financial, legal, and political, to ensure that projects
assigned stay on budget and on schedule. Ensures grant finances are in compliance, submits
cash advances /requests in a timely manner, tracks expenditures and budgets, processes sub -
recipient reimbursement requests, and manages detailed recordkeeping.
Responsibilities
Project Mana"ement and Coordination
• Responsible for the management and oversight of all assigned project activities
including but not limited to_ contract management and milestone monitoring, ensuring
compliance with all applicable rules and regulations, managing budgets, ensuring
participation of all regional public safety agencies, and regular reporting.
• Provide review of project applications, ensuring Authorized Equipment List (AEL)
compliance.
• Supports the coordination and implementation of the contracting process such Request
for Proposal (RFP) development and creation, review, and processing of agreements.
• Participates in grant application and investment justifications at regional, state and
federal level.
• Provides updates on project status and/or program goals /initiatives.
• Provides briefings to the UASI Working Group, UAS l Steering Committee, and
UAWG Sub - Committees, and OCIAC Fusion Center.
• Assists with entry of equipment iterns into Wisetrack Inventory System. Compile
necessary documentation for attachment to each item in system.
• Review of required documentation submitted by staff and sub - recipients to include
project applications, EFIP, CaIOES approvals (including but not limited to Sole Source,
Vehicle Approval, Emergency Operation Center approvals, and Aircraft/Watercraft
Approval), quarterly reports, and project budgets.
• Acts as liaison to OCIAC Fusion Center.
• Attends planning and update meetings as requested or deemed necessary.
• Provides programmatic and fiscal status reports (bi- weekly, monthly, and quarterly,) to
the UASI Grant Coordinator and OCIAC Director,
Financial and AudttManaeement
City Financial Procedures:
• Upon receipt of grant award information, complete appropriation adjustment far
attachment to the request for council approval, in order for new grant account number
creation and budget allocations per object code.
• Complete Lawson entry of Projects and Activities, in order to create budget allocations
by project, and create Activity numbers that identify project and solution area as an
accounting mechanism.
• Process purchase orders and attach supporting documentation, such as invoices and
packing slips, provide accounting information and grant to be charged, create
reimbursement packet, and send to City Finance for vendor payment.
• Process incoming invoices for contract vendors, attach supporting documentation, for
creation of direct payrnent vouchers, create reimbursement packet, and send to Police
Fiscal for payment.
• Process sub- recipient reimbursement packets to check for required financial paperwork
and completion, process sub - recipient invoices, create reimbursement packet, and send
to Police Fiscal for payment.
• Turn in bi- monthly timeshcets for grant personnel, collect overtime chits, and turn into
Police Fiscal for posting. Review monthly labor distribution reports, attaching
appropriate timeshects, chits, and use P2K Payroll program to printout additional
inf'ornation as required.
• Complete budget projections for each open Homeland Security Grunt, including
approved positions, and sent( completed budget to Police Fiscal for inclusion into the
City Budget for each new fiscal year.
Upon close of grant, complete reconciliation of City General Ledger and all grant cash
requests, completing necessary journal voucher to balance discrepancies.
• Provide analytical support For project managers, grant manager, and grant administrator
as needed.
California Office ofEivergeagv S'en leas (CazIOES) Procedures:
• Ensure financial compliance with the grant and any financial directives set forth by the
California Office of Emergency Services (previously the Office of Homeland Security)
and the Department of Homeland Security. Liaison with local, state and federal
agencies regarding financial matters related to the administration of fine Homeland
Security Grants.
• Participates in grant application and investment justifications at regional, state, and
federal level.
• Assist and complete grant applications and grant modification requests via the
California. Office of Emergency Services workbook, confirming modifications to the
internal project matrix, training and exercise rosters, approved project applications, and
project descriptions are reflected in the workbook.
• Complete grant cash requests and advances using the workbook, From compiled
reimbursement packets, training packets, equipment ledger, and City General Ledger
via LAWSON, Request City invoice, attach workbook, and send to the California
Office o f Emergency Services for reimbursement.
• Once checks have been received from the State, add a copy to the cash request tiles,
attach pertinent City invoice, and deliver to Treasury for deposit
• Work with City Accountant to calculate interest earned on cash advances, tracking
vendor/sub- recipient payment, compared to advance clieck deposit date. Request check
to the Federal Department of Health and Human Services, for all interest earned on
grant advances.
• Slnintain an updated database of all financial points of contact and conduct periodic on-
site financial monitoring of Homeland Security Grant sub - recipients.
• Conduct financial and budgetary analysis of General Ledger, Project and Activity
Report, Labor Distribution Report, and Revenue Ledger report.
• Prepares and submits bi- annual progress reports (BSIR) into the Federal Grant
Repportir g Tool
UASI Grant Office Prc�ceclteres
• Attend Urban Area Security Initiative Working Group and Steering Committee
meetings as programmatic and financial point of contact.
• Update and revise Urban Areas Security Initiative Sub - Recipient Guidelines and
Policies, to include new laws, rules, and requirements from DHS and Cal -OFS, as well
as updated Grant Office procedures for project managers and sub- recipients.
• Update any Anaheim / Santa Ana UASI forms with each new grant year, including
reimbursement forms, project applications, project modifications, monitoring farms,'
training forms, reporting forms, and others,
• Keep in constant communication with grant project managers to ensure appropriate
federal, state, and local requirements are being met and they meet grant deadlines.
• Send out reminders when the Quarterly Project Status Reports are due, review for
completeness, and forward to the appropriate office staff for review.
• Provides programmatic and fiscal status reports (bi- weeldy, monthly, and quarterly) to
the UASI Grant Coordinator,
Knowledge, Skills, and Abilities
Full understanding of Federal and CaIOFS Homeland Security Grant Guidance and full
understanding of the Anaheim/Santa Ana UASI Sub - recipient Grant Guidance. Gencral
knowledge of government contracting/procurcment processes. Ability to manage project
budgets. Ability to facilitate group meetings. Ability to research topics unfamiliar to their
normal areas of expertise and experience (within Homeland Security Grant relevancy) and
develop program /project plans. Ability to maintain good working relationships with all
stakeholders within the UASI, state or outside agencies, other team members, staff and the
community based stakeholders. Advanced verbal and written communication skills. Ability to
solve problems. Above average political acumen.
Knowledge of grant financial management requirements, and ability to read through the
applicable code of federal regi.dations, OivIB circulars, Environmental & Historic Preservation
requirements, Cal -OFS Strategic Goals & Objectives, Core Capabilities, Procurement and
Purchasing Policies, and Travel Policies, for the Urban Area Security Initiative (UAS1) grants
and homeland Security Grant Program (PISGP).
Kjiowledge and ability to use LAWSON Financial Management System Software, P2K. Payroll
System Softwire, the Federal Grunt Reporting Tool, and Microsoft programs such as Word,
Excel, Outlook, PowerPoint, Publisher, aril the WiseI'rack Inventory tracking system/so ftwure.
Knowledge of municipal government operations, City financial accounting techniques,
procurement, budgetary processes and controls,
Cost: See Cost Price Proposal
EXHIBIT B
WILLDAN HOMELAND SECUIRTY
COS-1 PRICE PROPOSAL
CITY OF SANT ANA
Grant Project and Fiscal Coordinator Services
COST PRICE PROPOSAL
Performance Period #1 — (Months 1 -12)
September 01, 2015 through August 31, 2016
LABOR CATEGORY RATE HOURS TOTAL
Labor
Grant Project & Fiscal Coordinator .$ 59.21 2000 $ 118,420
Subtotal Time & Materials (T &M) Labor 2,000 $ 118,420
OTHER DIRECT COSTS
Estimated Travel and Training $ 7,000
Subtotal Cost Reimbursable $
GRANDTOTAL $ 125,420X0
Performance Period #2 — (Months 13 -24)
September 01, 2016 through August 31, 2017
LABOR CATEGORY RATE HOURS TOTAL
Labor
RATE HOURS
Grant Project & Fiscal Coordinator
$ 60.69 2,000 $
121,380
Subtotal Time & Materials (T &M) Labor
2,000 $
Grant Project & Fiscal Coordinator
121,380
OTHER DIRECT COSTS
125,020
Subtotal Time & Materials (T &M) Labor
Estimated Travel and Training
$
7,000
Subtotal Cost Reimbursable
$
OTHER DIRECT COSTS
fC.9AN✓D_T...g1A1,
$
128,380,00
Performance Period #3 — (Months 25 -36)
September 01, 2017 through August 31, 2018
LABOR CATEGORY
RATE HOURS
TOTAL
Labor
Grant Project & Fiscal Coordinator
$ 62.51 2,000
$
125,020
Subtotal Time & Materials (T &M) Labor
2,000
$
125,020
OTHER DIRECT COSTS
Estimated Travel and Training
$
7,000
Subtotal Cost Reimbursable
$
GRAND TOTAL
$
132,020.00
CERTIFICATE OF LIABILITY INSURANCE DATE
/ 2014IYYYY,
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 pollcyl must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement a ,
PRODUCER
Dealey, Renton & Associates
P. 0. BOX 1 0550
CD C
NA E: Karin Thn
PHONE P No
Santa Ana CA 92711.0550
.MAIL
ADD ss in
INSURERS AFFORDING COVERAGE
NAIC#
TYPE OF INSURANCE POLICY CFF POLICYEXP
SR VD POLIC NUMBER MIDDIYVVY MMIDDIYYyY
INSURCR A T(aVP al It
INSURERS ;
INSURED
Wllldan Homeland Solutions
2401 E. Katella Avenue, Ste, 220
INSURER C:Cha F I a C
INSURER O
EACH OCCURRENCE
Anaheim CA 92806
COMMERCIAL GENERAL LIABILITY
INSURER E
COVERAGES
NSURER F
$1,000,000
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN
ISSUED TO THE INSURED NAMED 7;1' OVE 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
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED
ALL THE TERMS,
BY PAID CLAIMS,
ILTK BR
TYPE OF INSURANCE POLICY CFF POLICYEXP
SR VD POLIC NUMBER MIDDIYVVY MMIDDIYYyY
LIMITS
A GENERAL LIABILITY Y 301168PO20 11/912014 1/9/2016
X
EACH OCCURRENCE
$1,000,000
COMMERCIAL GENERAL LIABILITY
MA 't T7�1 ENT�-
-
P EMS Ea ere
$1,000,000
CLAIMS-MADE � OCCUR
X
DFPD,
MI EXP An one remon
$10,000
CU vl
X BFGGREGA
PERSONAL &ADVINJURY
$1,000000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2, 'IQ ,9oU
PR
POLICY X
PRODUCTS - COMPItlP AGO
$2,900,000
LCC - -
$
A AUTOMOBILE LIABILITY 8101158P020 11/9/2014 119/2015
X ANY AUTO
E ccl de
,7000000
AU OS SCHEDULED
BODILY INJURY (Per person)
$
AUTOS
AIRED AUTOS
Y` X
BODILY -INJURY (P., eccldan0 $
HIRED AUTOS AUTOSWNCO
ROPE
`
Id. tDAMAGE
$
UMBRELLA LIAB OCCUR
5
EXCESS LAG CLAIMS -MADE
EACHOCCURRENCE
5
AGGREGATE
$
DED RETENTION$
C WORKERS COMPENSATION U87p417816 11/912014 1/9/2015
AND EMPLOYERS' LIABILITY
X WC STATU- 0TH-
$
OFFICERIMENTOER CXCLUO D? ECUTIVE F
F
NIA
(Mandatary In NH)
E,L, EACH ACC �EN7
$1,000,000
" 06deecrlhIPTION e under
E.L. DISEASE - EA EMPLOYE
$1,000,000
DESCR OF OPERATIONS below
B Professional Llablllty
E.L. DISEASE -POLICY LIMIT
$1,000,000
ED977441115 11/9/2014 1/9/2013
Claims Made
Per Claim
Annual Aggragato �.—O
$$1,000,000
$ 0,000
DESCRIPTION PFOPERAT IONS ILOCAHVN8 IVEHICLES(gMech ACORD ipl, Atltlltlonal Remarks Sahatlule, IPmore Apace lnrequlrxtl(
^•
General Liability pO(lcy excludes claims arising out of the performance of professional services.
t^�1'
Independent Contractors are Included as respects to General Liability,
30 Dap N0G /10 Day for Non Pay of Pram
City Santa
-r•I,
of Ana, its officers, employees, agents, volunteers and representatives are additional insured
to General Liability as required by written contract. Primary and Non- Contrlbuting
as respects°)
coverage, Cross Liability -
coverageappliestoGLasrequiredbywrittencontract
.(WHS)
,m�e'•„
M"
`•'1
T
CERTIFICATE HOLDER
City of Santa Ana
Attn: Clerk of the City Council
20 Civic Center Plaza(M -30) / PO Box 1988
Santa Ana CA 92702
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AU HORIZEDREPRjE
Hall
•,_.+..ter... rrarne arm logo are registered marks of ACORD
-- - - - -- - _.....�___- ._ -- Vag A �f -
COMMERCIAL GENERAL LIABILITY
6301158P020
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED -WRITTEN
CONTRACTS (ARCHITECTS, ENGINEERS AND
SURVEYORS)
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
1, The following Is added to SECTION II — WHO IS
AN INSt1RED:
Any person or organization that you agree in a
"written contract requiring Insurance" to include as
an additional Insured on this Coverage Part, but:
a. Only with respect to liability for "bodily Injury
"property damage" or "personal Injury"; and
b. If, and only to the extent that, the injury or
damage is caused by acts or emissions 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 emissions of such person or organization.
The Insurance provided to such additional Insured
is limited as follows:
In the event that the Limits of Insurance 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 limits of liability required
by that "written contract requiring insurance ".
This endorsement shall not increase the limits
of insurance described in Section 111 — Limits
Oflnsuranca.
d. This insurance does not apply to the render.
Ing of or failure to render any "professional
services" or construction management errors
or omissions.
a. This insurance does not apply to "bodily In-
jury" or "property damage" caused by "your
work" and Included in the "products -
completed operations hazard" unless the
"written contract requiring insurance" specifi-
cally requires you to provide such coverage
for that additional insured, and then the insur-
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 time 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 addl-
tional insured for a loss we cover. However, if you
specifically agree In the "written contract requiring
insurance" that this Insurance provided to the ad-
ditional 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" available to :he additional in•
sured which covers that person or organization as
a named insured for such loss, and we will not
share with that "other Insurance But this insu•
ance provided to the additional insured still Is ex-
cess over any valid and collectible "other Insur-
ance", whether 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 IV — COM-
MERCIAL GENERAL LIABILITY CONDITIONS:
Duties Of An Additional Insured
As a condition of coverage provided to the addl•
Clonal insured:
a. The additional Insured must give us written
notice as soon as practicahle of an "ocour-
rence" or an offense which may result in a
claim. To the extent possible, such notice
should Include:
CO D4 14 04 08 0 2008 'he Travelers Compan'es, ne.
Page 1 of 2
COMMERCIAL GENERAL LIABILITY
i. Haw, 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 ariaing out of the "occurrence" or
offensa.
b. If a claim Is made or "suit" Is brought against
the additional Insured, the additional Insured
must;
I. Immediately record the specifics of the
claim or "suit" and the data received; and
II. Notify us as soon as practicable.
The additional Insured must see to it that we
receive written notice of the claim or "suit" as
soon as praoticable,
c. The additional Insured must Immediately send
us copies of all legal papers received In corm
nection with the claim or "suit ", cooperate with
us In the Investigation or settlement of the
claim or defense against the "suit ", and oth-
erwise comply with all policy conditions,
d, The additional insured must tender the de-
fense and indemnity of any claim or "suit" to
Page 2 of 2
any provider of other Insurance which would
eovgr the additional insured for a loss we
cover, However, this condition does not affect
whether this Insurance provided to the addl-
tlonal Insured is primary to that other Insur-
ance avalloble to the additional Insured which
covers that person or organization as a
named Insured,
4. The following is added to the DEFINITIONS Sac -
tlon:
"Written contract requiring Insurance" means that
part of any written contract or agreement under
which you are required to Include a person or or-
ganizatlon as an additional Insured on this Cover-
age Part, provided that the "bodily injury" and
"Property damage" occurs and the "personal In-
jury" Is caused by an offense committed:
a. After the signing and execution of the contract
or agreement by you;
b. While that part of the contract or agreement Is
in effect; and
C. Before the and of the policy period,
02008 The Travelers Companies, Inc.
BSI
CO D4 14 04 08
CERTIFICATE OF LIABILITY INSURANCE 'DA 1MM512015 Y,
��,���
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
REP'RESENTA'TIVE OR (PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION( IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
AoP1. Rrr,k. Insurance Services west, :Cn,..c.
(Los An ell es C:A. Office
------------ .._._. _ _ -.. -_- -...._ ..... .............. ..............._n
PH— N t,56h1� T'89 -4121 FAX (800) 363-0105
(A�IC N�o. Ext). � AAC. No. .
7407 WMi shire Boulevard
E- MtIAIIL
Sufi to 7600
ADDRESS:
LOS Angeles CA 90017 -0460 USA
WVD
POLICY' NUMBER
IMIMIDDfYYYYI
INSUREIR(S) AFFORDING COVERAGE .
NAM#
INSURED
INSURER. A.: National Fire Ins, CO, Of Hartford
2D4713
W'illdarl Homeland Solutions
2401 E, Ratellaa Avenue, Ste,. 220
Anaheim CA 92806 IUISA
INSURER ri'_. The Continental Insurance Company
INSURER . L.e."..xinfgton Insurance Company
351289
:19437
..,. . ! . "�a.
INSURER D:
EACH OCCURRENCE
$1,000,000
INSURER E:
''.. CLAI"m1SfMIAJE X�f7CC'L6?
INSURER F:
COVERAGES CFFtTIFIrATF NIIMRFP2° 57nnfifln.ri4FICI
r FdFU1 IrSN NII'MRI=p-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED ISELOW 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 POUCIIE,S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
LTR
TYPE OF INSURANCE
NSD
WVD
POLICY' NUMBER
IMIMIDDfYYYYI
MfudfDDlYYY'N
LIMITS
X
COMMERCIAL GENERAL LIABILITY
�. ..
..,. . ! . "�a.
f.......
EACH OCCURRENCE
$1,000,000
''.. CLAI"m1SfMIAJE X�f7CC'L6?
RENT
0O0
I_I
PR E VISES(ET)murrence
'�1,N00,
MED E.XP rAniy Urre rr'ersurib
PERSONAIL. & Ad.°J'V INJURY
$1,000,000
CENAGGREGAIE
LIM7APPLIES PER
! GENERAIL AGGREGATE.
S2,()00,000
POLICY M JECT LOC,
CT
PRODUCTS - f;OMPIOP AGG
$2,000,000 '
A
AUTO MOBILE LIABILITY
6020541619
11/09°/201S
11/09/2016
COMBINED SINC LELIMIIT
Ea a=dentL......._®
BODILY INJURY i Per owson)
X ANY AUTO
ALL OWNED SO EDULED
BODILY INJURY(Per' acmdelnt)
AUTOS AUTOS
RR 11,11 IY DAiMA E
Per
HIR:Er'S l6U "P"Cl "S NON-OWNED
'.. _._... AU rCTy
acchderrf
UMBRELLA LIA13
5.1:: CaJ R:
FA:7H OCCURRENCE
EXCESS LIM
CLAUM45 -"'
AGGREGATE
ICYED I RETENTION
B
WORKERS COMPENSATION AND
6022647422
11/07/20l.5
[ ��
11 /i19f 2CI16
X STAaT GTE
ERS LYABILITY Y�N
EIMPLOYPRIS'LI MLITTNUP
Workers Compensation A)5
,., _..
B
ANY PROPRIETOR EXECUTIVE
�
NdA
6020:x41572
1.1„09/,.015
11/09/2016
EL. EACH. ACCIDENT
$1„000,0,00
C7Tr1CICF;VMFfael:R k:XCLadDE t7r
yMlamdla racy ,n NRp...
Workers Compe�nsa.t'ion�.. CA
EL DISEASE- EAEMPLrOYEE.
-
51,1100,000
If yeb desenbe undeir
DESCRIPTION OF OPERATIONS below+
E.LL, 7IS�EASE PIJ1.ic°X h., MIT
n1,000, 000
C
contractor Prof
0211174912
11/09/2015
11/09'2016
Per Claim
S1,000,000
Professional Liability
Aggregate.
52„000,000'
SIR
5250,0610,
DESCRIPTION OF OPERATIONS f LOCATION'S 4 VEIHIC:LES (ACORD 1011 Additional Remarks Schedule, maybe ada.ched if Imoro apace is required)
l ' exercise rite cane, its OffTt:eY"S, Pi11(jlP,yee`i„ agents, volunteers ar4C1
p1
respect
rreyresentatives areli additln"Onall Insue as Sl to General and Auto Liability policies; and the General Liab "ility' pCliCi e.S
evidenced herein 1s primary and rlon- contr'ilbutory t,o other insurance available, In accordance with the policy provisions, Cross
Liability coverage appllies to General Liability. (WINS). Genlelral liability pollicy excludes claims arising out of the performance
of professional services, Independent Contractors are incelLded as respect; to General Liability.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY Or THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE VVILL BE DELIVERED IN ACCORDANCE WITH THE
POLfCY PROVIISION'S,
City of Santa. Ana AUTHORIZED RLPTRESENfArIVE
Attn: Clerk of the c'ty Council
20 Civic CenteI, Plaxa(Y -30)
Santa tax 1988 ;rt. e..I�GIAGa�R aw YGa�&+Gl�.�w� +?ci'L x..• G.
Santa Ana CA 9270; USA
(D1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD nalm,
ogle are registered marks of ACORD
r
a
0
z
rlf
td
U
t*
CU
t1
CC68021A
(Ed. 02113)
It is understood and agreed that:
If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record
has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any
reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificate holders at
least 30 days in advance of the date cancellation is effective.
If notice is mailed, then proof of malling to the last known mailing address of the Certificate holder on file with the
Agent of Record will be sufficient to prove notice.
Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any
liability or obligafion upon us or the Agent of Record.
Insured Name:
Policy No: 5088210281
Endorsement No: N/A
Effective Date,- 11/09/2015
7opyrig:ht CNA All Rights Reserved.
101
CC68Q21A
(Ed. 02/13)
WAM
It is understood and agreed that:
M you have agreed under written contract to provide notice of cancellation to m party to whom the Agent of Record
has issued a Certificate of Insurance, and if,we cancel a policy term described on that Certificate of Insurance for any
reason other than nonpayment ofpremium, then notice of cancellation will be provided to such Certificate holders at
least 30 days im advance wf the date cancellation iaeffective.
If notice is mailed, then proof of ma,iling to the last known mailing address of the Certificate holder on fite with the
Agent of Record will be sufficient to prove notice.
Any failure by us to not�ify such persons or organizations wiH not extend or invalidate such canceflation, or impose any
liabifity or obligation upon us or the Agent of Record.
Policy No: @Q2Q541588
Endorsement No: N/A
Effective Date: 11/09/2015
cvpyoQmCmA Ali Rights Reserved.
CC68021A
IMA (Ed. 02/13)
If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record
has issued a Certificate of insurance, and if we cancel a policy term described on that Certificate of Insurance for any
reason other than nonpayment of premium, then niotice of cancellation will be provided to such Certificate holders at
least 30 days in advance of the date cancellation is effective.
If notice is mailed, then proof of mai:ling to the last known miailing address of the Certificate holder on file with the
Agent of Record will be sufficient to prove notice.
liability or obligation upon us or the Agent of Record.
CC6802'1A (Ed. 02/13) Policy No: 6020541572
Page 1 of I Endorsement No: N/A
Effechve Date: 11/09/2015
Insured Name: Copyright CNA All Rights Reserved
CC68021'A
N A (Ed. 02/13)
It is understood and agreed that'.
MOM 10
NIn."Tn"771, i
-w,w-TIV&
reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificate hoiders, at
least 30 days in advance of the date cancellation is effective.
If notice is mafled, then proof of mailing to the own mailing address of the Certificate holder on file with the
Agent of Record will be suffic�ent to prove notice,
Aey
liability or oNigation upon us or the Agent of Record.
Ma- 6
0 111 , I . I
I i A I UM I NY, SMA MW a
insured Name: Copyright CNA All R�ghts Reserved.
' P'c
CC68021A
(Ed, 02/13)
It is understood and agreed that
ff you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record
has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any
reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificate holders at
least 30 days in advance of the date cancellation is effective.
If notice is mailed, then proof of mailing to the last known mailing address of the Certificate holder on file with the
Agent of Record will be sufficient to prove notice.
Any failure by us to nofify such persons or organizations wO not extend or invalidate such cancellation, or impose any
liability or obligation upon us or the Agent of Record.
187901*7111105373-
4
Policy No: 6020541619
Endorsement No: N/A
Effective Date: 11/09/2015
Copyright CNA At[ Rights Reserved. -
Poiicy Nun,6er� 5088210281
This endorsement modifies insurance provided under the following:
L 'The WHO IS AN INSURED section' is amended to add as an Insured any person or organization whom the Named
Insured is required by written contract to add as an additional insured on fts coverage part, including any su:c:h
person or organization, if any, specifically set forth on the Scheduie attachment to this endorsement. However, such
person or organization is an Insured only with respect to such person or organization's liabdity for�
X
Pou icy Nj,,urber� 5088210281
contract to be primary and non-contributory, this insurance will be primary and non - contributory relative solely to
insurance on which the additional insured is a named insured,
V. Solely with respect to the insurance granted by this endorsernent, the section enfitled COMMERCIAL GENERAL
LIABILITY CONDITIONS is arnendedas fclllow&�
The Condffion entitled Duties In'T'he Event of Occurrence, Offense, Claim or Suit is amended with the addition
of the following:
Any additional insured pursuant to this endorsement will as soon as practicable,
I I I I I ! IF ! I F I I ! I I I I !I
2'. except as provided in Paragraph lV. of this endorsement, agree to make available any other insurance the
additional insured has for any loss covered under this, coverage part-,
3. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the
investigation, defense, or settlement of the claim and
4. tender the defense and indemnity of any clairn to any other insurer or self insurer whose policy or program
applies to a l�oss that the insurer covers tinder this, coverage part. However, if the wriften contract requires,
this insurance to be primary and non-conthbutory, this paragraph (4) does not apply to insurance on which
the additional insured �s a narned insured
The Insurer has no duty to defend or indemnify an additional insured tinder this endorsement until the Insurer
receives written notice of a claim from the additional insured,
VI. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is arrended to
add the following definition:
Written contract means a written contract or written agreeryient that requires the Named Insured to make a person
or organization an additional Insured on this coverage part, provided the contract or agreemeft
A. is currently in effect or becomes effective during the term of this policy; and
3
.1 ;1i 10171 Fill nin, 1.1 1;
for which the additional insured seeks coverage
Any coverage granted by this endorsement shall apply solely to the extent permissible by law.
. . . . ... .....__.mm ................... ..............
This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect
on the effective date of said Policy at the hour stated in said Policy, unless another effective date is !shown below, and
expires concurrently with said Policy.
Poficy N�,urnber 6020541619
CNA63359XX
(Ed. 04112)
CONTRACTORS EXTENDED COVERAGE ENDORSEMENT
- BUiSINESS AUTO PLUS -
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
The foflowing �s added to Section 11, Paragraph
A.I., Who Is An Insured:
b. Does not apply to
"Bodily in ury" or "properly damage"
caused by an "accident" that
occurred before you acquired or
formed the organization; or
(2) Any such organization that us an
"'insured" Linder any other liability
11 policy" providing "auto" coverage.
Z=-
,. "I, 7"M0MW71".WARV7ArM
revised as foflows�!
1. In a.(2), the limit for the cost of bail bonds is
changed from $2,000 to $5,000; and
2. In a.(4), the hrnit for the loss of earnings �s
changed from $250 to $500 a day.
NMUMEC��
Section 11, Paragraph B.5 does not apply,
Such coverage as is afforded by this proOsOn C
is excess over any other collectible insurance.
A. Glass Breakage — Hitting A Bird Or Animal —
Failing Objects Or Missiles
The following is added to Section III, Paragraph
A.3.�
With respect to any covered "auto," any deductible
shown in the Declarations will not apply to glass
breakage if such glass is repaired, in a manner
acceptable to us, rather than replaced,
Section III, Paragraph AA.a. is revised, with
respect to transportation expense incurred by you,
'to provlde�
a. $60 per day, in lieu of $20-1 subl'i,ect to
b. $1,800 miaximum, in lieu of $600
Section III, Paragraph AA.b. is revised, with
respect to loss of use expenses incurred by you,
to provide
a. $1,000 maximum, in lieu of $60O
GNA63359XX CopyngN, CNA Corpvabon 200
(Ed, 04112) Indudes copyr hied rnatenW of the Insurwice Seroces Ofte used m1b ots perr6sslon
■ -
Poflcy Nurnber: 60201541619
The following is added to Section III, Paragraph
A,:
6M.111MM •
If Physical Damage coverage is provided under
this policy, and such coverage does not extend to
Hired Autos, then Physical Darnage coverage is
extended to:
a. Any covered "aUtf)" YOU lease, hire, rent
or borrow without a driver, and
b. Any covered "auto" hired or rented by
your "employee" without a driver, under a
contract in that individual "ernployee's"
narne, with your permission, while
performing duties related to the conduct
of your business,
c. The most we will pay for any one
,.accident" or "loss" is the actual cash
value, cost of repair, cost of replacement
or $75,000, whichever is less, minus a
$500 deductible for each covered auto,
No deductible applies to "loss"' caused by
fire or lightning.
d. The physical darnage coverage as is
provided by this provision is equal to the
physical damage coverages) provided on
your owned ' "autos.
e., Such physical damage coverage for hired
" "autos" will
The following is added to Section III, Paragraph
B.3.�
•
Section III, Palragraphs B.4,c: and B.4.d. are
deleted and replaced by the following"
c. Physical Damage Coverage on a covered
.,auto" also applies to "loss" to any
permanently installed electronic equipment
including its antennas and other accessories,
d. A $1 GO per' occurrence deduicbbie applies to
the coverage provided by this provision.
lrt
The foffo�ving is added to Section III, Paragraph
B.6.�
CNA63359XX Copynght CNA Cmpoi mhon 2000
(Ed, 04112) Vndudps copyrghted materml of Me Insurance Sermes Office used )NO As perrnmsmn
6'6kZy lip AiTlber 60205,11619
(2) Excess over any other collectible
rnSUrance,
Z For purposes of this provision, "executive officer"
means a person holding any of the officer
positions created by Your charter, constitution, by-
laws or any other similar governing i document,
and, while a resident of the same household,
includes that person's spouse
Such "executive officers*' are "insureds" while
using a covered "aUtO" described in this provision,
A. Duities, In The Event • Accident, Claim, Suit
Loss I
CNA63359XX
(Ed 04/12)
damage, against any person or organization for
whom or which you are required by written
contract or agreement to obtain this waiver from
us.
This injury or damage must arise out of your
activities under a contract with that person or
organization,
You must agree to that requirement prior to an
11 accident" or
C. -7Concealment, ill'isre,presentati•n or Fraud
The following is added to Section IV, Paragraph
B.2.:
Your failure to disclose all hazards existing on the date
of inception of this Coverage Form shall not prejudice
you with respect to the coverage afforded provided
such failure or omission is not intentional,
MMUN-M
The following is added to Section IV, Paraigraph
M=
Section IV, Paragraph B. 7.(5).(a}. is revised to
provide�
a, 45 days of coverage in lieu of 30 days,
011111111150TAMM0UP
Section V. Paragraph C. is deleted and replaced by
the folloi
a"13 d'i b dill - u kK iess or disease
IMMOMMOM
CNA633:59XX gopynght, CNIA Coripwratpon 2000
(Ed, 04112) Indudes wpyr4V�1�4 of the Nn8urance Seivices Office used with its pernnisisiory,
'7