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HomeMy WebLinkAboutAgr 2020-08-14 (Lisa Argue)TOWN OF TIBURON 1505 Tiburon Boulevard, Tiburon, CA 94920 AGREEMENT FOR PROFESSIONAL SERVICES MINUTES SERVICES AUGUST 2020 This Professional Services Agreement (the "Agreement") is dated August li_, 2020 and is by and between the Town of Tiburon, a public body of the State of California ("Town") and Lisa Argue, a Consultant, relating to Minutes Transcription for Town of Tiburon Town Council Meeting Services ("Services") RECITALS: \NHEREAS, Government Code sectK>n 53060 permit the City to enter into agreements for professional services with individuals specially trained and experienced and competent to perform those services; and V\/HEREAS, Consultant is willing to render such professional services, as hereinafter defined, on the following terms and conditions NOW, THEREFORE, for good and valuable consideration. the receipt and sufficiency of which are hereby acknowledged. stipulated and agreed, the parties agree as follows: AGREEMENT: 1. DESCRIPTION OF CONSULTANT'S SERVICES. Services are as described in the Town's Proposals, Exhibit 1, and the following: Minutes transcription services as outlined in Exhibit 1. 2. CO PENSATION FOR CONSULTANTS SERVICES. Compensation for the Services shall be (select one): [ ) Lump Sum of s ______ (with) I (without) [Circle one] progress payments; or [ X J Time and materials, per schedule of rates and charges included in Exhibit 1, with a guaranteed not to exceed price of S $60 00 per our. Materials for services to be provided at Consultant's expense EFFECTIVE DA TE AND TERM. The effective date of thiS Agreement is August 1i_. 2020 and it shall terminate no later than August 31, 2021. 3. PERSONNEL SUPPLIED FOR CONSULTANT'S SERVICES. Consultant shall use only the personnel listed below (resumes attached) in performing the Services (If subconsultants are used. list the firm, personnel and attach resumes). To\\n of Tiburon 7 :?O Agr.:.:m.:nt ior .-rnfos.510lllll Sen ice:,, 4. TERMS AND CONOmONS. Consultant shall pefform the Services identified herein. in accordance with the terms and conditions of this Agreement. including without limitation, terms regarding Compensation, Schedule, Personnel. Annex "A " Agreement Terms and Conditions, and Annex ·s· Insurance Consultant acknowledges its opportunity to negotiate such terms and conditions 5. LIMITATIONS. Changes made to printed Terms and Conditions on this Agreement are null and void unless approved in writing by the Town 6. USE OF AGREEMENT. The Agreement number must appear on all invoices and correspondence. Send invoices to ac.c:.ountspayab @townoftiburon.org or Town of Tiburon, Director of Administrative Services, 1505 Tiburon Boulevard, Tiburon, CA 94920, immediately upon performance 7. For purposes of this Agreement Town and Consultant shall direct all communications to each other as follows: Town: Suzanne Creekmore Director of Administrative Services 1505 Tiburon Boulevard nburon, CA 94920 Phone: (415) 435-7359 Fax: (415) 435-2438 Email: screekmore@townoftiburan org Consultant: l.Jsa Argue Consultant 1905 Devil View Place Walnut Creek, CA 94595 Phone: (707) 853--0253 Email lisaargue66@gmail.com IN \NITNESS VVHEREOF the parties have executed this Agreement in duplicate as of the dates identified below. TOWN OF TIBURON: Suzanne Creekmore Director of Adm1 istra I own of I iburon 710 [Please print name] Title: _____________ _ (If Corporation: Chairman, President or Vice President] .-\gr«-tn,nt for Profo~ional S-n i~= Date: _____________ _ Approved as to form and procedure: Town Attomey_---L~----"'----'-'' Jtil;"'-=:......:..Lo'-b-''---- END OF DOCUMENT Town of Tiburon 7·:?0 3 i\gn:anoent for Prote.~sional Sen ices ANNEX A -PURCHASE ORDER TERMS AND CONDITIONS This is an Annex to the Agreement for Professional Services Agreement dated August --~ 2020 ("Agreement") between the Town and Consultant, as described therein, for the provision of professional services ("Services"). ARTICLE 1 -TERMS OF PERFORMANCE 1.01 Agreement Force and Effect. The provisions of this Agreement constitute the entire agreement between the Consultant and Town regarding the Services, shall supersede all other prior purchase orders/agreements between Consultant and Town with respect to the Services, and shall control over any inconsistent provisions in any Consultant-prepared attachments hereto. No representation, term or covenant not expressly specified in this Agreement shall, whether oral or written, be a part of this Agreement. Town is not responsible for Services rendered without the authority of an Agreement on this form. 1.02 Performance of Services. Consultant represents that it possesses the requisite training, licenses and permits necessary to perform the Services, and that its performance of the Services shall conform to the standard of practice of a professional having specific experience and expertise in professional services of like nature and complexity of the Services. 1.03 Licenses. If a license of any kind, which term is intended to include evidence of registration, is required of Consultant, its employees, agents, or subcontractors by federal or state law, Consultant warrants that such license has been obtained, is valid and in good standing, and shall be kept in effect all times during the term of this agreement. 1.04 Progress and Coordination. Upon Town's request, Consultant shall provide Town with progress submittals showing status of Services, at times and increments as Town may reasonably request, and shall provide Town with a progress schedule for performance of the Services, at times and in a level of detail as Town may reasonably request. Consultant shall coordinate with Town and authorities with jurisdiction as necessary to perform the Services. Time is of the essence in the performance of the Services. 1.05 Plans, Specifications, Reports, Deliverables. Work product under this Agreement shall be professional in appearance, comply with the requirements of this Agreement and with design criteria established by Town, applicable laws and codes, and with all applicable professional standards. Services shall meet this standard within the agreed compensation and schedule; services necessary to correct work product, errors or omissions in work product, shall not entitle Consultant to an increase in compensation. 1.06 No Waivers. The granting of any payment, and any inspections, reviews, approvals or oral statements by any Town representative, or certification by any governmental entity, shall not limit or waive Consultant's obligations under this Agreement. Either party's waiver of any breach, or the omission or failure of either party, at any time, to enforce any right reserved to it, or to require strict performance of any provision of this Agreement, shall not be a waiver of any other right to which any party is entitled, and shall not in any way limit or modify that party's right thereafter to enforce or compel strict compliance with every provision hereof. 1.07 Modifications. This Agreement may not be modified, nor may compliance with any of its terms be waived, except by written instrument executed and approved by fully authorized representatives of Town and Consultant. Consultant's authorized representative is the individual signing this Agreement unless Consultant otherwise informs Town in writing. 1.08 Payment Requests. Consultant shall submit all billings with all necessary invoices, time records, deliverables, or other appropriate evidence of performance, after which Town shall make payment at the earliest practicable time. If requested by Town to facilitate the payment process Town of Tiburon 7/20 Annex A-1 Purchase Order for Professional Services and track progress, Consultant shall provide Town with an itemization of its compensation according to a Work Breakdown Structure ("WBS") in a form Town supplies or approves (at Town's option), that defines all Agreement tasks (Consultant's and Subconsultants'), along with a project schedule defining the time line for each task, a project budget defining the planned man- hours and costs for each task, and a schedule of deliverables defining each deliverable to be provided to Town. 1.09 Scope of Compensation. Agreed method of compensation shall be full compensation for all Services required, performed or accepted under this Agreement, and Consultant shall not be entitled to compensation or reimbursement beyond or outside of agreed compensation. If Consultant previously commenced services within the scope of the Services, then the services performed and the compensation paid shall be subject to the terms of this Agreement. 1.010 Additional Services. Payment for Additional Services shall require a written addendum or amendment, negotiated and signed by the Consultant and Town prior to commencing work of Additional Services, providing for the scope, schedule and terms of compensation. ARTICLE 2 -LEGAL AND MISCELLANEOUS 2.01 No Assignment. Consultant shall not subcontract any portion of the Services or otherwise assign this Agreement without prior written approval of Town, and Consultant shall remain responsible for compliance with all terms of this Agreement, regardless of the terms of any such assignment. 2.02 Records and Audit. At Town's request, Consultant shall make available to Town, its authorized agents, officers, or employees, for audit, photocopy or compilation, any and all ledgers, books of accounts, invoices, payrolls, vouchers, cancelled checks, correspondence, internal memoranda, calculations, drafts, and other records or documents evidencing or relating to the performance of the Services (hard copy or electronic), expenditures and disbursements charged to Town in connection with the Services. Consultant shall maintain such documents for at least three (3) years following completion of the Services. Such rights shall be specifically enforceable. 2.03 Independent Contractor. Consultant is an independent Contractor and does not act as Town's agent in any capacity, whatsoever. Consultant is not entitled to any benefits that Town provides to Town employees, including, without limitation, worker's compensation benefits or payments, pension benefits, health benefits or insurance benefits. Terms within this Agreement regarding direction apply to and concern the result of the Consultant's provision of Services, not the means, methods, or scheduling of the Consultant's work. Consultant shall be solely responsible for the means, methods, techniques, sequences and procedures with respect to its provision of Services under this Agreement. Consultant shall pay all payroll taxes imposed by any governmental entity and shall pay all other taxes not specifically identified in this Agreement as Town's responsibility. 2.04 Indemnity/Liability. To the fullest extent allowed by law (including without limitation California Civil Code Sections 2782 and 2782.8), Consultant shall defend (with legal counsel reasonably acceptable to Town), indemnify, and hold harmless the Town of Tiburon, its officers, directors, officials, agents, employees, and volunteers (collectively, "lndemnitees") from and against any and all claims, suits, expenses, liability, cause of action, loss, cost, damage, injury (including, without limitation, economic harm, injury to or death of any person, including an employee of Consultant or its Subconsultants), of every kind, nature, and description, at law or equity, (including without limitation, incidental and consequential damages, court costs, attorneys' fees, litigation expenses and fees of expert consultants or expert witnesses incurred in connection therewith and costs of investigation) (collectively "Liabilities"), that arise out of, pertain to, or relate to any negligence, recklessness, or willful misconduct of Consultant, any Subconsultant, anyone directly or indirectly employed or retained by them, or anyone that they control. In the event one or more defendants is unable to pay its share of defense costs due to bankruptcy or dissolution of the business, the Consultant shall meet and confer with other parties regarding Town of Tiburon 7/20 Annex A -2 Purchase Order for Professional Services unpaid defense costs. The Consultant's obligations to indemnify, defend, hold harmless the lndemnitees shall not apply to the extent that such Liabilities are caused in whole or in part by the sole negligence, active negligence, or willful misconduct of such lndemnitee but shall apply to all other Liabilities, and in no event shall the cost to defend charged to the Consultant exceed the Consultant's proportionate percentage of fault. 2.05 Conflict of Interest. Consultant represents and warrants that it presently has no interest, and shall not have any interest, direct or indirect, which would conflict in any manner with the performance of work and services required under this Agreement. Without limitation, Consultant represents to and agrees with Town that Consultant has disclosed any potential conflict of interest, and will have no future conflict of interest, in providing Town services hereunder, including but not limited to, any interest (financial, share ownership, shared management, shared directors, or reporting responsibilities) Consultant may presently have, or will have in the future, with respect to any other person or entity (including but not limited to potential suppliers, vendors, consultants, contractors, or regulatory agency) which may have an interest in the subject matter of the Services. 2.06 Confidentiality. Any information, whether proprietary or not, made known to or discovered by Consultant during the performance of or in connection with this Agreement for Town, will be kept confidential and not be disclosed to any other person. Consultant will immediately notify Town in writing if it is requested to disclose any information made known to or discovered by Consultant during the performance of or in connection with this Agreement. These conflict of interest, confidentiality and future service provisions and limitations shall remain fully effective indefinitely after termination of services to Town hereunder. 2.07 Ownership of Results. Any interest (including copyright interests) of Consultant or its contractors or subconsultants (together, "Subconsultants"), in studies, reports, memoranda, computational sheets, drawings, plans or any other documents (including electronic media) prepared by Consultant or its Subconsultants in connection with the Services, shall become the property of Town. To the extent permitted by Title 17 of the United States Code, work product produced under this Agreement shall be deemed works for hire and all copyrights in such works shall be the property of Town. In the event that it is ever determined that any works created by Consultant or its Subconsultants under this Agreement are not works for hire under U.S. law, Consultant hereby assigns to Town all copyrights to such works. With Town's prior written approval, Consultant may retain and use copies of such works for reference and as documentation of experience and capabilities. As respects Consultant's standard details and proprietary design instruments of service (not specific to this Agreement), however, Town shall have only a non-exclusive but otherwise unrestricted license to use the materials prepared in connection with this Agreement. 2.08 Non-Discrimination Policy. Consultant shall not discriminate against any employee or applicant for employment, nor against any Subconsultant or applicant for a subcontract, because of race, color, religious creed, age, sex, actual or perceived sexual orientation, national origin, disability as defined by the ADA or veteran's status. To the extent applicable, Consultant shall comply with all federal, state and local laws (including, without limitation, all Town and Town ordinances, rules and regulations) regarding non-discrimination, equal employment opportunity, affirmative action and occupational-safety-health concerns, shall comply with all applicable rules and regulations thereunder, and shall comply with same as each may be amended from time to time. Consultant shall provide all information reasonably requested by Town to verify compliance with such matters. Consultant stipulates, acknowledges and agrees that Town has the right to monitor Consultant's compliance with all applicable non-discrimination requirements, and may impose sanctions upon a finding of a willful, knowing or bad faith noncompliance or submission of information known or suspected to be false or misleading. 2.09 Termination and Suspension. (i) Town may, with or without cause, direct Consultant to suspend, delay or interrupt Services, in whole or in part, for such periods of time as Town may Town of Tiburon 7/20 Annex A-3 Purchase Order for Professional Services determine in its sole discretion. (ii) Town may terminate performance of the Services under this Agreement in whole, or from time to time in part, for default, should Consultant commit a material breach of this Agreement, or part thereof, and not cure such breach within ten (10) calendar days of the date of Town's written notice to Consultant demanding such cure, in which case Consultant shall be liable to Town for all loss, cost, expense, damage and liability resulting from such breach and termination. (iii) Town may terminate performance of the Services under this Agreement in whole, or from time to time in part, for convenience, whenever Town determines that such termination is in Town's best interests, in which case Consultant shall be entitled to recover compensation and costs for services performed to the effective date of termination, but may recover no other cost, damage or expense. The Town may condition payment of such compensation upon the Consultant's delivery to the Town of any and all documents, photographs, computer software, video and audio tapes, and other materials provided to Consultant or prepared by or for Consultant or the Town in connection with this Agreement. Consultant shall continue its work throughout the course of any dispute, and Consultant's failure to continue work during a dispute shall be a material breach of this Agreement. 2.010 Execution; Venue; Limitations. This Agreement shall be deemed to have been executed in the Town of Tiburon, County of Marin. The exclusive venue for all disputes or litigation arising out of this Agreement shall be in the Superior Court of the County of Marin, unless the parties agree otherwise in writing. Enforcement of this Agreement shall be governed by the laws of the State of California, excluding its conflict of laws rules. Except as expressly provided in this Agreement, nothing in this Agreement shall operate to confer rights or benefits on persons or entities not party to this Agreement. As between the parties to this Agreement, any applicable statute of limitations for any act or failure to act shall commence to run on the date of Town's issuance of the final Certificate for Payment, or termination of this Agreement, whichever is earlier, except for latent defects, for which the statute of limitation shall begin running upon discovery of the defect and its cause. ARTICLE 3 -CONSTRUCTION OF AGREEMENT 3.01 Headings. The headings in this Agreement are for convenience only and do not affect the construction of this Agreement. 3.02 Modifications. Modifications to this Annex "A" Agreement Terms and Conditions shall not be effective unless approved and initialed by Town's Town Manager. ARTICLE 4-CONSULTANT'S PROPOSAL AND OTHER CONSULTANT-PREPARED DOCUMENTS 4.01 Exhibit 1. Exhibit 1 consists of Consultant-prepared documents (e.g., Consultant's rate sheet and proposal, if any) attached to this Agreement for reference only, defining further the scope of Consultant's scope of Services hereunder. 4.02 Complementary Construction. This Agreement, its Annexes and attachments (including but not limited to the attached Exhibit 1) are deemed complementary; what is called for by one is as binding as if called for in both and shall be performed by Consultant. In the case of direct conflict, then the requirement providing Town with the broader scope of services shall have precedence. 4.03 Modifications. Exhibit 1 may not supplement, contradict or qualify Annex "A" Agreement Terms and Conditions, except as listed below and initialed by the Town Manager. 4.04 Named Personnel and Subconsultants. It is recognized that the named personnel and Subconsultants in the Agreement are not bound by personal employment contracts to Consultant, however, Consultant agrees that reassignment of any of the named personnel or Subconsultants during the Services requires prior written approval of Town, which approval shall not be unreasonably withheld. Under no circumstances may Consultant replace personnel or Town of Tiburon 7/20 Annex A-4 Purchase Order for Professional Services Subconsultants with less qualified or less experienced personnel, without Town's written consent, which may be withheld by Town on a reasonable belief of good cause. END OF ANNEX "A" Town of Tiburon 7/20 AnnexA-5 Purchase Order for Professional Services ANNEX B -INSURANCE REQUIREMENTS This is an Annex to the Agreement for Professional Services Agreement dated ___ _ ("Agreement") between Town and Consultant, as described therein, for the provision of professional services ("Services"). ARTICLE 5 -INSURANCE Consultant's Duty to Show Proof of Insurance. Prior to the execution of this Agreement, Consultant shall furnish to Town satisfactory proof that Consultant has taken out for the entire period required by this Agreement, as further described below, the following insurance, in a form satisfactory to Town and with an insurance carrier satisfactory to Town, authorized to do business in California and rated by A. M. Best & Company A-or better, financial category size VII or better, which will protect those described below from claims described below which arise or are alleged to have arisen out of or result from the acts or omissions of Consultant for which Consultant may be legally liable, whether performed by Consultant, or by those employed directly or indirectly by it, or by anyone for whose acts Consultant may be liable: 5.01 Commercial General Liability Insurance Commercial general liability insurance, written on an "occurrence" basis, which shall provide coverage for bodily injury, death and property damage resulting from operations, products liability, blasting, explosion, collapse of buildings or structures, damage to underground structures and utilities, liability for slander, false arrest and invasion of privacy arising out of construction management operations, blanket contractual liability, broad form endorsement, a construction management endorsement, products and completed operations, personal and advertising liability, with per location limits of not less than One Million Dollars ($1,000,000) general aggregate and One Million Dollars ($1,000,000) each occurrence. 5.02 Business Autom~abilitt.• Insurance B1:1siness automobile liability insurance with limits not less than One Million Dollars ($1 ,000,000) each occurrence ino luding co•.ierage for O\vned, non owned and hired vehisles. 5.03 Workers' Compensation lnsuranoe Workers' Compensation Employers' Liability limits not less than One Million Dollars ($1,000,000) each aooident, One Million Dollars ($1 ,000,000) per disease and One Million Dollars ($1,000,000) aggregate. Cons1:1ltant's V'•.lorkers' Compensation lnsuranoe policy shall contain a 1t\!ai,..er of Subrogation. In the event Consultant is self insured, it shall furnish Certifioate of Permission to Self lnsl:IFe signed by Department of Industrial Relations Administration of Self lns1:1rance, State of California. 5.04 Professional biaeilit\• Insurance Professional Liability Insurance, either limits of not less than One MIiiion Dollars ($1,000,000) each occurrence or claim and Two Million Dollars ($2,000,000) aggregate, all with respect to negligent acts, errors or omissions In connection witt, services to be pro•,•ided under this Agreement, with no exclusion for claims of one insured against another insured and with tail coverage for a period of five (5) years after the completion of the Services. 5.05 Additional Insured/ Waiver of Subrogation Consultant shall include Town, its officers, officials, agents, employees and volunteers as Additional Insureds under the General Liability and Auto policies, and shall supply specific endorsements for same. The Additional Insured endorsement under the General Liability policy will be the Additional Insured - Town, Lessees or Contractors -Scheduled Person or Organization ISO Form CG2010 with the current applicable revision date. It is acceptable that the Additional Insured endorsement to provide "where required by written contract." Consultant shall obtain a specific endorsement to its workers' compensation insurance policy waiving all rights of subrogation against the Town, its officers, officials, agents, employees and volunteers. Annex Exhibit I Purchase Order for Professional Services SJ -San Jose #4822-9782-9058 v 1 5.06 The policies shall apply separately to each insured against whom claim is made or suit is brought except with respect to the limits of the company's liability. 5.07 Written notice of cancellation of the policies shall be mailed to Town thirty (30) days in advance of the effective date thereof. 5.08 Insurance shall be primary insurance and no other insurance or self insured retention carried or held by any named or additional insureds other than that amount Consultant shall be called upon to contribute to a loss covered by insurance for the named insured. 5.09 Certificates of Insurance and Endorsements shall have clearly typed thereon the title of the Agreement, shall clearly describe the coverage and shall contain a provision requiring the giving of written notice. 5.10 Nothing herein contained shall be construed as limiting in any way the extent to which Consultant or any of its permitted subcontractors or subconsultants may be held responsible for payment of damages resulting from their operations. If Consultant fails to maintain any required insurance, Town may take out such insurance, and deduct and retain amount of premium from any sums due Consultant under this Agreement. END OF ANNEX "B" Annex Exhibit I Purchase Order for Professional Services SJ -San Jose #4822-9782-9058 v 1 EXHIBIT "l" SERVICES Consultant will use audio recordings to transcribe minutes for the Town of Tiburon Town Council meetings held on the first and third Wednesday of each month, unless a meeting is cancelled or otherwise not held. Consultant will make reasonable efforts to act as an emergency stand-in for live Town Council meetings generally held on the first and third Wednesdays of each month. Consultant will prepare by familiarizing himself or herself with the agenda and packet materials in advance of transcribing the meeting. Unless otherwise mutually agreed in advance, Consultant will: 1. 2. Transcribe the minutes not verbatim but of a detail necessary to convey a clear understanding of the content and sequence of the meeting. The Town's goal with its minutes is to properly identify speakers and accurately convey the main points they are trying to make, using standardized American English, proper grammar and punctuation, and a flowing style of prose. Samples of acceptable minutes will be provided by Town Staff upon request. Provide Town Staff with an electronic copy of the draft minutes, within five calendar days following the meeting, for purposes of staff review and proof-reading. For archived meetings, Consultant will provide electronic draft minutes in the time frame agreed upon with the Town. 3. Consultant may or may not be asked to make corrections (at no additional charge), depending on the volume and nature of corrections needed. Minutes are to be prepared in Microsoft Word software in the Town's provided minutes template 4. It is understood that consultant allocates up to 2 ½ hours of preparation and transcription time for each one hour of actual meeting time. Travel time and travel expenses are not billable. 5. In the event that Consultant has agreed to attend a live meeting as an emergency stand-in, if such meeting is cancelled and less than 24 hours notice by email or phone call of such cancellation is provided by Town to Consultant, Town will pay Consultant for two (2) hours total billing at the established rate for the cancelled meeting. Consultant may charge the hourly rate for travel time for in-person stand in meetings. Consultant's hourly rate is $ __ 60.00 _____ . Materials for services to be provided at Consultant's expense. Annex Exhibit 1 Purchase Order for Professional Services SJ -San Jose #4822-9782-9058 vl Client#· 5000742 107287275 ACORD™ CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 08/06/2020 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, t he.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). PRODUCER CONTACT NAME: USAA INSURANCE AGENCY, INC. wgN~o,Ext): 800 531-8722 J iffc. No): 888 900-5380 9800 FREDERICKSBURG RD. E-MAIL SAN ANTONIO, TX 78284-9836 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# 800 531-8722 INSURER A: RLI lno. INSURED INSURER B: Lisa Argue INSURERC ; 1905 Devil View Pl Walnut Creek, CA 94595 INSURERD : INSURERE : INSURERF : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ~~iL SUBR 11:~kl&~ 1,:~gg;r;,~1 LIMITS LTR WVD POLICY NUMBER A GENERAL LIABILITY X BOP1047033 (17/31/2020 07/31/2021 EACH OCCURRENCE $1000000 - ~~~~fjU?E~~~~ncel X COMMERCIAL GENERAL LIABILITY s50 000 ,__ =:J CLAIMS-MADE [!] OCCUR ,__ MED EXP (Any one person) $5 000 ,__ PERSONAL & ADV INJURY $ ,__ GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS • COMP/OP AGG $2,000,000 n POLICY n ~fg: nLOC $ AUTOMOBILE LIABILITY ,__ ~~:~~~l lNGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ ,__ ALL OWNED ~ SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ -,_ NON-OWNED iP~~~~cfcii;,':;t?AMAGE HIRED AUTOS AUTOS $ -,_ $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION $ $ WORKERS COMPENSATION [WCSTATU-I I~~-AND EMPLOYERS' LIABILITY y / N ITm,v ,..,,m, ANY P~RIETOR/PARTNER/EXECUTIVE □ E.L. EACH ACCIDENT $ OFFIC MEMBER !<J(CLUDED? N/A (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Add~lonal Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION Town Of Tiburon, its Officers, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Officials, Agents, Employees ACCORDANCE WITH THE POLICY PROVISIONS. and Volunteers 1505 Tiburon Blvd AUTHORIZED REPRESENTATIVE Tiburon, CA 94920 ?"-a--~ I © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S 105072/M105071 LWW Fcwm W-9 (Rev. OctoCer 2018) Oepa,vnentolv,eT_.y ....... ~s.va Request for Taxpayer Identification Number and CertJftcatJon Give Form to the requester. Do not send to the IRS. gov/Form WV for instl'\IC'tiOns end the letNt lnfonnation . 2 a.---ca~_.,. name,,fdifferent1Y0P' above Uaa M. Argue c-i 3 Chad< app,ol)ftale l>0ll to, tecwaJ tall clU8lfic:llbOn ol tne perwo-, wl'OM,,..,. • enlllrWd on -1 ChlCI< ony -of ltle t 1o11ow,ng -OOxes 4 Eumpbona (CCdN apply orly ID c:enain ~-not ot'G'V1duall; - onstr\.Cb0tW on page 3): 8 fj ~ l~IOle p,opnete, o, ~,,,.,.,_LLC 0 C Corpotat,or, □PannertniP □ LJrn1l9CI lllll>•M'y ~-E,,,., !tie lax c:IU9Alcallen (C=C ~!>On. 5.:S co,po,m,. P:P~) ► __ _ ~ Check 1t1e ~ boA !he i.,e ac,o,. fortne iax c:laNdic:at,on ltl9 .. y.,-,,,.,,c., .-.... Do rot~ LLC rf ltw LLC • u a s,g~ U.C inat is~ from u. owner.,._. the owner of tf'II U.C :a anolher LLC !hlll ,a 11111 ~ from ltw ~ for U.S f9deral lax~-~-a sar,gle-me111t,. LLC - IS ais,egarmd !,om 1P1i1 01MW llh0.-0 Ch8CII IPlil &l)Q,00,\S!a l>a>. for IN tlP ~ of its owner. fumpt ~ code (II any) __ _ ~ tn,m FATCA rapon,ng c;ode(tla,,y) Ii i Oll'I. .... on&:rue ► _.,_..__.,,_,_ul.• iJl--='s•Addrws'--==;.,:(runoer=-==-.• =-=-.==-a,-a:.___apt._o,_w_111_ro __ .,...)S..::-..,.instruc1'0nS-----,---_ -------------."ji;,;;:_;;,-.;:.;-:::-::_-:-=--M'Cl:-:-::-::.;ar=-=-::100-.=::-:-:-::------ j ...,1,....905,,,.....o.v __ 11_V1ew-:-=:-P-lace-,-------------------; II City.-· and ZIP 00011 Walnut Creek, CA 94595 7 LJst accounl IUT1leolll ,.,_ (opbona[J theN1negr,,enon SooW MCUltt)' ---bac WlllrlMlllilw:,. For \/Id , • gee, you, sooal ~ {SSN). fot a resident atoen. sole propnetor, 0t ~ entity. -the ,natruct,ona for Pa,11, later. For otMr entrues, it is your employer Iden uon runber (EIN~ If you do not hew a number. aee How to get• TTN, later. or Nolle: If the account 1s 111 mo,e tnan one name. see the instructions fOt hne 1. Also see Whar Name and Number To Give Ille Rt,quesrerfor ~nes on wtime number to enter. ,~ ,unw ofperµy,lce,trfytr\at: 1. The number shown on thlS form is my com,ct taxpayer ldeOtlfic:allon runber (Of I am waiting !Of a number to i:. issued to me); and 2. I am not sut>,ect to bad<up wilMoldlng because: (a) I ~ exempt from backup wi1hholding. or (b) I nawe not been nobfled by the Internal Revenue Setvice (IRS) lhal I am ll.c>jllCt to backup withholding as a ~ of a failUl'II to report all interest or dividends. or (c) the IRS has notified me that I am no longer subject to bad<up withholding; and 3. I am a U.S. cit1Zen or ottlet U.S. person (defined beloYw); and 4. The FATCA code(s) entered on ths lorm frf any) indicating that I am exemp( from FATCA reporting IS correct. C..-tificdon lnstructlone. You must etosa out item 2 above if you have been nocified by the IRS that you are currently SIJti;ec:l to backup wilhholcllng bec:wle yoo have faied to report all int911111 and dividends on your tall 111tum. For 111111 tmnsacbMS, item 2 doe& not IIIC)ly. For mortgage interest paid. 3CqUlSlUOO or al>andoument of set\Jl'8d property. C8/ICflllllllOO of clebt, c:ontnbuliona to an inchidual retilement arr1111gemem (IRAj. and generally, paymentS other than inler911 and ctvidends, )'OU n not 19QU1red to sign the cettificabon, but you must provide your correct TIN. See !he ll'IStrUCti0ns for Par1 H. later. ~ I.,.,..:. ~I2;. General Instructions Section re"!'fl!nCl!S an, to ttle Internal AeYeflue Code unless OINWWise noted. Future devfiopmenta. For the latest information abOut developments related to Form W-9 and rts instr\lCtlOn9. such aa leo,:slaila'I enacted after they-. putillahed. go to www.11$.p/Fom!W9. Purpose of Form Ari individual or entity (Form W-9 rea~;:en who is required to file an inlorrna!ion return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number ($SN), individual tupayer ,eauon number (TTIN), adoption taxpayer IOelttr number IA TIN). or employer o<1a.ntn.o::a,10n num~ (EIN), to report on an inforrnatlOl'I retl6T1 the amount paid to you. Of otn« amount reportable on an information return. Examples ot Inforrnallon returns include. but are not hnwted to, the followmg. • Form 1099-INT fintllfest earned or paid) • Form 1099-0IV (dividends. ll'ICluding those from Slocka or mutual funds) • Form , 099-MISC (vanous fypeS of oncome. prizes. ~ or gross ~) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate aansac,,,ons • Form 1099-K (merchant card and third patty networ1c ll'MS.IICIJ0n$j • Form 1098 (home mortgage interest). 1098-E (Student loan interesQ, 1098-T (lution) • Form 1099-C (canceled debt) • Form 1099-A (acqUISllion or abelldo,11,e,1t of secured property) Use Form W-9 Off'/ 11 you are a U.S. person fn:luding a resdenl alien). to provide Y0l' correct TIN. ff you do not 19MTI Fonn W-9 to lhe ~ Mtt1 11 TIN. )OU m,gllt be sut.i,ect to btlcltup wrthholdlng. See What is baciwp W1lhholdlng. later. c--\11.Q,o_ '" """"·•