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HomeMy WebLinkAboutAgr 2020-1215 (Gilda Puente-Peters Architects)AGREEMENT BETWEEN THE TOWN OF TIBURON AND GILDA PUENTE-PETERS ARCHITECTS FOR THE PROVISION OF ACCESS COMPLIANCE SERVICES THIS AGREEMENT, made and entered this 15th day of December 2020, by and between the TOWN OF TIBURON, a political subdivision of the State of California, hereinafter called "Town," and Gilda Puente -Peters Architects, hereinafter referred to as "Consultant," RECITALS A. The Town requires access compliance services for work related to the 2020'Pawmenl: Rehabilitation and Maintenance Project (Project). B. Consultant has the skill, experience, ability, background, certification and knowledge to provide the Town with access compliance services. C. The parties wish to contract for the Consultant to provide access compliance services to the Town as provided herein. AGREEMENT Scope of Consultant Services. Consultant shall provide access compliance services for the Project to the Town as described in Exhibit 1 ("Services"). 2. Compensation. Consultant's compensation for the Services shall be as set forth in Exhibit 1. Services will be billed on a time and materials basis for an amount not to exceed $2,500.00 (two thousand five hundred dollars). Consultant as Independent Contractor. Consultant (including its agents and employees) is not an agent or employee of the Town. Consultant is an independent contractor not subject to the direction and control of the Town. Without limiting the foregoing, Consultant -shall maintain complete control of its operations and personnel and shall be solely liable and responsible to pay all required salaries, wages, expenses, taxes and other obligations, including, but not limited to, withholding and Social Security. 4. Standard of Work; Indemnity. Consultant shall perform the services in a skillful and professional manner compatible with the usual, customary standard of Consultant's profession. Consultant shall indemnify, defend and hold Town harmless from and against claims, liabilities, suits, loss, cost, expense and damages (collectively, "Claims and Losses") to the extent that such Claims and Losses arise from Consultant's negligent act or omission or willful misconduct in performing the Services pursuant to this Agreement. In the event that other parties are found to share responsibility for the Claims and Losses due to their negligent act or omission or willful misconduct, Consultant's liability under this paragraph shall not exceed its proportionate share of responsibility for the Claims and Losses relative to such other parties. 5. Audit of Books and Records. Town may, in its sole discretion, undertake an independent audit and/or evaluation of the Consultant's records and accounts of expenditures and activities of Consultant's performance under this Agreement at Town's own expense. All such records shall be maintained for period of at least three years after the termination of this Agreement. Consultant shall furnish all items necessary in the Town's discretion to complete said audit and/or evaluation subject to restrictions on confidentiality limited to expenditure or receipt of program funds, and program quality. 6. Insurance. Consultant shall maintain insurance as set forth below. A. Comprehensive General Liability: Combined single limit of $1,000,000 for each single occurrence for bodily injury, personal injury and property damages; umbrella policy raising the limit to $2,000,000. B. Comprehensive Automobile Liability: Combined single limit of $1,000,000 for each single occurrence for bodily injury and property damages; umbrella policy raising the limit to $2,000,000. C. Consultants Professional Liability: Combined single limit of $250,000 for each single occurrence for protection against claims alleging negligent acts, errors and omissions. D. Workers' Compensation Coverage: As required by the laws of the State of California. E. The insurance required under paragraphs A and B, above, shall be endorsed with language covering the Town, its officials, officers, employees, agents and volunteers. Such coverage shall be primary insurance to the Town, its officials, officers, employees, agents and volunteers and shall act as though a separate policy had been written for each. Any failure to comply with the reporting requirements of the policies shall not affect coverage provided to the Town, its officials, officers, employees, agents and volunteers. F. The insurance required by this Paragraph shall not be suspended, voided, canceled or reduced in coverage or in limits except after the Town has received thirty days written notice. G. Evidence of compliance with the insurance and endorsement requirements of this Paragraph shall be subject to the approval of the Town Attorney. Ownership of Documents; Re -Use; Indemnity. All plans, studies, documents and other writings prepared for and by Consultant, his officers, employees and agents and subcontractors in the course of performing the Services shall be the property of Town and Town shall have the sole right to use such materials in its discretion without further compensation to Consultant or to any other party. Consultant shall, upon request, provide such materials to Town. Town acknowledges that such documents prepared pursuant to this Agreement are intended for use only in connection with particular projects. Consultant makes no representation that said documents are suitable for re -use on any other project or on any expansion of the original project. Any such re -use by Town without specific written approval by Consultant shall be at Town's sole risk. Town shall indemnify and hold Consultant harmless from all claims, losses, damages and expenses, including attorneys fees, that may arise from Town's unauthorized re -use of said documents for another project or for any expansion of the Project. 8. Interest of Consultant. Consultant covenants and represents that he does not have any economic interest and shall not acquire any economic interest, direct or indirect, in the area covered by this Agreement that would be affected in any manner or degree by the performance of the Services. Consultant further covenants and represents that in the performance of its duties, no person having any such interest shall perform any services under this Agreement. Consultant will comply with the Town's Conflict of Interest code. 9. Licenses. Consultant represents and warrants to Town that he has all licenses, permits, qualifications, insurance and approvals of whatsoever nature that are legally required of Consultant to practice his profession. Consultant represents and warrants to Town that he shall, at his sole cost and expense, keep in effect or obtain at all times during the term of this Agreement, any licenses, permits, insurance and approvals that are legally required of Consultant to practice his profession. 10. Contract Term; Termination of Contract. This Agreement shall terminate as agreed by the parties or terminated pursuant to this Section or Section 11. Town may terminate this Agreement immediately for cause. Either party may terminate this Agreement without cause upon 10 days written notice of termination to the other party. In event of termination, Consultant shall deliver to the Town copies of all finished and unfinished surveys, studies, documents, computer disks, and/or reports pertaining to the Services. Consultant shall be entitled to receive. just and equitable compensation for any satisfactory work completed as determined by the Town. 11. Stop Work Order. Town may at any time, by written notice to Consultant ("Stop Work Order"), require Consultant to stop or suspend performance of the Services, in whole or in part, for a period of up to ninety days after such notice is delivered to Consultant. Upon receipt of the Stop Work Order, Consultant shall immediately comply therewith and take all reasonable steps to minimize the incurrence of costs allocable to the Services covered by the Stop Work Order during the period of work stoppage. Within ninety days of the delivery of the Stop Work Order, or such later time as may be agreed to by the parties, Town shall either (a) cancel the Stop Work Order; (b) cancel those the authorization for those Services covered by the Stop Work Order; or (c) terminate this Agreement as provided in Paragraph 10. Consultant shall resume work upon the cancellation of the Stop Work Order. To the extent that the Stop Work Order results in a documentable increase in the cost of performing the Services or the time required for such performance, Consultant shall receive an equitable adjustment in compensation. 12. Discrimination. In the performance of the terms of this Agreement, Consultant shall not engage in nor permit others he may employ to engage in discrimination in the employment of such persons based on race, color, religion, sex, sexual preference, age, or handicapped conditions. 13. Mediation. The parties will make a good faith attempt to resolve any disputes arising from this Agreement through mediation prior to initiating litigation. The parties shall mutually agree upon a mediator and shall share the costs of mediation equally. If the parties are unable to agree upon a mediator, the dispute shall be submitted to JAMS/ENDISPUTE ("JAMS") or its successor in interest. JAMS shall provide the parties with the names of five qualified mediators. Each party shall have the option to strike two of the five mediators selected by JAMS and the mediator thereafter remaining shall hear the dispute. 14. Miscellaneous. A. Governing Law. The laws of the State of California shall govern this Agreement. B. Severability. If any provision of this Agreement is found to be invalid or unenforceable, the validity and enforceability of the remaining portions shall not be affected unless the effect thereof would materially change the economic burden on either party. C. Successors in Interest; Assignment. This Agreement shall be binding on the assigns and successors in interest to both parties. Neither party may assign their obligations under this Agreement without the written consent of the other party. D. Entire Agreement; Amendment. This Agreement represents the entire Agreement between the parties. This Agreement may only be amended in writing. 15. This Agreement includes the following Exhibit, which is attached hereto and incorporated herein by reference: Exhibit I Scope of Work and Fee Schedule IN WITNESS WHEREOF the parties hereto have caused their duly authorized representatives to execute this Agreement the day and year above written. GILDA PUENTE-PETERS ARCHITECTS By: GILDA PUENTE-PETERS Principal, GPPA Architects APPROVED AS TO FORM: '`BENJAMIN STOCK Town Attorney TOWN OF TIBURON STEVEN PALMER Director of Public Works Exhibit 1 Accessibility Compliance Services — 2020 Pavement Rehabilitation & Maintenance Project Scope of Services Consultant will perform a field review of three newly constructed curb ramps in Town, evaluate those ramps and the adjacent pavement for accessibility compliance, and consult with Town Engineer regarding proposed modifications. Fee Schedule Task Hours Hourly Rate Subtotal Field review and travel 5 $235 $1,175 Evaluate and prepare recommendations 5 $235 $1,175 Incidentals (mileage, tolls, copies) $ 150 Total $2,500 1. Mileage will be billed at IRS rates 2. Tolls will be billed at cost plus 10% PFTFRS.IFnl MTOMPKINS `� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/17/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: (A/C, No, Ext): (707) 782-9200 (FExt): No):(707) 782-9300 Don Ramatici Insurance, Inc. 731A Southpoint Boulevard Petaluma, CA 94954 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Allied Property and Casualty Insurance Company 42579 DAMAGE TO RENTED PREMISES Ea occurrence $ INSURED INSURER B : INSURERC: Jeffrey & Gilda Peters INSURERD: 1076 Arlington Blvd. EI Cerrito, CA 94530-2742 INSURER E INSURER F: LIABILITY ANY AUTO OWNED AUTOS ONLY X AUTOSULED AUTOS ONLY AUUTOOS ONLYY 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PROJEC LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ A AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY X AUTOSULED AUTOS ONLY AUUTOOS ONLYY 7204J 035256 4/10/2020 4/10/2021 COMBINED SINGLE LIMIT 500,000 Ea accident $ BODILY INJURY (Perperson) $ BODILY INJURY Per accident $ 500'000 PeOr accdentDAMAGE $ UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory9n NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A TAT ITE ETH - E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Town of Tiburon 1505 Tiburon Boulevard Tiburon, CA 94920 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD / 1 ACORO' AGENCY CUSTOMER ID: PETERSJE01 LOC #: ADDITIONAL REMARKS SCHEDULE MTOMPKINS Page 1 of 1 AGENCY Don Ramatici Insurance, Inc. NAMED NSURED Jeffeyl& Gilda Peters 1076 Arlington Blvd. EI Cerrito, CA 94530-2742 POLICY NUMBER EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance VEHICLES 2015 LEXUS RX 350 JTJBK1 BK1 BA8F2482435 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORO® I `-/ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 12/16/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the 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 Dealey, Renton & Associates DRA License 0020739 P. O. Box 12675 CONTACT NAME: Tina Norman PHONE FAX IC No): 510-452-2193 AN No Ext): 714-427-3485 A'C' ADDRESS: certificates@dealeyrenton.com INSURER(S) AFFORDING COVERAGE NAIC # Oakland CA 94604-2675 INSURER A: Associated Indemnity Corporation 21865 EACH OCCURRENCE $ 1,000,000 INSURED GILDAPUEN INSURER B: XL Specialty Insurance Company 37885 Gilda Puente -Peters, Architects 1076 Arlington Boulevard INSURER C: Travelers Property Casualty Company of America 25674 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY ECT [:]LOC OTHER: EI Cerrito CA 94530 INSURER D: INSURER E: A INSURER F: Y COVERAGES CERTIFICATE NUMBER: 808997526 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 LTR OF INSURANCE ADDLSUBRPTYPE INSD WVD POLICY NUMBER EFF MM/DD/YYYY MLICY LICY EXP M I D/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Y Y TGF07302074 2/20/2020 2/20/2021 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY ECT [:]LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS HPROPERTY RAUTOS SAUTOS LXAUTOS NON -OWNED D Ix Y TGF07302074 2/20/2020 2/20/2021 COMBINED SINGLE LIMIT $ Ea accident 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ cident AMAGE $ (Per accident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A Y U83R681174 9/16/2020 9/16/2021 PER OTH- X I STATUTE ER EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 B Professional Liability Claims Made - DPS9955863 2/20/2020 2/20/2021 Per Claim $1,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: All Operations as pertains to named insured. The Town of Tiburon is Additional Insured as respects to General Liability coverage as required by written contract. UttK 1 II-IUA I t ML)LUtK 4.ArI1-r LLA I Ivry,5V UdY5 IVUUGe DI k dIlOCI1dtIU11 Town of Tiburon Attn: Steven Palmer, PE 1505 Tiburon Boulevard Tiburon CA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD TGF07302074 Hired Auto and Non -Owned Liability - AB 04 04 A Ol 87 Policy Amendment Section II A. Insurance is provided only for those coverages shown in the Declarations or in the Schedule. 1. Hired Auto Liability The insurance provided under the Liability Section of the policy, Paragraph G.I. Cover- age C - Liability, applies to bodily injury or property damage arising out of the mainte- nance or use of a hired auto by you or your employees in the course of your business. 2. Non -Owned Auto Liability The insurance provided under the Liability Section of the policy, Paragraph G.1. Cover- age C - Liability, applies to bodily injury or property damage arising out of the use of any non -owned auto in your business by any per- son other than you. B. For insurance provided by this endorsement only: 1. The exclusions, under the Liability Section of the policy, Paragraph H.I. Applicable to Coverage C - Liability Coverages, other than exclusions a., b., d., f. and i. and the Nuclear Energy Liability Exclusion, are deleted and replaced by the following: a. Bodily injury to: (1) An employee or co -employee of any insured arising out of and in the course of employment by any in- sured; or (2) Any employee, prospective em- ployee or past employee of any in- sured arising out of the employment relationship or prospective employ- ment relationship. (3) The spouse, child, fetus, embryo, parent, brother, sister or any mem- ber of the household of that em- ployee or co -employee as a consequence of (1) or (2) above. This exclusion applies: (a) Whether the insured may be li- able as an employer or in any other capacity; and (b) To any obligation to share damages with or repay someone else who must pay damages be- cause of injury. This exclusion does not apply to: (i) Liability assumed by the insured under an insured contract; or (ii) Bodily injury arising out of and in the course of do- mestic employment by the insured unless benefits for such injury are in whole or in part either payable or required to be provided under any workers com- pensation law. b. Property damage to: (1) Property owned or being trans- ported by, or rented or loaned to the insured; or This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy Secretary V President AB0404A 1-87 Page I of 2 (2) Property in the care, custody or control of the insured. 2. WHO IS AN INSURED in the Liability Section of the policy, Part I, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a hired auto with your permission; C. For a non -owned auto any partner or executive officer of yours, but only while such non -owned auto is being used in your business; and d. Any other person or organization, but only for their liability because of acts or omissions of an insured under a., b. or c. above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for bodily in- jury to any co -employee of such person injured in the course of em- ployment; (2) Any partner or executive officer for any auto owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in con- nection with an auto business, other than an auto business you operate; (4) The owner or lessee (of whom you are a sublessee) of a hired auto or the owner of a non -owned auto or any agent or employee of any such owner or lessee; (5) Any person or organization for the conduct of any current or past part- nership or joint venture that is not shown as a Named Insured in the declarations. C. The following additional definitions apply: 1. Auto Business means the business or occupa- tion of selling, repairing, servicing, storing or parking autos. 2. Hired Auto means any auto you lease, hire or borrow. This does not include any auto you lease, hire or borrow from any of your employees or members of their households, or from any partner or executive officer of yours. 3. Non -Owned Auto means any auto you do not own, lease, hire or borrow which is used in connection with your business. However, if you are a partnership, a non -owned auto does not include any auto owned by any partner. All other terms and conditions of the policy apply. AB0404A 1-87 Page 2 of 2 TRAVELERS JAW WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 ( A) — POLICY NUMBER: UB3R681174 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description Any Person or organization for which the insured has agreed by written contract executed prior to loss to furnish this waiver. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) jv�, Insurance Company Countersigned by Travelers Property Casualty Company of America DATE OF ISSUE: 12/16/2020 Page 1 of 1 TGF07302074 EXCERPTS FROM: Fireman's Fund ABC MULTICOVER — AB 91 89 08 07 THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: AMERICAN BUSINESS COVERAGE Blanket Additional Insured Section II — Liability Coverage, Part I. Who Is An Insured, Item 2. is amended to include: f. Any person or organization that you are required by a written insured contract to include as an insured, subject to all of the following provisions: (1) Coverage is limited to their liability arising out of: (a) the ownership, maintenance or use of that part of the premises, or land owned by, rented to, or leased to you; or (b) your ongoing operations performed for that insured; or (c) that insured's financial control of you; or (d) the maintenance, operation or use by you of equipment leased to you by such person(s) or organization(s) 4. Blanket Waiver of Subrogation Section II — Liability Coverage, Part K. Liability and Medical Payments General Conditions, is amended to include: 6. Transfer or Rights of Recovery Against Others to us and Blanket Waiver of Subrogation b. If required by a written insured contract, we waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of your operations or your work for that person or organization. 19. Common Policy Conditions (AB 00 09 A 01 87), Part H. Other Insurance, Item 2 is replaced with: 2. Coverage C — Liability If other valid and collectible insurance is available to any insured for a loss we cover under Coverage C of this Coverage Part our obligations are limited as follows: a. The insurance provided under this policy is primary if you are required by a written insured contract to include any person or organization as an insured, but only with respect to that insured's liability arising out of the ownership, maintenance, or use of that part of the premises owned by or rented to you, or your work for that insured by or for you. Any other insurance available to that person or organization is excess and noncontributory with this insurance. EXCERPT FROM: PROPERTY/LIABILITY POLICY -- AB 90 00 12 93 II. K. 5. Separation of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this policy to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or suit is brought. Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured: Gilda Puente -Peters, Architects Producer: Dealey, Renton & Associates DRA License 0020739 P. O. Box 12675 Oakland CA 94604-2675 Schedule Name of Person(s) or Organization(s) As required by written contract. Policy Number: TGF07302074 Effective Date: 2/20/2020 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy �A xry �,A � c �� LJ secretary President AB9067 12-93 Contains Copyrighted Material of Insurance Services Office, Inc. 1984