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HomeMy WebLinkAboutA8586 - COACHELLART~ I DATE(MM/00/YYYY) ACC>RV• CERTIFICATE OF LIABILITY INSURANCE ~ 04/03/2025 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the c ertificate holder in lieu of such endorsement(s). PROD UC ER CONTACT ~E: Aon Risk Insurance Services west, I n c. [.vt'."J o. Ext): (866) 283-7122 I r~. No.I: (800) 363-0105 Den ver co off ice 200 Clayton Street, Suite 800 E-MAI L Denver CO 80206 USA RECEIVED ADDRESS : INSURER($) AFFORDING COVERAGE NAIC # INSUR ED INS URE R A: QBE Insu ran ce co rporation 3921 7 APR 09 2025 Fid e l ity Nation al Information Serv. Inc. INSURER B: National Fire & Marine I n s Co 200 79 a n d a l l sub si d iaries 2044 3 lNSIJBER C: Con ti n e n tal casu a l ty comp any 347 Riverside Av e OFFICE OF THE CITY C 1 J a c k sonville F L 32202 USA ... .:::::. 0: American casualty Co . of Readi n g PA 20427 INSURER E: Trans p o rtation I n surance co. 2049 4 INSURER F: T h e Continental I n suran ce c o mp an y 3528 9 COVERAGES CERTIFICATE NUMBER : 5701 11 962375 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO T HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, T HE INSU RANCE AFFORDED BY THE POLICIES DESCRIBED H EREIN IS SUBJ ECT TO A LL T HE TERMS, EXCLUSIONS AN D CONDITIONS OF SUCH POLICIES. LI MITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as reciuested l '1'f'11 TYPE OF INSURANC E , .. uu, INSO 1->UDI WVD POLICY NUMBER 1MM10 0 ,y~'yy1 IM~o'oJYWv LIMITS C X COMMERCIAL GENERAL LIABILITY 7 U 3 0l) '\1\/j 04/V .l/LVLI I 04/V.l/ LVLC EACH OCCURRENCE $2 ,000,00 0 .__ D 0occuR UAMAl.>t: ,0 Ht:N I t:U CLA IMS-MADE PREMISES IEa occurrence\ S2 ,000,000 1-- MEO EXP (Any one person) Sl 0,000 -PERSONAL & ADV INJURY S2 ,000,000 1--S4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE R □PRO· 0LOC S4,000,000 POLICY JECT PRODLICTS • COMP/OP AGG OTHER: C AUTOMOBILE LIABILITY BUA 7036257962 04/01/2025 04/01/2026 COMBINED SINGLE LIMIT s2.ooo.ooo IE a •M"'•"'' ,__ BODILY INJURY ( Per person) X ANY AUTO -~ SCHEDULED BODILY INJURY (Per accident) OWNED AUTOS -AUTOS ONLY -PROPERTY DAMAGE HIRED AUTOS NON-OWNED IPer accldenl) -ONLY -AUTOS ONLY F X UMBRELLA LIAS !~OCCUR 701814b359 U4 /0l/LUL5 0 4 /01/2026 EACH OCCURRENCE $25,000,000 ,__ I CLAIMS-MADE AGGREGATE $25,000,000 EXCESS LIAB OED I X I RETENTION $10,000 D WORKERS COMPENSATION AND wc70jot5797b 04/01/LVO 04/01/ZU.16 x J PER STATuTq l!?J:H· EMPLOYERS• LIABILITY Y/N AOS except CA E ANY PROPRIETOR / PARTNER / EXECUTIVE ~ WC7036292615 04/01/2025 04/01/2026 E.L. EACH ACCIDENT Sl,000,000 OFACERIMEMBER EXCLUDED? NIA (Mandatory In Ntt) AZ,MA,OR,WI E.L. DISEASE-EA EMPLOYEE Sl,000,000 grsa~r/:,'1~ ~~PERATIONS below E.L. DISEASE-POLICY LIMIT Sl,000,000 A Cy be r Liability QPL2415139 Cl aims Ma de 0 2/0 1/2025 02/01/2026 c y ber/E&o/Aggregate n o .0 00 ,000 SIR appl ies (ll s & condi per p o licy t er ion s DESCRIPTION OF OPERATIONS / LOC ATIONS/ VEHIC LES (ACORD 101, Additiona l Remarks Schedule, may be attached if more space Is required) CERTIFICATE HOLDER CITY OF PALM SPRINGS OFFICE OF THE CITY CL ERK Attn: PATRICIA A. SANDERS 3200 TAHQU I TZ CANYON WAY PALM SPRINGS CA 92262 USA ACORD 25 (2016/03) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIB ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOT ICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUT HO RIZED REPRESENTATIVE ©1 988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ...---, ACORD• ~ AGENCY AGENCY CU STOMER ID : 570000098648 L OC#: ADDITIONAL REMARKS SCHEDULE NAMED INSURED Aon Risk Insurance Services west, Inc . Fidelity National Information Se rv . POLICY NUMBER see certificate Number: 570111962375 CARRIER I NAICCODE See Certificate Numb e r: 570111962375 EFFECTIVE DATE · ADDITI ONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACO RD FORM , FORM NUMBER : ACORD 25 FORM TITLE : Certificate of Liability Insurance Excess E&o, Cyber -2/1/2025 -2/1/2026 All Policies are Claims Made underwriting Company -Policy Number -Aggregate Limit(s) 02 -Indian Harbor Insurance company -MTE003915712 -SlOM x $20M 03 -Lloyd's underwriter syndicate NO . 4711 ASP -FSCE02502015 -$10M x $30M 04 -Col um bia casualty Company -768772 491 -SlOM x S40M Page_ of _ Inc. ACORD 101 (200810 1) C 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks ol ACORD * * AMENDMENT NO. 1 TO CONTRACT SERVICES AGREEMENT BETWEEN THE CITY OF PALM SPRINGS AND COACHELLART This Amendment No. 1 to the Contract Services Agreement with Coachellart is made and entered into as of this 1st day of January, 2021, by and between the City of Palm Springs ("City") and Coachellart, a non-profit organization ("Contractor"). City and Contractor are individually referred to as "Party" and collectively as "Parties." RECITALS A. City and Contractor previously entered into an Agreement (No. 8586) for Consulting Artistic Services for the Palm Springs Public Arts Commission as Artist -in -Residence for the Department of Parks & Recreation, to plan and execute projects that restore and add artwork in Parks facilities. Under this Agreement, compensation and reimbursement to Contractor was not to exceed ten thousand dollars ($10,000). B. City and Contractor desire to amend the Agreement to allow for the continuation of services by Contractor through June 30, 2021, with compensation and reimbursement not to exceed an additional ten thousand dollars ($10,000), with the total compensation and reimbursement payable to Contractor being twenty thousand dollars ($20,000). NOW, THEREFORE, in consideration of the promises and mutual obligations, covenants, and conditions contained herein, and other valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties agree as follows: AGREEMENT 1. The true and correct recitals above are incorporated by this reference herein as the basis for and a material part of this First Amendment. 2. Section 3.1 of the Agreement is hereby amended in its entirety to read as follows: "3.1. Compensation of Contractor. Contractor shall be compensated and reimbursed for services rendered under this agreement in accordance with the schedule of fees set forth in Exhibit "A1". Contractor's total compensation under this agreement as amended, including reimbursement for costs and expenses, shall not exceed twenty thousand dollars ($20,000)". 3. Section 4.4 of the Agreement is hereby amended in its entirety to read as follows: "4.4. Term. Unless earlier terminated in accordance with Section 4.5 of this Agreement, this Agreement shall continue in full force and effect for a period of eleven (11) months, commencing on August 1, 2020, and ending on June 30, 2021". Page 1 of 4 Revised: May 2020 55575.18165\32972087.1 4. Continuing Effect of Agreement. Except as amended by this Amendment No. 1, all other provisions of the Agreement remain in full force and effect and shall govern the actions of the parties under this Amendment No. 1. From and after the date of this Amendment No. 1, whenever the term "Agreement" or "Contract" appears in the Agreement, it shall mean the Agreement as amended by this Amendment No. 1. 5. Adequate Consideration. The Parties hereto irrevocably stipulate and agree that they have each received adequate and independent consideration for the performance of the obligations they have undertaken pursuant to this Amendment No. 1. 6. Severability. If any portion of this Amendment No. 1 is declared invalid, illegal, or otherwise unenforceable by a court of competent jurisdiction, the remaining provisions shall continue in full force and effect. 7. Counterparts. This Amendment No. 1 may be executed in duplicate originals, each of which is deemed to be an original, but when taken together shall constitute but one and the same instrument. [SIGNATURES ON FOLLOWING PAGE] Page 2 of 4 5 5575.18165\32972087.1 Revised: May 2020 SIGNATURE PAGE FOR AMENDMENT NO.1 TO CONTRACT SERVICES AGREEMENT BETWEEN THE CITY OF PALM SPRINGS AND COACHEIILART IN WITNESS WHEREOF, the Parties have entered into this Amendment No. 1 to the Contract Services Agreement as of the day and year first above written. CITY OF PALM SPRINGS Approved By: David H. Ready, Esq., P City Manager D e Attested By: Approved as to Form: Jef&Y allin r City Attorney COA�CHELLART lval wnvE7 b1Ltgj Title . �a N `7, 0 1 Date If 5711V-1-4 Ile 1/0 1� APPROVED BY CITY MANAGER A Page 3 of 4 Revised: May 2020 55575.18165\32972087.1 Exhibit Al Coachellart Scope of Services/Work This is an agreement with Patrick Sheehan of Coachellart, for a pilot project as Artist -in - Residence for the Department of Parks and Recreation from through January 1 - June 30, 2021. The Artist -in -Residence will work with the Director of the Parks Department, with the assistance of the Public Arts Commission, to plan and execute projects that restore and add artwork in Parks facilities, with a goal of offering opportunities for young people to participate. Specific responsibilities include: 1. Identify locations in City parks facilities where art could be added or repaired/restored, in coordination with Director of Parks and Recreation. 2. Involve other artists in projects where possible, to ensure diversity. 3. Plan/Schedule times when young people can participate in painting - engaging young people in the community and enrolled in Parks programs (in coordination with Director of Parks and Recreation.) 4. Assemble all materials and support equipment. 5. Provide materials to publicize projects on social media, through the Public Arts Commission and the Parks and Recreation Department. 6. Report monthly to both the Public Arts and Parks and Recreation Commissions. 7. Submit detailed invoices for Coachellart activities monthly, including a breakdown of all work performed. Payment 1. Contractor will be paid $50/hour for Consulting Artistic Services as Artist -in -Residence for the Parks and Recreation Department, as billed each month, in an amount not to exceed $10,000, including materials and supplies. 2. All invoices for time and materials must be reviewed by the Director of Parks and Recreation and the Chair of the Public Arts Commission. Coachellart PO Box 414 Palm Springs, CA 92263 Tax EIN 84-3425677 A 501(c)(3) non-profit organization PERSONAL AUTOMOBI(E POLICY w" i�a(�/q/lieSq AMENDED DECLARATION AmendeD� 23, 2020Declaration effective �..�; Supersedes any previous declaration bearing "•7 the same policy number for thil policy term. INSUREDNAMED ADDRESS OFFICE PATRICK SHEEHAN DANAE LYNETTE SHE=EHAN 1257 GRANVIA VALMONTE PALM SPRINGS CA 92262 WAWANESA INSURANCE PO BOX 82867 SAN DIEGO CA 92138-9492 Telephone: 1-800-M-2920 Policy Number Account Number Policy Period 12:01 A.M. standard time at the address of the 21235000 From Sep 27, 2020 to Mar27, 2021 Named Insured as stated herein Important Information - Consumer Services - California Because of the complicated nature of the insurance business, there may be times when you will have questions regarding your coverage or the premium charged, or a problem may arise with your policy. If this occurs we urge you to contact our Customer Service Department to answer your questions or resolve your problem. If after this you are still not satisfied, you may contact the following state agency: California Department of Insurance, Consumer Services Division, 300 South Spring Street, South Tower, Los Angeles, California 90013 Toll free number: 1-800-927-HELP Website: www.insurance-ca.gov YOUR PRIVACY RIGHTS. We use information about you to provide you with insurance and adjust claims. We collect this information from you as well as from other sources. In certain circumstances, we may disclose this information to third parties without your consent. You have the right to access and corr;,ct any information about you that we collect. For more details about our privacy practices, please visit us at www.wawanesa.com. To receive a copy of our full privacy notice, please visit us in person, call us toll -free at 1-800-640-2920, or write to us at the address shown above. Please contact Customer Service if you have questions or require more information from Wawanesa Insurance. Phone: (858) 874-5300 Telephone Hours Fax: (619) 285-2711 Email: service. us(dwawanesa.com Monday - Friday 7:30am to 7:30pm Toll Free: (800) 640-2920 Online: wawanesa.com Saturday 8:00am to 4:30pm Dec 23, 2020 16:29 CT "Wawanesa Insurance" is a trademark of Wawariesa General Insurance Company PERSONAL AUTOMOBILE POLICY w Amended Declaration effective aaranesa AMENDED DECLARjATION Dec 23, 2020 'AL-v Supersedes any previous dedalration bearing nsVA' ' the same policy number for this policy term. PATRICK SHEEHAN DANAE LYNETTE SHEEHAN 1257 GRANVIA VALMONTE PALM SPRINGS CA 92262 WAWANESA INSURANCE PO BOX 82867 SAN DIEGO CA 92138-9492 Telephone: 1-800-640-2920 Policy Number Account Number Policy Period 12:01 A.M. standard time at the address of the 21235000 1 From Sep 27, 2020 to Mar 27, 2021 Named Insured as stated herein Named Insured's Phone Number: 760-636-8172 Named Insured's Email Address: reddotps@g mail, com Your previous 6 month premium was $1,560.68. Your amended 6 month premium is $1,631.38. Refer to the breakdown of premiums below. The change in premium for the remainder of the policy period is $36.69 (pro rated). I Description of Owned Vehicle(s) Vehicle Year Make Model Vehicle Identification Number Premium per Vehicle ($) 2 2015 Kia SOUL PLUS KNDJP�A57F7778076 773.36 3 2005 Dodge DAKOTA CLUB CAB SLT 1D7HE42K45S145232 267.29 4 2021 Mazda CX-9 GRAND TOURING JM3TCADY4M0506521 690.73 Premium Subtotal for Vehicles 1631.38 Insurance is provided only with respect to the coverage's for which a Premium is stated, subject to all conditions of the policy. Coverage and Limits of Liability See Policy for Coverage Details Bodily Injury Liability $100,000 per person/$300,000 each occurrence Property Damage Liability $50,000 each occurrence Medical Payments $1,000 each person Comprehensive $500 deductible Collision $500 deductible Roadside Assistance Rental Expense $30 day/$900 max each covered loss Uninsured/Underinsured Motorists Protection $100,000 per person/$300,000 each occurrence Uninsured Motorists Collision Deductible Waiver Total Premium per Vehicle ($) All Premiums listed are for the full 6 month term. Premiums per Vehicle ($) 2 !3 4 253.21 83.35 133.50 143.26 47.76 84.23 9.84 3.39 5.78 32.87 17.00 47.62 229.19 67.82 224.75 4.88 3.66 24.91 12.89 29.20 73.59 33.47 60.38 1.61 1.61 1.61 773.36 267.29 590.73 Dec 23, 2020 16:29 CT "Wawanesa Insurance" is a trademark of Wawanesa General Insurance Company PERSONAL AUTOMOBILE POLICY Amended Declaration effective 1ffiff1#10nesa AMENDED DECLARATION Dec 23, 2020 �ns•V�an ► ► Supersedes any previous declaration bearing the same policy number for thi� policy term. NAMED - • • • DD OFFICE PATRICK SHEEHAN DANAE LYNETTE SHEEHAN 1257 GRANVIA VALMONTE PALM SPRINGS CA 92262 WAWANESA INSURANCE PO BOX 82867 SAN DIEGO CA 92138-9492 Telephone: 1-800.640-2920 Policy Number I Policy Period 12:01 A.M. standard time at the address of the 21235000 Account Number From Sep 27, 2020 to Maf 27, 2021 Named Insured as stated herein Vehicle Rating Information Chart Vehicle Description Estimated Primary Vehicle Zip Code Discounts # of Traffic # of Chargeable Annual Rated Usage Applied convictions at -fault accidents Mileage Driver No. (See code for driver for driver rated Used for of Years definitions rated on this on this vehicle Rating Licensed below) vehicle 2015 Kia 8,000 8 Pleasure 92262 1, 2, 4 0 1 2005 Dodge 3,000 39 Pleasure 92262 1, 2, 3, 4 0 0 2021 Mazda 15,000 34 Commuting 92262 1, 2, 4 0 0 Discount Codes: 1. Good Driver 2. Multi -Vehicle 3. mature unver 4. Loyally Information affecting your insurance premium was obtained from a Motor Vehicle Record/CLUE report supplied by LexisNexisO Consumer Service Center and not LexisNeAsO made the decision to use this information. A free copy of this report is available to you if requested within 60 days. You have the legal right to dispute the accuracy and/or completeness of the information contained in the report by contacting LexisNexis® at LexisNexisO Consumer Service Center, P.O. Box 105108, Atlanta, GA 303485108 or call 1-800-456-6004. Applicable Forms Vehicle Identification Cards (VID 1), California Roadside Assistance Identity Card (RAIC 1) Driver(s) Driver Name Principal Operator of Vehicle Number Occasional Operator of Vehicle Number Patrick Sheehan 3 2 Danae Lynette Sheehan 4 Madison E Sheehan 2 Additional Interest(s) Lienholder(s) Vehicle 2 Sun Community FCU PO Box 4210 El Centro, CA 92244 Vehicle 4 TOYOTA FINANCIAL SERVICES PO BOX 105386 ATLANTA, GA 30348 Dec23, 202016:29 CT "Wawanesa Insurance" is a trademark of Wawanesa General Insurance Company CONTRACT SERVICES AGREEMENT Coachellart THIS AGREEMENT FOR CONTRACT SERVICES ("Agreement") is made and entered into on August 1, 2020, by and between the City of Palm Springs, a California charter city and municipal corporation ("City"), and Coachellart, a non-profit organization ("Contractor"). City and Contractor are individually referred to as "Party" and are collectively referred to as the "Parties". RECITALS A. City requires the services of Coachellart for Consulting Artistic Services for the Palm Springs Public Arts Commission as Artist -in -Residence for the Department of Parks & Recreation, to plan and execute projects that restore and add artwork in Parks facilities ("Project"). B. Contractor has submitted to City a proposal to provide Consulting Artistic Services to City under the terms of this Agreement. C. Based on its experience, education, training, and reputation, Contractor is qualified and desires to provide the necessary services to City for the Project. D. City desires to retain the services of Contractor for the Project. NOW, THEREFORE, in consideration of the promises and mutual obligations, covenants, and conditions contained herein, and other valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties agree as follows: AGREEMENT 1. CONTRACTOR SERVICES 1.1 Scope of Services. In compliance with all terms and conditions of this Agreement, Contractor shall provide services to City as described in the Scope of Services/Work attached to this Agreement as Exhibit "A" and incorporated herein by reference (the "Services" or "Work"). Exhibit "A" includes the agreed upon schedule of performance and the schedule of fees. Contractor warrants that the Services shall be performed in a competent, professional, and satisfactory manner consistent with the level of care and skill ordinarily exercised by high quality, experienced, and well qualified members of the profession currently practicing under similar conditions. In the event of any inconsistency between the terms contained in the Scope of Services/Work and the terms set forth in this Agreement, the terms set forth in this Agreement shall govern. 1.2 Compliance with Law. Contractor shall comply with all applicable federal, state, and local laws, statutes and ordinances and all lawful orders, rules, and regulations when performing the Services. Contractor shall be liable for all violations of such laws and regulations in connection with the Services and this Agreement. ] Revised: 5/1/2020 5 5575.18165\32899991.2 1.3 Licenses and Permits. Contractor shall obtain at its sole cost and expense such licenses, permits, and approvals as may be required by law for the performance of the Services required by this Agreement. 1.4 Familiarity with Work. By executing this Agreement, Contractor warrants that it has carefully considered how the Work should be performed and fully understands the facilities, difficulties, and restrictions attending performance of the Work under this Agreement. 2. TIME FOR COMPLETION The time for completion of the Services to be performed by Contractor is an essential condition of this Agreement. Contractor shall prosecute regularly and diligently the work of this Agreement according to the agreed upon schedule of performance set forth in Exhibit "A." Neither Party shall be accountable for delays in performance caused by any condition beyond the reasonable control and without the fault or negligence of the non -performing Party. Delays shall not entitle Contractor to any additional compensation regardless of the Party responsible for the delay. 3. COMPENSATION OF CONTRACTOR 3.1 Compensation of Contractor. Contractor shall be compensated and reimbursed for the services rendered under this Agreement in accordance with the schedule of fees set forth in Exhibit "A". The total amount of Compensation shall not exceed $10,000. 3.2 Method of Payment. In any month in which Contractor wishes to receive payment, Contractor shall submit to City an invoice for Services rendered prior to the date of the invoice, no later than the first working day of such month, in the form approved by City's finance director. Payments shall be based on the hourly rates set forth in Exhibit "A" for authorized services performed. City shall pay Contractor for all expenses stated in the invoice that are approved by City and consistent with this Agreement, within thirty (30) days of receipt of Contractor's invoice. 3.3 Changes. In the event any change or changes in the Services is requested by City, Parties shall execute a written amendment to this Agreement, specifying all proposed amendments, including, but not limited to, any additional fees. An amendment may be entered into: A. To provide for revisions or modifications to documents, work product, or Work, when required by the enactment or revision of any subsequent law; or B. To provide for additional services not included in this Agreement or not customarily furnished in accordance with generally accepted practice in Contractor's profession. 3.4 Appropriations. This Agreement is subject to, and contingent upon, funds being appropriated by the City Council of City for each fiscal year. If such appropriations are not made, this Agreement shall automatically terminate without penalty to City. 2 Revised: 5/1 /2020 55575.18 l 65\32899991.2 4. PERFORMANCE SCHEDULE 4.1 Time of Essence. Time is of the essence in the performance of this Agreement. 4.2 Schedule of Performance. All Services rendered under this Agreement shall be performed under the agreed upon schedule of performance set forth in Exhibit "A." Any time period extension must be approved in writing by the Contract Officer. 4.3 Force Maieure. The time for performance of Services to be rendered under this Agreement may be extended because of any delays due to a Force Majeure Event, if Contractor notifies the Contract Officer within ten (10) days of the commencement of the Force Majeure Event. A Force Majeure Event shall mean an event that materially affects the Contractor's performance and is one or more of the following: (1) Acts of God or other natural disasters occurring at the project site; (2) terrorism or other acts of a public enemy; (3) orders of governmental authorities (including, without limitation, unreasonable and unforeseeable delay in the issuance of permits or approvals by governmental authorities that are required for the Work); and (4) pandemics, epidemics or quarantine restrictions. For purposes of this section, "orders of governmental authorities," includes ordinances, emergency proclamations and orders, rules to protect the public health, welfare and safety, and other actions of the City in its capacity as a municipal authority. After Contractor notification, the Contract Officer shall investigate the facts and the extent of any necessary delay, and extend the time for performing the Services for the period of the enforced delay when and if, in the Contract Officer's judgment, such delay is justified. The Contract Officer's determination shall be final and conclusive upon the Parties to this Agreement. The Contractor will not receive an adjustment to the contract price or any other compensation. Notwithstanding the foregoing, the City may still terminate this Agreement in accordance with the termination provisions of this Agreement. 4.4 Term. Unless earlier terminated in accordance with Section 4.5 of this Agreement, this Agreement shall continue in full force and effect for a period of five months, commencing on August 1, 2020, and ending on December 31, 2020, unless extended by mutual written agreement of the Parties. 4.5 Termination Prior to Expiration of Term. City may terminate this Agreement at any time, with or without cause, upon thirty (30) days written notice to Contractor. Where termination is due to the fault of Contractor and constitutes an immediate danger to health, safety, and general welfare, the period of notice shall be such shorter time as may be determined by the City. Upon receipt of the notice of termination, Contractor shall immediately cease all Services except such as may be specifically approved by the Contract Officer. Contractor shall be entitled to compensation for all Services rendered prior to receipt of the notice of termination and for any Services authorized by the Contract Officer after such notice. City shall not be liable for any costs other than the charges or portions thereof which are specified herein. Contractor shall not be entitled to payment for unperformed Services, and shall not be entitled to damages or compensation for termination of Work. If the termination is for cause, the City shall have the right to take whatever steps it deems necessary to correct Contractor's deficiencies and charge the cost thereof to Contractor, who shall be liable for the full cost of the City's corrective action. Contractor may not terminate this Agreement except for cause, upon thirty (30) days written notice to City. 3 Revised: 5/1 /2020 5 5575.18165\32899991.2 5. COORDINATION OF WORK 5.1 Representative of Contractor. The following principal of Contractor is designated as being the principal and representative of Contractor authorized to act and make all decisions in its behalf with respect to the specified Services: Patrick Sheehan, Principal. It is expressly understood that the experience, knowledge, education, capability, and reputation of the foregoing principal is a substantial inducement for City to enter into this Agreement. Therefore, the foregoing principal shall be responsible during the term of this Agreement for directing all activities of Contractor and devoting sufficient time to personally supervise the Services under this Agreement. The foregoing principal may not be changed by Contractor without prior written approval of the Contract Officer. 5.2 Contract Officer. The Contract Officer shall be the City Manager or his/her designee ("Contract Officer"). Contractor shall be responsible for keeping the Contract Officer fully informed of the progress of the performance of the Services. Contractor shall refer any decisions that must be made by City to the Contract Officer. Unless otherwise specified, any approval of City shall mean the approval of the Contract Officer. 5.3 Prohibition Against Subcontracting or Assignment. The experience, knowledge, education, capability, and reputation of Contractor, its principals and employees, were a substantial inducement for City to enter into this Agreement. Contractor shall not contract with any other individual or entity to perform any Services required under this Agreement without the City's express written approval. In addition, neither this Agreement nor any interest may be assigned or transferred, voluntarily or by operation of law, without the prior written approval of City. Subcontracts, if any, shall contain a provisions making them subject to all provisions stipulated in this Agreement including without limitation the insurance and indemnification requirements. If Contractor is permitted to subcontract any part of this Agreement by City, Contractor shall be responsible to City for the acts and omissions of its subcontractor(s) in the same manner as it is for persons directly employed. Nothing contained in this Agreement shall create any contractual relationships between any subcontractor and City. 5.4 Independent Contractor. Neither City nor any of its employees shall have any control over the manner, mode, or means by which Contractor, its agents or employees, perform the Services required, except as otherwise specified. Contractor shall perform all required Services as an independent contractor of City and shall not be an employee of City and shall remain at all times as to City a wholly independent contractor with only such obligations as are consistent with that role; however, City shall have the right to review Contractor's work product, result, and advice. Contractor shall not at any time or in any manner represent that it or any of its agents or employees are agents or employees of City. Contractor shall pay all wages, salaries, and other amounts due personnel in connection with their performance under this Agreement and as required by law. Contractor shall be responsible for all reports and obligations respecting such personnel, including, but not limited to: social security taxes, income tax withholding, unemployment insurance, and workers' compensation insurance. Contractor shall not have any authority to bind City in any manner. 5.5 Personnel. Contractor agrees to assign the following individuals to perform the services in this Agreement. Contractor shall not alter the assignment of the following personnel 4 Revised: 5/1/2020 5 5575.18165\32899991.2 without the prior written approval of the Contract Officer. Acting through the City Manager, the City shall have the unrestricted right to order the removal of any personnel assigned by Contractor by providing written notice to Contractor. Name: Title: Patrick Sheehan Principal 5.6 California Labor Code Requirements. A. Contractor is aware of the requirements of California Labor Code Sections 1720 et seq. and 1770 et seq., which require the payment of prevailing wage rates and the performance of other requirements on certain "public works" and "maintenance" projects ("Prevailing Wage Laws"). If the Services are being performed as part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and if the total compensation is $15,000 or more for maintenance or $25,000 or more for construction, alteration, demolition, installation, or repair, Contractor agrees to fully comply with such Prevailing Wage Laws. Contractor shall defend, indemnify and hold the City, its officials, officers, employees and agents free and harmless from any claims, liabilities, costs, penalties or interest arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. It shall be mandatory upon the Contractor and all subcontractors to comply with all California Labor Code provisions, which include but are not limited to prevailing wages (Labor Code Sections 1771, 1774 and 1775), employment of apprentices (Labor Code Section 1777.5), certified payroll records (Labor Code Sections 1771.4 and 1776), hours of labor (Labor Code Sections 1813 and 1815) and debarment of contractors and subcontractors (Labor Code Section 1777.1). B. If the Services are being performed as part of an applicable "public works" or "maintenance" project and if the total compensation is $15,000 or more for maintenance or $25,000 or more for construction, alteration, demolition, installation, or repair, then pursuant to Labor Code Sections 1725.5 and 1771.1, the Contractor and all subcontractors performing such Services must be registered with the Department of Industrial Relations. Contractor shall maintain registration for the duration of the Project and require the same of any subcontractors, as applicable. This Agreement may also be subject to compliance monitoring and enforcement by the Department of Industrial Relations. It shall be Contractor's sole responsibility to comply with all applicable registration and labor compliance requirements. 6. INSURANCE Contractor shall procure and maintain, at its sole cost and expense, policies of insurance as set forth in the attached Exhibit "B", incorporated herein by reference. 7. INDEMNIFICATION. 7.1 Indemnification. To the fullest extent permitted by law, Contractor shall defend (at Contractor's sole cost and expense), indemnify, protect, and hold harmless City, its elected officials, officers, employees, agents, and volunteers (collectively the "Indemnified Parties"), from and against any and all liabilities, actions, suits, claims, demands, losses, costs, 5 Revised: 5/1/2020 5 55 75.18 l 65132 899991.2 judgments, arbitration awards, settlements, damages, demands, orders, penalties, and expenses including legal costs and attorney fees (collectively "Claims"), including but not limited to Claims arising from injuries to or death of persons (Contractor's employees included), for damage to property, including property owned by City, for any violation of any federal, state, or local law or ordinance or in any manner arising out of, pertaining to, or incident to any acts, errors or omissions, or willful misconduct committed by Contractor, its officers, employees, representatives, and agents, that arise out of or relate to Contractor's performance of Services or this Agreement. This indemnification clause excludes Claims arising from the sole negligence or willful misconduct of the Indemnified Parties. Under no circumstances shall the insurance requirements and limits set forth in this Agreement be construed to limit Contractor's indemnification obligation or other liability under this Agreement. Contractor's indemnification obligation shall survive the expiration or earlier termination of this Agreement until all actions against the Indemnified Parties for such matters indemnified are fully and finally barred by the applicable statute of limitations or, if an action is timely filed, until such action is final. 7.2 Design Professional Services Indemnification and Reimbursement. If Contractor's obligation to defend, indemnify, and/or hold harmless arises out of Contractor's performance as a "design professional" (as that term is defined under Civil Code section 2782.8), then, and only to the extent required by Civil Code section 2782.8, which is fully incorporated herein, Contractor's indemnification obligation shall be limited to the extent which the Claims arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor in the performance of the Services or this Agreement, and, upon Contractor obtaining a final adjudication by a court of competent jurisdiction, Contractor's liability for such claim, including the cost to defend, shall not exceed the Contractor's proportionate percentage of fault. 8. RECORDS AND REPORTS 8.1 Reports. Contractor shall periodically prepare and submit to the Contract Officer reports concerning the performance of the Services required by this Agreement, or as the Contract Officer shall require. 8.2 Records. Contractor shall keep complete, accurate, and detailed accounts of all time, costs, expenses, and expenditures pertaining in any way to this Agreement. Contractor shall keep such books and records as shall be necessary to properly perform the Services required by this Agreement and enable the Contract Officer to evaluate the performance of such Services. The Contract Officer shall have full and free access to such books and records at all reasonable times, including the right to inspect, copy, audit, and make records and transcripts from such records. 8.3 Ownership of Documents. All drawings, specifications, reports, records, documents, and other materials prepared by Contractor in the performance of this Agreement shall be the property of City. Contractor shall deliver all above -referenced documents to City upon request of the Contract Officer or upon the termination of this Agreement. Contractor shall have no claim for further employment or additional compensation as a result of the exercise by City of its full rights or ownership of the documents and materials. Contractor may retain copies of such documents for Contractor's own use. Contractor shall have an unrestricted right to use the concepts embodied in such documents. 6 Revised: 5/ 1 /2020 55575.18165\32899991.2 8.4 Release of Documents. All drawings, specifications, reports, records, documents, and other materials prepared by Contractor in the performance of Services under this Agreement shall not be released publicly without the prior written approval of the Contract Officer. 8.5 Audit and Inspection of Records. After receipt of reasonable notice and during the regular business hours of City, Contractor shall provide City, or other agents of City, such access to Contractor's books, records, payroll documents, and facilities as City deems necessary to examine, copy, audit, and inspect all accounting books, records, work data, documents, and activities directly related to Contractor's performance under this Agreement. Contractor shall maintain such books, records, data, and documents in accordance with generally accepted accounting principles and shall clearly identify and make such items readily accessible to such parties during the term of this Agreement and for a period of three (3) years from the date of final payment by City hereunder. 9. ENFORCEMENT OF AGREEMENT 9.1 California Law. This Agreement shall be construed and interpreted both as to validity and to performance of the parties in accordance with the laws of the State of California. Legal actions concerning any dispute, claim, or matter arising out of or in relation to this Agreement shall be instituted in the Superior Court of the County of Riverside, State of California, or any other appropriate court in such county, and Contractor covenants and agrees to submit to the personal jurisdiction of such court in the event of such action. 9.2 Interpretation. This Agreement shall be construed as a whole according to its fair language and common meaning to achieve the objectives and purposes of the Parties. The terms of this Agreement are contractual and the result of negotiation between the Parties. Accordingly, any rule of construction of contracts (including, without limitation, California Civil Code Section 1654) that ambiguities are to be construed against the drafting party, shall not be employed in the interpretation of this Agreement. The caption headings of the various sections and paragraphs of this Agreement are for convenience and identification purposes only and shall not be deemed to limit, expand, or define the contents of the respective sections or paragraphs. 9.3 Waiver. No delay or omission in the exercise of any right or remedy of a non - defaulting Party on any default shall impair such right or remedy or be construed as a waiver. No consent or approval of City shall be deemed to waive or render unnecessary City's consent to or approval of any subsequent act of Contractor. Any waiver by either Party of any default must be in writing. No such waiver shall be a waiver of any other default concerning the same or any other provision of this Agreement. 9.4 Rights and Remedies are Cumulative. Except with respect to rights and remedies expressly declared to be exclusive in this Agreement, the rights and remedies of the parties are cumulative. The exercise by either Party of one or more of such rights or remedies shall not preclude the exercise by it, at the same or different times, of any other rights or remedies for the same default or any other default by the other Party. Revised: 5/1/2020 5 55 75. l 8 l 65\32899991.2 9.5 Legal Action. In addition to any other rights or remedies, either Party may take legal action, in law or in equity, to cure, correct, or remedy any default, to recover damages for any default, to compel specific performance of this Agreement, to obtain injunctive relief, a declaratory judgment, or any other remedy consistent with the purposes of this Agreement. 9.6 Attorney Fees. In the event any dispute between the Parties with respect to this Agreement results in litigation or any non judicial proceeding, the prevailing Party shall be entitled, in addition to such other relief as may be granted, to recover from the non -prevailing Party all reasonable costs and expenses. These include but are not limited to reasonable attorney fees, expert contractor fees, court costs and all fees, costs, and expenses incurred in any appeal or in collection of any judgment entered in such proceeding. 10. CITY OFFICERS AND EMPLOYEES: NON-DISCRIMINATION 10.1 Non -Liability of City Officers and Employees. No officer or employee of City shall be personally liable to the Contractor, or any successor -in -interest, in the event of any default or breach by City or for any amount which may become due to the Contractor or its successor, or for breach of any obligation of the terms of this Agreement. 10.2 Conflict of Interest. Contractor acknowledges that no officer or employee of the City has or shall have any direct or indirect financial interest in this Agreement nor shall Contractor enter into any agreement of any kind with any such officer or employee during the term of this Agreement and for one (1) year thereafter. Contractor warrants that Contractor has not paid or given, and will not pay or give, any third party any money or other consideration in exchange for obtaining this Agreement. 10.3 Covenant Against Discrimination. In connection with its performance under this Agreement, Contractor shall not discriminate against any employee or applicant for employment because of actual or perceived race, religion, color, sex, age, marital status, ancestry, national origin (i.e., place of origin, immigration status, cultural or linguistic characteristics, or ethnicity), sexual orientation, gender identity, gender expression, physical or mental disability, or medical condition (each a "prohibited basis"). Contractor shall ensure that applicants are employed, and that employees are treated during their employment, without regard to any prohibited basis. As a condition precedent to City's lawful capacity to enter this Agreement, and in executing this Agreement, Contractor certifies that its actions and omissions hereunder shall not incorporate any discrimination arising from or related to any prohibited basis in any Contractor activity, including but not limited to the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship; and further, that Contractor is in full compliance with the provisions of Palm Springs Municipal Code Section 7.09.040, including without limitation the provision of benefits, relating to non- discrimination in city contracting. 11. MISCELLANEOUS PROVISIONS 11.1 Notice. Any notice, demand, request, consent, approval, or communication that either Party desires, or is required to give to the other Party or any other person shall be in g Revised: 5/ 1 /2020 55575.18165\32899991.2 writing and either served personally or sent by pre -paid, first-class mail to the address set forth below. Notice shall be deemed communicated seventy-two (72) hours from the time of mailing if mailed as provided in this Section. Either Party may change its address by notifying the other Party of the change of address in writing. To City: City of Palm Springs Attention: City Manager 3200 E. Tahquitz Canyon Way Palm Springs, California 92262 To Contractor: Coachellart Attention: Patrick Sheehan P.O. Box 414 Palm Springs, CA 92263 11.2 Integrated Agreement. This Agreement constitutes the entire understanding between the Parties and supersedes and cancels all prior negotiations, arrangements, agreements, representations, and understandings, if any, made by or among the Parties with respect to the subject matter in this Agreement. 11.3 Amendment. No amendments or other modifications of this Agreement shall be binding unless through written agreement signed by all Parties. 11.4 Severability. Whenever possible, each provision of this Agreement shall be interpreted in such a manner as to be effective and valid under applicable law. In the event that any one or more of the phrases, sentences, clauses, paragraphs, or sections contained in this Agreement shall be declared invalid or unenforceable by valid judgment or decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect any of the remaining phrases, sentences, clauses, paragraphs, or sections of this Agreement, which shall be interpreted to carry out the intent of the Parties. 11.5 Successors in Interest. This Agreement shall be binding upon and inure to the benefit of the Parties' successors and assignees. 11.6 Third Party Beneficiary. Except as may be expressly provided for in this Agreement, nothing contained in this Agreement is intended to confer, nor shall this Agreement be construed as conferring, any rights, including, without limitation, any rights as a third -party beneficiary or otherwise, upon any entity or person not a party to this Agreement. 11.7 Recitals. The above -referenced Recitals are hereby incorporated into the Agreement as though fully set forth in this Agreement and each Party acknowledges and agrees that such Party is bound, for purposes of this Agreement, by the same. q Revised: 5/1/2020 5 5575.18165\32899991.2 11.8 Authority. The persons executing this Agreement on behalf of the Parties warrant that they are duly authorized to execute this Agreement on behalf of Parties and that by so executing this Agreement the Parties are formally bound to the provisions of this Agreement. 11.9 Counterparts. This Agreement may be signed in counterparts, each of which shall constitute an original. [SIGNATURES ON NEXT PAGE] 10 Revised: 5l1I2020 5 55 75. l 8 l 65132 89999 l .2 SIGNATURE PAGE TO CONTRACT SER CES AGREEMENT BY AND BETWEEN THE CITY OF PALM SPRI GS AND COACHELLART IN WITNESS WHEREOF, the Parties have exectrted this Agreement as of the dates stated below. "CITY" City of Palm Springs Date��v� a� . _ BY: . �/� David H. Ready, P City Manager APPROVED AS TO FORM: ATTEST B / By: w Je ey . B Tinge , ony Mejia City Attorney City Clerk Date: � R 1 l 02 t9 6 Not To Exceed $ Without The Expre s Written Authorization Of The City Manager. "CONTRA( OR" Coachellart Patrick Sheehan, 'ncipal t : 012020 55575.18165\32899991.2 CALIFORNIA ALL43URPOSE ACKNOWLEDCMBU CIVIL CODE § 1189 06 soh soA.,Ck 1k 4-.e 4& At', It t QSt A, >gi NM %k A notary public or other after c=00M *a omUficem ven es =)I the i 1smity of the sal who si rted the daemnent to which thin caMTX*W is attached, and nut the muffdukmsa, accwwy, or vabfdy of OW doeumaTt_ County of On betore Fria. asto pe sonallY leered H" Insert (fame and Me of the Off er i(s) of SignerW who proved to me on the basis of aatefactory evidence to be the pelsmt(s) whose names) Ware aubacnbed to the wdhm instrument end acknowledged to me that helshaffhey executed the same in hmAw rAtmr authorized capach mis), and that by hmftwfiheir m9nature (e) on the instrument the person(a). or the entity upon behalf of which the pemon(s) etctaxt executed the umVument 1 certify under PENALTY OF PERJURY under His laws of the State of Catifarn'ha that the foregoing paragraph is true and correct WITNESS my hand anal official zeal. Signature Signetwe of Notary Pubfic Pkme ftlary Seal Above OPTIONAL Though this secfi«n is apptku ! cmnpiki ft this inf+wmation can dateraftendkrn of the document or freoudukmt rsattachrnend of this form to an unintended docwnent Description of Attached Document Title or Type of Doctanent Oocu"wd Dater Number of Page, Signers) Other Than Named Above. CapaciWee) Claimed by Signer(s) Signers Name: ❑ Cogxm a Offioer — Ttiie(s): ❑ Partnw — ❑ Limited ❑ Genera! ❑ Individual ❑Attorney m Fad ❑ Tnratee ❑ Guardian or Conservator rl Other - Signer Is Representing: Signora Name: ❑ Cotpomla Officer — Tille(s)_ ❑ Partner — ❑ Limited ❑ General ❑ Ind"rvidus! ❑ Attorney m Fad ❑ Trustee ❑ Guardian or Conservator rl 0mmw- Signer b Representing: ®21114 Nations! Natmy Associeiiar • 11i" Ne =mNah" xg • 1-MO-US NDTARY (1-MM78 8827) ltam #=7 12 Revised: 5/ 1 /2020 55575,18165\32899991.2 EXHIBIT "A" CONTRACTOR'S SCOPE OF SERVICES/WORK Including, Schedule of Fees Schedule of Performance 13 Revised: 5/1/2020 5 55 75.18165 \32 899991.2 Exhibit A Coachellart Scope of ServicesMork This is an agreement with Patrick Sheehan of Coachellart, for a pilot project as Artist -in - Residence for the Department of Parks and Recreation from August 1, 2020 to December 31, 2020. The Artist -in -Residence will work with the Director of the Parks Department, with the assistance of the Public Arts Commission, to plan and execute projects that restore and add artwork in Parks facilities, with a goal of offering opportunities for young people to participate. All proposed projects subject to approval by the Public Arts Commission. Specific responsibilities include: 1. Identify locations in City parks facilities where art could be added orrepaired/restored, in coordination with Director of Parks and Recreation. 2. Involve other artists in projects where possible, to ensure diversity. 3. Plan/Schedule times when young people can participate in painting — engaging young people in the community and enrolled in Parks programs (in coordination with Director of Parks and Recreation.) 4. Assemble all materials and support equipment. 5. Provide materials to publicize projects on social media, through the Public Arts Commission and the Parks and Recreation Department. 6. Report monthly to both the Public Arts and Parks and Recreation Commissions. 7. Submit detailed invoices for Coachellart activities monthly, including a breakdown of all work performed. Payment 1. Contractor will be paid $45/hour for Consulting Artistic Services as Artist -in -Residence for the Parks and Recreation Department, as billed each month, in an amount not to exceed $10,000, including materials and supplies. 2. All invoices for time and materials must be reviewed by the Director of Parks and Recreation and the Chair of the Public Arts Commission. Coachellart PO Box 414 Palm Springs, CA 92263 Tax E I N 84-3425677 A 501(c)(3) non-profit organization EXHIBIT "B" INSURANCE PROVISIONS Including Verification of Coverage, Sufficiency of Insurers, Errors and Omissions Coverage, Minimum Scope of Insurance, Deductibles and Self -Insured Retentions, and Severability of Interests (Separation of Insureds) 14 Revised: 5/ 1 /2020 5 5575. 18165\32899991.2 INSURANCE 1. Procurement and Maintenance of Insurance. Contractor shall procure and maintain public liability and property damage insurance against all claims for injuries against persons or damages to property resulting from Contractor's performance under this Agreement. Contractor shall procure and maintain all insurance at its sole cost and expense, in a form and content satisfactory to the City, and submit concurrently with its execution of this Agreement. Contractor shall also carry workers' compensation insurance in accordance with California workers' compensation laws. Such insurance shall be kept in full force and effect during the term of this Agreement, including any extensions. Such insurance shall not be cancelable without thirty (30) days advance written notice to City of any proposed cancellation. Certificates of insurance evidencing the foregoing and designating the City, its elected officials, officers, employees, agents, and volunteers as additional named insureds by original endorsement shall be delivered to and approved by City prior to commencement of services. The procuring of such insurance and the delivery of policies, certificates, and endorsements evidencing the same shall not be construed as a limitation of Contractor's obligation to indemnify City, its elected officials, officers, agents, employees, and volunteers. 2. Minimum Scone of Insurance. The minimum amount of insurance required under this Agreement shall be as follows: 1. Comprehensive general liability and personal injury with limits of at least one million dollars ($1,000,000.00) combined single limit coverage per occurrence and two million dollars ($2,000,000) general aggregate; 2. Automobile liability insurance with limits of at least one million dollars ($1,000,000.00) per occurrence; CA 5W e- Min• 3. • Professional liability (errors and omissions) insurance with limits of at least one millio 4ollars ($1,000,000.00) per occurrence o million dollars ($2,000,000) annual aggregate is: is not required; 4. Workers' Compensation insurance in the statutory amount as required by NPeJ the State of California and Employer's Liability Insurance with limits of at least one million dollars $1 million per occurrence. If Contractor has no employees, Contractor shall complete the City's Request for Waiver of Workers' Compensation Insurance Requirement form. 3. Primary Insurance. For any claims related to this Agreement, Contractor's insurance coverage shall be primary with respect to the City and its respective elected officials, officers, employees, agents, and volunteers. Any insurance or self-insurance maintained by City and its respective elected officials, officers, employees, agents, and volunteers shall be in excess of Contractor's insurance and shall not contribute with it. For Workers' Compensation and Employer's Liability Insurance only, the insurer shall waive all rights of subrogation and 15 Revised: 5/1/2020 5 5 5 75.18165 \32 899991.2 contribution it may have against City, its elected officials, officers, employees, agents, and volunteers. 4. Errors and Omissions Coverage. If Errors & Omissions Insurance is required, and if Contractor provides claims made professional liability insurance, Contractor shall also agree in writing either (1) to purchase tail insurance in the amount required by this Agreement to cover claims made within three years of the completion of Contractor's services under this Agreement, or (2) to maintain professional liability insurance coverage with the same carrier in the amount required by this Agreement for at least three years after completion of Contractor's services under this Agreement. Contractor shall also be required to provide evidence to City of the purchase of the required tail insurance or continuation of the professional liability policy. 5. Sufficiency of Insurers. Insurance required in this Agreement shall be provided by authorized insurers in good standing with the State of California. Coverage shall be provided by insurers admitted in the State of California with an A.M. Best's Key Rating of B++, Class VII, or better, unless otherwise acceptable to the City. 6. Verification of Coverage. Contractor shall furnish City with both certificates of insurance and endorsements, including additional insured endorsements, effecting all of the coverages required by this Agreement. The certificates and endorsements are to be signed by a person authorized by that insurer to bind coverage on its behalf. All proof of insurance is to be received and approved by the City before work commences. City reserves the right to require Contractor's insurers to provide complete, certified copies of all required insurance policies at any time. Additional insured endorsements are not required for Errors and Omissions and Workers' Compensation policies. Verification of Insurance coverage may be provided by: (1) an approved General and/or Auto Liability Endorsement Form for the City of Palm Springs or (2) an acceptable Certificate of Liability Insurance Coverage with an approved Additional Insured Endorsement with the following endorsements stated on the certificate: A. "The City of Palm Springs, its officials, employees, and agents are named as an additional insured... " ("as respects City of Palm Springs Contract No._" or 'for any and all work performed with the City" may be included in this statement). B. "This insurance is primary and non-contributory over any insurance or self- insurance the City may have..." ("as respects City of Palm Springs Contract No. or 'for any and all work performed with the City" may be included in this statement). C. "Should any of the above described policies be canceled before the expiration date thereof, the issuing company will mail 30 days written notice to the Certificate Holder named." Language such as, "endeavor to" mail and "but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representative" is not acceptable and must be crossed out. 16 Revised: 5/1/2020 5 55 75. l 8 l 65 \32 899991.2 D. Both the Workers' Compensation and Employers' Liability policies shall contain the insurer's waiver of subrogation in favor of City, its elected officials, officers, employees, agents, and volunteers. In addition to the endorsements listed above, the City of Palm Springs shall be named the certificate holder on the policies. All certificates of insurance and endorsements are to be received and approved by the City before work commences. All certificates of insurance must be authorized by a person with authority to bind coverage, whether that is the authorized agent/broker or insurance underwriter. Failure to obtain the required documents prior to the commencement of work shall not waive the Contractor's obligation to provide them. 7. Deductibles and Self -Insured Retentions. Any deductibles or self -insured retentions must be declared to and approved by the City prior to commencing any work or services under this Agreement. At the option of the City, either (1) the insurer shall reduce or eliminate such deductibles or self -insured retentions with respect to the City, its elected officials, officers, employees, agents, and volunteers; or (2) Contractor shall procure a bond guaranteeing payment of losses and related investigations, claim administration, and defense expenses. Certificates of Insurance must include evidence of the amount of any deductible or self -insured retention under the policy. Contractor guarantees payment of all deductibles and self -insured retentions. 8. Severability of Interests (Separation of Insureds). This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the limits of the insurer's liability. 17 Revised: 5/1/2020 5 5575. l 8165\32899991.2 TO: City of Palm Springs ATTN. City Clerk and Risk Manager SUBJECT. Sole Proprietor/Partnership/Closely Held Corporation with No Employees Please let this memorandum notify the City of Palm Springs that I am a ❑ sole proprietor ❑ ership closely held corporation and do not have any employees whose employmen compensation insurance. Therefore, I do not carry Y coverage. I further warrant that I understand the requii of the California Labor Code with respect to providing V for any employees. I agree to comply with the c applicable laws and regulations regarding workers' cc and tax withholding and similar employment issues. I Palm Spri gs harmless from loss or liability which ma an ch I or regulations. Risk M Contractor Signature Printed N me of Cont ctor -�q- ) � Date Date squires me to cant' workers' (ers' compensation insurance cents of Section 3700, et seq., fcers' Compensation coverage requirements and all other )ensation, payroll taxes, FICA oher agree to hold the City of rise from the failure to comply Approval: COACHEL-01 TERRY JLL CERTIFICATE OF LIABILITY INSURANCE DATE 71291202D 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 IA CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDERI IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, I�he policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, subject to the terns and conditions of the policy, cert>3(fin policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in Neu of such endorsBme s . PRODUCER FACT NFP Property & Casualty Services, Inc. PHONN ao ; 505-5550 FmX 1551 North Tustin Avenue 14} - -- -- - - ' N0' " 975-SM Suite 500 EMAIL Santa Ana, CA 92705 immEw S AFFORDING COVERAGE NAIC o Coachellart 1257 Granvia Valmonte Palm Springs, CA 92262 f Avta eN_Cc ^01Ynrld-A-M u„11ILCo. oMIICI^Ll u, uAo ra. 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. am TYPE OF INSURANCE ADDL SUBR� POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR X NBP1560199 7/2712020 712712021 EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED 100,000 MED EXP Ww one S _ 5�000 S 11000,000 GEN'L X PERSONAL & ADV INJURY AGGREGATE LIMIT APPLIES PER: POLICY ❑ -%& LOC OTHER: GENERAL AGGREGATE 2,000,W0 PRODUCTS - COMP/OP AGG S 0 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS WN�p AUTOS ONLY AUTOSpONLY I ,BODILY COMBINED SINGLE LIMIT INJURY r ISgI BODILY INJURY (Par accident PE GE S UMBRELLA LIAB EXCESS LIAS HCLAIMS-MADE OCCUR EACH OCCURRENCE AGGREGATE S DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE I O. CER ' w) EXCLUDED? N 1 A lMenAatay i NH) If yes, describe under DESCRIPTION OF OPERATIONS below __L,PEMRWF OTH- ST .—. _ -- - - - - - - S E.L. EACH ACGDEW E.L. DISEASE - EA EMPLOYEE E.L. DISEASE -POLICY LIMB I I DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD ML Addldonal RemaAm Sd We, nary be aundled H prove spare Is re ed) City of Palm Springs, Its officials, employees and agents are named as Additional Insured per thf a�Iched Blanket Additional. rCol7Cire TC Uf%l n=0 PAwe-m I immi SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Palm Springs Officer of the City Manager THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE; WITH THE POLICY PROVISIONS. 3200 E. Tahquitz Canyon Way Palm Springs, CA 92262 AUTHOragD FATAIE Am, JV I' ACORD 25 (2016/03) ®1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �- u/awanesa = Insurance PATRICK SHEEHAN DANAE LYNETTE SHEEI4AN 1267 GRANVIA VALMONTE PALM SPRINGS CA 92262 PAGE OI.ICY WAWANESA INSURANCE 9050 FRIARS RD STE 101 SAN DIEGO CA 92108-SM Telephone: )$ 4WO-2920 Policy Number Account Number I Policy Period ! 12:01 A.M. standard time at the address of the 21235000 631871-2 Ii From Mar 27, 2020— Sep 27, 2020 Named Insured as stated herein Thank you for your continued business with Wawanesa General Insurance Company ("Wawanesa Insurance"). We appreciate the opportunity to provide you with quality coverage and peace of mind knowing that we strive to provide the most dependable coverage at the lowest price possible. Please review your Renewal Declaration. This Declaration is an offer only. Payment of the premium renews your policy for the period shown. If your payment is not received before Mar 27, 2020, this Offer to Renew becomes null and void. Your coverage expires Mar 27, 2020 at 12:01 A.M. If you are responsible for the payments due on this policy, please refer to the invoice statement (enclosed or mailed separately). The invoice statement also includes additional payment information, such as our flexible payment options. You should also carefully review your coverage limits for bodily Injury Liability and Property Damage Liability to ensure they are appropriate for your lifestyle, income, and risk tolerance. If you are found legally responsible for damages which exceed your Liability coverage limits, personal assets such as your savings or even your home could be at risk. Industry organizations and consumer groups recommend limits higher than what the law requires. By accepting this Policy and the Declaration pages you consent to be legally bound by the provisions of the policy, including the coverage limits, options and endorsements Questions? If you'd like to make change to your policy, please contact us at renewals us awanesa.com and provide your name and policy number, or call our office and our knowledgeable Customer Service Representatives will be happy i to assist you. Did you know? For more information regarding our products and services, visit our website at wawanesa.com. You can also submit changes to your policy, report a claim, or receive an insurance quote in minutes. f d to in npw himinr;ss. Wawanesa welcomes referrals from satisfied policyholders as an I portant means o eve p g Eaming Your Trust Since! ion Feb 25, 2020 02:05 CT "Wawanesa Insurance" Is a trademark of Wawanet;<a General Insurance Company i AaNIanOSa PERSONAL POUC D DECLARATION AUTOMOBILE CffffewrTo Rem 27, 20 0 effective /nsarancfe Your coverage e*- mar 27, 2020, at 12:01 kM. Payment of the premium renews your poky for the period shown. If your payment is not nx*ved before Mar 27, 2020 this Offer to Renew will be null and void. PATRICK SHEEHAN DANAE LYNETTE SHEEHAN 1257 GRANVIA VALMONTE PALM SPRINGS CA 92262 WAWANESA INSURANCE 9050 FRIARS RD STE 101 SAN DIEGO CA 92108-5865 Telephone: 1.M-M-2920 Policy Number Account Number Policy Period 12:01 A.M. standard time at the address of the 21235000 631871-2 1 From Mar 27, 21020 to Sep 27, 2020 Named Insured as stated herein Named Insunxrs Phone Number. 760-880.0265 Named Insured'e Email Address: reddotps@gmail.com Your 6 month premium for three (3) vehicle(s) Is $1,611.95. Refer to the breakdown of premiums below. Description of Owned Vehicle(s) Vehicle Year Make Model Ve lcie IdeRtlflcation Number Premium per Vehicle ($) 1 2018 Ford ESCAPE SELAWD 1F CU9HD8JUC78700 520.03 2 2015 Kia SOUL PLUS KNDJP3A57F7778078 800.14 3 2005 Dodge DAKOTA CLUB CAB SILT 1 D7HE42K45S145232 291.78 Premium Sribkdal for Vehicles 1611.95 Insurance Is provided only with respect to the coverage's for whic a Premium is stated, subject to all conditions of the policy. Coverage and Limits of Liability See Policy for Coverage Details Bodily Injury Liability $100,000 per person/$300,0C Property Damage Liability $50,000 each occurrence Medical Payments $1,000 each person Collision $500 deductible Comprehensive $500 deductible Roadside Assistance Rental Expense $30 dayi$900 max each covered loss Uninsured/Underinsured Motorists Protection $100,000 per person4300,000 each occurrence Uninsured Motorists Collision Deductible Waiver Total Premium per Vehicle ($) All Premiums listed are for the full 6 month terrrf. per 1 2 3 132.28 263.92 87.73 79.95 { 150.74 51.08 5.75 9.84 4.34 179.14 81.90 31.07 I 31.32 17.00 4.1 4.88 27.49 2 .91 12.89 58.59 I 73.59 35.23 1.61 1 1.61 1.61 520.03 1 800.14 291.78 Feb 25, 202002:05 CT "Wawanesa Insurance" Is a trademark of Wawanesa General Insurance Company Request for Taxpayer c� Form to are Fenn W=9 (Rev. October2018) Identificationseend Identification Number and Certification sFRS. oepertmerrt of the Treasury ► Go to www.ML9ov/F0rm*V for Insbugtlons and the latest Information. Interriel Revenue Service 1—Nam, (as shown on your income tax return). Name is required on this line; do raleavethiarmbla6k. Patrick Timothy Sheehan 2 Business nemeldWeilefded erdfly name, If dHfererrt from above COACHELLART 3 Check appropriate box for federal tax classification of the person whose name is entered an One 1. Check only one of the 4 Exemptions (codes apply only to following seven boxes certain entities, not IndWWuale; see instructions on page 4.❑ Irrdlviduevsole proprMor c► ❑ C Corporation ❑✓ S Corporation ❑ Parmnerstdp ❑ Tnrst/estate Exempt pay- code (if any) single-member LLC ❑ Limited liability company. Enter the tax classification (C-C corponstion, S=S corporetiam, aylbP.Paowner � p Note: Check the appropriate box in the One above for the tax classification of the 8irrgle riber own . do not check Exemption from FATCA reportmrg LLC If the LLC is classified as a single -member LLC that Is disregarded from the owner unlet s the owner of the LLC la code (it any) another LLC that is not disregarded from the owner for US. federal t of , bar Ll C that Is disregarded from the owner should check the appropriatebox for the tax classification []ts Owner. wvaaw to .x«ew m&ftWftW wmelde me us) other (see inatructions) No- 6 Address (number, street, and apt or suke no.) See fttrmxts. Requestees name and address (optional) PO BOX 414 6 City, siete. and ZIP code Palm Springs, CA 92263 7 List account number(s) here (optonall T identification Number dw Enter your TIN in the appropriate box The TIN provided must match the name given on lirre y to avoid Social "1°" backup withholding. For individuals, this is generally your social security number (SSM. hiowever, for a resident alien, sole proprietor. or disregarded entity, see the instructions for Part 1, Iater. For entities, it is your employer Identification number (EIM. If you do not have a number, see to get a TIN, later. or Note: If the account Is in more than one name, see the instructions for line 1. Mao see Who Name and �kh, tlam nmerrber Number To Give the Requester for guidelines on whose number to enter. 8 4 — 3 4 2 5 617 7 Under penalties of penury, I certify that: 1. The number Mown on this form Is my correct taxpayer Identification number (or I am waiting for a number to be issued to me); and 2.1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Intemal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has notifted me that 1 am no longer subject to backup withholding; and 3.1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA cods(s) entered on this form (if any) indicating that I am exempt from FATCA reporting Is correct. Certification Instructions. You must cross out item 2 above if you have been notified by 4. IRS that you are currently subject to backup withholding because you have failed to report all Interest and divid on your t return. For real estate transado* Kam 2 does not apply. For mortgage interest paid, acquisition or abandonment pr�cancellatI of deb4, conMbutkxns to an (nd*uld ratirement arrangement #Rly, and gen t, t�� other than interest and d�y mare gilt uired tq l 01 the certification, but you [restl*de Your correct TIN. See ti# Instructions Part u, der. oign awwwre of Here I U.& person► General Instructions section references are to the Internal Revenue (lode unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and Its instructions, such as legislation enacted after they were published, go to www.lrs gov/FormW9. Purpose of Form An Individual or entity (Form W-9 requester) who is required to file an infom mfion return with the IRS must obtain your correct taxpayer Identification number MM which may be your social security number (SSM, individual taxpayer identification number (ITIM, adoption taxpayer identification number (AT1N), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an Information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (Interest eamed or paid) fate. 0 I (IL) • Form IOWUN (dividends, inciu#g those fromktocks or mutual funds) • Form I09$-AIIISC (various types of income, prizes, awards, or gross proceed6) • Form ifa99-8 (stock or mutual fund sales and certain other tneresactims by brokers) • Form � wo.S (proceeds from real estate transwItions) • Form 10s9-K (merchant card and third party network transactions) • Form me mortgage intereaq.1098-E (student loan Interest), 1098-T 1 • Form 1(canceled debt) • Form iM-A (acquisition or abandonment of secured property) Use Foal W-9 only H you are a U.S. person (including a resident allen), tat provide your correct TUN. ff you do Iron rim Form W-9 to rite requester with a TIN, you might be subject fo bad up wmholdirtg. See What is backup withholding, later: Cat. No. 10231X Form W-S (Rev.10-2018) A�ROm CERTIFICATE OF LIABILITY INSURANCE DAT 11111WDDVY) 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 Aon Risk services central, Inc. Philadelphia PA Office 100 North 18th street 15th Floor CONTACT NPHONE am' (MC. No. Est): (866) 283-7122 f" : (800) 363-0105 E-MNL ADDRESS, INSURERS) AFFORDING COVERAGE NAIL Philadelphia PA 19103 USA "WED INSURER A: ACE American insurance Company 22667 Fidelity National Information Serv. Inc. and and all Subsidiaries Riverside Ave INSURER B: Indemnity Insurance CO Of North America 43575 INSURER C: ACE Fire Underwriters Insurance Co. 20702 Jacksonville FL 32204-2946 USA INSURER D: The Continental Insurance Company 35289 INSURER E: AXIS Insurance Company 37273 INSURER F: COVERAGES CERTIFICATE NUMBER: 570096468559 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. Limits shown are as requested IRISH TYPE OF INSURANCE INSD WVD POLICY NUMBER MMiD IYYY NMIO LIYRS X COMMERCIAL GENERAL LUU)ILITY H000 EACH OCCURRENCE $2, OOO.00O CI -AIMS -MADE ❑X OCCUR PREMISES Ea oc Mncs 51, 000, 000 MEO EXP(My one pereom Excluded PERSONAL& AOV INJURY S1,000,000 GEITLAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 X POLICY ❑JET LOG PRODUCTS - COMPIOP AGO $4,000,000 OTHER: A AUTOMOBILE LIABILITY Y ISA H25551801 01/01/202201/01/2023 COMBINED SINGLE LIMIT (Ea accident) S2,000,000 BODILY INJURY (Pm perm) X ANYAUTO BODILY INJURY(Per Accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NONLOWNED ONLY AUTOS ONLY PROPERTY pAMAGE Per aoddenl 0 X UMBRELLA LIAR OCCUR 7 1 14 5 1 EACH OCCURRENCE $10,000,000 EXCESS LIM H CIAINS-MADE AGGREGATE $10,000,000 DED I X RETENTION S10. 000 B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR I PARTNER I EXECUTIVE Y N OFFICEWMEMSER EXCLUDED? (1Nndstory In NH) NIA WLRC WC ADS SCFC68921752 WC WI 01/01/2022 01/01/2023 X LITETAT PER SOTH. E E.L EACH ACCIDENT $1, OOO, 000 E.L DLSEASE-EA EMPLOYEE S1,000,000 "yym. describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT S1,000,000 E Cyber Liabi ity POOJO0004790605 11/09/2022 11/09/2021 E&O Cy er S15, 00,000 EdO/Cyber/Prof Liab SIR applies per policy terms & condi ions DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addmmal Remarks Schedule, may IN, attached H more space is r"Use ) Additional Named Insured: SUNGARD DATA SYSTEMS INC., SUNGARD CAPITAL CORP. i Its companies & Subsidiaries. Certificate Holder is included as an additional insured for General Liability and Automobile Liability coverage if required by contract, but only with respect to activities or obligations performed under the contract and only to the limits required by the contract per the terms and conditions of the policies. Umbrella coverage is follow form of the General Liability, Automobile Liability and workers Compensation policies per the terms and conditions of the policies. CERTIFICATE HOLDER CANCELLATION KLICEIVED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELWERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NOV AUTHOR= REPRESENTATIVE CITY OF PALM SPRINGS 2 2 2022 Attn: CITY CLERK PO Box 2743 PALM SPRINGS CA 92263-2743 USA City Hail Reception Desk JQNa/n 3�. 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000080055 LOC #: A� ADDITIONAL REMARKS SCHEDULE AGENCY Aon Risk Services Central, Inc. POLICY NUMBER See Certificate Number: 570096468559 CARRIER See Certificate Number: 570096468559 FidelityNationalinformation Serv. Inc. EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE I NAIC # ]INSURER Page _ of . ADDITIONAL POLICIES If a policy below does not include limit information. refer to the corresponding policy on the ACORD certificate form for policy limits. INSR I.TR TYPE OF INSI'RANCE ADDL INSD SDBR W%D POLICI'ND NIBER POLICY EF'YECT11'F. DATF. NINMD/YYYY) POIA('I EXPIRATION N DATF. (\L\IIDDA I )1'1 LIMITS WORKERS COMPENSATION A N/A wcuc6892179A we Ohio 01/01/2022 01/01/2023 A N/A WLRc68921715 WC CA, MA 01/01/2022 01/01/2023 I I ACORD 101 f20081011 ® 2008 ACORD CORPORATION. All darts reserved. The ACORD name and logo are registered marks of ACORD Certificate No: 570096468559 AON CITY OF PALM SPRINGS Attn: CITY CLERK PO Box 2743 PALM SPRINGS CA 92263-2743 USA Monday, November 14, 2022 To whom it may concern: Following a concentrated effort to reduce our environmental footprint and provide timely certificate delivery, Aon will begin delivering our Certificates of Insurance electronically in PDF format. Please utilize one of the following methods to ensure you will receive the electronic copy of your Certificate (Certificate No: 570096468559) for future renewals: E - Visit aon.com/e-cert; or - Utilize the OR Code below to enter/validate your information. If your email address has changed or will be changing in the future, or you no longer require this certificate, please let us know using one of the methods above. Thank you for your cooperation and willingness to help us reduce our impact to the environment. MSC# 17755 1 Aon P.O. Box 1447 Lincolnshire, IL 60069 r ■ ■ RECEIVED NOV 222022 C ty Hall Reception Desk qC R� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/OD/YYYY) 05/30/2026 1 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 Aon Risk xnsurance services West, Inc. Denver CO Office CONTACT NAME: PHONE (AC. Ho. F.,): (866) 283-7122 FA C800) 363-0105 E-MAIL ADDRESS: 200 Clayton Street, Suite 800 Denver CO 80206 USA INSURER(S) AFFORDING COVERAGE NAIC R INSURED INSURERA: QBE Insurance Corporation 39217 Fidelity National Information Serv. Inc. and all subsidiaries 347 Riverside Ave INSURER B: National Fire & Marine Ins Cc 20079 INSURER C: Continental Casualty Company 20443 Jacksonville FL 32202 USA INSURER O: American Casualty Co. of Reading PA 20427 INSURER E: Transportation Insurance Co. 135289 20494 INSURER F: The Continental Insurance Company COVERAGES CERTIFICATE NUMBER: 570112891582 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MWDDIYYYY IOLIT "I MWDDIYYY LIMITS X COMMEACIALGENERAL LIABILRY EACH OCCURRENCE $2,000,000 CLAIMS -MADE �X OCCUR PREMISES Ea occurrence $2, 000, 000 MED EXP(Any one person) $10,000 PERSONAL& ADV INJURY $2,000,000 GENLAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $4,000,000 POLICY ❑ PROECT E LOC J PRODUCTS-COMP/CPAGG $4,000,000 OTHER: C AUTOMOBILE LIABILITY SUA 7036257962 04/01/202504/01/2026 COMBINED SINGLE LIMB E $2,000,000 BODILY INJURY (Per Parson) X ANYAUTO BODILY INJURY (Per accWerd) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED PROPERTY DAMAGE MY AUTOS ONLY Per accident F X UMBRELLAUM X OCCUR 4 EACHOCCURRENCE 25, 0, AGGREGATE $25,000,000 EXCESS LIMB CLAIMS -MADE OEO I % RETENTION S10, 000 D WORKERS COMPENSATION AND WC76TUT" 04/01/210 "64=2026X PER STATUTE TH- EMPLOYERS'LIABILITY YIN ADS except CA E. L. EACH ACCIDENT S1,000,000 E ANY PROPRIETOR I PARTNER I EXECUTIVE N/A WC7036292615 04/01/2025 04/01/2026 OFFICERMEMBER EXCLUDED? (Mandatory In HH) AZ,MA,OR,WI E.L. DISEASE -EA EMPLOYEE $1,000,000 II yee, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE-POUCY LIMIT $1,000,000 A Cyber Liability QPL 4151 9 02/51 2025 02/01/2026 Cy er/E&O/Aggregate ID, 00, 000 Claims Made SIR applies per policy terms & condi ions DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD tot, Addifi.ei Remark. Schedule, may W attached If more space p required) Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. umbrella Liability follows form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE JUN 0 9 2025 POLICY PROVISIONS. CITY OF PALM SPRINGS AUTHORIZED REPRESENTATIVE Attn: CITY CLERK O��� PALM°SPRINGS CA 92263-27Q froe of the City Clerk r� 9,41) � JL r Aaamtsdaes •ta4Mliard 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD d 1E AGENCY CUSTOMER57 098 " ID: 0000 648„ , _ - - LOC #: `4 ADDITIONAL REMARKS SCHEDULE ' Page _ of - AGENCY - - 'R,-, NAMED INSURED 1 qon Risk Insurance 'SerVl ceS. WeSt,`ffic., f' Fidelity�National; information serv. Inc. . ,POUCYNUMBER .. - .. - _.. .. : - :. L•. '; 'See certificate Number: 570112891582 - -' CARRIER - - NAIC CODE' - see' Certificate Number: 57,0112891582 - EFFECTIVE DATE: ADDITIONAL REMARKS- - THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, _ FORM NUMBER:, ACORD'25 FORMTITLE: Certificate of Liability Insurance - tlucnecc/ci ecGnoniidr rnvcoer_'o weir «' INSURER G: Great American Spi,Ht Ins Co .33723 - INSURER H : Everest National', Insurance Co ., 10120 INSURER. - INSURER ADDITIONALPOLICIES If a policy below does not include'limit infolmation,'iefer tothecorresponding policy or! the ACORD , - certificate form for policy limits." INSR - pDOL DOL SUBR POLICY NUMBER POLICY EFFECTIVE. POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE INSD�DATE`. WVD DATE _ ' - (MM/DD/YYYY) RI (MMD/YYYY)' , EXCESS LIABILITY - -- G - EXC5867053 - 04/01/2025 04/01/202.6: Aggregate $12,500,000 • 12.5pox25x25. - H ,, .^ . xc4E(00550251; .- 04/01/2025 04/01/2026 Aggregate �- $12,500,0010. _' - .. 12.Spox25x25 - .,.. .. Each .. S12,500,000 occurrence WORKERS, COMPENSATION, -. - D - - .. ." - N/A,; WC7036292601.- 04/01/2025 04/01/2026' - - - - " CA , _ -� C N/A WCE7036298219 04/01/2025:04/01/2026 ' ON - SIR applies per policy to ms"& tdn'dit ons OTHER... B. Cyber Liability - Excess 42EPP15308102'. 02/01/2025 02/01/2026. Cyber/E&O/Ag - $10,000,000' Claims Made 10 x16 gregate 0200E ACOF The ACORD name and logo ere registered marks o1 AC611M AGENCY CUSTOMER ID; 570000098648 ADDITIONAL REMARKS SCHEDULE 'Page —',of AGENCY ' I . .. I �1 I . I - Aon Risk,ansu'rance Services',West, Inc. NAMED INSURED - I Fidelity National information sere. Inc. 70-LIFY75-MBER See Certificatti.NUmber: 5701128915812 58 1 2 CARRIER � I see Certificate Number:'570112891582' CODE EFFECTIVE DATE: mmu, a JWIMM6 nmlvlmnma THIS ADDITIONAL REMARKS, FORM ORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: R: ACORD 25 FORM TITLE: Certificate of Liability Insurance Excess E&O, Cyber— 2/1/2025 2/1/2026 All Policies are Claims made Underwriting company P611CY,Number - Aggregate Limit(5) 02 Indian Harbor Insurance company - MTE003915712 $10m x $26M 03 Lloyd"s.underwriter Syndicate No. 4711 ASP.- FSCE02502015 $10M x $30M 04 Columbia Casualty Company -768772491-:$10M x $40M ACORD 101 (2008101) 02008 ACORD CORPORATION. All rights reserved. 1W_­1 Ing IIIII!W! Certificate No: 570112891582 AON CITY OF PALM SPRINGS Attn: CITY CLERK PO Box 2743 PALM SPRINGS CA 92263-2743 USA Friday, May 30, 2025 To whom it may concern: Following a concentrated effort to reduce our environmental footprint and provide timely certificate delivery, Aon will begin delivering our Certificates of Insurance electronically in PDF format. Please utilize one of the following methods to ensure you will receive the electronic copy of your Certificate (Certificate No: 570112891582) for future renewals: - Visit aon.com/e-cert; or - Utilize the QR Code below to enter/validate your information. If your email address has changed or will be changing in the future, or you no longer require this certificate, please let us know using one of the methods above. Thank you for your cooperation and willingness to help us reduce our impact to the environment. Aon Risk Services 5801 Postal Road PO Box 818037 Cleveland, Ohio 44181-9600