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24I074 - St. Francis Electric, LLC
CONTRACT ABSTRACT Contract/Amendment Name of Contract: Upper West Side Neighborhood Blade Sign Installation Company Name: St. Francis Electric, LLC Company Contact: Shenoa Townsend, Project Manager Email: shenoa.townsend@sfe-inc.com Summary of Services: Installation of seven blade signs on existing traffic light poles. Contract Price: $1,331.25 Contract Term: 1 month Public Integrity/ Business Disclosure Forms: N/A Contract Administration Lead Department: Communications/Office of Neighborhoods Contract Administrator/ Ext: Denise Goolsby/Tabitha Richards Contract Approvals Council/City Manager Approval Date: Agreement Number: 24 Contract Compliance Exhibits: Attached Signatures: Attached Insurance: Attached Bonds: N/A Business License: 20020180 Sole Source Co-Op Sole Source N/A CoOp Agmt #: N/A Documents: CoOp Name: CoOp Pricing: Submitted on: 03/26/2024 By: Tabitha Richards DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 4/15/2024 I074 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E344/15/2024 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME: CONTACT (A/C, No): FAX E-MAIL ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT ER OTH- STATUTE PER LIMITS(MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) POLICY EFF POLICY NUMBERTYPE OF INSURANCELTR INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 2,000,000 5,000,000 750508127 750508127 PO Box 2057 City of Palm Springs 1,000,000 04/01/25 X 04/01/25 X Pollution Liability sara.dorrisey@epicbrokers.com 500,000 23841 27960 19445 2,000,000 10690 Professional Liability 10,000,000 RE: SFE Job #24-1777, Install City Supplied Blade Signs at Various Locations. X 1-925-798-3334 X When required by written contract, Additional Insured status with Primary & Non-Contributory coverage applies to Additional Insured(s): City of Palm Springs its elected officials, officers, employees, agents, and volunteers. Compensation, all as per the attached endorsements. General Liability and Auto Liability and Waiver of Subrogation applies to General Liability, Auto Liability and Workers Excess Liability underlying policies include General Liability, Automobile Liability and Employers Liability. 04/01/25 30 days notice of cancellation, as per the attached endorsements. 04/01/24 USA 04/01/24 X 04/01/25 St. Francis Electric, LLC 03102673 WC022298334 04/01/24 X 925-887-6815 2,000,000 04/01/25X X PATRA01 X X 04/01/24 4,000,000 X Palm Springs, CA 92262 P.O. Box 5668 25,000 ALLIED WORLD NATL ASSUR CO NATIONAL UNION FIRE INS CO OF PITTS ILLINOIS UNION INS CO 4,000,000 NEW HAMPSHIRE INS CO 2,000,000 D D 04/01/24 CA4773676 04/01/24 San Leandro, CA 94577 USA Y Sara Dorrisey C B 925-822-9009 A Ea Occ/Aggregate GL5342018 2,000,000A 04/05/2024 COO G47457774 001. X COO G47457774 001 X 10,000,000 2,000,000 CA LIC 0B29370 3200 E. Tahquitz Canyon Way SFE Job #24-1777 Concord, CA 94524 USA 04/01/25 Ea. Act/Aggregate [Concord - Branch ID 15469] DIV# 401/406 Edgewood Partners Insurance Center (EPIC) X DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 SUPP (05/04) SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE NAME OF INSURED: Additional Description of Operations/Remarks from Page 1: Additional Information: St. Francis Electric, LLC 04/05/2024 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 This endorsement, effective 12:01 A.M.forms a part of policy No.issued to by ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: 87950 (10/05) Authorized Representative orCountersignature (in States WhereApplicable) Page 1 of 1 I. SECTION II - LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said contract or agreement. 04/01/2024 CA 477-36-76 ST. FRANCIS ELECTRIC, LLC NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA Any person or organization for whom you are contractually bound to provide Additional Insured status but only to the extent of such person's or organization's liability arising out of the use of a covered "auto". DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 This endorsement,effective12:01A.M.formsa partof policyNo.issued to by This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM All other terms and conditions remain unchanged. Authorized Representative or 74445 (10/99) Countersignature (in States WhereApplicable) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INSURANCE PRIMARY AS TO CERTAIN ADDITIONAL INSUREDS Section IV - Business Auto Conditions, B., General Conditions, 5., Other Insurance, c., is amended by the addition of the following sentence: The insurance afforded under this policy to an additional insured will apply as primary insurance for such additional insured where so required under an agreement executed prior to the date of accident. We will not ask any insurer that has issued other insurance to such additional insured to contribute to the settlement of loss arising out of such accident. ENDORSEMENT 04/01/2024 CA 477-36-76 ST. FRANCIS ELECTRIC, LLC NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 POLICY NUMBER: POLLUTION LIABILITY - BROADENED COVERAGE FOR COVERED AUTOS - BUSINESS AUTO AND MOTOR CARRIER COVERAGE FORMS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM COMMERCIAL AUTO CA 99 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CA 99 48 10 13 Insurance Services Office, Inc., 2011 Page 1 of 1 With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. Covered Autos Liability Coverage is changed as follows: 1.Paragraph a. of the Pollution Exclusion ap- plies only to liability assumed under a con- tract or agreement. 2.With respect to the coverage afforded by Paragraph A.1. above, Exclusion B.6. Care, Custody Or Control does not apply. B. Changes In Definitions For the purposes of this endorsement, Para- graph D. of the Definitions Section is replaced by the following: D."Covered pollution cost or expense" means any cost or expense arising out of: 1.Any request, demand, order or statutory or regulatory requirement that any "in- sured" or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of "pollutants"; or 2.Any claim or "suit" by or on behalf of a governmental authority for damages because of testing for, monitoring, clean- ing up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to or assessing the effects of "pollutants". "Covered pollution cost or expense" does not include any cost or expense arising out of the actual, alleged or threatened dis- charge, dispersal, seepage, migration, re- lease or escape of "pollutants": a.Before the "pollutants" or any prop- erty in which the "pollutants" are contained are moved from the place where they are accepted by the "in- sured" for movement into or onto the covered "auto"; or b.After the "pollutants" or any property in which the "pollutants" are con- tained are moved from the covered "auto" to the place where they are finally delivered, disposed of or aban- doned by the "insured". Paragraphs a. and b. above do not apply to "accidents" that occur away from premises owned by or rented to an "in- sured" with respect to "pollutants" not in or upon a covered "auto" if: (1)The "pollutants" or any property in which the "pollutants" are contained are upset, overturned or damaged as a result of the maintenance or use of a covered "auto"; and (2)The discharge, dispersal, seepage, mi- gration, release or escape of the "pol- lutants" is caused directly by such upset, overturn or damage. CA 477-36-76 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 POLICY NUMBER: CA 477-36-76 COMMERCIAL AUTO CA 20 70 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COVERAGE FOR CERTAIN OPERATIONS IN CONNECTION WITH RAILROADS This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM With respect to coverage provided under this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indi- cated below. SCHEDULE Scheduled Railroad Designated Job Site Any Railroad Organization whom has granted you. With respect to the use of a covered "auto" in operations for or affecting a railroad designated in the Schedule at a Designated Job Site, the two exceptions contained in the definition of "insured contract" relating to construction or demolition operations performed within 50 feet of a railroad do not apply. CA 20 70 10 13 Insurance Services Office, Inc., 2011 Page 1 of 1 Named Insured: St. Francis Electric, LLC Endorsement Effective Date: 04/01/2024 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE FORM 62897 (6/95) AUTHORIZED REPRESENTATIVE ENDORSEMENT This endorsement, effective 12:01 A.M. policy No.issued to by This endorsement modifies insurance provided under the following: WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (2) (1) The contract or agreement was entered into prior to any "accident" or "loss". No waiver of the right of recovery will directly or indirectly apply to your employees or employees of the person or organization, and we reserve our rights or lien to be reimbursed from any recovery funds obtained by any injured employee. Section IV - Business Auto Conditions, A. - Loss Conditions, 5. - Transfer of Rights of Recovery Against Others to Us, is amended to add: The "accident" or "loss" is due to operations undertaken in accordance with the contract existing between you and such person or organization; and However, we will waive any right of recover we have against any person or organization with whom you have entered into a contract or agreement because of payments we make under this Coverage Form arising out of an "accident" or "loss" if: 04/01/2024 forms a part of CA 477-36-76 ST. FRANCIS ELECTRIC, LLC NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 This endorsement, effective 12:01 A.M.forms a part of Policy No.issued to By LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL 107414 (03/11) Authorized Representative Page 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. All other terms, conditions and exclusions shall remain the same. TO ENTITIES OTHER THAN THE FIRST NAMED INSURED Insurer, This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiration date; 2. the First Named Insured is under an existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the "Certificate Holder(s)") and has provided to the Insurer , either directly or through its broker of record, the email address of a contact at each such entity; and 3. the Insurer received this information after the First Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders within 30 days after the First Named Insured provides such information to the Insurer ; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the First Named Insured provides such information to the Insurer . Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured , will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following Definitions apply to this endorsement: 1.First Named Insured means the Named Insured shown on the Declarations Page of this policy. 2.Insurer means the insurance company shown in the header on the Declarations page of this policy. ENDORSEMENT # 04/01/2024 CA 477-36-76 ST. FRANCIS ELECTRIC, LLC NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 POLICY NUMBER: This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: COMMERCIAL GENERAL LIABILITY CG 20 12 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS GL 534-20-18 ANY AND ALL STATE OR POLITICAL SUBDIVISIONS CONTRACTUALLY REQUIRING ADDITIONAL INSURED STATUS IN CONNECTION WITH ISSUANCE OF PERMITS TO YOU, RELATING TO PREMISES. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1.This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However: a.The insurance afforded to such additional insured only applies to the extent permitted by law; and b.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2.This insurance does not apply to: a."Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b."Bodily injury" or "property damage" included within the "products-completed operations hazard". B.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 12 12 19 Page ofInsurance Services Office, Inc., 2018 1 1 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 POLICY NUMBER: ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s)Location(s) Of Covered Operations COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Insurance Services Office, Inc., 2018CG 20 10 12 19 Page 1 of 2 A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1.Your acts or omissions; or 2.The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1.All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2.That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. GL 534-20-18 ANY PERSON OR ORGANIZATION WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. PER THE CONTRACT OR AGREEMENT. DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 Insurance Services Office, Inc., 2018Page 2 of 2 CG 20 10 12 19 C.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 POLICY NUMBER: ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s)Location And Description Of Completed Operations COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 37 12 19 Insurance Services Office, Inc., 2018 Page 1 of 1 CG 20 37 12 19 Page ofInsurance Services Office, Inc., 2018 0 0 CG 20 37 12 19Page of Insurance Services Office, Inc., 2018 0 0 GL 534-20-18 ANY PERSON OR ORGANIZATION WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. PER THE CONTRACT OR AGREEMENT. DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 PRIMARY AND NONCONTRIBUTORY – OTHER INSURANCE CONDITION Policy # GL 534-20-18 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 ENDORSEMENT This endorsement, effective 12:01 A.M. 04/01/2024 forms a part of Policy No. GL 534-20-18 issued to ST FRANCIS ELECTRIC, LLC by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. AMENDMENT OF LIMITS OF INSURANCE (Per Project or Per Location Aggregate Limit) $ $ $ This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM I.Your policy is amended to include either a Per Project General Aggregate Limit, a Per Location General Aggregate Limit or a Per Project and Per Location General Aggregate Limit. Please select only one of the following: [ ] Per Project General Aggregate Limit [ ] Per Location General Aggregate Limit [ ] Per Project and Per Location General Aggregate Limit IF NEITHER OF THESE BOXES ARE CHECKED, THIS ENDORSEMENT IS VOID. IF MORE THAN ONE OF THE THESE BOXES ARE CHECKED, THIS ENDORSEMENT IS VOID. II. SECTION III - LIMITS OF INSURANCE , is amended to include the following: 1.The Limits of Insurance and the rules below fix the most we will pay regardless of the number of: a.Insureds; b.Claims made or "suits" brought; or c.Persons or organizations making claims or bringing "suits". 2.The General Aggregate Limit is the most we will pay for the sum of: a.Medical expenses under Coverage C; b.Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the products-completed operations hazard"; and c.Damages under Coverage B. 3.The Products-Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of "bodily injury" and "property damage" included in the "products-completed operations hazard". 4.Subject to 2. above, the Personal and Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all "personal and advertising injury" sustained by any one person or organization. 5.Subject to 2. or 3. above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of: a.Damages under Coverage A; and b.Medical expenses under Coverage C X 4,000,000 86681 (9/04)Includes copyrighted material of Insurance Services Office, Inc. with its permission.Page 1 of 2 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 Authorized Representative orCountersignature (in States WhereApplicable) $ $ $ $ $ $ $ because of all "bodily injury" and "property damage" arising out of any one "occurrence". 6.Subject to 5. above, the Damage to Premises Rented To You Limit is the most we will pay under Coverage A because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. 7.Subject to 5. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person. 8.Subject to 2., 4., 5., 6., and/or 7. above, the Per Project Aggregate Limit is the most we will pay under Coverages A, B, and C combined for the sum of: a.Damages under Coverage A; b.Damages under Coverage B; and c.Medical Expenses under Coverage C arising out of any single Project described above. 9.Subject to 2., 4., 5., 6., and/or 7. above, the Per Location Aggregate Limit is the most we will pay under Coverages A, B, and C combined for the sum of: a.Damages under Coverage A; b.Damages under Coverage B; and c.Medical expenses under Coverage C arising out of the any single Location described above. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. III.The Limits of Insurance shown in the Declarations are deleted in their entirety and replaced by the Limits of Insurance set forth below. Limits of Insurance General Aggregate Limit Each Occurrence Products-Completed Operations Aggregate Limit Personal & Advertising Injury Limit Damage to Premises Rented to Medical Expense Limit Per Project General Aggregate Limit, Per Location General Aggregate Limit or Per Project and Per Location General Aggregate Limit IV.SECTION V - DEFINITIONS, is amended to include the following: 23."Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway, or right-of-way railroad. All other terms and conditions of this policy remain the same. 10,000,000 2,000,000 4,000,000 2,000,000 500,000 25,000 4,000,000 86681 (9/04)Includes copyrighted material of Insurance Services Office, Inc. with its permission.Page 2 of 2 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 POLICY NUMBER: CONTRACTUAL LIABILITY - RAILROADS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Scheduled Railroad:Designated Job Site: COMMERCIAL GENERAL LIABILITY CG 24 17 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 24 17 10 01 ISO Properties, Inc., 2000 Page 1 of 1 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) With respect to operations performed for, or affecting, a Scheduled Railroad at a Designated Job Site, the definition of "insured contract" in the Definitions section is replaced by the following: 9."Insured Contract" means: a.A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract"; b.A sidetrack agreement; c.Any easement or license agreement; d.An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e.An elevator maintenance agreement; f.That part of any other contract or agreement pertaining to your business (including an in- demnification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily injury" or "property damage" to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement: (1)That indemnifies an architect, engineer or sur- veyor for injury or damage arising out of: (a)Preparing, approving or failing to prepare or approve maps, shop drawings, opinions, re- ports, surveys, field orders, change orders or drawings and specifications; or (b)Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage; (2)Under which the insured, if an architect, engineer or surveyor, assumes liability for an in- jury or damage arising out of the insured's rendering or failure to render professional services, including those listed in Paragraph (1) above and supervisory, inspection, architectural or engineering activities. GL 534-20-18 ANY RAILROAD ORGANIZATION WHOM HAS GRANTED YOU AN EASEMENT FOR ANY JOB SITE TO PERMIT YOU TO PERFORM WORK AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 Page 12 of 16 Insurance Services Office, Inc., 2012 CG 00 01 04 13 primary, our obligations are not affected un- less any of the other insurance is also primary. Then, we will share with all that other insurance by the method described in Paragraph c. below. b.Excess Insurance (1)This insurance is excess over: (a)Any of the other insurance, whether primary, excess, contingent or on any other basis: (i)That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (ii)That is Fire insurance for premises rented to you or temporarily occu- pied by you with permission of the owner; (iii)That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or tempo- rarily occupied by you with per- mission of the owner; or (iv)If the loss arises out of the main- tenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section I - Coverage A - Bodily Injury And Property Damage Liability. (b)Any other primary insurance available to you covering liability for damages arising out of the premises or opera- tions, or the products and completed operations, for which you have been added as an additional insured. (2)When this insurance is excess, we will have no duty under Coverages A or B to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. (3)When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a)The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b)The total of all deductible and self-insured amounts under all that other insurance. (4)We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance pro- vision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c.Method Of Sharing If all of the other insurance permits contri- bution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contri- bute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. 5.Premium Audit a.We will compute all premiums for this Coverage Part in accordance with our rules and rates. b.Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured. c.The first Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request. 6.Representations By accepting this policy, you agree: a.The statements in the Declarations are accu- rate and complete; b.Those statements are based upon re- presentations you made to us; and c.We have issued this policy in reliance upon your representations. 7.Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in Policy #GL 534-20-18 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 CG 00 01 04 13 Insurance Services Office, Inc., 2012 Page 13 of 16 this Coverage Part to the first Named Insured, this insurance applies: a.As if each Named Insured were the only Named Insured; and b.Separately to each insured against whom claim is made or "suit" is brought. 8.Transfer Of Rights Of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. 9.When We Do Not Renew If we decide not to renew this Coverage Part, we will mail or deliver to the first Named In- sured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed, proof of mailing will be suffi- cient proof of notice. SECTION V - DEFINITIONS 1."Advertisement" means a notice that is broad- cast or published to the general public or speci- fic market segments about your goods, pro- ducts or services for the purpose of attracting customers or supporters. For the purposes of this definition: a.Notices that are published include material placed on the Internet or on similar elec- tronic means of communication; and b.Regarding web sites, only that part of a web site that is about your goods, products or services for the purposes of attracting custo- mers or supporters is considered an adver- tisement. 2."Auto" means: a.A land motor vehicle, trailer or semitrailer designed for travel on public roads, including any attached machinery or equipment; or b.Any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. However, "auto" does not include "mobile equipment". 3."Bodily injury" means bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time. 4."Coverage territory" means: a.The United States of America (including its territories and possessions), Puerto Rico and Canada; b.International waters or airspace, but only if the injury or damage occurs in the course of travel or transportation between any places included in Paragraph a. above; or c.All other parts of the world if the injury or damage arises out of: (1)Goods or products made or sold by you in the territory described in Paragraph a. above; (2)The activities of a person whose home is in the territory described in Paragraph a. above, but is away for a short time on your business; or (3)"Personal and advertising injury" offenses that take place through the Internet or similar electronic means of communi- cation; provided the insured's responsibility to pay damages is determined in a "suit" on the me- rits, in the territory described in Paragraph a. above or in a settlement we agree to. 5."Employee" includes a "leased worker". "Employee" does not include a "temporary worker". 6."Executive officer" means a person holding any of the officer positions created by your charter, constitution, bylaws or any other similar governing document. 7."Hostile fire" means one which becomes un- controllable or breaks out from where it was in- tended to be. 8."Impaired property" means tangible property, other than "your product" or "your work", that cannot be used or is less useful because: a.It incorporates "your product" or "your work" that is known or thought to be defec- tive, deficient, inadequate or dangerous; or b.You have failed to fulfill the terms of a cont- ract or agreement; if such property can be restored to use by the repair, replacement, adjustment or removal of "your product" or "your work" or your fulfilling the terms of the contract or agreement. 9."Insured contract" means: a.A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 POLICY NUMBER: Insurance Services Office, Inc., 2018 Page 1 of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 This endorsement modifies insurance provided under the following: SCHEDULE Name Of Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 24 04 12 19 The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV – Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS GL 534-20-18 PURSUANT TO APPLICABLE WRITTEN CONTRACT OR AGREEMENT YOU ENTER INTO. DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 This endorsement, effective 12:01 A.M.forms a part of Policy No.issued to By LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL 107414 (03/11) Authorized Representative Page 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. All other terms, conditions and exclusions shall remain the same. TO ENTITIES OTHER THAN THE FIRST NAMED INSURED Insurer, This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiration date; 2. the First Named Insured is under an existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the "Certificate Holder(s)") and has provided to the Insurer, either directly or through its broker of record, the email address of a contact at each such entity; and 3. the Insurer received this information after the First Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders within 30 days after the First Named Insured provides such information to the Insurer ; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the First Named Insured provides such information to the Insurer. Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following Definitions apply to this endorsement: 1.First Named Insured means the Named Insured shown on the Declarations Page of this policy. 2.Insurer means the insurance company shown in the header on the Declarations page of this policy. ENDORSEMENT# 04/01/2024 GL 534-20-18 ST. FRANCIS ELECTRIC, LLC NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 This endorsement, effective 12:01 AM forms a part of Policy No. Issued to By LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL TO ENTITIES OTHER THAN THE NAMED INSURED WC 99 00 56 (Ed. 04/11) (WORKERS' COMPENSATION ONLY) All other terms, conditions and exclusions shall remain the same. AUTHORIZED REPRESENTATIVE This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiration date; 2. the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the "Certificate Holder(s)") and the Named Insured has provided to the Insurer, either directly or through its broker of record, the email address of a contact at each such entity; and 3. the Insurer received this information after the Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the Insurer, the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders within 30 days after the Named Insured provides such information to the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the Named Insured provides such information to the Insurer. Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following definitions apply to this endorsement: 1.Named Insured means the insured first named employer in Item 1 of the Information Page of this policy. 2.Insurer means the insurance company shown in the header on the Information Page of this policy. 04/01/2024 WC 022-29-8334 ST. FRANCIS ELECTRIC, LLC NEW HAMPSHIRE INSURANCE COMPANY DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM forms a part of Policy No. Issued to By We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be % of the total estimated workers compensation premium for this policy. WC 04 03 61 Countersigned by ______________________________ (Ed. 11/90) Authorized Representative 04/01/2024 WC 022-29-8334 ST. FRANCIS ELECTRIC, LLC NEW HAMPSHIRE INSURANCE COMPANY 2.00 DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34 UPDATED 11.21.2023 Position Title Department Title Division Name Signing Authority (Non-Public Projects)Signing Authority (Public Projects)Unit Code City Manager City Manager $75,000.00 $200,000.00 EX Assistant City Manager City Manager $50,000.00 $60,000.00 EX Deputy City Manager Development Services; Administration $50,000.00 $60,000.00 EX Special Assistant to the City Manager City Manager $25,000.00 EX Executive Director PS Int'l Airport Aviation $25,000.00 EX Assistant Airport Director Aviation $5,000.00 EX City Clerk City Clerk $25,000.00 EX Chief Deputy City Clerk City Clerk $5,000.00 MX Chief Communications Officer Communications $25,000.00 EX Office of Neighborhoods, Manager Communications $5,000.00 EX Director of Community & Economic Development Community & Economic Development $25,000.00 EX Chief Economic Development Officer Community & Economic Development $5,000.00 EX Director of Planning Services Development Services Planning $25,000.00 EX City Engineer Development Services Engineering Services $25,000.00 EX Building Official Development Services Building & Safety $25,000.00 EX Office of Sustainability Director Development Services Office of Sustainability $25,000.00 EX Assistant Director of Planning Development Services Planning $5,000.00 EX Director of Finance & Treasurer Finance & Treasury $25,000.00 EX Assistant Director of Finance & Treasurer Finance & Treasury $5,000.00 EX Fire Chief Fire $25,000.00 EX Fire Deputy Chief Fire $5,000.00 FMX Director of Human Resources Human Resources $25,000.00 EX IT Director Information Technology $25,000.00 EX Assistant IT Director Information Technology $5,000.00 EX Director of Library Services Library $25,000.00 EX Director of Maintenance & Facilities Maintenance & Facilities Facilities Maintenance $25,000.00 EX Assistant Director of Maintenance & Facilities Maintenance & Facilities Facilities Maintenance $5,000.00 EX Police Chief Police $25,000.00 EX Police Captain Police $5,000.00 PMX Procurement and Contracting Director Procurement $25,000.00 EX Director of Parks & Recreation Recreation Recreation $25,000.00 EX Assistant Director of Parks & Recreation Recreation Recreation $5,000.00 EX Director of Special Program Compliance Special Program Compliance $25,000.00 EX DocuSign Envelope ID: 1F121AB2-E0B6-47C7-9191-FCD9FA032E34