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HomeMy WebLinkAboutA7213 - TESLA, INC. - CITY GRANTS POSSESSION & CONTROL OF 11 PK SP -BELARDO PKG GARAGEFIRST AMENDMENT OF SUPERCHARGER AGREEMENT THIS FIRST AMENDMENT OF SUPERCHARGER AGREEMENT (this "Amendment") is made and entered into as of Januay28 , 2021 (the "Amendment Effective Date") by and between City of Palm Springs, a California Charter City ("Counterparty"), and Tesla, Inc., a Delaware corporation ("Tesla"). RECITALS A. Counterparty and Tesla are parties to that certain Supercharger Agreement dated October 29, 2018 (the "Agreement"). Pursuant to the Agreement, Counterparty granted to Tesla possession and control of eleven (11) parking spaces (the "Existing Premises") at the Property for the installation of a Supercharger Station. B. Counterparty and Tesla now desire to expand the Existing Premises and of the Agreement, as more particularly described herein. TERMS NOW THEREFORE, in consideration of the foregoing recitals, the mutual covenants herein contained, and good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereby agree as follows, as of the Amendment Effective Date: 1. Defined Terms. All capitalized terms used in this Amendment shall have the same meaning given such terms in the Agreement, unless otherwise defined in this Amendment. Amendment of the Agreement: 2.1. Expansion of the Existing Premises. The Existing Premises shall expand to include thirteen (13) additional parking spaces to serve as Enabled Stalls, which Tesla shall outfit with Superchargers (the "Expansion Option Stalls"). As of the Amendment Effective Date, references in the Agreement to the "Premises" shall be deemed to include the Existing Premises and the Expansion Option Stalls and shall consist of a total of twenty four (24) parking spaces and additional space for disability access and equipment, as depicted on Exhibit A attached hereto. 2.2. Exhibit A. Exhibit A of the Agreement is deleted in its entirety and replaced by the Exhibit A, attached hereto and incorporated herein. 2.3. Exhibit B. The reference to Six (6) Supercharger Cabinets, and Eleven (11) Superchargers in Exhibit B shall be deleted and replaced with the following: • Nine (9) Supercharger Cabinets, and • Twenty-four (24) Superchargers. 3. Effect. Except as expressly modified by this Amendment, the Agreement shall remain unchanged and in full force and effect. 4. Consent. The parties represent and warrant that there are no consents of third parties (including any lenders) that are necessary for the execution and performance of this Amendment or that each party has obtained all consents of third parties necessary for the execution and performance of this Amendment. S. Counterparts. This Amendment may be executed in several counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same Amendment. [SIGNATURE PAGE TO FOLLOW] IN WITNESS WHEREOF, Counterparty and Tesla have executed this Amendment as of the Amendment Effective Date. COUNTERPARTY: City of Palm Springs a California Charter City B r / Name., ./.._� Title:C C� Date: APPROVED AS TO FORM CTYA NEY APPH VM BY C CDVWL k-1 jle' 1 1q1 ZoZk TESLA: Tesla, Inc., a Delaware corporation i3y: Name: Maximilien de Zegher Title: Senior Manager, North America Charging Infrastructure Date: January 28 2021 �Y , EXHIBIT A Premises and Property Depiction and Address Property Address: 101 North Museum Drive, Palm Springs, CA 92262 Premises and Property Depiction: i14M4JWOY.7�#O�i{ Expansion Option Stalls k �LMR M{A �Y Ik'! • I � O 4 _ R.wO�►EETGl� I - Existing Prern_esis �- ! o I ti �r s }: � n h o o c o i i-! er f F k t Premesis • w f w �' . , �* 1 1-;Z y—�--^r�yI�^ +rid Tesla Supercharger Amendment - Palm Springs, CA - City of Palm Springs Final Audit Report 2021-01-29 Created: 2021-01-28 By: Sophie Van Noppen (svannoppsn@tesla.com) Status: Signed Transaction ID: CBJCHBCAABAA75XvHAgWRKu1LW-kgD-05e9KuquY1E60 "Tesla Supercharger Amendment - Palm Springs, CA - City of P aim Springs" History Document created by Sophie Van Noppen (svannoppen@tesia.com) 2021-01-28-1:54:44 PM GMT- IP address: 67.190.199.194 P+ Document emailed to Max de Zegher (mzegher@tesla.com) for signature 2021-01-28 - 1:55:59 PM GMT Document e-signed by Max de Zegher (mzegher@tesia.com) Signature Date: 2021-01-29 - 4:20:08 AM GMT - Time Source: server IP address: 107.137.70.71- Located near. (0.0, 0.0) tJ Offline document events synchronized and recorded 2021-01-29 - 4:20:10 AM GMT - Time Source: server- IP address: 107.137.70.71 Agreement completed. 2021-01-29 - 4:20:10 AM GMT T; 5 L n I „� �, Contract Company Name I Company Contact: Tesla , Inc. Brian CONTRACT ABSTRACT Summary of Services: Amendment No. 1 to Tesla Supercharger Agreement at Downtown Belardo Parking Structure Contract Price: $n/a (No payment to or cost to City) Funding Source: n/a Contract Term: 5 yrs with one 5-year extension option Contract Administration Lead Department: Community & Economic Development Contract Administrator: Diana Shay Contract Approvals Council/ Community Redevelopment Agency Approval Date: Minute Order/ Resolution Number: Agreement No: Contract Compliance Exhibits: Signatures: Insurance: Bonds: 1-14-21 Item 1 P; original agrmt. 9-20-18 Item 10 A7213 Included: Included Included in this package n/a Contract prepared by: Community & Economic Development Department Submitted on: 2-1-21 By: Diana Shay SUPERCHARGER AGREEMENT arbbb This Supercharger Agreement (the "Agreement") is effective as of September ow , 2018 (the "Effective Date") by and between the City of Palm Springs, a California Charter City("Counterparty")and Tesla, Inc., a Delaware corporation ("Tesla"). WHEREAS,Tesla, through the provision of Supercharger services at the Property, will provide value to Counterparty by attracting Tesla vehicle owners and the public to, and providing additional visibility of, the Property; WHEREAS, Counterparty acknowledges the value of Tesla's Supercharger at the Property and desires to grant possession and control of the Premises to Tesla pursuant to the terms set forth herein; NOW THEREFORE, in consideration of the above and for other good and valuable consideration,the receipt and legal sufficiency of which is hereby acknowledged, the parties agree as follows: 1. CONTACT INFORMATION: Counterparty's Address for Notices: Tesla's Address for Notices: City of Palm Springs Tesla, Inc. 3200 e.Tahquitz Canyon Way—P.O. Box 2743 6800 Dumbarton Circle Palm Springs, CA 92263-2743 Fremont, CA 94555 Attention: Anthony Mejia, City Clerk Attention: Supercharger Team Marcus L. Fuller,Asst. City Manager Phone: (510) 602-3976 Phone: (760) 323-8206 Email: Marcus.Fuller@palmspringsca.gov With a copy to: Email: superchargerhost@tesla.com 24-hour Technical Support &Service: 877-79-TESLA (877-798-3752) 2. PREMISES: Counterparty hereby grants to Tesla possession and control of eleven (11) parking spaces, up to nine (9) feet of additional parking width to comply with the Americans with Disabilities Act of 1990 and approximately 200-400 square feet of landscaped space for equipment (the "Premises") on the property commonly known as the Belardo Parking Garage, located at 101 N Museum Drive, Palm Springs, CA 92262 and as depicted on Exhibit A attached hereto (the "Property") in order to build an electric vehicle supercharging station to charge Tesla vehicles (the "Supercharger Station"). If the Supercharger Station exceeds two thousand (2,000) charge sessions per month in three (3) consecutive months, Tesla shall have the option to submit a request, in accordance with Section 4 below, to Counterparty for Tesla to expand the Premises to include the future expansion area indicated on Exhibit A in order to outfit up to an additional thirteen (13) parking spaces ("Expansion Option Stalls") with charge posts ("Superchargers"), provided that such expansion shall be subject to Counterparty's prior written approval, which shall not be unreasonably withheld, conditioned or delayed. Page 1 3. CONSTRUCTION: Upon delivery of possession of the Premises to Tesla, Tesla shall, at its sole expense, construct improvements as described in and pursuant to the procedures set forth in Exhibit B,attached hereto and made a part hereof, and will install certain trade fixtures indicated in Exhibit B (the "Trade Fixtures" as further described and defined in Exhibit B). 4. INITIAL FOOTPRINT: A total of eleven (11) parking spaces shall be outfitted with Superchargers to charge Tesla vehicles. Initially, six (6) parking spaces shall serve as dedicated charging stalls to be used only by Tesla vehicles ("Dedicated Stalls'), and five (5) parking spaces shall serve as charging stalls to be used by Tesla vehicles and will also be available for general parking of non- Tesla vehicles for a maximum of thirty (30) minutes ("Enabled Stalls"). The Dedicated Stalls and Enabled Stalls and any applicable restrictions shall be identified by signage substantially similar to the signage depicted in Exhibit B. Tesla shall have the option to convert Enabled Stalls into Dedicated Stalls on ten (10) days written notice in order to meet demand for Supercharging services, subject to Counterparty approval, which shall not be unreasonably withheld, conditioned or delayed.In accordance with Section 2 above,Tesla shall have the option to request the outfitting of the Expansion Option Stalls with Superchargers to serve as Enabled Stalls,subject to Counterparty's written approval and by providing written notice to Counterparty of such request at least thirty (30) days prior to commencing such work. Counterparty, shall not unreasonably withhold, condition or delay its approval. If approved, the work shall be carried out by Tesla,at its sole cost and expense, in accordance with this Agreement as if such work were the initial construction contemplated above. 5. POSSESSION DATE: The first date where Tesla may enter the Premises and Property to begin its work pursuant to the Agreement is November 1, 2018 (the "Possession Date"). 6. COMMENCEMENT DATE: The date that the Supercharger Station opens to the public (the "Commencement Date")shall be within one hundred and fifty(150)days following the Possession Date, provided that no external permitting, utility or other requirements beyond Tesla's control delay the installation, despite the best efforts of Tesla. Tesla shall deliver written notice to Counterparty promptly following the Commencement Date to confirm such date for recordkeeping purposes. 7. TERM: The initial term of the Agreement shall expire five(5)years from the Commencement Date (the "Initial Term").Tesla shall have the right to twice extend the Agreement and each extension shall be for an additional period of five (5) years (each a "Renewal Term" and together with the Initial Term,the"Term"). To extend the Term,Tesla shall deliver written notice of such extension to Counterparty no later than thirty(30) days prior to the expiration of the Term. In the event of a sale or transfer of the Property or Premises by Counterparty while the Agreement is in effect, Tesla's rights shall be conveyed with the Property or Premises. 8. UTILITIES: Tesla agrees to arrange and pay the charges for all Tesla-related utility services provided or used in or at the Premises during the Term. Tesla shall pay directly to the utility company the cost of installation of any and all such Tesla-related utility services and shall arrange to have the utility service separately metered. Counterparty shall not be responsible for any damages suffered by Tesla in connection with the quality, quantity or interruption of utility service, unless the cause of the disruption or damage was due to Counterparty's gross negligence or willful misconduct. Page 2 9. USE: Tesla shall use and occupy the Premises during the Term for a Supercharger Station and incidental purposes, including generating photovoltaic electricity and operating an energy storage system.All use of the Premises by Tesla shall comply with applicable codes, laws,and ordinances. 10. PAYMENT FOR CHARGING SERVICES: Counterparty shall have no right to request or accept payment from Tesla, Tesla customers or any other third-parties in connection with Tesla Supercharging services. 11. MAINTENANCE: Tesla shall be responsible for maintaining the Trade Fixtures and Infrastructure (as defined in Exhibit B) and Counterparty shall not have any liability for damage to the Trade Fixtures or the Infrastructure unless such damage is caused by Counterparty's gross negligence or willful misconduct. Notwithstanding the foregoing, Counterparty's normal responsibility to maintain the common areas of the Property shall also apply to the Premises, such as for snow removal and garbage collection. Counterparty agrees to coordinate any parking lot maintenance with Tesla to ensure that charging stalls remain available for vehicle charging at all times. Tesla may, in its discretion and at its sole cost, install security cameras and other equipment to monitor the Premises from off-site. 12. COUNTERPARTY COVENANTS: Counterparty represents that they are the owner of the Property and that this Agreement does not violate any agreement, lease or other commitment of Counterparty.Counterparty shall nottake any action that would impair or interrupt the use of the Premises or the Trade Fixtures. Counterparty agrees to notify Tesla within a commercially reasonable time if(i)it has knowledge of third-parties impairing or misusing the Premises or Trade Fixtures, or (ii) it obtains knowledge of a needed repair to the Premises or Trade Fixtures. If non- Tesla motorists repeatedly park in the Dedicated Stalls, thereby impairing use of the Dedicated Stalls,or if motorists repeatedly park in the Enabled Stalls for greater than the permitted duration, then the parties shall together determine and implement an appropriate and effective strategy for preventing such impairment, including, without limitation, alternative signage and painted asphalt. Counterparty shall use commercially reasonable efforts to actively monitor the Premises to ensure that use of the Supercharging stalls is not impaired. 13. ASSIGNMENT: Tesla shall not assign this Agreement voluntarily or by operation of law, or any right hereunder, nor sublet the Premises or any part thereof, without the prior written consent of Counterparty,which shall not be unreasonably withheld, conditioned or delayed; provided that the foregoing prohibition shall not limit Tesla's ability to transfer this Agreement to a company that is controlled by, controls, or is under common control with Tesla. 14. ALTERATIONS: Excepting the items of Exhibit B, Tesla shall not make or permit to be made any alterations, changes in or additions to the Premises without the prior written consent of Counterparty, which shall not be unreasonably withheld, conditioned or delayed. Upon termination of this Agreement, unless terminated due to a default of Counterparty, the Infrastructure shall become the property of Counterparty; provided that all Trade Fixtures and all related intellectual property shall at all times remain the property of Tesla and all Trade Fixtures will be promptly removed by Tesla upon termination of the Agreement. 15. SIGNAGE: Tesla signage to be installed at the Premises is represented in Exhibit B and shall include signs to identify Dedicated Stalls and Enabled Stalls.Any material revisions or additions to the signage depicted in Exhibit B shall be subject to Counterparty approval, which shall not be Page 3 unreasonably withheld, conditioned or delayed. All signage shall be professionally prepared, installed and maintained at Tesla's expense. 16. INDEMNIFICATION: Except to the extent of any gross negligence or willful misconduct of Counterparty, Tesla hereby agrees to indemnify, hold harmless and defend the Property, Counterparty,its managers, members,agents and representatives from all liability,damages,loss, costs and obligations, including, court costs and attorney's fees,on account of or arising out of or alleged to have arisen out of any claim of any third party directly related to Tesla's use of the Premises.Tesla shall promptly remove or bond any liens placed on the Property as a result of any claims for labor or materials furnished to or for Tesla at or for use on the Premises. Except to the extent of any gross negligence or willful misconduct of Tesla, Counterparty hereby agrees to indemnify, hold harmless and defend Tesla, its directors, officers, employees, consultants, agents and representatives from all liability, damages, loss, costs and obligations, including, court costs and attorney's fees,on account of or arising out of or alleged to have arisen out of directly or indirectly, any claim of any third party directly related to Counterparty's actions with respect to the Premises. 17. DESTRUCTION: Any total destruction of the Premises shall, at Counterparty's or Tesla's written election within thirty(30) days of such destruction,terminate the Agreement. 18. DEFAULT: Each of the following shall constitute an "Event of Default" by Tesla under this Agreement: (1) the failure by Tesla to perform or observe any material term or condition of the Agreement and such failure continues for a period of thirty(30)days after receipt of written notice thereof, provided however, that if the nature of such default is such that the same cannot reasonably be cured within said thirty (30) day period,then Tesla shall have such additional time as is reasonably required to cure such failure provided Tesla commences to cure such failure within such thirty (30)day period and proceeds to cure such failure with diligence and continuity; or (2) the appointment of a receiver or trustee to take possession of all or substantially all of the assets of Tesla located at the Premises if possession is not restored to Tesla within sixty (60)days; or a general assignment by Tesla forthe benefit of creditors;orany action or proceeding commenced by or against Tesla under any insolvency or bankruptcy act, or under any other statute or regulation having as its purpose the protection of creditors and in the case of involuntary actions filed against the Tesla the same are not discharged within sixty(60) days after the date of commencement. 19. REMEDIES: Counterparty and Tesla acknowledge and agree that each party shall have all remedies available at law or in equity if the other party is in default under the terms of this Agreement. If an Event of Default has occurred and is continuing, then Counterparty, in addition to any other remedies given at law or in equity, may: (A) continue this Agreement in effect by not terminating Tesla's right to possession of said Premises and thereby be entitled to enforce all Counterparty's rights and remedies under this Agreement; or Page 4 (B) bring an action to recover and regain possession of said Premises in the manner provided by the laws of eviction of the State where the Premises are located then in effect. 20. INSURANCE: Tesla shall carry commercial general liability insurance with limits of not less than One Million Dollars($1,000,000)for bodily injury or death and property damage and an umbrella insurance policy of not less than Five Million Dollars ($5,000,000). A certificate evidencing such insurance shall be delivered to Counterparty,upon the execution of this Agreement and from time to time thereafter as may be requested by Counterparty. Upon request, Tesla shall include Counterparty as additional insured on its commercial general liability and umbrella insurance policies. Tesla will also carry worker's compensation insurance in accordance with state and federal law. 21. CONFIDENTIALITY AND PUBLICITY: (A) Tesla and Counterparty agree that the terms of this Agreement are confidential information, and both parties agree not to disclose such confidential information to any person or entity other than (i)financial, legal and space planning consultants that have a "need to know" such confidential information and have agreed to abide by confidentiality terms no less protective than the terms of this Agreement, (ii) as required by law, including the public hearing to be held on September 20, 2018 or(iii) as required due to Counterparty's nature as a public entity. (B) Neither party will use the other party's name, trademark or logo without such other party's prior written consent. 22. EXCLUSIONS: Notwithstanding anything herein to the contrary, neither party shall be liable for, and each party expressly releases the other party from, any claims from, speculative, indirect, consequential or punitive damages, including any lost sales or profits of the other party. 23. ENVIRONMENTAL MATTERS: Counterparty represents and warrants that the Premises shall be delivered free of environmental contamination.Tesla shall have no liability for any environmental contamination unless caused by Tesla, its agents, employees or contractors. During the Term, Counterparty is responsible for remediating any pre-existing contamination or any contamination not caused by Tesla, its agents, contractors or employees. Tesla shall have no liability for diminution in value of the Property as it relates to environmental contamination. 24. NOTICES: All notices or demands shall be in writing and shall be deemed duly served or given only if delivered by prepaid (i) U.S. Mail, certified or registered, return receipt requested, or (ii) reputable, overnight courier service (such as UPS or FeclEx) to the addresses of the respective parties as specified in Section 1 above. Counterparty and Tesla may change their respective addresses for notices by giving notice of such new address in accordance with the provisions of this paragraph. 25. BROKERS: Counterparty and Tesla represent to each other that each has dealt with no broker and each hereby agrees to indemnify and hold the other harmless from any claims for any such commissions or fees. Page 5 26. SUCCESSORS AND ASSIGNS: This Agreement shall be binding upon and shall inure to the benefit of Counterparty and Tesla and their respective successors and assigns. 27. NON-DISCRIMINATION: In connection with each party's performance under this Agreement, Counterparty and Tesla each agree to comply with all Federal and California statutes,and all local ordinances as applicable, relating to non-discrimination, including the applicable provisions of the Palm Springs Municipal Code Sections 2.04.100 and 7.09.040. 28. GOVERNING LAW/VENUE: This Agreement shall be governed by the laws of the State where the Premises are located. Counterparty and Tesla agree that all actions or proceedings arising in connection with this Agreement shall be tried and litigated exclusively in the federal or state courts located in Riverside County,California,in the judicial district required by the relevant court rules. 29. TIME: Time is of the essence in this Agreement. 30. COUNTERPARTS: This Agreement may be executed in counterparts, each of which shall be deemed an original and all of which together will constitute one agreement. Signed copies transmitted electronically in PDF or similar format shall be treated as originals. [Signature page follows] Page 6 IN WITNESS WHEREOF,the parties hereto have each caused an authorized representative to execute this Agreement as of the Effective Date first written above. COUNTERPARTY: TESLA: City of Palm Springs Tesla, Inc. B By: Name: David H. Ready Title: City Manager Name: ATTEST: Title: 47�'e'. o� 9 By N : Anthony KENDRA A. WILLIAN Commission#21194 1 Title: City Clerk Notary Public-Calilom a San Mateo County My Comm.EXpires Jul 14,2019 APPROVED AS TO FORM: By. Name: Peter N. King Title:Assistant City Attorney RECOMMEND 8y: Name: Marcus -.'Fuller, PE, PLS Title: Assistant City Manager APPROVED 6Y CITY COUNCIL �ikm 1.0, q�i�tY ,A'1�13 Page 7 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy, or validity of that document. State of California ) County of -Ac(oyncSG ) On,52�Ki ) r 1$ Zdg- beforeme, �t[a �L11��ICVf)S ►.)r1�Gry �.�O� IC Date Here Insert Name and Title of the Officer personally appeared 0,C-P"Q_o Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the,_person(s) whose name( i)are su scribed to the within instrument and acknowledged to me that et`,Gthe/they executed the same in is her/their authorized capacitykge , and that by is her/their signature(sj on the instrument the person(s); or the entity upon behalf of which the persons)acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. XENDRA A.NLUAMS _ Commission s 2119491 P _ Notary Public-California Signature /v San Mateo County Signature of otary Public M Comm. Ex ues Jul 14,2019+ Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: -1 Corporate Officer — Title(s): I_ Corporate Officer — Title(s): Partner — -1 Limited ❑ General ❑ Partner — F_ Limited ❑ General _i Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑ Trustee J Guardian or Conservator -1 Other: _.] Other: Signer Is Representing: Signer Is Representing: :'�4 "�zr-z,�v�U�xe:�.•�c'�%c"�c,�cr�c>�G..-.- - — — _ — ". — - — — — — _ _ r_.c'�c`�:c`,c>u:`�c.< 02014 National Notary Association •www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 EXHIBIT A Premises and Property Depiction and Address Property Address: 101 North Museum Drive, Palm Springs CA 92262 Premises and Property Depiction: i is EXHIBIT B Tesla Improvements Tesla shall install the Supercharger Station on the Premises pursuant to the terms of this Exhibit B. Tesla installation shall include the installation of the infrastructure for the Supercharger Station, which may include power supply, utility connections, concrete pads,conduit and wiring(the"Infrastructure"). The Supercharger Station will also include certain trade fixtures as determined by Tesla, which may include, without limitation, the charger cabinets ("Supercharger Cabinets"), Superchargers, switchgear, signage, fence or other visual barriers, canopy, solar panels and an energy storage system (the "Trade Fixtures"). The Trade Fixtures to be installed as of the Commencement Date will include the following: • Six(6)Superchargers Cabinets • Eleven (11)Superchargers • Switchgear and meter panel • Signage The installation of the Infrastructure and the Trade Fixtures is collectively referred to as the "Tesla Improvements." Tesla will not perform the Tesla Improvements until the plans and specifications, including exact locations, have been approved by Counterparty, which approval may be by e-mail communication and shall not be unreasonably withheld, conditioned or delayed.All Tesla Improvements shall at all times comply with applicable laws,codes and ordinances and Infrastructure and Trade Fixtures shall be installed, maintained and replaced at Tesla's sole cost. Signage Dedicated Stall Sign Example Enabled Stall Sign Example 'T IT VEHICLE CHARGING 30 ONLY 30 MINUTE i GENERAL PARKING LL ACORO® CERTIFICATE OF LIABILITY INSURANCE Dioiz7/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH RISK&INSURANCE SERVICES NAME: 345 CALIFORNIA STREET,SUITE 1300 PHONE uc No): _ CALIFORNIA LICENSE NO.0437153 EMAIL SAN FRANCISCO,CA 94104 ADDRESS: INSURERS AFFORDING COVERAGE - _NAICA 998301 TESLA-GAWUL-17-18 INSURER A:American Zurich Insurance Co. '40142 INSURED Testa,Inc. INSURER B:Zurich Amercan Insurance Company 16535 3500 Deer Creak Road INSURER C:Axis Specialty Europe Palo Alto,CA 94304 INSURER D: _ INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-003350977-05 REVISION NUMBER: 4 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. ILT$R TYPE OF INSURANCE i NSO Wsa POLICY NUMBER MWDDYIYYYY MEFF AI UYIYYYY LIMITS B X COMMERCWLGENERILLIABILITY GLO 1074598-00 10/31/2017 10131/2018 EACH OCCURRENCE $ 2,500,000 X Includes Host Liquor Liability DAMAGE O RENTED 2,500,000 CLAIMS-MADE LJ OCCUR PREMISES Ea occumenrs $ X SIR$750.000 MED EXP(Any one person) $ 5,000 X Tort Contrac Lab,No XCU Excl PERSONAL S ADV INJURY $ 2,500,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 20,000,000 X POLICY JEa LOC PRODUCTS-COMPIOPAGG $ 6,000,000 X OTHER: 6M per Pro ecit-ocA $ B AUTOMOBILELIASIUTY BAP 1074586-00 10/3112017 1013112018 COMBINED SINGLE LIMIT $ 5,000,000 Ea.asdenl X ANYAUTO BODILY INJURY(Par person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per awitlent X UMBRELLA LIAB X IOCCUR 3799940117EN 10/3112017 10/31/2018 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE I AGGREGATE $ 5,000,000 DED RETENTION$ $ A WORKERS COMPENSATION WC 1074583-00(ADS) 10131017 10131/2018 X PER OTH- ANDEMPLOYERVLIABILITY STATUTE ER A ANYPROPRIETORIPARTNERIEXECUTIVE YIN WC 107458400(VA.WI) 10131/2017 10/31I2018 1,000,000 B OFFICERIMEMBER EXCLUDED? ��NIAI E.L.EACH ACCIDENT 5 (Mandatory In NH) EWS 1074585-00(CA) 10131/2017 10/3112018 E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under Limits apply excess of$750K SIR-CA 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION Testa,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3500 Deer Creek Road THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Palo Alto,CA 94304 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services Stephanie Guaiumi A04w * efw.avaac.• ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD