Loading...
HomeMy WebLinkAboutA6630 - URRUTIA ARCHITECTS - FIRE STATION #2 HVAC CHILLER REPLACEMENT CONSULTING SERVICES AGREEMENT Urrutia Architects Fire Station #2 —HVAC Chiller Replacement THIS AGREEMENT FOR CONSULTING SERVICES ("Agreement') is made and entered into on December 15, 2014, by and between the City of Palm Springs, a California charter city and municipal corporation ("City"), A.I.A. and Associates, Inc., dba Urrutia Architects, a California Corporation, ("Consultant'). City and Consultant are individually referred to as "Party" and are collectively referred to as the"Parties". RECITALS A. City requires the services of Architectural Design and Engineering Services, for the replacement of an HVAC Chiller for Fire Station #2 located at 300 N El Cielo in Palm Springs, CA., ("Project'). B. Consultant has submitted to City a proposal to provide Architectural Design and Engineering Services, to City under the terms of this Agreement. C. Based on its experience, education, training, and reputation, Consultant is qualified and desires to provide the necessary services to City for the Project. D. City desires to retain the services of Consultant for the Project. In consideration of these promises and mutual agreements, City agrees as follows: AGREEMENT 1. CONSULTANT SERVICES 1.1 Scope of Services. In compliance with all terms and conditions of this Agreement, Consultant shall provide Architectural Design and Engineering Services, services to City as described in the Scope of Services/Work attached to this Agreement as Exhibit "A" and incorporated by reference (the "services" or "work"). Exhibit "A" includes the agreed upon schedule of performance and the schedule of fees. Consultant warrants that all services and work shall be performed in a competent, professional, and satisfactory manner consistent with prevailing industry standards. 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. Consultant services rendered under this Agreement shall comply with all applicable federal, state, and local laws, statutes and ordinances and all lawful orders, rules, and regulations. 1.3 Licenses and Permits. Consultant 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. Fire Station#2—HVAC Chiller Replacement { I 1.4 Familiarity with Work. By executing this Agreement, Consultant 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 Consultant is an essential condition of this Agreement. Consultant shall prosecute regularly and diligently the work of this Agreement according to the agreed upon schedule of performance set forth in Exhibit "A." Consultant shall not be accountable for delays in the progress of its work caused by any condition beyond its control and without the fault or negligence of Consultant. Delays shall not entitle Consultant to any additional compensation regardless of the party responsible for the delay. 3. COMPENSATION OF CONSULTANT 3.1 Compensation of Consultant. Consultant 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 $19,500.00. 3.2 Method of Payment. In any month in which Consultant wishes to receive payment, Consultant 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 amount of total services completed as set forth in Exhibit "A" for authorized services performed. City shall pay Consultant for all expenses stated in the invoice that are approved by City and consistent with this Agreement, within thirty (30) days of receipt of Consultant's invoice. 3.3 Chances. In the event any change or changes in the Scope of Services/Work 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 Consultant'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. 4. PERFORMANCE SCHEDULE 4.1 Time of Essence. Time is of the essence in the performance of this Agreement. Fire Station#2—HVAC Chiller Replacement 2 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 unforeseeable causes beyond the control and without the fault or negligence of Consultant, if Consultant notifies the Contract Officer within ten (10) days of the commencement of such condition. Unforeseeable causes include, but are not limited to, acts of God or of a public enemy, acts of the government, fires, earthquakes, floods, epidemic, quarantine restrictions, riots, strikes, freight embargoes, and unusually severe weather. After Consultant 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. 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 six months, commencing on December 15, 2014, and ending on June 15, 2015, 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 Consultant. Where termination is due to the fault of Consultant 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, Consultant shall immediately cease all services except such as may be specifically approved by the Contract Officer. Consultant 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. Consultant may terminate this Agreement, with or without cause, upon thirty (30) days written notice to City. 5. COORDINATION OF WORK 5.1 Representative of Consultant. The following principal of Consultant is designated as being the principal and representative of Consultant authorized to act and make all decisions in its behalf with respect to the specified services and work: Francisco J. Urrutia (name), President (title). 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 Consultant and devoting sufficient time to personally supervise the services under this Agreement. The foregoing principal may not be changed by Consultant 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"). Consultant shall be responsible for keeping the Contract Officer fully informed of the progress of the performance of the services. Consultant shall refer any Fire Station#2—HVAC Chiller Replacement 3 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 Consultant, its principals and employees, were a substantial inducement for City to enter into this Agreement. Therefore, Consultant 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. 5.4 Independent Contractor. Neither City nor any of its employees shall have any control over the manner, mode, or means by which Consultant, its agents or employees, perform the services required, except as otherwise specified. Consultant 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 Consultant's work product, result, and advice. Consultant 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. 5.5 Personnel. Consultant agrees to assign the following individuals to perform the services in this Agreement. Consultant shall not alter the assignment of the following personnel 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 Consultant by providing written notice to Consultant. Name: Francisco J. Urrutia Title: President Urrutia Architects 6. INSURANCE Consultant 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, Consultant shall defend (at Consultant'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, 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 (Consultant's employees included), for damage to property, including property owned by City, from any violation of any federal, state, or local law or ordinance, and from errors and omissions committed by Consultant, its officers, employees, representatives, and agents, that arise out of or relate to Consultant's performance under this Agreement. This indemnification clause excludes Claims arising from the sole negligence or willful misconduct of the City, its elected officials, officers, employees, agents, Fire Station#2-HVAC Chiller Replacement 4 and volunteers. Under no circumstances shall the insurance requirements and limits set forth in this Agreement be construed to limit Consultant's indemnification obligation or other liability under this Agreement. Consultant'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. This provision is intended for the benefit of third party Indemnified Parties not otherwise a party to this Agreement. 7.2 Desien Professional Services Indemnification and Reimbursement. If the Agreement is determined to be a "design professional services agreement" and Consultant is a "design professional" under California Civil Code Section 2782.8, then: A. To the fullest extent permitted by law, Consultant shall indemnify, defend (at Consultant's sole cost and expense), protect and hold harmless City and its elected officials, officers, employees, agents and volunteers and all other public agencies whose approval of the project is required, (individually"Indemnified Party'; collectively"Indemnified Parties") against any and all liabilities, claims,judgments, arbitration awards, settlements, costs, demands, orders and penalties (collectively"Claims"), including but not limited to Claims arising from injuries or death of persons (Consultant's employees included) and damage to property, which Claims arise out of, pertain to, or are related to the negligence, recklessness or willful misconduct of Consultant, its agents, employees, or subcontractors, or arise from Consultant's negligent, reckless or willful performance of or failure to perform any term, provision, covenant or condition of this Agreement ("Indemnified Claims"), but Consultant's liability for Indemnified Claims shall be reduced to the extent such Claims arise from the negligence, recklessness or willful misconduct of the City and its elected officials, officers, employees, agents and volunteers. B. The Consultant shall require all non-design-professional sub-contractors, used or sub-contracted by Consultant to perform the Services or Work required under this Agreement, to execute an Indemnification Agreement adopting the indemnity provisions in sub- section 7.1 in favor of the Indemnified Parties. In addition, Consultant shall require all non- design-professional sub-contractors, used or sub-contracted by Consultant to perform the Services or Work required under this Agreement, to obtain insurance that is consistent with the Insurance provisions as set forth in this Agreement, as well as any other insurance that may be required by Contract Officer. 8. RECORDS AND REPORTS 8.1 Reports. Consultant 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. Consultant shall keep complete, accurate, and detailed accounts of all time, costs, expenses, and expenditures pertaining in any way to this Agreement. Consultant 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 Fire Station 42-HVAC Chiller Replacement 5 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 Consultant in the performance of this Agreement shall be the property of City. Consultant shall deliver all above-referenced documents to City upon request of the Contract Officer or upon the termination of this Agreement. Consultant 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. Consultant may retain copies of such documents for Consultant's own use. Consultant shall have an unrestricted right to use the concepts embodied in such documents. 8.4 Release of Documents. All drawings, specifications, reports, records, documents, and other materials prepared by Consultant in the performance of services under this Agreement shall not be released publicly without the prior written approval of the Contract Officer. 8.5 Cost Records. Consultant shall maintain all books, documents, papers, employee time sheets, accounting records, and other evidence pertaining to costs incurred while performing under this Agreement. Consultant shall make such materials available at its offices at all reasonable times during the term of this Agreement and for three (3) years from the date of final payment for inspection by City and copies shall be promptly furnished to City upon request. 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 Consultant 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 Consultant. 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. Fire Station#2-HVAC Chiller Replacement 6 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. 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. 10. CITY OFFICERS AND EMPLOYEES: NON-DISCRIMINATION 10.1 Non-Liability of Citv Officers and Employees. No officer or employee of City shall be personally liable to the Consultant, 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 Consultant or its successor, or for breach of any obligation of the terms of this Agreement. 10.2 Conflict of Interest. No officer or employee of the City shall have any direct or indirect financial interest in this Agreement nor shall any such officer or employee participate in any decision relating to the Agreement which effects their financial interest or the financial interest of any corporation, partnership, or association in which he/she is, directly or indirectly, interested in violation of any state statute or regulation. Consultant warrants that Consultant 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. Consultant covenants that, by and for itself, its heirs, executors, assigns, and all persons claiming under or through them, that there shall be no discrimination or segregation in the performance of or in connection with this Agreement regarding any person or group of persons on account of race, color, creed, religion, sex, marital status, disability, sexual orientation, national origin, or ancestry. 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 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. Fire Station 42—FNAC Chiller Replacement 7 To City: City of Palm Springs Attention: City Manager/City Clerk 3200 E. Tahquitz Canyon Way Palm Springs, California 92262 To Consultant: Urrutia Architects Attention: Francisco J. Urrutia 165 Luring Drive Palm Springs, California 92262 11.2 Integrated Agreement. This Agreement contains all of the agreements of the parties and supersedes all other written agreements. 11.3 Amendment. No amendments or other modifications of this Agreement shall be binding unless through written agreement 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. 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. Fire Station 42—HVAC Chiller Replacement R IN WITNESS WHEREOF, the Parties have executed this Agreement as of the dates stated below. APPROVED BY CaY MANAGER ' 'City of Palm Springs Date: \� • \1 By y David H. Ready, 1� City Manager APPROVED AS TO FORM: ATTEST By: By: Do'ugla/4V Holland, es Thompson, City Ytorney City Clerk "CONSULTANT" Francisco J. Urrutia Urrutia Architects Date: 12 - yL By: r t Y *Francis 0. is rest ent Date: By: Fire Station 42-HVAC Chiller Replacement 9 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of I yj-= t2e(� A On before me, / �-��r L7Y2 . &2f1Ie p9,e e e MW N end Tien of eta OQv personally appeared who proved to me on the basis of satisfactory evidence to be the personsary whose nameW Ware-subscribed to the ANGEL MENDEZ within instrument and acknowledged to me that Commission s 2028913 he4e4te)rexaculed the same in hisAaoi/lheir authorized < Notary Public-California z capacily(fe ;and that by his/hediheir sigrlature(�J on the z Riverside County Instrument the er3on or the u M Comm.Ex Ines Jun U,2017+ i P �� h entity upon behalf of which the persoW)acted, executed the Instrument. I 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. Signa ' PI9C8+mnry Seri ADeue 91�reNre M Nm ry P46lc OPTIONAL Though the in£orcruidon below is not re9utred by law.fr aW prove valuable to persons rerytng on the document and could prevent fraudulent removal and reaftchmere of Uu's torrn to another doewnent. Description of Attached Document Title or type of Document: . , :/(� V/� >l� 7 Document Date: I sew/ Number of Pages: _ Signer(s)Other Than Named Above. Capecity(tes)Claimed by Signer(s) Signer's Name: Signer's Name: C Individual G Individual ❑ Corporate Off icer—Title(s): C Corporate Officer—Title(s): G Partner—❑ United O General C Partner—❑ Limited ❑General LJ Attorney in Fad ❑Attorney in Fact 71 Trustee top of numb here C Trustee Top M h.anb here LJ Guardian or Conservator G Guardian or Conservator I] Other. ❑Other: Signer Is Representing: Signer Is Representing: I 02CQrNe"I Notary AWuleWn•QUO G 9ob M.W.&w2602.Cin 1x CA 913132/02.�NslavNobr%a0 M1m MW nmtle,:CA1TdbF -WO-e]&PaQ7 Fire Station#2—HVAC Chiller Replacement 10 EXHIBIT "A" CONSULTANT'S SCOPE OF SERVICES/WORK Including, Schedule of Fees And Schedule of Performance Fire Station#2—HVAC Chiller Replacement 1 l Scope of Work: The following is a summary of the scope of work and a description of what shall be included: Architectural: • The scope shall include the following: o Obtain drawings of the existing fire station, including any mechanical drawings. o Prepare CADD drawings of existing chiller area. o Prepare demolition drawings of equipment to be removed. o Coordination of structural, mechanical, electrical, and plumbing engineering. Structural: • Design of new chiller equipment anchorage. Mechanical: • Replacement of existing 45 ton Westinghouse chiller serving the fire station. • Design shall include coordination with City controls vendor for the EMS controls for the new chiller. The existing chilled water pump and cooling tower are in good serviceable condition and shall be reused. Electrical: • Complete electrical design for power connections to the new chiller. Power and starter for the chiller shall be accommodated with variable frequency drive or motor starter as required by the chiller manufacturer and controls vendor. We are assuming that the project will be subject to review by only the following agencies/departments: o Director of Maintenance and Facilities o City of Palm Springs Building Department o Conform to 2013 CBC codes and 2013 Title 24 requirements. Scope of Services: Based on the above Scope of Work, Urrutia Architects will provide Architectural and Engineering Services including Design and Construction Documents to include the following services: • Architectural • Structural • Electrical Engineering • Mechanical Engineering Fire Station 42—HVAC Chiller Replacement 12 A. Pre-Design Phase/Site Analysis Phase: a. Urrutia Architects and their consultants shall provide the following services: i. A review of existing construction documents and record drawings on file with the City of Palm Springs to determine necessary drawings to be used as base plans. Based on this, the Architect and his consultants will prepare base plans to be used for the remodel work. This effort will require a minimum of one (1) site visit to access the mechanical yard where the chiller is located. A base floor plan and site plan will be prepared of the existing facility. ii. Electrical and mechanical engineering shall consist of a site visit to document the existing power sources, electrical panels, and HVAC equipment for this area. B. Construction Document Phase: a. For the purpose of this proposal, all construction documents created for this project shall be a part of a single set of construction drawings. Phasing the project was not considered in this proposal. Urrutia Architects and their consultants shall prepare detailed construction documents based on the final design drawings approved by the Director of Maintenance and Facilities which will consist of the following: i. Title sheet with code analysis. ii. Partial Site Plan. iii. Equipment enclosure plan and details. iv. Demolition Plan. v. Remodel Plan and Details. vi. Electrical demolition plan and remodel plan. vii. Mechanical demolition plan and remodel plan. viii. Specifications prepared in CSI format. ix. Attend meetings as required. C. Bidding Phase: i. Urrutia Architects shall assist the City of Palm Springs in soliciting and obtaining bids from general contractors for this project through the public noticing process. During the course of the bidding process, if requested by Fire Station N2-HVAC Chiller Replacement 13 the City of Palm Springs, the architect shall prepare and issue addenda, respond to bidders' RFI's, review bids, and make final recommendations. D. Construction Administration Phase: a. Urrutia Architects shall provide professional services during the course of construction that shall include the following: i. Provide clarification and interpretive drawings to the Contractor. ii. Review and respond to RFI's from the Contractor. iii. Review submitted changes in construction and costs proposed by the Contractor. Process any Change Orders during the construction phase. iv. Review Applications for Payment from the Contractor and make recommendations for payments. v. Visit the job site bi-weekly to review the progress of work and answer any questions the Contractor may have. Document the site visits with photographs and written memos which will be distributed. vi. Review and process shop drawings and submittals. vii. Prepare punch lists during substantial completion and final punch lists to close out the project. viii. Documentation of all warranties, guarantees, and operation manuals. E. Proposed Compensation: To provide the services described in this proposal, the following compensation is proposed: A total fixed cost of$19,500.00, plus reimbursable expenses. A. Pre-Design/Site Analysis Phase: A fixed sum of$1,600.00, plus reimbursable expenses. B. Construction Document Phase: A fixed sum of$11,800.00, plus reimbursable expenses. C. Bidding Phase: A fixed sum of$800.00, plus reimbursable expenses. D. Construction Administration Phase: A fixed sum of$5,300.00, plus reimbursable expenses. Fire Station 42-HVAC Chiller Replacement 14 Reimbursable Expenses: Reimbursable expenses are not included in the total basic compensation above, and typically include actual expenditures made by the Architect and the Architect's employees and Consultants in the interest of the Project for the expense listed in the following subparagraphs: • Long distance communications; • Reproductions of drawings, specifications and other documents; • Postage and special handling of documents; Reimbursable expenses will be billed monthly at the cost to the Architect plus 15%. (Intentionally Left Blank) Fire Station 42—HVAC Chiller Replacement 15 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 Insured's) Fire Station#2—HVAC Chiller Replacement 16 INSURANCE 1. Procurement and Maintenance of Insurance. Consultant shall procure and maintain public liability and property damage insurance against all claims for injuries against persons or damages to property resulting from Consultant's performance under this Agreement. Consultant 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. Consultant 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 Consultant's obligation to indemnify City, its elected officials, officers, agents, employees, and volunteers. 2. Minimum Scope 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; 3. Professional liability (errors and omissions) insurance with limits of at least one million dollars ($1,000,000.00) per occurrence and two million dollars ($2,000,000) annual aggregate is: X required is not required; 4. Workers' Compensation insurance in the statutory amount as required by the State of California and Employer's Liability Insurance with limits of at least one million dollars $1 million per occurrence. If Consultant has no employees, Consultant shall complete the City's Request for Waiver of Workers' Compensation Insurance Requirement form. 3. Primary Insurance. For any claims related to this Agreement, Consultant'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 Consultant'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 Fire Station p2 -HVAC Chiller Replacement 17 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 Consultant provides claims made professional liability insurance, Consultant 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 Consultant'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 Consultant's services under this Agreement. Consultant 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. Consultant shall furnish City with both certificates of insurance and endorsements, including additional insured endorsements, affecting 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 Consultant'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: 1. "The City of Palm Springs, its officials, employees, and agents are named as an additional insured... " ("as respects City of Palm Springs Contract Na" or 'for any and all work performed with the City"may be included in this statement). 2. "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). 3. "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. Fire Station#2—HVAC Chiller Replacement 18 4. 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 Consultant'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) Consultant 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. Consultant 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. (Intentionally Left Blank) Fire Station tit—HVAC Chiller Replacement 19 CERTIFICATE OF LIABILITY INSURANCE aiioi2oDia 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 CONSTITUTEA CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain pollClag may require an endorsement. A statement on this certificate does not confer rights to the Certificate holder in lieu of such endorsement(s). PRODUCER WMTACT Tina Cowie AX Cornerstone Specialty Insurance Services, Inc. PHONE (714)731-7700 FA/L Lfa;(714)731-7150 14252 Culver Drive, A299 i&:T1na@c,ornerstonuslpecia1ty.com INSURER(S)AFFORDING COVERAGE NAICC Irvine CA 92604 INSURERA-American Cas.Co, of Readi.n PA INSURED IRsuRERa:Trans ortation Insurance Co 0494 URRUTIA, AIA And ASSOCIATES INC. INSURER C: 165 Luring Drive INSURER D: _ INSURER E Pal, Springs CA 92262 INSURER F: COVERAGES . CERTIFICATE NUMSER:14/15 ALL COVERAGES REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OFINSURANCE ADDL POLICY EFF POLICY UP LIMOS MID PoLICYN MBER MW MW GENERALLIABILITY EACH OCCURRENCE S 1,000,DDD X COMMERCIALGENERAL LIABILITY $ 300,000 A CLAIMS-MADElil OCCUR 072185072 /7/2019 /7/2015 MED UP(Any cnw Person $ 10,000 X ADDIL INSURED PER FORM $ SB-300176E PERSONAL&ADV INJURY $ 1,000,000 X NVR OF SUBR0 F REQUIRED BY NRLTTEN GENERAL AGGREGATE $ 21000,000 GEHL AGGREGATE LIMIT APPLIES PER: ONTRACT PRODUCTS-COMP/OP AGO $ 2,000,000 POLICY X PRO- LOC S AUTOMOBILE LIABILITY eawyear N 11000,000 A ANY AUTO BODILY INJURY(Per Person) $ ALLOlANEONSCHEUULED 072105072 /7/2014 /7/2015 BOIILYIWURYJPweodders) S AUTOS AUTOS X HIRED AUTOS AUTOS PROPERTYDAMAGE S S X UMBRELLA LIAR OCCUR EACH OCCURRENCE S 1,000,000 B UCESSLUIB CLAIMSI.IACE AGGREGATE $ 1,000,000 DED X RETENTI S 10,00 0689E09e1 /7/2014 /7/2015 S IWORKERS COMPENSATION WCSTATIL OTN- AND EMPLOYERS'UABILITY YIN ANY PROPRIETORIPARTNERIUMUnVE EL.EACH ACCIDENT S OFFICERA1EMeER EXCLUDED? NIA (Marldatmy In NH) E.L.DISEASE-EA EMPLOYE S I/yyeee,tlw[alEe antler DESCWPTION OF OPERATIONS WW E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAeael ACORD 11",AddNlonal Renaala Schedule,RRVRe spaced 1red) The City of Palm Springs, its officials, employees and agents are Additional Insured for General -Li.abillty-but--0nLY,i.E-requSrad_by--oaxittas.wont�aet�:n:.�4ae-Namedneured-p'eior-,r.--a:=-0eeuFraa¢e--aad� per attached endorsement. Coverage is subject to all policy terms and conditions. 30 days Notice of Cancellation *Except 10 days Notice of Cancellation for non-payment of premium. For Professional Liability coverage, the aggregate limit is the total insurance available for all covered claims reported within the policy period. I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W -- City of Palm Springs ACCORDANCE WITH THE POLICY PROVISIONS. 3400 E. Tahquitz Canyon Way Palm Springs, CA 92262 AUTHORIZED REPRESENTATIVE Tina Cowie/SGL ACORD 25(2010105) 01988.2010 ACORD CORPORATION. All rights reserved. INS025 MMlYLSI m TM Ar.npn names and Inn.aw mm.t.rori marlr¢of ar.npn I CNA INSURED: Urrutia AIA and Architects, Inc. POLICY PERIOD: 1/712014 to 11712015 POLICY NUMBER: 2072185072 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT WITH PRODUCTS- COMPLETED OPERATIONS COVERAGE & BLANKET WAIVER OF SUBROGATION/AGGREGATE LIMIT (PER PROJECT) This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM BUSINESSOWNERS COMMON POLICY CONDITIONS The following is added to Section C., -Who is an Insured: damage," "personal and advertising injury" arising out of an architect's, engineer's, or A. The Businessowners Liability Coverage form is surveyor's rendering of or failure to render any amended to include as an insured, any person or professional services, including: organization whom you are required to add as an additional insured on this policy under a written a. The preparing, approving, or failing to contract or written agreement, but the written prepare or approve maps, shop drawings, contract or written agreement must be: opinions, reports, surveys, field orders, 1. Current) to effect or becoming effective during change orders or drawings and Y 9 9 specifications by any architect, engineer or the term of this policy; and surveyor performing services on a project of 2. Executed prior to the "bodily injury," "property which you serve as a construction manager, damage,"or"personal and advertising injury." or B. The insurance provided to the additional insured is b. Inspection, supervision, quality control, limited as follows: engineering or architectural services done by you on a project of which you serve as 1. That person or organization is an additional construction manager. insured solely for liability due to your negligence S. This insurance does not apply to "bodily injury specifically resulting from "your work" for the g additional insured which is the subject of the property damage," or"personal and advertising written contract or written agreement. No injury' arising out of: coverage applies to liability resulting from the a. The construction or demolition work while sole negligence of the additional insured. you are acting as a construction or 2. The Limits of Insurance applicable to the demolition contractor. This exclusion does additional insured are those specified in the not apply to work done for or by you at your written contract or written agreement or in the premises. Declarations of this policy, whichever is less. D. tither Insurance (Section H.2. and H.3.) of the These limits of Insurance are inclusive of, and Businessowners Common Policy Conditions are not in addition to, the Iml o nsurance shown deleted and replaced with the owing: in the Declarations. 2. This insurance is excess over any other 3. The coverage provided to the additional insured insurance naming the additional insured as an within this endorsement and section titled insured whether primary, excess, contingent or Liability and Medical Expenses Definitions — on any other basis unless a written contract or "Insured Contract" (Section F., item 9.), within written agreement specifically requires that this the Businessowners Liability Coverage Form, insurance be either rime or primary and does not apply to "bodily injury" or "property tinq to the t ionat insure s'SLvn damage" arising out of the "products-completed co��v��e__r,a_gg__e�_ is insurance is excess over any operations hazard" unless required by the o er—nsurance to which the additional insured written contract or written agreement. has been added as an additional insured by 4. The insurance provided to the additional insured endorsement. does not apply to "bodily injury," "property SB-300176-B Includes copyrighted material of the Insurance Services Office, Inc.,with its permission. Page 1 of 2 (Ed. 01/08) copyright,Insurance Services Office,Inc. - CNAdamage" included in the "products-completed 3. When this insurance is excess, we will have no operations hazard," and for medical expenses duty under Coverages A or B to defend the payable under Coverage A.2. regardless of the additional insured against any "suit" if any other number of: insurer has a duty to defend the additional a. Insureds; insured against that "suit" if no other insurer b. Claims made or"suits" brought; or defends, we will undertake to do so, but we will be entitled to the additional insured's rights c. Persons or organizations making claims or against all those other insurers. bringing"suits." When this insurance is excess over other 3. Any payments made under Coverage A.1. for insurance, we will pay only our share of the damages or under Coverage A.2. for medical amount of the loss, if any, that exceeds the sum expenses shall reduce the Construction Project of: General Aggregate limit for the applicable (a) The total amount that all such other construction project. Such payments shall not insurance would pay for the loss in the reduce the General Aggregate limit shown in the absence of this insurance; and Declarations nor shall they reduce any Construction Project General Aggregate limit (b) The total of all deductible and self-insured applicable to other construction projects. amounts under all that other insurance. 4. The limits shown in the Declarations for Liability We will share the remaining loss, if any, with any and Medical Expenses, Damage to Premises other insurance that is not described in this Rented to You, and Medical Expenses continue Excess Insurance provision and was not bought to apply. However, instead of being subject to specifically to apply in excess of the Limits of the General Aggregate limit shown in the Insurance shown in the Declarations of this Declarations, such limits will be subject to the Coverage Part. applicable Construction Project General E. Transfer of Rights of Recovery Against Others Aggregate limit. To Us (Section K.2.) of the Businessowners B. For all sums which the insured becomes legally Common Policy Conditions is deleted and obligated to pay as damages caused by replaced with the following: "occurrences," and for ail medical expenses caused 2. We waive any right of recovery we may have by accidents, which cannot be attributed only to against any person or organization against ongoing operations at a single construction project: whom you have agreed to waive such right of 1. Any payments made under Coverage A.I. for recovery in a written contract or agreement damages or under Coverage A.2. for medical because of payments we make for injury or expenses shall reduce the amount available damage arising out of your ongoing operations under the General Aggregate limit or the or "your work" done under a contract with that Products/Completed Operations Aggregate limit, person or organization and included within the whichever is applicable; and "products-completed operations hazard." 2. Such payments shall not reduce any 9. Amendment- Aggregate Limits of Insurance (Per Construction Project General Aggregate limit. Project) C. When coverage for liability arising out of the A. For all sums which the insured becomes legally "products-completed operations hazard" is provided, obligated to pay as damages caused by any payments for damages because of "bodily "occurrences" under Coverage A.1., and for all injury" or "property damage" included in the medical expenses caused by accidents under "products-completed operations hazard" will reduce Overage—A-.2 ; which--carr be--attribtrted—oni to--- the-Prodacts/Compteted-Operations-ftgregate-limit- ongoing operations at a single construction project: and not reduce the General Aggregate limit nor any 1. A separate Construction Project General Construction Project General Aggregate limit. Aggregate limit applies to each construction D. If a construction project has been abandoned, project. The Construction Project General delayed, or abandoned and then restarted, or if the Aggregate limit is equal to the amount of the authorized contracting parties deviate from plans, General Aggregate limit shown in the blueprints, designs, specifications or timetables, the Declarations. project will still be deemed to be the same 2. The Construction Project General Aggregate construction project. limit is the most we will pay for the sum of all E. The provisions of the Limits Of Insurance section damages payable under Coverage A.1., except not otherwise modified by this endorsement shall damages because of"bodily injury' or "property continue to apply as stipulated. SB-300176-B Includes copyrighted material of the Insurance services Office, Inc.,with its permission. Page 2 of 2 (Ed. 01/08) - Copyright, Insurance Services Office,Inc. Client#:6491 URRUTAIA DATE(MM/PPM'Y1T .ACORD, CERTIFICATE OF LIABILITY INSURANCE 04110/2014 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 polkAies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the Certificate holder in lieu of such endorsament(s). PRODUCER CONTACT NAME: $b@tali(ir8d185 Dooley,Renton 8 Associates PHONE �„714 427-6810 ac Nn: 714 427-6818 P. O.Box 10550 E41A E Santa Ana,CA 92711-0550 BTSURER(S)AFFOiT01N0 COVERAGE NAICe 714 427.6810 INSURER A:American_Automobile Ins.Co. 21849 INSURED INSURERB:XL Specialty Insurance Co. 37885 Urrutia AIA&Associates Inc RE ' IMSURERC: 165 N.Luring Drive INSURER D: Palm Springs,CA 92262 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 SEEN REDUCED BY PAID CLAIMS. MRR TYPE OF INSURANCE TIN RL SWVD POLICY NUMBER MPWUDY EFF NNW YEXP LIMRs GENERAL LIABILITY E ACH RRREENCE S COMMERCIAL GENERAL LIABILITY Ea-NTErD E CLAIMS-MADE El OCCUR nyone ers $ AOV INJURY $ GGREGATE 3GF.Nt AGGREGATE LIMIT APPLIES PER: •COMP/OP AGG $POLICY PR0. LOC SAUTOMOBILE LIABILITY SI LELIMIT dentl ANYAUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Pt,eaidenU $ AUTOS NON-OWNED PROPER DAMAGE $ HIREDAUTOB P AUTOS Per t E UMBRELLA LAB OCCUR EACH OCCURRENCE E EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTION$ S A WORItERS COMPENSAn0N x VVZP81013909 9/01/2013 0910112014 X WC STATLL orH- AND EMPLOYERS LIABILITY AA�FF1C MBERPAffTN1 R/EXECUITVE� N/A E.L.EACH ACCIDENT $1000000 (Men4teryln NH) E.L.DISEASE-EA EMPLOYEE $1000000 q yee,aesrnT,¢and DESCRIPTION OF OPERATIONS L 10 EL DISEASE-POLICY LIMIT $1000000 B Professional DPS9713682 4/0112014�041011201t $1,000,000 per claim Liability $1,000,000 annl aggr. Claims made DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Amch ACORD 101,Aadffirul RemaAc Sd dWe.Bmwe apace Is raqulmd) vemfsubroWtiomincludedin-Work-eom . CER17FICATE HOLDER CANCELLATION City of Palm Spring SHOULD ANY OF THE ABOVE DESCRIS90 POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Paim Springs International Airport ACCORDANCE WITH THE POLICY PROVISIONS. 3400 E.Tahquitz Canyon Way, Suite OFC AUTHORIZED REPRESENTATIVE Palm Springs,CA 92262 ®1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25.(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S940536/M940535 THC Insured: Unnnia AIA&Associates Inc Policy Number. WZP81013909 Effective hate: 0910112013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description city of Palm Spring Perm Springs International Airport 3400 E.Tahquilz Canyon Way, suite OFC Countersigned by Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: Policy Expiration Date: Evidence of Insurance MEMO- California Evidence of Liability Insurance Here are,your Evidence of Liability Insurance Cards, gef ca aom 1-800441-3000 Two cards have been provided for each vehicle Insured. One card must be carried in the proper GEfCO GENERAL INSURANCE COMP„AR Y insured vehicle. Proof of insurance is required to P.O. Box 509090 a San Diego, CA 921!i .0690 register or renew the registration of your vehicle. A NAIC Code: 35882 law enforcement officer can ask you to prove that Policy Number Effective Date Expiration Date you have liability insurance meeting the basic 0328-31-95.04 12-14-13 06-14-14 requirements of California law. Year Make Model Vehicle ID No. 2011 TOYOTA SEQUOIA 5TDDY5GIBBSO44575 A violation of these requirements can result in a fine Insured: of up to: Francisco J Urrutia $1,00Q.forthe first time Cheryl Urrutia $2,000 for additional times 165 N Luring Dr Palm Springs CA 92262-6829 Also, a judge can have your vehicle impounded. False proof of insurance may result in a fine up to $750 and So-days In prison. ThecoMMQe Wodee by thk pellcy.eets tle minimum requbemeMs of cectlona 180 &1551W.5 a Me Cyldpmp Vehide Code.minima.Gab34limib prescribed by law. Due to space limitations on the ID card, only the Named Insured and the Co-insured are listed. For a full list of drivers covered under this fi po cy, please reference the Drivers section of your Declarations Page (Page 9). FRANCISCO J URRUTIA if you would like additional ID cards you can go 165 N LURING DR online to geico.com or call us at 1-800.841-3000, PALM SPRINGS CA 92262-6829 E Mico California Evidence of Liability Insurance g�ica eon 1-800-841-3000 CIE CO GENERAL-MURANCEe�A ` P.O. Box 509090 • San Diego, CA 921$14Q0 NAIL Code: 35882 Policy Number Effective Date Expiration.Date 0328-31-95-04 12-1443 06-14-14 Year Make Model Vehicle ID No. 2011 TOYOTA SEQUOIA 5TDDYSG18BS044575 Insured: Francisco J Urrutia Cheryl Urrutia 165 N Luring Dr Palm Springs CA 92262-6829 The cmrape pmN by Mis pdky meets Me minlmom lraments of WGIM a 16M&1550R5 of Me CBlW0Mle Vehicle Cede,minbnum flaWity Smite prescribed by law. "' JES,d2009