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HomeMy Public PortalAbout092-2016 - Fire - Sound & Silent Films - Trainingri.: AGREEMENT THIS AGREEMENT made and entered into this _L- day of , 2016, and referred to as Contract No. 92-2016 by and between the City of Richmo , Indiana, a municipal corporation acting by and through its Board of Public Works and Safety (hereinafter referred to as the "City") and Sound and Silence Films, 317 North Dunn Street, Apt. North, Bloomington, Indiana, 47408 (hereinafter referred to as the "Contractor"). SECTION I. STATEMENT AND SUBJECT OF WORK City hereby retains Contractor to provide the Richmond Fire Department with services in connection with production and delivery of a promotional video for the Fire Department's Cadet program (the "Project"). Said services shall be provided by Contractor in two (2) phases, including Phase 1 for pre -production planning and scheduling, and Phase 2 for production, post - production, and delivery, as more fully described on Contractor's proposal. A certain Request for Proposals dated April 14, 2016, has been made available for inspection by Contractor, is on file in the office of the Richmond Fire Department, and is hereby incorporated by reference and made a part of this Agreement. Contractor agrees to abide by the same. Response of Contractor to said Request for Proposals is attached hereto as Exhibit A, which Exhibit is dated May 26, 2016, consists of nine (9) pages, and is also hereby incorporated by reference and made a part of this Agreement. Contractor agrees to abide by the same. Should any provisions, terms, or conditions contained in any of the documents attached hereto as Exhibits, or in any of the documents incorporated by reference herein, conflict with any of the provisions, terms, or conditions of this Agreement, this Agreement shall be controlling. The Contractor shall furnish all labor, material, equipment, and services necessary for the proper completion of all services. Contractor shall exercise the same degree of care, skill and diligence in the performance of its services as is ordinarily possessed and exercised by a member of the same profession, currently practicing, under similar circumstances. No other warranty, express or implied, is included in this Agreement or in any drawing, specification, report, opinion or other instrument of service, in any form or media, produced in connection with the services. No work or performance of services shall commence until the following has been met: 1. The City is in receipt of any required certificates of insurance; 2. The City is in receipt of any required affidavit signed by Contractor in accordance with Indiana Code 22-5-1.7-11(a)(2); and 3. A purchase order has been issued by the Purchasing Department. Contract No. 92-2016 Page 1 of 6 SECTION II. STATUS OF CONTRACTOR Contractor shall be deemed to be an independent Contractor and is not an employee or agent of the City of Richmond. The Contractor shall provide, at its own expense, competent supervision of its services. SECTION III. COMPENSATION City shall pay Contractor a total amount not to exceed Six Thousand Dollars and Zero Cents ($6,000.00) for satisfactory completion of the Project. Payment will be made upon completion of each Phase of the Project as follows: For Phase 1, the amount of Three Thousand Dollars and Zero Cents ($3,000.00) will be paid upon submittal of a detailed invoice outlining the services rendered for Phase 1 and upon satisfactory completion of said phase. For Phase 2, the amount of Three Thousand Dollars and Zero Cents ($3,000.00) will be paid upon submittal of a detailed invoice outlining the services rendered for Phase 2 and upon satisfactory completion of said phase. SECTION IV. TERM OF AGREEMENT This Agreement shall become effective when signed by all parties and shall continue in effect until completion of the Project. Notwithstanding the term of this Agreement, City may terminate this Agreement in whole or in part, for cause, at any time by giving at least five (5) working days written notice specifying the effective date and the reasons for termination which shall include but not be limited to the following: a. failure, for any reason of the Contractor to fulfill in a timely and proper manner its obligations under this Agreement; b. submission by the Contractor to the City of reports that are incorrect or incomplete in any material respect; c. ineffective or improper use of funds provided under this Agreement; d. suspension or termination of the grant funding to the City under which this Agreement is made; or e. unavailability of sufficient funds to make payment on this Agreement. In the event of such termination, the City shall be required to make payment for all work performed prior to the effective date by Contractor, but shall be relieved of any other responsibility herein. Page 2 of 6 This Agreement may also be terminated, in whole or in part, by mutual Agreement of the parties by setting forth the reasons for such termination, the effective date, and in the case of partial termination, the portion to be terminated. SECTION V. INDEMNIFICATION AND INSURANCE Contractor agrees to obtain insurance and to indemnify the City for any damage or injury to person or property or any other claims which may arise from the Contractor's conduct or performance of this Agreement, either intentionally or negligently; provided, however, that nothing contained in this Agreement shall be construed as rendering the Contractor liable for acts of the City, its officers, agents, or employees. Contractor shall as a prerequisite to this Agreement, purchase and thereafter maintain such insurance as will protect it from the claims set forth below which may arise out of or result from the Contractor's operations under this Agreement, whether such operations by the Contractor or by any sub -contractors or by anyone directly or indirectly employed by any of them, or by anyone for whose acts the Contractor may be held responsible. Coverage A. Worker's Compensation & Disability Requirements B. Employer's Liability C. Comprehensive General Liability Section 1. Bodily Injury Section 2. Property Damage D. Comprehensive Auto Liability Section 1. Bodily Injury Section 2. Property Damage Limits Statutory $100,000 $1,000,000 each occurrence $2,000,000 aggregate $1,000,000 each occurrence $1,000,000 each person $1,000,000 each occurrence $1,000,000 each occurrence E. Comprehensive Umbrella Liability $1,000,000 each occurrence $2,000,000 each aggregate SECTION VI. COMPLIANCE WITH WORKER'S COMPENSATION LAW Contractor shall comply with all provisions of the Indiana Worker's Compensation law. Contractor shall, before commencing performance under this Agreement, provide the City a certificate of insurance, or a certificate from the industrial board showing that the Contractor has complied with Indiana Code Sections 22-3-2-5, 22-3-5-1 and 22-3-5-2. If Contractor is an out of state employer and therefore subject to another state's worker's compensation law, Contractor Page 3 of b may choose to comply with all provisions of its home state's worker's compensation law and provide the City proof of such compliance in lieu of complying with the provisions of the Indiana Worker's Compensation Law. SECTION VII. PROHIBITION AGAINST DISCRIMINATION A. Pursuant to Indiana Code 22-9-1-10, Contractor, any sub -Contractor, or any person acting on behalf of Contractor or any sub -Contractor shall not discriminate against any employee or applicant for employment to be employed in the performance of this Agreement, with respect to hire, tenure, terms, conditions or privileges of employment or any matter directly or indirectly related to employment, because of race, religion, color, sex, disability, national origin, or ancestry. B. Pursuant to Indiana Code 5-16-6-1, the Contractor agrees: 1. That in the hiring of employees for the performance of work under this Agreement of any subcontract hereunder, Contractor, any subcontractor, or any person acting on behalf of Contractor or any sub -contractor, shall not discriminate by reason of race, religion, color, sex, national origin or ancestry against any citizen of the State of Indiana who is qualified and available to perform the work to which the employment relates; 2. That Contractor, any sub -contractor, or any person action on behalf of Contractor or any sub -contractor shall in no manner discriminate against or intimidate any employee hired for the performance of work under this Agreement on account of race, religion, color, sex, national origin or ancestry; 3. That there may be deducted from the amount payable to Contractor by the City under this Agreement, a penalty of five dollars ($5.00) for each person for each calendar day during which such person was discriminated against or intimidated in violation of the provisions of the Agreement; and 4. That this Agreement may be canceled or terminated by the City and all monies due or to become due hereunder may be forfeited, for a second or any subsequent violation of the terms or conditions of this section of the Agreement. C. Violation of the terms or conditions of this Agreement relating to discrimination or intimidation shall be considered a material breach of this Agreement. SECTION VIII. COMPLIANCE WITH INDIANA E-VERIFY PROGRAM REQUIREMENTS Pursuant to Indiana Code 22-5-1.7, Contractor is required to enroll in and verify the work eligibility status of all newly hired employees of the contractor through the Indiana E-Verify program. Contractor is not required to verify the work eligibility status of all newly hired employees of the contractor through the Indiana E-Verify program if the Indiana E-Verify program no longer exists. Prior to the performance of this Agreement, Contractor shall provide Page 4 of 6 to the City its signed Affidavit affirming that Contractor does not knowingly employ an unauthorized alien in accordance with IC 22-5-1.7-11 (a) (2). In the event Contractor violates IC 22-5-1.7 the Contractor shall be required to remedy the violation not later than thirty (30) days after the City notifies the Contractor of the violation. If Contractor fails to remedy the violation within the thirty (30) day period provided above, the City shall consider the Contractor to be in breach of this Agreement and this Agreement will be terminated. If the City determines that terminating this Agreement would be detrimental to the public interest or public property, the City may allow this Agreement to remain in effect until the City procures a new contractor. If this Agreement is terminated under this section, then pursuant to IC 22-5-1.7-13 (c) the Contractor will remain liable to the City for actual damages. SECTION VIII. IRAN INVESTMENT ACTIVITIES Pursuant to Indiana Code (IC) 5-22-16.5, Contractor certifies that Contractor is not engaged in investment activities in Iran. In the event City determines during the course of this Agreement that this certification is no longer valid, City shall notify Contractor in writing of said determination and shall give contractor ninety (90) days within which to respond to the written notice. In the event Contractor fails to demonstrate to the City that the Contractor has ceased investment activities in Iran within ninety (90) days after the written notice is given to the Contractor, the City may proceed with any remedies it may have pursuant to IC 5-22-16.5. In the event the City determines during the course of this Agreement that this certification is no longer valid and said determination is not refuted by Contractor in the manner set forth in IC 5- 22-16.5, the City reserves the right to consider the Contractor to be in breach of this Agreement and terminate the agreement upon the expiration of the ninety (90) day period set forth above. SECTION IX. RELEASE OF LIABILITY Contractor hereby agrees to release and hold harmless the City and all officers, employees, or agents of the same from all liability for negligence which may arise in the course of Contractor's performance of its obligations pursuant to this Agreement. SECTION X. MISCELLANEOUS This Agreement is personal to the parties hereto and neither party may assign or delegate any of its rights or obligations hereunder without the prior written consent of the other party. It shall be controlled by Indiana law and shall be binding upon the parties, their successors and assigns. It constitutes the entire Agreement between the parties, although it may be altered or amended in whole or in part at any time by filing with the Agreement a written instrument setting forth such changes signed by both parties. This Agreement may be simultaneously executed in several counterparts, each of which shall be an original and all of which shall constitute but one and the same instrument. The parties hereto submit to jurisdiction of the courts of Wayne County, Indiana, and suit arising under this Contract, if any, must be filed in said courts. The parties specifically agree that no Page 5 of 6 arbitration or mediation shall be required prior to the commencement of legal proceedings in said Courts. Any person executing this Contract in a representative capacity hereby warrants that he has been duly authorized by his or her principal to execute this Contract. In the event of any breach of this Agreement by Contractor, and in addition to any other damages or remedies, Contractor shall be liable for all costs incurred by City due to the enforcement of this Agreement, including but not limited to City's reasonable attorney's fees, whether or not suit is filed. In the event that an ambiguity or question of intent or a need for interpretation of this Agreement arises, this Agreement shall be construed as if drafted jointly by the parties, and no presumption or burden of proof shall arise favoring or disfavoring any party by virtue of the authorship of any of the provisions of this Agreement. IN WITNESS WHEREOF, the parties have executed this Agreement at Richmond, Indiana, as of the day and year first written above, although signatures may be affixed on different dates. "CITY" THE CITY OF RICHMOND, INDIANA BY AND THROUGH ITS Board of Public Works and Safety By: Vicki Robinson, President By: w"' Rivard Fpore, Member AnthFoster, II, Date: APPROVED: now Date: ` , ((0- "CONTRACTOR" SOUND AND SILENCE FILMS 317 North Dunn Street, Apt. North, Bloom' n, Indiana, 47408 By: Printed: �a Title: C4vyigr Date: - I - (y I fo Page 6 of 6 Page 1 of 9 Sound silma CLIENT Richmond Fire Department (Richmond, Indiana) DELIVERED: 5/26/16 00i I STATEMENT OF WORK & CONTRACT Date: 5/26/16 Between "me", Sound and Silence Films (317 N Dunn St., Apt. North, Bloomington, IN 47408) and "you", Richmond Fire Department (henceforth referred to as RFD). You, RFD, are hiring Sound and Silence Films for the estimated total price of $75/hr, not to exceed $6000, as outlined in our previous proposal correspondence. The budget will be split into 2 phases, as detailed below. Description - Am — _— -- aunt -- -- -- -- --- ----- - Phased - Pre -production planning 75/hr, not to exceed and scheduling $3000 Phase 2 Production, Post- 75/hr, not to exceed Production, and $3000 Delivery 1.0 SERVICES RENDERED Pre -Production Laying the right groundwork is essential for developing a great video. Pre- production is where we figure out the best course of action for the project. We decide on the video concept, the look/feel and style, and lock down any other details involved with how the video is going to look and perform. This is where we develop the story. Page 2 of 9 Production Now that we have a plan developed in the preproduction stage, it's time to put it all together in front of the cameras. This is when filming begins. Post Production This is where the editing process starts to kick the story into shape. This is also where color correction occurs, as well as picking music that suits the theme of the project. This is where I strive to make your video look just like we planned in Pre -Production. Final Revisions Once you've seen the first cut, you'll have a chance to share your thoughts with me. There are two rounds of revisions allowed at this stage, within reasonable expectations and within the scope of the original video concept. Delivery With the final cut complete and your approval signed -off, I'll create high quality files of your video that can be used for a variety of formats, be it for the web or broadcast. Errors I can't guarantee that our work will be error -free (I'm human!) so I can't be liable to you or any third -party for damages, including lost profits, lost savings or other incidental, consequential or special damages, even if you've advised us of them. Page 3 of 9 2.0 CHARGES FOR SERVICES PERFORMED 2.1 Functionality or feature requests above and beyond those listed in the budget may be considered out -of -scope and an amendment to the budget will be recommended. Projects that go dormant for longer than 45 days will incur a 5% of total project fee to resume work at the discretion of Sound and Silence Films. 3.0 TERMS OF PAYMENT 3.1 BILLING SCHEDULE We're sure you understand how important it is that you pay the invoices that I send you promptly. I'm also sure you'll want to maintain a positive working relationship and keep the project moving forward, so you agree to stick tight to the following payment schedule. The total budget for this project: $75/hr, not to exceed $6000. The budget will be split into 2 phases, as detailed above under "Statement of Work and Contract". Sound and Silence Films will invoice RFD for the amount of "(not yet known)" at point of this signed contract agreement which will act as the deposit. The remaining amount of "(not yet known)" will be billed as detailed below. "(unknown payment details)" Payments can be made in the form of check or card. Checks must be written to Brian Cox. Page 4 of 9 3.2 CLIENT AGREEMENT TO PAY You agree to pay me the initial amount of "(not yet known)" upon contract signing, which will act as a deposit for the project. (If applicable) Every invoice after that will have "(not yet known)" payment terms. In the event payment is not made within "(not yet known)" amount of days, Sound and Silence Films will charge a late payment fee of 2% per month on any overdue and unpaid balance not in dispute, to cover the manpower, interest, and other costs Sound and Silence Films pays for carrying overdue invoices from RFD. In addition, Sound and Silence Films reserves the right to stop work until payment is received. 3.3 COLLECTION COSTS In the event that we incur legal fees, costs and disbursements in an effort to collect our invoices, in addition to interest on the unpaid balance, you agree to reimburse me for these expenses. 4.0 CANCELLATION OF PLANS You have the right to modify, reject, cancel or stop any and all plans or work in process. However, you agree to reimburse me for all costs and expenses we incurred prior to your change in instructions, and which relate to non -cancelable commitments, and to defend, indemnify and hold us harmless for any liability relating to such action. We agree to use our best efforts to minimize such costs and expenses. 5.0 RESPONSIBILITIES OF AND 5.1 SOUND AND SILENCE FILMS RESPONSIBILITY FOR RELEASES I shall obtain releases, licenses, permits or other authorization to use testimonials, copyrighted materials, photographs, interviews, art work or any other property or rights belonging to third parties obtained by me for use in performing services for you (If applicable). RFD will obtain the necessary releases, licenses, permits or authorizations applicable for any special events which may require it. Page 5 of 9 EXHlF f a7RAG3E pF� Q 5.2 CLIENT RESPONSIBILITY FOR RELEASES You guarantee that all elements of video, images, or other data you provide are either owned by your good selves, or that you have permission to use them. Then when your final payment has cleared, copyright will be automatically assigned as follows: You'll own the visual elements that I create for this project. I'll give you the finished files and you should keep them somewhere safe as I'm not required to keep a copy. You own all elements of video, images and data you provided, unless someone else owns them. I'll own the unique combination of these elements that constitutes a complete video and I'll license that to you, exclusively and for perpetuity for this project only, unless we agree otherwise. 5.3 CLIENT RESPONSIBILITY FOR ACCURACY You shall be responsible for the accuracy, completeness and propriety of information concerning your products and services which you furnish to us verbally or in writing in connection with the performance of this Agreement. 6.0 CONFIDENTIALITY Sound and Silence Films acknowledges its responsibility, both during and after the term of its appointment, to use all reasonable efforts to preserve the confidentiality of any proprietary or confidential information or data developed by Sound and Silence Films on behalf of RFD or disclosed by RFD to Sound and Silence Films. 7.0 TERM AND TERMINATION 7.1 PERIOD OF AGREEMENT AND NOTICE OF TERMINATION This Agreement shall become effective as of date of signed contract and shall continue until terminated by either party upon not less than 60 days' notice in writing given by either party to the other. Page 6 of 9 I-XHIBIT PAGE 7.2 TERMINATION FOR CAUSE Either party to this Agreement may terminate the Agreement if the other party defaults in the performance of any of its material duties and obligations and the default is not cured within thirty (30) days of the receipt of notice of said default, or if the default is not reasonably curable within said period of time, unless the defaulting party commences cure within said period of time and diligently proceeds to cure the default. In addition, either party may immediately terminate this Agreement by giving written notice to the other party if the other party is insolvent or has a petition brought by or against it under the insolvency laws of any jurisdiction, if the other party makes an assignment for the benefit of creditors, if a trustee, or similar agent is appointed with respect to any property or business of the other party, or in the case of the Client, if the Client materially breaches its obligations to make payment pursuant to this Agreement. 7.3 PAYMENT FOR NON -CANCELABLE MATERIALS Any non -cancelable materials, services, etc., I have properly committed ourselves to purchase for your account, (either specifically or as part of a plan such as music, equipment and/or external services) shall be paid for by you, in accordance with the provisions of this Agreement. I agree to use our best efforts to minimize such liabilities immediately upon written notification from you. I will provide written proof, upon request of the RFD, that any such materials and services, are non cancelable. 7.4 MATERIALS UNPAID FOR If upon termination there exist any materials furnished by me or any services performed by me for which you have not paid me in full, until such time as you have paid me in full you agree not to use any such materials, in whole or in part, or the product of such services. Page 7 of 9 tom: ii _�_ I 8.5 TRANSFER OF MATERIALS Upon termination of this agreement, provided that there is no outstanding indebtedness then owing by RFD to Sound and Silence Films, Sound and Silence Films shall transfer, assign and make available to RFD all property and materials in its possession or control belonging to RFD (if applicable). 9.0 GENERAL PROVISIONS 9.1 GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of INDIANA. 9.2 REPRESENTATIONS AND WARRANTIES The parties each individually represent and warrant that each has full power and authority to enter into this Agreement and to perform all of their obligations hereunder without violating the legal or equitable rights of any third party. 9.3 ENTIRE AGREEMENT Except as otherwise set forth or referred to in this Agreement, this Agreement constitutes the sole and entire Agreement and understanding between the parties hereto as to the subject matter hereof, and supersedes all prior discussions, agreements and understandings of every kind and nature between them as to such subject matter. 9.4 SEVERABILITY If any provision of this Agreement is held to be illegal, invalid, or unenforceable under any present or future law, then that provision will be fully severable. In such instance, this Agreement will be construed and enforced as if the illegal, invalid, or unenforceable provision had never comprised a part of this Agreement, and the remaining provisions of this Agreement will remain in full force and effect. Page 8 of 9 n� 1. AGE � � NEXT STEPS 1. Please read the contract on the previous page to make sure you understand all the details involved with us working together. It's really important to me that everything is transparent and understood from the beginning so that I lay a solid foundation for a great working relationship. 2. If you have any questions at all, please let me know. I'm happy to clarify any points and there may be some items that we can sort out together. I'm committed to finding the best way to work together. 3. Once you feel confident about everything and are ready to move forward, please sign below. 4. Once I receive your acceptance, I'll contact you shortly to sort out next steps and get the project rolling. 5. I'll email you a separate copy of the signed contract for your records. 6. If you'd like to speak to me by phone, don't hesitate to call 812.558.1525 (print name - signature - date) Brian Cox Sound and Silence Films iAS E --,�_ a (print name - signature - date) Jerry Purcell or Authorized Richmond Fire Department Page 9 of 9 s ao�ree M To:765962 1808 From --State Fare Fax:FOIP ISIl S87 KOFAJC at:16-09-27-08:45 Doc:250 Page:003 ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYY) 09272016 THIS CER7IFICATE 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 endorsemenl PRODUCER NAMEAcT Matthew Georgopulos Statefarm Tola Agency, Inc. PHONE 773.883.8660 FyAxc No : 4083 N Broadway St E-MAIL SS: Matt@JennyTola.Com ADDRE INSURER S AFFORDING COVERAGE NAIC i INSURER A : State Farm Fire and Casualty Company 25143 Chicago IL 60613-2117 INSURED INSURER B INSURER C : a Brian Cox d/b/a Sound and Silence Films INSURER D : 4910 N Glenwood Ave INSURER E : Apt 2 INSURER F : Chicago IL 60640 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE I L U POLICY NUMBER POLICYEFF PfYYYYl OLICY EXPLTR LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGE ' N PREMISES Ea occurrence $ 1,OOQ000 MED EXP ;Any one person) $ 5,000 Business Owners Policy Videography/Photography PERSONAL & ADV INJURY $ 1,000,000 A 93-GN-H725-4 09/132016 09/132017 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 2000OOO $ OTHER 1 1 AUTOMOBILE LIABILITY 93-GN-H725-4 W/132016 09/13/2017 COMBINED SINGLE LIMIT Ee acodent $ 1,000,000 BODILY INJURY (Per person) $ ANY ALTO A OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accidenq $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ 1,000,C)OO AGGREGATE $ A EXCESS LIAR CLAIMS -MADE 93-GN-H820-5 09/132016 09/1312017 DED L I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERlEXECUTIVE - STATUTE ER E.L. EACH ACCIDENT $ OFPICERIMEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE -EA EMPLOYE $ EL DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached F more space Is required) ADDITIONAL INSURED: The following entities are listed as additionally insured on a primary and non-contributory basis with respects to liability: CITY OF RICHMON INDIANA CITY OF RICHMOND INDIANA 50 NORTH 5TH RICHMOND, INDIANA 47374 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE 1MTH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE -4&12G U 1988-2015 AGORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03-16-2016