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HomeMy Public PortalAboutC-20-035 - JWA Urban Consultants, Inc. Amendment No. 1, Grant Application PreparationI AMENDMENT NO. I TO AGREEMENT FOR CONTRACTUAL SERVICES THIS AMENDMENT TO THE AGREEMENT FOR CONTRACTUAL SERVICES ("Amendment No. 1") by and between the CITY OF CARSON ("City") and JWA Urban Consultants, Inc., a California corporation ("Consultant") is effective as of the N* day of August, 2020. v RECITALS A. City and Consultant entered into that certain Agreement for Contractual Services dated December 16, 2019 ("Agreement") whereby Consultant agreed to provide grant application preparation and administration services for SB2 Planning Grant through July 30, 2022 for a total contract sum not -to -exceed $17,500. B. City and Consultant now desire to amend the Agreement to include preparation of an application for the Local Early Action Planning ("LEAP") Grant that would be used for preparation and certification of a Housing Element and compliance with Regional Housing Needs Allocation ("RHNA"), while not exceeding the total contract sum of $17,500. TERMS 1. Contract Changes. The Agreement is amended as provided herein (new text is identified in bold italics, deleted text in strike ettgh). a. Section I of Exhibit A, Scope of Services," is hereby amended as follows: "Consultant will perform the following Services: A. Task A: Prepare SB 2 Planning Grant B. Task B: Grant Administration C. Task C. Prepare Local Early Action Planning ("LEAP") Grant" b. Section II of Exhibit A, "Scope of Services," is hereby amended as follows: "As part of the Services, Consultant will prepare and deliver the following tangible work products to the City: A. Completed SB 2 Grant Application for mailing B. Completed grant reports and assistance with project implementation C. Completed Local Early Action Planning ("LEAP") Grant Application for mailing" -1- c. Section I of Exhibit C, "Schedule of Compensation," is hereby amended as follows: "Consultant shall perform the following Services at the following rates: RATE TIME SUB -BUDGET A. Task A $7,500 Flat Fee $7,500 B. Task B $165/hr As Needed $10,000$2,500 C. Task C $7,500 Flat Fee $7,500 Consultant will be compensated for Task A and Task C through a lump sum payments following timely and satisfactory completion of Task A and Task C, as determined by City. Consultant will be compensated for Task B on a time and materials basis." d. Section I of Exhibit D, "Schedule of Performance," is hereby amended as follows: "Consultant shall perform all Services timely in accordance with the following schedule: Days to Perform Deadline Date A. Task A 3 12/20/2019 B. Task B As Needed 6/30/2022 C. Task C As Needed 6/30/2020" e. Section II of Exhibit D, "Schedule of Performance," is hereby amended as follows: "Consultant shall deliver the following tangible work products to the City by the following dates. A. SB 2 Planning Grant Application by December 20, 2019 B. Grant reports and miscellaneous project implementation memos/reports as needed and in accordance with timelines directed by City. C. Local Early Action Planning ("LEAP") Grant Application by June 30, 2020" 2. Continuing Effect of Agreement. Except as amended by this Agreement, all provisions of the Agreement shall remain unchanged and in full force and effect. From and after the date of this Amendment No. 1, whenever the term "Agreement" appears in the Agreement, it shall mean the Agreement, as amended by this Amendment No. 1 to the Agreement. 3. Affirmation of Agreement; Warranty Re Absence of Defaults. City and Consultant each ratify and reaffirm each and every one of the respective rights and obligations -2- 01007.0005/654223.1 arising under the Agreement. Each party represents and warrants to the other that there have been no written or oral modifications to the Agreement other than as provided herein. Each party represents and warrants to the other that the Agreement is currently an effective, valid, and binding obligation. Consultant represents and warrants to City that, as of the date of this Amendment No. 1, City is not in default of any material term of the Agreement and that there have been no events that, with the passing of time or the giving of notice, or both, would constitute a material default under the Agreement. City represents and warrants to Consultant that, as of the date of this Amendment No. 1, Consultant is not in default of any material term of the Agreement and that there have been no events that, with the passing of time or the giving of notice, or both, would constitute a material default under the Agreement. 4. Adequate Consideration. The parties hereto irrevocably stipulate and agree that they have each received adequate and independent consideration for the performance of the obligations they have undertaken pursuant to this Amendment No. 1. 5. Authority. The persons executing this Agreement on behalf of the parties hereto warrant that (i) such parry is duly organized and existing, (ii) they are duly authorized to execute and deliver this Agreement on behalf of said party, (iii) by so executing this Agreement, such parry is formally bound to the provisions of this Agreement, and (iv) the entering into this Agreement does not violate any provision of any other Agreement to which said party is bound. [SIGNATURES ON FOLLOWING PAGE] -3- 01007.0005/654223.1 IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date and year first -above written. C, 0 �"to i gx All E Ili ATTEST: Donesia use-Aldana, City Clerk APPROVED AS TO FORM: ALESHIRE & WYNDER, LLP Sunny K. Soltani, City Attorney [ndp] CITY: CONSULTANT: JWA URBAN CONSULTANTS, INC.,_ a California Corporation LM Address: Financi Rolling Hills Estates, CA 90274 Two corporate officer signatures required when Contractor is a corporation, with one signature required from each of the following groups: 1) Chairman of the Board, President or any Vice President; and 2) Secretary, any Assistant Secretary, Chief Financial Officer or any Assistant Treasurer. CONTRACTOR'S SIGNATURES SHALL BE DULY NOTARIZED, AND APPROPRIATE ATTESTATIONS SHALL BE INCLUDED AS MAY BE REQUIRED BY THE BYLAWS, ARTICLES OF INCORPORATION, OR OTHER RULES OR REGULATIONS APPLICABLE TO CONTRACTOR'S BUSINESS ENTITY. -4- 01007.0005/654223.1 IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date and year first -above written. ATTEST: Donesia Gause-Aldana, City Clerk APPROVED AS TO FORM: ALESHIRE & WYNDER, LLP Sunny K. Soltani, City Attorney [ndp] CITY: CITY OF CARSON, a municipal corporation Sharon Landers, City Manager CONSULTANT: JWA URBAN CONSULTANTS, INC., - a California Corporation Lo ong Title: Chief Financial Officer Address: Rolling Hills Estates, CA 90274 Two corporate officer signatures required when Contractor is a corporation, with one signature required from each of the following groups: 1) Chairman of the Board, President or any Vice President; and 2) Secretary, any Assistant Secretary, Chief Financial Officer or any Assistant Treasurer. CONTRACTOR'S SIGNATURES SHALL BE DULY NOTARIZED, AND APPROPRIATE ATTESTATIONS SHALL BE INCLUDED AS MAY BE REQUIRED BY THE BYLAWS, ARTICLES OF INCORPORATION, OR OTHER RULES OR REGULATIONS APPLICABLE TO CONTRACTOR'S BUSINESS ENTITY. -4- 01007.0005/654223.1 ACORN® CERTIFICATE OF LIABILITY INSURANCE F DATE (MM/DD/YYYY) 1 07/30/2020 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 NAME: PHONE (888) 202-3007 A/C No Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA 520 Madison Avenue 32nd Floor E-MAILDSS: contact@hiscox.com 09/05/2020 New York, NY 10022 INSURERS AFFORDING COVERAGE NAIC # INSURERA: Hiscox Insurance Company Inc 10200 MED EXP (Any one person) $ 5,000 INSURED JWA Urban Consultants Inc INSURER B : GEN'LAGGREGATE LIMIT APPLIES PER: X POLICY JE� D LOC OTHER: 609 Deep Valley Dr #200 INSURER C : $ Rolling Hills Estates, CA 90274 INSURER 0: INSURER E: INSURER F: UDC -4264569 -BOP -20 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X CGL is on BOP Form Y Y UDC -4264569 -BOP -20 09/05/2020 09/05/2021 EACH OCCURRENCE $ 2,000,000 DAMAGES( RENTED PREMISES Ea occ urrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ S/T Each Occ. GEN'LAGGREGATE LIMIT APPLIES PER: X POLICY JE� D LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ S/T Gen. Agg. $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UDC -4264569 -BOP -20 09/05/2020 09/05/2021 COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE $ Per accident UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/M EMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER OTH- STATUTE I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Carson 701 East Carson Street Carson CA 90745 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORD® CERTIFICATE OF LIABILITY INSURANCE ATE(MM/DD/YYYY) P01/02/2020 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 NAME: PHONE (888) 202-3007 FAX No Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA 520 Madison Avenue 32nd Floor E-MAIL ADDRESS: contact@hiscox.com 09/05/2019 New York, NY 10022 INSURERS AFFORDING COVERAGE NAIC # INSURERA: Hiscox Insurance Company Inc 10200 MED EXP (Any one person) $ 5,000 INSURED JWA Urban Consultants Inc INSURER B GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ] JEPROC [] LOC OTHER: 609 Deep Valley Dr #200 INSURER C $ Rolling Hills Estates, CA 90274 INSURER D: INSURER E: INSURER F: UDC -4264569 -BOP -19 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 LTR TYPE OF INSURANCE ADDL SUBR POLICYNUMBER EFF MMIDDfYYYY MLICY LICY EXP /DDfYYYY M LIMITS A X COMMERCIAL GENERAL LIABILITY _7CLAIMS-MADE � OCCUR X CGL is on BOP Form Y Y UDC -4264569 -BOP -19 09/05/2019 09/05/2020 EACH OCCURRENCE $ 2,000,000 DAMAGE TO PREMISES Ea occurreRENTEnce) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ S/T Each Occ. GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ] JEPROC [] LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ S/T Gen. Agg. $ A AUTOMOBILE Ix LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UDC -4264569 -BOP -19 09/05/2019 09/05/2020 COMBIEaacciNEDdent SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident U MBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Carson 701 East Carson Street Carson CA 90745 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACS ®DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 01,02/2020 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 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 I YK....GK CorRisk Solutions 180 N Stetson Ave Suite 4500 Chicago, IL 60601 r M I Karen Bronson PHONE ('e, No.b). FAX 312-637-8755 'E ss; kbronson@corrisksolutions.com SUBR WVD INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: New Hampshire Insurance Company 23841 INSURED JWA Urban Consultants, Inc. PO BOX 9493 Marina del Rey, CA 90295 INSURER B: GENERAL LIABILITY INSURER C: INSURER D: INSURER E: EACH OCCURANCE INSURER F: COMMERCIAL GENERAL LIABILITY CLAIMS MADE FlOCCUR COVERAGES CERTIFICATE NLJMRFR! REVISION NLIMEFR: 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 LTR TYPE OF INSURANCE ADD'L INSRD SUBR WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MM/DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURANCE COMMERCIAL GENERAL LIABILITY CLAIMS MADE FlOCCUR DAMAGE TO RENTED PREMISES (Ea occurance) MED EXP (Any one person) DOES NOT APPLY PERSONAL & AND INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (to accident) BODILY INJURY (Per person) ANY AUTO ALL OWNEDSCHEDULED AUTOS AUTOS DOES NOT APPLY BODILY INJURY (Per accident) [PROPERTY DAMAGE (Per a HIRED AUTOS NON -OWNED AI ITnR UMBRELLA LIAB OCCUR EACH OCCURANCE AGGREGATE EXCESS LIAB CLAIMS MADE DOES NOT APPLY DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTHER TORY LIMITS E. L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED? Y/N (Mandatory in NH) ❑ N/A DOES NOT APPLY - EA E.L. EMPLOYEE EM PLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT A Professional Liability 0649093328- 03/23/19 03/23/20 Per Occurrence: $1,000,000 Annual Aggregate: $1, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACCORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. Allrights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Carson AUTHORIZED REPRESENTATIVE 701 East Carson Street Carson, CA 90745 ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. Allrights reserved. The ACORD name and logo are registered marks of ACORD ACC)® DATE (MM/DD/YYYY) 16. � CERTIFICATE OF LIABILITY INSURANCE 02/28/2020 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 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 CONTACT NAME: CorRisk Solutions P -ONE 180 N Stetson Ave Suite 4500 PC. No.E E-MAIL Chicago, IL 60601 ADDRESS: INSURER A: INSURED INSURER B: JWA Urban Consultants, Inc. INSURER C: PO Box 9493 Marina del Rey, CA 90295 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: Karen Bronson 312-637-8755 ac. No, Exp: kbronson@corrisksolutions.com INSURER(S) AFFORDING COVERAGE New Hampshire Insurance Company REVISION NUMBER: NAIC # 23841 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 LTR TYPE OF INSURANCE ADD'L INSRD SUER WVD POLICY NUMBER POLICY EFF (MM/DDIYYYY) POLICY EXP (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURANCE COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR DAMAGES ( RENTED PREMISES (Ea occurance) MED EXP (Any one person) DOES NOT APPLY PERSONAL & AND INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC AUTOMOBILE LIABILITY C:UMUINLU SINGLL LIMI I (La accident) BODILY INJURY (Per person) ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS DOES NOT APPLY BODILY INJURY (Per accident) PROPERTY DAMAGE (Per HIRED AUTOS NON -OWNED AI ITnc UMBRELLA LIAB OCCUR EACH OCCURANCE AGGREGATE EXCESS LIAB HCLAIMS MADE DOES NOT APPLY DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTHER TORY LIMITS E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED? Y/N (Mandatory in NH) ❑ N/A DOES NOT APPLY E.L. DISESAE - EA EMPLOYE E If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT A Professional Liability 064991328- 04 03/23/20 03/23/21 Per Occurrence: $1,000,000 Annual Aggregate: $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACCORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. Allrights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Carson 701 East Carson Street AUTHORIZED REPRESENTATIVE Carson, CA 90745 ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. Allrights reserved. The ACORD name and logo are registered marks of ACORD