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HomeMy Public PortalAboutC-21-029 - SHI INTERNATIONAL CORP AMENDMENT NO. 2 2023 MAR 29DocuSign Envelope ID: 61 D255D7-5725-4161-914A-1 8EF23C8C22F AMENDMENT NO.2 TO AGREEMENT FOR CONTRACT SERVICES THIS AMENDMENT TO THE AGREEMENT FOR CONTRACT SERVICES ("Amendment No. 2") by and between the CITY OF CARSON, a California municipal corporation ("City") and SHI INTERNATIONAL, CORP., a New Jersey corporation ("Consultant") is effective as of the 22nd day of March , 2023. RECITALS A. City and Consultant entered into that certain Agreement for Contractual Services dated June 1, 2021("Agreement") whereby Consultant agreed to provide City with services related to supporting City's electronic mail migration from Exchange 2010 On -Premises to Office 365 Exchange Online. B. On or about August 9, 2021, under City's Contract Officer authority ("CO Authority") pursuant to Section 1.8 of the Agreement, the Contract Sum was increased by $18,118.94 for extra work performed by Consultant consisting of additional Mimecast features made available to City, thereby increasing the Contract Sum from $437,213 to $455,331.94. C. As part of the services, Consultant and City intended for Consultant to provide Microsoft server and client access licenses for 3 years. D. After entering into the Agreement, Consultant informed City that the $20,229.68 to provide Microsoft server and client access licenses for 3 years in Exhibit C of the Agreement reflects only 1 year of Microsoft server and client access licenses, rather than 3 years, as was intended under the Agreement. E. Through an amendment to the Agreement dated Novemb� 16, 2021 ("Amendment No. 1), the City and Consultant agreed to increase the Contract Sum by a discounted amount of $23,804.24 to cover the cost of the Microsoft server and client access licenses from October 1, 2021 through January 31, 2024 (a period of 2 years and 4 months), and to ratify and affirm their respective approval of the extra work for an amount of $18,118.94 authorized under the CO Authority, thereby increasing the Contract Sum to $479,136.18. F. On or about June 24, 2022, under City's CO Authority pursuant to Section 1.8 of the . Agreement, the Contract Sum was increased by $4,703.39 for extra work performed by Consultant consisting of additional Microsoft features made available to City, thereby increasing the Contract Sum from $479,136.18 to $483,839.57. Such extra work is denoted under the Scope of Services as Fl, F2, F3 and F4. G. Now, City and Consultant desire to again amend the Agreement for the purpose of adding 300 licenses for both Microsoft and Mimecast uses at a cost of $46,688.74, bringing the increased Contract Sum to $530,528.31. -1- 01007.0001/853040.3 DocuSign Envelope ID: 61 D255D7-5725-4161-914A-1 8EF23C8C22F H. City and Consultant also desire to adjust the Agreement Term to reflect an expiration date for Mimecast subscription of July 6, 2024. The expiration of the Term as respecting the Microsoft subscription shall remain unchanged at July 31, 2024. TERMS 1. Contract Changes. The Agreement is amended as provided herein (added text shown in bold italics, deleted text shown in ): A. Section 2.1, "Contract Sum," is hereby amended to read in its entirety as follows: "Subject to any limitations set forth in this Agreement, City agrees to pay Consultant the amounts specified in the "Schedule of Compensation" attached hereto as Exhibit "C" and incorporated herein by this reference. The total compensation, including reimbursement for actual expenses, shall not exceed Five Few Hundred Thirty Seventy Nice Thousand Five One -Hundred Twenty Eight Phir-ty Stix Dollars and Thirty One Eighteen Cents ($479,136.1 °QS30,528.31) (the "Contract Sum"), unless additional compensation is approved pursuant to Section 1.8." B. Section I. of Exhibit "A," Scope of Services, is hereby ratified, approved and amended to read in its entirety as follows: I. Consultant will perform the following Services: Consultant shall support City in its Exchange 2010 On -Premise to Office 365 Exchange Online Migration ("Services"). City has identified the following goals and objectives in connection with the Services: • Migrate mailboxes from on -premises Exchange 2010 to Office 365 Exchange Online; and • Replace Exchange 2010 server with Exchange Server 2016. The Services are based on the following in -scope environment. Any change to the following in -scope environment details has the potential to affect the overall project scope and therefore the associated fees. Current Environment Location: Exchange 2010 On -Premises Users: 620 Users Resource Mailboxes: 12 Resource Mailboxes Shared Mailboxes: 4 Shared Mailboxes Public Folders: 1 Public Folder Average Mailbox Size: 2GB (Largest mailbox 30GB) New Environment -2- 01007.0001/853040.3 DocuSign Envelope ID: 61 D255D7-5725-4161-914A-1 8EF23C8C22F Location: Office 365 Exchange Online The following services will be provided as part of the Services: Plan Build Deploy Support • Discover and analyze existing Exchange 2010 environment • Discover and analyze existing Active Directory environment • Design Azure AD Connect and Exchange Hybrid • Design, Plan and Schedule Exchange Hybrid Migration • Create and deliver Design Document • Deploy and Configure Azure AD Connect Server & Synchronization • Build migration batches and synchronize mail for up to 620 total mailboxes • Configure Exchange Online and Hybrid Exchange connectivity • Create and deliver Test Plan Document • Execute Test Plan to validate new environments • Migrate/cutover mailboxes to Office 365 • Cutover Client Access and Mail Flow to Office 365 • Decommission Exchange 2010 and Hybrid Connectivity • Build and deploy Exchange 2016 Management Server • Conduct Knowledge Transfer to Administrator(s) • Create and deliver As -Built Document • Retention and Archive guidance and setup assistance if required • Assistance with SMPT mail flow changes if required • Conduct Knowledge Transfer to Administrators, up to 4 hours In connection with Consultant's performance of the foregoing, Consultant shall provide City with the following services and products, identified as Tasks: OFFICE 360 SUBSCRIPTIONS: A. 0365GCCE3 ShrdSvr ALNG SubsVL MVL PerUsr - Year 1 of 3 Microsoft - Part#: AAA -11894; -3- 01007.0001/8530403 DocuSign Envelope ID: 61 D255D7-5725-4161-914A-1 8EF23C8C22F B. O365GCCE3 ShrdSvr ALNG SubsVL MVL PerUsr - Year 2 of 3 Microsoft - Part#: AAA -11894; C. O365GCCE3 ShrdSvr ALNG SubsVL MVL PerUsr - Year 3 of 3 Microsoft - Part#: AAA -11894; D. O365GCCE 1 ShrdSvr ALNG SubsVL MVL PerUsr - Year 1 of 3 Microsoft — Part#: U4S-00002; E. 0365GCCE1 ShrdSvr ALNG SubsVL MVL PerUsr - Year 2 of 3 Microsoft — Part#: U4S-00002; F. O365GCCE1 ShrdSvr ALNG SubsVL MVL PerUsr - Year 3 of 3 Microsoft — Part#: U4S-00002; F1 Microsoft - Part#: MQM-00001: AzureActiveDrctryPremP I GCC ShrdSvr ALNG SubsVL MVL (Per User) - Year 1 of 3; F2 Microsoft - Part#: MQM-00002: AzureActiveDrctryPremP1GCC ShrdSvr ALNG SubsVL MVL (Per User) - Year 2 of 3; F3 Microsoft - Part#: MQM-00003: AzureActiveDrctryPremP I GCC SbrdSvr ALNG SubsVL MVL (Per User) - Year 3 of 3 F4 Microsoft — Part#: 7MS-0001: Project P3 GCC Sub (Per User) —Year lof 3 Note: Software ESD F5 Microsoft — Part#: 7MS-0001: Project P3 GCC Sub (Per User) — Year 2 of 3 Note: Software ESD F6 Microsoft — Part#: 7MS-0001: Project P3 GCC Sub (Per User) — Year 3 of 3 Note: Software ESD F7 Microsoft — Part#: 076-01776: Project Std ALNG Lic SAPkMVL -4- 01007.0000853040.3 DocuSign Envelope ID: 61D255D7-5725-4161-914A-18EF23C8C22F Note: Software ESD MIlqECAST SUBSCRIPTIONS: G. Perimeter Defense Plan for 0365 Mimecast - Part#: M PERM -DEF 250 A; H. Mimecast C 1 for 0365 Email Security Mimecast - Part#: M C 1-250—A; I. Mimecast Al for 0365 Email Archiving Mimecast - Part#: M Al 250 A J. Add On — Secure Messaging (Per User) for 0365 Mimecast - Part#: MSMPUA K LCS - Gold for 0365 Email Security Mimecast - Part#: M LCS GD A L. RVIP - Managed Implementation Mimecast - Part#: M WP MGD 00 M_ Perimeter Defense Plan for 0365 Mimecast— Part#: M PERM -DEF 250 A N_ Mimecast C 1 for 0365 Email Security Mimecast - Part#: M C 1 250 A O_ Mimecast Al for 0365 Email Archiving Mimecast - Part#: M Al 250 A P. Add On — Secure Messaging (Per User) for 0365 Mimecast - Part#: M SM PU A Q. LCS - Gold for 0365 Email Security Mimecast - Part#: M LCS GD A R. Perimeter Defense Plan for 0365 Mimecast - Part#: M PERM -DEF 250 A S. Mimecast C 1 for 0365 Email Security Mimecast - Part#: M C 1 250 A T. Mimecast Al for 0365 Email Archiving Mimecast - Part#: M Al 250 A U. Add On — Secure Messaging (Per User) for 0365 Mimecast - Part#: MSMPUA V. LCS - Gold for 0365 Email Security Mimecast - Part#: M LCS GD A W. Mimecast Part #: M SRE0365 A: Sync and Recover for Exchange and Office 365 X. Mimecast Part #: M LFS PU A: Large file send (per user) X1. Mimecast Part #: M EDU PREM A: Education Premium Subscription SERVER LICENSE: Y. WinSvrDCCore ALNG LicSAPk MVL 16Lic CoreLic - 3 Year Term Microsoft - Part#: 9EA-00271 -5- 01007.0001/853040.3 DocuSign Envelope ID: 61 D255D7-5725-4161-914A-1 SEF23CSC22F Z. WinSvrCAL 2019 SNGL MVL UsrCAL Microsoft - Part#: R18-05796 1V11GRATION: AA. Office 365 Exchange Migration C. Section I. of Exhibit "C," "Schedule of Compensation," is hereby ratified, approved, and amended to read in its entirety as follows: "I. Consultant shall perform the following tasks at the following rates: MICROSOFT 0365 LICENSES AND RATE MIMECAST EMAIL QUANTITY SUB -BUDGET SECURITY - 3 YEARS A. $212.26 300 $63,678.00 B. $212.26 300 $63,678.00 C. $212.26 300 $63,678.00 D. $76.94 300 $23,082.00 E.^ $76.94 300 $23,082.00 F $76.94 300 $23,082.00 Fl. $49.64 1 $49.64 F2. $54.15 1 $54.15 F3. $54.15 1 $54.15 F4. $22.55 7 $157.85 F5. $270.63 7 $1,894.41 F6. $270.63 7 $1,894.41 F7. $756.72 1 $756.72 G. $23.08 600 $13,848.00 H. $18.34 600 $11,004.00 I. $29.09 600 $17,454.00 J. $7.11 50 $355.50 K. $3,473.74 1 $3,473.74 L. $1,197.60 1 $1,197.60 M. ^ $23.08 600 $13,848.00 N.^ $18.34 600 $11,004.00 O. ^ $29.09 600 $17,454.00 P. $7.11 50 $355.50 Q. ^ $3,473.74 1 $3,473.74 R. $23.08 600 $13,848.00 S. $18.34 600 $11,004.00 T. $29.09 600 $17,454.00 U. ^ $7.11 50 $355.50 V. $3,473.74 1 $3,473.74 W. ^ $28.19 600 $16,914.00 X.^ $20.94 50 $1,047.00 X1. $0.00 1 -6- 01007.0001/8530403 $0.00 DocuSign Envelope ID: 61 D255D7-5725-4161-914A-1 8EF23C8C22F SUBTOTAL: RATE QUANTITY ^MICROSOFT 0365 LICENSES AND MIMECAST EMAIL SECURITY— LESS THAN 3 YEARS $422,705.65 SUB -BUDGET E. AA $31.41 300 $9,423.00 F. AA $75.38 300 $22,614.00 M. A A $10.06 300 $3,018.00 N. ^ ^ $7.99 300 $2,397.00 O. A A $12.67 300 $3,801.00 Q• AA $3,473.74 1 $3,473.74 UAA$7.11 50 $355.50 W. ^ ^ $4.17 300 $1,251.00 XAA$7.11 50 $355.50 SUBTOTAL: E.^^- 311123 to 7131/23 F. ^ ^ - 8/1123 to 7131/24 F4. ^ ^ - 711122 to 7/31/22 F5. ^ ^ - 811122 to 7131/23 FF6.^^- 811/23 to 7/31/24 FF7.^^- 5127122 to 7/31124 M.^^- 7/7/23 to 7/6124 -7- 01007.0001/853040.3 $46,688.74 DocuSign Envelope ID: 61D255D7-5725-4161-914A-18EF23C8C22F NAA_ 717123 .^^- 717/23 to 716/24 0.^^- 717123 to 716124 AA_ 717123 n- 717123 to 716124 U. ^^ - 717123 to 7/6/24 W.^^ - 717/23 to 7/6124 X. ^ ^ - 717/23 to 7/6124 MICROSOFT SERVER AND CLIENT ACCESS LICENSES - FROM 10/1/21 THROUGH 1/31/24 Y. $6,296.48 4 $25,185.92** Z. $47.12 400 $18,848.00** SUBTOTAL: $44,033.92 OFFICE 365 EXCHANGE MIGRATION AA. Fixed N/A $17,100.00* � x SUBTOTAL: $17,100.00 GRAND TOTAL: $530,528.31 Q ^ 7� - **$11,587.84 paid 10/1/21; $16,223.04 paid January 2022; $16,223.04 paid January 2023 -8- 01007.0001/8530403 DocuSign Envelope ID: 61D255D7-5725-4161-914A-18EF23C8C22F ***50% to be invoiced upon Contract execution and 50% to be invoiced upon completion of services." D. Section V. of Exhibit "C," "Schedule of Compensation," is hereby amended to read in its entirety as follows: "V. The total compensation for the Services shall not exceed ($479,136-14$530,528.31) as provided in Section 2.1 of this Agreement." E. Section I. of Exhibit "D," "Schedule of Performance," is hereby amended to read in its entirety as follows: "I. Consultant shall perform all Services timely in accordance with the following schedule: Days to Deadline Date Perform A. Task AA 14 days 14 days from Notice to Proceed B. Tasks A -F7 --?-X 3 years Agreement and reinted Mief!eseft 811/21 through 7131124 C. G Xl 3 years 717121 through 7/6/24 DQ Tasks Y -Z 28 months From 10/1/21 through January 31, 2024" 2. Continuing Effect of Agreement. Except as amended by this Amendment No. 2 and Amendment No. 1, all provisions of the Agreement shall remain unchanged and in full force and effect. From and after the date of this Amendment No. 2, whenever the term "Agreement" appears in the Agreement, it shall mean the Agreement, as amended by this Amendment No. 2 and Amendment No. 1. 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 arising under the Agreement and Amendment No. 1. Each parry represents and warrants to the other that there have been no written or oral modifications to the Agreement other than as provided herein and Amendment No. 1. Each parry 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. 2, City is not in default of any material term of the Agreement and that there have been no events -9- 01007.0001/853040.3 DocuSign Envelope ID: 61 D255D7-5725-4161-914A-1 8EF23C8C22F 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. 2, 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. 2. 5. Authority. The persons executing this Amendment No. 2 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 Amendment No. 2 on behalf of said parry, (iii) by so executing this Amendment No. 2, such party is formally bound to the provisions of this Amendment No. 2, and (iv) the entering into this Amendment No. 2 does not violate any provision of any other agreement to which said parry is bound. 6. Counterparts. This Amendment No. 2 may be executed in any number of counterparts and each of such counterparts shall for all purposes be deemed to be an original, whether the signatures are originals, electronic, facsimiles or digital. All such counterparts shall together constitute but one and the same Amendment No. 2. [SIGNATURES ON FOLLOWING PAGE] -10- 01007.0001/853040.3 DocuSign Envelope ID: 61D25507-5725-4161-914A-18EF23C8C22F IN WITNESS WHEREOF, the parties hereto have executed this Amendment No. 2 on the date and year first -above written. ATTEST: Dr. Khaleah R. Bradshaw, City Clerk APPROVED AS TO FORM: ALESHIRE & WYNDER, LLP Sunny K. Soltani, City Attorney [rill CITY: CITY OF CARSON, a municipal corporation la Davis -Holmes, Mayor 4GA�g0N, Cq�� UN CONSULTANT: SHI INTERNATIONAL, CORP-, a New Jersey corporation DocuSigned by: By: f%� 9 at'i MMese Title: Sr. Lead Contracts Specialist By: r-uSia ned by: 110oiina, "Wlun,n, 'BKM?ffta Mann Title: Manager - Contracts Address: 290 Davidson Avenue Somerset, NJ 08873 Two corporate officer signatures required when Consultant 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. CONSULTANT'S SIGNATURES SHALL BE DULY NOTARIZED, AND APPROPRIATE ATTESTATIONS SHALL BE INCLUT)F.I) AS MAY BE REQUIRED BY THE BYLAWS, ARTICLES OF INCORPORATION, OR OTHER RUT.ES OR REGULATIONS APPLICABLE TO CONSULTANT'S BUSINESS ENTITY. -11- 01007.0001/8530403 DocuSign Envelope ID: 61 D255D7-5725-4161-914A-1 8EF23C8C22F IN WITNESS WHEREOF, the parties hereto have executed this Amendment No. 2 on the date and year first -above written. ATTEST: Dr. Khaleah R. Bradshaw, City Clerk APPROVED AS TO FORM: ALESHIRE & WYNDER, LLP Sunny K. Soltani, City Attorney 101 CITY: CITY OF CARSON, a municipal corporation Lula Davis -Holmes, Mayor CONSULTANT: SHI INTERNATIONAL, CORP., a New Jersey corporation Dmuftned by: By: Oe0 a1'i��4i`1'f�9ese Title: Sr. Lead Contracts Specialist by By: `� a, 'iVlaAA, '8I�'"ff1fta Mann Title: Manager - Contracts Address: 290 Davidson Avenue Somerset, NJ 08873 Two corporate officer signatures required when Consultant 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. CONSULTANT'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 CONSULTANT'S BUSINESS ENTITY. -11- 01007.0001/8530403 DocuSign Envelope ID: 61D255D7-5725-4161-914A-18EF23C8C22F CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. STATE OF CALIFORNIA COUNTY OF LOS ANGELES On, 2023 before me, personally appeared proved to me on the basis of satisfactory evidence to be the person(s) whose names(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) 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. Signature: OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER SIGNER IS REPRESENTING: (NAME OF PERSON(S) OR ENTTTY(IES)) 01007.0001/8530403 DESCRIPTION OF ATTACHED DOCUNIENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES I� D • 0I 1_u1 ►M1 OTHER THAN NAMED ABOVE DocuSlgn Envelope ID: 610255D7-5725-4161-914A-18EF23C8C22F CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the I document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. STATE OF CALIFORNIA COUNTY OF LOS ANGELES On, 2023 before me, personally appeared , proved to me on the basis of satisfactory evidence to be the person(s) whose names(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) 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. Signature: OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. 01007.0001./353040.3 CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICER TITLE(S) TITLE OR TYPE OF DOCUMENT ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) NUMBER OF PAGES ❑ GUARDIAN/CONSERVATOR ❑ OTHER SIGNER IS REPRESENTING: DATE OF DOCUMENT (NAME OF PERSON(S) OR ENTITY(IES)) SIGNER(S) OTHER THAN NAMED aBO'v", 01007.0001./353040.3 Client#: 38440 SHIINTERI ACORD,. CERTIFICATE OF LIABILITY INSURANCE D10/032022ATE YY) 10/03/2022 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh & McLennan Agency LLCPv"c°NN One Executive Drive Somerset, NJ 08873 NAME: Lori A. Woods Est: 201 845-6600 FAX AIC, No E-MAIL ADDRESS: lorl.woods@marshmma.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Fire Insurance Co of Hartford 20478 6050250197 INSURED INSURER B: Continental Insurance Company 35289 SHI International Corp. 290 Davidson Avenue American Casual Company of Reading PA 20427 INSURER C : Casualty p Y 9 INSURER D: Continental Insurance Co of NJ 42625 Somerset, NJ 08873 INSURER E: National Fire Insurance Co of Hartford 20478 INSURER F: PEACH PREMISES EaENTrrrence$1,000,000 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 INSR SUB WVD POLICY NUMBER POLICY EFF MWDD POLICY EXP LIMITS MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY X X 6050250197 9/30/2022 09/30/2023 OECCURRENCE $110001000 CLAIMS -MADE 51 OCCUR PEACH PREMISES EaENTrrrence$1,000,000 MED EXP (Any one person) s15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO - POLICY -X] JECT X I LOC PRODUCTS - COMP/OP AGG $2,000,000 OTHER: $ E AUTOMOBILE LIABILITY X X 6050291509 9/30/2022 09/30/202 Ee aBcaNED deMSINGLE LIMIT 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED NON -OWNED X PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acadent B X UMBRELLA LIAB X OCCUR X X 6081819517 9/30/2022 09/30/2023 EACH OCCURRENCE $15,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE S15,000,000 DED I X I RETENTION $10000 $ C WORKERS COMPENSATION X 650251110 9/30/2022 09/30/202 X PER OTH- AND EMPLOYERS' LIABILITYTESTATU / N ANY PROPRIETOR/PARTNER/EXECUTIVEY El. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? a N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $1,000,000 D Error & Omissions 596831142 9/30/2022 09/30/2023 $6,000,000 Occ/Agg DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Carson, its elected and appointed officers, employees, volunteers and agents are included as Additional Insured when required by written contract, agreement or permit, but only with respect to the General Liability and Automobile Liability insurance and subject to the provisions and limitations of the policy. General Liability is written on a primary and non-contributory basis when required by written contract, agreement or permit and subject to the provisions and limitations of the policy. Waiver of (See Attached Descriptions) ILM ai I I11Pf1111 7i L•1,■Jq0 City of Carson 701 E Carson Street Carson, CA 90745 ACORD 25 (2016/03) 1 of 2 #S11848856/M11848849 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Insurance Approved THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DJ 11/16/22 AUTHORIZED REPRESENTATIVE WA-(f.I& ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NCBAC DESCRIPTIONS (Continued from Page 1) subrogation applies to General Liability and Automobile Liability when required by written contract, agreement or permit and subject to the provisions and limitations of the policy. Waiver of subrogation applies to Workers Compensation when required by written contract, agreement or permit and subject to the provisions and limitations of the policy where permissible by state law. SAGITTA 25.3 (2016/03) 2 of 2 #S118488561M11848849