2200 - Bucknam Infrastructure Group, Inc. - Engineering Services For Sidewalk ADA Master PlanC2 55 01
PROFESSIONAL SERVICES AGREEMENT
ENGINEERING SERVICES
FOR SIDEWALK ADA MASTER PLAN
(BUCKNAM INFRASTRUCTURE GROUP, INC.)
1. PARTIES AND DATE.
This Agreement is made and entered into this 10th Day of January, 2023
(Effective Date) by and between the City of Rosemead, a municipal organization
organized under the laws of the State of California with its principal place of business at
8838 E. Valley Blvd., Rosemead, California 91770 ("City") and Bucknam Infrastructure
Group, Inc. with its principal place of business at 3548 Seagate Way, Suite 230,
Oceanside, CA 92056 ("Consultant"). City and Consultant are sometimes individually
referred to herein as "Party" and collectively as "Parties."
2. RECITALS.
2.1 Consultant.
Consultant desires to perform and assume responsibility for the provision of certain
professional services required by the City on the terms and conditions set forth in this
Agreement. Consultant represents that it is experienced in providing Engineering
Services for the Pavement Management Program 2022 Update consulting services to
public clients, is licensed in the State of California and is familiar with the plans of City.
2.2 Project.
City desires to engage a Consultant to render such ongoing professional
Engineering Services for a Sidewalk ADA Master Plan ("Services") as set forth in this
Agreement.
3. TERMS.
3.1 Scope of Services and Term.
3.1.1 General Scope of Services: Consultant promises and agrees to
furnish to the City all labor, materials, tools, equipment, services, and incidental and
customary work necessary to fully and adequately supply the professional Engineering
Services for the Sidewalk ADA Master Plan, herein referred to a "Services". The Services
are more particularly described in Exhibit "A" attached hereto and incorporated herein by
reference. All Services shall be subject to, and performed in accordance with, this
Agreement, the exhibits attached hereto and incorporated herein by reference, and all
applicable local, state and federal laws, rules and regulations.
3.1.2 Term. The term of this Agreement shall be from the Effective Date
shown above to January 10, 2024, at the sole and absolute discretion of the City, unless
earlier terminated as provided herein. Consultant shall complete the Services within the
term of this Agreement and shall meet any other established schedules and deadlines.
3.2 Responsibilities of Consultant.
3.2.1 Control and Payment of Subordinates; Independent Contractor. The
Services shall be performed by Consultant or under its supervision. Consultant will
determine the means, methods and details of performing the Services subject to the
requirements of this Agreement. City retains Consultant on an independent contractor
basis and not as an employee. Consultant retains the right to perform similar or different
services for others during the term of this Agreement. Any additional personnel
performing the Services under this Agreement on behalf of Consultant shall also not be
employees of City and shall at all times be under Consultant's exclusive direction and
control. Consultant shall pay all wages, salaries, and other amounts due such personnel
in connection with their performance of Services under this Agreement and as required
by law. Consultant shall be responsible for all reports and obligations respecting such
additional personnel, including, but not limited to: social security taxes, income tax
withholding, unemployment insurance, disability insurance, and workers' compensation
insurance.
3.2.2 Schedule of Services: Consultant shall perform the Services
expeditiously, within the term of this Agreement. Consultant represents that it has the
professional and technical personnel required to perform the Services in conformance
with such conditions. In order to facilitate Consultant's conformance with the Schedule,
City shall respond to Consultant's submittals in a timely manner. Upon request of City,
Consultant shall provide a more detailed schedule of anticipated performance to meet the
Schedule of Services.
3.2.3 Conformance to Applicable Requirements: All work prepared by
Consultant shall be subject to the approval of City.
3.2.4 Substitution of Key Personnel: Consultant has represented to City
that certain key personnel will perform and coordinate the Services under this Agreement.
Should one or more of such personnel become unavailable, Consultant may substitute
other personnel of at least equal competence upon written approval of City. In the event
that City and Consultant cannot agree as to the substitution of key personnel, City shall
be entitled to terminate this Agreement for cause. As discussed below, any personnel
who fail or refuse to perform the Services in a manner acceptable to the City, or who are
determined by the City to be uncooperative, incompetent, a threat to the adequate or
timely completion of the Project or a threat to the safety of persons or property, shall be
promptly removed from the Project by the Consultant at the request of the City.
3.2.5 City's Representative: The City hereby designates the City Manager,
or his or her designee, to act as its representative for the performance of this Agreement
("City's Representative"). City's Representative shall have the power to act on behalf of
the City for all purposes under this Agreement. Consultant shall not accept direction or
orders from any person other than the City's Representative or his or her designee.
3.2.6 Consultant's Representative: Consultant hereby designates Peter J.
Bucknam, or his/her designee, to act as its representative for the performance of this
Agreement ("Consultant's Representative"). Consultant's Representative shall have full
authority to represent and act on behalf of the Consultant for all purposes under this
Agreement. The Consultant's Representative shall supervise and direct the Services,
using his/her professional skill and attention, and shall be responsible for all means,
methods, techniques, sequences and procedures and for the satisfactory coordination of
all portions of the Services under this Agreement.
3.2.7 Coordination of Services: Consultant agrees to work closely with City
staff in the performance of Services and shall be available to City's staff, consultants and
other staff at all reasonable times.
3.2.8 Standard of Care; Performance of Employees: Consultant shall
perform all Services under this Agreement in a skillful and competent manner, consistent
with the standards generally recognized as being employed by professionals in the same
discipline in the State of California. Consultant represents and maintains that it is skilled
in the professional calling necessary to perform the Services. Consultant represents that
all employees and subcontractors shall have sufficient skill and experience to perform the
Services assigned to them. Finally, Consultant represents that it, its employees and
subcontractors have all licenses, permits, qualifications and approvals of whatever nature
that are legally required to perform the Services, including a City business License, and
that such licenses and approvals shall be maintained throughout the term of this
Agreement. As provided for in the indemnification provisions of this Agreement,
Consultant shall perform, at its own cost and expense and without reimbursement from
the City, any services necessary to correct errors or omissions which are caused by the
Consultant's failure to comply with the standard of care provided for herein.
3.2.9 Laws and Regulations: Consultant shall keep itself fully informed of
and in compliance with applicable local state and federal laws, rules and regulations in
any manner affecting the performance of the Project or the Services, including all
Cal/OSHA requirements, and shall give all notices required by law. Consultant shall be
liable for all violations of such laws and regulations in connection with Services. If the
Consultant performs any work knowing it to be contrary to such laws, rules and
regulations and without giving written notice to the City, Consultant shall be solely
responsible for all costs arising therefrom. Consultant shall indemnify and hold City, its
officials, directors, officers, employees and agents free and harmless, pursuant to the
indemnification provisions of this Agreement, from any liability to the extent found to be
arising out of any failure to comply with such laws, rules or regulations.
3.2.10 Insurance: Consultant shall maintain prior to the beginning of and for
the duration of this Agreement insurance coverage as specified in Exhibit B attached to
and part of this agreement.
3.2.11 Safety: Contractor shall execute and maintain its work so as to avoid
injury or damage to any person or property. In carrying out its Services, the Consultant
shall at all times be in compliance with all applicable local, state and federal laws, rules
and regulations, and shall exercise all necessary precautions for the safety of its
employees appropriate to the nature of the work and the conditions under which the work
is to be performed. Safety precautions as applicable shall include, but shall not be limited
to: (A) adequate life protection and life saving equipment and procedures; (B) instructions
in accident prevention for all employees and subcontractors, such as safe walkways,
scaffolds, fall protection ladders, bridges, gang planks, confined space procedures,
trenching and shoring, equipment and other safety devices, equipment and wearing
apparel as are necessary or lawfully required to prevent accidents or injuries; and (C)
adequate facilities for the proper inspection and maintenance of all safety measures.
3.3 Fees and Payments.
3.3.1 Compensation: Consultant shall receive compensation, including
authorized reimbursements, for all Services rendered under this Agreement and shall not
exceed Fifty -Four Thousand Nine Hundred and Eight -Five Dollars ($54,985) and in
accordance with consultant's proposal dated November 30, 2022. Consultant's proposal
is hereby incorporated and found in Exhibit "A". Extra Work may be authorized in writing,
as described below, and will be compensated at the rates and manner set forth in this
Agreement.
3.3.2 Payment of Compensation: Consultant shall submit to City a monthly
itemized statement which indicates work completed and hours of Services rendered by
Consultant. The statement shall describe the amount of Services and supplies provided
since the initial commencement date, or since the start of the subsequent billing periods,
as appropriate, through the date of the statement. City shall, within 30 days of receiving
such statement, review the statement and pay all approved charges thereon.
3.3.3 Reimbursement for Expenses: Consultant shall not be reimbursed
for any expenses unless authorized in writing by City.
3.3.4 Extra Work: At any time during the term of this Agreement, City may
request that Consultant perform Extra Work. As used herein, "Extra Work" means any
work which is determined by City to be necessary for the proper completion of the Project,
but which the parties did not reasonably anticipate would be necessary at the execution
of this Agreement. Consultant shall not perform, nor be compensated for, Extra Work
without written authorization from City's Representative.
3.3.5 Prevailing Wages: Consultant is aware of the requirements of
California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code
of Regulations, Title 8, Section 1600, et seq., ("Prevailing Wage Laws"), which require
the payment of prevailing wage rates and the performance of other requirements on
"public works" and "maintenance" project, as defined by the Prevailing Wage Laws, and
if the total compensation is $1,000 or more, Consultant agrees to fully comply with such
Prevailing Wage Laws to the extent they are applicable to Consultant. City shall provide
Consultant with a copy of the prevailing rates of per diem wages in effect at the
commencement of this Agreement. Consultant shall make copies of the prevailing rates
of per diem wages for each craft; classification or type of worker needed to execute the
Services available to interested parties upon request and shall post copies at the
Consultant's principal place of business and at the project site. Consultant shall defend,
indemnify and hold the City, its elected officials, officers, employees and agents free and
harmless from any claim or liability arising out of any failure or alleged failure to comply
with the Prevailing Wage Laws.
3.4 Accounting Records.
3.4.1 Maintenance and Inspection: Consultant shall maintain complete
and accurate records with respect to all costs and expenses incurred under this
Agreement. All such records shall be clearly identifiable. Consultant shall allow a
representative of City during normal business hours to examine, audit, and make
transcripts or copies of such records and any other documents created pursuant to this
Agreement. Consultant shall allow inspection of all work, data, documents, proceedings,
and activities related to the Agreement for a period of three (3) years from the date of final
payment under this Agreement.
3.5 General Provisions.
3.5.1 Termination of Agreement.
3.5.1.1 Grounds for Termination: City may, by written notice to
Consultant, terminate the whole or any part of this Agreement at any time and without
cause by giving written notice to Consultant of such termination, and specifying the
effective date thereof, at least seven (7) days before the effective date of such termination.
Upon termination, Consultant shall be compensated only for those services which have
been adequately rendered to City, and Consultant shall be entitled to no further
compensation. Consultant may not terminate this Agreement except for cause.
3.5.1.2 Effect of Termination: If this Agreement is terminated
as provided herein, City may require Consultant to provide all finished or unfinished
Documents/ Data and other information of any kind prepared by Consultant in connection
with the performance of Services under this Agreement. Consultant shall be required to
provide such document and other information within fifteen (15) days of the request.
3.5.1.3 Additional Services: In the event this Agreement is
terminated in whole or in part as provided herein, City may procure, upon such terms and
in such manner as it may determine appropriate, services similar to those terminated.
3.5.2 Delivery of Notices: All notices permitted or required under this
Agreement shall be given to the respective parties at the following address, or at such
other address as the respective parties may provide in writing for this purpose:
CONSULTANT:
Bucknam Infrastructure Group, Inc.
3548 Seagate Way, Suite 230
Oceanside, CA 92056
Attn: Peter J. Bucknam
Tel: (760) 216-6529
CITY:
City of Rosemead
8838 Valley Boulevard
Rosemead, CA 91770
Attn: Michael Chung
Director of Public Works
Tel: (626) 569-2150
Such notice shall be deemed made when personally delivered or when mailed, forty- eight
(48) hours by certified mail or deposit in the U.S. Mail, first-class postage prepaid and
addressed to the party at its applicable address. Actual notice shall be deemed adequate
notice on the date actual notice occurred, regardless of the method of service.
3.5.3 Ownership of Materials and Confidentiality.
3.5.3.1 Documents & Data; Licensing of Intellectual Property: This
Agreement creates a non-exclusive and perpetual license for City to copy, use, modify,
reuse, or sublicense any and all copyrights, designs, and other intellectual property
embodied in plans, specifications, studies, drawings, estimates, and other documents or
works of authorship fixed in any tangible medium of expression, including but not limited
to, physical drawings or data magnetically or otherwise recorded on computer diskettes,
which are prepared or caused to be prepared by Consultant under this Agreement
("Documents & Data"). Consultant shall require all subcontractors to agree in writing that
City is granted a non-exclusive and perpetual license for any Documents & Data the
subcontractor prepares under this Agreement. Consultant represents and warrants that
Consultant has the legal right to license any and all Documents & Data. Consultant makes
no such representation and warranty in regard to Documents & Data which were prepared
by design professionals other than Consultant or provided to Consultant by the City.
The Documents & Data are intended for use solely with respect to the project for which
they were prepared. Any reuse or modification by City shall be at City's sole risk.
3.5.3.2 Confidentiality: All ideas, memoranda, specifications,
plans, procedures, drawings, descriptions, computer program data, input record data,
written information, and other Documents and Data either created by or provided to
Consultant in connection with the performance of this Agreement shall be held
confidential by Consultant. Such materials shall not, without the prior written consent of
City, be used by Consultant for any purposes other than the performance of the Services.
Nor shall such materials be disclosed to any person or entity not connected with the
performance of the Services or the Project. Nothing furnished to Consultant which is
otherwise known to Consultant or is generally known, or has become known, to the
related industry shall be deemed confidential. Consultant shall not use City's name or
insignia, photographs of the Project, or any publicity pertaining to the Services or the
Project in any magazine, trade paper, newspaper, television or radio production or other
similar medium without the prior written consent of City.
3.5.4 Cooperation; Further Acts: The Parties shall fully cooperate
with one another, and shall take any additional acts or sign any additional documents as
may be necessary, appropriate or convenient to attain the purposes of this Agreement.
3.5.5 Attorney's Fees: If either party commences an action against
the other party, either legal, administrative or otherwise, arising out of or in connection
with this Agreement, the prevailing party in such litigation shall be entitled to have and
recover from the losing party reasonable attorney's fees and all costs of such action as
part of prevailing party's total damages as determined by court of competent jurisdiction
or as agreed upon by the parties in settlement.
3.5.6 Indemnity and Defense.
a. Indemnity and Defense
To the fullest extent permitted by law, Consultant shall indemnify and hold harmless
Agency and any and all of its officials, employees and agents ("Indemnified Parties") from
and against any and all losses, liabilities, damages, costs and expenses, including legal
counsel's fees and costs, to the extent caused by the negligent or wrongful act, error or
omission of Consultant, its officers, agents, employees or subconsultants (or any agency
or individual that Consultant shall bear the legal liability thereof) in the performance of
services under this agreement. Consultant's duty to indemnify and hold harmless Agency
shall not extend to the Agency's sole or active negligence.
b. Duty to Defend
In the event the Agency, its officers, employees, agents and/or volunteers are made a
party to any action, lawsuit, or other adversarial proceeding arising from the performance
of the services encompassed by this agreement, and upon demand by Agency,
Consultant shall defend the Agency at Consultant's cost or at Agency's option, to
reimburse Agency for its costs of defense, including reasonable attorney's fees and costs
incurred in the defense of such matters to the extent the matters arise from, relate to or
are caused by Consultant's negligent acts, errors or omissions. Payment by Agency is
not a condition precedent to enforcement of this provision. In the event of any dispute
between Consultant and Agency, as to whether liability arises from the sole or active
negligence of the Agency or its officers, employees, or agents, Consultant will be
obligated to pay for Agency's defense until such time as a final judgment has been
entered adjudicating the Agency as solely or actively negligent. In no event shall the cost
to defend charged to the design professional exceed the design professional's
proportionate percentage of fault.
3.5.7 Entire Agreement: This Agreement contains the entire Agreement of the
parties with respect to the subject matter hereof, and supersedes all prior negotiations,
understandings or agreements. This Agreement may only be modified by a writing signed
by both parties.
3.5.8 Governing Law: This Agreement shall be governed by the laws of the State
of California. Venue shall be in Los Angeles County.
3.5.9 Time of Essence: Time is of the essence for each and every provision of
this Agreement.
3.5.10 City's Right to Employ Other Consultants: City reserves right to employ
other consultants in connection with this Project.
3.5.11 Successors and Assigns: This Agreement shall be binding on the
successors and assigns of the parties.
3.5.12 Assignment or Transfer: Consultant shall not assign, hypothecate, or
transfer, either directly or by operation of law, this Agreement or any interest herein
without the prior written consent of the City. Any attempt to do so shall be null and void,
and any assignees, hypothecates or transferees shall acquire no right or interest by
reason of such attempted assignment, hypothecation or transfer.
3.5.13 Construction; References; Captions: Since the Parties or their agents have
participated fully in the preparation of this Agreement, the language of this Agreement
shall be construed simply, according to its fair meaning, and not strictly for or against any
Party. Any term referencing time, days or period for performance shall be deemed
calendar days and not work days. All references to Consultant include all personnel,
employees, agents, and subcontractors of Consultant, except as otherwise specified in
this Agreement. All references to City include its elected officials, officers, employees,
agents, and volunteers except as otherwise specified in this Agreement. The captions of
the various articles and paragraphs are for convenience and ease of reference only, and
do not define, limit, augment, or describe the scope, content, or intent of this Agreement.
3.5.14 Amendment; Modification: No supplement, modification, or amendment of
this Agreement shall be binding unless executed in writing and signed by both Parties.
3.5.15 Waiver: No waiver of any default shall constitute a waiver of any other
default or breach, whether of the same or other covenant or condition. No waiver, benefit,
privilege, or service voluntarily given or performed by a Party shall give the other Party
any contractual rights by custom, estoppel, or otherwise.
3.5.16 No Third Party Beneficiaries: There are no intended third party beneficiaries
of any right or obligation assumed by the Parties.
3.5.17 Invalidity; Severability: If any portion of this Agreement is declared invalid,
illegal, or otherwise unenforceable by a court of competent jurisdiction, the remaining
provisions shall continue in full force and effect.
3.5.18 Prohibited Interests: Consultant maintains and warrants that it has not
employed nor retained any company or person, other than a bona fide employee working
solely for Consultant, to solicit or secure this Agreement. Further, Consultant warrants
that it has not paid nor has it agreed to pay any company or person, other than a bona
fide employee working solely for Consultant, any fee, commission, percentage, brokerage
fee, gift or other consideration contingent upon or resulting from the award or making of
this Agreement. Consultant further agrees to file, or shall cause its employees or
subconsultants to file, a Statement of Economic Interest with the City's Filing Officer as
required under state law in the performance of the Services. For breach or violation of
this warranty, City shall have the right to rescind this Agreement without liability. For the
term of this Agreement, no member, officer or employee of City, during the term of his or
her service with City, shall have any direct interest in this Agreement, or obtain any
present or anticipated material benefit arising therefrom.
3.5.19 Equal Opportunity Employment: Consultant represents that it is an equal
opportunity employer and it shall not discriminate against any subcontractor, employee
or applicant for employment because of race, religion, color, national origin, handicap,
ancestry, sex or age. Such non-discrimination shall include, but not be limited to, all
activities related to initial employment, upgrading, demotion, transfer, recruitment or
recruitment advertising, layoff or termination. Consultant shall also comply with all
relevant provisions of City's Minority Business Enterprise program, Affirmative Action
Plan or other related programs or guidelines currently in effect or hereinafter enacted.
3.5.20 Labor Certification: By its signature hereunder, Consultant certifies that it is
aware of the provisions of Section 3700 of the California Labor Code which require every
employer to be insured against liability for Worker's Compensation or to undertake self-
insurance in accordance with the provisions of that Code, and agrees to comply with such
provisions before commencing the performance of the Services.
3.5.21 Authority to Enter Agreement: Consultant has all requisite power and
authority to conduct its business and to execute, deliver, and perform the Agreement.
Each Party warrants that the individuals who have signed this Agreement have the legal
power, right, and authority to make this Agreement and bind each respective Party.
3.5.22 Counterparts: This Agreement may be signed in counterparts, each of
which shall constitute an original.
3.6 Subcontracting.
3.6.1 Prior Approval Required: Consultant shall not subcontract any portion of the
work required by this Agreement, except as expressly stated herein, without prior written
approval of City. Subcontracts, if any, shall contain a provision making them subject to all
provisions stipulated in this Agreement.
[Signatures on next Page]
CITY OF ROSEMEAD
/ 03
Bert Kim, y Manager Date
Attest:
Ericka Hernandez, City Clerk atD e
Approved as to Form:
ache) "Richman, City Attorney Date
BUCKNAM
INFRASTRUCTURE GROUP,
INC.
By:
Name:
Title: ?'W't0zV'1
[If Corporation, TWO SIGNATURES,
President OR Vice President AND
Secretary, AND CORPORATE SEAL
OF CONTRACTOR REQUIRED]
By:
Namet4 vGt...""4.,.
Title: SGwt t1 kAI
A� o® CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDD/YYY10
7/28/2023
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: N 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 endomement(s).
PRODUCER
Marsh & McLennan Agency LLC
Marsh & McLennan Ins. Agency LLC
1 Polaris Way #300
CONTACT
NAME:
PHONE . 9a9-900-1780 FAX No:
INC
ADDRESS:
INSURERS AFFORDING COVERAGE NAIC#
Aliso Viejo CA 92656
INSURER A: National Casualty Company 11991
License#: OH18131
INSURED ALLCITYMAN
All City Management Services, Inc.
10440 Pioneer Blvd., Suite 5
INSURER B: Lexington Insurance Company 19437
INSURER c: AXIS Surplus Insurance Company 26620
INSURER D: Westchester Surplus Lines Insurance Cc 10172
Santa Fe Springs CA 90670
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: 31701058 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
TR
OF INSURANCE
ADDLTYPE
JUM
Me UB
POLICYNUMBER
MMR•D EFF
MMIDD EXP
LIMITS
B
X COMMERCIALGENERALLIABILITY
Y
Y
052114698
8/1/2023
8/1/2024
EACH OCCURRENCE $1,000,000
CLAIMS -MADE T OCCUR
PREMISES E. ocwm.nce $100,000
MED UP (Any one parson) $
X 500,000
PERSONAL S ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERALAGGREGATE $2,000,000
POLICY riJjECOT LOC
PRODUCTS - COMP/OP AGG $2,000,000
$
OTHER:
AUTOMOBILELIABILT'
N
N
COMBINED SINGLE LIMIT $
Ea .trident
BODILY INJURY (Per person) $
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Pal accident) $
PROPERTY DAMAGE $
Per accident
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
C
UMBRELLA UAB
X
OCCUR
P001001180394DI
8/1/2023
8/1/2024
EACH OCCURRENCE $3,000,000
AGGREGATE $3,000,000
X
EXCESS UAB
CLAIMS -MADE
DED RETENTION$
$
A
WORKERS COMPENSATION
AND EMPLOYERS' UABILRYY/
ANYPROPRIETORIPARTNER/EXECUTIVE
Y
WCC334410A
1/1/2023
1/1/2024
X STATUTE ER
E.L. EACH ACCIDENT $1,000,000
OFFICER/MEMSER EXC W DEDi ❑NN
NIA
(Mandatary in NH)
E.L. DISEASE - FA EMPLOYEE $1,000,000
E.L. DISEASE -POLICY LIMIT $1,000,000
Use, describe under
DESCRIPTION OF OPERATIONSW.
D
Excess Layer
672535522003
8/1/2023
8/1/2024
AGGREGATE $6,000,000
DESCRIPTION OF OPERATIONS / LOCATKINS / VEHICLES (ACORD 101, Addaional Remarks Schedule, my M aaachad U more spats is required)
RE: Agreement for Crossing Guard Services; Program Pricing Letter for 2022/2023 School Year City of Rosemead, the Rosemead and Garvey School District,
and their respective officers, officials, employees, agents, and volunteers are included as additional insured as respects to General Liability per attached
endorsement. Primary non contributory applies per attached endorsement. Waiver of Subrogation applies to Workers Compensation and General Liability per
attached endorsements. Excess Liability follows form of primary coverages.
CFRTIFICATF HOLDER CANCELLATION
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) 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 Rosemead
6636 E Valley Blvd.
Rosemead CA 91770-0000
AUTHORIZEDREPRESENTATME
1 ]I,ILII/'IM.@P*
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
INSURED: NI Cary Management Services. Inc.
POLICY #: 052114698 POLICY PERIOD: 0MU2020 TO; OWW02e
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED REQUIRED BY WRITTEN CONTRACT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY POLICY, COVERAGE APPLICABLE TO COVERAGE A BODILY
INJURY AND PROPERTY DAMAGE (SECTION I - COVERAGES) ONLY
A. Section II - Who Is An Insured is amended to
Include any person or organization you are
required to include as an additional insured on
this policy by a mitten contract or written
agreement in effect during this policy period and
extrouted prior to the "occurrence" of the "bodily
injury" or "property damage."
B. The insurance provided to the above described A
additional insured under this endorsement is
limited as follows:
1. COVERAGE A BODILY INJURY AND PROP-
ERTY DAMAGE (Section I - Coverages) only.
2 The person or organization is only an
additional insured with respect to liability
arising out of "your mark" or "your product".
3. in the event that the Limas of Insurance
provided by this policy exceed the Limas of
Insurance required by the mitten contract or
mitten agreement, the insurance provided by
this endorsement shall be limned to the Limits
of Insurance required by the mitten contract
or mitten agreement. This endorsement shall
not increase the Limits of Insurance shove in
the Declarations pertaining to the coverage
provided herein.
0. The insurance provided to such an additional
insured does not apply to "bodily injury" or
"property damage' arising out of an archi•
tact's, engineer's, or surveyor's rendering of
or failure to render any professional services,
including, but not limited to:
I. The preparing, approving, or failing to
prepare or approve maps, shop
draWngs, opinions, reports, surveys,
field orders, change orders, or draWngs
and specifications; and
ii. Supervisory, inspection, architectural, or
engineering activities.
S. This insurance does not apply to 'bodily
injury" or "property damage" arising out of
.your work" or "your product" included in
the "product -completed operations hazard'
unless you are required to provide such
coverage by mitten contract or mitten
agreement and then only for the period of
time required by the mitten contract or
mitten agreement and in no event beyond
the expiration data of the policy.
S, Any coverage provided by this endorse.
ment to an additional insured shall be
excess over any other valid and collectible
insurance available to the additional insured
Whether primary, excess, contingent or on
any other basis.
C. In accordance With the terms and conditions of
the policy and as more fully explained in the
policy, as soon as practicable, each additional
insured must give us prompt notice of any
"occurrence" which may result in a claim,
formed all legal papers to us, cooperate in the
defense of any actions, and otherwlae comply
Wth all of the policy's terms and conditions.
Failure to comply With this provision may, at our
option, result in the claim or "suit' being
denied.
Authorized Representative OR
Countemignatum (In states where applicable)
Includes copyrighted information of the insurance Services Otficea, Inc., Wth its permission. Al rights reserved.
LX9776 (OS sl
INSURED: al Ciry Management SenAces, Inc.
POLICYM 052114699 POLICY PERIOD: 08MM023 TO: 0a101n024
ENDORSEMENT
LEXINGTON INSURANCE COMPANY
WAIVER OF SUBROGATION
(BLANKET)
It is agreed that we, in the event of a payment under this policy, waive our right of subrogation against
any person or organization where the insured has waived liability of such person or organization as part
of a written contractual agreement between the insured and such person or organization entered into
prior to the "occurrence" or offense.
All other terms and conditions remain unchanged.
i' 7�-�
Authorized Representative OR
Countersignature (In states where applicable)
LEXOCC234 (11103)
LX0485
INSURED: A`Citymwagementsewi s,mc.
POLICY #: VrCC33"10A
POLICY PERIOD: 01/014223
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
TO 01/01/2024
WC 00 03 13
(Ed. 4.84)
We have die right to recover our payments from anyone liable for an uhjury covered by this policy. We willnot enlorce
our right against die person or organization named in die Schedule. (This agreement applies only to dye extent that
you perfornh work under a written contract that requires you to obtain this agreement from us.)
This agreement shall riot operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
ANY PERSON(S) OR ORGANIZATION(S) WITH WHOM YOU HAVE AGREED
TO SUCH WAIVER, IN A VALID WRITTEN CONTRACT OR WRITTEN
AGREEMENT THAT HAS BEEN EXECUTED PRIOR TO A LOSS.
Tlus endorsement clhanges tlhe policy to which it is attached mud is effective on the date issued unless otherwise stated.
(rhe mfornution below is mTzired only when this endorsement is issued subsequent to KeWaaon of the policy)
Endorsement Effective
Insured
Policy No.
Countersigned
Endorsement No.
Premium S
INSURED: NI city Management Semces. Inc.
POLICY #: assnasge
POLICY PERIOD: 0e10trz023 TO 081(1112024
pRMAAR MN CONTRIBUTORY ENDIMENENT
This endorsement modifies insurance provided by the policy.
Notwittlstanding any other provision of the pofrcy to the contrary, the insurance afforded by this policy
for the benefit of the Addiconal Insured shall be primary insurance, but only with reaped to any claim,
I= or liability arising cut of the Named Insureds operafiona; and arty insurance maintained by the
Addidonal Insured shag be non-contrbuing.
Al oder terms and candicans of the policy remail the same.
P
ACI"rixaf RWasentathve OR
Countaralgnature an states whore appncebl6)
LX9698 (QWM
All City Management SeMces. Inc.
LX9838 1081051
ACORO® CERTIFICATE OF LIABILITY INSURANCE
DATE(MMMDNYYY)
12/1/2023
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(les) must have ADDITIONAL INSURED provisions or be endorsed.
N 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:
LIMITS
PHONN E (686) 780-5381 LA CCFAXNa (866) 828-2424
WTW MIDWEST INC
AODREss: Certificate@Hanover.com
INSURER(S) AFFORDING COVERAGE NAIC0
233 S WACKER DR,SUITE 2000
INSURER A: Citizens ins Co of America 31534
CHICAGO IL 60606
INSURED
INSURER B: Hanover Insurance Co 22292
INSURER C: Hanover American ins CO 36064
INSURER D:
BUCKNAM INFRASTRUCTURE GROUP INC
INSURER E :
3548 SEAGATE WAY STE 230
INSURER F:
OCEANSIDE CA 92056
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.
1NTR
TYPE OF INSURANCE
J121
S B
POLICY NUMBER
POLICY EFF
EXP
fWDDffYYYI
LIMITS
COMMERCALGENERAL LIABILITY
EACH OCCURRENCE $ 2,000.000
CLAIMSQADE V/] OCCUR
PREMISES Ea occurenoe $ 11000.000
MED EXP (Any one Person) $ 10,000
PERSONAL&ADV INJURY $ 2,000,000
A
Y
Y
OBC A399956 09
09/16/2023
09/16/2024
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERALAGGREGATE $ 4,000,000
POLICY Z JECT [_] LOC
PRODUCTS - COMPIOP AGO $ 4,000,000
$
OTHER:
AUTOMOBILE
LASIUTY
COMBINED SINGLE LIMIT
Ea acddent $ 21000,000
BODILY INJURY (Per Penson) $
ANYAl/TO
A
OWNED SCHEDULED
Y
Y
OBC A39995609
09/16/2023
09/16/2024
BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS
/
HIRED � AUTOS
PER DAMAGE $
V
AUTOS ONLY ONLDV(Per
✓
UMBRELLALAB
✓
OCCUR
EACH OCCURRENCE $ 3.000,000
AGGREGATE $ 3,000,000
A
EXCESS LAB
CLAIMS -MADE
Y
Y
OBC A399956 09
09/16/2023
09/16/2024
DED I/ RETENTIONS
$
WORKERS COMPENSATION
/ PER OTH-
AND EMPLOYERS' LIABILITYY
STATUTE ER
E. L. EACH ACCIDENT $ 1.000,000
C
RIP
NI
NIA
N
WZC A39994609
09/16/2023
09/16/2024
OFFICEPRIET
CWDEEXECUTIVE
(Mandatary In NH)
E.L. DISEASE - EA EMPLOYEE $ 1.000,000
If yes, desonbe under
DE SCRIPTIONOFOPERATIONSbel.
E.L. DISEASE -POLICY LIMIT $ 1,000,000
B
Architects & Engineers Prof Liab
N
N
LHC H023717 04
09/16/2023
09/16/2024
Claims -Made: $2M Ea Claim/$2M Agg
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remams Schedule, may W attached it more space u required)
City of Rosemead, its officials, emplyees and agents are Additional Insured on the General Liability and Auto Liability pursuant to the tens and conditions by form
391-1586. Additional Insured is Primary and Noncontributory to the extent provided by form 391-1003 (pg 79 of 81). Waiver of Subrogation as provided by form 391-1003
(pg 80 of 81). Cancellation Notice will be provided to the Certificate Holder pursuant to endorsement: 401-1235. Such notice is solely for the purpose of informing the
Certificate Holder of the effective date of cancellation and does not grant, alter, or extend any rights or obligations under this policy.
CITY OF ROSEMEAD
ATTN: CITY CLERK'S OFFICE
8838 E. VALLEY BOULEVARD
ROSEMEAD
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 REPRESENTATNE
CA 91770
ACORD 25 (2015/03) The ACORD name and logo are registered marks of ACORD
The
Hanover
Insurance Group-
OBCA399956 1309570
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
GENERAL LIABILITY SUPPLEMENTARY ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS COVERAGE FORM
A. Additional Insured by Contract, Agreement or
Permit
The following is added to SECTION II -
LIABILITY, C. Who Is An Insured:
Additional Insured by Contract, Agreement or
Permit
a. Any person or organization with whom you
agreed in a written contract, written
agreement or permit that such person or
organization to add as an additional insured
on your policy is an additional insured only
with respect to liability for "bodily injury",
"property damage", or "personal and
advertising injury" caused, in whole or in
part, by your acts or omissions, or the acts
or omissions of those acting on your behalf,
but only with respect to:
(1) "Your work" for the additional insured(s)
designated in the contract, agreement
or permit including "bodily injury" or
"property damage" included in the
"products -completed operations hazard"
only if this Coverage Part provides such
coverage.
(2) Premises you own, rent, lease or occupy;
or
(3) Your maintenance, operation or use of
equipment leased to you.
b. The insurance afforded to such additional
insured described above:
(1) Only applies to the extent permitted by
law; and
(2) Will not be broader than the insurance
which you are required by thecontract,
agreement or permit to provide for such
additional insured.
(3) Applies on a primary basis if that is
required by the written contract, written
agreement or permit.
(4) Will not be broader than coverage
provided to any other insured.
(5) Does not apply if the "bodily injury",
"property damage" or "personal and
advertising injury" is otherwise
excluded from coverage under this
Coverage Part, including any
endorsements thereto.
c. This provision does not apply:
(1) Unless the written contract or written
agreement was executed orpermit was
issued prior to the "bodily injury",
"property damage", or "personal
injury and advertising injury".
(2) To any person or organization included
as an insured by another endorsement
issued by us and made part of this
Coverage Part.
(3) To any lessor of equipment:
(a) After the equipment lease expires;
or
(b) If the "bodily injury", "property
damage", or "personal and
advertising injury" arises out of sole
negligence of the lessor
(4) To any:
(a) Owners or other interests from
whom land has been leased if the
"occurrence" or offense takes place
or the offense is committed after
the lease for the land expires; or
(b) Managers or lessors of premises if:
(i) The "occurrence" takes place or
the offense is committed after
you cease to be a tenant in that
premises; or
(ii) The "bodily injury", "property
damage", "personal injury" or
"advertising injury" arises out of
structural alterations, new
construction or demolition
operations performed by or on
behalf of the manager or lessor.
(5) To "bodily injury", "property damage" or
"personaland advertising injury"arising
out of the rendering of or the failure to
render any professional services.
This exclusion applies even if the claims
against any insured allege negligence
or other wrongdoing in the supervision,
hiring, employment, training or
monitoring of others by that insured, if
the 'occurrence" which caused the
"bodily injury" or "property damage" or
the offense which caused the "personal
and advertising injury" involved the
rendering of or failure to render any
professional services by or for you.
d. With respect to the insurance afforded to
these additional insureds, the following is
added to SECTION II - LIABILITY, D. Liability
and Medical Expense Limits of Insurance:
The most we will pay on behalf of the
additional insured for a covered claim is the
lesser of the amount of insurance:
391-1586 08 16 Includes copyrighted material of Insurance Services Offices, Inc., with its permission. Page 1 of 2
1. Required by the contract, agreement or
permit described in Paragraph a.; or
2. Available under the applicable Limits of
Insurance shown in the Declarations.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations
B. Aggregate Limits of Insurance per Project or per
Location
The following changes are made to SECTION II -
LIABILITY:
1. The following is added to SECTION II -
LIABILITY, D. Liability and Medical
Expenses Limits of Insurance, paragraph 4:
The Aggregate Limits of Insurance apply
separately to each of "your projects" or each
"location" listed in the Declarations.
2. For the purpose of coverage provided by
this endorsement only, the following is
added to SECTION II - LIABILITY, F. Liability
And Medical Expenses Definitions:
1. "Your project" means:
a. Any premises, site or "location" at,
on, or in which "your work" is
not yet completed; and
b. Does not include any "location" listed
in the Declarations.
2. "Location" means premises involving the
same or connecting lots, or premises
whose connection is interrupted only by
a street, roadway, waterway or
right-of-way of a railroad.
ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED.
391-1586 08 16 Includes copyrighted material of Insurance services Offices. Inc., with its permission. Page 2 of 2
11me
] Hanover
nsurance Group_
OBCA399956 1309570
1. SECTION I - PROPERTY, if two or more of
However, if you agree in a written
this coverage part's coverages apply to
contract, written agreement, or
the same loss or damage, we will not pay
written permit that the insurance
more than the actual amount of the loss or
provided to any person or
damage.
organization included as an
2. SECTION II - LIABILITY, it is our stated
Additional Insured under this
intent that the various Coverage Parts,
Coverage Part is primary and
forms, endorsements or policies issued to
non-contributory, we will not seek
the named insured by us, or any company
contribution from any other
affiliated with us, do not provide any
insurance available to that Additional
duplication or overlap of coverage for the
Insured which covers the Additional
same claim, "suit", "occurrence", offense,
Insured as a Named Insured except:
accident, "wrongful act" or loss. We will
(1) For the sole negligence of the
not pay more than the actual amount of
Additional Insured; or
the loss or damage.
(2) When the Additional Insured is
If this Coverage Part and any other
an Additional Insured under
Coverage Part, form, endorsement or
another liability policy.
policy issued to the named insured by us,
b. Excess Insurance
or any company affiliated with us, apply to
the same claim, "suit", occurrence,
This insurance is excess over:
offense, accident, "wrongful act" or loss,
(1) Any of the other insurance,
the maximum Limit of Insurance under all
whether primary, excess,
such Coverage Parts, forms,
contingent or on any other basis:
endorsements or policies combined shall
(a) That is Fire, Extended
not exceed the highest applicable Limit of
Coverage, Builder's Risk,
Insurance under any one Coverage Part,
form, endorsement or policy.
Installation Risk or similar
coverage for "your work"
This condition does not apply to any
Excess or Umbrella Policy issued by us
(b) That is Property Insurance for
specifically to apply as excess insurance
premises rented to you or
over this policy.
temporarily occupied by you
with permission of the owner;
G. Liberalization
(c) t is insurance
If we adopt any revision that would broaden
by you to cover ourrl ab I td
the coverage under this policy without
as a tenant for "propertyy
additional premium within 45 days prior to or
damage" to premises rented
during the policy period, the broadened
to you or temporarily
coverage will immediately apply to this policy.
occupied by you with
H. Other Insurance
permission of the owner; or
1. SECTION I - PROPERTY
(d) If the loss arises out of the
If there is other insurance covering the
maintenance or use of
aircraft,autos" or watercraft
same loss or damage, we will pay only for
the extent not subject to
the amount of covered loss or damage in
SLIABILITY,
SECTION II
excess of the amount due from that other
Exclusion Aircraft, Auto or
insurance, whether you can collect on it or
Watercraft;; and
not. But, we will not pay more than the
applicable Limit of Insurance of SECTION 1
(2) Any other primary insurance
- PROPERTY.
available to you covering liability
2. SECTION II -LIABILITY
for damages arising out of the
premises or operations, or the
If other valid and collectible insurance is
products and completed
available to the insured for a loss we
operations, for which you have
cover under SECTION 11 - LIABILITY, our
been added as an additional
obligations are limited as follows:
insured by attachment of an
a. Primary Insurance
endorsement.
This insurance is primary except when
When this insurance is excess, we
will have no duty under SECTION II -
paragraph b. below applies. If this
LIABILITY to defend the insured
insurance is primary, our obligations
against any "suit' if any other
are not affected unless any of the
insurer has duty to defend the
other insurance is also primary. Then,
no other
insured against that "suit". Ifndertrtake
we will share with all that other
insurer defends, we will uto
insurance by the method described in
do so, but we will be entitled to the
paragraph c. below.
3914003 08 16 Includes copyrighted material of Insurance services Office, Inc., with its permission. Page 79 of 81
insured's rights against all those other
insurers.
c. When this insurance is excess over other
insurance, we will pay only our share of
the amount of the loss, if any, that
exceeds the sum of:
(1) The total amount that all such other
insurance would pay for the loss in
the absence of this insurance; and
(2) The total of all deductible and
self-insured amounts under all that
other insurance.
d. We will share the remaining loss, if any,
with any other insurance that is not
described in this provision and was not
bought specifically to apply in excess of
the Limits of Insurance shown in the
Declarations for this Coverage.
e. Method of Sharing
If all of the other insurance permits
contribution by equal shares, we will
follow this method also. Under this
approach each insurer contributes equal
amounts until it has paid its applicable
Limit of Insurance or none of the loss
remains, whichever comes first.
If any of the other insurance does not
permit contribution by equal shares, we
will contribute by limits. Under this
method, each insurer's share is based on
the ratio of its applicable Limit of
Insurance to the total applicable limits of
insurance of all insurers.
f. When this insurance is excess, we will
have no duty under Business Liability
Coverage to defend any claim or "suit"
that any other insurer has a duty to
defend. If no other insurer defends, we
will undertake to do so; but we will be
entitled to the insured's rights against all
those other insurers.
Premiums
1. The first Named Insured shown in the
Declarations:
a. Is responsible for the payment of all
premiums; and
b. Will be the payee for any return
premiums we pay.
2. The premium shown in the Declarations was
computed based on rates in effect at the time
the policy was issued. On each renewal,
continuation or anniversary of the effective
date of this policy, we will compute the
premium in accordance with our rates and
rules then in effect.
3. With our consent, you may continue this
policy in force by paying a continuation
premium for each successive one-year
period. The premium must be:
a. Paid to us prior to the anniversary
date; and
b. Determined in accordance with
paragraph 2. above.
Our forms then in effect will apply. If you
do not pay the continuation premium, this
policy will expire on the first anniversary
date that we have not received the
premium.
4. Undeclared exposures or change in your
business operation, acquisition or use of
locations may occur during the policy
period that is not shown in the
Declarations. If so, we may require an
additional premium. That premium will be
determined in accordance with our rates
and rules then in effect.
J. Premium Audit
1. This policy is subject to audit if a premium
designated as an advance premium is
shown in the Declarations. We will
compute the final premium due when we
determine your actual exposures.
2. Premium shown in this policy as advance
premium is a deposit premium only. At the
close of each audit period, we will
compute the earned premium for that
period and send notice to the first Named
Insured. The due date for audit premiums
is the date shown as the due date on the
bill. If the sum of the advance and audit
premiums paid for the policy period is
greater than the earned premium, we will
return the excess to the first Named
Insured.
3. The first Named Insured must keep
records of the information we need for
premium computation and send us copies
at such times as we may request.
K. Transfer of Rights of Recovery Against Others
to Us
1. Applicable to SECTION I - PROPERTY
Coverage:
If any person or organization to or for
whom we make payment under this policy
has rights to recover damages from
another, those rights are transferred to us
to the extent of our payment. That person
or organization must do everything
necessary to secure our rights and must
do nothing after loss to impair them. But
you may waive your rights against another
party in writing:
391.1003 0816 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 80 of 81
a. Prior to a loss to your Covered
Property.
b. After a loss to your Covered Property
only if, at time of loss, that party is
one of the following:
(1) Someone insured by this
insurance;
(2) A business firm:
(a) Owned or controlled by you;
or
(b) That owns or controls you; or
(3) Your tenant.
You may also accept the usual bills of
lading or shipping receipts limiting the
liability of carriers.
This will not restrict your insurance.
2. Applicable to SECTION II - LIABILITY
Coverage:
If the insured has rights to recover all or
part of any payment we have made
under this Coverage Part, those rights
are transferred to us. The insured must
do nothing after loss to impair such
rights. At our request, the insured will
bring "suit" or transfer those rights to us
and help us enforce them.
The
Hanover
Insurance Group_
OBCA399956 1309570
We waive any right of recovery we may
have against any person or
organization with whom you have a
written contract, permit or agreement
to waive any rights of recovery against
such person or organization because of
payments we make for injury or
damage arising out of your ongoing
operations or "your work" done under a
contract with that person or
organization and included in the
"products -completed operations
hazard".
This condition does not apply to
Medical Expenses Coverage.
L. Transfer of Your Rights and Duties Under
This Policy
Your rights and duties under this policy
may not be transferred without our written
consent except in the case of death of an
individual Named Insured. If you die, your
rights and duties will be transferred to your
legal representative but only while that
legal representative is acting within the
scope of their duties as your legal
representative. Until your legal
representative is appointed, anyone with
proper temporary custody of your property
will have your rights and duties but only
with respect to that property.
391-1003 08 16 Includes copyrighted material of Insurance services Office, Inc., with its permission. Page 81 of 81
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION TO DESIGNATED ENTITY(S)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
COMMERCIAL LIABILITY UMBRELLA COVERAGE PART
HANOVER COMMERCIAL FOLLOW FORM EXCESS AND UMBRELLA POLICY
COMMERCIAL PROPERTY COVERAGE PART
BUSINESS AUTO COVERAGE FORM
BUSINESSOWNERS COVERAGE FORM
SCHEDULE
Name of Designated Entity Mailing Address or Email Address
9 tY 9
Number
Days Notice
CITY OF ROSEMEAD
8838 E. VALLEY BOULEVARD,
ROSEMEAD CA
91770
30
(Information required to complete this Schedule, if not shown above, will be shown in the Declarations.)
If we cancel this policy for any reason other than nonpayment of premium, we will give written notice of
such cancellation to the Designated Entity(s) shown in the Schedule. Such notice may be delivered or sent
by any means of our choosing. The notice to the Designated Entity(s) will state the effective date of
cancellation.
Unless otherwise noted in the Schedule above, such notice will be provided to the Designated Entity(s) no
more than the number of days in advance of the effective date of cancellation that we are required to
provide to the Named Insured for such cancellation.
Such notice of cancellation is solely for the purpose of informing the Designated Entity(s) of the effective
date of cancellation and does not grant, alter, or extend any rights or obligations under this policy.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
401-1235 12 14 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1
EXHIBIT A
SCOPE OF SERVICES/ RATE SCHEDULE
PROPOSAL FOR CITYWIDE SIDEWALK
ADA MASTER PLAN
(RFP NO. 2022-30)
City of Rosemead, CA
November 30, 2022
Submitted by:
Bucknam Infrastructure Group, Inc.
Table of Contents
Section
Table of Contents, Cover Letter
Page
TOC
�1 Approach / Scope of Work .............................. 1-1
Project Understanding.................................................................... 1-1
Scopeof Work................................................................................. 1-5
0 Project Team, Key Personnel and Resumes...... 2-1
Key Project Team Members............................................................ 2-1
Organization Chart .......................................................................... 2-3
Resumes.......................................................................................... 2-4
❑3 Company Qualifications..................................3-1
Bucknam PMP Qualifications..........................................................3-1
Delineation of Bucknam Infrastructure Group Strengths ............... 3-2
❑4 References......................................................4-1
Relevant Project Experience...........................................................4-1
❑5 Standard Contract / Insurance Requirements.. 5-1
❑6 Addenda Acknowledgment ............................. 6-1
0 Cost Proposal .................................................. 7-1
CostProposal..................................................................................7-2
HourlyRate Schedule...................................................................... 7-3
City of Rosemead TOC
Citywide Sidewalk ADA Master Plan
November 30, 2022
Mr. Eddie Chan
City Engineer
City of Rosemead
8838 E. Valley Boulevard
Rosemead, CA 91770
Subject: Proposal for Citywide Sidewalk ADA Master Plan (RFP No. 2022-30)
Dear Eddie,
It is our pleasure to submit our proposal to the City of Rosemead in the continued, proactive
management of their Sidewalk Maintenance Program (SMP). With the City seeking to move
toward stronger infrastructure management methodologies through advanced sidewalk
inspections, ADA Transition reporting, Capital Improvement reporting (CIP), and GIS integration,
Bucknam Infrastructure Group, Inc. has identified a proactive and cost efficient method to assist
the City in implementing a successful SMP. Our team will focus our long-term SMP knowledge,
extensive Rosemead pavement management experience and GIS/GPS technologies to optimize
the City's maintenance dollars by implementing a manageable and reliable SMP.
Our project staff can be relied upon to provide continued, outstanding service to the City
because we will assist the City in implementing a common-sense SMP, identify accurate
sidewalk deficiencies, formulate a proactive CIP budget and make realistic maintenance
recommendations through our:
Recently awarded 2022 Rosemead Pavement Management Program (PMP) which will
serve as an essential building block for the City's new SMP;
o Our project manager, Mr. Peter Bucknam, serves as the PMP Project Manager
for Rosemead;
o Bucknam has served as the Rosemead PMP consultant since 2009, thirteen
years!
t• Relevant and accurate SMP & PMP services based on our ongoing work with numerous
Los Angeles, Orange County and San Diego local agencies such as:
0 26 Los Angeles County local agencies
0 21 Orange County local agencies; and
0 12 San Diego/Inland Empire local agencies
Our project manager has worked within the SoCal Infrastructure Management industry
for over twenty-four (24) years and has worked extensively with sidewalk / GIS
programs through turn -key data collection projects to long-term, proactive sidewalk CIP
list scheduling; and
30
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Cost effective management methodologies, from the project kickoff through final
reporting (best sidewalk management strategies), gained through our Project Managers
niche experience in working with Public Works / Maintenance operations and
maintenance staff;
As Project Manager, my goal is not just to meet the requirements of this project but establish a
living document (Arterial & Local SMP CIP submittal) that will be used throughout the term of
the CIP as well as implement achievable long-term infrastructure management goals in
coordination with City schedules.
Offeror: Bucknam infrastructure Group, 3548 Seagate Way, Suite 230, Oceanside, CA
92056; Company FID If 45-2723662
Mr. Steve Bucknam, P.E. (Principal) will be responsible for project oversight
(steve@bucknam.net). Mr. Peter Bucknam (Project Manager) will be providing day-
to-day operational and management services; he is authorized to sign the agreement
for this contract. He can be contacted at 760-216-6529 (work) 714-501-1024 (cell) or
email at peter@bucknam-inc.com.
By selecting Bucknam Infrastructure Group, Inc., the City of Rosemead will continue to receive a
strong, knowledgeable, innovative, and communicative team with the experience to implement
a cost-effective sidewalk maintenance program. Our handpicked sidewalk management
professionals are committed to delivering quality services to the City. We have already
scheduled time for your project and eagerly await our kick-off meeting with City staff and you.
Respectfully submitted,
Bucknam Infrastructure Group, Inc.
Peter J. Bucknam
President/Project Manager
roach / Scope of Work
Project Understanding / Approach
As the City of Rosemead infrastructure matures, the City's staff is striving to implement a
citywide Sidewalk Maintenance Program (SMP) Master Pian through cost effective GPS/GIS
condition surveys, engineering cost evaluation, budgetary reporting and data updates within the
SMP database. In doing so the City will be able to query, report on and schedule priority repairs
in order to proactively identify sidewalk/ADA improvements, non -ADA compliant travel routes
and implement the best SMP strategies and practices. The City's 2023 focus for field inspections
will cover all defined sidewalks within the network (153 miles).
The City requires a team that will not only survey the defined sections using cost-conscious
methodologies but will create a comprehensive program that includes the enhancement of your
multi-year SMP CIP, zone maintenance, efficient bid documents, stewardship of the SMP, GIS
accessibility to the SMP (Bucknam's MyRoads®), and the knowledge of the inner workings of the
SMP software.
Bucknam will provide these services through our proactive and accurate implementation of your
SMP; we will address the City's primary goals of:
• GIS Digitization of Rosemead sidewalk/curb ramp networks;
• Verifying / Updating sidewalk centerline and metric data (SMP vs. GIS);
• Surveying approximately 153 miles of Arterial, Collector and Local sidewalks;
o Sidewalk widths, typcial ADA compliance, variances, distresses
o Identification of locations that require ADA accessibility
• Curb Ramps ADA compliance surveys
• Identifying priority maintenance locations to reduce trip/fall incidents, especially along
high-volume pedestrian sidewalks;
• Developing a proactive multi-year preventative maintenance schedule based on existing
capital funding to establish effective management strategies and practices;
• Establishing solid multi-year recommendations for current / future maintenance needs;
• Publish sidewalk inventory, distress and maintenance recommendations within
MyRoads® that allows City staff to access, query, map and prioritize sidewalk/ADA
improvmenet projects
We have defined detailed phases to the scope of work in accordance to the City's request;
1. Project Implementation
2. Client Satisfaction
3. Project Schedule (Task 3.1)
4. Scope of Work (Major Tasks)
City of Rosemead 1-1
Citywide Sidewalk ADA Master Plan
roach / Scope of Work
1) Project Implementation
TASK 1.1: Project Kickoff
The first step in implementing a successful sidewalk management program truly resides in four
essential project deliverables:
• A comprehensive citywide inventory of current sidewalk and right-of-way deficiencies;
• Identification of locations with no sidewalk present (non -ADA compliant travel routes);
• A established GIS based distress, location, priority ranking, classification and
improvement identification tool;
• Database management and reporting software (i.e. GIS, Excel)
• Frequent communication, timely scheduled inventories and database maintenance;
For the City of Rosemead it will be essential to establish, up front, the Public Works Division
(Engineering / Public Services) sidewalk / ADA repair priorities. Our team will set a Project
Kickoff meeting with the City Engineer (Mr. Eddie Chan) to further discuss and review in detail
the expectations of the project, technical approach, section ID / GIS management & surveys,
district/zone maintenance, software upgrades & use, deliverables within the scope of work and
the review of schedule.
This effort will build consensus between the Public Works/Public Services staff as well as build a
stronger maintenance & operations sidewalk maintenance program (SMP).
The first key topics to be discussed will include the review and assessment of the existing
Sidewalk/Pavement Management network (all ready in -hand), survey areas, ADA self-
evaluation/transition data, data quality and condition, current inspection/priority criteria
procedures, maintenance parameters and desired service levels. During the project several
project assessment and project status meetings will be held to ensure that the major scope
tasks and project schedule are being adhered too.
Deliverable: Meeting minutes, revised project schedule (if necessary)
TASK 1.2: Project Status Meetings - Quality Control Program
Status Meetings and Progress Reports
• Minimum of three meetings during the project (kickoff, field, and status meetings,
presentations)
• Meetings will incorporate task driven agendas for discussion and meeting minute actions
• Field review meetings, Monthly progress status reports will be delivered to City project
managers
City of Rosemead 1-2
Citywide Sidewalk ADA Master Plan
Approach / Scope of Work
SMP Quality Control (QC)
We will use a statistical sampling approach for measuring the quality of our field technician's
work. In this manner, 10 percent (15 miles) of the original 153 miles of survey will be re-
inspected by an independent survey crew, supervised by a field supervisor, and the results will
be compared to the original surveys.
Our QC process involves checking the field crews' work in a "blind study" fashion. Quality
control checks will be performed at the end of each survey week. This will ensure that all field
personnel are properly collecting distresses and sidewalk quantities for all street segments.
Since we are collecting distress information on our field GPS Tablets with the Rosemead SMP
database live, our staff will perform several quality control tests using a sample set of the City
of Rosemead's sidewalk/ADA distress data. This will ensure that all system and analysis
settings as well as City recommendations and standards are being followed
Over the past two years, Bucknam has submitted fifty (50) LA County METRO/OCTA compliant
reports for LA and Orange County municipalities, they include:
J72N Beach
Alhambra I EI Segundo
Duane
Culver City
I Lomita
Rancho Palos Verdes
I Palmdale
T Glendora
Seal Beach
_..___........_.._. ....... _—..._...-_.___..._..._.._.._..._._.._.._..._.._..__..._..._...__.._..___.._...
..._.._._....
i Santa Ana
.._..._...
Placentia
Signal Hill
i Pomona
' Sierra Madre
Monterey Park Hermosa Beach
I South Pasadena
Lynwood
I Norwalk
_.._.._...Compton._.__.._...i._..__..._.._
Monrovia
I Rosemead
_ _
f Bellflower
Lawndale
Covina
' BeverlyHills
__._........ ___..._._... ._..._._..._t._.._...___..___'-----..___.__......_._......._.._.._..---._..
La Verne
South Gate
..._._.
' La Habra Height
Gardena
Orange County PIMP Clients
(Current)
Brea
La Palma
i ASM
Costa Mesa
i Orange
I Tustin
La ung Hills
._..�._...._..._.__.__.._.._.L._..__..._..__$.._.._..__...___.._.._.._.�....___..._._......__..._...__.
La una Beach I Westminst
Fountain. Valley
San Juan Capistrano _i
La Habra
Iuntington Beach
._..._.._ __._..._
4 __. Laguna Woods
..
Fullerton
Seal Beach
_..___........_.._. ....... _—..._...-_.___..._..._.._.._..._._.._.._..._.._..__..._..._...__.._..___.._...
..._.._._....
i Santa Ana
.._..._...
Placentia
Buena Park
Our field surveys follow the accepted ASTM D6433-20 walking requirements and are proven and
continue to be utilized for our SoCal clients shown above. A copy of the QA/QC plan utilized by
our staff during the project will be submitted.
Deliverable: Monthly Project Status reports, field review and project status meetings, QA/QC
Plan
City of Rosemead 1-3
Citywide Sidewalk ADA Master Plan
Approach / Scope of Work
2) Client Satisfaction
TASK 2.1: Project Deliverables
Shown throughout our Scope of Work, each Task is summarized with project deliverables. Client
satisfaction will derive from frequent communication with the Project Manager and key staff
members from the Engineering and Public Services departments. Project success is created by
delivering on three main factors;
1) Adherence to scope tasks and deliverables
2) Performing to the standard set by the Project Schedule; and
3) Controlling costs. Our Project Manager will follow each of these factors throughout
the duration of the project
Deliverable: Project Status Updates, as stated in Task 1.2
3) Project Schedule
TASK 3.1: Work Flow / Project Schedule
Our project schedule shows each major task identified in our scope of work, as well as quality
control milestones and meetings. Bucknam currently has ample staff to apply to this project in
order to meet an aggressive schedule.
With a completed survey, our team will work with you to establish a SMP that provides specific,
manageable sidewalk segments, detailed maintenance schedules of needed repairs and cost
conscious maintenance recommendations that will assist you in preparing budget estimates
required to complete the scheduled work for fiscal year 2023 and beyond.
See key milestone dates from the project schedule below (fiscal year will change accordingly):
• Project Kickoff—January/February, 2023
• Survey Completion — May, 2023
• Delivery of draft & Final SMP Final Report — June, 2023
• Data coordination with City regarding ADA Transition Report —June, 2023
• Publication of SMP digital deliverables within City's network — Any time after acceptance
of Final SMP
City of Rosemead 1-4
Citywide Sidewalk ADA Master Plan
Approach / Scope of Work
4) Scope of Work (Major Tasks)
TASK 4.1: SMP Assessment and SMP Network Definition
Bucknam has thoroughly assessed the City's previous 2022 pavement database (MicroPAVER) as
well as geographically approximated the total sidewalk mileage through GIS. At this time the
City has approximately 153 miles of sidewalks which is serving as the baseline element for our
scope/fee proposal within.
Our staff will utilize the City's available street/sidewalk segmentation data within your
MicroPAVER PMP database to digitize/update the sidewalk segmentation. Our staff will utilize
additional data such as the City's GIS centerline, aerial imagery and other viable data that will
assist our internal sidewalk GIS layer development and upcoming field operations.
All sidewalk inventory and distress data will be collected through the use of our hand-held GPS
units. Through the use of ArcPad, our Trimble GPS unit utilizes a data capture screen to record
all inventory and inspection data define by the scope of work.
Another essential item to establish prior to survey is what defines Priority maintenance and
repair. The recording of Priorities 1, 2, 3 and 4 will be linked to each distress found in the field.
These are shown in detail within Tasks 4.2 & 4.3; as stated above, we will meet with City staff to
define the final Priority definitions prior to survey.
As an option to this project, Bucknam will develop a clear and accurate citywide Sidewalk GIS
layer that represents where known sidewalk locations are. This will require Bucknam to digitize
sidewalk locations that will be represented by GIS polylines. This will create a citywide sidewalk
polyline layer that will in turn drive our annual sidewalk inspections. We have shown this cost
within our proposed fee.
Deliverable: Definition of Rosemead Sidewalk Section network; Sidewalk GIS layer
TASK 4.2: Development of Sidewalk Maintenance Attributes/ Database
Based on previous sidewalk management programs performed for various cities, this is the list
of ty ical layers and attributes we collect during sidewalk inspections:
Sidewalk Maintenance Attributes
• House Number — House number closest to distress, if applicable.
• Street Name—Street Name
• Surface Type — i.e. AC, Brick, Paver, PCC
• Distress Location—sidewalk, C&G, ADA ramp;
• Vertical displacement — i.e. 1/2 " to 1", 1" to 2", 2" or higher
o Displacement ranges — Defined by City's current Sidewalk Inspection Program
(may be changed per discussions with City);
o Distress Type — i.e. joint faulting, linear cracking, divided slab, buckled slab;
• Sensitive Location — Schools, Parks, City Facilities, etc., locations to be determined by
City Staff;
• Tree — If distress is caused by a tree;
City of Rosemead 1-5
Citywide Sidewalk ADA Master Plan
Approach / Scope of Work
• Utility Box — If distress is caused by a utility box;
o Utility label/type, if any;
• Length — Length of distress, if applicable;
• Recommended Work— i.e. Grind, Ramp, Replace;
• MicroPAVER ID — Unique ID that corresponds with PMP Street GIS Layer;
• Any hazards or sidewalk damage that may not meet requirements of repair to be noted
for future inspections;
• Field notes (if applicable) and inspection date associated with distress priority location;
• Comments — Field for any necessary comments about the distress.
Bucknam will work with City staff to further develop the sidewalk and curb & gutter GIS layers
and their database attributes. Bucknam will deliver all GIS layers in the City's preferred GIS
format (i.e. shapefile, file geodatabase, etc.) along with MXDs and MPKs.
Through our experience in working with sidewalk GIS datasets and MicroPAVER we are
approaching the continuous development and management of the Rosemead sidewalk
inventory in the following manner:
S• Perform all sidewalk data collection through the use of GPS handheld technologies and
personal computers.
o This creates a real-time, accurate GIS database for each distress location
Import all sidewalk GIS data into the City's existing GIS Enterprise program for data
analysis, reporting and management
Deliverable: Defined Master GIS Project file (.mxd); Sidewalk GIS distress map, sidewalk
location map.
TASK 4.3: Sidewalk/ Cub & Gutter Data Collection
Once the street/sidewalk segmentation has been
assessed and verified, the inspection of
approximately 153 miles of sidewalk segments
will be performed (based on 85 miles of streets
with 90% of segments having sidewalks on both
sides). Bucknam will coordinate the sidewalk and
upcoming pavement management surveys
together for efficiency. Our survey methodology
will include the following approach:
1. Walking / GPS Handheld - All sections
will be surveyed utilizing a walking/GPS
methodology. Distress locations and
types will be collected based upon actual
surface conditions found and physical
characteristics of the site. Surveying will
identify distress locations of sidewalk by
GPS coordinates.
City of Rosemead 1-6
Citywide Sidewalk ADA Master Plan
Approach / Scope of Work
Our staff will be following the current sidewalk management program survey schedule (see
below).
FY 2022-23 Sidewalk Management Program Contract:
• 153 miles of sidewalk / Curb & Gutter (Arterials, Collectors and Locals)
o Sidewalk width and typical ADA compliance (slopes)
o Sidewalk variations (vertical / horizontal displacement)
Sidewalk distresses
Identify locations that require sidewalks for ADA accessibility
We have included below the typical Priority distress limits (repair criteria), these limits will be
discussed prior to survey:
• Priority 1 — for "high risk locations' (i.e. schools, churches, city facilities, parks,
commercial centers, etc.) where pedestrian traffic is high and the City has a vested
interest in lowering tripping hazards.
• Priority 2 — (Very Poor), Locations that have a condition of Very Poor or any location
which the field technician considers to be an immediate serious safety concern
o Typically trip, separation, spalling, raised/depressed slab distress areas that are
2" or greater in occurrence
• Priority 3 — (Poor to Fair), Locations that have a condition of Poor to Fair of where the
field technician determines that a problem is not an immediate safety concern
o Typically trip, separation, spalling, raised/depressed slab distress areas that are
1" to 2" in occurrence
• Priority 4 — (Fair to Good), Locations that have a condition of Fair to Good or where the
problem is not a safety hazard
o Typically trip, separation, spalling„ raised/depressed slab distress areas that are
Y2" to 1" in occurrence
o Other obvious crushed or deteriorated locations shall be identified
We welcome staff members from the City of Rosemead to join our surveys.
Our use of mobile GPS Handheld/Tablet units allow our staff to collect necessary project data
with the City of Rosemead's SMP live in the field. At the end of the day collected data is
digitally transferred to our office for quality control and management. We can produce
Sidewalk GIS distress locations at any time during the survey for City QC and/or review.
Section Distress and Condition Reporting
At 50% and 100% Bucknam will generate Sidewalk Location/Distress Reports for City staff
review. The City and our staff will review these reports to ensure that all inventory data is
correct and the project is running smoothly.
City of Rosemead 1-7
Citywide Sidewalk ADA Master Plan
Approach / Scope of Work
Sample screenshots of Sidewalk Inventory report and GIS output
Sidewalk spreadsheet reports, GIS maps and MyRoads® will include:
• Identification of all street segments in a continuous manner (W to E and S to N);
• Sidewalk locations identified within street segments;
• GIS maps identifying sidewalk displacement locations;
• A Sidewalk M&R recommendation map
• Citywide Sidewalk/C&G Atlas Book
• Publication of sidewalk data with Rosemead's MyRoads® PMP web -portal (see image
below)
City of Ruse. 1-8
Citywide Sidewalk ADA Master Plan
Approach / Scope of Work
Deliverable: Citywide Sidewalk Distress Reports (50% and 100% status reports); project
summary findings, final GIS files (.mxd, .shp) recommended repairs; GIS Distress/Deficiency
Atlas Map Book.
TASK4.4: ADA Compliance- Curb Ramp Inventory
Per the City's request, an inventory and update to the City's curb ramp locations will be
performed by Bucknam. As Bucknam performs the required sidewalk repair/distress inventory
we will also provide ADA compliant evaluations for the Rosemead curb ramp inventory.
The United States Access Board provides guidance, standards for the design and alterations of
accessible pedestrian facilities. These general guidelines are known as the 2010 ADA Standards
and proposed Public Right -of -Way Access Guidelines (PROWAG). PROWAG is recognized by the
Federal Highway Administration (FHWA) and Department of Transportation for best practice for
pedestrian facilities and public right-of-way. Additionally, the FHWA and Department of Justice
have provided guidance on the impact of street alterations on the installation of curb ramps and
requirements to improving curb ramps when street improvements are made. Bucknam will
perform an ADA curb ramp compliance assessment within the City's ROW; initially our staff will
digitize existing ADA curb ramp locations as well as potential locations with no ADA ramps
found; this data will drive our field operations to be more efficient and effective.
This will serve as an initial quality control assessment and allow our staff to clarify, communicate
and discuss the City's goal of updating critical ADA data at known locations. Once established
curb ramp data is verified Bucknam will begin the necessary ADA curb ramp
inventories/updates.
Data collected during these efforts will implement and/or update the following criteria. If the
City wishes to add and/or delete specific attributes, this will be discuss and decided upon prior
to survey.
• Location Information
o Unique ID
o GPS coordinates
o Intersection Position
o Use of Calibration Levels (i.e., Stabila, SmartTool)
• Type of Curb Ramp (type 1, type 2, type 3, type 4, type 5, modified curb ramp)
o Running, Cross, and counterslope
o Ramp length, width
o Turning space (length, width, running slope grade
o Flared slopes
o Clear space measurements
City of Rosemead 1-9
Citywide Sidewalk ADA Master Plan
Approach / Scope of Work
o Type 5 Blended Transition ramps
o Flush transition(s)
o Detectable warnings
o Traffic signal push buttons (if present) audio / visual
o Location within City facilities and/or sensitive areas (transit, schools, etc.)
Our data collection services will be performed through on-site, tabular data collection units.
These units will utilize ESRI ArcGIS field and in-house technologies providing our field technicians
with pre-programmed Rosemead ramp locations/attributes.
Bucknam's survey process, data collection and data verification will occur automatically as our
field technicians enter data and move from asset to asset. Technicians then access preloaded
data entry forms and aerial images along the right-of-way.
As mentioned above within our sidewalk inspections, quality control will include blind study re-
inspection and will cover 10% of the original survey quantities. Project management will
continuously review incoming data for missing values and errors to ensure accuracy. Our field
data is immediately linked to GIS which allows our QC team to utilize additional tools for
verifying accuracy and delivery.
Recognizing that the City of Rosemead has limited funds and cannot immediately improve all
curb ramp locations, our deliverables will provide the ability for City staff to assess priorities for
making accessibility modifications over an acceptable timeframe with importance placed on the
highest priority for the community.
Curb Ramo deliverables will include:
• Executive Summary of methods, goals, findings and recommendations
• Master Curb Ramp database (spreadsheet)
• GPS location of all ramps
• GIS Sidewalk/Curb Ramp Map Atlas
• GIS data publication within the City GIS Enterprise
• Cost estimates for recommended improvements
DEVELOP RECOMMENDED IMPROVEMENT PROGRAM
TASK 4.5: Maintenance and Rehabilitation Recommendations
In regard to the sidewalk maintenance that has been performed by in-house staff as well as
through contractual maintenance, our staff will review all sidewalk activities that have been
performed over the past several years. In doing this, Bucknam will be able to identify the FY
2023 unit costs for repair and replacement of sidewalks/ADA curb ramps that the City has been
applying.
City of Rosemead 1-10
Citywide Sidewalk ADA Master Plan
Approach / Scope of Work
We will assist the City in developing the most cost-effective preventative maintenance, repair
and rehabilitation strategies possible. This will be accomplished by meeting with the City to
discuss and strategize maintenance activities/unit costs that are currently being used by the
City. These discussions are typically scheduled for when our sidewalk surveys reach 70%
complete.
These unit costs will in turn be applied to a Maintenance & Repair recommendation report that
will clearly identify fiscal year priority locations for Rosemead sidewalk/ADA improvements. The
projected M&R costs will be identified for each section (both sides) and prioritized
geographically within the City's current maintenance zone schedule. If a zone schedule
currently does not existing, Bucknam will recommend a schedule based upon ADA Transition
data/schedules, distress priorities, geographic distress location and coordination with the City's
Pavement Management Program (PMP).
This will create an annual CIP maintenance list schedule that coincides with the ADA
improvements and your pavement management CIP schedules.
We will focus on projecting budgets and maintenance recommendations for all streets within
maintenance zones; this will allow us to proactively schedule maintenance efforts throughout
a multi-year CIP as well as achieve the desired level of condition.
Our Project Manager and key staff will work closely with City in defining repair and
rehabilitation strategies during each fiscal year and within each tract/area defined by the City.
Once the repair/rehabilitation strategies have been defined, the identification of a multi-year
Forecasted Maintenance schedule will be generated.
The recommended budget scenarios will be identified on the basis of several criteria:
Present sidewalk / ADA ramp conditions;
Scheduling with the City's maintenance zones and other capital projects (ADA
Transition, PMP, water, sewer) ;
The primary emphasis of this task is to maximize the programming of sidewalk maintenance
revenues/projects using the most cost-effective strategies available and taking into account cost
inflations. A Final Report will be generated for City staff to review. The Draft and Final SMP
reports will include:
• Executive Summary / Findings and Recommendations;
• Purpose statement for SMP to establish goals and objectives;
• Assessment of current sidewalk / ADA curb ramp conditions;
• CIP scenario(s) identifying arterial and residential maintenance (per section & zone)
recommendations (grinding, ramping, replacement, etc.) associated with a
construction cost; City will provide funding source budget allocations;
• Sidewalk / ADA curb ramp GIS mapping;
Deliverable: Two (2) copies of the Sidewalk Management Program Report (digital /
hardcopies of the report, mapping and database).
City of Rosemead 1-11
Citywide Sidewalk ADA Master Plan
Approach / Scope of Work
TASK 4.6: Rosemead MyRoads® SMP Web -Portal
Rosemead MyRoads® Web -Portal — Bucknam's MyRoads® is a great match for the Rosemead
SMP today and for the future. Our web -app brings your SMP data to life within a dynamic
dashboardl
Bucknam now provides all our PMP/SMP clients
with a unique and agency driven "MyRoads®"
web -portal that provides instantaneous access to
your asset management databases. This
"dashboard" allows users to toggle through
individual sections via GIS mapping selections,
zone queries, rank selection, PCI ranges, etc. to
review all section metrics, latest/previous
inspections, work histories generate filtered
condition reports and identify potential
maintenance costs based upon your unique
needs. Bucknam has shown the Rosemead
MyRoads® account actively working) This tool
will be accessed by City staff simply through a
Username/Password methodology. As changes
are made to the Rosemead SMP database the
MyRoads® dataset is changed to reflect work
history edits, condition inspections and section
changes.
In summary, MyRoads® allows the user perform the following dynamic functions:
• Query specific pavement segment(s) to view current/historic conditons, work history
inspection;
• Filter for pavement sections within a defined zone, conditional range and/or functional
class;
• Select a section or grouping of section through the on -board GIS tool;
• Display critical street / sidewalk / ADA curb ramp assets along pavement section(s) that
are critical to Engineering Bid development and solicitation (ADA ramps, utilities,
manholes, trees, etc.
• Displays all final GIS project maps (Conditions, work history, multi -yr forecasted
maintenance, etc.)
• Bucknam will train Rosemead staff on the simply use of the MyRoads® dashboard.
City of Rosemead 1-12
Citywide Sidewalk ADA Master Plan
Project Team, Key Personnel & Resumes
Project Team — Key Staff
The Bucknam sidewalk management team's local agency expertise is demonstrated through:
Our experience of managing pavement projects over the past twenty-four (24) years;
with Rosemead since 2009;
o Assisting cities comply with County PMP Propositions/Measures (METRO);
Implementing MicroPAVER throughout Southern California;
o Extensive Los Angeles, Riverside, Orange, San Diego and Inland Empire SMP project
management experience;
Our understanding of public works projects from the "city/agency' side through City
Engineer and Public Works Director experience;
e Implementing a realistic, proactive and sustainable SMP methodology that matches
your agencies needs and goals.
Bucknam will continue to bring our extensive experience to the No key person designated to
City of Rosemead by building upon our knowledge and this project will be removed
understanding of your SMP goals. Mr. Bucknam's sidewalk team or replaced w/o prior
includes twelve (12) dedicated, qualified managers and field written consent from the
technicians that have served under his management for over Agency
twenty years on PMP/SMP projects. His team of inspectors will
update your SMP through sound Army Corps of Engineers — MicroPAVER inspection
methodologies. Mr. Bucknam's experience covers the management and implementation of
infrastructure management programs that exceeds 60,500 miles of pavement for more than 80
cities and 700+ PMP projects.
Bucknam — Key Project Team / Experience
PETER BUCKNAM, Project Manager, will be responsible for the day-to-day management,
daily performance of the project, conditional review and provide budgetary modeling / analysis.
He has managed 700+ pavement management projects over the past 24 years in the Southern
California region and will be the Project Manager for Rosemead's PMP project. Within this time
he has served as project manager for seventy agencies in the Southern California. Peter is
committed to the project from the receipt of the notice -to -proceed through completion and
furthermore he is a PMS software trainer on MicroPAVER/StreetSaver and performed numerous
training sessions for local agencies. He has performed over 50 training workshops covering
software's such as MicroPAVER, StreetSaver and CarteGraph. Our niche team of PMP experts
allows our Project Manager and staff to survey the network in four (4) weeks and deliver the
Final PMP Report prior to the Agency's deadline. He brings his expertise to cities through
converting, implementing, updating, and enhancing pavement management programs; this
covers 20+ years (14 with Bucknam Infrastructure Group, 5 with Bucknam & Associates and 5 with
Berryman and Henigar).
City of Rosemead 2-1
Citywide Sidewalk ADA Master Plan
Project Team, Key Personnel & Resumes
Mr. Bucknam will bring new, fresh and proactive recommendations to this project and will
identify realistic program management and fiscal goals to assist the Agency in its upcoming CIP.
Rosemead will continue to receive recommendations that are sound and achievable, rather than
timid or unrealistic.
STEVE BUCKNAM, P.E., Principal, will be responsible for the overall performance of the
project and provide quality assurance review. Mr. Steve Bucknam is a licensed Civil Engineer
(LIC #20903) and will oversee all tasks for this project. Mr. Bucknam is a former Deputy City
Managerfor Public Works and City Engineer of Norwalk, and City Engineer in Arcadia and Pacifica,
California. He has over 45 years of professional experience and has managed street maintenance,
reconstruction and improvement programs.
SHAUN RUSSO, Senior Technician, will be the lead field surveyor for this project. His
responsibilities will include surveying, quality control, and working with our management staff
ensuring the updated PMP database is complete. He has been involved with over 86 pavement
management projects and brings his wealth of PMP software, GIS and inspection experience to
this project. Shaun is a certified OCTA/ASTM D6433-20 inspector.
AARON SUTTON, GIS Manager, will oversee all GIS and PMS data migration prior and during
the project. He drives all GIS creation, PMS mapping, editing and deliverables forthe project and
is our key staffer for the ArcGIS Online web -hosting services that we provide. Mr. Sutton has been
involved with over 92 pavement management projects within San Bernardino, Riverside, LA, San
Diego and Orange counties.
LINDA WILLIAMS, GIS Analyst, will be a supportive GIS on-site / field technician for this project.
Her responsibilities will include data population, surveying, daily quality control, and working with
our management staff ensuring the GIS projects are complete and delivered proactively. Linda
will be on-site at the City once specific priority projects are scheduled; our technicians will be
responsible for coordinating and communicating GIS work activities with City staff when on-site.
Technicians will also work off-site at Bucknam offices when project workload and schedules
require it. Our technicians are well -versed with ESRI ArcMap 10 and web -based GIS systems.
TIM FENNESSY, Field Technician, will be a supportive field surveyor for this project. His
responsibilities will include surveying, quality control, and working with our management staff
ensuring the updated PMP database is complete. He has been involved with over 56 pavement
management projects and brings his wealth of PMP software, GIS and inspection experience to
this project. Tim is a certified OCTA/ASTM D6433-20 inspector.
AARON COHODAS, Field Technician, will be a supportive field surveyor for this project. His
responsibilities will include surveying, quality control, and working with our management staff
ensuring the updated PMP database is complete. Mr. Cohodas has been involved with over 56
pavement management projects and brings his wealth of PMP software, GIS and inspection
experience to this project. Aaron is a certified OCTA/ASTM D6433-20 inspector
City of Rosemead 2-2
Citywide Sidewalk ADA Master Plan
Project Team, Key Personnel & Resumes
With five technicians on this project that are trained in the Army Corps of Engineers survey
methodology and available to begin work immediately; our survey schedule will be expedited.
Our team will be able to survey the entire 145 miles of sidewalks within seven (7) weeks' time
due to our familiarity with the Rosemead PMP network, experience, availability and man-
power.
In case of heavy rain that can potentially delay scheduled street inspections, our team includes
two (1) additional certified PMP inspectors that can be added to our Field Technician team
above, if necessary.
Team Organization Chart
Team Resumes on the following pages
City of Rosemead 2-3
Citywide Sidewalk ADA Master Plan
Peter J. Bucknam / Project Manager
Director of Infrastructure Management — GIS
EDUCATION
B.A., Geography— Urban Planning, San Diego State University, 1997
PROFESSIONAL DATA
Member, American Public Works Association
Member, Maintenance Superintendents Association
Chair, Transportation Committee, Inland Empire Report Card (ASCE) —2005/06 & 2008/09
Co -Chair, Member APWA Committee for Street and Technology 2003-2015
Certificate of Professional Development—ASTM D6433-18; MicroPAVER
Certificate of Completion — OCTA MicroPAVER / StreetSaver Distress Training (2011 thru 2022)
NASSCO — Certificate, National Pipeline Assessment Certification Program (PACP)
QUALIFICATIONS / EXPERIENCE OVERVIEW
Peter Bucknam is an expert in infrastructure project management, pavement management -training, planning,
resource management, implementation and program management. He has over twenty years' experience in
the area of Geographic Information Systems and infrastructure asset management. Mr. Bucknam has
managed a wide range of infrastructure project tasks including the collection and input of infrastructure
survey data, preparation of Public Works capital improvement program projections and reports,
infrastructure/software needs assessments, GIS/GPS data collection, data conversion and quality control.
Mr. Bucknam has performed infrastructure management services to over 70+ local agencies and is currently
serving as project manager for numerous pavement management programs throughout Southern California.
He has personally served as oroiect manager for 700+ PMP oroiects throughout Riverside, San Bernardino,
San Diego, Orange and Los Angeles counties. He has worked with over 12 Inland Empire County cities, 30 Los
Angeles cities and he is currently working with 19 of the 34 Orange County agencies regarding Measure M2
MicroPAVER/StreetSaver compliance.
His project level and management experience covers: pavement/sidewalk management, Traffic Control
Device Inventories (TCDI), GIS implementation, Traffic Signal surveys, Right -of -Way (ROW) surveys, and ADA
survey/compliance. In managing over 700+ infrastructure projects in the past twenty-four years, Mr.
Bucknam has used a diverse amount of software to assist local agencies implement infrastructure
management programs and GIS Enterprises. These programs include MicroPAVER, MTC StreetSaver,
LambdaTech's GPSVision, Cart6Graph, ESRI products, Crossroads, Lucity, Energov, Spillman, GBA Master
Series, and Mapinfo.
Prior to joining Bucknam Infrastructure Group, Inc., Mr. Bucknam served as Director of Infrastructure
Management -GIS with an Engineering consulting firm where he managed numerous public works
infrastructure/ROW projects ranging from surveying, maintenance life -cycles, cost & benefit analysis,
financing and construction cost estimating. This included researching, surveying, converting and
implementing multiple phase pavement management projects which provided better management practices,
data efficiencies and GIS functionality within local governments and maintenance facilities. In addition, he
provided technical (software) support for the on-going citywide PMS projects as well as developing capital
improvement plans/budgets for integrating Tablet -GIS data management functionality Into future
maintenance efforts.
SAMPLE OF PETER BLICKNAM'S PROJECT MANAGEMENT EXPERIENCE (1997-2022)
• 2022-26
Pavement Management Program, City of Indian Wells
• 2022
Pavement Management Program, City of Ontario
• 2022-27
Pavement Management Program, City of Fullerton
• 2022
Pavement Management Program, City of Lakewood
• 2022
Pavement Management Program, City of Commerce
• 2022
Pavement Management Program, City of Lynwood
• 2022
Pavement Management Program, City of Monrovia
• 2022
Pavement Management Program, City of Covina
• 2022
Pavement Management Program, City of La Habra Heights
• 2022
Pavement Management Program, City of Laguna Hills
• 2022
GIS Enterprise Support Services, City of Alhambra
• 2022
GIS Enterprise Support Services, City of Big Bear Lake
• 2022
Pavement Management Program, City of Big Bear Lake
• 2022
Pavement Management Program, City of Rialto
• 2022
Pavement Management Program, City of Vista
• 2022
GIS Enterprise Support Services, City of Fountain Valley
• 2022
Pavement Management Program, City of Rancho Santa Margarita
• 2022
Pavement Management Program, City of EI Segundo
• 2022
Sign Inventory Program, City of Norwalk
• 2022
Pavement Management Program, City of La Palma
• 2022
Pavement Management Program, City of Laguna Woods
• 2022
GIS Enterprise Support Services, City of Duarte
• 2022
Pavement Management Program, City of Culver City
• 2022
Pavement Management Program, City of Pomona
• 2022
Pavement Management Program, City of Westminster
• 2022
Sign Inventory Program, City of Tustin
• 2022
Pavement Management Program, City of Placentia
• 2022
Pavement Management Program, City of Buena Park
• 2022
Pavement Management Program, City of Huntington Beach
• 2022
Pavement Management Program, City of Rancho Palos Verdes
• 2022
Pavement Management Program, City of Laguna Beach
• 2022
Pavement Management Program, City of Signal Hill
• 2022
Pavement Management Program, City of Seal Beach
• 2022
Pavement Management Program, Inland Empire Utilities Agency
• 2022
Pavement Management Program, City of Costa Mesa
• 2021
Pavement Management Program, City of Lawndale
• 2021
Pavement Management Program, City of Monterey Park
• 2021
Pavement Management Program, City of Santa Ana
• 2021
OCTA Pavement Management Plan (10 Year Study — OCTA)
• 2021
Pavement Management Program, City of Lake Elsinore
• 2021
Pavement Management Program, City of Bellflower
• 2021
Pavement Management Program, City of Indian Wells
• 2021
Pavement Management Program, City of Solana Beach
• 2021
Pavement Management Program, City of Barstow
0 2021
Sign Inventory Program, City of Norwalk
• 2021
Pavement Management Program, City of San Juan Capistrano
• 2021
Pavement Management Program, City of La Habra
• 2021
Pavement Management Program, City of Gardena
• 2021
Pavement Management Program, City of Menifee
• 2021
Pavement Management Program, City of Duarte
• 2020
Pavement Management Program, City of Pomona
• 2020
Pavement Management Program, City of Covina
• 2020
Pavement Management Program, City of Redlands
• 2020
Pavement Management Program, City of Lomita
• 2020
Sign / Pavement Management Programs, City of National City
• 2020
Sign / Pavement Management Programs, City of Murrieta
• 2020
Pavement Management Program, City of Brea
• 2020
Pavement Management Program, City of Tustin
• 2020
Pavement Management Program, City of Compton
• 2020
Pavement Management Program, La Cresta HOA, Temecula
• 2020
Pavement Management Program, City of Glendora
• 2020
Pavement Management Program, City of La Palma
• 2020
Pavement Management Program, City of Laguna Beach
• 2020
Pavement Management Program, City of Sierra Madre
• 2020
Sidewalk/ Pavement Management Programs, City of Lynwood
• 2020
Pavement Management Program, City of Alhambra
• 2020
Pavement Management Program, Inland Empire Utilities Agency
• 2020-25
Pavement Management Program, City of Orange
• 2020-22
Pavement Management Program, City of Fullerton
• 2020
Pavement Management Program, City of Ontario
• 2020
Pavement Management Program, City of Huntington Beach
• 2020
Pavement Management Program, City of La Verne
• 2020
Pavement Management Program, City of Monrovia
• 2020
Pavement Management Program, City of Norwalk
• 2020
Sign Inventory Program, City of Aliso Viejo
• 2020
Pavement Management Program, City of South Pasadena
• 2020
Pavement Management Program, City of Westminster
• 2019
Pavement Management Program, City of Rialto
• 2019
Pavement Management Program, City of Palmdale
• 2019
Pavement Management Program, City of EI Segundo
C. Stephen Bucknam, Jr., P.E., Principal -in -Charge r
EDUCATION
B.S., Civil Engineering, Loyola University of Los Angeles, 1967
M.S., Environmental Engineering, Loyola University of Los Angeles, 1972
PROFESSIONAL DATA
Registered Professional Engineer, States of California (No.20903) and Washington (No.17310)
California State Community College Teaching Credential
Fellow, American Society of Civil Engineers
Former, City Engineer, Deputy City Manager, City of Norwalk
Member, Board of Directors —Urban Water Institute
Life Member, American Public Works Association
Member, Water Environment Foundation
Member, University of California Irvine, Civil & Environmental Engineering Affiliates
Honorary Member, Chi Epsilon
EXPERIENCE OVERVIEW
Over forty years' experience in the administration, management, planning, design and construction
management of public works and development programs and projects including: water and wastewater
projects, pavement management programs, transportation, drainage, including: program management, master
planning, infrastructure planning and maintenance programming, environmental studies, street, highway, alley,
storm drain, water and sewer system design, rate studies, emergency planning, facilities design, groundwater
studies, wells, reservoirs, site studies, pump stations, lift stations, intergovernmental negotiations and
agreements, hydrology, treatment facilities, building design, grants, regulatory permitting, system appraisals,
R/W negotiations, acquisitions and documentation, project management, production control, operations
studies, capital improvement programming and budgeting, hydroelectric projects, underground utilities,
assessment districts, surveying, mapping, legal testimony to public boards, commissions and councils, and
direction of technical advisory committees to joint powers agencies and water districts.
Transportation / Streets — Highways - Traffic
Served as Contract City Engineer for the City of Arcadia responsible for long range advanced planning of the
City's transportation engineering program. Directed the preparation of the City's Transportation Master Plan
which identified, consistent with the City s General Plan the transportation related needs under these
requirements so of AB 1600 nexus constraints.
Acted as Principal in charge over a Pacific Coast Highway (SR-1)/Newport Boulevard (SR -55) interchange, City
of Newport Beach. Project involves a study of various alternatives, conventional and unconventional, for
improvements to the existing interchange.
Restraints include limited right-of-way, environmental challenges (e.g., Newport channel bridge widening,
"Arches" liquor store and restaurant property acquisition, and existing bridge aesthetics), and potential
hazardous waste issues. Alternatives were evaluated and selected to include in the PSR. Included project
coordination with various agencies and sub consultants, and oversight of concept geometries, cost estimating,
and report preparation.
1
Conceptual study, Project Study Report, and Project Report for 1-710/Firestone Boulevard interchange
modification and Firestone Boulevard improvements for City of South Gate. Also involved a feasibility study
which included preparation of a traffic study, conceptual plans for several types of interchanges, construction
cost estimates, and preliminary Caltrans Project Study Report. Prepared ISTEA National Highway System
funding application for authorization and appropriation. Coordination with Caltrans District 7.
Mr. Bucknam has served as the working Principal / Civil Engineer for all pavement management related projects
that Bucknam has performed. This includes projects listed below:
• 2022-26
Pavement Management Program, City of Indian Wells
• 2022
Pavement Management Program, City of Ontario
• 2022
Pavement Management Program, City of Lakewood
• 2022
Pavement Management Program, City of Commerce
• 2022
Pavement Management Program, City of Lynwood
• 2022
Pavement Management Program, City of Monrovia
• 2022
Pavement Management Program, City of Covina
• 2022
Pavement Management Program, City of La Habra Heights
• 2022
Pavement Management Program, City of Laguna Hills
• 2022
GIS Enterprise Support Services, City of Alhambra
• 2022
GIS Enterprise Support Services, City of Big Bear Lake
• 2022
Pavement Management Program, City of Big Bear Lake
• 2022
Pavement Management Program, City of Rialto
• 2022
Pavement Management Program, City of Vista
• 2022
GIS Enterprise Support Services, City of Fountain Valley
• 2022
Pavement Management Program, City of Rancho Santa Margarita
• 2022
Pavement Management Program, City of EI Segundo
• 2022
Sign Inventory Program, City of Norwalk
• 2022
Pavement Management Program, City of La Palma
• 2022
Pavement Management Program, City of Laguna Woods
• 2022
GIS Enterprise Support Services, City of Duarte
• 2022
Pavement Management Program, City of Culver City
• 2022
Pavement Management Program, City of Pomona
• 2022
Pavement Management Program, City of Westminster
• 2022
Sign Inventory Program, City of Tustin
• 2022
Pavement Management Program, City of Placentia
• 2022
Pavement Management Program, City of Buena Park
• 2022
Pavement Management Program, City of Huntington Beach
• 2022
Pavement Management Program, City of Rancho Palos Verdes
• 2022
Pavement Management Program, City of Laguna Beach
• 2022
Pavement Management Program, City of Signal Hill
• 2022
Pavement Management Program, City of Seal Beach
• 2022
Pavement Management Program, Inland Empire Utilities Agency
• 2022
Pavement Management Program, City of Costa Mesa
• 2021
Pavement Management Program, City of Lawndale
• 2021
Pavement Management Program, City of Monterey Park
• 2021
Pavement Management Program, City of Santa Ana
• 2021
Pavement Management Program, City of Lake Elsinore
2
Company Qualifications
Firm Profile and Qualifications
Bucknom Infrastructure Group, Inc (est. 2011, S -Corporation) has a full-service office in
Southern California and is committed to building stronger relationships with government
organizations through frequent communication and team building. We build long-term
partnerships with agencies that expect and require accuracy, efficiency, and integrity in all
aspects of community services. Our experienced staff is committed to ensuring that immediate
and long-term goals are met and are a top priority in the development of pavement
management, infrastructure management, financial, geographic information systems (GIS), and
facility management projects.
Our full-service Infrastructure Management - GIS Division provides comprehensive engineering
and infrastructure/GIS management services, as well as database management, pavement /
ROW field inspection services, and GIS automation and management. Our staff consists of
registered civil engineers; former Director of Public Works -City Engineers and maintenance
specialists who can help implement solutions based upon your specific facility/infrastructure
needs and will provide assistance through each step of your project.
Our extensive professional service offerings include:
Regarding Pavement Management Programs, our firm is currently assisting 60+ local aaencies
comply with SD. LA, Orange and Inland Empire County's pavement reporting requirements.
Pavement-CIP
Pavement Data Conversion
Pavement Condition Surveys
.................. __......................... ........................................
PMP Assessments / Software
ArcGIS Online Apps /Tool Developrr
Public Right -of -Way Inventories
PMP OCTA -
Works
ADA Self-Evaluation/Transition
.............._._.......................... -......_.._............
GASB 34 Compliance/Repo
Intranet GIS Implemental
Contract GIS Services
.......... _ ...................._._...........................
Traffic Control Device / Sign Ir
Maintenance Management Pi
_._ ...—............................. ..........
Record Retention / Scanning!
Services
Regarding Pavement/Sidewalk Management Programs, our firm is currently assisting 60+ SoCal
local agencies comply with the County reporting requirements. In addition to the extensive
knowledge and experience of our infrastructure management professionals, Bucknam provides
a broad scope of administrative, inspection, construction management, civil engineering, and
GIS services to public agencies. The extensive experience of Bucknam's staff, coupled PMP/SMP
service to more than 100 cities and other public agencies, assures our clients that the firm is a
broad based resource with an understanding of today's infrastructure issues and knows how to
provide the necessary solutions to public agencies in today's complex governmental
environment.
We bring a wealth of experience to the City through our successful track record, sidewalk
management knowledge through application, and relationship building through trust and
adherence to schedule. We look forward to working with you on your project. Our handpicked
City of Rosemead 3-1
Citywide Sidewalk ADA Master Plan
Company Qualifications
management professionals are committed to delivering quality services to the City. Our office is
located in Oceanside, CA 3548 Seagate Way, Suite 230 (12 employees).
Delineation of Bucknam Infrastructure Group's Strengths
As Bucknam approaches twenty-five (25) years of pavement management experience, our firm
is distinct and unique in the fact that we have continued to improve upon our long-term local
agency client based throughout Los Angeles County. Building and establishing long-term client
relationships through PMP/SMP management is a clear delineation of our professional services.
Bucknam's experience and qualifications directly related to this project and other key
delineation strengths include:
• Continuous Rosemead PMP assistance and support since 2009;
o Assisting staff in scheduling and forecasting PMP maintenance/ CIP projects;
• Providing PMP/SMP services
Bucknam PMPLA Clients (30 of 88)
to 30 of the 88 Los Angeles
County local agencies in the
past two years (34%); •""'^
Mhastru[cure
• Providing PMP/SMP services
for 21 of the 35 Orange
County local agencies in the
past two years (60%);
• Bucknam now implements anew; se: a5x
Fuscoe's Cloud -based Artificial
.Bucknam lnimrtrvtturt .
Intelligence (AI) Learning a., Mh...
Technology to calculate all pavement section AC/PCC SF quantities;
• Implementation of Rosemead MyRoadSTM — PMP mapping (web -based access/use);
requires no GIS software to view your PMP online (See Task 4.6 within Scope of Work);
• Staff / Firm is certified through OCTA and MTC for use and management of MicroPAVER
/ Street5aver respectively
o Bucknam is ASTM D6433-20 certified through OCTA until June, 2024 for PMP
services to local agencies;
• Focused managers / field technicians that perform infrastructure management services
at cost -competitive rates and deliver quality products;
• Local presence (Oceanside office) allows our firm to be on-site within an hour to
respond to Rosemead's requests and needs;
• Proven Los Angeles County PMP economic ROI regarding long-term CIP
recommendations, implementation, maintenance applications and increased PCI's
City of Rosemead 3-2
Citywide Sidewalk ADA Master Plan
References
Relevant Project Experience
The following project experience presents our description of work, its relevance in completing
similar sidewalk / curb ramp projects for numerous other agencies, Prop. A & C, METRO
compliance, OCTA Measure M & M2 PMP experience, PMP software training expertise, and the
broad knowledge of our pavement/sidewalk project team. Our project team brings over 75
years of public/private engineering and data management experience to the City of Rosemead.
This includes over 500+ PMP projects covering turn -key projects, simply training of City staff
with pavement management methods, County Measure/Proposition compliancy, financial
strategies and Capital Improvement Programs.
Mr. Steve Bucknam, P.E. (Principal) and Mr. Peter Bucknam (PM), have worked with over half
the cities within Orange County, 30+ Los Angeles county local agencies, and twelve (12) San
Diego and Riverside County local agencies regarding pavement management projects. Our
PMP/SMP team successfully managed the OCTA Pavement Management Software project
where he interviewed all 35 Orange County agencies regarding their unique PMP needs and
successfully approved MicroPAVER for County wide use.
Currently, our Sidewalk/Pavement Management Program team is assisting numerous Los
Angeles County agencies; these include Lynwood, Lawndale, Rancho Palos Verdes, Monterey
Park, Compton, Pico Rivera, Palmdale, Alhambra, Hermosa Beach, Culver City, Diamond Bar, La
Habra Heights, Arcadia, Rosemead, EI Segundo, Lomita, La Verne, Sierra Madre, South Pasadena
and Bellflower.
Over the past twenty-four (24) years, we have worked on numerous projects similar to
Rosemead's current SMP project. We have listed five (5) similar "long-term" pavement
management projects that cover the same task descriptions as listed in your RFP (were managed
by our listed Project Management team —See Project Team, Section 2).
1. 2018/21—City of Vista, Sidewalk Management Program -GIS;
2. 2021/22—City of Lawndale Sidewalk Management Program -GIS;
3. 2015/19 —City of Rancho Palos Verdes, Sidewalk Inventory Program — GIS;
4. 2008/19—City of Irvine, "Park & Facility Infrastructure Management Program —GIS;
5. 2012/22 —City of Rosemead, "Pavement Management Program —GIS;
Bucknam Infrastructure Group, Inc.
Citywide Sidewalk Management Program
City of Vista (2018-2025)
Mr. Tim Shell, Principal Civil Engineer— (760) 726-1340
200 Civic Center Drive, Vista, CA 92084 tshell@ci.vista.ca.us
City of Rosemead 41
Citywide Sidewalk ADA Master Plan
References
In 2018 thru 2022, Bucknam was contracted to perform a
citywide sidewalk management inventory for the City of
Vista. This project consisted of a complete turn -key effort
in "re -segmenting" the City's SMP network, converting
previous sidewalk data, performing an ASTM D6433
AC/PCC based survey, implementation of MicroPAVER and
GIS integration. Bucknam utilized our tablet based GPS
technology to identify distress priority locations (1, 2, 3
and 4) throughout the City as well as schedule priority
CDBG projects based upon specific SMP data collected.
Our services cover a three-year inspection and reporting
schedule. Bucknam is also providing pavement
management services to the City and has done so since
2008.
Citywide Sidewalk Management Program
City of Lawndale (2021-2022)
Mr. Ahmad Ansari, Public Works & Engineering Oversight – (909) 595-8599 x141
14717 Burin Avenue, Lawndale, CA 90260 ahmad.ansariPtranstech.ore
Bucknam was recently selected by the City of Lawndale to perform a citywide conversion of
their previous pavement software to MicroPAVER as well as perform 86 miles of sidewalk street
striping, curb markings and ADA ramp surveys. Our staff developed a citywide capital
improvement plan that proactively developed an METRO compliant MPAH network and a local
maintenance zone program that will garner the greatest return -on -investment for the City. All
MicroPAVER data was be linked to the City's GIS system through the ESRI software.
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City of Rosemead
Citywide Sidewalk ADA Master Plan
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References
Citywide Sidewalk Management Program
City of Rancho Palos Verdes (2015-2022)
Mr. James O'neiII, Project Manager—(310) 544-5247
30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275 joneill@rpvca.Qov
In 2018 & 2022, Bucknam was contracted to perform a citywide sidewalk / curb ramp
management inventory for the City of Rancho Palos Verdes. Building from Bucknam's recent
Pavement Management Program updates from 2008 to 2022 our firm was asked to perform a
citywide sidewalk maintenance program survey. This project consisted of performing ASTM
D6433 AC/PCC based surveys, digitizing 5,000+ distress priority locations. Bucknam utilized our
tablet based GPS technology to identify distress priority locations (1, 2, 3 and 4) throughout the
City.
City of Irvine (2008-2019)
-Citywide Pavement Management Program Updates (2008 thru 2019)
-Citywide Facility Hardscape and Parking Lot Assessment (2011-2019)
Mr. Joe Dillman, Public Services Manager— (949) 724-7696
6427 Oak Canyon, Irvine, CA 92618 idillman@cityofirvine.ore
Bucknam was selected in 2008 as the prime "Infrastructure Management" consultant by the City
of Irvine to perform a citywide conversion of their previous CHEC pavement software to
MicroPAVER as well as perform 392 miles of pavement survey. Our staff developed a citywide
capital improvement plan that proactively developed an OCTA compliant arterial network and a
residential maintenance zone program that will garner the greatest return -on -investment for
the Citv.
City of Rosemead 4-3
Citywide Sidewalk ADA Master Plan
References
Bucknam has now performed over five additional phases of PMP services since 2008. Bucknam
performed a citywide AC/PCC sidewalk hardscape survey for all 88 parks within Irvine This
include identifying distress priority locations (1, 2, 3 and 4) within each facility.
Citywide Pavement Management Program Update
City of Rosemead (2012-2022)
Mr. Eddie Chan, City Engineer—(626)-569-2154
8838 E. Valley Boulevard, Rosemead, CA 91770 (echan@cityofrosemead.org)
Bucknam was recently selected by the City of
Rosemead to perform a 2022 PMP update to the
existing MicroPAVER database as well as perform 85
miles of pavement survey.
Our staff developed a citywide capital improvement
plan that proactively developed an METRO compliant
MPAH network and a local maintenance zone program
that will garner the greatest return -on -investment for
the City. All MicroPAVER data was be linked to the
City's GIS system through the ESRI software.
Bucknam has served as the Rosemead PMP consultant
since 20091
4-4
...,LA Master Pian
Standard Contract/ Insurance Requirements
Relevant Standard Contract — Insurance Requirements
Bucknam has reviewed the City's attached Standard City Contract and Insurance Requirements
and we will comply with the aspects of the Agreement.
City of Rosemead 5-1
Citywide Sidewalk ADA Master Plan
Addenda Acknowledgment
Addenda Acknowledgement
At this time, Bucknam has observed Addendum No.1 issued by the City to the Request for
Proposals (RFP). Bucknam acknowledges and accepts the issued addenda.
City of Rosemead 6-1
Citywide Sidewalk ADA Master Plan
Cost Proposal
Cost Proposal
Bucknam Infrastructure Group, Inc. has included a time & materials, not -to -exceed proposed fee
for the City's consideration (separate envelope). Our fee follows the described tasks shown
within the Scope of Work; Hourly Rate Schedule enclosed as well.
As indicated within our fee, all tasks are negotiable.
City of Rosemead 7-1
Citywide Sidewalk ADA Master Plan
Bucknam Infrastructure Group - Detailed Labor and Fee Breakdown
City of Rosemead, CA
2022-2023 Sidewalk ADA Master Plan Services
PROPOSED FEE/PAYMENT FEE SCHEDULE
Bucknam IMmstruMm Group - PROJECT FEE BY TASK BY PERSONNEL
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$185.00
5150.00
514500
E1d5.00
5100.00
5100.00
585.00
BUCKNAM '-'=--MA
Cost Proposal
Standard Hourly Rate Schedule
Category
Rate
Principal
$ 295
Senior Project Manager
215
Senior Engineer/ Planner
195
Construction Manager
195
Pavement Management Project Manager
195
Management Analyst
170
Project Engineer / Planner
160
Sr. Engineer / GIS Manager / Sr. Inspector
150
Assistant Engineer / Sr. Technician / GIS Analyst / Inspector
145
CADD Operator
110
Administrative Assistant
105
Field Technician
100
Clerical/ Word Processing
85
Forensic Services
Quote
Reimbursables
Mileage
$0.72/mile
Su bconsultant Services
Cost + 15%
Reproduction
Cost + 15%
Travel & Subsistence
Cost + 15%
Fees & Permits
Cost+ 15%
Computer Services (External)
Cost+ 15%
Rates Effective 1/1/22
B U C__K N_ A_ M_
3548 Se ae.CA92o56
_
AWI INFRASTRUCTURE GROUP. INC
7:(760)216-6529
wwwbucknam-Inccom
City of Rosemead 7-3
Citywide Sidewalk ADA Master Plan
EXHIBIT B
INSURANCE REQUIREMENTS
Prior to the beginning of and throughout the duration of the Work, Consultant will
maintain insurance in conformance with the requirements set forth below. Consultant will
use existing coverage to comply with these requirements. If that existing coverage does
not meet the requirements set forth here, Consultant agrees to amend, supplement or
endorse the existing coverage to do so. Consultant acknowledges that the insurance
coverage and policy limits set forth in this section constitute the minimum amount of
coverage required. Any insurance proceeds available to City in excess of the limits and
coverage required in this agreement and which is applicable to a given loss, will be
available to City.
Consultant shall provide the following types and amounts of insurance:
Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance with coverage at least as broad as Insurance Services Office
form CG 00 01, in an amount not less than $1,000,000 per occurrence, $2,000,000
general aggregate, for bodily injury, personal injury, and property damage. The policy
must include contractual liability that has not been amended. Any endorsement restricting
standard ISO "insured contract" language will not be accepted.
Business Auto Coverage on ISO Business Auto Coverage form CA 00 01 including
symbol 1 (Any Auto) or the exact equivalent. Limits are subject to review, but in no event
to be less than $1,000,000 per accident. If Consultant owns no vehicles, this requirement
may be satisfied by a non -owned auto endorsement to the general liability policy
described above. If Consultant or Consultant's employees will use personal autos in any
way on this project, Consultant shall provide evidence of personal auto liability coverage
for each such person.
Workers Compensation on a state -approved policy form providing statutory
benefits as required by law with employer's liability limits no less than $1,000,000 per
accident or disease.
Excess or Umbrella Liability Insurance (Over Primary) if used to meet limit
requirements, shall provide coverage at least as broad as specified for the underlying
coverages. Any such coverage provided under an umbrella liability policy shall include a
drop down provision providing primary coverage above a maximum $25,000 self-insured
retention for liability not covered by primary but covered by the umbrella. Coverage shall
be provided on a "pay on behalf basis, with defense costs payable in addition to policy
limits. Policy shall contain a provision obligating insurer at the time insured's liability is
determined, not requiring actual payment by the insured first. There shall be no cross -
liability exclusion precluding coverage for claims or suits by one insured against another.
Coverage shall be applicable to City for injury to employees of Consultant, subconsultants
or others involved in the Work. The scope of coverage provided is subject to approval of
City following receipt of proof of insurance as required herein. Limits are subject to review
but in no event less than $1 Million per occurrence.
Professional Liability or Errors and Omissions Insurance as appropriate shall be
written on a policy form coverage specifically designed to protect against acts, errors or
omissions of the consultant and "Covered Professional Services" as designated in the
policy must include work performed under this agreement. The policy limit shall be no
less than $1,000,000 per claim and in the aggregate. The policy must "pay on behalf of
the insured and must include a provision establishing the insurer's duty to defend the
Named Insured. The policy retroactive date shall be on or before the effective date of this
agreement.
Insurance procured pursuant to these requirements shall be written by insurers
that are admitted carriers in the state of California and with an A.M. Bests rating of A- or
better and a minimum financial size Vll.
General conditions pertaining to provision of insurance coverage by Consultant.
Consultant and City agree to the following with respect to insurance provided by
Consultant:
1. Consultant agrees to have its insurer endorse the third -party general liability
coverage required herein to include as additional insureds City, its officials,
employees and agents, using standard ISO endorsement No. CG 2010 (or
otherwise consistent with the insurer's endorsement). Consultant also
agrees to require all contractors, and subcontractors to do likewise.
2. No liability insurance coverage provided to comply with this Agreement shall
prohibit Consultant, or Consultant's employees, or agents, from waiving the
right of subrogation prior to a loss. Consultant agrees to waive subrogation
rights against City regardless of the applicability of any insurance proceeds,
and to require all contractors and subcontractors to do likewise.
3. All insurance coverage and limits provided by Contractor and available or
applicable to this agreement are intended to apply to the full extent of the
policies. Nothing contained in this Agreement or any other agreement
relating to the City or its operations limits the application of such insurance
coverage.
4. None of the coverages required herein will be in compliance with these
requirements if they include any limiting endorsement of any kind that has
not been first submitted to City and approved of in writing.
5. No liability policy shall contain any provision or definition that would serve
to eliminate so-called "third party action over" claims, including any
exclusion for bodily injury to an employee of the insured or of any contractor
or subcontractor.
6. All coverage types and limits required are subject to approval, modification
and additional requirements by the City, as the need arises. Consultant shall
not make any reductions in scope of coverage (e.g. elimination of
contractual liability or reduction of discovery period} that may affect City's
protection without City's prior written consent.
7. Proof of compliance with these insurance requirements, consisting of
certificates of insurance evidencing all of the coverages required and an
additional insured endorsement to Consultant's general liability policy, shall
be delivered to City at or prior to the execution of this Agreement. In the
event such proof of any insurance is not delivered as required, or in the
event such insurance is canceled at any time and no replacement coverage
is provided, City has the right, but not the duty, to obtain any insurance it
deems necessary to protect its interests under this or any other agreement
and to pay the premium. Any premium so paid by City shall be charged to
and promptly paid by Consultant or deducted from sums due Consultant, at
City option.
8. Certificate(s) are to reflect that the insurer will provide 30 days notice to City
of any cancellation of coverage. A ten (10) day notice to City shall apply to
nonpayment of premiums. Consultant agrees to require its insurer to modify
such certificates to delete any exculpatory wording stating that failure of the
insurer to mail written notice of cancellation imposes no obligation, or that
any party will "endeavor" (as opposed to being required) to comply with the
requirements of the certificate.
9. It is acknowledged by the parties of this agreement that all insurance
coverage (except Professional Liability and Workers' Compensation)
required to be provided by Consultant or any subcontractor, is intended to
apply first and on a primary, noncontributing basis in relation to any other
insurance or self-insurance available to City.
10. Consultant agrees to ensure that subcontractors, and any other party
involved with the project who is brought onto or involved in the project by
Consultant, provide the same minimum insurance coverage required of
Consultant. Consultant agrees to monitor and review all such coverage and
assumes all responsibility for ensuring that such coverage is provided in
conformity with the requirements of this section. Consultant agrees that
upon request, all agreements with subcontractors and others engaged in
the project will be submitted to City for review.
11. Consultant agrees not to self -insure or to use any self-insured retentions or
deductibles on any portion of the insurance required herein and further
agrees that it will not allow any contractor, subcontractor, Architect,
Engineer or other entity or person in any way involved in the performance
of work on the project contemplated by this agreement to self -insure its
obligations to City. If Consultant's existing coverage includes a deductible
or self-insured retention, the deductible or self-insured retention must be
declared to the City. At that time the City shall review options with the
Consultant, which may include reduction or elimination of the deductible or
self-insured retention, substitution of other coverage, or other solutions.
12. The City reserves the right at any time during the term of the contract to
change the amounts and types of insurance required by giving the
Consultant ninety (90) days advance written notice of such change. If such
change results in substantial additional cost to the Consultant, the City will
negotiate additional compensation proportional to the increased benefit to
City.
13. For purposes of applying insurance coverage only, this Agreement will be
deemed to have been executed immediately upon any party hereto taking
any steps that can be deemed to be in furtherance of or towards
performance of this Agreement.
14. Consultant acknowledges and agrees that any actual or alleged failure on
the part of City to inform Consultant of non-compliance with any insurance
requirement in no way imposes any additional obligations on City nor does
it waive any rights hereunder in this or any other regard.
15. Consultant will renew the required coverage annually as long as City, or its
employees or agents face an exposure from operations of any type
pursuant to this agreement. This obligation applies whether or not the
agreement is canceled or terminated for any reason. Termination of this
obligation is not effective until City executes a written statement to that
effect.
16. Consultant shall provide proof that policies of insurance required herein
expiring during the term of this Agreement have been renewed or replaced
with other policies providing at least the same coverage. Proof that such
coverage has been ordered shall be submitted prior to expiration. A
coverage binder or letter from Consultant's insurance agent to this effect is
acceptable. A certificate of insurance and/or additional insured
endorsement as required in these specifications applicable to the renewing
or new coverage must be provided to City within five days of the expiration
of the coverages.
17. The provisions of any workers' compensation or similar act will not limit the
obligations of Consultant under this agreement. Consultant expressly
agrees not to use any statutory immunity defenses under such laws with
respect to City, its employees, officials and agents.
18. Requirements of specific coverage features, or limits contained in this
section are not intended as limitations on coverage, limits or other
requirements nor as a waiver of any coverage normally provided by any
given policy. Specific reference to a given coverage feature is for purposes
of clarification only as it pertains to a given issue, and is not intended by any
party or insured to be limiting or all inclusive.
19. These insurance requirements are intended to be separate and distinct from
any other provision in this agreement and are intended by the parties here
to be interpreted as such.
20. The requirements in this Section supersede all other sections and
provisions of this Agreement to the extent that any other section or provision
conflicts with or impairs the provisions of this Section.
21. Consultant agrees to be responsible for ensuring that no contract used by
any party involved in any way with the project reserves the right to charge
City or Consultant for the cost of additional insurance coverage required by
this agreement. Any such provisions are to be deleted with reference to City.
It is not the intent of City to reimburse any third party for the cost of
complying with these requirements. There shall be no recourse against City
for payment of premiums or other amounts with respect thereto.
Consultant agrees to provide immediate notice to City of any claim or loss against
Consultant arising out of the work performed under this agreement. City assumes no
obligation or liability by such notice but has the right (but not the duty) to monitor the
handling of any such claim or claims if they are likely to involve
AcoRoa CERTIFICATE OF LIABILITY INSURANCE
DATE(WNDDNYYY)
8120/2022
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(8), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: N the certMcete holder is an ADDITIONAL INSURED, the poncy(les) must have ADDITIONAL INSURED provisions or be endorsed.
N SUBROGATION 18 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this carllflcab does not corder rights to the Certificate holder In INu of such endom a rm s .
PRODUCER
A
✓ COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE V OCCURS
PNo� 888 7805381 888 828.2424
WTW MIDWEST INC
44UL Csrti lateHanover.COm
233 S WACKER DR,SUITE 2000
NSU AFFORDING COVERAGE NUC S
MSURERA; ClSzerp lm Cc of America 31534
CHICAGO IL 80608
INSURED
MBURERS: Hanover Insurance Co 22282
INSURER C: Hanover American Ins Cc 36064
GEN'L AGGREGATE LIMIT APPLIES PER
POLICY w] •JET F LOC
OTHER
INSURER D:
BUCKNAM INFRASTRUCTURE GROUP INC
INSURER E:
3548 SEAGATE WAY STE 230
1 nMuRERF;
OCEANSIDE CA 92068
1-i4A1171-fAla
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.
MLTR SR
POLICY NUMBER
POLICTYPEOFMeURANCE Y
EXP
Lam
A
✓ COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE V OCCURS
Y
Y
OBC A39995608
09/182022
0911612023
EACH OCCURRENCE $ 2,000,000
1,000,000
MED EXP we $ 10,000
PERSONAL I ADV INJURY :2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
POLICY w] •JET F LOC
OTHER
GENERAL AGGREGATE S 4,000,000
PRODUCTS- comploP AGO S 4,000,000
S
AIOWNED
AUTOMOBLELYMLRY
ANYAUTO
SCHEDULED
AUTOS
HIREDAUTOS ONLY ✓ AUTOSNOOLY
Y
Y
OBC A399956 08
0911112022
09/182023
BINED 5114GUE LIMITda $ 2.000.000
BODILY INJURY (Par pFreon) S
BODILY INJURY (Per e:aar 1 S
I S
S
A
✓ UMBRELLA UAB
EXCEss LMB
✓
OCCUR
CLAIMS -MADE
Y
Y
OBC A399956 08
09/182022
OWISA 23
EACH OCCURRENCE 4 3,000,000
AGGREGATE $ 3,000,000
OED IV I RETVMON
s
C
WOlUa9WCOMPENSATRM
AND EMPLOVERS' LIABILITY
ANYPROPUETORRMTNEIVEXECVTIVE YIN
GrslcERaIE MEXCLUDEDv ❑N
gyMyaantW,dM m NH)
urwhx
OEBCRe'TKIN OF OPERATIONS below
NIA
N
WZC A39994608
09/162022
09116/2023
✓
E.L EACH ACCSJEM S 1,000,000
EL DISEASE -EA S 1,000,000
EJ- DISEASE -POLICY LIMIT S 1,000.000
B
Architects S Engineers Prof Llab
N
N
LHC H023717 03
091182022
09116/2023
Cama -Mads: $2M Ea CWm1112M Agg
DESCRW"ONOPOPEMTIONSILOCATXNNlVE1aCLFS(ACORD101,Addtlentll4mada8aMduM,mWbaaWtlw ff.sP�aaa h.M
City of Rosemead, its oMdels, empye rs and agents are Additional Insured on the General LlebXity and Auto Liability pursuant to 811 terns and conditions by form
391-1588. Additional Insured Is Primary and Norlanbtbutory, to the extent provided by form 391-1003 (pg 79 of 81). Waiver of Subrogation as provided by form 391-1003
(pg SO of 81). Cancellation Notice will be provided to the CertlBaN Holder pursuant to endorsement 401-1235. Such notice is solely for the purpose of Informing the
Caffmts Holder of the effective date of analiation and does not grant, atter, or extend my rights or obligations under this pocky.
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 ROSEMEAD AUTHORMED REppEeENTATNE
8838 E VALLEY BOULEVARD PO BOX 399 G C , i I
ROSEMEAD CA 91770
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
ACC)R& CERTIFICATE OF LIABILITY INSURANCE
pAT8/23120Mp 23
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: Ifthe cartNlcate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
N SUBROGATION IS WANED, 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 Ileu of such endomement(s).
PRODUCER
WTW MIDWEST INC
233 S WACKER DR,SUITE 2000
CHICAGO IL 60606
CONTACT
NAME;
PHONE IN ladl. (888 780-5381 F/U�C No: (866)828-2424
Certificate@Hanover.wm
INSURERS AFFORDING COVERAGE NAIC e
INSURERA: Ciezerelns Coof Amence 31534
INSURED
BUCKNAM INFRASTRUCTURE GROUP INCINSURER
3548 SEAGATE WAY STE 230
OCEANSIDE CA 92056
INSURERS: Hanoverinsuronce Co 22292
INSURERC: Hanover Amencanlns Co 36064
D:
INSURER E:
1INSURER 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 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
ADDIL
SUER
POLMY NUMBER
PMOpGYEFF
MMMW
LIMITS
l
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 2,000.000
CWMSMADE T✓ OCCUR
DAMAGE TO KL
PREMISES Ea xwmnre $ 1,000,000
MED EXP we person $ 10,000
PERSONAL aADV INJURY $ 2.000,000
A
Y
Y
OBC A399956 09
09/16/2023
09/16/2024
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $ 4,000,000
PRODUCTS -COMP/OPAGG S 4000,000
POLICY FV] JCT FLOC
$
OTHER:
1
AUTOMOBILEUABILITY
COMBINED SINGLE LIMIT $ 2,000,000
Me Maiden/
BODILY INJURY (Per person) $
ANY AUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON-OMED AUTOS ONLY AUTOS ONLY
Y
Y
OBC A39995609
09/16/2023
09/16/2024
BODILY INJURY (Per accident) $
PPeOLaPE nDAMAGE f
f
UMBRELLALWB
OCCUR
EACH OCCURRENCE $ 3,000,000
AGGREGATE $ 3,000,000
A
EXCESS LIAR
CLAIMS -MADE
Y
Y
OBC A399956 09
09/16/2023
09/16/2024
DED IV I RETENTION
$
C
WORIO:RSCOMPENSATION
AND EMPLOYER$' UhBSITY
OFFICEORIMEM ERPEXCLUDE�ECUTNE YIN
(ManCamry In NH)
N/A
N
WZC A39994609
09/16/2023
09/16/2024
SEATUTE ER
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE -EAEMPLOYEE $ 1,000,000
E.L. DISEASE -POLICY LIMB S 1,000,000
N s, desaibe under
DESCRIPTION OF OPERATIONS below
B
Architects & Engineers Prof Uab
N
N
LHC H023717 04
09/16/2023
09/16/2024
Claims -Made: $2M Ea Claim/$2M Agg
DESCRIPTION OF OPERATION3I LOCATIONS / VEHICLES (ACORD 101, Addebnal Ramarlu Schedule, may M aeaehed N mon space Is required)
City of Rosemead, Its officials, emplyees and agents are Additional Insured on the General Liability and Auto Liability pursuant to the terms and Conditions by forth
391-1586. Additional Insured Is Primary and Nonwntnbutory to the extent provided by form 391-1003 (pg 79 of 81). Waiver of Subrogation as provided by form 391-1003
(pg 80 of 81). Cancellation Notice Will be provided to the Certificate Holder pursuant to endorsement: 401-1235. Such notice is solety for the purpose of informing the
Certificate Holder of the effective date of Cancellation and does not grant, atter, or extend any rights or obligations under this policy.
CFRTIFICATE HOLDER CANCELLATION
®1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) 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 ROSEMEAD
AUTHORIZED REPRESENTATIVE
8838 E VALLEY BOULEVARD PO BOX 399
ROSEMEAD CA 91770
l
®1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Trance Group_
OBCA399956 1309570
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
GENERAL LIABILITY SUPPLEMENTARY ENDORSEMENT
This endorsement modifies insurance provided under the following
BUSINESSOWNERS COVERAGE FORM
391-1586 0816 Includes copyrighted material of Insurance services Offices, Inc., with its permission. Page 1 of 2
injury and advertising injury".
A. Additional Insured by Contract, Agreement or
Permit
(2) To any person or organization included
as an insured by another endorsement
The followingis added to SECTION II _
issued by us and made part of this
LIABILITY, C. Who Is An Insured:
Coverage Part.
Additional Insured by Contract, Agreement or
(3) To any lessor of equipment:
Permit
(a) After the equipment lease expires;
a. Any person or organization with whom you
or
agreed in a written contract, written
agreement or permit that such person or
(b) If the "bodily injury", "property
organization to add as an additional insured
damage", or "personal and
on your policy is an additional insured only
advertising injury" arises out of sole
with respect to liability for "bodily injury",
negligence of the lessor
"property damage", or "personal and
(4) To any:
advertising injury" caused, in whole or in
(a) Owners or other interests from
part, by your acts or omissions, or the acts
whom land has been leased if the
or omissions of those acting on your behalf,
but only with respect to:
"occurrence" or offense takes place
or the offense is committed after
(1) "Your work" for the additional insured(s)
the lease for the land expires; or
designated in the contract, agreement
"bodily
(b) Managers or lessors of premises if:
or permit including injury" or
"property damage" included in the
'.property damage"
t The lace or
(I) P
operations hazard"
the offense is committed after
only if this Coverage Part provides such
you cease to be a tenant in that
coverage.
premises; or
(2) Premises you own, rent, lease or occupy;
(ii) The "bodily. injury", "property
or
damage", personal injury" or
(3) Your maintenance, operation or use of
"advertising injury" arises out of
structural alterations, new
equipment leased to you.
construction or demolition
b. The insurance afforded to such additional
operations performed by or on
insured described above:
behalf of the manager or lessor.
(1) Only applies to the extent permitted by
(5) To "bodily injury", "property damage" or
law; and
"personal and advertising injury arising
(2) Will not be broader than the insurance
out of the rendering of or the failure to
which you are required by thecontract,
render any professional services.
agreement or permit to provide for such
This exclusion applies even if the claims
additional insured.
against any insured allege negligence
(3) Applies on a primary basis if that is
or other wrongdoing in the supervision,
required bythe written contract, written
hiring, employment, training or
agreement or permit.
monitoring of others by that insured, if
the "occurrence" which caused the
4 Will not be broader than coverage
() g
"bodily injury" or "property damage" or
provided to any other insured.
the offense which caused the "personal
(5) Does not apply if the "bodily injury",
and advertising injury" involved the
"property damage" or "personal and
rendering of or failure to render any
advertising injury" is otherwise
professional services by or for you.
excluded from coverage under this
d. With respect to the insurance afforded to
Coverage Part, including any
these additional insureds, the following is
endorsements thereto.
added to SECTION 11 - LIABILITY, D. Liability
c. This provision does not apply:
and Medical Expense Limits of Insurance:
(1) Unless the written contract or written
The most we will pay on behalf of the
agreement was executed or permit was
additional insured for a covered claim is the
issued prior to the "bodily injury",
lesser of the amount of insurance:
"property damage", or "personal
391-1586 0816 Includes copyrighted material of Insurance services Offices, Inc., with its permission. Page 1 of 2
1. Required by the contract, agreement or
permit described in Paragraph a.; or
2. Available under the applicable Limits of
Insurance shown in the Declarations.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations
B. Aggregate Limits of Insurance per Project or per
Location
The following changes are made to SECTION II -
LIABILITY:
1. The following is added to SECTION II -
LIABILITY, D. Liability and Medical
Expenses Limits of Insurance, paragraph 4:
The Aggregate Limits of Insurance apply
separately to each of "your projects"or each
"location" listed in the Declarations.
2. For the purpose of coverage provided by
this endorsement only, the following is
added to SECTION 11 - LIABILITY, F. Liability
And Medical Expenses Deflnidons:
1. "Your project" means:
a. Any premises, site or "location" at,
on, or in which your work" is
not yet completed; and
b. Does not include any "location" listed
in the Declarations.
2. "Location" means premises involving the
same or connecting lots, or premises
whose connection is interrupted only by
a street, roadway, waterway or
right-of-way of a railroad.
ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED.
391-1586 0816 Includes copyrighted material of Insurance Services Offices, Inc., with its permission. Page 2 of 2
Hanover
Insurance Group_
OBCA399956 1309570
1. SECTION I - PROPERTY, if two or more of
However, if you agree in a written
this coverage part's coverages apply to
contract, written agreement, or
the same loss or damage, we will not pay
written permit that the insurance
more than the actual amount of the loss or
provided to any person or
damage.
organization included as an
2. SECTION II - LIABILITY, it is our stated
Additional Insured under this
intent that the various Coverage Parts,
Coverage Part is primary and
forms, endorsements or policies issued to
non-contributory, we will not seek
the named insured by us, or any company
contribution from any other
insurance available to that Additional
affiliated with us, do not provide any
Insured which covers the Additional
duplication or overlap of coverage for the
"suit", "occurrence",
Insured as a Named Insured except:
same claim, offense,
accident, "wrongful act" or loss. We will
(1) For the sole negligence of the
not pay more than the actual amount of
Additional Insured; or
the loss or damage.
(2) When the Additional Insured is
If this Coverage Part and any other
an Additional Insured under
Coverage Part, form, endorsement or
another liability policy.
policy issued to the named insured by us,
b. Excess Insurance
or any company affiliated with us, apply to
the same claim, "suit", occurrence,
This insurance is excess over:
offense, accident, "wrongful act" or loss,
(1) Any of the other insurance,
the maximum Limit of Insurance under all
whether primary, excess,
such Coverage Parts, forms,
contingent or on any other basis:
endorsements or policies combined shall
(a) That is Fire, Extended
not exceed the highest applicable Limit of
Coverage, Builder's Risk,
Insurance under any one Coverage Part,
Installation Risk or similar
form, endorsement or policy.
coverage for "your work";
This condition does not apply to any
(b) That is Property Insurance for
Excess or Umbrella Policy issued by us
premises rented to you or
specifically to apply as excess insurance
temporarily occupied by you
over this policy.
with permission of the owner;
G. Liberalization
(c) That is insurance purchased
If we adopt an revision that would broaden
P Y
by you to cover your liability
the coverage under this policy without
as a tenant for "property
additional premium within 45 days prior to or
damage" to premises rented
during the policy period, the broadened
to you or temporarily
coverage will immediately apply to this policy.
occupied by you with
H. Other Insurance
permission of the owner; or
1. SECTION I - PROPERTY
(d) If the loss arises out of the
If there is other insurance covering the
maintenance or use of
aircraft, autos" or watercraft
same loss or damage, we will a only for
9 pay Y
to the extent not subject to
the amount of covered loss or damage in
SECTION 11 - LIABILITY,
excess of the amount due from that other
Exclusion g. Aircraft, Auto or
insurance, whether you can collect on it or
Watercraft; and
not. But, we will not pay more than the
applicable Limit of Insurance of SECTION 1
(2) Any other primary insurance
-PROPERTY.
available to you covering liability
2. SECTION II -LIABILITY
for damages arising out of the
premises or operations, or the
If other valid and collectible insurance is
products and completed
available to the insured for a loss we
operations, for which you have
cover under SECTION II - LIABILITY, our
been added as an additional
obligations are limited as follows:
insured by attachment of an
a. Primary Insurance
endorsement.
This insurance is primary except when
When this insurance is excess, we
will have no duty under SECTION -
paragraph b. below applies. If this
LIABILITY to defend the insured
insurance is primary, our obligations
against any "suit" if any other
are not affected unless any of the
insurer has duty to defend the
other insurance is also primary. Then,
insured against that "suit". If other
we will share with all that other
rt
defendsinsurer ake to
will
insurance by the method described in
do so, butwe w lleed to the
paragraph c. below.
391.1003 08 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 79 of 81
insured's rights against all those other
insurers.
c. When this insurance is excess over other
insurance, we will pay only our share of
the amount of the loss, if any, that
exceeds the sum of:
(1) The total amount that all such other
insurance would pay for the loss in
the absence of this insurance; and
(2) The total of all deductible and
self-insured amounts under all that
other insurance.
d. We will share the remaining loss, if any,
with any other insurance that is not
described in this provision and was not
bought specifically to apply in excess of
the Limits of Insurance shown in the
Declarations for this Coverage.
e. Method of Sharing
If all of the other insurance permits
contribution by equal shares, we will
follow this method also. Under this
approach each insurer contributes equal
amounts until it has paid its applicable
Limit of Insurance or none of the loss
remains, whichever comes first.
If any of the other insurance does not
permit contribution by equal shares, we
will contribute by limits. Under this
method, each insurer's share is based on
the ratio of its applicable Limit of
Insurance to the total applicable limits of
insurance of all insurers.
f. When this insurance is excess, we will
have no duty under Business Liability
Coverage to defend any claim or "suit"
that any other insurer has a duty to
defend. If no other insurer defends, we
will undertake to do so; but we will be
entitled to the insured's rights against all
those other insurers.
Premiums
1. The first Named Insured shown in the
Declarations:
a. Is responsible for the payment of all
premiums; and
b. Will be the payee for any return
premiums we pay.
2. The premium shown in the Declarations was
computed based on rates in effect at the time
the policy was issued. On each renewal,
continuation or anniversary of the effective
date of this policy, we will compute the
premium in accordance with our rates and
rules then in effect.
3. With our consent, you may continue this
policy in force by paying a continuation
premium for each successive one-year
period. The premium must be:
a. Paid to us prior to the anniversary
date; and
b. Determined in accordance with
paragraph 2. above.
Our forms then in effect will apply. If you
do not pay the continuation premium, this
policy will expire on the first anniversary
date that we have not received the
premium.
4. Undeclared exposures or change in your
business operation, acquisition or use of
locations may occur during the policy
period that is not shown in the
Declarations. If so, we may require an
additional premium. That premium will be
determined in accordance with our rates
and rules then in effect.
J. Premium Audit
1. This policy is subject to audit if a premium
designated as an advance premium is
shown in the Declarations. We will
compute the final premium due when we
determine your actual exposures.
2. Premium shown in this policy as advance
premium is a deposit premium only. At the
close of each audit period, we will
compute the earned premium for that
period and send notice to the first Named
Insured. The due date for audit premiums
is the date shown as the due date on the
bill. If the sum of the advance and audit
premiums paid for the policy period is
greater than the earned premium, we will
return the excess to the first Named
Insured.
3. The first Named Insured must keep
records of the information we need for
premium computation and send us copies
at such times as we may request.
K. Transfer of Rights of Recovery Against Others
to Us
1. Applicable to SECTION I - PROPERTY
Coverage:
If any person or organization to or for
whom we make payment under this policy
has rights to recover damages from
another, those rights are transferred to us
to the extent of our payment. That person
or organization must do everything
necessary to secure our rights and must
do nothing after loss to impair them. But
you may waive your rights against another
party in writing:
391.1003 08 16 Includes copyrighted material of Insurance services Office, Inc., with its permission. Page 80 of 81
a. Prior to a loss to your Covered
Property.
b. After a loss to your Covered Property
only if, at time of loss, that party is
one of the following:
(1) Someone insured by this
insurance;
(2) A business firm:
(a) Owned or controlled by you;
or
(b) That owns or controls you; or
(3) Your tenant.
You may also accept the usual bills of
lading or shipping receipts limiting the
liability of carriers.
This will not restrict your insurance.
2. Applicable to SECTION II - LIABILITY
Coverage:
If the insured has rights to recover all or
part of any payment we have made
under this Coverage Part, those rights
are transferred to us. The insured must
do nothing after loss to impair such
rights. At our request, the insured will
bring "suit' or transfer those rights to us
and help us enforce them.
s Hanover
]nsurante Group-
OBCA399956 1309570
We waive any right of recovery we may
have against any person or
organization with whom you have a
written contract, permit or agreement
to waive any rights of recovery against
such person or organization because of
payments we make for injury or
damage arising out of your ongoing
operations or "your work" done under a
contract with that person or
organization and included in the
"products -completed operations
hazard".
This condition does not apply to
Medical Expenses Coverage.
L. Transfer of Your Rights and Duties Under
This Policy
Your rights and duties under this policy
may not be transferred without our written
consent except in the case of death of an
individual Named Insured. If you die, your
rights and duties will be transferred to your
legal representative but only while that
legal representative is acting within the
scope of their duties as your legal
representative. Until your legal
representative is appointed, anyone with
proper temporary custody of your property
will have your rights and duties but only
with respect to that property.
391-1003 08 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 81 of 81
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION TO DESIGNATED ENTITY(S)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
COMMERCIAL LIABILITY UMBRELLA COVERAGE PART
HANOVER COMMERCIAL FOLLOW FORM EXCESS AND UMBRELLA POLICY
COMMERCIAL PROPERTY COVERAGE PART
BUSINESS AUTO COVERAGE FORM
BUSINESSOWNERS COVERAGE FORM
Name of Designated Entity Mailing Address or Email Address
Days � Notirce
CITY OF ROSEMEAD
30
8838 E. VALLEY BOULEVARD,
PO BOX 399
ROSEMEAD CA
91770
(Information required to complete this Schedule, if not shown above, will be shown in the Declarations.)
If we cancel this policy for any reason other than nonpayment of premium, we will give written notice of
such cancellation to the Designated Entity(s) shown in the Schedule. Such notice may be delivered or sent
by any means of our choosing. The notice to the Designated Entity(s) will state the effective date of
cancellation.
Unless otherwise noted in the Schedule above, such notice will be provided to the Designated Entity(s) no
more than the number of days in advance of the effective date of cancellation that we are required to
provide to the Named Insured for such cancellation.
Such notice of cancellation is solely for the purpose of informing the Designated Entity(s) of the effective
date of cancellation and does not grant, alter, or extend any rights or obligations under this policy.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
401-12351214 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1