2200 - Michael Baker, Inc. - Environmental Consultant ServicesPROFESSIONAL SERVICES AGREEMENT
ENVIRONMENTAL CONSULTANT SERVICES
MICHAEL BAKER INTERNATIONAL, INC.
PARTIES AND DATE.
This Agreement is made and entered into this 20th Day of March, 2024
(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 Michael Baker
International, Inc., a California corporation with its principal place of business at 3760
Kilroy Airport Way, Suite 270, Long Beach, CA 90806 ("Consultant'). City and Consultant
are sometimes individually referred to herein as 'Party" and collectively as "Parties."
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 Environmental
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 Consultant to render such ongoing professional
Environmental Consulting Services ("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 Environmental
Consulting Services necessary for the Project, herein referred to a "Services". The Services
are more particularly described in Exhibit A attached hereto and incorporated herein by
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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 December 31, 2024, 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
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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 herdesignee.
3.2.6 Consultant's Representative: Consultant hereby designates John
Bellas and Kathalyn Tung, 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
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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 Thousand Eight Hundred Dollars ($5,800) and in accordance with
consultant's proposal dated March 13, 2024. 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.
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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 ofAgreement.
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.
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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:
Michael Baker International, Inc.
3760 Kilroy Airport Way, Suite 270
Long Beach, CA 90806
Attn: John Bellas
Tel: (562) 200-7170
Mill
City of Rosemead
8838 E. Valley Boulevard
Rosemead, CA 91770
Attn: Lily Valenzuela
Tel: (626) 569-2142
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 parry 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.
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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 parry 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.
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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.
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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 Parry.
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]
Michael Baker International, Inc.
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CITY OF ROSEMEAD
Ben Kim. Ci Manager to
Atter---�
2 2cuy
Ericka Hemandez, City Clerk Date
Approved as to Form:
�W ",, 04/02/2024
Rachel Richman
City Attorney
Date
MICHAEL BAKER
INTERNATIONAL, INC.
By: � /D—
Name: William M. Hoose
Title: Vice President
[If Corporation, TWO SIGNATURES,
President OR Vice President AND
Secretary, AND CORPORATE
SEAL OF CONTRACTOR
REQUIRED]
Name: Richard Beck
Title: Vice President
Michael Baker International, Inc.
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EXHIBIT A
SCOPE OF SERVICES
We Make a Difference
INTERNATIONAL
March 13, 2024
Lily T. Valenzuela
Deputy Director of Community Development
CITY OF ROSEMEAD
8838 E. Valley Boulevard
Rosemead, CA 91770
RE: PROPOSAL FOR 9208 MARSHALL STREET ACQUISITION PROJECT NEPA
DOCUMENTATION
Dear Ms. Valenzuela:
Michael Baker International, Inc. (Michael Baker) is pleased to submit this letter proposal to prepare an
environmental review for the City of Rosemead (City) in accordance with the U.S. Department of Housing
and Urban Development's (HUD) regulations for the implementation of the National Environmental Policy
Act (NEPA) pursuant to Title 24, Part 58 of the Code of Federal Regulations (24 CFR 58) for the 9208
Marshall Street Acquisition Project (Project). The City proposes to utilize the American Rescue Plan's
Coronavirus State and Local Fiscal Recovery Funds (SLFRF) to purchase four parcels (Assessor's Parcel
Numbers 8594-002-034,8594-002-038,8594-002-039, and 8594-027-052) located along Hart Avenue and
Marshall Street. SLFRF may be used for activities that are eligible under Section 105(a) of the Housing and
Community Development Act of 1974 (Title I projects) and the Community Development Block Grant
(CDBG) program, which allow for the acquisition of real property that is blighted, deteriorated,
deteriorating, undeveloped, or inappropriately developed from the standpoint of sound community
development and growth. Title I projects must also satisfy at least one CDBG National Objective in order
to utilize SLFRF. This Project would satisfy the National Objective relating to "Spot Slum/Blight," which
allows for acquisition activities that "eliminate specific conditions of blight or physical decay on a spot
basis not located in a designated slum or blighted area' In addition, the Project is categorically excluded
subject to Section 58.5 (CEST) pursuant to the Code of Federal Regulations (CFR), Title 24, Section
58.35(a)(5):
Acquisitan (including leasing) or disposition of, orequityloans on an existing structure, or
acquisition (including leasing) of vacant land provided that the structure orland acquired,
financed, or disposed of wiNberetainedfor the same use.
As such, Michael Baker will prepare a CEST environmental review document (CEST Form) for the Project.
The following sections of this letter proposal identify our proposed project team, scope of work
schedule, and fee to complete the Project's CEST Form.
3760 Kilroy Airport Way, Suite 2701 Long Beach, CA 90806
MBAKERINTL.COM Office- 56a20a71651 Fax 562-2o67i661 mbakerintkom
Michael Baker International, Inc.
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Page 2
9208 Marshall Street Acquisition Project NEPA Documentation
PROJECT TEAM
John Bellas will serve as the project director for the Project. With over 20 years of environmental planning
experience, he has managed the preparation of numerous NEPA and CEQA documents for a wide range
of projects, including land development projects, long-range plans and programs, and capital
improvement projects. Notably, John has prepared numerous HUD NEPA and CEQA documents for
jurisdictions throughout California, including EA/FONSIs and Statutory Worksheets for the cities of
Pasadena, Santa Cladta, Lawndale, and Rosemead. As project director, John will oversee the following staff
working to complete the Project.
Kathalyn Tung, Senior Environmental Planner, will be the day-to-day project manager for the Project. She
has 16 years of experience assisting in and managing the preparation of environmental documentation
in accordance with NEPA for a variety of federal actions, including housing projects and coastal and water
infrastructure construction. Kathalyn has also assisted in and managed the preparation of NEPA and CEQA
documents for housing construction and infrastructure improvement projects in California.
SCOPE OF WORK
As stated above, the Project appears to qualify as an activity that is categorically excluded pursuant to 24
CFR 58.35(a)(5). Thus, Michael Baker will prepare a CEST Form for the City. The content of the CEST Form
will be consistent with HUD's recommended format pursuant to 24 CFR Part 58. The analysis will include
all required determinations and compliance documentation for the laws and authorities specified in 24
CFR Sections 50.4, 58.6, and 58.5. The following are the primary compliance factors of the CEST Form:
Airport Hazards, Coastal Barrier Resources, Flood Insurance, Clean Air, Coastal Zone Management,
Contamination and Toxic Substances, Endangered Species, Explosive and Flammable Hazards, Farmlands
Protection, Floodplain Management, Historic Preservation, Noise Abatement and Control, Sole Source
Aquifers, Wetlands Protection, Wild and Scenic Rivers, and Environmental Justice. The CEST Form will also
include several HUD -required summary sections, including mitigation measures, funding breakdown, and
summary of findings and conclusions.
Please note that this scope of work assumes that no mitigation or other compliance steps (i.e., additional
reports, studies, consultations, permits, or agreements) would be required other than those identified
herein. Further, this scope assumes that the activity described forthis Project would have "no potential to
cause effects" on historic properties as defined in 36 CFR Section 800.3 and would have no further
obligations under Section 106 of the National Historic Preservation Act.
Note, since this scope of work assumes the Project would not have any impacts requiring mitigation, the
Project can convert to exempt and no compliance/consultation with regulatory authorities are required.
Therefore, a Notice of Intent/Request for the Release of Funds (NO1/RROF) and public review of the NEPA
document would not be necessary. Upon receipt of specific project information and/or completion of
background research, if sensitive resources or environmental concerns are identified that would require
more detailed environmental analysis (Le., additional reports/assessments, technical studies or regulatory
agency permits) than included herein, Michael Baker will notify the City immediately and supplemental
services/work effort may be required.
Michael Baker International, Inc.
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Page 3
9208 Marshall Street Acquisition Project NEPA Documentation
This scope of work assumes that Michael Baker will prepare an administrative draft CEST Form for City
review. Michael Baker will address the City's comments on the administrative draft CEST Form and will
submit a proofcheck draft of the CEST Form for the City's final review. Following the final review by the
City, Michael Baker will provide the final version and related attachments, which will be shared with the
City electronically. Michael Baker will compile an Environmental Review Record (ERR) pursuant to 24 CFR
5838(d). The ERR will be in digital format and will include copies of all source/compliance documentation.
• Administrative draft CEST Form (electronic)
• Proofcheck draft CEST Form (electronic)
• Final CEST Form (electronic)
• ERR(electronic)
SCHEDULE
Michael Baker is committed to completing the project in a time frame that meets the City's needs. We
anticipate executing the scope of work outlined above in the following timeline:
Tasks/Milestones
Duration
Timeline
Kickoff meeting or email communication describing the Project
1 day
mmZ
Week 1
Prepare administrative draft CEST Form
3weeks
Weeks 1-3
City review of administrative draft CEST Form
lweek
Week4
Michael Bakerfinalizes CEST Form
<1 week
Week
Provide a copy of the ERR to the City
<1 week
Week 5
• This scope of work assumes no mitigation or compliance steps would be required and the project would
convert to exempt. As such, publishing a Notice of Intent/Request for Release of Funds (NOI/RROF) would
not be necessary. if mitigation or more detailed envlronmental analysis Is required, Michael Baker will
notify the City immediately and supplemental services/work effort may be required.
FEE
The proposed firm fixed price for this scope of work is $5,800.
ASSUMPTIONS
Michael Baker makes no assumptions regarding the appropriate NEPA documentation for the Project.
Should the environmental analysis reveal that an environmental assessment is the appropriate NEPA
document for the Project, Michael Baker would be available to prepare the document under a scope and
cost amendment perthe mutual agreement of the City and Michael Baker.
Michael Baker International, Inc.
Page 14 of 19
Page 4
9208 Marshall Street Acquisition Project NEPA Documentation
Michael Baker assumes that the City will provide any available project plans or technical studies relevant
to completing the NEPA documentation for the Project If additional technical studies other than those
detailed below become necessary, Michael Baker would be available to conduct the studies per the
mutual agreement of the City and Michael Baker.
Michael Baker has included one City review of the administrative draft version of the CEST Form included
in our scope of work, as well as one proof -check draft version. Should multiple reviews substantively
beyond those included in our scope of work be requested by the City, additional Michael Baker staff time
may be necessary beyond the established budget Should such a scenario arise, we would work with the
City to seek mutually agreeable budget augmentation.
Michael Baker assumes that the project description will not substantively change during the assignment.
Should the project description change during the course of the work, additional Michael Baker staff time
may be necessary beyond the established budgetto revise/updatethe document and the analysis. Should
such a scenario arise, we would work with the City to seek mutually agreeable budget augmentation.
CLOSURE
Michael Baker appreciates the opportunity to submit this proposal. Our proposed scope of work and
corresponding fee have been developed to meet the City's needs and to satisfy NEPA requirements for
the proposed project. However, should the services proposed herein exceed or fall short of your
expectations, Michael Baker would appreciate the opportunity to meet with you to review your concerns,
make the appropriate modifications to the scope of work, and revise the proposed fee accordingly.
Michael Baker stands ready to proceed with the proposed scope of work upon the City's authorization. If
you have any questions regarding this proposal, please do not hesitate to contact John Bellas, Project
Director, at (562) 200-7170 or ibellasf&mbakerintl.com or Kathy Tung, Project Manager, at (213) 372-1014
or kathalvn.tunoi
Michael Baker International, Inc.
Page 15 of 19
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
that $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.
Michael Baker International, Inc.
Page 16 of 19
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.
Acceptable insurers: All insurance policies shall be issued by an insurance
company currently authorized by the Insurance Commissioner to transact business of
insurance or is on the List of Approved Surplus Line Insurers in the State of California,
with an assigned policyholders'Rating of A- (or higher) and Financial Size Category Class
Vll (or larger) in accordance with the latest edition of Best's Key Rating Guide, unless
otherwise approved by the Agency's Risk Manager.
General conditions pertaining to provision of insurance coverage by Consultant.
Consultant and City agree to the following with respect to insurance provided by
Consultant:
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.
Michael Baker International, Inc.
Page 17 of 19
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.
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
Michael Baker International, Inc.
Page 18 of 19
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 thisAgreement.
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.
Michael Baker International, Inc.
Page 19 of 19
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 assuch.
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.
22. 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 City.
CERTIFICATE OF LIABILITY INSURANCE
GATE`MMnD
03252D2d
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 policyges( must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject W 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 endorsemends).
PRODUCER
CONTACT
Aon Risk Services Central, Inc.
Pittsburgh PA Office
EQT Plaza - Suite 2700
625 Liberty Avenue
Pittsburgh PA 15222-3110 USA
PHONE FAX
IwC. xo. (866) 283-7122 IArX. No.I: (800) 363-0105
E-MAIL
ADDRE..:
INSURER(3) AFFORDING COVERAGE NAICa
INSURED
INSURER A: XL Insurance America Inc 24554
Michael Baker International, Inc.
INSURER B: Allied world Surplus Lines Insurance Cc 24319
3100 Zinfandel Drive,uite 125
Suite Uta
Rancho Cordova CA 95
&
INSURFRC: American Guarantee Liability Ins Cc 26247
INSURER D. Zurich American Ins Co 16535
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 570104782893 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 SUBJECTTO ALLTHE TERMS,
Limits shown are as requested
/LTR
TYPE OF INSURANCE
AINS.
WIND
POIJLY NUMBER
IMNmDOIYYYY)
IN DIY(�I
LIMITS
D
X COMMERCWLGENERALLIABHU
GLO419728102
24
EACHOCCURRENLE $2,000,000
CLAIMS -MADE X❑OLCLIR
PREMISES(Eaoccurrence) $1,000,000
MED EXP (Any one person) $10,000
PERSONAL S ADV INJURY $2,000,006
GEN L AGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE $4,000,000
POLICY E PRO El LOC
JECT
PRODUCTS - COMPIOP AGO $4,000,000
OTHER:
D
AUTOMOBILE LABILITY
BAP 4197284 02
08/30/2023
08/30/2024
COMBINED SINGLE LIMIT $2,006,660
(Ea accmemt
BODILY INJURY I Per Person)
x AUYAUTO
BODILY INJURY (Per am,eenn
OWNED SCHEDULED
AUTOS ONLY AUTOS
PROPERTY DAMAGE
NON-0WNED
X HIREDAVI09 X AUTOS ONLY
ONLY
(P¢raaleem)
o
x
UMBRELIALAB
x
OCCUR
AUC053258205
08/30/2023
08/30/2024
EACH.LDFRENCE $10,000,00
AGGREGATE $10,000,06
EXCESS IIA.
CWMSMADE
OED 1 x RETENTION 510,000
D
WORKERS COMPENSATION AND
WC419728202
08/30/2023
08/30/2024
X I PER STATUTE OTH-
ER
EMPLOYERS' LABILT'
DIN
ADS
EL. EACH ACCIDENT $1,000,006
D
ANY PROPRIETOR? PARTNER/
NIA
WC419728502
08/30/2023
08/30/2020
E L DISEASE -EA EMPLOYEE $1,606,060
EXECUTIVE 1. NHU WMEMBER
In NHI
wI
rjes ceury
er
Dyes SORPTION
OEBLRIPTION OF OPEMTIONB telcw
OF O
EL OICEABEFOLILY LIMIT $1,000,00
B
E&O - Professional Liability
03124806
08/30/2023
08/30/2024
Per Claim $5,000,00
Primary
Claims Made
Aggregate $5,000,000
SIR applies per policy tarts
& condi
ions
DESCRIPTION OF OP.I.N.I LOCATIONS/ VEHICLES ACORD 101, AEEIBonal RemaMa Sched.1 , Per, Be NAchW N Ton., -la reN.L.)
RE: MB Project Name: Environmental Consultant Services for City Of Rosemead. City, its officials, employees and agents are
included as Additional Insured in accordance with the policy provisions of the General Liability policy. General Liability an
Automobile Liability policies evidenced herein are Primary and Non -Contributory to other insurance available to an Additional
Insured but only in accordance with the policy provisions. A waiver of Subrogation is granted in favor of City, its
officials, employees and agents in accordance with the policy provisions of the General Liability, Automobile Liability,
Umbrella Liability, Professional Liability and workers' Compensation policies. should General Liability, Automobile Liability
and workers' Compensation policies be cancelled before the expiration date thereof, the policy provisions of each policy will
CERTIFICATE HOLDER CANCELLATION _
SHWLO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, NOTICE WILL BE DEWERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
City Of ROsemeadx I AUTHORIZED REPRESENTATIVE
Attn: City Manager
8838 E. VCA ey BOUISVdr
CA d t� 6L�
Rosemead 91770 USA C.l� GO
01988-2015 ACORD CORPORATION. All rights reserved
ACORD 25 (2016/03( The ACORD name and logo are registered marks of ACO
AGENCY CUSTOMER ID: 570000027699
LOC #:
ADDITIONAL REMARKS SCHEDULE Page _ of _
AGENCY
Aon Risk services central, Inc.
NAMED INSURED
Michael Baker international, Inc.
POLICY NUMBER
see certificate Number: 570104782893
CARRIER
See certificate Number: 570104782893
I NAIL CODE
eEEec.I EDAre
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
Lorao,m rvenmle::
govern how notice of cancellation may be delivered to certificate holders in accordance with the policy provisions of
each policy.
ACORD 101 (20011101) 0 MOB ACORD CORPORATION. All nights reserved.
TTe ACORD name and logo are registered marks of ACORD
0
Blanket Notification to Others of Cancellation ZURICH
or Non -Renewal
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Policy No. GLO 4197281-02 Effective Date: 08/30/2023
This endorsement applies to insurance provided under the:
Commercial General Liability Coverage Part
A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver
notification that such Coverage Part has been cancelled or non -renewed to each person or organization shown in a list
provided to us by the first Named Insured if you are required by written contact or written agreement to provide such
notification. Such list:
1. Must be provided to us prior to cancellation or non -renewal;
2. Must contain the names and addresses of only the persons or organizations requiring notification that such
Coverage Part has been cancelled or non -renewed; and
3. Must be in an electronic format that is acceptable to us.
B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records
as of the date the notice of cancellation or non -renewal is mailed or delivered to the first Named Insured. We will mail
or deliver such notification to each person or organization shown in the list:
1. Within 10 days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or
2. At least 30 days prior to the effective date of:
a. Cancellation, if cancelled for any reason other than nonpayment of premium; or
b. Non -renewal, but not including conditional notice of renewal,
unless a greater number of days is shown in the Schedule of this endorsement for the mailing or delivering of such
notification with respect to Paragraph B.I. or Paragraph B.2. above.
C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy
only. Our failure to provide such mailing or delivery will not:
1. Extend the Coverage Part cancellation or non -renewal date;
2. Negate the cancellation or non -renewal; or
3. Provide any additional insurance that would not have been provided in the absence of this endorsement.
U -GL -1521-B CW (01/19)
Page 1 of 2
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to
us as described in Paragraphs A. and B. of this endorsement.
SCHEDULE
The total number of days for mailing or delivering with respect to Paragraph B.I. of
this endorsement is amended to indicate the following number of days:
The total number of days for mailing or delivering with respect to Paragraph B.2. of
*,
this endorsement is amended to indicate the following number of days:
* If a number is not shown here, 10 days continues to apply.
** If a number is not shown here, 30 days continues to apply.
All other terms and conditions of this policy remain unchanged.
U -GL -1521-B CW (01/19)
Page 2 of 2
Includes copyrighted material of Insurance services Office, Inc., with its permission.
Blanket Notification to Others of Cancellation
or Non -Renewal
0
ZURICH
Policy No.
Eff. Date of Pot.
Exp. Date of Pol. Eff. Date of End. Producer No.
AWL Prem Return Prem.
BAP 4197284-02
08/30/2023
08/30/2024 15939000
INCL
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Commercial Automobile Coverage Part
A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver
notification that such Coverage Part has been cancelled or non -renewed to each person or organization shown in a
list provided to us by the first Named Insured if you are required by written contact or written agreement to provide
such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been
sent to the first Named Insured. Such list:
1. Must be provided to us prior to cancellation or non -renewal;
2. Must contain the names and addresses of only the persons or organizations requiring notification that such
Coverage Part has been cancelled or non -renewed; and
3. Must be in an electronic format that is acceptable to us.
B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records
as of the date the notice of cancellation or non -renewal is mailed or delivered to the first Named Insured. We will mail
or deliver such notification to each person or organization shown in the list:
1. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or
2. At least 30 days prior to the effective date of:
a. Cancellation, if cancelled for any reason other than nonpayment of premium; or
b. Non -renewal, but not including conditional notice of renewal.
C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy
only. Our failure to provide such mailing or delivery will not:
1. Extend the Coverage Part cancellation or non -renewal date;
2. Negate the cancellation or non -renewal; or
3. Provide any additional insurance that would not have been provided in the absence of this endorsement.
D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided
to us as described in Paragraphs A. and B. of this endorsement.
All other terms and conditions of this policy remain unchanged.
U -CA -832-A CW (01/13)
Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY U -WC -3078-A CW
(08/17)
CANCELLATION AND NONRENEWAL NOTICE ENDORSEMENT
A. Part Six — Conditions, Paragraph D.2. is replaced by the following:
D. Cancellation
2. We may cancel this policy. We must mail or deliver to you not less than 90 days advance written
notice stating when the cancellation is to take effect except for cancellation for non-payment of
premium. If we cancel this policy for non-payment of premium we must mail or deliver to you not less
than ten days advance written notice. Mailing that notice to you at your mailing address shown in
Item 1 of the Information Page will be sufficient to prove notice.
B. Part Six — Conditions, Paragraph F. is added.
F. Nonrenewal Notice
We will mail or deliver to you not less than 90 days advance written notice of our intention to nonrenew
this policy. Mailing that notice to you at your mailing address shown in Item 1 of the Information Page will
be sufficient to prove notice.
All other terms, conditions, provisions and exclusions of this policy remain the same.
U -WC -3078-A CW (08/17) Page 1 of 1
Policy # WC4197282-02