R-2022-150 - 4/28/2022RESOLUTION NO. R-2022-150
WHEREAS, the City of Round Rock desires to retain engineering services for the 2021 On -
Call Geotechnical Engineering Services, and
WHEREAS, Kleinfelder, Inc. has submitted a Contract for Engineering Services to provide said
services, and
WHEREAS, the City Council desires to enter into said contract with Kleinfelder, Inc., Now
Therefore
BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK, TEXAS,
That the Mayor is hereby authorized and directed to execute on behalf of the City a Contract
for Engineering Services with Kleinfelder, Inc. for the 2021 On -Call Geotechnical Engineering
Services, a copy of said contract being attached hereto as Exhibit "A" and incorporated herein for all
purposes.
The City Council hereby finds and declares that written notice of the date, hour, place and
subject of the meeting at which this Resolution was adopted was posted and that such meeting was
open to the public as required by law at all times during which this Resolution and the subject matter
hereof were discussed, considered and formally acted upon, all as required by the Open Meetings Act,
Chapter 551, Texas Government Code, as amended.
RESOLVED this 28th day of April, 2022.
011120222. 20222. 4887-7734-1212
No Text
EXHIBIT
"A»
ROUND ROCK TF XA";
CITY OF ROUND ROCK
CONTRACT FOR ENGINEERING SERVICES
FOR 2021 ON -CALL GEOTECHNICAL ENGINEERING SERVICES
WORK AUTHORIZATION
FIRM: KLEINFELDER, INC. _ ("Engineer")
ADDRESS: 11100 Metric Boulevard, Suite 100, Austin, TX 78758
THE STATE OF TEXAS §
COUNTY OF WILLIAMSON §
THIS CONTRACT FOR ENGINEERING SERVICES ("Contract") is made and entered
into to be effective on , 2022 by and between the CITY OF
ROUND ROCK, a Texas home -rule municipal corporation, whose offices are located at 221 East
Main Street, Round Rock, Texas 78664-5299, (hereinafter referred to as "City"), and Engineer,
and such Contract is for the purpose of contracting for professional engineering services.
RECITALS:
WHEREAS, V.T.C.A., Government Code §2254.002(2)(A)(vii) under Subchapter A
entitled "Professional Services Procurement Act" provides for the procurement by municipalities
of services of professional engineers; and
WHEREAS, City and Engineer desire to contract for such professional engineering
services; and
WHEREAS, City and Engineer wish to document their agreement concerning the
requirements and respective obligations of the parties;
NOW, THEREFORE, WITNESSETH:
That for and in consideration of the mutual promises contained herein and other good and
valuable considerations, and the covenants and agreements hereinafter contained to be kept and
performed by the respective parties hereto, it is agreed as follows:
Engineering Services Contract Rev, 02;'22
0199.202223;4890-7493-7110 00305865
CONTRACT DOCUMENTS
The Contract Documents consist of this Contract and any exhibits attached hereto (which
exhibits are hereby incorporated into and made a part of this Contract) and all Supplemental
Contracts (as defined herein in Article 13) which are subsequently issued. These form the entire
contract, and all are as fully a part of this Contract as if attached to this Contract or repeated
herein.
ARTICLE 1
CITY SERVICES
City shall perform or provide services as identified in Exhibit A entitled "City Services."
ARTICLE 2
ENGINEERING SERVICES
Engineer shall perform Engineering Services as identified in Exhibit B entitled
"Engineering Services."
Engineer shall perform the Engineering Services in accordance with a Work Schedule to
be agreed upon between City and Engineer as part of the Work Authorization provided in Article
7 herein, "Work Authorization." Such Work Schedule shall contain a complete schedule so that
the Engineering Services included in the Work Authorization may be accomplished within the
specified time and at the specified cost. The Work Schedule shall provide specific work
sequences and definite review times by City and Engineer of all Engineering Services. Should
the review times or Engineering Services take longer than shown on the Work Schedule, through
no fault of Engineer, Engineer may submit a timely written request for additional time, which
shall be subject to the approval of the City Manager.
ARTICLE 3
CONTRACT TERM
(1) Term. This Agreement shall be from the date hereof and shall terminate at the close
of business on the 30th day of the month of April, 2024, or as otherwise terminated as provided
in Article 20 entitled "Termination." Any Engineering Services performed or costs incurred after
the date of termination shall not be eligible for reimbursement. Engineer shall notify City in
writing as soon as possible if he'she)'it determines, or reasonably anticipates, that the Engineering
Services will not be completed in accordance with the Work Schedule.
(2) Work Schedule. Engineer acknowledges that the Work Schedule is of critical
importance, and agrees to undertake all necessary efforts to expedite the performance of
Engineering Services required herein so that the services will be commenced and completed as
scheduled. In this regard, and subject to adjustments in the Work Schedule as provided in Article
2 herein, Engineer shall proceed with sufficient qualified personnel and consultants necessary to
fully and timely accomplish all Engineering Services required under this Contract in a
professional manner.
2.
(3) Work Authorization. After execution of this Contract, Engineer shall not proceed
with Engineering Services until authorized in writing by City to proceed as provided in Article 7.
ARTICLE 4
COMPENSATION
City shall pay and Engineer agrees to accept the amount shown below as full
compensation for all engineering services performed and to be performed under this Contract.
Engineer shall be paid on the basis of actual hours worked by employees performing
work associated with this Contract, in accordance with the Fee Schedule attached hereto as
Exhibit C. Payment of monies due for the Engineer's subconsultant's services, if any, shall be
based on the actual amount billed to the Engineer by the subconsultant.
The maximum amount payable under this Contract, without modification of this Contract
as provided herein, is the sum of Two Hundred Thousand and No/100 Dollars ($200,000.00).
Engineer shall prepare and submit to City monthly progress reports in sufficient detail to support
the progress of the work and to support invoices requesting monthly payment. Any preferred
format of City for such monthly progress reports shall be identified in Exhibit B entitled
"Engineering Services". Satisfactory progress of work shall be an absolute condition of payment.
The maximum amount payable herein may be adjusted for additional work requested and
performed only if approved by written Supplemental Agreement.
ARTICLE 5
METHOD OF PAYMENT
Payments to Engineer shall be made while Engineering Services are in progress.
Engineer shall prepare and submit to City, not more frequently than once a month, an invoice
showing Engineering Services performed. This submittal shall also include a progress
assessment report in a form acceptable to City.
Payments shall be made by City based upon Engineering Services actually provided and
performed. Upon timely receipt and approval of each statement, City shall make a good faith
effort to pay the amount which is due and payable within thirty (30) days. City reserves the right
to withhold payment pending verification of satisfactory Engineering Services performed.
Engineer has the responsibility to submit proof to City, adequate and sufficient in its
determination, that Engineering Services were completed.
The certified statements shall show the total amount earned to the date of submission and
shall show the amount due and payable as of the date of the current statement. Final payment
does not relieve Engineer of the responsibility of correcting any errors and/or omissions resulting
from his/herfits negligence.
3.
ARTICLE 6
PROMPT PAYMENT POLICY
In accordance with Chapter 2251, V.T.C.A., Texas Government Code, payment to
Engineer will be made within thirty (30) days of the day on which the performance of services
was complete, or within thirty (30) days of the day on which City receives a correct invoice for
services, whichever is later. Engineer may charge a late fee (fee shall not be greater than that
which is permitted by Texas law) for payments not made in accordance with this prompt
payment policy; however, this policy does not apply in the event:
A. There is a bona fide dispute between City and Engineer concerning the supplies,
materials, or equipment delivered or the services performed that causes the
payment to be late; or
B. The terms of a federal contract, grant, regulation, or statute prevent City from
making a timely payment with federal funds; or
C. There is a bona fide dispute between Engineer and a subcontractor or between a
subcontractor and its supplier concerning supplies, materials, or equipment
delivered or the Engineering Services performed which causes the payment to be
late; or
D. The invoice is not mailed to City in strict accordance with instructions, if any, on
the purchase order, or this Contract or other such contractual agreement.
City shall document to Engineer the issues related to disputed invoices within ten (10)
calendar days of receipt of such invoice. Any non -disputed invoices shall be considered correct
and payable per the terms of Chapter 2251, V.T.C.A., Texas Government Code.
ARTICLE 7
WORK AUTHORIZATION
The Engineer shall not proceed with any task listed on Exhibit B until the City has
issued a written Work Authorization regarding such task. The City shall not be responsible for
work performed or costs incurred by Engineer related to any task for which a Work
Authorization has not been issued.
ARTICLE 8
PROJECT TEAM
City's Designated Representative for purposes of this Contract is as follows:
Matt Bushak, PE
Project Manager
3400 Sunrise Road
Round Rock, TX 78665
Telephone Number (512) 341-3318
Mobile Number (512) 230-8714
Fax Number N.-A
Email Address mbushak'.ii.roundrocktexas.goy
4.
City's Designated Representative shall be authorized to act on City's behalf with respect
to this Contract. City or City's Designated Representative shall render decisions in a timely
manner pertaining to documents submitted by Engineer in order to avoid unreasonable delay in
the orderly and sequential progress of Engineering Services.
Engineer's Designated Representative for purposes of this Contract is as follows:
Bryan Rose
Geotechnical Project Manager
11100 Metric Boulevard, Suite 100
Austin, TX 78758
Telephone Number (512) 491-4606
Fax Number NIA
Email Address Brose@kleinfelder.com
ARTICLE 9
PROGRESS EVALUATION
Engineer shall, from time to time during the progress of the Engineering Services, confer
with City at City's election. Engineer shall prepare and present such information as may be
pertinent and necessary, or as may be requested by City, in order for City to evaluate features of
the Engineering Services. At the request of City or Engineer, conferences shall be provided at
Engineer's office, the offices of City, or at other locations designated by City. When requested
by City, such conferences shall also include evaluation of the Engineering Services.
Should City determine that the progress in Engineering Services does not satisfy the
Work Schedule, then City shall review the Work Schedule with Engineer to determine
corrective action required.
Engineer shall promptly advise City in writing of events which have or may have a
significant impact upon the progress of the Engineering Services, including but not limited to
the following:
(1) Problems, delays, adverse conditions which may materially affect the ability to meet
the objectives of the Work Schedule, or preclude the attainment of Engineering
Services units by established time periods; and such disclosure shall be accompanied
by statement of actions taken or contemplated, and City assistance needed to resolve
the situation, if any; and
(2) Favorable developments or events which enable meeting the Work Schedule goals
sooner than anticipated.
5.
ARTICLE 10
SUSPENSION
Should City desire to suspend the Engineering Services, but not to terminate this
Contract, then such suspension may be effected by City giving Engineer thirty (30) calendar
days' verbal notification followed by written confirmation to that effect. Such thirty -day notice
may be waived in writing by agreement and signature of both parties. The Engineering Services
may be reinstated and resumed in full force and effect within sixty (60) days of receipt of
written notice from City to resume the Engineering Services. Such sixty-day notice may be
waived in writing by agreement and signature of both parties. If this Contract is suspended for
more than thirty (30) days, Engineer shall have the option of terminating this Contract.
City assumes no liability for Engineering Services performed or costs incurred prior to
the date authorized by City for Engineer to begin Engineering Services, andr+or during periods
when Engineering Services is suspended, and, -'Or subsequent to the contract completion date.
ARTICLE 11
ADDITIONAL ENGINEERING SERVICES
If Engineer forms a reasonable opinion that any work he!she.`it has been directed to
perform is beyond the scope of this Contract and as such constitutes extra work, helshefit shall
promptly notify City in writing. In the event City finds that such work does constitute extra
work and exceeds the maximum amount payable, City shall so advise Engineer and a written
Supplemental Contract will be executed between the parties as provided in Article 13. Engineer
shall not perform any proposed additional work nor incur any additional costs prior to the
execution, by both parties, of a written Supplemental Contract. City shall not be responsible for
actions by Engineer nor for any costs incurred by Engineer relating to additional work not
directly associated with the performance of the Engineering Services authorized in this Contract
or any amendments thereto.
ARTICLE 12
CHANGES IN ENGINEERING SERVICES
If City deems it necessary to request changes to previously satisfactorily completed
Engineering Services or parts thereof which involve changes to the original Engineering
Services or character of Engineering Services under this Contract, then Engineer shall make
such revisions as requested and as directed by City. Such revisions shall be considered as
additional Engineering Services and paid for as specified under Article 11.
Engineer shall make revisions to Engineering Services authorized hereunder as are
necessary to correct errors appearing therein, when required to do so by City. No additional
compensation shall be due for such Engineering Services.
6,
ARTICLE 13
SUPPLEMENTAL CONTRACTS
The terms of this Contract may be modified by written Supplemental Contract if City
determines that there has been a significant change in (1) the scope, complexity or character of
the Engineering Services, or (2) the duration of the Engineering Services. Any such
Supplemental Contract must be duly authorized by the City. Engineer shall not proceed until
the Supplemental Contract has been executed. Additional compensation, if appropriate, shall be
identified as provided in Article 4.
It is understood and agreed by and between both parties that Engineer shall make no
claim for extra work done or materials furnished until the City authorizes full execution of the
written Supplemental Contract and authorization to proceed. City reserves the right to withhold
payment pending verification of satisfactory Engineering Services performed.
ARTICLE 14
USE OF DOCUMENTS
All documents, including but not limited to drawings, specifications and data or programs
stored electronically, (hereinafter referred to as "Instruments of Service") prepared by Engineer
and its subcontractors are related exclusively to the services described in this Contract and are
intended to be used with respect to this Contract. However, it is expressly understood and agreed
by and between the parties hereto that all of Engineer's designs under this Contract (including
but not limited to tracings, drawings, estimates, specifications, investigations, studies and other
documents, completed or partially completed), shall be the property of City to be thereafter used
in any lawful manner as City elects. Any such subsequent use made of documents by City shall
be at City's sole risk and without liability to Engineer, and, to the extent permitted by law, City
shall hold harmless Engineer from all claims, damages, losses and expenses, resulting therefrom.
Any modification of the plans will be evidenced on the plans and be signed and sealed by a
licensed professional prior to re -use of modified plans.
By execution of this Contract and in confirmation of the fee for services to be paid under
this Contract, Engineer hereby conveys, transfers and assigns to City all rights under the Federal
Copyright Act of 1976 (or any successor copyright statute), as amended, all common law
copyrights and all other intellectual property rights acknowledged by law in any designs and
work product developed under this Contract. Copies may be retained by Engineer. Engineer
shall be liable to City for any loss or damage to any such documents while they are in the
possession of or while being worked upon by Engineer or anyone connected with Engineer,
including agents, employees, Engineers or subcontractors. All documents so lost or damaged
shall be replaced or restored by Engineer without cost to City.
Upon execution of this Contract, Engineer grants to City permission to reproduce
Engineer's work and documents for purposes of constructing, using and maintaining
infrastructure or facilities for which said work and documents were prepared, provided that City
shall comply with its obligations, including prompt payment of all sums when due, under this
Contract. Engineer shall obtain similar permission from Engineer's subcontractors consistent
with this Contract. If and upon the date Engineer is adjudged in default of this Contract, City is
permitted to authorize other similarly credentialed design professionals to reproduce and, where
permitted by law, to make changes, corrections or additions to the work and documents for the
7.
purposes of completing, using and maintaining infrastructure or facilities for which said work
and documents were prepared.
City shall not assign, delegate, sublicense, pledge or otherwise transfer any permission
granted herein to another party without the prior written agreement of Engineer. However, City
shall be permitted to authorize a contractor, subcontractors and material or equipment suppliers
to reproduce applicable portions of the Instruments of Service appropriate to and for use in their
execution of work for the City. Submission or distribution of Instruments of Service to meet
official regulatory requirements or for similar purposes is permitted. Any unauthorized use of
the Instruments of Service shall be at City's sole risk and without liability to Engineer and its
Engineers.
Prior to Engineer providing to City any Instruments of Service in electronic form or City
providing to Engineer any electronic data for incorporation into the Instruments of Service, City
and Engineer shall by separate written agreement set forth the specific conditions governing the
format of such Instruments of Service or electronic data, including any special limitations not
otherwise provided in this Contract. Any electronic files are provided by Engineer for the
convenience of City, and use of them is at City's sole risk. In the case of any defects in
electronic files or any discrepancies between them and any hardcopy of the same documents
prepared by Engineer, the hardcopy shall prevail. Only printed copies of documents conveyed
by Engineer shall be relied upon.
Engineer shall have no liability for changes made to Engineer's Instruments of Service by
other engineers subsequent to the completion and delivery of the Instruments of Service to the
City. Any such change shall be sealed by the engineer making that change and shall be
appropriately marked to reflect what was changed or modified.
ARTICLE 15
PERSONNEL, EQUIPMENT AND MATERIAL
Engineer shall furnish and maintain, at its own expense, quarters for the performance of
all Engineering Services, and adequate and sufficient personnel and equipment to perform the
Engineering Services as required. All employees of Engineer shall have such knowledge and
experience as will enable them to perform the duties assigned to them. Any employee of
Engineer who, in the opinion of City, is incompetent or whose conduct becomes detrimental to
the Engineering Services shall immediately be removed from association with this Contract
when so instructed by City. Engineer certifies that it presently has adequate qualified personnel
in its employment for performance of the Engineering Services required under this Contract, or
will obtain such personnel from sources other than City. Engineer may not change the Project
Manager without prior written consent of City.
ARTICLE 16
SUBCONTRACTING
Engineer shall not assign, subcontract or transfer any portion of the Engineering Services
under this Contract without prior written approval from City. All subcontracts shall include the
provisions required in this Contract and shall be approved as to form, in writing, by City prior to
Engineering Services being performed under the subcontract. No subcontract shall relieve
Engineer of any responsibilities under this Contract.
8.
ARTICLE 17
EVALUATION OF ENGINEERING SERVICES
City, or any authorized representatives of it, shall have the right at all reasonable times to
review or otherwise evaluate the Engineering Services performed or being performed hereunder
and the premises on which it is being performed. If any review or evaluation is made on the
premises of Engineer or a subcontractor, then Engineer shall provide and require its
subcontractors to provide all reasonable facilities and assistance for the safety and convenience
of City or other representatives in the performance of their duties.
ARTICLE 18
SUBMISSION OF REPORTS
All applicable study reports shall be submitted in preliminary form for approval by City
before any final report is issued. City's comments on Engineer's preliminary reports shall be
addressed in any final report.
ARTICLE 19
VIOLATION OF CONTRACT TERMS/BREACH OF CONTRACT
Violation of contract terms or breach of contract by Engineer shall be grounds for
termination of this Contract, and any increased costs arising from Engineer's default, breach of
contract, or violation of contract terms shall be paid by Engineer.
ARTICLE 20
TERMINATION
This Contract may be terminated as set forth below.
(1) By mutual agreement and consent, in writing, of both parties.
(2) By City, by notice in writing to Engineer, as a consequence of failure by
Engineer to perform the Engineering Services set forth herein in a satisfactory
manner.
(3) By either party, upon the failure of the other party to fulfill its obligations as set
forth herein.
(4) By City, for reasons of its own and not subject to the mutual consent of
Engineer, upon not less than thirty (30) days' written notice to Engineer.
(5) By satisfactory completion of all Engineering Services and obligations described
herein.
Should City terminate this Contract as herein provided, no fees other than fees due and
payable at the time of termination shall thereafter be paid to Engineer. In determining the value
of the Engineering Services performed by Engineer prior to termination, City shall be the sole
judge. Should City terminate this Contract under Subsection (4) immediately above, then the
9.
amount charged during the thirty -day notice period shall not exceed the amount charged during
the preceding thirty (30) days.
If Engineer defaults in the performance of this Contract or if City terminates this
Contract for fault on the part of Engineer, then City shall give consideration to the actual costs
incurred by Engineer in performing the Engineering Services to the date of default, the amount
of Engineering Services required which was satisfactorily completed to date of default, the
value of the Engineering Services which are usable to City, the reasonable and necessary cost to
City of employing another firm to complete the Engineering Services required and the time
required to do so, and other factors which affect the value to City of the Engineering Services
performed at the time of default.
The termination of this Contract and payment of an amount in settlement as prescribed
above shall extinguish all rights, duties, and obligations of City and Engineer under this
Contract, except the obligations set forth herein in Article 21 entitled "Compliance with Laws."
If the termination of this Contract is due to the failure of Engineer to fulfill his/her/its
contractual obligations, then City may take over and prosecute the Engineering Services to
completion. In such case, Engineer shall be liable to City for any additional and reasonable costs
incurred by City.
Engineer shall be responsible for the settlement of all contractual and administrative
issues arising out of any procurements made by Engineer in support of the Engineering Services
under this Contract.
ARTICLE 21
COMPLIANCE WITH LAWS
(1) Compliance. Engineer shall comply with all applicable state, federal and local
laws, statutes, codes, ordinances, rules and regulations, and the orders and decrees of any court,
or administrative bodies or tribunals in any manner affecting the performance of this Contract,
including without limitation, minimum.'maximum salary and wage statutes and regulations, and
licensing laws and regulations. Engineer shall furnish City with satisfactory proof of his/her/its
compliance.
Engineer shall further obtain all permits and licenses required in the performance of the
Engineering Services contracted for herein.
(2) As required by Chapter 2271, Government Code, Engineer hereby verifies that it
does not boycott Israel and will not boycott Israel through the term of this Agreement. For
purposes of this verification, "boycott Israel" means refusing to deal with, terminating business
activities with, or otherwise taking any action that is intended to penalize, inflict economic harm
on, or limit commercial relations specifically with Israel, or with a person or entity doing
business in Israel or in an Israeli -controlled territory, but does not include an action made for
ordinary business purposes.
(3) In accordance with 2274, Texas Government Code, a governmental entity may not
enter into a contract with a company with at least ten (10) full-time employees for value of at
least One Hundred Thousand and No.100 Dollars ($100,000.00) unless the contract has a
provision in the contract verifying that it: (1) does not have a practice, policy, guidance, or
10.
directive that discriminates against a firearm entity or firearm trade association; and (2) will not
discriminate during the term of the contract against a firearm entity or firearm trade association.
The signatory executing this Contract on behalf of the Engineer verifies Engineer does not have
a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm
trade association, and it will not discriminate during the term of this Contract against any
firearm entity or firearm trade association.
(4) In accordance with 2274, Texas Government Code, a governmental entity may not
enter into a contract with a company with at least ten (10) full-time employees for a value of at
least One Hundred Thousand and No/100 Dollars ($100,000.00) unless the contract has a
provision in the contract verifying that it: (1) does not boycott energy companies; and (2) will
not boycott energy companies during the term of this Contract. The signatory executing this
Contract on behalf of Engineer verifies Engineer does not boycott energy companies, and it will
not boycott energy companies during the term of this Contract.
(5) Taxes. Engineer will pay all taxes, if any, required by law arising by virtue of the
Engineering Services performed hereunder. City is qualified for exemption pursuant to the
provisions of Section 151.309 of the Texas Limited Sales, Excise, and Use Tax Act.
ARTICLE 22
INDEMNIFICATION
Engineer shall save and hold City harmless from all liability for damage to the extent
that the damage is caused by or results from an act of negligence, intentional tort, intellectual
property infringement, or failure to pay a subcontractor or supplier committed by Engineer,
Engineer's agent, or another entity over which Engineer exercises control. Engineer shall also
save and hold City harmless from any and all expenses, including but not limited to reasonable
attorneys' fees which may be incurred by City in litigation or otherwise defending claims or
liabilities which may be imposed on City to the extent resulting from such negligent activities
by Engineer, its agents, or employees.
ARTICLE 23
ENGINEER'S RESPONSIBILITIES
Engineer shall be responsible for the accuracy of his/her/its Engineering Services and
shall promptly make necessary revisions or corrections to its work product resulting from errors,
omissions, or negligent acts, and same shall be done without compensation. City shall determine
Engineer's responsibilities for all questions arising from design errors and/or omissions.
Engineer shall not be relieved of responsibility for subsequent correction of any such errors or
omissions in its work product, or for clarification of any ambiguities until after any construction
project or maintenance performed pursuant to the Engineering Services provided under this
Contract has been satisfactorily completed.
ARTICLE 24
ENGINEER'S SEAL
The responsible engineer shall sign, seal and date all appropriate engineering
submissions to City in accordance with the Texas Engineering Practice Act and the rules of the
State Board of Registration for Professional Engineers.
ARTICLE 25
NON -COLLUSION. FINANCIAL INTEREST PROHIBITED
(1) Non -collusion. Engineer warrants that he/she/it has not employed or retained any
company or persons, other than a bona fide employee working solely for Engineer, to solicit or
secure this Contract, and that he.:shelit has not paid or agreed to pay any company or engineer
any fee, commission, percentage, brokerage fee, gifts, or any other consideration, contingent
upon or resulting from the award or making of this Contract. For breach or violation of this
warranty, City reserves and shall have the right to annul this Contract without liability or, in its
discretion and at its sole election, to deduct from the contract price or compensation, or to
otherwise recover, the full amount of such fee, commission, percentage, brokerage fee, gift or
contingent fee.
(2) Financial Interest Prohibited. Engineer covenants and represents that Engineer,
his/herfits officers, employees, agents, consultants and subcontractors will have no financial
interest, direct or indirect, in the purchase or sale of any product, materials or equipment that
will be recommended or required for any construction project or maintenance performed
pursuant to the Engineering Services provided under this Contract.
ARTICLE 26
INSURANCE
(1) Insurance. Engineer, at Engineer's sole cost, shall purchase and maintain during the
entire term while this Contract is in effect professional liability insurance coverage in the
minimum amount of One Million Dollars per claim from a company authorized to do insurance
business in Texas and otherwise acceptable to City. Engineer shall also notify City, within
twenty-four (24) hours of receipt, of any notices of expiration, cancellation, non -renewal, or
material change in coverage it receives from its insurer.
(2) Subconsultant Insurance. Without limiting any of the other obligations or
liabilities of Engineer, Engineer shall require each subconsultant performing work under this
Contract to maintain during the term of this Contract, at the subconsultant's own expense, the
same stipulated minimum insurance required in Article 26, Section (1) above, including the
required provisions and additional policy conditions as shown below in Article 26, Section (3).
Engineer shall obtain and monitor the certificates of insurance from each subconsultant in
order to assure compliance with the insurance requirements. Engineer must retain the certificates
of insurance for the duration of this Contract, and shall have the responsibility of enforcing these
insurance requirements among its subconsultants. City shall be entitled, upon request and
without expense, to receive copies of these certificates of insurance.
12.
(3) Insurance Policy Endorsements. Each insurance policy shall include the following
conditions by endorsement to the policy:
(a) Each policy shall require that thirty (30) days prior to the expiration, cancellation,
non -renewal or reduction in limits by endorsement a notice thereof shall be given
to City by certified mail to:
City Manager, City of Round Rock
221 East Main Street
Round Rock, Texas 78664
(b) The policy clause "Other Insurance" shall not apply to any insurance coverage
currently held by City, to any such future coverage, or to City's Self -Insured
Retentions of whatever nature.
(4) Cost of Insurance. The cost of all insurance required herein to be secured and
maintained by Engineer shall be borne solely by Engineer, with certificates of insurance
evidencing such minimum coverage in force to be filed with City. Such Certificates of Insurance
are evidenced as Exhibit D herein entitled "Certificates of Insurance."
ARTICLE 27
COPYRIGHTS
City shall have the royalty -free, nonexclusive and irrevocable right to reproduce, publish or
otherwise use, and to authorize others to use, any reports developed by Engineer for governmental
purposes.
ARTICLE 28
SUCCESSORS AND ASSIGNS
This Contract shall be binding upon and inure to the benefit of the parties hereto, their
successors, lawful assigns, and legal representatives. Engineer may not assign, sublet or transfer
any interest in this Contract, in whole or in part, by operation of law or otherwise, without
obtaining the prior written consent of City.
ARTICLE 29
SEVERABILITY
In the event any one or more of the provisions contained in this Contract shall for any
reason be held to be invalid, illegal or unenforceable in any respect, then such invalidity,
illegality or unenforceability shall not affect any other provision thereof and this Contract shall
be construed as if such invalid, illegal or unenforceable provision had never been contained
herein.
ARTICLE 30
PRIOR AGREEMENTS SUPERSEDED
This Contract constitutes the sole agreement of the parties hereto, and supersedes any
prior understandings or written or oral contracts between the parties respecting the subject
13.
matter defined herein. This Contract may only be amended or supplemented by mutual
agreement of the parties hereto in writing.
ARTICLE 31
ENGINEER'S ACCOUNTING RECORDS
Records pertaining to this Contract, and records of accounts between City and Engineer,
shall be kept on a generally recognized accounting basis and shall be available to City or its
authorized representatives at mutually convenient times. The City reserves the right to review
all records it deems relevant which are related to this Contract.
ARTICLE 32
NOTICES
All notices to either party by the other required under this Contract shall be personally
delivered or mailed to such party at the following respective addresses:
City:
City of Round Rock
Attention: City Manager
221 East Main Street
Round Rock, TX 78664
and to:
Stephan L. Sheets
City Attorney
309 East Main Street
Round Rock, TX 78664
Engineer:
Bryan Rose
Geotechnical Project Manager
11 100 Metric Boulevard, Suite 100
Austin, TX 78758
ARTICLE 33
GENERAL PROVISIONS
(1) Time is of the Essence. The Services shall be performed expeditiously as is prudent
considering the ordinary professional skill and care of a competent engineer. Engineer
understands and agrees that time is of the essence and that any failure of Engineer to complete
the Engineering Services for each phase of this Contract within the agreed Work Schedule may
constitute a material breach of this Contract. Engineer shall be fully responsible for hislher!its
delays or for failures to use his/her/its reasonable efforts in accordance with the terms of this
Contract and the Engineer's standard of performance as defined herein. Where damage is
caused to City due to Engineer's negligent failure to perform City may accordingly withhold, to
14.
the extent of such damage, Engineer's payments hereunder without waiver of any of City's
additional legal rights or remedies. Any determination to withhold or set off shall be made in
good faith and with written notice to Engineer provided, however, Engineer shall have fourteen
(14) calendar days from receipt of the notice to submit a plan for cure reasonably acceptable to
City.
(2) Force Majeure. Neither City nor Engineer shall be deemed in violation of this
Contract if prevented from performing any of their obligations hereunder by reasons for which
they are not responsible or circumstances beyond their control. However, notice of such
impediment or delay in performance must be timely given, and all reasonable efforts undertaken
to mitigate its effects.
(3) Enforcement and Venue. This Contract shall be enforceable in Round Rock,
Williamson County, Texas, and if legal action is necessary by either party with respect to the
enforcement of any or all of the terms or conditions herein, exclusive venue for same shall lie in
Williamson County, Texas. This Contract shall be governed by and construed in accordance
with the laws and court decisions of the State of Texas.
(4) Standard of Performance. The standard of care for all professional engineering,
consulting and related services performed or furnished by Engineer and its employees under this
Contract will be the care and skill ordinarily used by members of Engineer's profession
practicing under the same or similar circumstances at the same time and in the same locality.
Excepting Articles 25 and 34 herein, Engineer makes no warranties, express or implied, under
this Contract or otherwise, in connection with the Engineering Services.
(5) Opinion of Probable Cost. Any opinions of probable project cost or probable
construction cost provided by Engineer arc made on the basis of information available to
Engineer and on the basis of Engineer's experience and qualifications and represents its
judgment as an experienced and qualified professional engineer. However, since Engineer has
no control over the cost of labor, materials, equipment or services furnished by others, or over
the contractor(s') methods of determining prices, or over competitive bidding or market
conditions, Engineer does not guarantee that proposals, bids or actual project or construction
cost will not vary from opinions of probable cost Engineer prepares.
(6) Opinions and Determinations. Where the terms of this Contract provide for action
to be based upon opinion, judgment, approval, review, or determination of either party hereto,
such terms are not intended to be and shall never be construed as permitting such opinion,
judgment, approval, review, or determination to be arbitrary, capricious, or unreasonable.
ARTICLE 34
SIGNATORY WARRANTY
The undersigned signatory for Engineer hereby represents and warrants that the
signatory is an officer of the organization for which he.'she has executed this Contract and that
he/she has full and complete authority to enter into this Contract on behalf of the firm. The
above -stated representations and warranties are made for the purpose of inducing City to enter
into this Contract.
15.
IN WITNESS WHEREOF, the City of Round Rock has caused this Contract to be
signed in its corporate name by its duly authorized City Manager or Mayor, as has Engineer,
signing by and through its duly authorized representative(s), thereby binding the parties hereto,
their successors, assigns and representatives for the faithful and full performance of the terms
and provisions hereof.
`signature page follows]
tb.
KLEINFELDER, INC.
By:
YJ-�� Dc,,�
Signaturi of Principal
Printed Name: Kelly Daniel _
I 7.
CITY OF ROUND ROCK, TEXAS APPROVED AS TO FORM:
:
Craig Morgan, Mayor
ATTEST:
as
Meagan Spinks, City Clerk
Stephan L. Sheets, City Attorney
11
LIST OF EXHIBITS ATTACHED
(l) Exhibit A City Services
(2) Exhibit B Engineering Services
(3) Exhibit C Fee Schedule
(4) Exhibit D Certificates of Insurance
19.
EXHIBIT A
City Services
The City will provide the following items/information for the ENGINEER under this agreement:
1. Designate a person to act as City's representative with respect to the services to be performed
or furnished by the Consultant. This representation will have authority to transmit instructions,
receive information, interpret and define City's policies and decisions with respect to
consultant's services.
2. Provide all criteria and full information as to City's requirements for the Task, including
objectives and constraints, space, capacity and performance requirements, flexibility and
expandability, and furnish copies of all design and construction information if available to the
City and necessary to complete the Task.
3. Provide Consultant copies of geotechnical reports, drawings, and exhibits for review and use in
performing our services.
4. The City shall provide Consultant right of entry to perform our field services.
5. The City shall provide Consulting with existing utility maps to assist in locating all underground
utilities in the vicinity of geotechnical drilling.
6. Pertinent data related to specific work orders.
7. Timeline for submissions.
8. Meet with ENGINEER on an as -needed basis depending on the work order.
9. Review submittals and provide comments.
EXHIBIT B
Engineering Services
Provide various geotechnical engineering services through individual work authorizations for projects
that might include geotechnical test borings, geotechnical field testing, geotechnical laboratory testing,
geotechnical engineering reports, pavement thickness recommendations, review of geotechnical reports
for conformance with CORR standards, slope stability analyses, subgrade treatment/stabilization
recommendations, geotechnical retaining wall recommendations, review of PS&E, pavement condition
surveys, review of material submittals, and modifying or creating standard detaildrawings, design criteria,
and standard or special specifications. This list of potential projects is not meant to be exhaustive but is
representative of the nature of the tasks expected to be completed under the Master Agreements being
authorized at this time.
EXHIBIT C
Fee Schedule
Attached Behind This Page
TECHNICAL. STAFF RATES
Technician. ............................... ... ......................... ... $ 63.16/ hour
Senior Technician„........................................................................_.,........_.. $ 71.10/ hour
Inspector........................................................................................................... $ 73.74/ hour
SeniorInspector...................................................................................................................... $ 77.70/ hour
PROFESSIONAL STAFF RATES
Quality Assurance M anagef....................................................................................................
$361.33/ hour
Technical Project Manager.....................................................................................
$260.56/ hour
Senior Project Manager.......... ........ ...........................
$235.13/ hour
Professional Engineer—__ ......... ....... .............. ..........................................................
$211.58/ hour
Project Professional .................. -....................................... ...,,........................... ____ ........
$140.92/ hour
Materials Manager...............................................,,,.........
$177.66/ hour
Project Manager .............................................. ... . ....................................... .................
$107.14/ hour
LaboralGor Manager ............ . .... ......................................................................................
$ 90.16/ hour
Geologist in Training....................................................................
$ 84.59/ hour
Engineerin Training...............................................................................................................
$102.161 hour
Professional...........................................................................................................................
77 70/ hour
ADMINISTRATIVE STAFF RATES
Dispatcher/Administrator................ ............................................ .................... ........... ........... — $ 64.04/ hour
Project Controls Specialist .......... ____ ...................... .__.......... .................... ........... .............. $103.59/ hour
BASIS OF CHARGES
1. Listed herein are typical prices for services most frequently performed by Kleinfelder. Prices For other services provided by
the firm or other services not listed will be given upon request, as well as special quotations for programs involving volume
work.
Invoices will be issued on a periodic basis, or upon completion of a project, whichever is sooner. The net cash amount of this
invoice is payable on presentation of the invoice. If not paid within 30 days after the date of the invoice, the unpaid balance shall
be subject to a FINANCE CHARGE of 1.5% per month, which is an ANNUAL PERCENTAGE RATE of 18%.
:i_ A two-hour minimum charge will be made for all field services. Field services are billed portal-to-portal.
4. Hours worked before 6 a.m. / after 5 p.m. Monday through Friday and time worked in excess of 8 hours per day will be charged
at 1.5 times the hourly rate. Additionally, weekend (Saturday and Sunday) and holiday work will be charged at 1.5 times the
hourly rate. Any hours worked over 12 hours per day is charged at 2.0 times the hourly rate.
;. Outside services will include a 151% markup unless otherwise noted.
b. We are protected by Worker's Compensation Insurance (and/or Employer's Liability Insurance), and by Public Liability
Insurance for bodily injury and property damage and will furnish certificates thereof upon request. We assume the risk of
damage to our own supplies and equipment. If your contract or purchase order places greater responsibilities upon us or
requires further insurance coverage, we, specifically directed by you, will take out additional insurance (if procurable) to protect
us at your expense, but we shall not be responsible for property damage from any cause, including fire and explosion, beyond
the amounts of coverage of our insurance_
Kleinfelder Fee Schedule CORR Revised 212022
EQUIPMENT CHARGES
MATERIALS TESTING EQUIPMENT
E ui ment
Invoice Name
Test Methodt
Price
Anchor Bolt Testing Device
ANCHOR BOLT TST/DAY
$150.00 / day
Brinell Hardness Tester
BRINELL HARDNESSIDAY
E10
$20.00 /da
Concrete Rebound Schmidt Hammer
SCHMIDT HAMMER/DAY
C805
$55.001 day
Concrete Vapor Emission Test Kit
MOIST FLOORISLAB TST
F1869
$30.001 kit
Coring Machine
CORING MACHINE /DAY
$85.00 /da
Coring Machine with Generator
CORING MCH W/GEN DAY
$165.00 / day
Cylinder Mold
CYLINDER MOLDS
$3.00 each
Diamond Bit Core Barrel Charge
3" Diameter
CORING, 3" DIAMAN
$3.30 / inch
4" Diameter
CORING, 4" DIAMAN
$4.40 / inch
6" Diameter
CORING, 6" DIAMAN
$6.60 / inch
Di ital Thickness Gauge
THICKNESS GAUGE /DAY
$50.00 /da
FerroScan Equipment
FERROSCAN EQUIPMENT
$275.00 /da
Floor Flatness Testing Device Per Sq Ft
FLOOR FLATNESS ISF
E1155
$0.10 Isg ft
Floor Flatness Testing Device Per Test
FLOOR FLATNESS TST
E1155
$150.00 / day
Hand Auger and Soil Sampler
HAND AUGER/DAY
$75.00 /da
Magnetic Particle Testing Device
MAGNETIC PARTICLE
ASNT AWS B1.1
$45.00 Ida
Nuclear Soil Dens it/Moisture Gauge
NUCLEAR DENS GAUGE
D6938
$75.00/ day_
Skidmore Bolt Tension Calibrator
SKID WILH BOLTIDAY
A325, A490
$55.00/ day
Torque Wrench, up to 1,000 foot-pounds
TORQUE WRENCHIDAY
A325, A490
$50.001 day
Ultrasonic Testing Device
UT TESTING EQUIPIDAY
ASNT, AWS Bl A
$75.00 Ida
VEHICLES
Descri tion
Invoice Name
Price
Vehicle Charge(Trip Charge)
Vehicle Charge
50.001 Tri
OFFICE EQUIPMENT
Description
Invoice Name
Price
Reproduction Per Page)_REPRODUCTION/PAGE
$0.651 page
Report Surcharge Per Co
REPORT PER COPY
$44.00 / each
Bond Cost for CADD Per Square Foot
CADD — BOND
$0.601 sq ft
CADD Workstation Per Hour
CADD WORKSTATION /HR
1 $15.75 / hour
tExamples of common test methods. Other methods may exist
Page i Of 1
Revised 2/2022
SOIL TESTS
SOIL DENSITY TESTS
Test
Standard Test Methodt
Fee
Standard Proctor
D698, T99
$
245
each
Modified Proctor
D1557, T180
$
245
each
Proctor Check Point
T272
$
140
each
Proctor Oversize Correction
D4718
$
75
each
Treated Soil Proctor
D558
$
320
each
Minimum and Maximum Relative Density
D4254 D4253
$
425
each
Maximum Density by Vibratory Hammer
D7382
$
550
each
Moisture/Density, TEX 113-E
TEX113-E
$
275
each
Moisture/Density, TEX 114-E
TEX114-E
$
275
each
California Impact, CT 216, Dry Method
CT216
$
225
each
California Impact, CT 216, Wet Method
CT216
$
225
each
SOIL CLASSIFICATION AND INDEX TESTS
Test
Standard Test Methodt
Fee
Visual Classification
D2488
$
30
each
Sieve Analysis, % Finer than 200 Sieve
D1140
$
90
each
Sieve Analysis, Fine
D422, D6913, T88
$
130
each
Sieve Analysis, Coarse
D422, D6913, T88
$
130
each
Sieve Analysis, Coarse and Fine
D422, D6913, T88
$
165
each
Hydrometer Analysis (Requires a Sieve Anal sis, not included
D422, D7928
$
185
each
Water Content
D2216, D4363, T265
$
25
each
Water Content and Dry Unit Weight
D2216, D2937 D7263
$
45
each
Afterberg Limits, Single Point
D4318-13, T89, T90
$
120
each
Afterberg Limits, Multiple Point
D4318-A, T89, T90
$
185
each
Afterberg Limits, Liquid Limit Only
D4318, T90
$
115
each
Soil Specific Gravity
D854, T100
$
225
each
Soil Organic Content
D2974-C
$
125
each
Fiber Content of Peat Soils
D1997
$
270
each
Pinhole Dispersion Classification
D4647
$
525
each
Soil pH
D4972, G51
$
60
each
Double Hydrometer for Dispersive Soils
D4221
$
275
each
Soil Resistivity
G187
$
160
each
Chloride Content
$
70
each
Sulfate Content
$
60
each
Thermal Resistivity, Per Point
D5334, IEEE 422
$
325
each
Thermal Resistivit , 0 -Out Curve
D5334, IEEE 422
$
950
each
SOIL BEARING PRESSURE TESTS
Test
Standard Test Methodt
Fee
California Bearing Ratio, Single Point(proctor not included)
D1883, T193
$
350
each
California Bearing Ratio, 3 Points(proctor not include
D1883, T193
$
650
each
tCommon ASTM, AASHTO and DOT test methods.
• Those beginning with A, B, C, D, E, F, or G are ASTM methods.
• Those beginning with T are AASHTO methods.
Page 1 of 8
Revised 02/2022
SOIL TESTS (continued)
SOIL BEARING PRESSURE TESTS continued
Test
Standard Test Methodt
Fee
Resistance R-Value
D2844
$
325
each
Resistance R-Value of Treated Material
D2844
$
375
each
Rock Correction for R-Value
D2844
$
85
each
Stabilized Soil UC Strength, 1 Point(proctor not included)
D1633, D5102
$
175
each
Stabilized Soil UC Strength, Set of 3
D1633, D5102
$
950
each
CT373, 1 Lime Content, w/o Opt. Moist.
CT373
$
175
each
CT373, 1 Lime Content
CT373
$
370
each
CT373, 3 Lime Contents
CT373
$
1,100
each
Eades and Grim Test (Opt. Lime Content
C977
$
195
each
Resilient Modulus
T307
$
475
each
CTB Strength, Individual Specimen
$
185
each
CTB Strength, Set of 3, Without Design
$
420
each
CTB Complete Mix Design
$
6,500
each
SOIL STRENGTH AND PERMEABILITY TESTS
Test
Standard Test Methodt
Fee
Pocket Penetration Value
$
30
each
Unconfined Compressive Strength
D2166, T208
$
140
each
Direct Shear, 1 Point
D3080, T236
$
150
each
Direct Shear, 3 Points
D3080, T236
$
390
each
Direct Shear, Residual Strength, Each Pt
D3080-Modified
$
250
each
Consolidation without Time Rate Plots
D2435-Modified
$
345
each
Consolidation with 2 Time Rate Plots
D2435-A, T216-A
$
1450
each
Consolidation All Loads with Time Rates
D2435-13, T216-B
$
630
each
Collapse Potential
D5333
$
250
each
One Dimensional Swell — Wetting After Loading, Series
D4546-A
$
300
each
One Dimensional Swell — Wetting After Loading
D4546-B
$
175
each
One Dimensional Swell — Loading After Wetting
D4546-C
$
475
each
Expansion Index
D4829
$
195
each
Denver Swell Test
$
125
each
Permeability, Rigid Wall
D2434
$
450
each
Permeability, Flexible Wall
D5084-C
$
390
each
Triaxial Compression, CU, 1 Point
D4767, T297
$
1 500
each
Triaxial Compression, CU, 3 Points
D4767, T297
$
1,350
each
Triaxial Compression, UU, 1 Point
D2850, T296
$
210
each
Triaxial Compression, UU, 3 Points
D2850, T296
$
630
each
Triaxial Compression, UU Saturated, 1 Point
D2850-Modified
$
300
each
Triaxial Test, TEX117E, Part I
TEX117E
$
1,950
each
Triaxial Test, TEX117E, Part II
TEX117E
$
1,950
each
tCommon ASTM, AASHTO and DOT test methods. T
• Those beginning with A, B, C, D, E, F, or G are ASTM methods.
• Those beginning with Tare AASHTO methods.
Page 2 of 8
Revised 0212022
AGGREGATE TESTS
Test
Standard Test Methodt
Fee
Acid Solubility
$
185
each
ASR Reactivi , Long Method
C227, C1293
$
1,850
each
ASR Reactivity, Short Method
C1260, C1567
$
950
each
Cleanness Value
CT227
$
165
each
Clay Lumps and Friable Particles, per size '(see note below)
C142, T112
$
105
each
Coarse Specific Gravity & Absorption
C127, T85
$
85
each
Fine Specific Gravit & Absorption
C128, T84
$
145
each
Coarse Durability
D3744, T210
$
150
each
Fine Durability
D3744, T210
$
150
each
Flat and Elongated Particles, per size *(See note below
D4791
$
95
each
Fractured Faces, per size *(see note below
D5821, T335
$
105
each
Lig htweig ht Pieces(Per specific gravity of heavy liquid)
C123, T113
$
330
each
Los Angeles Abrasion, Large Aggregate
C535
$
200
each
Los Angeles Abrasion, Small Aggregate
C131, T96
$
200
each
Mortar Sand Strength
C87, CT515
$
650
each
Organic Impurities
C40, T21
$
75
each
Sand Equivalent, i point
D2419, T176
$
100
each
Sand Equivalent, 3 points
D2419, T176
$
150
each
Sieve Analysis, % Finer than 200 Sieve
C117, T11
$
90
each
Sieve Analysis, Fine
C136, T27
$
130
each
Sieve Analysis, Coarse
C136, T27
$
130
each
Sieve Analysis, Coarse and Fine
C136, T27
$
165
each
Soundness of Aggregate, er size `see note below
C88, T104
$
150
each
Unit Weight
C29, T19
$
65
each
Water Content
D2216, C566, T255
$
25
each
Texas Wet Ball Mill
TEX116E
$
300
each
Decantation Wash
TEX406A
$
90
each
Uncom acted Void Content of Fine Aggregate
C1252, T304
$
140
each
*Tests are billed by each size fraction tested. The quantity of fractions
tested is dependent on the sam le gmdation and test method.
FILTER MEDIA TESTS
Test
Standard Test Methodt
Fee
Filter Media, Sieve Analysis includes dro, d6O, es, cu)
AWWA B100
1185
each
Filter Media, Mohs Hardness
AWWA B100
$
185
each
Filter Media Percent Silica
$
200
each
Acid Solubility
AWWA B100
$
185
each
tCommon ASTM, AASHTO and DOT test methods.
• Those beginning with A, B, C, D, E, F, or G are ASTM methods.
• Those beginning with T are AASHTO methods.
Page 3 of 8
Revised 02I2022
CONCRETE TESTS
Test
Standard Test Methodt
Fee
Concrete Compression
C39
$
32
each
Concrete Core Compression
C42
$
85
each
Concrete Flexural Strength
C78
$
105
each
Hydraulic Cement Mortar Compression
C109 field cast
$
32
each
Concrete Daing Shrinkage, set of 3
C157
$
510
Each
Concrete Core Thickness
C174
$
45
each
Concrete Laborato Trial Batch"
C192
$
1,350
each
Concrete Time of Set by Penetration Resistance
C403, C191
$
2,400
each
Concrete Modulus of Elasticity
C469
$
350
each
Concrete Splitting Tensile Strength
C496
$
105
each
Concrete Absorption
C497, C642
$
160
each
Concrete Cylinder Unit Weight
C567
$
160
each
Non -Shrink Grout Compression
C1107, C579
$
32
each
Shotcrete Compression
C1140, C1604
$
85
each
Concrete Chloride Ion Penetration
C1202
$
750
each
Concrete Paving Slab Modulus of Rupture
C1782
$
750
each
Concrete Direct Tensile
D2936, CRD C164
I
$
500
each
CLSM Compression
D4832
$
45
each
*includes 6 cylinders 4x8 or 6xl2 or 6 flex beams additional cylinders, beams or shrinkage prisms charged at individual unit rates
ROLLER COMPACTED CONCRETE TESTS
Test
Standard Test Methodt
Fee
RCC Compression
C1435/C39
$
65
each
RCC Air Content
C1849
$
50
each
RCC Unit Weight
C1849
$
50
each
RCC Consistency and Density VeBe)
C1170
$
1,600
each
RCC Accelerated Cure
C1768 - modified
$
750
each
RCC Trial Batch
ACI 211.1
$
4,800
each
RCC Aggregate MixingACI
211.1
$
2,000
each
MASONRY TESTS
Test
Standard Test Methodt
Fee
Masonry Grout Compression
C1019, C942
$
32
each
Masonry Mortar Compression
C270, C780
$
32
each
Masonry Core Compression and Shear
CA DSA
$
170
each
Masonry Prism Compression
C1314
$
125
each
CMU Absorption and Received Moisture
C140
$
100
each
CMU Compression
C140
$
105
each
CMU Dimension Verification
C140
$
45
each
CMU Lineal Shrinkage
C426
$
250
each
CMU/Seg. Retaining Wall Unit Freeze -Thaw
C1262
$
1,750
each
?Common ASTM, AASHTO and DOT test methods.
Those beginning with A, B, C, D, E, F, or G are ASTM methods.
Those beginning with T are AASHTO methods.
Pagc 4 of o
Revised 02/2022
ROCK TESTS
Test
Standard Test Methodt
Fee
Rock Sample Preparation
D4543
$
100
each
Rock Direct Shear, 1 Point
D5607
$
350
each
Rock Mohs Hardness
IRSM
$
45
each
Rock Point Load Index per Point!
D5731
$
55
each
Rock Slake Durability
D4644
$
200
each
Rock Splitting Tensile/Brazilian, per Point*
D3967
$
100
each
Rock Direct Tensile
D2936
$
250
each
Rock Triaxial Compression
D7012-A
$
1420
each
Rock Triaxial Compression w/Modulus of Rupture
D7012-B
$
560
each
Rock Unconfined Compression
D7012-C
$
250
each
Rock Unconfined Compression w/Modulus of Rupture
D7012-D
$
500
each
Above testing fees include routine sample preparation (end grinding) and sample photographs
'Point load andsplitting tensile test fees are per break not perset of 10.
ASPHALT TESTS
BINDER TESTS
Test
Standard Test Methodt
Fee
Absolute Viscosity
D2171
$
220
each
Bitumen Penetration
D5
$
85
each
Kinematic Viscosity
D2170
$
200
each
Recovery by Roto-Vapor
D5404
$
365
each
Softening Point, Ring & Ball
D36
$
105
each
Bitumen Recovery by Abson Method
D5404
$
375
each
Ductility of Bitumen
D113
$
130
each
Resilience of AR Binders
D5329
$
80
each
EMULSION TESTS
Test
Standard Test Methodt
Fee
Emulsion Elastic Recovery
D6084, T301
$
260
each
Emulsion Settlement
D6930, T59
$
235
each
Emulsion Sieve Test
D6933, T59
$
105
each
Emulsion Storage Stability
D6930, T59
$
185
each
Emulsion Torsional Recovery
CT332
$
160
each
Particle Charge
D7402, T59
$
105
each
Residue by Evaporation
D6934, T59
$
115
each
Sa bolt Viscosity
D7946, T59
$
160
each
tCommon ASTM, AASHTO and DOT test methods.
• Those beginning with A, B, C, D, E, F, or G are ASTM methods.
• Those beginning with T are AASHTO methods.
Page 5of8
Revised 0212022
ASPHALT TESTS (continued
MIX PROPERTY TESTS
Test
Standard Test Methodt
Fee
Air Voids Determination calculation only)
D3203, AIMS-2
$
60
each
VMA Determination calculation only)
AI-MS-2, CT-LP-2
$
55
each
VFA Determination calculation only)
AI-MS-2, CT-LP-2
$
55
each
Volumetric Properties cakulation on!
AI-MS-2, CT-LP-2
$
55
each
AC Moisture Content
T329
$
60
each
Gradation of Extracted Aggregate
D5444
$
125
each
AC Content by Extraction
D2172
$
220
each
AC Content by Ignition Oven
D6307 T308
$
160
each
AC Ignition Oven Calibration determination or mix correction
D6307
$
350
each
Hveem Stability
D1560
$
350
each
Hveem Stability without Compaction
D1560
$
185
each
Marshall Stability and Flow does not include compaction)
D6927
$
175
each
AC Swell
I CT305
$
5RT-1
each
Slurry Seal Wet Track Abrasion
I D3910, ISSA TB100
$
350
1 each
DESIGN AND DENSITY TESTS
Test
Standard Test Methodt
Fee
AC Core Thickness
D3549
$
15
each
AC Core Unit Weight & Thickness
D1188, D2726, D3549
$
55
each
Unit Weight, Gyratory Method
T312
$
325
each
Unit Weight, Hveem Method
D1561
$
310
each
Unit Weight, Marshall Method
D6926
$
225
each
Maximum Theoretical Specific Gravity
D2041
$
165
each
Moisture Induced Damage
T283
$
1,470
each
Moisture Vapor Susceptibility
CT307
$
600
each
Hamburg Wheel Track, Set of 2
T324
$
1,100
each
Index of Retained Strength
D1075
$
1,250
each
Indirect Tensile Strength does not include compaction)
D6931
$
1,050
set/3
Indirect Tensile Strength of Cored Specimen
D6931
$
350
each
Caltrans Tensile Strength Ratio
CT371
$
2,000
each
Caltrans Opt Bitumen Content OGFC
CT368
$
1,850
each
Centrifuge Kerosene Equivalent
CT303
$
300
each
Film Stripping
CT302
$
150
each
Mix Design, Hveem Method WRAP
CT367
$
7,800
each
Mix Design, Hveem Method
CT367
$
6,000
each
Mix Design, Marshall Method
AIMS-2
$
3,250
each
Mix Design, Su er ave Method
AIMS-2
$
7,500
leach
tCommon ASTM, AASHTO and DOT test methods.
• Those beginning with A, B, C, D, E, F, or G are ASTM methods.
• Those begin -Ing with T are AASHTO methods.
Page 6of8
Revised 0212022
METAL TESTS
BOLT TESTS
Test
Standard Test Methodt
Fee
Bolt Assembly Suite Bolt, Nut, Washer
F606
$
225
each
Bolt Hardness
E18
$
30
each
Bolt Proof Load
F606
$
45
each
Bolt Wedge Tensile
F606
$
45
each
Nut Hardness
E18
$
30
each
Nut Proof Load
F606
$
45
each
Washer Hardness
E18
$
30
each
*An assembly' is one bait one nut and one washer. The suite consists of bolt wedge tensile test, bolt and nut proof load tests, and
hardness tests on aft three pieces.
REINFORCING BAR TESTS
Test
Standard Test Methodt
Fee
Bend
A370,E290
$
45
each
Rebar Tensile, up to No. 11
A370 E8
$
95
each
Rebar Tensile, No. 14 and No. 18
A370, E8
$
200
each
Rebar Coupler Slip
A370, A1034, CT670
$
150
each
Rebar Coupler Tensile, up to No. 11
A370, A1034, CT670
$
90
each
Rebar Coupler Tensile, No. 14 and No. 18
A370, A1034, CT670
$
1200
each
CT670 Strain (Elongation)
CT670
$
20
each
Headed Rebar Tensile, up to No. 11
A370, A970
$
90
each
Headed Rebar Tensile, No. 14 and No. 18
A370, A970
$
200
each
Modulus of Elasticity*
A370
$
125
Each
Epoxy Coating Thickness
A775, A934
$
100
each
Epoxy Coating Continuity -- Holiday Test
A775, A934
1 $
1 100
each
Epoxy Flexibility - Bending
A775, A934
$
75
each
In addition to the testfng fee.
METAL TESTS
Test
Standard Test Methodt
Fee
PT Strand Tensile
A370, A1061
$
165
each
Anchor Bolt Tensile, up to 1.5" dia.
F1554
$
150
each
Anchor Bolt Tensile, greater than 1.5" dia.
F1554
$
250
each
Reduced Section Tensile*
A370
$
125
each
Rockwell Hardness
E18
$
30
each
Macroetch
E381
$
250
each
Charpy Impact, Set of 3 "*
A370, A673
$
375
each
Galvanization Thickness
B499, E376
$
25
each
Fireproofing Densi
E605
$
75
each
Wachining test s ecimens is not included. Additional fees for stress -strain diagram.
.*MachlnLnU test specimens is not included. Additional fees will be assessed for testing at temperatures other than 40*F.
tCommon ASTM. AASHTO and DOT test methods.
• Those beginning with A, B, C, D, E, F, or G are ASTM methods.
• Those beainnina with T are AASHTO methods.
Page 7 of 8
Revised 02/2022
DIMENSION STONE AND ROOFING MATERIAL TESTS
DIMENSION STONE
Test
Standard Test Methodt
Fee
Dimension Stone, Absorption/Specific Gravity
C97
$
220
set/5
Dimension Stone Compressive Strength
C170
$
220
set/5
Dimension Stone, Flexural Strength
C880
$
220
set15
Dimension Stone, Modulus of Rupture
I C99
$
220
set/5
MISCELLANEOUS TESTS
MISCELLANEOUS TESTS
Test Standard Test Methodt Fee
Hydraulic Ram Verification E4 $ 315 each
Tensile and Elastic Modulus Polymer Composite Materials D3039 $ 650 set/5
SAMPLE PREPARATION
SAMPLE PREPARATION
Test
Standard Test Methodt
Fee
Rock Sample Preparation
Sample Crushing
D4543
$
100
each
$
150
each
Sample Cutting and Trimming
$
35
each
Sample Mixing and Processing
$
105
each
Sample Preparation
$
55
each
Sample Preparation, per hour
$
105
—
each
Sample Remolding
$
80
each
Contamination Fee
$
250
each
Sample Disposal Fee
$
10
each
tCommon ASTM, AASHTO and DOT test methods.
• Those beginning with A, 8, C, D, E, F, or G are ASTM methods.
• Those beginning with T are AASHTO methods.
Page 8 of 8
Rev sed 02/2022
City of Round Rock
Kleinfelder,
Inc
Contact Person Name & Title:
Kat S Streff
Project Manager
Address:
11100 Metric Blvd, Ste 100 Austin Texas 78758
Phone:
512.926,6650
Email:
kstreff@Kleinfelder.com
Title
Quality Assurance Manager
$
Raw Rate
123.23
Overhead Rate
154.97%
$ 190.97
$
Profit
15%
47.13
Loaded Hourly Rate
$ 361.33
Technical Project Manager
$
88.83
$
137.66
$
33.97
$
260.46
Senior Project Manager
$
80.19
$
124.27
$
30.67
$
235.13
Professional Engineer
$
72.16
$
111.83
$
27.60
$
211.58
Project Professional
$
48.06
$
74.48
$
18.38
$
140.92
Materials Manager
$
60.59
$
93.90
$
23.17
$
177.66
Project Manager
$
36.54
$
56.63
$
13.97
$
107.14
Laboratory Manager
$
30.75
$
47.65
$
11.76
$
90.16
Geologist in Training
$
28.85
$
44.71
$
11.03
$
84.59
Engineer in Training
$
34.84
$
53.99
$
13.32
$
102.16
Professional
$
26.50
$
41.07
$
10.14
$
77.70
Project Controls Specialist
$
35.33
$
54.75
$
13.51
$
103.59
Dispatcher /Administrator
$
21.84
$
33.85
$
8.35
$
64.04
Technician
$
21.54
$
33.38
$
8.24
$
63.16
Senior Technician
S
24.25
$
37.58
$
9.27
$
71.10
Inspector
25.15
$
38.97
$
9.62
$
73.74
Senior Inspector
26.50
$
41.07
$
10.14
$
77.70
EXHIBIT D
Certificate of Insurance
Attached Behind This Page
AC ROe DAT OVIS LYYYYYI
CERTIFICATE OF LIABILITY INSURANCE By,ar2G22
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 policyjlesl 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 endorsemential.
PRODUCER
CONTACT
NANNE7
AGn Risk Insurance Services Nest, Inc.
LOS Angeles CA Office
701 Wilshire Boulevard
Suite 2600
IMIC
-. EMq: (a66) 241-7122 TlllµC Na.: (too) 161 ilGS
E44AIL
ADDRESS:
Los Angeles CA 90017-0460 USA
IHSURER19j AFFORDING COVERAGE
NACe
INSURED
INSURERA- Zurich American Ins Co
16535
The Kleinfelder Group, Inc
770 First Ave.
San Diego CA 92101 USA
INSURER 6: Allied World Surplus Lines Insurance Cc
24119
INSURER C: Swiss Re international SE
AA1170020
tMURER U.
INSURER E:
01"ER F:
IERTIFICATE Nt
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. Limits shown are as requested
TYPE OFMSURANCE
POLICY MAMBER
LIMT9
X COMAERCIAL GENERAL LMBILITY
GL0
EACH OCCURRENCE
11,000.000
CLAWLS.AMDF 0 OCCUR
PREMISS akRE�
S1. DaB.OD�
WEOE✓<Pt",--i
115.000
PERSONAL&ADVAA RY
S1,000, 000
06kl AGGREGATE LeaF AF4%LS PER
GENERAL AGGREGATE
12.000. 00B
POLICY E PRO. EjLOC
PRODUCTS •C2! PAGG
12,000100ACT
OTHER -
A
AVTOMOILELIABILITY
Y
Y
BAP 612459S-00
04/01/2Wl04/0112012
CTXUBPlED%MGLCLLAr
11,000,000
NOnim Y WiLRY LPw Pwwx,
X ANY AVID
OWNED ED
AVIOSMREDAUTOsNON OAMCO
ONLY AUTOSOMY
sOONtY INAIRY LPNAUTOSONLYHSCHEDuL
WNOPFH1Y 011AlAGE
I'.I AGOOt�I
IReBflElLA L1Ae
DCCVR
EACH GCCUNRENCE
AGGREGATE
Excess LIAa
Ll
CLANS. MAnk
DED REIENTY7V
A
WOItItERa GONPENSATION ANO
EwPLOYEga llaBklT' Y!M
=FFPROPRIE TOR1E"-M1 RIeXECVT_.
Ei0.1AEO' N
N!A
Y
uC 114 %.
Al l SCateS
4 L/ =
4 01
X PtR alATOIF. Ti4
EL EACH ACCIDENT
11.000,000
El n13EASEFAEAPLOYEE
11,000.000
LRMPditPTyNMIII
(U."y MNH
N yyr. 4.rwt,. wild.
pESCWPTKIN OFOPFFIAI1ONSe
E L.DMEASEPOUCYLLeT
$1.000.000
a
Env CPL/Pry
PSDET2100647
04/OL/2U21
04/01/2022
LaCh U Bin
12,000.000
Claims -Made Policy
Aggreqdte
12.000,000
siR applies per policy terms
3 conch
ions
DESCOPTKM OF OPERATIONS I LDCAnONS I VEHCLES IACOFtO 141. AddNmAl aw,wn,. BFMaW. wwr w .n.cnw R m... NH« w'.wal.al
Re: On-ca11 GeotechniCal Engineering Services. The City Of Round Rock and its offiCerS, employees, and elected officials are
included as Additional Insured in accordance with the policy provisions of the General Liability and Auto Liability policies.
General Liability and Auto Liability evidenced herein is Primary and Non -Contributory to other insurance available to an
Additional Insured, but only in accordance with the policy provisions. A waiver of Subrogation is granted in favor of the
Additional Insured in accordance with the policy provisions Of the General Liability, Auto Liability and workers Compensation
policies. should the General Liability, Auto Liability, workers Compensation, or Professional Liability policy be cancelled
before the expiration date thereat, the policy provisions will govern haw notice of cancellation maybe delivered to
CERTIFICATE HOLDER CANCELLATION
aHWAO ANT OF THE ABOYE DESCIBBEO POLICIES SE CANCELLED BEFORE THE
E XPIMIION DATE THEREOF
ROTICE WILL BE DELIVERED IN ACCORDANCE WrTH THE
POLICY PROVISIONS.
City Of Round Rork
AU1 OR REPO,$ENTAINC
Attn: City Manager
Roca East Rain
Round Rack Tx 78664-5199 USA
n
/�
a�1ro
01988-2015 ACORD CORPORATION. AI s reserved,
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: 570000071365
LOC #:
ADDITIONAL REMARKS SCHEDULE
- Page _ of _
AGENCY
Aon Risk Insurance Services West, Inc.
NAMED INSURED
The Kleinfelder Group, Inc
POLICY NUMBER
See Certificate Number: 570092OS6542
CARRIER
see Certificate Number: 570092056542
TG7OpE.
EFFECTIVE DATE
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
Additional DasrAplion of Operations I Locations I VahiUesi
certificate holders in accordance with the policy provisions of each policy. see Attached for complete List
Of Named Insureds.
ACORD 101 (2008101) °° 2006 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: 570000071365
LOC #:
ADDITIONAL REMARKS SCHEDULE
Page , of
AGENCY
Aon Risk insurance services west, Inc.
NAMEDINSURED
The Kleinfelder Group, Inc
POLICY NUMBER
See certificate Number: 570092056542
CARRIER NAIL COOS
See certificate Number: 570092056542
EFFECTIVE DATE
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liabilitv Insurance
NAMED INSURED SCHEDULE
Kleinfelder, Inc.
The Kleinfelder Group, Inc.
Kleinfelder Holdings, LLC
Kleinfelder Parent, Inc
Kleinfelder Architecture Northeast, Inc.
Kleinfelder Australia Pty Ltd
Kleinfelder Canada, Inc.
Kleinfelder Colorado 100, LLC
Kleinfelder Construction services, Inc
Kleinfelder Engineering and Geology, P.C.
Kleinfelder Guam 101, LLC
Kleinfelder international, Inc
Kleinfelder Kansas 100, LLC
Kleinfelder New Mexico 100, LLC
Kleinfelder Northeast, Inc.
Kleinfelder Oklahoma 100, LLC
Kleinfelder PNG Ltd.
Kleinfelder Southeast, Inc.
Kleinfelder Texas 100, LLC
Kleinfelder Texas 200, LLC
Kleinfelder Utah 100, LLC
A-1, Inc.- Kleinfelder East, Inc.
Buys & Associates, Inc. - TKG
Corrigan Consulting, Inc.- TKG
Insite Environmental, Inc.- Kleinfelder west, Inc.
Kowalski Engineering, Inc.- Kleinfelder central, Inc.
MCE Group, Inc.- Kleinfelder, Inc.
Omni Environmental, LLC- Kleinfelder East, Inc.
Spectrum Exploration, Inc.-TKG
The Wallace Group, Inc. - Kleinfelder west, Inc.
TKG Acquisition core.
Trigon Environmental Services, Inc.
Simon Wong Engineering, Inc.
Advantage Engineering, LLC - Kleinfelder, Inc.
Garcia & Associates - Kleinfelder, Inc.
Poggemeyer Design Group, Inc.
Design Engineers & consulting Associates, Inc. (DECA)
Industrial Fluid Management, Inc.
CM works, Inc.
Gas Transmission Systems, Inc.
GTS Engineering & Consulting, LLP
century Engineering, LLC
ACORD 101 (2006101) �, 2008 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD
0
Additional Insured — Automatic — Owners, Lessees Or ZUIICH
Contractors
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Policy No. GLO 6124594-00 Effective Date: 04/01/2021
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization whom you
are required to add as an additional insured under a written contract or written agreement executed by you, but only
with respect to liability for "bodily injury". "property damage" or "personal and advertising injury" and subject to the
following:
1. If such written contract or written agreement specifically requires that you provide that the person or organization
be named as an additional insured under one or both of the following endorsements:
a. The Insurance Services Office (ISO) ISO CG 2010 (10101 edition). or
b. The ISO CG 20 37 (10101 edition),
such person or organization is then an additional insured with respect to such endorsement(s), but only to the
extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of:
(1) Your ongoing operations, with respect to Paragraph 1.a. above; or
(2) 'Your work with respect to Paragraph 1.b. above.
which is the subject of the written contract or written agreement.
However. solely with respect to this Paragraph 1., insurance afforded to such additional insured:
(a) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense
occurs during the policy period and subsequent to your execution of the written contract or written
agreement; and
(b) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the
"products -completed operations hazard" unless the written contract or written agreement specifically
requires that you provide such coverage to such additional insured.
2. If such written contract or written agreement specifically requires that you provide that the person or organization
be named as an additional insured under one or both of the following endorsements:
a. The Insurance Services Office (ISO) ISO CG 20 10 (07104 edition): or
b. The ISO CG 20 37 (07104 edition),
such person or organization is then an additional insured with respect to such endorsement(s), but only to the
extent that "bodily injury". "property damage' or "personal and advertising injury" is caused, in whole or in part. by:
(1) Your acts or omissions; or
(2) The acts or omissions of those acting on your behalf.
U-GL-2162-A CW (02/19)
Page 1 of 4
Includes copyrighted material of Insurance Services Office, Inc.. with its permission.
in the performance of:
(a) Your ongoing operations, with respect to Paragraph 2.a. above; or
(b) "Your work" and included in the "products -completed operations hazard", with respect to Paragraph
2.b. above,
which is the subject of the written contract or written agreement.
However, solely with respect to this Paragraph 2., insurance afforded to such additional insured:
(1) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense
occurs during the policy period and subsequent to your execution of the written contract or written
agreement; and
(ii) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within
the "products -completed operations hazard" unless the written contract or written agreement
specifically requires that you provide such coverage to such additional insured.
3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that
you provide that the person or organization be named as an additional insured:
a. Under the ISO CG 20 10 (04/13 edition, any subsequent edition or if no edition date is specified); or
b. With respect to ongoing operations (if no form is specified),
such person or organization is then an additional insured only to the extent that "bodily injury", "property damage"
or "personal and advertising injury" is caused, in whole or in part by:
(1) Your acts or omissions; or
(2) The acts or omissions of those acting on your behalf,
in the performance of your ongoing operations, which is the subject of the written contract or written
agreement.
However, solely with respect to this Paragraph 3., insurance afforded to such additional insured:
(a) Only applies to the extent permitted by law;
(b) Will not be broader than that which you are required by the written contract or written agreement to
provide for such additional insured; and
(c) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense
occurs during the policy period and subsequent to your execution of the written contract or written
agreement.
4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that
you provide that the person or organization be named as an additional insured:
a. Under the ISO CG 20 37 (04113 edition, any subsequent edition or if no edition date is specified); or
b. With respect to the "products -completed operations hazard" (if no form is specified),
such person or organization is then an additional insured only to the extent that "bodily injury" or "property
damage" is caused, in whole or in part by "your work" and included in the "products -completed operations
hazard", which is the subject of the written contract or written agreement.
However, solely with respect to this Paragraph 4., insurance afforded to such additional insured:
(1) Only applies to the extent permitted by law;
(2) Will not be broader than that which you are required by the written contract or written agreement to
provide for such additional insured;
(3) Only applies if the "bodily injury" or "property damage" occurs during the policy period and subsequent to
your execution of the written contract or written agreement; and
U-GL-2162-A CW (02119)
Page 2 of 4
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
(4) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the
"Products -completed operations hazard" unless the written contract or written agreement specifically
requires that you provide such coverage to such additional insured.
B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement,
the following additional exclusion applies:
This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of
the rendering of, or failure to render, any professional architectural, engineering or surveying services including:
1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field
orders, change orders or drawings and specifications; or
2. Supervisory, inspection, architectural or engineering activities.
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 the failure to render any professional architectural, engineering or surveying services.
C. Solely with respect to the coverage provided by this endorsement, the following is added to Paragraph 2. Duties In
The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions:
The additional insured must see to it that:
(1) We are notified as soon as practicable of an "occurrence" or offense that may result in a claim;
(2) We receive written notice of a claim or "suit" as soon as practicable; and
(3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued
by another insurer under which the additional insured may be an insured in any capacity. This provision does
not apply to insurance on which the additional insured is a Named Insured if the written contract or written
agreement requires that this coverage be primary and non-contributory.
D. Solely with respect to the coverage provided by this endorsement-
1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability
Conditions:
Primary and Noncontributory insurance
This insurance is primary to and will not seek contribution from any other insurance available to an additional
insured provided that:
a. The additional insured is a Named Insured under such other insurance; and
b. You are required by written contract or written agreement that this insurance be primary and not seek
contribution from any other insurance available to the additional insured.
2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition under Section IV —
Commercial General Liability Conditions:
This insurance is excess over. -
Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an
additional insured, in which the additional insured on our policy is also covered as an additional insured on
another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not
apply to any policy in which the additional insured is a Named Insured on such other policy and where our
policy is required by a written contract or written agreement to provide coverage to the additional insured on a
primary and non-contributory basis.
E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an
endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies
specifically to that identified additional insured.
U-GL-2162-A CW (02/19)
Page 3 of 4
Includes copyrighted material of Insurance Services Office, Inc., uwth its permission
F. Solely with respect to the insurance afforded to an additional insured under Paragraph A.3. or Paragraph A.4. of this
endorsement, the following is added to Section III — Limits Of Insurance:
Additional Insured — Automatic — Owners, Lessees Or Contractors Limit
The most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the written contractor written agreement referenced in Section A. of this endorsement; or
2. Available under the applicable Limits of Insurance shown in the Declarations,
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
All other terms, conditions, provisions and exclusions of this policy remain the same.
U-GL-2162-A CW (02119)
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Waiver Of Subrogation (Blanket) Endorsement
0
ZURICH
Policy No
Eff Date of Pot
I-xp Date of Pol
I Eli Date of End
Producer
Add I Prem
Retum Prem
L06124594-00
4/01:2021
4'01;2022
410112021
$
f
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition:
If you are required by a written contract or agreement, which is executed before a loss, to waive your rights of recovery from oth-
ers, we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other
operations in which the insured has no contractual interest.
U-GL-925-B CW (12101)
Page I of I
Coverage Extension Endorsement
ZUR[CH
Policy No.
I Eff. Date of Pol.
I Exp. Date of Pol.
I Eff, Date of End
I Producer No
Add'I Prem
Return Prem.
BAP6124595-00
4101 /2021
4/01 /2022
4101 /2021
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Business Auto Coverage Form
Motor Carrier Coverage Form
A. Amended Who Is An Insured
1. The following is added to the Who Is An Insured Provision in Section II —Covered Autos Liability Coverage:
The following are also "insureds":
a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts
performed within the scope of employment by you. Any "employee" of yours is also an "insured" while
operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your
permission, while performing duties related to the conduct of your business.
b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or
borrow to transport your clients or other persons in activities necessary to your business.
c. Anyone else who furnishes an "auto" referenced in Paragraphs AA.a. and A.1.b. in this endorsement.
d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract
or written agreement with you executed prior to any "accident", including those person(s) or organization(s)
directing your work pursuant to such written contract or written agreement with you, provided the "accident"
arises out of operations governed by such contract or agreement and only up to the limits required in the
written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less.
2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other
Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form:
Coverage for any person(s) or organization(s), where required by written contract or written agreement with you
executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained
by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond
the terms and conditions of the Coverage Form.
B. Amendment —Supplementary Payments
Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II — Covered Autos Liability
Coverage are replaced by the following:
(2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an
"accident" we cover. We do not have to furnish these bonds.
(4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a
day because of time off from work.
U-CA-424-F CW (04114)
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C. Fellow Employee Coverage
The Fellow Employee Exclusion contained in Section tl — Covered Autos Liability Coverage does not apply.
D. Driver Safety Program Liability and Physical Damage Coverage
1. The following is added to the Racing Exclusion in Section II —Covered Autos Liability Coverage:
This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not
limited to, auto or truck rodeos and other auto or truck agility demonstrations.
2. The following is added to Paragraph 2. in the Exclusions of Section III — Physical Damage Coverage of the
Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section IV — Physical Damage
Coverage of the Motor Carrier Coverage Form:
This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not
limited to, auto or truck rodeos and other auto or truck agility demonstrations.
E. Lease or Loan Gap Coverage
The following is added to the Coverage Provision of the Physical Damage Coverage Section:
Lease Or Loan Gap Coverage
In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered
"auto", less:
a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and
b. Any:
(1) Overdue lease or loan payments at the time of the "loss";
(2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage;
(3) SecurLty deposits not returned by the lessor:
(4) Costs for extended warranties, credit life Insurance, health: accident or disability insurance purchased with the
loan or lease and
(5) Carry-over balances from previous leases or loans
F. Towing and Labor
Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following:
We will pay up to $75 for towing and labor costs incurred each time a covered "auto" of the private passenger type is
disabled. However, the labor must be performed at the place of disablement.
G. Extended Glass Coverage
The following is added to Paragraph A.3.a. of the Physical Damage Coverage Section:
If glass must be replaced, the deductible shown in the Declarations will apply However, if glass can be repaired and
is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass
repaired rather than replaced.
H. Hired Auto Physical Damage — Increased Loss of Use Expenses
The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the
following
Loss Of Use Expenses
For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for
loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We
will pay for loss of use expenses if caused by:
U-CA-424-F CW (04114)
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Includes copyrighted material of Insurance Services Office, Inc., with its permission
(1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered
"auto";
(2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided
for any covered "auto"; or
(3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto".
However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3000,
I. Personal Effects Coverage
The following is added to the Coverage Provision of the Physical Damage Coverage Section:
Personal Effects Coverage
a. We will pay up to $750 for "loss" to personal effects which are:
(1) Personal property owned by an "insured"; and
(2) In or on a covered "auto".
b. Subject to Paragraph a. above, the amount to be paid for "loss" to personal effects will be based on the lesser of:
(1) The reasonable cost to replace; or
(2) The actual cash value.
c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered
"auto". No deductible applies to this coverage. However, we will not pay for 'loss" to personal effects of any of
the following:
(1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other
documents of value.
(2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches,
precious or semi-precious stones.
(3) Paintings, statuary and other works of art.
(4) Contraband or property in the course of illegal transportation or trade.
(5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment.
Any coverage provided by this Provision is excess over any other insurance coverage available for the same "loss".
J. Tapes, Records and Discs Coverage
1. The Exclusion in Paragraph B.4.a. of Section III — Physical Damage Coverage In the Business Auto Coverage
Form and the Exclusion in Paragraph 13.2.c. of Section IV — Physical Damage Coverage in the Motor Carrier
Coverage Form does not apply.
2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the
Physical Damage Coverage Section:
We will pay for "loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic
equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices:
(a) Are the property of an "insured"; and
(b) Are in a covered "auto" at the time of "loss".
The most we will pay for such "loss" to tapes, records, discs or other similar devices is $500 The Physical
Damage Coverage Deductible Provision does not apply to such "loss".
U-CA-424 F CW (04114)
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Includes copyrighted material of Insurance Services Office, Inc. with its permission.
K. Airbag Coverage
The Exclusion in Paragraph B.3.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form
and the Exclusion in Paragraph B.4.a. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage
Form does not apply to the accidental discharge of an airbag.
L. Two or More Deductibles
The following is added to the Deductible Provision of the Physical Damage Coverage Section:
If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you
by us, the following applies for each covered "auto" on a per vehicle basis:
1. If the deductible on this policy or Coverage Form is the smaller (or smallest) deductible, it will be waived; or
2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by
the amount of the smaller (or smallest) deductible.
M. Physical Damage — Comprehensive Coverage — Deductible
The following is added to the Deductible Provision of the Physical Damage Coverage Section:
Regardless of the number of covered "autos" damaged or stolen, the maximum deductible that will be applied to
Comprehensive Coverage for all "loss" from any one cause is $5,000 or the deductible shown in the Declarations,
whichever is greater.
N. Temporary Substitute Autos — Physical Damage
1. The following is added to Section I —Covered Autos:
Temporary Substitute Autos — Physical Damage
If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following
types of vehicles are also covered "autos" for Physical Damage Coverage:
Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered
"auto" you do own but is out of service because of its:
1. Breakdown;
2. Repair
3. Servicing;
4. "Loss"; or
5. Destruction.
2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section:
Temporary Substitute Autos -- Physical Damage
We will pay the owner for "loss" to the temporary substitute "auto" unless the "loss" results from fraudulent acts or
omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other
party.
The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it
replaces.
O. Amended Duties In The Event Of Accident, Claim, Suit Or Loss
Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following:
a. In the event of "accident", claim, "suit" or "loss", you must give us or our authorized representative prompt notice
of the "accident": claim, "suit" or "loss"_ However, these duties only apply when the "accident". claim, "suit" or
"loss" Is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited
liability company) or an executive officer or insurance manager (if you are a corporation) The failure of any
U-CA-424-F CW (04/14)
Page 4of6
Includes copyrighted material of Insurance Services Office. Inc., with its permission.
agent, servant or employee of the "insured" to notify us of any "accident", claim, "suit" or "loss" shall not invalidate
the insurance afforded by this policy.
Include, as soon as practicable:
(1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written
notice of the claim or "suit" including, but not limited to, the date and details of such claim or "suit';
(2) The "insured's" name and address; and
(3) To the extent possible, the names and addresses of any injured persons and witnesses.
If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your
failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon
as practicable after the fact of the delay becomes known to you.
P. Waiver of Transfer Of Rights Of Recovery Against Others To Us
The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition:
This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or
"loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only
applies to the person or organization designated in the contract.
Q. Employee Hired Autos — Physical Damage
Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other
Insurance -- Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced
by the following:
For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own:
(1) Any covered "auto" you lease, hire, rent or borrow; and
(2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or
elected or appointed official with your permission while being operated within the course and scope of that
"employee's" employment by you or that elected or appointed official's duties as respect their obligations to you.
However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto".
R. Unintentional Failure to Disclose Hazards
The following is added to the Concealment, Misrepresentation Or Fraud Condition:
However, we will not deny coverage under this Coverage Form if you unintentionally:
(1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or
(2) Make an error, omission, improper description of "autos" or other misstatement of information.
You must notify us as soon as possible after the discovery of any hazards or any other information that was not
provided to us prior to the acceptance of this policy.
S. Hired Auto —World Wide Coverage
Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following:
(5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less,
T. Bodily Injury Redefined
The definition of "bodily injury" in the Definitions Section is replaced by the following:
"Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish,
resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease.
U-CA-424-F CW (04114)
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Includes copyrighted material of Insurance Services Office, Inc with its permission.
U. Expected Or Intended Injury
The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II — Covered Auto Liability
Coverage is replaced by the following:
Expected Or Intended Injury
"Bodily injury" or "property damage" expected or intended from the standpoint of the "insured". This exclusion does
not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or
property.
V. Physical Damage —Additional Temporary Transportation Expense Coverage
Paragraph A.4.a. of Section III — Physical Damage Coverage is replaced by the following:
4. Coverage Extensions
a. Transportation Expenses
We will pay up to $50 per day to a maximum of $1,000 for temporary transportation expense incurred by you
because of the total theft of a covered "auto" of the private passenger type. We will pay only for those
covered "autos" for which you carry either Comprehensive or Specified Causes of toss Coverage. We will
pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and
ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its
"loss".
W. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto
The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section:
In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or
"auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost
of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a
maximum of $2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative
fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease
agreement.
To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of
propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas,
either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be
powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by
biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source.
X. Return of Stolen Automobile
The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section:
If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay
only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage.
All other terms, conditions, provisions and exclusions of this policy remain the same.
U-CA-424-F CW (04/14)
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Includes copyrighted material of Insurance Services Office, Inc meth its permission
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13
(Ed. 04-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. (This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR
AGREEMENT WITH THE INSURED. EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF
SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT
PERSON AND/OR ORGANIZATION
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement WC 6124596-00 Effective Policy No. 0410V2021 Endorsement No.
Insured Premium $
Insurance Company Zurich American Insurance Company Countersigned by
WC124 (4-84) Page 1 of 1
WC 00 03 13 Copyright 1983 National Council on Compensation Insurance Inc Uniform FormsTM
Policy Number PSDEF2100647
NOTICE OF CANCELLATION TO ENTITIES OTHER THAN THE NAMED ASSURED
ENDORSEMENT
It is hereby understood and agreed that this endorsement modifies the insurance provided by the
Policy:
As required under the written contracts with the Named Assured provided the Named Assured has
furnished Insurers w ith a listing of the Names and Addresses.
A. H the Insurer cancels this policy, prior written notice of cancellation shall be given to the
Certificate Holder(s) listed below (hereinafter, "Certificate Holder(s)") as follows:
1. A ten (10) day prior w ritten notice of cancellation shall be given for non-payment of
premium;
2. A thirty (30) day prior written notice of cancellation shall be given for any reason other than
cancellation for non-payment of premiurn;
3. A thirty (30) day prior w ritten notice of shall be gi1 en for non -renew al of this Pblicy.
B. The Insurer shall provide thirty (30) days priorwritten notice of a Material Change as set forth
herein, this endorsement confers no rights under this Policy to the Certificate Holder(s)
including, but not limited to, additional Assured status or additional Named Assured status.
The follow ing definitions apply to this endorsement:
1. Insurer means the insurance company shown in the header on the Declarations page of
this Policy.
2 Material Change means the addition of an endorsement(s) to the Policy after the Policy
inception date which:
a. Reduces the Limits of Insurance/Liability; or
b. Adds an Exclusion(s) to the Policy.
Ce rtificate Holder(s):
All other terms and conditions of this policy remain unchanged.
Risk Details -Wording Page 36 of 62
a
Blanket Notification To Others Of Cancellation ZURICH
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Policy No. GLO 6124594-00 Effective Date: 04/01/2021
This endorsement modifies insurance provided under the;
Commercial General Liability Coverage Part
A. If we cancel this Coverage Part by written notice to the first Named Insured for any reason other than nonpayment of
premium, we will deliver electronic notification that such Coverage Part has been cancelled to each person or
organization shown in a Schedule provided to us by the First Named Insured, Such Schedule:
1. Must be initially provided to us within 15 days:
a. After the beginning of the policy period shown in the Declarations; or
b. After this endorsement has been added to policy;
2. Must contain the names and e-mail addresses of only the persons or organizations requiring notification that such
Coverage Part has been cancelled;
3. Must be in an electronic format that is acceptable to us; and
4. Must be accurate.
Such Schedule may be updated and provided to us by the First Named Insured during the policy period. Such
updated Schedule must comply with Paragraphs 2. 3. and 4. above.
B. Our delivery of the electronic notification as described in Paragraph A. of this endorsement will be based on the most
recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named
Insured. Delivery of the notification as described in Paragraph A. of this endorsement will be completed as soon as
practicable after the effective date of cancellation to the first Named Insured.
C. Proof of e-mailing the electronic notification will be sufficient proof that we have complied with Paragraphs A. and B.
of this endorsement.
D. Our delivery of electronic notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy
only. Our failure to provide such delivery of electronic notification will not:
1. Extend the Coverage Part cancellation date;
2. Negate the cancellation; or
3. Provide any additional insurance that would not have been provided in the absence of this endorsement.
E. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the Schedule
provided to us as described in Paragraphs A. and B. of this endorsement.
All other terms, conditions, provisions and exclusions of this policy remain the same.
U•GL-107-A CW (10116
Page 1 of 1
Includes copynghted material of Insurance Services Office, Inc with its permission
Blanket Notification To Others Of Cancellation
0
ZURICH
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Policy No. BAP 6124595-00
This endorsement modifies insurance provided under the:
Auto Dealers Coverage Form
Business Auto Coverage Form
Motor Carrier Coverage Form
Effective Date: 04/01/2021
A. If we cancel this Coverage Part by written notice to the first Named Insured for any reason other than nonpayment of
premium, we will deliver electronic notification that such Coverage Part has been cancelled to each person or
organization shown in a Schedule provided to us by the First Named Insured. Such Schedule:
1. Must be initially provided to us within 15 days:
a. After the beginning of the policy period shown in the Declarations; or
b. After this endorsement has been added to policy;
2. Must contain the names and e-mail addresses of only the persons or organizations requiring notification that such
Coverage Part has been cancelled;
3. Must be in an electronic format that is acceptable to us; and
4. Must be accurate.
Such Schedule may be updated and provided to us by the First Named Insured during the policy period. Such
updated Schedule must comply with Paragraphs 2., 3. and 4. above.
B. Our delivery of the electronic notification as described in Paragraph A. of this endorsement will be based on the most
recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named
Insured. Delivery of the notification as described in Paragraph A. of this endorsement will be completed as soon as
practicable after the effective date of cancellation to the first Named Insured.
C. Proof of e-mailing the electronic notification will be sufficient proof that we have complied with Paragraphs A. and B.
of this endorsement.
D. Our delivery of electronic notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy
only, Our failure to provide such delivery of electronic notification will not:
1. Extend the Coverage Part cancellation date;
2. Negate the cancellation; or
3. Provide any additional insurance that would not have been provided in the absence of this endorsement.
E. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the Schedule
provided to us as described in Paragraphs A. and B. of this endorsement.
All other terms, conditions, provisions and exclusions of this policy remain the same.
U-CA-103-A CW (10/16)
Page 1 of 1
Includes copyrighted material of Insurance Services Office Inc . with its permission.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY U-WC-100-A CW (10/16)
NOTIFICATION TO OTHERS OF CANCELLATION ENDORSEMENT
This endorsement is used to add the following to Part Six of the policy.
PART SIX — CONDITIONS
F. Notification To Others Of Cancellation
1. If we cancel this policy by written notice to you for any reason other than nonpayment of premium, we will
deliver electronic notification to each person or organization shown in a Schedule provided to us by you
Such Schedule:
a. Must be initially provided to us within 15 days:
After the beginning of the policy period shown in the Declarations; or
After this endorsement has been added to policy;
b. Must contain the names and e-mail addresses of only the persons or organizations requiring
notification that this policy has been cancelled;
c. Must be in an electronic format that is acceptable to us; and
d. Must be accurate.
Such Schedule may be updated and provided to us by you during the policy period. Such updated
Schedule must comply with Paragraphs b. c. and d. above.
2. Our delivery of the electronic notification as described in Paragraph 1. of this endorsement will be based
on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered
to you. Delivery of the notification as described in Paragraph 1. of this endorsement will be completed as
soon as practicable after the effective date of cancellation to you.
3. Proof of e-mailing the electronic notification will be sufficient proof that we have complied with Paragraphs
1. and 2. of this endorsement.
4. Our delivery of electronic notification described in Paragraphs 1. and 2. of this endorsement is intended
as a courtesy only. Our failure to provide such delivery of electronic notification will not:
a. Extend the policy cancellation date;
b. Negate the cancellation; or
c. Provide any additional insurance that would not have been provided in the absence of this
endorsement.
5. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the
Schedule provided to us as described in Paragraphs 1. and 2. of this endorsement.
All other terms and conditions of this policy remain unchanged.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective 04/01/2021 Policy No WC 6124596
Insured
Insurance Company Zurich American Insurance Company
Endorsement No
Premium $
U-WC100-A CW (10116)
Includes copyrighted material of National Council on CompensatFon Insurance, Inc. used with its permission. INTERNAL USE ONLY
No Text