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HomeMy WebLinkAbout2021-190 PO 20210242- Public Consulting Group Inc CITY RECORDER' Purchase Order F/A1 11,410 Fiscal Year 2021 Page: 1 of: 1 B City of Ashland- =m•g _ ATTN:Accounts Payable Purchase /I Ashland,iOR 97520 Order// 20210242 T Phone: 541/552-2010 . 0 Email: payable@ashland.or.us V H C/O Fire and Rescue Department PUBLIC CONSULTING GROUP, INC. I 455 Siskiyou Blvd D • 148 STATE STREET, 10TH FLOOR p Ashland, OR 97520 O BOSTON, MA 02109 Phone: 541/482-2770 T Fax: 541/488-5318 75=5 a1-_lel legia I I .cv -o1c[l �'_�� 9Ui = � - Rai•h Sartain - M1171: �EI:-�ecic:a- - 3�1 16 - -1 01/11/2021 5806 Cit Accounts Pa able -- Ambulance-Service Analysis 1 Ambulance Transporting Services 1.0 $48,720.00 $48,720.00 Cost&Service Analysis • Personal Services Agreement Completion date: 05/15/2021 . Project Account: **************k GL SUMMARY**************k 071200-604100 $48,720.00 • • • • By: . r Date: / �" / T- •A horized 'gn-lure b-2:3 'I t 48 720.00 . •",:-... • , • . • . . • • . • . . , . , . ! 1 , CITY OF • I ' , > /Irl't ASI1-11 LAN 1D A request for-A ..r purigitis ord , e '' _ i . . IREQUIISOTHON , Dale of request: PA.9,01.1204V4. 4. ; . , , • Required date for delivery. ;f1J1F•,-,ii.::, ,,ig.1: , 1 . . , , . Vendor Name . Public Donsulting Group • I Address,City,State,Zip 818 Congress Avenue Ste 1110 Austin TX 78701 Contact Name&Telephone Number James Dachas • • ' , - Email address • Idachos@pcgus.com • _ . • SOURCING METHOD ; D gxomot from Competitive Bidding in Emergency 0 Reason for exemption: DI Invitation to B14 . 10 Form1113,Written findings and Authorization . 1 • RAMC 2.50. Data approved by Council: ,EI Written quote or proposal attached • • , Written quote or proposal attached • (Attach copy of council communication) . (If council approval required,attach copy of CC) 0 Small Procurement El Request for Proposal ' . Cooperative Procurement • pot exceeding$5,000 Date approved by Council: LI Stale of Oregon ' 131 Direct Award (Attach copy of council communication) Contract 11 O VerballWrillen bid(s)or proposal(s) 0 Request for Qualifications(Public Works) 0 Stale of Washington • Date approved by Council: Contractt 1 , (Attach copy of council communication) 0 Other government agency contract I Intermediate Procurement . IC Solo Source Agency GOODS&SERVICES • D Applicable Form(115,6,7 or 0) Contract# . • Greater than$5.00D and less than$100.000 Int Written quote or proposal attached Intergovernmental Agreement El (3)Written bids&solicitation attached Form 114,Personal Services$6K lo$75K Agency 1 • PERSONAL SERVICES El Sonia,Procurement 0 Annual cost to City does not exceed$25,000. Greater than$6.000 and loss than$75,000 E] Form fit Request for Approval ' Agreement approved by Legal and approvedlsIgned by . • 13 Less than$35,000,by direct appointment 0 Written quolcfor proposal attached qy Administrator.AMC 260.070(4) tEl (3)Written proposals&solicitation attached Date approved by Council: BO Annual cost to 011y exceeds$25,000,Council i • 0 Form114,Personal Services$5K to$76K Valid until: (Date) approval required.(Attach copy of council communication) . Description of SERVICES . . Total Cost i ..:,-;•,%,,-..10:,;ii4.Y.-41.1..viii:,.0.41121, ;•;',!:,:lf.:-.": ! . , RFP-Ambulance Transporting Services Cost&Service Analysis ti?A..;:.;;•N;;Wer,fmi.:•ii-. ...:,,I.;.„..,,,-!,,;:trq:', :!.!€?.A..!:,..1,,•:•.11,:..-7.z.rpi,i;•11.,7:n;:ins,.....:15A-:;a::•.:-* "'----,,,•-'-rv•': ::::k-A-ii-A.ti.,.,...T.I.ilt::!•:k.,;•;1.. • . iii48120100a;71;L:ii.::,ki,;i-•.,;.:41..!1;::iv.....;.,..•...:,--:.i . . .-.*•,.-..;..1..,,,......,.:r. .,••-., .:...-d Item# Quantity Unit, Description of MATERIALS Unit Price Total Cost . • • . . . . . . . I=1 Per attached quotelproposal 7ilititA14,00Sr1.4 11 itTi.): Project Number - — Account Number'°7/Fq—'6'41., 0 044(0-0 ;.e:&1.:!;1'.':-:'. 1.-k:'•:7;...P Account Number • Account Number • f- . *Expondituro must he charged to the appropriate account numbers forth°financials to accurately reflectlhe actual expenditures. IT Director In collaboration with department to approve all hardware and software purchases: • , IT Director Date Support-Yes/No Bysigning this roquisillon form I cergr that the City's public contracting requirements have been satisfied. '' . .• Employee: , • • Department Head: . lics---i--- _Equal to or greater than$5,000) Department Manager/Supervisor:. • City Admi•strator: , , 'io, - • pal .or greater than$26,000). , • _ ..., Funds appropriated for current Meat year: .-YEt/NO of / <0;0•71 • • lnancotitactor-(Equelloorgr lorlhag$ 000) Dale Comments: • , . • I . I 1 FOIMM-RequIsIllon . • i i 1 . • . 1 1 1 . . 1 . 1 • . • • • • PERSONAL SERVICES AGREEMENT CONSULTANT: Public Consulting Group,Inc. CITY O F CONSULTANT'S CONTACT: James Dachos,Associate Manager • • ASHLAND • • 20 East Main Street ADDRESS: 816 Congress Avenue,Suite 1110 Ashland,Oregon 97520 Austin,Texas 78701 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: 512-407-9680 FAX: 512-407-9249 • EMAIL: ,idachos@pcgus.com This Personal Services Agreement(hereinafter"Agreement") is entered into by and between the City of Ashland,an Oregon municipal corporation(hereinafter"City")and Public Consulting Group,Inc., a foreign business corporation ("hereinafter"Consultant"), for an Ambulance Transporting Services, Cost&Service Analysis. NOW THEREFORE,in consideration of the mutual covenants contained herein,the City and Consultant hereby agree as follows:- 1. Effective Date and Duration: This Agreement shall become effective on the date of execution on behalf of the City,as set forth below(the"Effective Date"),and unless sooner terminated as specifically provided herein,shall terminate upon the City's affirmative acceptance of Consultant's Work as complete and Consultant's acceptance of the City's final payment therefore, but not later than May 15,2021. 2. Scope of Work: Consultant will provide an Ambulance Transporting Services,Cost&Service Analysis as more fully set forth in the City's Request For Proposals which is attached hereto as "Exhibit A" and incorporated herein by this reference and Consultant's Proposal dated October 15, 2020, which is attached hereto as "Exhibit D" and incorporated herein by this reference. Consultant's services are collectively referred to in this Agreement as the"Work." 3. Supporting Documents/Conflicting Provisions; This Agreement and any exhibits or other supporting documents shall be construed to be mutually complementary and supplementary . wherever possible.'In the event of a conflict which cannot be so resolved,the provisions of this • Agreement itself shall control over any conflicting provisions in any of the exhibits or supporting documents. In the event of a conflict between"Exhibit A,"the City's Request For Proposals,and "Exhibit D,"Consultant's Proposal dated October 15,2020,which cannot be resolved,the provisions and requirements of"Exhibit A"shall control. 4. All Costs Borne by Consultant: Consultant shall,at its own risk,perform the Work described ! ' above and,unless otherwise specified in this Agreement,furnish all labor,equipment,and { j materials required for the proper performance of such Work. Page 1 of 7: Personal Services Agreement between the City of Ashland and Public Consulting Group,Inc. • 5. Qualified Work: Consultant has-represented, and by entering into this Agreement now represents,that all personnel assigned to the Work to be performed under this Agreement are fully qualified to perform the service to which they will be assigned in a skilled and worker-like manner and,if required to be registered, licensed or bonded by the State of Oregon, are so registered,licensed and bonded, 6. Compensation: City shall pay Consultant for its Work at the hourly rates set forth in the Consultant's Proposal dated October 15,2020, attached hereto as "Exhibit D," as compensation for Consultant's performance of any Work under this Agreement. In no event shall Consultants • total of all compensation and reimbursement under this Agreement exceed the sum of $48,720.00 (forty-eight thousand seven hundred and twenty dollars)without the express, written approval from the City official whose signature appears below, or such official's successor in office. Payments shall be made within thirty(30)days of the date of receipt by the City of Consultant';s invoice. Should this Agreement be terminated prior to completion of all Work,payments will be made for any phase or hours of the Work completed and accepted by the City as of the date of termination. 7. Ownership of Work/Documents: All Work,work product, or other documents produced in furtherance of this Agreement belong to the City, and any copyright,patent,trademark proprietary or any other protected intellectual property right shall vest in and is hereby assigned to the City. 8. Statutory Requirements: The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220,279B.230 and 279B.235. 9. Living Wage Requirements: If the amount of this Agreement is$22,002.43 or more, Consultant is required to comply with Chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in that chapter,to all employees performing Work under this Agreement and to any Subcontractor who performs 50%or more of the Work under this Agreement. Consultant is also required to post the notice attached hereto as"Exhibit B"predominantly in areas where it will be seen by all employees. 10. Indemnification: Consultant hereby agrees to defend, indemnify,save, and hold City,its officers,employees, and agents harmless from any and all losses, claims, actions, costs, expenses,judgments, or other damages resulting from injury to any person(including injury resulting in death), or damage (including loss or destruction)to property, of whatsoever nature . arising out of or incident to the performance of this Agreement by Consultant(including but not limited to, Consultant's employees,agents, and others designated by Consultant to perform Work or services attendant to this Agreement). However, Consultant shall not be held responsible for any losses,expenses, claims, subrogations, actions, costs,judgments,or other damages, caused solely by the negligence of City. 11. Termination: a. Mutual Consent. This Agreement may be terminated at any time by the mutual consent of both parties. b. City's Convenience. This Agreement may be terminated by City at any time upon not Page 2 of 7: Personal Services Agreement between the City of Ashland and Public Consulting Group,Inc. 1 less than thirty(30)days' prior written notice delivered by certified mail or in person. c. For Cause. City may terminate or modify this Agreement,in whole or in part, effective upon delivery of written notice to Consultant,or at such later date as may be established by City under any of the following conditions: i. If City funding from federal,state,county or othersources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified, changed,or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this Agreement or are no longer eligible for the funding proposed for payments.. authorized by this Agreement;or . iii. If anylicense or certificate required bylaw or regulation to be held byConsultant to q � provide the services required by this Agreement is for any reason denied,revoked, suspended,or not renewed. d. For Default or Breach. ' i. Either City or Consultant may terminate this Agreement in the event of a breach of the Agreement by the other. Prior to such termination the party seeking termination shall give:to.the other party written notice of the breach and its.intent to terminate. If the party committing the breach has not entirelycured the breach within fifteen(15) • days of the date of the notice,or within such other.period as the party giving the notice may authorize:in:writing,then the Agreement may be terminated at any time thereafter by a written notice of termination by the party giving notice, ii. Time is of the essence for Consultant's performance of each and.every obligation and duty under this Agreement.. City,by written notice to:Consultant of default.or breach, may at any time terminate the whole or any part of this Agreement if Consultant fails to provide the Work called for by this Agreement within the time specified herein or within any extension thereof. . iii. The rights and remedies of City provided in this Subsection d are not exclusive and are in addition to any other rights and remedies provided by law or under this Agreement. . e. Obligation/Liability of Parties. Termination or modification of this Agreement pursuant to subsections a,b, or c above shall be without prejudice to any obligationsor liabilities of either party already accrued prior to such termination.or modification. However,upon receiving anotice of termination(regardless whether such notice is given pursuant to Subsection:a,b,c,or d of this section,Consultant shall immediatelycease all activities under this Agreement,unless expressly directed otherwise by City in the notice of termination.Further,upon termination, Consultant shall deliver to City all documents, information,works-in-progress and other property that are or would be deliverables had the Agreement been completed. City shall pay Consultant for Work performed prior to the termination date if such Work was performed in accordance with this Agreement. Page 3 of 7: Personal Services Agreement between the City of Ashland and Public Consulting Group,Inc. 12. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City for any purpose. Consultant shall have the complete responsibility for the performance of this Agreement. Consultant shall provide workers' compensation coverage as required in ORS Chapter 656 for all persons employed to perform Work pursuant to this Agreement. Consultant is a subject employer that will comply with ORS 656.017. 13. Assignment: Consultant shall not assign this Agreement or subcontract any portion of the Work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Consultant shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all persons employed by them,and the approval by City of any assignment or subcontract of the Work shall not create any contractual relation between the assignee or subcontractor and City. 14. Default. The Consultant shall be in default of this Agreement if Consultant: commits any material breach or default of any covenant,warranty,certification, or obligation under the Agreement;institutes an action for relief in bankruptcy or has instituted against it an action for insolvency;makes a general assignment for the benefit of creditors; or ceases doing business'on a regular basis of the type identified in its obligations under the Agreement; or attempts to assign rights in, or delegate duties under,this Agreement. 15. Insurance. Consultant shall, at its own expense,maintain the following insurance: .a. Worker's Compensation insurance in compliance with ORS 656.017,which requires subject • employers to provide Oregon workers' compensation coverage for all their subject workers b. Professional Liability insurance with a combined single limit, or the equivalent, of not less than$2,000,000 (two million dollars)per occurrence. This is to cover any damages caused by error, omission or negligent acts related to the Work to be provided under this Agreement. c. General Liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars)per occurrence for Bodily Injury,Death, and Property Damage. d. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than$1,000,000 (one million dollars)for each accident for Bodily Injury and Property Damage,including coverage for owned,hired or non-owned vehicles, as applicable. e. Notice of cancellation or change. There shall be no cancellation,material change,reduction • of limits or intent not to renew the insurance coverage(s)without thirty(30) days' prior written notice from the Consultant or its insurer(s)to the City. f. Additional Insured/Certificates of Insurance. Consultant shall name the City of Ashland, Oregon,and its elected officials, officers and employees as Additional Insureds on any insurance policies, excluding Professional Liability and Workers' Compensation,required • herein,but only with respect to Consultant's services to be provided under this Agreement. The consultant's insurance is primary and non-contributory.As evidence of the insurance coverages required by this Agreement,the Consultant shall furnish acceptable insurance certificates prior to commencing the Work under this Agreement. The certificate will specify all of the parties Page 4 of 7: Personal Services Agreement between the City of Ashland and Public Consulting Group,Inc, . j who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If requested, complete copies of insurance policies;trust agreements,etc. shall be provided to the City. The Consultant shall befinancially responsible for all pertinent deductibles, self-insured retentions,and/or self-insurance. 16. Nondiscrimination: Consultant agrees that no person shall,on the grounds of race,color, religion, creed,sex,marital status,familial status or domestic partnership,national origin, age, mental or physical disability, sexual orientation, gender identity or source of income, suffer discrimination in the performance of any Work under this Agreement when employed by Consultant. Consultant agrees to comply with allapplicablerequirements..of federal and state civil rights and rehabilitation statutes,rules and regulations. Further, Consultant agrees not to discriminate against a disadvantaged business enterprise,.minority-owned:business,woman- owned business, a business that a service-disabled veteran owns,oran emerging small business enterprise certified under ORS 200.055,in awarding subcontracts as required by ORS 279A.110. 17. Consultant's Compliance with Tax Laws: F 17.1 Consultant represents and warrants to the City that: 17.1.1 Consultant shall,throughout the term of this Agreement,including any extensions hereof,comply with: .. . (i)All tax laws of the State of Oregon,including:but not limited to.ORS 305.620 and ORS Chapters 316,317,and•318; . (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Consultant; and (iii) Any rules,regulations,charter provisions,or ordinances that implement or enforce any of the foregoing tax laws or provisions. 17.1.2 Consultant,for a period of no fewer than six(6)calendar years preceding the Effective Date of this Agreement,has faithfully complied with: . (i) All tax laws of the State of Oregon,including but not limited to ORS 305.620 and ORS Chapters 316,317,.and 318;:, (ii) Any tax provisions imposed by a political subdivision:of the:State.of Oregon applicable to Consultant; and • Any rules,regulations;charter provisions,or ordinances that implement or enforce any of the foregoing tax laws or provisions • {J{ . e Page 5 of 7: Personal Services Agreement between the City of Ashland and Public Consulting Group,Inc. • 18. Notice. Whenever notice is required orpermitted to be given under this Agreement,such notice shall be given in writing to the other party by personal delivery,by sending via a reputable commercial overnight courier,by mailing using registered or certified United States mail,return receipt requested,postage prepaid,or by electronically confirmed at the address or facsimile number set forth below: If to the City: City of Ashland Attention:Adam Hanks,Interim City Administrator 20 E.Main Street Ashland, Oregon 97520 Telephone: (541)488-6002 With a copy to: City of Ashland—Legal Department 20 E.Main Street Ashland, Oregon 97520 Telephone:. (541)488-5350 If to Consultant: Public Consulting Group,Inc. Attention: James Dachos,Associate Manager .816 Congress Avenue, Suite 1110 Austin,Texas 78701 Telephone: (512)407-9680 19. Governing Law. This Agreement shall be governed by the laws of the State of Oregon without regard to conflict of laws principles. Exclusive venue for litigation of any action arising under this Agreement shall be in the Circuit Court of the State of Oregon for Jackson County unless exclusive jurisdiction is in federal court,in which case exclusive venue shall be in the federal district court for the district of Oregon. Each party expressly waives any and all rights to maintain an action under this Agreement in any other venue, and expressly consents that,upon motion of the other party,any case may be dismissed or its venue transferred,as appropriate, so as to effectuate this'choice of venue. 20. :., Amendments. This Agreement may be amended only by written instrument executed by both parties with the same formalities as this Agreement. 21. Nonappropriations Clase. Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to finance the costs of this Agreement within the City's fiscal year budget. Consultant understands and agrees that City's payment of amounts under this Agreement attributable to Work performed after the last day of the current fiscal year is contingent on City appropriations,or other expenditure authority sufficient to allow City in the. exercise of its reasonable administrative discretion,to continue to make payments under this Page 6 of 7: Personal Services Agreement between the City of Ashland and Public Consulting Group,Inc. . Agreement. In the event City has insufficient appropriations,limitations or other expenditure authority,City may terminate this Agreement without penalty or liability to City,effective upon the delivery of written notice to Consultant,with no further liability to Consultant. 1 22. THIS AGREEMENT AND THE ATTACHED EXHIBITS'CONSTITUTE THE ENTIRE UNDERSTANDING AND AGREEMENT BETWEEN THE PARTIES. NO WAIVER, CONSENT,MODIFICATION OR CHANGE OF TERMS OF THIS AGREEMENT SHALL i BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER,CONSENT,MODIFICATION OR CHANGE,IF MADE,SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS,AGREEMENTS,OR REPRESENTATIONS,ORAL OR WRITTEN,NOT SPECIFIED HEREIN REGARDING THIS AGREEMENT. CONSULTANT,BY SIGNATURE OF ITS AUTHORIZED.REPRESENTATIVE,HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS AGREEMENT,UNDERSTANDS IT, AND AGREES TO,;BE BOUND BY ITS TERMS AND CONDITIONS. 23. Certification. Consultant hereby agrees to sign the certification attached hereto as"Exhibit C" and incorporated herein by this reference. IN WITNESS WHEREOF the parties have caused this Agreement to be signed in their respective names by their duly authorizedrepresentatives as of the dates set forth below. CITY OF ASHLAND: PUBLIC CONSULTING GROUP,INC. / By: Z7ae By. � Interim CityAdministrator G � Signature %/.,.. ,e4,,e, James Dachos Printed Name Printed Name' : - i 0/2.i Manager Date Title j 1 1/6/2021 •• . Date 1 I Purchase Order No. �D� . 2 (vv-9 is to be submitted with this signed. Agreement) 1 I APPROVED AS TO:FORM: , 1 . /./.4.,e -?7-'". //‘..' - . ssistant City Attorney ' ,(��6.. -- 02, ,z2.0.2.C • Date . Page 7 of 7: Personal Services Agreement between the City of Ashland and Public Consulting Group,Inc. • EDIT B CITY OF ASHLAND, OREGON City of Ashland LIVING ALL employers described WAG E below must comply with City of Ashland laws regulating •a ment of a livin• wa.e. $15.74 per hour, effective June 30, 2020. The Living Wage is adjusted annually every June 30 by the Consumer Price Index. Employees must be paid a portion of business of their 401K and IRS eligible • living wage: employer,if the employer has cafeteria plans(including • ten or more employees,and childcare)benefits to the has received financial amount of wages received by assistance for the project or the employee. D For all hours worked under a business from the City of • service contract between their Ashland in excess of ➢ Note: For temporary and employer and the City'of $22,002.43. part-time employees,the Ashland if the contract Living Wage does not apply exceeds$22,002.43 or more. D If their employer is the City of to the first 1040 hours worked Ashland,including the Parks in any calendar year. For ➢ For all hours worked in a and Recreation Department. more details,please see month if the employeespends Ashland Municipal Code 50%or more of the D In calculating the living wage, Section 3.12.020. employee's time in that month employers may add the value working on a project or of health care,retirement, For additional information: Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall,20 East Main Street,Ashland, OR 97520, or visit the City's website at www.ashland.or.us. INotice to Employers:This notice must be posted predominantly in areas where it can be seen by all employees. CITY OF ASHLAND Page 1 of 1 EXHIBIT B • EXHIBIT C CERTIFICATIONS/REPRESENTATIONS: Consultant,by and through its authorized representative,under penalty of perjury, certifies that(a)the number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be issued to it and(b) Consultant is not subject to backup withholding because: (i)it is exempt from backup withholding,or(ii)it has not been notified by the Internal Revenue Service(IRS)that it is subject to backup withholding as a result of a failure to report all interest or dividends,or(iii)the IRS has notified it that it is no longer subject to backup withholding. Consultant further represents and warrants to City that: (a)it has the power and authority to enter into this Agreement and perform the Work,(b)the Agreement,when executed and delivered, shall be a valid and binding obligation of Consultant enforceable in accordance with its terms, (c)the work under the Agreement shall be performed in accordance with the highest professional standards, and(d) Consultant is qualified,professionally competent,and duly licensed(if applicable)to perform the Work. Consultant also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws,it is an independent contractor as defined in the Agreement,it is authorized to do business in the State of Oregon,and Consultant has checked four or more of the following criteria that apply to its business. (1) Consultant carries out the work or services at a location separate from a private residence or is in a specific portion of a private residence,set aside as the location of the business, V (2) Commercial advertising or business cards or a trade association membership are purchased for the business. 0 V (3)Telephone listing is used for the business separate from the personal residence listing. V (4)Labor or services are performed only pursuant to written contracts. V (5)Labor or services are performed for two or more different persons within a period of one year. (6) Consultant assumes financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds, warranties,errors and omission(professional liability)insurance or liability insurance relating to the Work or services to be provided. T�ac�Le� 0 onsultant's signature 1/6/2021 Date. Page 1 of I EXHIBIT C Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) �.."'''' 12/3/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If.the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). • PRODUCER CONTACT Laurie McLaughlin Clark NAME: g Hays Companies Inc. PHONE FAX NE.Ext/: (A/C,No): 133 Federal Street, 4th Floor E-MAIL ADDRESS:lclark@hay p scorn anies.com INSURER(S)AFFORDING COVERAGE NAIC# Boston MA 02110 INSURER A:Great Northern Insurance Company 20303 INSURED INSURER B:Federal Insurance Company ,20281 Public Consulting Group, Inc INSURER C:Allied World Assurance Co (U.S.) Inc -_10690 148 State St. INSURER D:ACE American Insurance Company 22667 10th Floor INSURER E: _ Boston MA 02109 / INSURERF: COVERAGES CERTIFICATE NUMBER:2020-21 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINGANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR-OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP _Jon In wvn POLICY NUMBER (MMIDD/YYYYI IMMIDD/YYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE n OCCUR DAMAGEPREMISES1,000,000(Ea occurrence) $ X Y 35855036 4/1/2020 4/1/2021 MED EXP(Any one person) $ 10,000 — PERSONAL&ADV INJURY $ 1,000,000 GGE�ENI''LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 1 POLICY PRO LOCIncluded n JECT n PRODUCTS-COMP/OPAGG $ OTHER: ' Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accidents _ B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 73540440 4/1/2020 4/1/2021 BODILY INJURY(Per accident) $ _ AUTOS AUTOS X y _ NON-OWNED PROPERTY DAMAGE HIRED AUTOS R AUTOS 1 (Per accident) $ X $ X UMBRELLALIAB X OCCUR j EACH OCCURRENCE $ 10,000,000 C EXCESS LIAR CLAIMS-MADE AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 X Y 0311-2674 4/1/2020 4/1/2021 $ WORKERS COMPENSATION XPEA UTE 0TH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? n N/A B (MandatorylnNH) y 71724811 12/31/2019 12/31/2020 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D Professional/Cyber Liability • D95159837 4/1/2020 4/1/2021 . Each Claim/Aggregate $10,000,000 Claims Made Retro Date: 2/27/1997 . Retention $250,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) City of Ashland, Oregon, and its elected officials, officers and employees are included as additional insured as respects to General Liability, on a primary and non-contributory basis, and Auto where required by written contract, subject to policy terms and conditions. Umbrella follows form. A Waiver of Subrogation applies in favor of the additional insureds'as respects to General Liability, Auto and Workers Compensation where required by written contract, subject to policy terms and conditions. Umbrella follows form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION,DATE THEREOF,NOTICE WILL BE DELIVERED IN 90 N. Mountain Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE James Hays/CEMITC 91E\'' I ©1988-2014 ACORD CORPORATION. All rights reserved. . ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) C H U B Bm Liability Insurance Endorsement Policy Period APRIL 1,2020 TO APRIL 1,2021 Effective Date APRIL 1,2020 • Policy Number 3585-50-36 BOS . Insured PUBLIC CONSULTING GROUP,INC. Name of Company GREAT NORTHERN INSURANCE COMPANY Date Issued MARCH 30,2020 This Endorsement applies to the following forms: GENERAL LIABILITY EMPLOYEE BENEFITS ERRORS OR OMISSIONS Under Conditions,the following provision is added to the condition titled Other Insurance. Conditions Other Insurance- If you are obligated,pursuant to a written contract or agreement,to provide the person or Primary,Noncontributory organization described in the Schedule(that is also included in the Who Is An Insured section of this • Insurance-Scheduled contract)with primary insurance such as is afforded by this policy,then this insurance is primary and Person Or Organization we will not seek contribution from insurance available to such person or organization. Schedule OTHER INSURANCE-PRIMARY ADDITIONAL INSURED All other terms and conditions remain unchanged. Authorized Representative n.`i\� Liability Insurance Conditions-,Other Insurance-Primary,Noncontributory Insurance-Scheduled Person Or Organization last page Form 80-02-2653(Rev.7-09) Endorsement Page 1 . • • Conditions (continued) Transfer Or Waiver Of We will waive the right of recovery we would otherwise have bad against another person or Rights Of Recovery organization,for loss to which this insaraace::appliesc,prOy4letIthe:Iristitil has Waivedtheir rights Against Others of recovery against such person or organization in#contractor agreement that is:eteoute:dhefore, such loss. To the tktent that the insgretts:tigh,O to recover ill-OrVart o any pitymOnumad*n.1.100 this insuMnde.havd aotheetrwahtekthose rights are transferred to us.'TheinsOred must 09:00,000. after loss to impair them.At our request,the insured will bring suit or transfer those rights to us and help us enforce them. This condition does not apply to Medial expenses. Liability Insurance Insurance Form 80-02-2000(Rev.4-01) Contract Page 4 of C H U B Bm Liability Insurance Endorsement Policy Period APRIL 1,2020. TO APRIL 1,2021 Effective Date APRIL 1,2020 Policy Number 3585-50-36 BOS Insured PUBLIC CONSULTING GROUP,INC. Name of Company GREAT NORTHERN INSURANCE COMPANY Date issued MARCH 30,2020 This Endorsement applies to the following forms: GENERAL LIABILITY Under Who Is An Insured,the following provision is added. Who Is An Insured Additional Insured- Persons or organizations shown in the Schedule are insureds;but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. However,the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule; • to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that did not occur,in whole or in part,before the execution of f the contract or agreement;and • with respect to damages,loss,cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: • that is more specifically identified under any other provision of the Who Is An Insured section(regardless of any limitation applicable thereto). • with respect to any assumption of liability(of another person or organization)by them in a contractor agreement.This limitation does not apply to the liability for damages,loss,cost or expense for injury or damage,to which this insurance applies,that the person or organization would have in the absence of such contract or agreement. Liability insurance Additional Insured-Scheduled Person Or Organization continued Form 80-02-2367(Rev.5-07) Endorsement Page 1 CHUB Be Liability Endorsement (continued) Under Conditions,the following provision is added to the condition titled Other Insurance. Conditions Other Insurance— If you are obligated,pursuant to a contract or agreement,to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy,then in such case Insurance—Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Schedule Persons or organizations that you are obligated,pursuant to a contract or agreement,to provide with such insurance as is afforded by this policy. All other terms and conditions remain unchanged. Authorized Representative �� 1 Liability Insurance Additional Insured-Scheduled Person Or Organization _ last page Form 80-02-2387(Rev.5-07) Endorsement Page '2 COMMERCIAL AUTOMOBILE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT ( This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM borrow in your business or your personal This endorsement modifies the Business Auto Coverage Form. _ affairs. 1. EXTENDED CANCELLATION CONDITION C. Lessors as Insureds Paragraph A.2.b.—CANCELLATION -of the Paragraph A.1. —WHO IS AN INSURED—of COMMON POLICY CONDITIONS form IL 00 17 is SECTION II—LIABILITY COVERAGE is deleted and replaced with the following: amended to add the following: b. 60 days before the effective date of cancellation if e. The lessor of a covered"auto"while the we cancel for any other reason. "auto" is leased to you under a written 2. BROAD FORM.INSURED agreement if: A. Subsidiaries and Newly Acquired or Formed (1)- The agreement requires you to Organizations As Insureds provide direct primary insurance for The Named Insured shown in the Declarations is the lessor; and amended to include: (2) The"auto" is leased without a driver. 1. Any legally incorporated subsidiary in which Such leased "auto"will be considered a you own more than 50% of the voting stock on covered "auto"you own and not a covered the effective date of the Coverage Form. "auto"you hire. However, the Named Insured does not include However, the lessor is an "insured"only any subsidiary that is an "insured" under any for"bodily injury"or"property damage" other automobile policy or would be an resulting from the acts or omissions by: "insured" under such a policy but for its 1. You; termination or the exhaustion of its Limit of 2. Any of your"employees" or agents; Insurance. or - 2. Any organization that is acquired or formed by 3. Any person, except the lessor or you and over which you maintain majority any"employee"or agent of the ownership. However, the Named Insured lessor, operating an"auto"with the does not include any newly formed or acquired permission of any of 1. and/or 2. organization: above. (a)That is an "insured" under any other D. Persons And Organizations As Insureds automobile policy; Under A Written Insured Contract (b)That has exhausted its Limit of Insurance Paragraph A.1 —WHO IS AN INSURED—of under any other policy; or SECTION II—LIABILITY COVERAGE is. (c) 180 days or more after its acquisition or amended to add the following: formation by you, unless you have given f. Any person or organization with respect to us written notice of the acquisition or the operation, maintenance or use of a formation. covered "auto", provided that you and Coverage does not apply to "bodily injury"or such person or organization have agreed "property damage"that results from an "accident" under an express provision in a written that occurred before you formed or acquired the "insured contract", written agreement or a organization. written permit issued to you by a B. Employees as Insureds governmental or public authority to add Paragraph A.1.—WHO IS AN INSURED-of such person or organization to this policy SECTION II—LIABILITY COVERAGE is amended to as an"insured". add the following: However, such person or organization is d. Any"employee"of yours while using a an "insured" only: covered "auto"you don't own, hire or Form: 16-02-0292 (Rev. 11-16) Page 1 of 3 . "Includes copyrighted material of Insurance Services Office, Inc. with its permission" • (1) with respect to the operation, d. Rental Expense maintenance or use of a covered We will pay the following expenses that you.or "auto"; and any of your"employees" are legally obligated (2) for"bodily injury" or"property damage" to pay because of a written contract or caused by an "accident"which takes agreement entered into for use of a rental place after: vehicle in the conduct of your business: (a) You executed the"insured MAXIMUM WE WILL PAY FOR ANY ONE contract" or written agreement; or CONTRACT OR AGREEMENT: (b) The permit has been issued to 1. $2,500 for loss of income incurred by the you." rental agency during the period of time that 3. FELLOW.EMPLOYEE.COVERAGE vehicle is out of use because of actual EXCLUSION B.S. -FELLOW EMPLOYEE—of damage to, or"loss" of, that vehicle, including SECTION II—LIABILITY COVERAGE does not apply. 4. PHYSICAL DAMAGE—ADDITIONAL TEMPORARY income lost due to absence of that vehicle for . replacement; a re lac TRANSPORTATION EXPENSE COVERAGE 2. us use as as for decrease in trade-in value of the Paragraph A.4.a. -TRANSPORTATION EXPENSES —of SECTION III—PHYSICAL DAMAGE rental vehicle because of actual damage to COVERAGE is amended to provide a limit of$50 per that vehicle arising out of a covered "loss"; and day for temporary transportation expense, subject to a 3. $2,500 for administrative expenses incurred maximum limit of$1,000. by the rental agency, as stated in the contract 5. AUTO LOAN/LEASE GAP COVERAGE or agreement. Paragraph A. 4.—COVERAGE EXTENSIONS-of 4. $7,500 maximum total amount for paragraphs SECTION III—PHYSICAL DAMAGE COVERAGE is 1., 2. and 3. combined. amended to add the following: 7. EXTRA EXPENSE—BROADENED COVERAGE c. Unpaid Loan or Lease Amounts Paragraph A.4. —COVERAGE EXTENSIONS—of In the event of a total"loss"to a covered"auto",we will SECTION III—PHYSICAL DAMAGE COVERAGE pay any unpaid amount due on the loan or lease for a is amended to add the following: covered "auto" minus: - e. Recovery Expense 1. The amount paid under the Physical Damage We will pay for the expense of returning a Coverage Section of the policy; and stolen covered "auto" to you. 2. Any: 8. AIRBAG COVERAGE a. Overdue loan/lease payments at the time of Paragraph B.3.a. -EXCLUSIONS—of SECTION the"loss"; III—PHYSICAL DAMAGE COVERAGE does not b. Financial penalties imposed under a lease for apply to the accidental or unintended discharge of excessive use, abnormal wear and tear or - an airbag. Coverage is excess over any other- high mileage; collectible insurance or warranty specifically c. Security deposits not returned by the lessor: designed to provide this coverage. d. Costs for extended warranties, Credit Life 9. AUDIO,VISUAL AND DATA ELECTRONIC Insurance, Health, Accident or Disability EQUIPMENT-BROADENED COVERAGE Insurance purchased with the loan or lease; Paragraph C.1.b. —LIMIT OF INSURANCE-of and SECTION III -PHYSICAL DAMAGE is deleted e. Carry-over balances from previous loans or _ and replaced with the following: leases. b. $2,000 is the most we will pay for"loss" in any We will pay for any unpaid amount due on the loan or one"accident"to all electronic equipment that lease if caused by: reproduces, receives or transmits audio, visual 1. Other than Collision Coverage only if the or data signals which, at the time of"loss", is: Declarations indicate that Comprehensive (1) Permanently installed in or upon the Coverage is provided for any covered "auto"; covered "auto" in a housing, opening or 2. Specified Causes of Loss Coverage only if the other location that is not normally used by Declarations indicate that Specified Causes of the"auto" manufacturer for the installation Loss Coverage is provided for any covered "auto"; of such equipment; or (2) Removable from a permanently installed 3. Collision Coverage only if the Declarations indicate housing unit as described in Paragraph that Collision Coverage is provided for any 2.a. above or is an integral part of that covered"auto. g 6. RENTAL AGENCY EXPENSE - equipment; or Paragraph A. 4.—COVERAGE EXTENSIONS—of (3) An integral part of such equipment. SECTION III—PHYSICAL DAMAGE COVERAGE is amended to add the following: 10. GLASS REPAIR—WAIVER OF DEDUCTIBLE Form: 16-02-0292 (Rev. 11-16) Page 2 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" Under Paragraph D. - DEDUCTIBLE—of their rights of recovery against such person or SECTION III—PHYSICAL DAMAGE COVERAGE organization under a contract or agreement the following is added: that is entered into before such"loss". No deductible applies to glass damage if the glass To the extent that the"insured's" rights to is repaired rather than replaced. recover damages for all or part of any 11.TWO OR MORE DEDUCTIBLES payment made under this insurance has not Paragraph D.-DEDUCTIBLE—of SECTION III— been waived, those rights are transferred to PHYSICAL DAMAGE COVERAGE is amended to us. That person or organization must do add the following: everything necessary to secure our rights and If this Coverage Form and any other Coverage must do nothing after"accident" or"loss"to Form or policy issued to you by us that is not an - impair them. At our request, the insured will automobile policy or Coverage Form applies to the bring suit or transfer those rights to us and same"accident", the following-applies: help us enforce them. 1. If the deductible under this Business Auto Coverage Form is the smaller(or smallest) 14. UNINTENTIONAL FAILURE TO DISCLOSE deductible, it will be waived; or HAZARDS 2. If the deductible under this Business Auto Paragraph B.2. —CONCEALMENT, Coverage Form is not the smaller(or smallest) MISREPRESENTATION or FRAUD of SECTION deductible, it will be reduced by the amount of IV—BUSINESS AUTO CONDITIONS-is deleted the smaller(or smallest) deductible. and replaced with the following: If you unintentionally fail to disclose any hazards 12.AMENDED DUTIES IN THE EVENT OF existing at the inception date of your policy, we will ACCIDENT,CLAIM,SUIT OR LOSS not void coverage under this Coverage Form Paragraph A.2.a. - DUTIES IN THE EVENT OF because of such failure. • AN ACCIDENT, CLAIM, SUIT OR LOSS of SECTION IV- BUSINESS AUTO CONDITIONS is 15.'AUTOS RENTED BY EMPLOYEES deleted and replaced with the following: Paragraph B•.5. -OTHER INSURANCE of a. In the event of"accident", claim, "suit"or SECTION IV—BUSINESS AUTO CONDITIONS- "loss", you must promptly notify us when the _ is amended to add the following: "accident" is known to: e. Any"auto" hired or rented by your"employee" (1) You or your authorized representative, if on your behalf and at your direction will be you are an individual; considered an"auto",you hire. If an (2) A partner, or any authorized "employee's" personal insurance also applies representative, if you are a partnership; on an excess basis to a covered "auto" hired (3) A member, if you are a limited liability or rented by your"employee" on your behalf company; or and at your direction, this insurance will be (4) An executive officer, insurance manager, primary to the"employee's" personal or authorized representative, if you are an insurance. organization other than a partnership or 16. HIRED AUTO—COVERAGE TERRITORY limited liability company. Paragraph B.7.b.(5). - POLICY PERIOD, Knowledge of an"accident", claim, "suit" or COVERAGE TERRITORY of SECTION IV— "loss" by other persons does not imply that the BUSINESS AUTO CONDITIONS is deleted and persons listed above have such knowledge. replaced with the following: Notice to us should include: (5)A covered"auto"of the private passenger (1). How, when and where the"accident" or type is leased, hired, rented or borrowed "loss" occurred; without a driver for a period of 45 days or (2) The"insured's" name and address; and less; and (3) To the extent possible, the names and 17. RESULTANT MENTAL ANGUISH COVERAGE addresses of any injured persons or Paragraph C. of-SECTION V—DEFINITIONS is witnesses. 13. WAIVER OF SUBROGATION ,. deleted and replaced by the following: Paragraph A.5. -TRANSFER OF RIGHTS OF "Bodily injury" means bodily injury, sickness or RECOVERY AGAINST OTHERS TO US of disease sustained by any person, including SECTION IV— BUSINESS AUTO CONDITIONS is mental anguish or death as a result of the"bodily deleted and replaced with the following: injury" sustained by that person. 5. We will waive the right of recovery we would otherwise have against another person or organization for"loss"to which this insurance applies, provided the"insured" has waived Form: 16-02-0292 (Rev. 11-16) Page 3 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" • , COMMERCIAL AUTOMOBILE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM borrow in your business or your personal This endorsement modifies the Business Auto Coverage Form. affairs. 1. EXTENDED CANCELLATION CONDITION C. Lessors as Insureds Paragraph A.2.b. —CANCELLATION -of the Paragraph A.1. —WHO IS AN INSURED=of COMMON POLICY CONDITIONS form IL 00 17 is SECTION II—LIABILITY COVERAGE is deleted and replaced with the following: , amended to add the following: b. 60 days before the effective date of cancellation if e. The lessor of a covered "auto"while the we cancel for any other reason. "auto" is leased to you under a written 2. BROAD FORM INSURED agreement if: A. Subsidiaries and Newly Acquired or Formed (1) The agreement requires you to Organizations As Insureds provide direct primary insurance for The Named Insured shown in the Declarations is the lessor; and amended to include: (2) The"auto" is leased without a driver. 1. Any legally incorporated subsidiary in which Such leased "auto"will be considered a you own more than 50% of the voting stock on covered "auto"you own and not a covered the effective date of the Coverage Form. "auto"you hire. However, the Named Insured does not include However, the lessor is an"insured"only any subsidiary that is an"insured" under any for"bodily injury"or"property damage" other automobile policy or would be an resulting from the acts or omissions by: "insured" under such a policy but for its 1. You; termination or the exhaustion of its Limit of 2. Any of your"employees" or agents; Insurance. or 2. Any organization that is acquired or formed by 3. Any person, except the lessor or you and over which you maintain majority any"employee"or agent of the ownership. However, the Named Insured lessor, operating an "auto"with the does not include any newly formed or acquired permission of any of 1. and/or 2. organization: above. (a)That is an "insured" under any other D. Persons And Organizations As Insureds automobile policy; Under A Written Insured Contract (b)That has exhausted its Limit of Insurance Paragraph A.1 —WHO IS AN INSURED—of under any other policy; or SECTION II—LIABILITY COVERAGE is (c) 180 days or more after its acquisition or amended to add the following: formation by you, unless you have given f. Any person or organization with respect to us written notice of the acquisition or the operation, maintenance or use of a formation. covered "auto", provided that you and Coverage does not apply to"bodily injury" or such person or organization have agreed "property damage"that results from an "accident" under an express provision in a written that occurred before you formed or acquired the "insured contract", written agreement or a organization. written permit issued to you by a B. Employees as Insureds governmental or public authority to add Paragraph A.1. —WHO IS AN INSURED—of such person or organization to this policy SECTION II—LIABILITY COVERAGE is amended to as an "insured". add the following: However, such person or organization is d. Any"employee" of yours while using a an "insured" only: covered "auto"you don't own, hire or Form: 16-02-0292 (Rev. 11-16) Page 1 of 3 "Includes copyrighted material of Insurance Services Office, Inc.with its permission" (1) with respect to the operation, d. Rental Expense maintenance or use of a covered We will pay the following expenses that you or "auto"; and any of your"employees" are legally obligated (2) for"bodily injury" or"property damage" to pay because of a written contract or caused by an"accident"which takes agreement entered into for use of a rental place after: vehicle in the conduct of your business: (a) You executed the"insured MAXIMUM WE WILL PAY FOR ANY ONE contract"or written agreement; or CONTRACT OR AGREEMENT: (b) The permit has been issued to 1. $2,500 for loss of income incurred by the you. rental agency during the period of time that 3. FELLOW EMPLOYEE COVERAGE vehicle is out of use because of actual EXCLUSION B.5. - FELLOW EMPLOYEE—of damage to, or"loss"of, that vehicle, including SECTION II—LIABILITY COVERAGE does not apply. 4. PHYSICAL DAMAGE—ADDITIONAL TEMPORARY income lost due to absence of that vehicle for • lacement; TRANSPORTATION EXPENSE COVERAGE use as a replacement; Paragraph A.4.a.—TRANSPORTATION EXPENSES 2. $2,500 for decrease in trade-in value of the —of SECTION III—PHYSICAL DAMAGE rental vehicle because of actual damage to COVERAGE is amended to provide'a limit of$50 per . that vehicle arising out of a covered "loss"; and day for temporary transportation expense, subject to a 3. $2,500 for administrative expenses incurred maximum limit of$1,000. by the rental agency, as stated in the contract 5. AUTO LOAN/LEASE GAP COVERAGE or agreement. Paragraph A. 4.—COVERAGE EXTENSIONS-of 4. $7,500 maximum total amount for paragraphs SECTION III—PHYSICAL DAMAGE COVERAGE is 1., 2. and 3. combined. amended to add'the following: 7. EXTRA EXPENSE—BROADENED COVERAGE c. Unpaid Loan or Lease Amounts Paragraph A.4.—COVERAGE EXTENSIONS—of In the event of a total"loss"to a covered "auto",we will SECTION III—PHYSICAL DAMAGE COVERAGE pay any unpaid amount due on the loan or lease for a ' is amended to add the following: covered"auto" minus: e. Recovery Expense 1. The amount paid under the Physical Damage We)will pay for the expense of returning a Coverage Section of the-policy; and stolen covered "auto"to you. 2. Any: 8. AIRBAG COVERAGE a. Overdue loan/lease payments at the time of Paragraph B.3.a. - EXCLUSIONS—of SECTION the"loss"; III—PHYSICAL DAMAGE COVERAGE does not b. Financial penalties imposed under a lease for apply to the accidental or unintended discharge of excessive use, abnormal wear and tear or an airbag. Coverage is excess over any other high mileage; collectible insurance or warranty specifically c. Security deposits not returned by the lessor: designed to provide this coverage. . d. Costs for extended warranties, Credit Life 9. AUDIO,VISUAL AND DATA ELECTRONIC Insurance, Health, Accident or Disability - EQUIPMENT-BROADENED COVERAGE Insurance purchased with the loan or lease; Paragraph C.1.b. — LIMIT OF INSURANCE-of and SECTION III - PHYSICAL DAMAGE is deleted e. Carry-over balances from previous loans or and replaced with the following: leases. - b. $2,000 is the most we will pay for"loss" in any We will pay for any unpaid amount due on the loan or one"accident"to all electronic equipment that lease if caused by: reproduces, receives or transmits audio, visual 1. Other than Collision Coverage only if the - or data signals which, at the time of"loss", is: , Declarations indicate that Comprehensive (1) Permanently installed in or upon the Coverage is provided for any covered "auto"; • covered "auto" in a housing, opening or 2. Specified Causes of Loss Coverage only if the other location that is not normally used by Declarations indicate that Specified Causes of the"auto" manufacturer for the installation Loss Coverage is provided for any covered"auto"; osuch equipment; or (2) Removable from a permanently installed 3. Collision Coverage only if the Declarations indicate housing unit as described in Paragraph that Collision Coverage is provided for any part of that 2.a. above or is an inte ral covered"auto. 9 6. RENTAL AGENCY EXPENSE equipment; or Paragraph A. 4. —COVERAGE EXTENSIONS—of - (3) An integral part of such equipment. SECTION III—PHYSICAL DAMAGE COVERAGE - is amended to add the following: 10. GLASS REPAIR—WAIVER OF DEDUCTIBLE Form: 16-02-0292 (Rev. 11-16) Page 2 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" Under Paragraph D. - DEDUCTIBLE—of their rights of recovery against such person or SECTION III—PHYSICAL DAMAGE COVERAGE organization under a contract or agreement the following is added: that is entered into before such "loss". No deductible applies to glass damage if the glass To the extent that the"insured's" rights to is repaired rather than replaced. recover damages for all or part of any 11.TWO OR MORE DEDUCTIBLES payment made under this insurance has not Paragraph D.-DEDUCTIBLE—of SECTION III— been waived, those rights are transferred to PHYSICAL DAMAGE COVERAGE is amended to us. That person or organization must do add the following: everything necessaryto secure our rights and If this Coverage Form and any other Coverage must do nothing after"accident"or"loss"to Form or policy issued to you by us that is not an impair them. At our request, the insured will automobile policy or Coverage Form applies to the bring suit or transfer those rights to us and same"accident", the following applies: help us enforce them. 1. If the deductible under this Business Auto Coverage Form is the smaller(or smallest) 14. UNINTENTIONAL FAILURE TO DISCLOSE deductible, it will be waived; or HAZARDS 2. If the deductible under this Business Auto Paragraph B.2. —CONCEALMENT, Coverage Form is not the smaller(or smallest) MISREPRESENTATION or FRAUD of SECTION deductible, it will be reduced by the amount of IV—BUSINESS AUTO CONDITIONS -is deleted the smaller(or smallest) deductible. and replaced with the following: If you unintentionally fail to disclose any hazards 12.AMENDED DUTIES.IN THE EVENT OF existing at the inception date of your policy, we will ACCIDENT,CLAIM,SUIT OR LOSS not void coverage under this Coverage Form Paragraph A.2.a. -DUTIES IN THE EVENT OF because of such failure. AN ACCIDENT, CLAIM,'SUIT OR LOSS of SECTION IV-BUSINESS AUTO CONDITIONS is 15. AUTOS RENTED BY EMPLOYEES deleted and replaced with the following: Paragraph B.5. -OTHER INSURANCE of a. In the event of"accident", claim, "suit" or SECTION IV—BUSINESS AUTO CONDITIONS - "loss", you must promptly notify us when the is amended to add the following: "accident" is known to: e. Any"auto" hired or rented by your"employee" (1) You or your authorized representative, if on your behalf and at your direction will be you are an individual; considered an"auto"you hire. If an (2) A partner, or any authorized "employee's" personal insurance also applies representative, if you are a partnership; on an excess basis to a covered"auto" hired (3) A member, if you are a limited liability or rented by your"employee"on your behalf company; or and at your direction, this insurance will be (4) An executive officer, insurance manager, primary to the"employee's" personal or authorized representative, if you are an insurance. organization other than a partnership or 16.' HIRED AUTO—COVERAGE TERRITORY limited liability company. Paragraph B.7.b.(5). - POLICY PERIOD, Knowledge of an "accident", claim, "suit"or COVERAGE TERRITORY of SECTION IV— "loss" by other persons does not imply that the BUSINESS AUTO CONDITIONS is deleted and persons listed above have such knowledge. replaced with the following: Notice to us should include: (5)A covered"auto"of the private passenger (1) How,when and where the"accident" or type is leased, hired, rented or borrowed "loss""occurred; without a driver for a period of 45 days or (2) The"insured's" name and address; and less; and (3) To the extent possible, the names and 17. RESULTANT MENTAL ANGUISH COVERAGE addresses of any injured persons or Paragraph C. of-SECTION V—DEFINITIONS is witnesses. deleted and replaced by the following: 13. WAIVER OF SUBROGATION Paragraph A.5. -TRANSFER OF RIGHTS OF "Bodily injury" means bodily injury, sickness or RECOVERY AGAINST OTHERS TO US of disease sustained by any person, including SECTION IV—BUSINESS AUTO CONDITIONS is mental anguish or death as a result of the"bodily deleted and replaced with the following: injury"sustained by that person. 5. We will waive the right of recovery we would otherwise have against another person or organization for"loss"to which this insurance applies, provided the"insured" has waived Form: 16-02-0292 (Rev. 11-16) Page 3 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 • (Ed. 4-84) 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 ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER • • • } For policies or exposure in Missouri: Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. 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 12-31-19 Policy No. (20) 7172-48-11 Endorsement No. Insured PUBLIC CONSULTING GROUP, INC. Premium$ Incl. Insurance Company Federal Insurance Company Countersigned By WC 00 03 13 (Ed.4-84) Et,1983 National Council on Compensation Insurance. Insured Copy