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2017 Gonsalves & Son - Lobbyist Services - Amendment 2ta Q�W — h F,,A 1 of rb - [ W"E RT — MEMORANDUM TO: Frank J. Spevacek, City Manager FROM: Gil Villalpando, Business Analyst DATE: August 28, 2017 RE: Amendment No. 2 to Professional Services Agreement with Joe A. Gonsalves and Son for State Lobbying and Advocacy Services Attached for your signature is Amendment No. 2 to the agreement referenced above. Please sign the attached agreement(s) and return to the City Clerk for processing and distribution. Requesting de artment shall check and attach the items below as appropriate: X Contract payments will be charged to account number: 101-1002-60101 X Amount of Agreement, Amendment, Change Order, etc.: $42,000 X A Conflict of Interest Form 700 Statement of Economic Interests from Consultant(s) is attached with f X no reportable interests in LQ or _ reportable interests f A Conflict of Interest Form 700 Statement of Economic Interests isyof required because this Consultant does Pef meet the definition in FPPC regulation 18701(2). kk-, Authority to execute this agreement is based upon: Approved by the City Council on X City Manager's signature authority provided under Resolution No. 2015-045 for budgeted expenditures of $50,000 or less. This expenditure is $42,000 and authorized by contract approved by Gil Villalpando Initial to certify that 3 written informal bids or proposals were received and considered in selection The following required documents are attached to the agreement: p X Insurance certificates as required by the agreement (approved by Risk Manager on N/A Performance bonds as required by the agreement (originals) X City of La Quinta Business License number: LIC-763184 X A requisition for a Purchase Order has been prepared (amounts over $5,000) X A copy of this Cover Memo has been emailed to Finance (Sandra) Revised May 2017 AMENDMENT NO.2 TO PROFESSIONAL SERVICES AGREEMENT WITH JOE A. GONSALVES & SON ("CONSULTANT"). This Amendment No. 2 to Professional Services Agreement with JOE A. GONSALVES & SON ("Consultant") ("Amendment No. 2 ") is made and entered into as of the first day of July, 2017 (" Effective Date") by and between the CITY OF LA QUINTA ("City"), a California municipal corporation and JOE A. GONSALVES & SON, a [Corporation} ("Consultant"). RECITALS WHEREAS, on or about October 21, 2015, the City and Consultant entered into a Professional Services Agreement to provide those services related to government relations and lobbyist services for the City. The term of the Agreement expires on June 30, 2017; and WHEREAS, changes are indicated to the Contract Sum in the Professional Services Agreement; and WHEREAS, the City is utilizing Consultant for services related to government relations and lobbyist services for the City; follows: NOW THEREFORE, in consideration of the mutual covenant herein contained, the parties agree as AMENDMENT In consideration of the foregoing Recitals and the covenants and promises hereinafter contained, and for good and valuable consideration, the sufficiency and receipt of which are hereby acknowledged, the parties hereto agree as follows: 1. Section 1.0 SERVICES OF CONSULTANT is amended to read as follows: Section 1.1 - Scope of Services. For the services rendered pursuant to this Agreement for Fiscal Year 2017/ 18, Consultant shall provide those services related to government relations and lobbyist services, as specified in the "Scope of Services" attached hereto as Exhibit "A" and incorporated herein by this reference (the "Services"). Consultant represents and warrants that Consultant is a provider of first-class services and Consultant is experienced in performing the Services contemplated herein and, in light of such status and experience, Consultant covenants that it shall follow the highest professional standards in performing the Services required hereunder. For purposes of this Agreement, the phrase "highest professional standards" shall mean those standards of practice recognized by one or more first-class firms performing similar services under similar circumstances. 2. Exhibit A - Scope of Services is amended as attached in Exhibit A. 3. Exhibit B - Deliverables and Budget is amended as attached in Exhibit B. 4. Exhibit C - Schedule of Performance, is hereby deleted. In all other respects, the Original Agreement shall remain in effect. Rev.6-1-2017 IN WITNESS WHEREOF, the City and Consultant have executed this Amendment No. 1 to the Professional Services Agreement on the respective dates set forth below. CITY OF LA QUINTA a California municipal corporation Digitally signed by Frank Spevacek DN: serialNumber=3fffgcd7gnjs38w1, c=US, st=California, I=La Quinta, o=FrankJ. Spevacek, cn=Frank Spevacek Date: 2017.08.31 11:26:30-07'00' Frank. Spevacek, City Manager Dated: ATTEST: Digitally signed by Susan Maysels DN: cn=Susan Maysels, o=City of La Quinta, ou=Clerk's Office, email=smaysels@la-quinta.org, c=US Date: 2017.08.31 15:42:25-07'00' Susan Maysels, City Clerk APPROVED AS TO FORM: William H. Ihrke, City Attorney CONSULTANT: JOE A. GONSALVES & SON By Na Title: �,�8Ae.4Jr� 5�;r e7 Rev.6-1-2017 Exhibit A Scope of Services 1. Services to be Provided: • Act as the City's official legislative advocate with the California State Legislature and State Agencies • Develop, coordinate and implement a government relations strategy subject to approval by the City and assist with special projects • Review all bills introduced to the California Legislature and inform the City of all such legislation affecting its interests and forward weekly a report to the City • Assist in identifying and obtaining state funding available for City programs and proposed capital projects • Provide a monthly written summary during the legislative session and at other times if significant activity warrants it • Provide bi-weekly conference calls during the legislative session and at other times if significant activity warrants it • Assist City in development and execution of appropriate documents, grants and other funding application requirements. • Arrange meetings with the legislative representatives for both City elected officials and staff when necessary ■ Initiate legislative proposals on behalf of the City • Attend and provide testimony on behalf of the City in legislative hearings • Prepare all necessary documents for State compliance forthese services. • As identified in the City of La Quinta Legislative Strategy 2017 document incorporated hereinto Exhibit The location of work will be La Quinta, Sacramento and throughout the State of California. Rev.6-1-2017 Exhibit B With the exception of compensation, Additional Services provided for in Section 2.3 of this Agreement, the maximum total compensation to be paid to Consultant under this Agreement in Fiscal Year 2017/18 is forty-two thousand Dollars ($42,000) ("Contract Sum"). The Contract Sum shall be paid to Consultant in installment payments made on a monthly basis and in an amount identified in Consultant's schedule of compensation attached hereto for the work tasks performed and properly invoiced by Consultant in conformance with Section 2.2 of this Agreement. Exhibit C Schedule of Performance Rev.6-1-2017 Consultant shall complete all services identified in the Scope of Services, Exhibit A of this Agreement, in accordance with the Project Schedule, attached hereto and incorporated herein by this reference. Services are driven by Exhibit A and coincide with both City requirements and legislative calendar. The legislative calendar is as follows. 2017 Legislative Schedule; Jan. 1- Statutes take effect Jan. 4 - Legislature reconvenes Jan. 10 - Budget submitted by Governor Jan. 16 - Last day for policy committees to hear and report to fiscal committees fiscal bills introduced in their house in the odd -numbered year. Jan. 22 - Last day to submit bill requests to the Office of Legislative Counsel Feb. 17 - Last day for bills to be introduced. Feb 20 - Presidents' Day Mar. 31- Cesar Chavez Day April 6 - Spring Recess begins upon adjournment. April 16 - Legislature reconvenes from Spring Recess. Apr.17 - Legislature reconvenes from Spring recess (J.R. 51(a)(2)). Apr. 28 - Last day for policy committees to hear and report to fiscal committees fiscal bills introduced in their house. May 12 - Last day for policy committees to hear and report non -fiscal bills introduced in their house to Floor (J.R. 61(a)(3)) May 19 - Last day for policy committees to meet prior to June 5 (J.R. 61(a)(4)). May 26 - Last day for fiscal committees to hear and report to the Floor bills introduced in their house (J.R. 61(a)(5)). Last day for fiscal committees to meet prior to June 5 (J.R. 61(a)(6)). May 29 - Memorial Day. May 30-June 2 - Floor Session Only. No committees, other than conference or Rules committees, may meet for any purpose (J.R. 61(a)(7)). June 3 - Last day for each house to pass bills introduced in that house. June 2 - Last day for bills to be passed out of the house of origin (J.R. 61(a)(8)). June 5 - Committee meetings may resume. June 15 - Budget Bill must be passed by midnight. Rev.6-1-2017 July 4 - Independence Day July 14 - Last day for policy committees to hear and report fiscal bills to fiscal Committees (J.R. 61(a)(10). July 21- Last day for policy committees to meet and report bills. Summer Recess begins upon adjournment, provided Budget Bill has been Passed. Aug. 21- Legislature reconvenes from Summer Recess. Sept. 1- Last day for fiscal committees to meet and report bills. Sept. 4 - Labor Day Sept. 8 - Last day to amend on the Floor. Sept. 5-15 - Floor session only. No committees, other than conference or Rules Committees, may meet for any purpose (J.R. 61(a)(13)). Sept. 15 - Last day for each house to pass bills (J.R. 61(a)(15)). Interim Study Recess begins at end of this day's session (J.R. 51(a)(4)). When legislature is not in session, the Joe A. Gonsalves & Son will work with the City to refine and the strategy for the next year. Rev.6-1-2017 ACRO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) `-- 15/28/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER McGee & Thielen Insurance Brokers, Inc. NAME: 3840 Rosin Court, Suite 245 PHONE Eft 916 sd6 1919 FA c, Na): 916-646-0995 Sacramento, CA 95834 E-MAIL AODRESS: ............. INSURERS AFFORDING COVERAGE AWC www.mcgeethielen.com 0633187 INSURERA: Travelers Indemnity Com2agy of CT 25682 INSURED INSURER B : Hartford Accident and Indemnity Company 22357 Joe A Gonsalves and Sons Inc. 925 L Stroet, Suite 250 INSURERC: Sacramento CA 95814 INSURER D: INSURER E COVERAGES CFRTIFIrATF NIIIMRFR• imorana7 mr-10tclnfd 1dIl"12co- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AODL SUBRI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY M YY1 LIMITS A ,� COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 121 OCCUR 16609794P909-TCT-17 6/17/2017 6/17/2018 EACH OCCURRENCE $ 2,000,000 PSI Ea $ 100.000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ Excluded GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ M, LOC GENERAL AGGREGATE $ 2,000,000 -COMP/OPAGG $ 2,000,000 -PRODUCTS - -- $ OTHER: A AUTOMOBILE LIABILITY 16609794P909-TCT-17 6/17/2017 6/17/2018 COMBINED rr $ 1,000,00p BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY pAMAGF P euCldanl $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEp I I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? rY NIA 57WECZI5671 4/1/2017 4!1/2018 PER ER ✓ STATUTE ER E4 EACH ACCIDENT $ 1,000,000 EL. DISEASE- EA EMPLOYEfi $ 1 0 0 00 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is an additional insured per the attached blanket form CG D1 05. Primary and Non -Contributory wording applies per the attached blanket form CG DO 37. Waiver of subrogation applies per the attached endorsement CG2404 10 93 ,Waiver of subrogation applies to workers compensation per attaclied WC 040306 form. CERTIFICATE HOLDER CANCELLATION Cityy of La Quinta 78495 Calle Tampico La Qunita CA 92253 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Charlotte Brown ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 35859082 1 i17/18 Master GL/AL/WC I Charlotte Brown 15/28/2017 1:03:45 PM (PDT) I Page 1 of 5 16609794P909-TCT-17 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS: 1. WHO IS AN INSURED (SECTION 11) is amended to include as an insured any person or organiza- tion (called hereafter "additional insured") whom you have agreed in a written contract, executed prior to loss, to name as additional insured, but only with respect to liability arising out of "your work" or your ongoing operations for that addi- tional insured performed by you or for you 2. With respect to the insurance afforded to Addi- tional Insureds the following conditions apply: a. Limits of Insurance — The following limits of liability apply: 1. The limits which you agreed to provide; or 2. The limits shown on the declarations, whichever is less b. This insurance is excess over any valid and collectible insurance unless you have agreed City of La Quinta in a written contract for this insurance to apply on a primary or contributory basis 3. This insurance does not apply: a. on any basis to any person or organization for whom you have purchased an Owners and Contractors Protective policy, b. to "bodily injury," "property damage," "per- sonal injury," or "advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, in- cluding: 1. The preparing, approving or failing to prepare or approve maps, drawings, opinions, reports, surveys, change or- ders, designs or specifications; and 2. Supervisory, inspection or engineering services. CG 131 05 04 94 Copyright, The Travelers Indemnity Company, 1994, Page 1 of 1 Includes Copyrighted Material from Insurance Services Office, Inc 358590B2 1 *17/18 Master GL/AL/WC I Charlotte Brown 15/28/2017 1:03:45 PM (PDT) I Page 2 of COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE - ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV), Paragraph 4. (Other Insurance), is amended as follows: 1. The following is added to Paragraph a. Primary Insurance: However, if you specifically agree in a written con- tract or written agreement that the insurance pro- vided to an additional insured under this Coverage Part must apply on a primary basis, or a primary and non-contributory basis, this insur- ance is primary to other insurance that is avail- able to such additional insured which covers such additional insured as a named insured, and we will not share with that other insurance, provided that: a. The "bodily injury" or "property damage" for which coverage is sought occurs; and b. The "personal injury" or "advertising injury" for which coverage is sought arises out of an of- fense committed subsequent to the signing and execution of that contract or agreement by you. 2. The first Subparagraph (2) of Paragraph b. Ex- cess Insurance regarding any other primary in- surance available to you is deleted. 3. The following is added to Paragraph b. Excess Insurance, as an additional subparagraph under Subparagraph (1): That is available to the insured when the insured is added as an additional insured under any other policy, including any umbrella or excess policy. CG DO 37 04 05 Copyright 2005 The St. Paul Travelers Companies, Inc. All rights reserved Page 1 of 1 35959082 1 +17/18 Master GL/AL/WC I Charlotte Brown 15/28/2017 1:03:45 PM (PDT) I Page 3 of 5 POLICY NUMBER: 16609794P909-TCT-17 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products completed operations hazard' This waiver applies only to the person or organization shown in the Schedule above. 35859082 +1 �1CGs24 04 10 93 ter Charlotte Brown Courigght,oInsurance SiervicesPage 4oOffice, inc,, 1992 Page 1 of 1 ❑ AGENT COPY 0 fn M M 0 0 N O 0 m r9 a a 1n O 0 0 H 0 :x. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 57WECZI5671 Endorsement Number: Effective Date: 4/1/2017 . Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: Joe A Gonsalves and Sons Inc. 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be premium otherwise due on such remuneration. Person or Organization City of La Quinta 78495 Calle Tampico La Qunita CA 92253 Form WC 04 03 06 Process Date: SCHEDULE Countersigned by (1) Printed in U.S.A. of the California workers' compensation Job Description Authorized Representative Policy Expiration Date: 4/1/2018 35859082 1 *17/18 Master CL/AL/WC I Charlotte Brown ( 5/28/2017 1:03:45 PM (PDT) I Page 5 of 5 / ACC " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 2/27/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER McGee & Thielen Insurance Brokers, Inc. 3840 Rosin Court, Suite 245 Sacramento, CA 95834 CONTACT NAME: HONE Ext: 916-646-1919 A/C No: 916-646-0995 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Travelers Indemnity Company of CT 25682 www.mcgeethielen.com 0633187 INSURED Joe A Gonsalves and Sons Inc. INSURERB: Hartford Accident and Indemnity Company 22357 925 L Street, Suite 250 INSURERC: INSURERD: Sacramento CA 95814 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 40541541 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DDIYYYY LIMITS A ✓ COMMERCIAL GENERAL LIABILITY ✓ ✓ 16609794P909-TCT-17 6/17/2017 6/17/2018 EACH OCCURRENCE $2,000,000 CLAIMS -MADE 1/ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ Excluded GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ❑ PRO- JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 16609794P909-TCT-17 6/17/2017 6/17/2018 (CMEa aBINEDtSINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ ✓ r aERdTnDAMAGE (PPROPERTY $ HIRED NON -OWNED AUTOS ONLY ✓ AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y N/A ✓ 57WECZI5671 4/1/2018 4/1/2019 STATUTE OERH E.L. EACH ACCIDENT $ 1 ,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1 00O 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 ,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is an additional insured per the attached blanket form CG D1 05. Primary and Non -Contributory wording applies per the attached blanket form CG DO 37. Waiver of subrogation applies per the attached endorsement CG2404 10 93 Waiver of subrogation applies to workers compensation per attached WC 040306 form. CERTIFICATE HOLDER CANCELLATION City of La Quints Y 78495 Calle Tampico SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. La Qunita CA 92253 AUTHORIZED REPRESENTATIVE Charlotte Brown ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 40541541 1 *18/19 Master GL/AL/WC I Charlotte Brown 1 2/27/2018 9:10:57 AM (PST) I Page 1 of 5 16609794P909-TCT-17 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS, 1. WHO IS AN INSURED (SECTION 11) is amended to include as an insured any person or organiza- tion (called hereafter "additional insured") whom you have agreed in a written contract, executed prior to loss, to name as additional insured, but only with respect to liability arising out of "your work" or your ongoing operations for that addi- tional insured performed by you or for you. 2. With respect to the insurance afforded to Addi- tional Insureds the following conditions apply: a. Limits of Insurance — The following limits of liability apply: 1. The limits which you agreed to provide; or 2. The limits shown on the declarations, whichever is less. b. This insurance is excess over any valid and collectible insurance unless you have agreed City of La Quinta in a written contract for this insurance to apply on a primary or contributory basis. 3. This insurance does not apply: a. on any basis to any person or organization for whom you have purchased an Owners and Contractors Protective policy, b. to "bodily injury," "property damage," "per- sonal injury," or "advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, in- cluding: 1. The preparing, approving or failing to prepare or approve maps, drawings, opinions, reports, surveys, change or- ders, designs or specifications; and 2. Supervisory, inspection or engineering services. CG D1 05 04 94 Copyright, The Travelers Indemnity Company, 1994 includes Copyrighted Material from Insurance Services Office, Inc. Page 1 of 1 40541541 1 *18/19 Master GL/AL/WC I Charlotte Brown 1 2/27/2018 9:10:57 AM (PST) I Page 2 of 5 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE - ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV), Paragraph 4. (Other Insurance), is amended as follows: 1. The following is added to Paragraph a. Primary Insurance: However, if you specifically agree in a written con- tract or written agreement that the insurance pro- vided to an additional insured under this Coverage Part must apply on a primary basis, or a primary and non-contributory basis, this insur- ance is primary to other insurance that is avail- able to such additional insured which covers such additional insured as a named insured, and we will not share with that other insurance, provided that: a. The "bodily injury" or "property damage" for which coverage is sought occurs; and b. The "personal injury" or "advertising injury" for which coverage is sought arises out of an of- fense committed subsequent to the signing and execution of that contract or agreement by you. 2. The first Subparagraph (2) of Paragraph b. Ex- cess Insurance regarding any other primary in- surance available to you is deleted. 3. The following is added to Paragraph b. Excess Insurance, as an additional subparagraph under Subparagraph (1): That is available to the insured when the insured is added as an additional insured under any other policy, including any umbrella or excess policy. CG DO 37 04 05 Copyright 2005 The St. Paul Travelers Companies, Inc. All rights reserved L05L15L1 1 118/19 Master GL/AL/WC I Charlotte Brown 1 2/27/2018 9:10:57 AM (PST) I Page 3 of 5 Page 1 of 1 POLICY NUMBER: 16609794P909-TCT-17 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above CG 24 04 10 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 ❑ 40541541 1 *18/19 Master GL/AL/WC I Charlotte Brown 1 2/27 2018 9:10:57 AM (PST) I Page 9 of 5 AGENT COPY 0 Ln L, 0 0 N O 0 co M H CY a r` L, 0 0 0 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • �••17 Ir ri, TM rft"A •• Policy Number: 57WECZI5671 Endorsement Number: Effective Date: 4/1/2018 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: Joe A Gonsalves and Sons Inc. 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be premium otherwise due on such remuneration. [.-MM141I114 Person or Organization Cityy of La Quinta 78495 Calle Tampico La Qunita CA 92253 of the California workers' compensation Job Description Countersigned by Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: Policy Expiration Date: 4/1/2019 40541541 1 -18/19 Master GL/AL/WC I Charlotte Brown 1 2/27/2018 9:10:57 AM (PST) I Page 5 of 5