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MGT OF AMERICA CONSULTING, LLC (2)
INSURANCE ON FILE N-2021- 2.-02- WORK MAY PRXFED UNTIL INSURIAN('.F EXPIRES 0 61 7b7z CLERK OF CVUrd:;ll. DATE: AGREEMENT TO PROVIDE INDIRECT COST ANALYSIS, RATE PROPOSAL, AND COST ALLOCATION PLAN THIS AGREEMENT is made and entered into this 2 I day of September, 2021 by and between MOT of'Atnerica Consulting, LLC a Florida limited liability company ("Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. On February 22, 2018, the City issued Request for Proposal No. 18-023, by which it sought a consultant to provide a full cost allocation plan and internal service fund allocation study for the Engineering and Administrative Services Divisions of the Public Works Agency. B. Consultant submitted a responsive proposal that was selected by the City. City and Consultant entered into Agreement A-2018-112 to provide services pursuant to RFP No. 18-023. The term of this Agreement was for three years with two, one- year optional extensions. The Agreement inadvertently expired without exercising the two, one-year optional extensions. C. City continues to need the services requested pursuant to RFP No. 18-023. Consultant represents that it is able and willing to provide the services described in the remaining scope of work that was included in RFP No. 18-023. D. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional contracting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall perform the services described in the scope of work that was included in RFP No. 18-023 to include specifically an indirect costs rate proposal for Fund 86 for fiscal years ("FY") 2017-2018 and 2019-2020 and an internal service fund full cost analysis and cost allocation plan for Fund 101 for FY 2017-2018 and 2019-2020. If requested by City, Consultant will assist with submission of rate proposal and cost allocation plan to federal and/or state agencies. Attached hereto as Exhibits A and B respectively and incorporated herein are the original scope of work for RFP No. 18-023 and an updated scope of work showing the remaining services to be provided. Page 1 of 10 2. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services under this Agreement, the rates and charges identified in Exhibit B. The total sum authorized under the term of this Agreement, including any extension periods, shall not exceed fifty thousand dollars and zero cents ($50,000.00). b. This Agreement shall include compensation for services provided since May 1, 2021. C. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work that fails to meet the standards of performance set forth in the Recitals and Scope of Work, which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date fast written above and terminate on April 30, 2023, unless terminated earlier in accordance with Section 17, below. 4. PREVAILING WAGES Consultant is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. If the services being performed are part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and the total compensation is $1,000 or more, Consultant agrees to fully comply with such Prevailing Wage Laws. Consultant shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 5. INDEPENDENT CONTRATOR Consultant shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. Page 2 of 10 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Consultant under this Agreement ("Documents & Data"). Consultant shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractors prepares under this Agreement. Consultant represents and warrants that Consultant has the legal right to license any and all Documents & Data. Consultant makes no such representation and warranty in regard to Documents & Data which were provided to Consultant by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. INSURANCE A. Consultant shall procure and maintain for the duration of the agreement insurance against claims for injuries to persons or damages to property, which may arise from or in connection with the performance of the work hereunder by the Consultant, its agents, representative or employees. Coverage shall be at least as broad as: 1) Commercial General Liability ("CGL") Insurance- Insurance Services Officer Form CG 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage, bodily injury, personal and advertising injury with limits no less than $1,000,000 per occurrence. If a general aggregate limit applies, either general aggregate limit shall apply separately to this project/location (ISO CG 25 03 or 25 04) or the general aggregate limit shall be twice the required occurrence limit. 2) Automobile Liability Insurance- Insurance Services Office Form Number CA 0001 covering, Code 1 (any auto), or if Consultant has no owned autos, Code 8 (hired) and 9 (non -owned), with limits no less than $1,000,000 per accident for bodily injury and property damage. 3) Workers' Compensation Insurance- as required by the State of California, with statutory limits and employer's liability insurance with limits of no less than $1,000,000 per accident for bodily injury and disease. 4) Professional Liability Insurance (Errors and Omissions)- Consultant will maintain professional liability insurance appropriate to their profession with limits no less than $2,000,000 per occurrence or claim and $2,000,000 aggregate. B. If the Consultant maintains broader coverage and/or higher limits than the minimums shown above, the City requires and shall be entitled to the broader coverage and/or the higher limits maintained by Consultant. Any available insurance proceeds in Page 3 of 10 excess of the specified minimum limits of insurance and coverage, shall be available to the City. C. The City's Risk Manager has the authority to reduce or waive in writing any of the insurance coverages required pursuant to this Agreement. D. The insurance policies required by this Agreement are to contain, or be endorsed to contain, the following provisions: 1) Additional Insured Status- The City, its officers, officials, employees and volunteers shall be covered as additional insureds on the CGL policy with respect to liability arising out of the work or operations performed by or on behalf of Consultant including materials, parts or equipment furnished in connection with such work or operations. General liability coverage can be provided in the form of an endorsement to the Consultant's insurance (at least as broad as ISO Form CG 20 10 1185 or both CG 20 10, CG 20 26, CG 20 33, or CG 20 38 and CG 20 37 forms if later revisions used.) 2) Primary Coverage- for an claims related to this Agreement, the Consultant's insurance coverage shall be primary insurance and primary coverage at least as broad as ISO CG 20 0104 13 with respect to the City, its officers, officials, employees and volunteers. Any insurance or self-insurance maintained by the City, its officers, officials, employees or volunteers shall be excess of the Consultant's insurance and shall not contribute to it. 3) Notice of Cancellation- Each insurance policy required above shall state that coverage shall not be cancelled except with notice to the City. 4) Waiver of Subrogation- Consultant hereby grants to City a waiver of any right to subrogation, which any insurer of said Consultant may acquire against the City by virtue of the payment of any loss under such insurance. Consultant agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation but this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. 5) Self -Insured Retentions- Self -insured retentions must be declared and approved by the City. The City may require the Consultant to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claims administration and defense expenses within the retention. The policy language shall provide or be endorsed to provide, that the self -insured retention may be satisfied by either the names inured or the City. 6) Acceptability of Insurers- Insurance is to be placed with insurers authorized to conduct business in the State of California with a current A.M. Best's rating of no less than A:VII, unless otherwise acceptable to the City. 7) Claims Made Policies- If any of the required policies provide coverage on a claims -made basis: i. The Retroactive Date must be shown and must be before the date of the agreement of the beginning of the agreement work; Page 4 of 10 ii. Insurance must be maintained and evidence of insurance provided for at least five (5) years after completion of work under this agreement; iii. If coverage is canceled or non -renewed, and not replaced with another claims -made policy form with a Retroactive Date prior to the agreement effective date, the Consultant must purchase "extended reporting" coverage for a minimum of five (5) years after completion of agreement work. 8) Verification of Coverage- Consultant shall furnish to City with original certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effective coverage required by this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to Entity before work begins. However, failure to obtain the required documents prior to work beginning shall not waive the Consultant's obligation to provide them. The City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. 9) Subcontractors- Consultant shall require and verify that all subcontractors maintain insurance meeting all of the requirements stated herein. Contractor shall ensure that City is an additional insured on insurance required from subcontractors. 10) Special Risks or Circumstances- City reserves the right to modify these requirements, including limits, based upon the nature of the risk, prior experience, insurer, coverage or other special circumstances. 8. INDEMNIFICATION Consultant agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Consultant or its subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Consultant's services are subject to Civil Code Page 5 of 10 Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Consultant. 9. INTELLECTUAL PROPERTY INDEMNIFICATION Consultant shall defend, indemnify and hold harmless the City, its officers, agents, representatives, and employees against any and all liability, including costs, and attorney's fees, for infringement of any United States' letters patent, trademark, or copyright contained in the work product or documents provided by Consultant to the City pursuant to this Agreement. 10. RECORDS Consultant shall keep records and invoices in connection with the work to be performed under this Agreement. Consultant shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Consultant under this Agreement, All such records and invoices shall be clearly identifiable. Consultant shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Consultant shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Consultant under this Agreement. 11. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 12. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interest and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. Page 6 of 10 13. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by fast class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax 714- 647-6956 Executive Director Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-21) P.O. Box 1988 Santa Ana, CA 92702 Fax 714-647-5635 To Consultant: MGT of America Consulting, LLC. 2251 Harvard Street, Suite 134 Sacramento, CA 95815 Attn: Brad Wilkes A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above, If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these timeframes, weekends, federal, state, County or City holidays shall be excluded. 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant regarding the subject matter herein, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other Page 7 of 10 instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 15. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. 16. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 17. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work, which fails to meet the standard of performance specified in the Recitals of this Agreement. 18. NON-DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities or in connection with any activities under this Agreement. Consultant affirms that it is an equal opportunity employer and shall comply with Page 8 of 10 all applicable federal, state and local laws and regulations. 19. JURISDICTION -VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 20. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 21. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: CITY OF SANTA ANA \ /9 DAISY GOMEZ, MMC lerk of the Council [Signatures continue on the next page] KRISTINE RIDGE City Manager Page 9 of 10 APPROVED AS TO FORM SONIA R. CARVALHO City Attorney By: Zzuna.. Laura A. Rossini Chief Assistant City Attorney RECOMMENDED FOR APPROVAL r Nabil Saba Executive Director of the Public Works Agency CONSULTANT N J. radley B rgess Title: Exec ive Vic President Page 10 of 10 Exhibit A ` Appendix' . ATTACHMENT 1 SCOPE OF WORIr CITY OF SANTA ANA REQUEST FOR PROPOSALS FOR FULL COST ALLOCATION PLAN FOR ENGINEERING SERVICES AND/OR INTERNAL SERVICE FUND ALLOCATION STUDY FOR PUBLIC WORKS ADMINISTRATIVE SERVICES RFP NO.: 18-023 Proposers may respond to one or both of the projects detailed below: agar roun The City of Santa Ana is the only city in Orange County delivering capital projects using in- house staff to design and perform construction management with an expectation of full cost recovery. Therefore, overhead cost rates will deviate from a majority of other Orange County cities utilizing general fund subsidies. In 2016, the City hired a consultant to complete preparation of an Indirect Cost Rate Proposal and cost reimbursement services related to the Capital improvement Program (CIP) for the Public Works Agency, The City of Santa Ana Public Works Agency is currently seeking consultant proposals to prepare fiscal year (FY) 16/17, FY 17/18, and FY 18/19 Cost Allocation Plans that are acceptable to federal, state, and local grant agencies. It is critical that the FY 16/17 Cost Allocation Plan is completed, submitted, and accepted by local funding agencies prior to the end of the current fiscal year, which ends June 30, 2017, The City's last updated Cost Allocation Plan was completed for FY 15/16. Most of the grants awarded to the Public Works Agency from Caltrans and the Orange County Transportation Authority (OCTA) Comprehensive Transportation Funding Program for the City's Capital Improvement Program (CIP) projects are distributed on a reimbursement basis. To receive the grant funds, Public Works staff must submit detailed reimbursement documentation, as required by the respective funding agencies. However, because the reimbursement requests include both direct and indirect City employee labor costs, an approved Cost Allocation Plan is required that calculates the appropriate Indirect Cost hate percentage that can be used. os The purpose of this project is to ensure that the City of Santa Ana has a basis of applying comprehensive overhead rates and is accurately accounting fnr the true cost of providing various services within Public Works Agency. A Full Cost Allocation Plan is able to allocate all indirect costs. Additionally, best practices, accounting standards and OMB 2 CFR Part 225 make it necessary for the City to maintain a well -documented Cost Allocation Plan that will help it to appropriately allocate general and administrative costs in its budget; properly identify overhead rates that can be used in the calculation of billable hourly rates for federal and state grants, user fees, and reimbursements from other governmental agencies. The City's goal is to have a well - City of Santa Ana RFP 18-023 Page Al-1 documented and defensible Cost Allocation Plan prepared annually that will identify rates that can be used to recover billable hourly costs for services and develop user fees that comply with Proposition 218. .",scone of somees Prepare the City's Full Cost Allocation Plan for FI' 1 G/17; FY 17/18; and FX 18/19 (total cost plan and an OMB 2 CFR Part 225 plan), which may include the following elements (if the consultant feels that additional tasks are warranted, they must be clearly identified in the consultant's proposal): A. Work and meet with selected City staff to refine the project scope, purpose, uses and goals of the City's Full Cost Allocation Plan to ensure that the study will be both accurate and appropriate to the City's needs. Review project schedule and answer any questions pertaining to the successful development of the study. B. If necessary, meet with staff and conduct interviews as needed to gain an understanding of the Public Work Agency's processes and operations. This includes where certain services and functions are performed together or shared through cooperation between different divisions. Costs should be identified so that they can be allocated to and tracked accordingly. C. Identify the total cost of providing each City service at the appropriate activity level and in a manner that is consistent with all applicable laws, statutes, rules and regulations governing the collection of fees, rates, and charges by public entities including, but not limited to, the State Controller's Office Guidelines for Cost Claiming and OMB 2 CFR Part 225 standards. D. Develop a Full Cost Allocation Model using budgeted and/or actual data for calculating the full costs of providing each City service. The requirements of the model should allow for: a. Additions, revisions, or removal of direct and overhead costs so that the full Cost Allocation Plan can be easily adapted to a range of activities, both simple and complex. b. The ability of the City to continuously update the model and full Cost Allocation Plan from year to year as the organization changes. c. The addition of hypothetical service area information for future service enhancements, and the ability to calculate the estimated costs of providing the service under consideration (i.e. ad -hoc analysis). E. Report on other matters that come to your attention in the course of your evaluation that in your professional opinion the City should consider. F. Present the plan to the City's management group and make necessary adjustments as requested. G. Prepare and deliver presentations (as needed) to the Council to facilitate their understanding of the plan and its implications to the City. H. Provide the City with an electronic copy of the final comprehensive review, including related schedules and cost documentation in a format such as Microsoft Word and City of Santa Ana RFP 18-023 Page Al-2 Microsoft Excel that can be edited and updated by City staff to accommodate changes in the organization or changes in cost. Prepare a final report and provide five bound copies, one unbound copy, and a single Microsoft Excel and PDF file of the Full Cost Recovery Plan that can be made available to City staff Models, tables and graphs should be provided in Microsoft Excel. Any Cost Allocation Model revisions developed shall also be made available to the City in Microsoft Excel and PDF formats, providing the ability to add, delete and/or update information as needed. J. Provide a computer based model in Microsoft Excel for adjusting these fees and charges for the City's current and future needs and provide the City with an electronic copy of the final comprehensive study, including related schedules and cost documentation in a format that can be edited and updated by City staff to accommodate changes in the organization or changes in costs. K. Consult with City staff should the need arise to defend the Cost Allocation Plan as a result of audits or other challenges. L. Identification of an appropriate agency to review the Cost Allocation Plan, and establish a process for obtaining the approvals. PXo1get' im&e and Prift It is critical that the FY 16/17 Cost Allocation Plan is completed, submitted, and accepted by local finding agencies at earliest possible date, not to exceed the end of the current fiscal year of June 30, 2017. In subsequent years, preparation of the Cost Allocation Plan shall be prepared following the close of books for the previous fiscal year (approximated tinneframe of December). The Consultant shall provide a project schedule that outlines individual tasks, milestones, and deliverables, Any major change to the project schedule must be approved by the City. Provide a description of the project budget itemized according to the Finn's proposed timeline and broken into each service of phase of work, such as the planning, development, and/or implementation phase. Fees for subsequent years to update the Plan of Fees should the City choose to continue service. City of Santa Ana RFP 18-023 Page Al-3 The following additional'work will be added at the City's discretion. Proposers must confirm that they are able to perform this type of work and allocate an estimated 175 hours in their Fee Proposal. A detailed Scope of Work and negotiated fee will be established prior to the Notice to Proceed. 5,,,,,gc oe o .Work The City of Santa Ana Public Works Agency (PWA) is requesting proposals from qualified firms for an Internal Service Fund Allocation Study of its Administrative Services Division (Division). The Division budget is characterized as an Internal Service Fund. Rates are currently set each year based on a historical assessment of services provided to other PWA departments. The purpose of this study is to ensure that the annual assessment accurately and equitably allocates the true costs of the Division programs, and services. The results of this study will be used in preparing the Division's FY 2019/20 budget. It is expected that the experience and expertise of the selected Consultant on this subject matter will inform the final project deliverables. It is also expected that all recommendations of the selected Consultant will be consistent with any governing laws and regulations, including, but not limited to, the Federal Office of Management and Budget. At minimum, the following deliverables must be provided: • Review of the Division's programs and services provided to PWA. • Identify all inter -agency customers. • Determine the bases for allocating costs. • Prepare a cost allocation methodology for distributing annual costs to all inter -agency customers. • Calculate Division Internal Services Rate that can be used in support of the Engineering Services Indirect Cost Rate for reimbursement of grants. • Recommend Best Management Practice guidelines related to: - Annual reconciliation of actual costs for services tendered - Cost recovery proceeds in excess of actual costs - Schedule for follow-up Internal Service Fiord Allocation studies City of Santa Ana UP 18-023 Page A1.4 ski 4 MGT PROPOSED SCOPE OF SERVICES INDIRECT COST RATE PROPOSAL FOR FUND 86 Date: September 9, 2021 Background: Exhibit B MGT has recently completed two documents, based on actual expenditures for fiscal year 2018/2019, that provide the calculations required by federal and state agencies. This documents will allow the city to claim indirect costs in certain programs within Public Works. These calculations must be done annually and be based on actual expenditures. Scope of Services and Professional Fee: 1. Fund 86 - Indirect Cost Rate Proposal (FY 2017/2018 and 2019/2020) 2. Fund 101— Internal Service Fund Full Cost Analysis and Cost Allocation Plan (FY 2017/2018 and 2019/2020) a. Professional Fixed Fee: $49,500 3. Assistance - if required for submission to Federal / State agencies a. Hourly billing as for hours requested: $250 per hour Tori Pierson o ID31.10.1213:365a LT00' ---- -1 MUIUI-AM-U'1 '41� CERTIFICATE OF LIABILITY INSURANCE CRYSTAL DAT12412021 6/24/2021 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 Earl Bacon Agency, Inc. Post Office Box 12039 Tallahassee, FL 32317 CONTACT PHONE FAX AIc, Ne, Earl: (850) 878-2121 MC, NAI:(850) 878-2128 E-MAIL ESS INSURERS AFFORDING COVERAGE NAICAr INSURER A: American Casualty Company of Reading, PA 20427 INSURED MGT of America, LLC MGT of America Consulting, LLC 4320 West Kennedy Blvd. Tampa, FL 33609-2118 INSURERS: Continental Casualty Companv 20443 INSURER C: Transportation Insurance Company 20494 INSURERD: Houston Casualty Company INSURER E: INSURER F COVFRAC.FS CFRTIFICATP MI IMRFR• REVISION au uanve. 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 CONTRACTOR 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 ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCUILGENERAL L[ABILITY CLAIMS -MADE OCCUR X X 5095130327 7/112021 711/2022 EACH OCCURRENCE $ 1,000,000 DAMAGE TD RENTED SES Me occurrence)MED $ 300000 EXP An one arson $ 15,000 PERSONAL a ADV INJURY $ 1,000,000 GENT, AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMPIOP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINEEDEINGLE LIMIT $ 1000000 BODILY INJURY Per pansmi S ANY AUTO OWNED SCHEDULEO AUUTOS ONLY ALTNNO.ppSWWNN AUTOS ONLY X AUTOSONLID X X 2093563501 71112021 711/2022 BODILY INJURY Per accident s X PeFac tlent MAGE $ B X UMBRELLA UAB EXCESS LIAR X OCCUR CLAIMS -MADE 2093563496 71112021 7/1/2022 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 6,000,000 OEO I X I RETENTION $ 10,000 Cris Mgmt Expen $ 300,000 C WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY ANY PROPRIETORIPARTNEMEXECUTIVE Y� ooFFICalRe/ YIMgEp EXCLUDED? (Mantlelery In NH) Dye$deaGOR antler DESCRIPTIONur OPERATIONS below NIA X 3011086788 711/2021 7/112022 X I PER OTH- E.L. EACH ACCIDENT $ 1,OOQ000 E.L. DISEASE - EA EMPLOYE $ 1.000.000 E.L. DISEASE -POLICY UMIT 1,000,000 $ D Cyber Liability H21NGP208777-00 7/1/2021 7/112022 OCC & AGG 5,000,000 B Professional and 652348448 7/1/2021 711/2022 E & O Liability 6,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, maybe attached If mom space is requiredl Blanket Additional Insured per attached forms blanket Waiver of Subrogation per attached forms Notice of Cancellation to Certificate Holders per attached forms Stop Gap Liability Coverage for Ohio and Washington 500,0001500,0001500,000 THE CITY OF SANTA ANA, IT'S OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVE ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIABILITY PER ATTACHED CNA74879XX & CNA75079XX BLANKET ADDITIONAL INSURED FORMS. SEE ATTACHED ACORD 101 City of Santa Ana Risk Management 20 Civic Center Plaza (M-30) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY AUTHORIZED REPRESENTATIVE ` _ REvlefhnLAvvkO.�®� �'1 'I� /�'' 1\\\Mf■II /) Ruk Mana9enn,I Clm�alPotle ACOKU 25 (2U16IU3) © 1988-2015 ACORD C(V 14 The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: MGTOFAM-01 CRYSTAL LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Earl Bacon Agency, Inc. NAMED INSURED MGT of America, LLC MGT of America Consulting, LLC Tampa stFIL Kenna 21 Bl d_ POUCYNUMBER EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE. SEE PAGE 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/LocationsNehicles: A-2018-112 A-2017-251 ACORD 101 wdMwgew�tDW. o' IE.NEWFD6Mrvow®Br. 8j -• %au 'VwwoN Cc3008 ACORD CORP �aEkM.�oe„R.,�oe,�,laee The ACORD name and logo are registered marks of ACORD le CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured an this coverage part, but onlywith respect to liabilityfor bodily Injury, property damage or personal and advertising Injury caused in whole or In part by your acts or omissions, or the acts or omissions of those acting on your behalf: A. in the performance of your ongoing operations subject to such written contract; or B. in the performance of your work subject to such written contract, but only with respect to bodily Injury or property damage included in the products -completed operations hazard, and only if: 1. the written contract requires you to provide the additional insured such coverage; and 2. this coverage part provides such coverage. It. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10- 01 edition of CG2037; or B. additional insured coverage with "arising out of language; or C. additional Insured coverage to the greatest extent permissible by law; then paragraph 1. above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily Injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. III. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: R A. coverage broader than required by the written contract; or s B. a higher limit of insurance than required by the written contract. R $ IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising Injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another BEE endorsement attached to this coverage part. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to add the following, which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: CNA75079XX (10-16) Pi Pagel of 2 AMERICAN CASUALTY CO OF READING,PA ,a�'.�,-`•.�"""" < IkvF¢4nLArwOOIDBr. Insured Name: MGT OF AMERI CA CONSULTING, LLC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with fis per %u %�rttoo.r �RukhUna9e�rz CImdlPorle CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors -with Products -Completed Operations Coverage Endorsement Primary and Noncontributory Insurance With respect to other insurance available to the additional insured under which the additional insured is a named insured, this insurance is primaryto and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1. primary and non-contributing with other insurance available to the additional insured; or 2, primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above, this insurance will be excess of all other insurance available to the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 3, make available any other insurance, and tender the defense and indemnity of any claim to any other insurer or self -insurer, whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 3. does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily Injury or property damage; or 2. the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX(10-16) PolicyNn• sngsi;na» Page 2 of 2 AMERICAN CASUALTY CO OF READING,PA RIAMnYgnnd Dhi Insured Name: MGT OF AMERICA CONSULTING, LLC. Rn &Avraov®Or. 7Ou �' Copyright CNA All Rights Resemed. Includes copyrighted maledal or Insurance services Office, Inc., with its psi �Ruk Mar,agemm� ClmralNde CNA CNA PARAMOUNT Waiver of Transfer of Rights of Recovery Against Others to the Insurer Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: ANY PERSON OR ORGANIZATION WHOM THE NAMED INSURED HAS AGREED IN WRITING IN A CONTRACT OR AGREEMENT TO WAIVE SUCH RIGHTS OF RECOVERY, BUT ONLY IF SUCH CONTRACT OR AGREEMENT: 1. IS IN EFFECT OR BECOMES EFFECTIVE DURING THE TERM OF THIS COVERAGE PART; AND 2. WAS EXECUTED PRIOR TO THE BODILY INJURY, PROPERTY DAMAGE OR PERSONAL AND ADVERTISING INJURY GIVING RISE TO THE CLAIM. (Information required to complete this Schedule, if not shown above, will be shown in the Declarations.) Under COMMERCIAL GENERAL LIABILITY CONDITIONS, it is understood and agreed that the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended by the addition of the following: With respect to the person or organization shown in the Schedule above, the Insurer waives any right of recovery the Insurer may have against such person or organization because of payments the Insurer makes for injury or damage arising out of the Named Insured's ongoing operations or your work included in the products -completed operations hazard. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour staled in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75008XX (10-16) Policv Page 1 of 1 xaskro� AMERICAN CASUALTY CO OF READING, PA Fh a &Arr lllh. 7OH J�;�}D�, Insured Name: MGT OF AMERICA CONSULTING, LLC, U o. lCi:OH Copyright CNA All Rights Reserved. Inclutles copydghtetl material ofInsurance Services Office, Inc., with is pe.- n�xm.,,Na�,,,e„umrlaa CNA CNA PARAMOUNT General Aggregate Limit - Per Project Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. For each single construction or service project away from premises the Named Insured owns or rents, a separate Project General Aggregate Limit, equal to the amount of the General Aggregate Limit shown in the Declarations, is the most the Insurer will pay for the sum of: A. all damages under Coverage A, except damages because of bodily Injury or property damage included in the products -completed operations hazard; and B. all medical expenses under Coverage C; that arise from occurrences or accidents which can be attributed solely to ongoing operations at that project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations, nor the Project General Aggregate Limit applicable to any other project. It. All: A. damages under Coverage B, regardless of the number of locations or projects involved; B. damages under Coverage A, caused by occurrences which cannot be attributed solely to ongoing operations at a single project, except damages because of bodily injury or property damage included in the products - completed operations hazard; and C. medical expenses under Coverage C, caused by accidents which cannot be attributed solely to ongoing operations at a single project, will reduce the General Aggregate Limit shown in the Declarations. III. The limits shown in the Declarations for Each Occurrence, for Damage To Premises Rented To You and for Medical Expense continue to apply, but will be subject to either the Project General Aggregate Limit or the General Aggregate Limit shown in the Declarations, depending on whether the occurrence can be attributed solely to ongoing operations at a particular project. IV. When coverage for liability arising out of the products -completed operations hazard is provided, any payments for damages because of bodily Injury or property damage included in the products -completed operations hazard will reduce the Products -Completed Operations Aggregate Limit shown in the Declarations, regardless of the number of projects involved. $ V. If a single construction or service project away from premises owned by or rented to the Named Insured has been a abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, $ specifications or timetables, such project will still be deemed to be the same project. VI. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75061XX (1-15) Policy "'— Page 1 of 1 AMERICAN CASUALTY CO OF READING, PA ._< Insured Name: NGT OF AMERICA CONSULTING, LLC. ^4= IW� &Ary Sr Copyright CNA All Rights Reserved Includes copyrighted material of Insurance services Office, Inc., with its pet %au �its.aw �pisxMa.vu�++tom�iaae !�. CNA CNA PARAMOUNT Additional Insured - Owners, Lessees or Contractors - Completed Operations Endorsement It is understood and agreed as follows: A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for bodily injury or property damage caused, in whole or in part, by your work at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the products completed operations hazard. However: 1. The Insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 (04-13) Policy Page 2of2 ^^' lR�k row AMERICAN CASUALTY CO OF READING,PA Reef aArrxo.�ar Insured Name: MGT OF AMERICA CONSULTING, LLC. '7ou �icstlarz Copyright Insurance Services Office, Inc., 2012 xeeR cm� title CNA CNA PARAMOUNT Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Endorsement A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted bylaw; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to bodily injury or property damage occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG2010(04-13) Pollcytim' tnociin»o Page 2 of 2 AMERICAN CASUALTY CO OF READING, PA `4 er. Insured Name: MGT OF AMERICA CONSULTING, LLC. d IENEVIm6APPRtrv® Copyright Insurance Services Office, Inc., 2012 761C p"t6O" nexmara�em„um�,ia6e F Business Auto Policy A Policy Endorsement It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: HEDULE_ iJNae,ofAdd' �onalInsured�,P.eisonOrDr'a�izatlon _ ",�� '' "'� �` ��- � ,'v: v'•° Per issued certificate 1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II - LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2. The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the "accident' for which the additional insured seeks coverage under this policy. All other terms and conditions of the policy remain unchanged This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy. Form No: CNA71527XX (10-2012) Pc s,%..,. Rh4 Mmgeead lN,iJm 12nenID 6 ArxBa�® Or. Endorsement No: 14; Page: 1 of 1 7ou �icwo"r Underwriting Company: American Casualty Company of Reading. Pennsylvania, 151 N Franklin st,miade Chicago, IL 60606 0 Copyright CNA All Rights Reserved. CHA CNA PARAMOUNT Changes - Notice of Cancellation or Material Restriction Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART EMPLOYEE BENEFITS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROA➢ PROTECTIVE LIABILITY COVERAGE PART STOP GAP LIABILITY COVERAGE PART TECHNOLOGY ERRORS AND OMISSIONS LIABILITY COVERAGE PART SPECIAL PROTECTIVE AND HIGHWAY LIABILITY POLICY - NEW YORK DEPARTMENT OF TRANSPORTATION SCHEDULE Number of days notice (other than for nonpayment of premium): 30 Number of days notice for nonpayment of premium: 10 Name of person or organization to whom notice will be sent: issued certificate CNA74702XX 01-15 Page 1 of 2 AMERICAN CASUALTY CO OF READING,PA Insured Name: MGT OF AMERICA CONSULTING LLC, Oopydght GNA All Rights Reserved. PGI Pc k M.Mg,w t DiNda� � I�+A6 &APPRW®Br. Endorsem %u �%'CSJee eizklMzza9e�zm[Umcal Pitle m 8 S CNA CNA PARAMOUNT Changes - Notice of Cancellation or Material Restriction Endorsement If no entry appears above, the number of days notice for nonpayment of premium will be 10 days. It is understood and agreed that in the event of cancellation or any material restrictions in coverage during the policy period, the Insurer also agrees to mail prior written notice of cancellation or material restriction to the person or organization listed in the above Schedule. Such notice will be sent prior to such cancellation in the manner prescribed in the above Schedule. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA74702XX 01-15 Page 2 of 2 AMERICAN CASUALTY Insured Name: MGT OF CO OF REAOING,PA AMERICA CONSULTING LLC. PC ILENEWID6Mwr. & AArFw®&rr. 4 � Endorsert 7ou Pmwc �swr.tn,dge�„un�Uiad� Cagytlght CNA All nights FeNlWd. CNA Workers Compensation And Employers Liability Insurance Policyholder Notice It is understood and agreed that: If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificate Holders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certificate Holder on file with the Agent of Record will be sufficient to prove notice. Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any liability or obligation upon us or the Agent of Record. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: CC68021A (02-2013) Policyholder Notice; Page: 1 of 1 Underwriting Company: Transportation Insurance Company, 151 N Franklin St, Chicago, IL 60606 Pc q,o F'� V1 ..- RixkM ge,mt Dw , rlenerma Ar ec a,: IyL %au %&woe Rok Marugenntt Clairel AiJe ® Copyright CNA All Rights Reserved. CNA Workers Compensation And Employers Liability Insurance Policy 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. 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. Schedule Any Person or Organization on whose behalf you are required to obtain this waiver of our right to recover from under a written contract or agreement. The premium charge for the endorsement is reflected in the Schedule of Operations. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy ,unless another expiration date is shown below. Form No: WC 00 03 13 (04-1984) Endorsement No: 23; Page: 1 of 1 Underwriting Company: Valley Forge Insurance Company, 151 N Franklin St, Chicago, IL 60606 Pali RAMv.ge U� aene d Ar ar. re„xr✓.,�, o.,�Urad� aee� Copyright 1983 National Council on Compensation Insurance. POLICY NIINHSR INSURED NAME ANDADDRESS - P 2093563501 MGT OF AMERICA CONSULTING, LLC. 4320 WEST KENNEDY BLVD. TAMPA, FL 33609-2118 COMMERCIAL AUTOMOBILE LOSS PAYEE SCHEDULE "Any Lose Payee that has a financial interest in a covered -auto- for which we are providing physical damage coverage for that covered °auto° under this policy. - Rd tD� %in 6Arrawm er. %au �icnarc INSURED POLICY NUMBER P 2093563501 MGT OF AMERICA CONSULTING, LLC. 4320 WEST KENNEDY BLVD. TAMPA, FL 33609-2118 ADDITIONAL INSURED - LESSOR SCHEDULE -Any Lessor of a covered °auto° for which we are providing any coverage for that covered °auto° under this policy.° INSURED xW, t f2E+.tE`rED6 MGRWID8,r.BY: %au Picuan Risk hl.ugesmnClmralPotle CNA CNA72315XX (Ed. 02/13) NOTICE OF CANCELLATION OR MATERIAL CHANGE - DESIGNATED PERSON OR ORGANIZATION It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows In the event of cancellation or material change that reduces or restricts the insurance provided by this Coverage Form, we agree to send prior notice of cancellation or material change to the person or organization scheduled below at the address scheduled below. This endorsement does not amend our obligation to notify the Named Insured of cancellation as described in the Common Policy Conditions or in another endorsement attached to this policy. SCHEDULE 1. Number of days advance notice: 10 Days if we cancel for non-payment of premium. 30 Days if the policy is cancelled for any other reason, or if coverage is restricted or reduced by endorsement. 2. Person or Organization's Name and Address Name: PER ISSUED CERTIFICATE Attention: Street Address: City, State, ZIP: e-mail address: All other terms and conditions of the Policy remain unchanged. CNA72315XX (02/13) Page 1 of 1 RNi Mv.g,knt DMa Insured Name: MGT OF AMERICA CONSULTING, LLC. e If 7ou %�,kxvart Copyright CNA All Rights Reserved. FukM ages uOaiolNtl 01 BHA Workers Compensation And Employers Liability Insurance ryholder Notice It is understood and agreed that: If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificate Holders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certificate Holder on file with the Agent of Record will be sufficient to prove notice. Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any liability or obligation upon us or the Agent of Record. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: CC68021A 102-2013) Policyholder Notice: Page: 1 of 1 Underwriting Company: Valley Forge Insurance Company. 151 N Franklin 6t, Chicago, IL 60606 I Copyright CNA Ali Rights Reserved. Polic Rli Mv�rgeeal do . F� i APPew®&r.Br. � a ma,aamm a-=12de Workers Compensation And Employers Liability Insurance C Policy Endorsement This endorsement changes the policy to which it is attached. It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two - Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - Refer to the Schedule of Operations The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is 2%. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Farm No: G-19160-B 111-19971 Underwriting Company: Transportation Insurance Company, 151 N Franklin 5t, Chicago, IL 60606 ° Copyright CNA All Rights Reserved. Poliry No: WC 3 11086788 "MuYg�mVWM { ltVitvrID L Arreo Br. asa,wvvge„a,r un�raiaar