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HomeMy WebLinkAbout130079 ACCELA INC & 443506 TRUE POINT SOLUTIONS - CONTRACT - RFP - 8086 ACCELA SOFTWARE CONSULTING (2)Professional Services Agreement – Work Order Type
8086 Accela Software Consulting - Accela Page 1 of 12
PROFESSIONAL SERVICES AGREEMENT
WORK ORDER
THIS AGREEMENT made and entered into the day and year set forth below, by and
between THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation, hereinafter
referred to as the "City" and ACCELA, INC., hereinafter referred to as "Professional".
WITNESSETH:
In consideration of the mutual covenants and obligations herein expressed, it is agreed
by and between the parties hereto as follows:
1. Scope of Services. The Professional agrees to provide services in accordance with any
project Work Orders for 8086 Accela Application Consulting issued by the City. A blank
sample of a work order is attached hereto as Exhibit "A", consisting of one (1) page and is
incorporated herein by this reference. No Work Order shall exceed $100,000. The City
reserves the right to independently bid any project rather than issuing a Work Order to the
Professional for the same pursuant to this Agreement. City acknowledges that the
professional services described in this Agreement are cooperative in nature and
Professional shall be solely responsible for performance of its duties described hereunder.
The scope of services shall be mutually defined by the parties and is attached hereto as
Exhibit “B”, consisting of two (2) pages and is incorporated herein by this reference.
2. The Work Schedule. The services to be performed pursuant to this Agreement shall be
performed in accordance with the Work Schedule stated on each Work Order and the
Scope of Work.
3. Time of Commencement and Completion of Services. The services to be performed
pursuant to this Agreement shall be initiated as specified on each Work Order. Time is of
the essence. Any extensions of any time limit must be agreed upon in writing by the
parties hereto. City acknowledges that it must complete its designated tasks, if any, in a
timely manner in order for Professional to proceed with and complete the scope of
services. City delays may have adverse collateral effects on Professional’s overall work
schedule. Although Professional will use its best efforts to immediately resume work
following such a delay, City acknowledges that schedules for the services may be delayed.
4. Contract Period. This Agreement shall commence September 28, 2015, and shall
continue in full force and effect until September 27, 2016, unless sooner terminated as
herein provided. In addition, at the option of the City, the Agreement may be extended for
additional one year periods not to exceed four (4) additional one year periods. Renewals
and pricing changes shall be negotiated by and agreed to by both parties. Written notice
of renewal shall be provided to the Professional and mailed no later than thirty (30) days
prior to contract end.
5. Early Termination by City. Notwithstanding the time periods contained herein, the City
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may terminate this Agreement at any time without cause by providing written notice of
termination to the Professional. Such notice shall be delivered at least fifteen (15) days
prior to the termination date contained in said notice unless otherwise agreed in writing by
the parties.
All notices provided under this Agreement shall be effective when mailed, postage prepaid
and sent to the following addresses:
Professional: City: Copy to:
Accela, Inc.
Attn: Contract Administrator
2633 Camino Ramon, Suite 500
San Ramon, CA 94583
City of Fort Collins
Attn: Brad Morgan
PO Box 580
Fort Collins, CO 80522
City of Fort Collins
Attn: Purchasing Dept.
PO Box 580
Fort Collins, CO 80522
In the event of any such early termination by the City, the Professional shall be paid for
services rendered prior to the date of termination, subject only to the satisfactory
performance of the Professional's obligations under this Agreement. Such payment shall
be the Professional's sole right and remedy for such termination.
6. Project Indemnity and Insurance Responsibility. The Professional shall be responsible for
the professional quality, technical accuracy, timely completion and coordination of all
services provided or performed by Professional, as more fully described in the Statement
of Work. These services may include analysis, documentation, report development,
configuration, and scripting citizen access configuration to enable City to, including but not
limited to, Professional document services, reports, modules, workflow processes, citizen
access configuration and deployment, permits, scripting, and testing. Professional shall
endeavor to promptly remedy and correct any errors, omissions, or other deficiencies not
performed in accordance with the Statement of Work. The Professional shall indemnify,
save and hold harmless the City, its officers and employees in accordance with Colorado
law, from all damages whatsoever claimed by third parties against the City; and for the
City's costs and reasonable attorney’s fees, arising directly or indirectly out of the
Professional's negligent performance of any of the services furnished under this
Agreement. The Professional shall maintain insurance in accordance with Exhibit D,
consisting of one (1) page, attached hereto and incorporated herein.
7. Compensation. In consideration of the services to be performed pursuant to this
Agreement, the City agrees to pay Professional in accordance with Exhibit “B”, attached
hereto and incorporated herein. Monthly partial payments based upon the Professional's
billings and itemized statements of reimbursable direct costs are permissible. The
amounts of all such partial payments shall be based upon the Professional's City-verified
progress in completing the services to be performed pursuant hereto and upon the City's
approval of the Professional's reimbursable direct costs. Final payment shall be made
following acceptance of the work by the City. The payment terms of all invoices are net
thirty (30) calendar days from the dates of the invoices.
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8. City Representative. The City will designate, prior to commencement of work, its project
representative who shall make, within the scope of his or her authority, all necessary and
proper decisions with reference to the project. All requests for contract interpretations,
change orders, and other clarification or instruction shall be directed to the City
Representative.
9. Monthly Report. If required in the scope of services for each work order, commencing
thirty (30) days after the date of execution of this Agreement and every thirty (30) days
thereafter, Professional is required to provide the City Representative with a written report
of the status of the work with respect to the Scope of Services, Work Schedule, and other
material information. Failure to provide any required monthly report may, at the option of
the City, suspend the processing of any partial payment request.
10. Independent Contractor. The services to be performed by Professional are those of an
independent contractor and not of an employee of the City of Fort Collins. The City shall
not be responsible for withholding any portion of Professional's compensation hereunder
for the payment of FICA, Workers' Compensation, other taxes or benefits or for any other
purpose.
11. Personal Services. It is understood that the City enters into this Agreement based on the
special abilities of the Professional and that this Agreement shall be considered as an
agreement for personal services. Accordingly, the Professional shall neither assign any
responsibilities nor delegate any duties arising under this Agreement without the prior
written consent of the City. Notwithstanding, a change of control by Professional or a
transfer by Professional for purposes of financing shall not constitute an assignment
hereunder.
12. Acceptance Not Waiver. The City's approval work or materials furnished hereunder shall
not in any way relieve the Professional of responsibility for the quality or technical
accuracy of the work. The City's approval or acceptance of, or payment for, any of the
services shall not be construed to operate as a waiver of any rights or benefits provided to
the City under this Agreement.
13. Default. Each and every term and condition hereof shall be deemed to be a material
element of this Agreement. In the event either party should fail or refuse to perform
according to the terms of this agreement, such party may be declared in default.
14. Remedies. In the event a party has been declared in default, such defaulting party shall
be allowed a period of twenty (20) days, or such other time as may be mutually agreed
upon by the parties, within which to cure said default. In the event the default remains
uncorrected, the party declaring default may elect to (a) terminate the Agreement and
seek damages; (b) treat the Agreement as continuing and require specific performance; or
(c) avail himself of any other remedy at law or equity. If the non-defaulting party
commences legal or equitable actions against the defaulting party, the defaulting party
shall be liable to the non-defaulting party for the non-defaulting party's reasonable attorney
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fees and costs incurred because of the default.
15. Binding Effect. This writing, together with the exhibits hereto, constitutes the entire
agreement between the parties and shall be binding upon said parties, their officers,
employees, agents and assigns and shall inure to the benefit of the respective survivors,
heirs, personal representatives, successors and assigns of said parties.
16. Law/Severability. The laws of the State of Colorado shall govern the construction,
interpretation, execution and enforcement of this Agreement. In the event any provision
of this Agreement shall be held invalid or unenforceable by any court of competent
jurisdiction, such holding shall not invalidate or render unenforceable any other provision
of this Agreement.
17. Prohibition Against Employing Illegal Aliens. Pursuant to Section 8-17.5-101, C.R.S., et.
seq., Professional represents and agrees that:
a. As of the date of this Agreement:
1. Professional does not knowingly employ or contract with an illegal alien who will
perform work under this Agreement; and
2. Professional will participate in either the e-Verify program created in Public Law
208, 104th Congress, as amended, and expanded in Public Law 156, 108th
Congress, as amended, administered by the United States Department of
Homeland Security (the “e-Verify Program”) or the Department Program (the
“Department Program”), an employment verification program established pursuant
to Section 8-17.5-102(5)(c) C.R.S. in order to confirm the employment eligibility of
all newly hired employees to perform work under this Agreement.
b. Professional shall not knowingly employ or contract with an illegal alien to perform
work under this Agreement or knowingly enter into a contract with a subcontractor that
knowingly employs or contracts with an illegal alien to perform work under this
Agreement.
c. Professional is prohibited from using the e-Verify Program or Department Program
procedures to undertake pre-employment screening of job applicants while this
Agreement is being performed.
d. If Professional obtains actual knowledge that a subcontractor performing work under
this Agreement knowingly employs or contracts with an illegal alien, Professional shall:
1. Notify such subcontractor and the City within three days that Professional has
actual knowledge that the subcontractor is employing or contracting with an illegal
alien; and
2. Terminate the subcontract with the subcontractor if within three days of receiving
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the notice required pursuant to this section the subcontractor does not cease
employing or contracting with the illegal alien; except that Professional shall not
terminate the contract with the subcontractor if during such three days the
subcontractor provides information to establish that the subcontractor has not
knowingly employed or contracted with an illegal alien.
e. Professional shall comply with any reasonable request by the Colorado Department of
Labor and Employment (the “Department”) made in the course of an investigation that
the Department undertakes or is undertaking pursuant to the authority established in
Subsection 8-17.5-102 (5), C.R.S.
f. If Professional violates any provision of this Agreement pertaining to the duties
imposed by Subsection 8-17.5-102, C.R.S. the City may terminate this Agreement. If
this Agreement is so terminated, Professional shall be liable for actual and
consequential damages to the City arising out of Professional’s violation of Subsection
8-17.5-102, C.R.S.
g. The City will notify the Office of the Secretary of State if Professional violates this
provision of this Agreement and the City terminates the Agreement for such breach.
18. Red Flags Rules. Professional must implement reasonable policies and procedures
to detect, prevent and mitigate the risk of identity theft in compliance with the Identity Theft
Red Flags Rules found at 16 Code of Federal Regulations part 681. Further, Professional
must take appropriate steps to mitigate identity theft if it occurs with one or more of the
City’s covered accounts and must as expeditiously as possible notify the City in writing of
significant breeches of security or Red Flags to the Utilities or the Privacy Committee.
19. Special Provisions. Special provisions or conditions relating to the services to be
performed pursuant to this Agreement are set forth in Exhibit “E“ - Confidentiality,
consisting of one (1) page, attached hereto and incorporated herein by this reference.
20. Warranty and Limit of Liability. Professional warrants that the services provided shall
materially conform to all requirements of this Agreement and the Statement of Work and
that it shall perform its services in a competent and professional manner. This warranty
shall continue for six (6) months following final acceptance. Professional provides no
warranty whatsoever for any third-party hardware or software products not provided by
Professional. Third-party applications which utilize or rely upon the services may be
adversely affected by remedial or other actions performed pursuant to this Agreement;
Professional bears no liability for and has no obligation to remedy such effects. Except as
set forth herein, Professional provides all services “as is” without express or implied
warranty of any kind regarding the character, function, capabilities, or appropriateness of
such services or deliverables. To the extent not offset by its insurance coverage and to
the maximum extent permitted by applicable laws, in no event will Professional’s
cumulative liability for any general, incidental, special, compensatory, or punitive damages
whatsoever suffered by City or any other person or entity exceed the fees paid to
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Professional by City during the twelve (12) calendar months immediately preceding the
circumstances which give rise to such claim(s) of liability, even if Professional or its agents
have been advised of the possibility of such damage.
THE CITY OF FORT COLLINS, COLORADO
By:
Gerry Paul
Purchasing Director
DATE:
ATTEST:
City Clerk
APPROVED AS TO FORM:
Assistant City Attorney
ACCELA, INC.
By:
Printed:
Title:
CORPORATE PRESIDENT OR VICE PRESIDENT
Date:
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Assistant Corporate Secretary
Colin Samuels
9/25/2015
10/13/2015
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EXHIBIT A
WORK ORDER FORM
PURSUANT TO AN AGREEMENT BETWEEN
THE CITY OF FORT COLLINS
AND
DATED:
Work Order Number:
Purchase Order Number:
Project Title:
Original Bid/RFP Project Number & Name:
Commencement Date:
Completion Date:
Maximum Fee: (time and reimbursable direct costs):
Project Description:
Scope of Services:
Professional agrees to perform the services
identified above and on the attached forms in
accordance with the terms and conditions
contained herein and in the Professional
Services Agreement between the parties. In
the event of a conflict between or ambiguity in
the terms of the Professional Services
Agreement and this work order (including the
attached forms) the Professional Services
Agreement shall control.
The attached forms consisting of
( ) page(s) are hereby accepted and
incorporated herein, by this reference, and
Notice to Proceed is hereby given.
PROFESSIONAL
By:_______________________________
Date:_____________________________
CITY OF FORT COLLINS
Submitted By: _________________________
Project Manager
Date: _________________________
Reviewed by: _________________________
Senior Utility Engineer
Date: _________________________
Approved by: _________________________
Water Engineering & Field Services
Operations Manager
Date: ________________________
Approved by: _________________________
Utilities General Manager
(over $1,000,000)
Date: ________________________
Approved by: _________________________
Purchasing Director (if over $60,000)
Date: _______________________
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EXHIBIT B
SCOPE OF WORK
A. SCOPE OF WORK
The City prefers to have one point of contact for the Consultant for developing the Scope of
Work for each Work Order. After a Work Order is created and approved, the City Project
Manager may work directly with the approved personnel.
Two scope of works resulted from this RFP.
1. Professional Services Consulting Assistance
The scope of services that may be requested during the length of the contract include
enhancements and improvements to existing configuration as well as implementation of
features and functionality currently available through Accela add-on products. The requests
may include business process review, configuration of new record types in existing modules,
scripting, configuration of add-on products, end-user training and report revisions and
design. There could be other, unidentified Accela Civic Platform support and configuration
services required.
As may be requested from time-to-time by the City of Fort Collins, Consultant will work with
the City of Fort Collins and provide consulting and solution assistance in a number of areas
that may include, but is not limited to:
Implementation of Accela Document Services
Migration of current ARW reports to Crystal
Planning and assistance with Accela Citizen Access configuration and deployment
for online application submittal and contractor licensing
Continued support for the new ACA permit portal after deployment
Migration to Scripting 3.0 and other event/batch scripting assistance
Rollout of EDR to additional departments
Analysis, configuration and implementation of new record types for existing modules
Analysis and possible reconfiguration of workflow processes in Building and Planning
modules
Conversion to XAPO
Creation of new reports in Ad-Hoc Reports or Crystal Reports
Support on day-to-day requests and enhancement opportunities
Internal training and 1-on-1 assistance on all aspects of Accela utilization
2. On Call Assistance
Additional services to provide on call support and maintenance above and beyond what is
provided by Accela Customer Support. Prior to performing any such services or incurring
expenses, Consultant shall provide City with a time-and-material estimate. Professional &
City will work together to outline a list of detailed requirements for such support which will
allow Professional to properly staff based on the technical specifications.
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B. WORK ORDER PROCEDURES
Work performed pursuant to this Request for Proposals will be authorized by Work Order,
issued by the appropriate department. The Consultant shall provide all personnel, equipment
and supplies necessary to complete the professional services set forth in the Scope of Work.
As work arises, the City will contact Consultant and the Parties shall mutually draft a Scope of
Work describing the services to be performed by Consultant, ensuring that Consultants team is
a good fit for the work and the Consultant has the time available for the project. Professional
and Agency will need to mutually agree on the response time to provide an estimate based on
the provided detailed requirements. Total project time/schedule, project cost, work details, travel
expenses, fees, hours and personnel will be determined as part of the project Work Order for
each individual project and the Scope of Work shall be attached to the Work Order. Fees will be
based on those submitted in the RFP response.
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EXHIBIT C
COMPENSATION
Accela Proposed Fees
Implementation services $185/hour
Executive Oversight $210/hour
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EXHIBIT D
INSURANCE REQUIREMENTS
1. The Professional will provide, from insurance companies acceptable to the City, the
insurance coverage designated hereinafter and pay all costs. Before commencing work
under this bid, the Professional shall furnish the City with certificates of insurance
showing the type, amount, class of operations covered, effective dates and date of
expiration of policies, and containing substantially the following statement:
“In the event of cancellation or material change that reduces or restricts the
insurance afford by this Coverage, we agree to mail prior written notice of
cancellation or material change to City of Fort Collins 30 days in advance, 10 days
for non-payment of premium.”
In case of the breach of any provision of the Insurance Requirements, the City, at its
option, may take out and maintain, at the expense of the Professional, such insurance
as the City may deem proper and may deduct the cost of such insurance from any
monies which may be due or become due the Professional under this Agreement. The
City, its officers, agents and employees shall be named as additional insureds on the
Professional 's general liability and automobile liability insurance policies for any claims
arising out of work performed under this Agreement.
2. Insurance coverages shall be as follows:
A. Workers' Compensation & Employer's Liability. The Professional shall maintain
during the life of this Agreement for all of the Professional's employees engaged in
work performed under this agreement:
1. Workers' Compensation insurance with statutory limits as required by
Colorado law.
2. Employer's Liability insurance with limits of $100,000 per accident,
$500,000 disease aggregate, and $100,000 disease each employee.
B. Commercial General Liability. The Professional shall maintain during the life of this
Agreement such commercial general liability insurance as will provide coverage for
damage claims of personal injury, including accidental death, as well as for claims
for property damage, which may arise directly or indirectly from the performance of
work under this Agreement. Coverage for property damage shall be on a "broad
form" basis. The amount of insurance for each coverage, Commercial General
shall not be less than $1,000,000 combined single limits for bodily injury and
property damage.
In the event any work is performed by a subcontractor, the Professional shall be
responsible for any liability directly or indirectly arising out of the work performed
under this Agreement by a subcontractor, which liability is not covered by the
subcontractor's insurance.
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New insurance
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EXHIBIT E
CONFIDENTIALITY
IN CONNECTION WITH SERVICES provided to the City of Fort Collins (the “City”) pursuant to
this Agreement (the “Agreement”), the Professional hereby acknowledges that it has been
informed that the City has established policies and procedures with regard to the handling of
confidential information and other sensitive materials.
In consideration of access to certain information, data and material (hereinafter individually and
collectively, regardless of nature, referred to as “information”) that are the property of and/or
relate to the City or its employees, customers or suppliers, which access is related to the
performance of services that the Professional has agreed to perform, the Professional hereby
acknowledges and agrees as follows:
That information that has or will come into its possession or knowledge in connection with the
performance of services for the City may be confidential and/or proprietary. The Professional
agrees to treat as confidential (a) all information that is owned by the City, or that relates to the
business of the City, or that is used by the City in carrying on business, and (b) all information
that is proprietary to a third party (including but not limited to customers and suppliers of the
City). The Professional shall not disclose any such information to any person not having a
legitimate need-to-know for purposes authorized by the City. Further, the Professional shall not
use such information to obtain any economic or other benefit for itself, or any third party, except
as specifically authorized by the City.
The foregoing to the contrary notwithstanding, the Professional understands that it shall have no
obligation under this Agreement with respect to information and material that (a) becomes
generally known to the public by publication or some means other than a breach of duty of this
Agreement, or (b) is required by law, regulation or court order to be disclosed, provided that the
request for such disclosure is proper and the disclosure does not exceed that which is required.
In the event of any disclosure under (b) above, the Professional shall furnish a copy of this
Agreement to anyone to whom it is required to make such disclosure and shall promptly advise
the City in writing of each such disclosure.
In the event that the Professional ceases to perform services for the City, or the City so requests
for any reason, the Professional shall promptly return to the City any and all information
described hereinabove, including all copies, notes and/or summaries (handwritten or
mechanically produced) thereof, in its possession or control or as to which it otherwise has
access.
The Professional understands and agrees that the City’s remedies at law for a breach of the
Professional’s obligations under this Confidentiality Agreement may be inadequate and that the
City shall, in the event of any such breach, be entitled to seek equitable relief (including without
limitation preliminary and permanent injunctive relief and specific performance) in addition to all
other remedies provided hereunder or available at law.
Each Party to this Agreement may furnish the other Party with confidential information. Such
information shall be clearly marked “Confidential Information”. Parties agree that each will hold
in a fiduciary capacity for the benefit of the other Party and shall not directly or indirectly use,
copy, reproduce, distribute, manufacture, duplicate, reveal, report, publish, disclose or cause to
be disclosed, or otherwise transfer and confidential information of the other Party to any third
party, or utilize such information for any purpose, except as expressly contemplated by the
Contract or authorized in writing by the other Party, or as required pursuant to the Colorado
Open Records Act, (CORA) C.R.S. § 24-72-201 to 206.
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The ACORD name and logo are registered marks of ACORD
CERTIFICATE HOLDER
© 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01)
AUTHORIZED REPRESENTATIVE
CANCELLATION
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
JECT LOC
POLICY PRO-
GEN'L AGGREGATE LIMIT APPLIES PER:
CLAIMS-MADE OCCUR
COMMERCIAL GENERAL LIABILITY
PREMISES (Ea occurrence) $
DAMAGE TO RENTED
EACH OCCURRENCE $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
DED RETENTION $
CLAIMS-MADE
OCCUR
$
AGGREGATE $
UMBRELLA LIAB EACH OCCURRENCE $
EXCESS LIAB
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
INSR
LTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY) LIMITS
PER
STATUTE
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$
$
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
If yes, describe under
DESCRIPTION OF OPERATIONS below
(Mandatory in NH)
OFFICER/MEMBER EXCLUDED?
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
HIRED AUTOS
NON-OWNED
AUTOS AUTOS
AUTOS
COMBINED SINGLE LIMIT
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
DocuSign Envelope ID: 6DC487F1-DDEA-4ACE-834C-8134954EFBA6
DocuSign Envelope ID: 6DC487F1-DDEA-4ACE-834C-8134954EFBA6
PROPERTY DAMAGE $
$
$
$
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.
INSD
ADDL
WVD
SUBR
N / A
$
$
(Ea accident)
(Per accident)
OTHER:
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
INSURED
PHONE
(A/C, No, Ext):
PRODUCER
ADDRESS:
E-MAIL
FAX
(A/C, No):
CONTACT
NAME:
NAIC #
INSURER A :
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
INSURER(S) AFFORDING COVERAGE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
D
1,000,000
09/01/2016
4034953606
Daniel Yim
X
SEA-002979638-02
1,000,000
10,000,000
6013898997
X
20494
10,000,000
SIR
of Marsh Risk & Insurance Services
Attn: 408-467-5600, F 408-467-5699, CA Lic 0437153
N
X
2,000,000
09/01/2015
National Union Fire Insurance Co. Of Pittsburgh, PA
5
09/01/2016
09/01/2015
20443
09/01/2016
6013899017
Errors & Omissions
C
2,000,000
1,000,000
X
35289
Transportation Insurance Co
1,000,000
X
E
X
08/21/2015
75,000
09/01/2015
5,000,000
EVIDENCE OF INSURANCE.
X
09/01/2015
SAN RAMON, CA 94583
ACCELA, INC.
Continental Casualty Company
A
Continental Insurance Co
102298337-STND-GAWUE-15-16
Limits
5,000
09/01/2016
1,000,000
4034954156
C
20478
1,000,000
1,000,000
09/01/2016
6013899003
1732 North First Street, Suite 400
Marsh Risk & Insurance Services
X
San Jose, CA 95112
2633 Camino Ramon, Suite 120
Accela, Inc.
San Ramon, CA 94583
X
01-637-25-35
09/01/2015
2633 CAMINO RAMON, SUITE 120
09/01/2015
B
09/01/2016
19445
National Fire Insurance of Hartford
DocuSign Envelope ID: 6DC487F1-DDEA-4ACE-834C-8134954EFBA6