MODIFICATION NO. 3 OF AGREEMENT C2012741 WITH CONVEY, INC. This Modification No. 3 ("Third Modification") is made and entered iryto this ~ day of June 2016 ("Effective Date"), by and between the Alameda County Flood Control and Water Conservation District ("District"), and Convey, Inc. ("Consultant"), with respect to that Professional Services Agreement dated March 27, 2012, as previously modif1ed by Modification Nos. 1 and 2 (collectively referred to herein as "the Agreement"), pursuant to which Consultant provides communication and outreach services. RECITALS Whereas, District and Consultant desire to modify the Agreement to provide additional funds in the amount of twohundred fiftyfive thousand dollars ($2,000.00) and extend the contract period of March 27, 2012 through June 30, 2016 by twelve months to June 30, 2017, with no change in the Definition of Services. Therefore, District and Consultant agree as follows: 1. For valuable consideration, the receipt and sufficiency of which are hereby acknowledged, District and Consultant agree to modify the Agreement in the following respects: 2. In consideration for Consultant's services, District shall pay Consultant an additional amount not to exceed twohundred fiftyfive thousand dollars ($2,000.00). The not to exceed (NTE) amount for all services under this Agreement has increased from onemillion fortythree thousand dollars ($1,043,000) to onemillion twohundred ninetyeight thousand dollars ($1,298,000) over the term of the Agreement as modified. 3. Except as expressly modified by this Third Modification, all of the terms and conditions of the Agreement are and remain in full force and effect. Alameda County ~!~;yontrol and Water Cons ation Dis~C EXECUTION By:. President ~Uld lf ~u 101 ~sors Date: Tax Payer I.D. No. 263978390 By signing above, signatory warrants and represents that he/she executed this Modification in his/her authorized capacity and that by his/her signature on this Modification, he/she or the entity upon behalf of which he/she acted, executed this Modification. Page 1of1
AC~"' GVV I DATE (MMIDD/YYYY) ~ CERTIFICATE OF LIABILITY INSURANCE R04 6/10/2016 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an.endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER USAA INSURANCE AGENCY INC/PHS CONTACT NAME: PHONE (AJC, No, Ext): (888) 2421430 1:AX (NC, No): (888) 4436112 812846 p: (888) 2421430 F: (888) 44'36112 EMAIL ADDRESS: PO BOX 3301 INSURER($) AFFORDING COVERAGE NAIC# SAN ANTONIO TX 7826 INSURER A: Sentinel Ins Co LTD 11000 INSURED INSURER B: Hartford Casualty Ins Co 29424 INSURERC: ROSEMONT ENTERPRISES INC OBA CONVEY INSURER D: 29 ROSEMONT AVE INSURER E; BERKELEY CA 94708 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /1\'SR n'pe OF INSURANCE ADDL SUBR POLICY NW'tlBER POLICYEFF POLICY,'!(p TTR 1,''C'D ~n IMMIDDIYYYl1 r.u,i flln/vvvvi COMMERCIAL GENERAL LIABILITY I CLAIMSMADE D OCCUR LIMITS EACH OCCURRENCE s2, 000, 000 DAMAGE TO RENTED sl, 000, 000 PREMISES (Ea occurrence) A x General Li ab x 6 SBA KH608 03/10/2016 03/10/2017 MED EXP (Any one person) slo, 000 PERSONAL & ADV INJURY s2, 000, 000 GENERALAGGREGATE s4, 000, 000 ~N'L AGGREGATE LIMIT APPLIES PER: DPR00 PRODUCTS COMP/OP AGG s4,000,000 POLICY JECT LOC OTHER: $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED A x AUTOS ONLY AUTOS 6 SBA KH608 03/10/2016 03/10/2017 BODILY INJURY (Per accident) $ x HIRED x NONOWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ s2, 000, 000 x UMBRELLA LIAS ~OCCUR EACH OCCURRENCE sl, 000, 000 A EXCESS LIAS CLAIMSMADE x 6 SBA KH608 03/10/2016 03/10/2017 AGGREGATE sl, 000, 000 DEDI x I RETENTION$ 10' 0 0 0 $ WORKERS COMPENSATION IPER IOTH AND E/l!PLOJ'ER' l/ab/l/tr X STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? NIA D B (Mandatory in NH) 6 WEC AE144 01/06/2016 01/06/2017 E.L. DISEASE EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE POLICY LIMIT 1,000,000 1, 000, 000 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. Alameda County Flood Control and Water Conservation District and The County of Alameda, it's board of supervisors, the individual members thereof & all county officers, agents, employees & representatives is an Additional Insured per Business Liability Coverage Form SS0008, attached to this policy. CERTIFICATE HOLDER Alameda County Public Works Agency Attn: Andrew Otsuka 399 ELMHURST ST HAYWARD, CA 9444 ACORD 2 (2016/03) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 7~ /~tl~ 1988201 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: 6 SBA KH608 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): ALAMADA COUNTY PUBLIC WORKS AGENCY Location(s) Of Covered Operations: 399 ELMHURST ST HAYWARD, CA 9444 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section C. 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. 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. Form SS 417006 11 Process Date: 12I24I1 Page 1of1 Policy Expiration Date: 03/10/17 2011, The Hartford (Includes copyrighted material of Insurance Services Office, Inc., with its.permission)