HomeMy WebLinkAboutContracts & Agreements_179-2017 AGREEMENT TO PERFORM PROFESSIONAL SERVICES
This agreement for the provision of data center enhancement services for the Management
Services Department ("Agreement") is made and entered in this 101h day of July, 2017 ("Effective
Date"), by and between the City of Redlands, a municipal corporation ("City)" and ConvergeOne
("Consultant") City and Consultant are sometimes individually referred to herein as a"Party" and,
together, as the `Parties " In consideration of the mutual promises contained herein, City and
Consultant agree as follows
ARTICLE I —ENGAGEMENT OF CONSULTANT
1 1 City hereby engages Consultant to provide data center enhancement services for City's
Management Services Department (the "Services")
12 The Services shall be performed by Consultant in a professional manner, and Consultant
represents that it has the skill and the professional expertise necessary to provide the
Services to City at a level of competency presently maintained by other practicing
professional consultants in the industry providing like and similar types of Services
ARTICLE 2—SERVICES OF CONSULTANT
21 The Services that Consultant shall perform are more particularly described in Exhibit"A,"
entitled"Scope of Services,"which is attached hereto and incorporated herein by reference
22 Consultant shall comply with applicable federal, state and local laws and regulations in the
performance of this Agreement including, but not limited to State prevailing wage laws
ARTICLE 3 —RESPONSIBILITIES OF CITY
3 1 City shall make available to Consultant information in its possession that may assist
Consultant in performing the Services
32 City designates Danielle Garcia,Director of Management Services, as City's representative
with respect to performance of the Services, and such person shall have the authority to
transmit instructions,receive information,interpret and define City's policies and decisions
with respect to performance of the Services
ARTICLE 4—PERFORMANCE OF SERVICES
41 Consultant shall perform and complete the Services in a prompt and diligent manner in
accordance with the schedule set forth in Exhibit "B," entitled "Project Schedule," which
is attached hereto and incorporated herein by reference The Services shall commence
within ten (10) days of the Effective Date of this Agreement
42 If Consultant's Services include deliverable electronic visual presentation materials, such
materials shall be delivered in a form, and made available to the City, consistent with City
I
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Council adopted policy for the same It shall be the obligation of Consultant to obtain a
copy of such policy from City Staff
43 At any time during the term of this Agreement, City may request that Consultant perform
Extra Services As used herein, "Extra Services" means any work which is determined
necessary by City for the propei completion of the project or work for which the Services
are being performed, but which the Parties did not reasonably anticipate would be
necessary at the time of execution of this Agreement Provided the Extra Woik does not
exceed twenty percent (20%) of the compensation to be paid by City to Consultant fol the
Services, such Extra Work may be agreed to by the Parties, by written amendment to this
Agreement, executed by the City Manager Consultant shall not perform, nor be
compensated for, Extra Work without such written authorization from City
ARTICLE 5 —PAYMENTS TO CONSULTANT
5 1 The total compensation for Consultant's performance of the Services shall not exceed the
amount Forty Four Thousand Five Hundred Twenty Dollars and Ninety Six Cents
($44,520 96) City shall pay Consultant on a time and materials basis up to the not to exceed
amount, in accordance with Exhibit"C"entitled"Project Costs and Hourly Rates "Exhibit
"C" is attached hereto and incorporated herein by this reference
52 Consultant shall submit monthly invoices to City describing the Services performed
during the preceding month Consultant's invoices shall include a brief description of the
Services performed, the dates the Services were performed, the number of hours spent and
by whom, and a description of reimbursable expenses related to the project City shall pay
Consultant no later than thirty (30) days after receipt and approval by City of Consultant's
invoice
53 Any notice or other communication required, or which may be given, pursuant to this
Agreement, shall be in writing Any such notice shall be deemed delivered (i) on the date
of delivery in person, (ii) five(5)days after deposit in first class registered mail,with return
receipt requested, (iii) on the actual delivery date if deposited with an overnight courier, or
(iv) on the date sent by facsimile,if confirmed with a copy sent contemporaneously by first
class, certified, registered or express mail, in each case properly posted and fully prepaid
to the appropriate address set forth below, of such other address as a Party may provide
notice in accordance with this section
Cty Consultant
Danielle Garcia, Director Joseph Bowman, National Account Manager
Management Services Department ConvergeOne
City of Redlands 4290 East Brickell Street,
35 Cajon Street, Suite 222 Ontario, CA 91761
PO Box 3005 (mailing)
Redlands, CA 92373
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Such addresses may be changed by notice to the other Party given in the same manner as
provided above
ARTICLE 6 — INSURANCE AND INDEMNIFICATION
61 Insurance required by this Agreement shall be maintained by Consultant for the duration
of its performance of the Services Consultant shall not perform any Services unless and
until the required insurance listed below is obtained by Consultant Consultant shall
provide City with certificates of insurance and endorsements evidencing such insurance
prior to commencement of the Services Insurance policies shall include a provision
prohibiting cancellation or modification of the policy except upon thirty (30) days prior
written notice to City
62 Workers' Compensation and Employer's Liability insurance in the amount that meets
statutory requirements with an insurance carries acceptable to City, or certification to City
that Consultant is self-insured or exempt from the workers' compensation laws of the State
of California Consultant shall provide City with Exhibit "D," entitled "Workers'
Compensation Insurance Certification," which is attached hereto and incorporated herein
by this reference prior to performance of the Services
63 Consultant shall secure and maintain comprehensive general liability insurance with
carriers acceptable to City Minimum coverage of One Million Dollars ($1,000,000) per
occurrence and Two Million Dollars ($2,000,000) aggregate for public liability, property
damage and personal injury is required City shall be named as an additional insured and
such insurance shall be primary and non-contributing to any insurance or self-insurance
maintained by City
64 Consultant shall secure and maintain professional liability insurance throughout the term
of this Agreement in the amount of One Million Dollars ($1,000,000) per claim made
65 Consultant shall secure and maintain business auto liability coverage, with minimum limits
of One Million Dollars ($1,000,000) pei occurrence, combined single limit bodily injury
liability and property damage liability This coverage shall include all Consultant owned
vehicles used in connection with Consultant's provision of the Services, hired and non-
owned vehicles, and employee non-ownership vehicles City shall be named as an
additional insured and such insurance shall be primary and non-contributing to any
insurance or self insurance maintained by City
66 Consultant shall defend, indemnify and hold harmless City and its elected officials,
employees and agents from and against any and all claims, losses or liability, including
attorneys' fees, arising from injury or death to persons of damage to property occasioned
by any negligent act or omission by,or the willful misconduct of,Consultant,or its officers,
employees and agents in performing the Services
ARTICLE 7—CONFLICTS OF INTEREST
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71 Consultant covenants and represents that it does not have any investment or interest in any
real property that may be the subject of this Agreement or any other source of Income,
Interest in real property of Investment that would be affected in any manner of degree by
the performance of Consultant's Services Consultant further covenants and represents that
in the performance of its duties hereunder,no person having any such Interest shall perform
any Services under this Agreement
72 Consultant agrees it is not a designated employee within the meaning of the Political
Reform Act because Consultant
A Does not make a governmental decision whether to
(I) approve a rate, rule or regulation, or adopt or enforce a City law,
(ii) issue, deny, suspend or revoke any City permit, license, application,
certification, approval, order or similar authorization or entitlement,
(iii) authorize the City to enter into, modify or renew a contract,
(iv) giant City approval to a contract that requires City approval and to which
City is a party, or to the specifications for such a contract,
(v) grant City approval to a plan, design, report, study or similar item,
(vi) adopt or grant City approval of, policies, standards or guidelines for City or
for any subdivision thereof
B Does not serve in a staff capacity with City and in that capacity, participate in
making a governmental decision or otherwise perform the same or substantially the
same duties for City that would otherwise be performed by an individual holding a
position specified in City's Conflict of Interest Code under Government Code
section 87302
73 In the event City determines that Consultant must disclose its financial interests,Consultant
shall complete and file a Fair Political Practices Commission Form 700, Statement of
Economic Interests, with the City Clerk's office pursuant to the written instructions
provided by the City Clerk
ARTICLE 8 —GENERAL CONSIDERATIONS
8 1 In the event any action is commenced to enforce of interpret any of the terms or conditions
of this Agreement the prevailing Party shall, in addition to any costs and other relief, be
entitled to the recovery of its reasonable attorneys' fees, including fees for the use of in-
house counsel by a Party
82 Consultant shall not assign any of the Services, except with the prior written approval of
City and in strict compliance with the terms and conditions of this Agreement
83 Records, drawings, designs, cost estimates, electronic data files, databases and any other
documents developed by Consultant in connection with its performance of the Services,
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and any copyright interest in such documents, shall become the property of City and shall
be delivered to City upon completion of the Services, or upon the request of City Any
reuse of such documents, and any use of incomplete documents,shall be at City's sole risk
84 Consultant is for all purposes under this Agreement an independent contractor and shall
perform the Services as an independent contractor Neither City not its agents shall have
control over the conduct of Consultant or Consultant's employees, except as herein set
forth Consultant shall supply all necessary tools and instrumentalities required to perform
the Services Assigned personnel employed by Consultant are for its account only, and in
no event shall Consultant or personnel retained by it be deemed to have been employed by
City or engaged by City foi the account of, or on behalf of City Consultant shall have no
authority, express or implied, to act on behalf of City in any capacity whatsoever as an
agent, nor shall Consultant have any authority, express or implied, to bind City to any
obligation
85 Unless earlier terminated as provided for below, this Agreement shall terminate upon
completion and acceptance of the Services by City This Agreement may be terminated by
City, in its sole discretion, by providing not less than five (5) days prior written notice to
Consultant of City's intent to terminate If this Agreement is terminated by City, an
adjustment to Consultant's compensation shall be made,but(1)no amount shall be allowed
for anticipated profit or unperformed Services, and (2) any payment due Consultant at the
time of termination may be adjusted to the extent of any additional costs to City occasioned
by any default by Consultant Upon receipt of a termination notice, Consultant shall
immediately discontinue its provision of the Services and, within five (5) days of the date
of the termination notice, deliver or otherwise make available to City, copies (in both hard
copy and electronic form, where applicable) of project related data, design calculations,
drawings, specifications, reports, estimates, summaries and such other information and
materials as may have been accumulated by Consultant in performing the Services
Consultant shall be compensated on a pro-rata basis for Services completed up to the date
of termination
86 Consultant shall maintain books, ledgers, invoices, accounts and other records and
documents evidencing costs and expenses related to the Services for a period of three (3)
years,or for any longer period required by law,from the date of final payment to Consultant
pursuant to this Agreement Such books shall be available at reasonable times foi
examination by City at the office of Consultant
87 This Agreement, including the Exhibits incorporated herein by reference, represents the
entire agreement and understanding between the Parties as to the matters contained herein,
and any prior negotiations, written proposals of verbal agreements relating to such matters
are superseded by this Agreement Except as otherwise provided for herein, any
amendment to this Agreement shall be in writing, approved by City and signed by City and
Consultant
88 This Agreement shall be governed by and construed in accordance with the laws of the
State of California
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89 If one or more of the sentences,clauses,paragraphs or sections contained in this Agreement
is declared invalid, void or unenforceable by a court of competent jurisdiction, the same
shall be deemed severable from the remainder of this Agreement and shall not affect,
impair or invalidate the remaining sentences, clauses, paragraphs or sections contained
herein, unless to do so would deprive a Party of a material benefit of its bargain under this
Agreement
IN WITNESS WHEREOF, duly authorized representatives of City and Consultant have signed
in confirmation of this Agreement
CITY OF REDLANDS ConvergeOne
B ygn-'-� By
Paul Foster, Mayor Stephen Monteros, Vice President of Sales
Attest.
e Donaldson, City Clerk
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89 If one or more of the sentences,clauses,paragraphs or sections contained in this Agreement
is declared invalid, void or unenforceable by a court of competent,jurisdiction, the same
shall be deemed severable from the remainder of this Agreement and shall not affect,
impair or invalidate the remaining sentences, clauses, paragraphs or sections contained
herein, unless to do so would deprive a Party of a material benefit of its bargain under this
Agreement
IN WITNESS WHEREOF, duly authorized representatives of City and Consultant have signed
in confirmation of this Agreement
CITY OF REDLANDS ConvergeOne
ByQe tojL-- B
Paul Foster, Mayor the onteros, Vice President of Sales
Attest
?ne Donaldson, City Clerk
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EXHIBIT "A"
TO
PROFESSIONAL SERVICES AGREEMENT FOR DATACENTER ENHANCEMENTS
BY AND BETWEEN
THE CITY OF REDLANDS
AND
CONVERGEONE
Scope of Servtces
Protect Initiation Phase
• Meet with customer to discuss the deployment and installation of new compute, storage,
desktop virtualization server platform design
• Meet with customer to discuss infrastructure connectivity and interoperability with legacy
server infrastructure
• Work with Subject Matter Experts ("SMEs") and IT teams (Server, Storage, Network,
Applications, Desktop Support, etc ) to understand process, operational and technical
details of the environment
• Identify the expected business and technical outcome based project
• Perform verification of site readiness for service delivery Validate physical and logical
build of new virtual Infrastructure If the Build requires any remediation or design
changes, a change order will be executed to allow for the adjustments and remediation
Validate site readiness document
Assumptions and Out of Scope
• ConvergeOne will work with customer to make sure the new equipment will work in the
current datacenter infrastructure environmental requirements such as power, cooling, rack
space
• However, any remediation is not part of this scope and will be addressed in a separate
scope or project
• No application installs or re-configuration Customer will be responsible for application
functionality after the migration
• No operating system installs other than required for the virtual Infrastructure
management and operations
• Unsupported operating systems for tnugration will be configured on best efforts basis
• Installation, configuration, migration and integration is limited to the following hardware
o Customer owned HP servers
o Customer owned ISCSI Storage array
o Customer owned network and fabric switches
o Customei owned VMware licensing that supports hardware configuration, and
migration and HA/DRS/vMotion clustering capabilities
• Migration is limited to systems using VMware Storage vMotion
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Analysis and Design Phase
• ConvergeOne will conduct a detailed analysis of customer owned hosts, switches,
storage, licensing involved with the new build From this ConvergeOne will identify gaps
in the current environment ConvergeOne will then meet with the customer to review
requirements and develop a design
• Perform Operating Systems recommendations identify required patches and/or
modifications
• Review with customer staff to identify other business, capacity and/or performance
requirements
• Develop preliminary design document
• Conduct design review with customer
• Modify design as necessary
• Receive customer approval on design
Deliverables
• Final design document
• Customer statement of acceptance of design and defined success criteria
Phase I
Implementation Phase
• Rack and mount two new HP servers
• Installation of VMware ESXi servez on two physical hosts
• Connect physical hosts with customer provided 1Ogb fiber and 1 gb copper cables
• Configure storage VLAN on switch
• iSCSI connectivity between VMware hosts, SAN, and network on a non-routed local
VLAN
• Configure new LUNs on SAN for new Datastores in VMware
• Add Datastores in VMware cluster
• Configure and test multzpath MPIO for redundancy and path load balancing
• The SAN should show a minimum of two 1SCSI connections to each initiator
• Both controllers on SAN should connect to both hosts for redundancy
• Configure VMware Virtual Center Server
• Migrate from physical vCenter server to a virtual vCenter within the newly proposed
VMware cluster
• Configure and optimize VMware HA, DRS, and VMotion settings
• Each host should be able to enter maintenance mode individually without affecting the
virtual serves connectivity
• Migrate current Virtual Machines from existing hardware to new cluster and Datastores
• Upgrade VM Hardware and perform necessary upgrades to guest OS VMS
• Ensure that all data and VMS have been removed from current environment
Post Installation
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• Review basic operational/administrative tasks of the Storage, Compute, VMware,
Horizon View with the customer
• Validate the success of the project
• Knowledge transfer with up to four hours of review of the environment, including review
of asbuilt documentation This is not intended to replace formal manufacturer training
• As-builts to be provided will be a standardized ConvergeOne documentation of work
completed and configuration
Phase II
The City wishes to design and deploy a new internet edge firewall solution that provides access
control and IPS protection The City has chosen the Cisco Firepower solution to provide the level
of security with their current bandwidth requirements
City of Redlands has engaged ConvergeOne to design and deploy a new internet edge firewall
solution that provide access control and IPS protection The customer has chosen the Cisco
Firepower solution to provide the level of security with their current bandwidth requirements
Implementation
• This section of the Statement of Woik covers the work that will be performed during the
Execution phase of this project
• Known Details
• ISP Bandwidth 300Mbps
• Purchased Licensing Types
• TA licensing for firepower appliances
• Anyconnect Licensing
• Purchased Firepower Design
• Firepower Management Center Virtual Machine with 2 Device Support
• Cisco ASA 5545-x
❑ Deployed at Internet Gateway (Single ASA)
■ Threat licensing
Cisco Firepower
Discovery Please
• Perform inventory of all hardware and software components, as defined in project scope
and related Infrastructure
• Identify and understand devices and associated dependencies
• Identify business, IT Policy and Customer's internal SLA requirements
• Identify the existing Edge/Core LAN network environment
• Identify Edge and Internet routing
• Summarize and validate discovery findings with Customer
Plan and Prepare Phase
• Conduct interactive sessions to understand Customer's business and strategic information
technology ("IT") objectives and potential challenges
• Review current LAN/WAN, Routing
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• Request current configuration files in scope of this project
• Review Core, Firewall configurations
• Determine project deadlines
• Schedule maintenance windows
• Determine if proper pre-requisites are in place of ordered
• Gather most current configurations of all devices to be refreshed or upgraded
• Discuss and collaborate with customer on network changes required by new firewall design.
• Request and document network configuration requirements
o SNMP strings and IP addresses
o NTP
o DNS
o DHCP
o AAA
o Syslog
Design Phase
• Design Firewall migration plan, VPN profiles, NAT, ACL, authentication etc
• Design Firewall deployment based on customer requirements, using Firepower policies
• Design IPS policies
• VPN Profiles
o Authentication (Pre-Shared Keys)
o L2L VPN
• Develop recommended HLD Architecture
• Submit design for customer approval
Pre migration/Refresh Phase
• Unbox hardware
• Power up hardware
• Test for DOA
• Hardware diagnostics (Show Version, Show Inventory etc )
• Install modules on Routers/Firewall/Switches if applicable
• Upgrade IOS if required
• Review existing Cisco ASA 5540 configuration
o Review L2L VPN
o Review NAT and VPN exemptions
o Objects
o Services Groups
o Access Rules
o Zones and interfaces
• Install licenses as needed
• Burn-in
Cisco Firepower
Firepower Management Center Installation and Configuration(In scope- vFMC)
• Configure Firepower Management Center
o Apply IP/GW/DNS/NTP
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• Install licenses
o Threat
• Setup system rules to automate
o Rules Updates
o Geolocation Updates
• Setup System Policy
o Configure email notification (Customer will provide marl relay host and email address)
o Configure Banner(Customer will provide banner)
o Configure Time Synchronization (Sensor will point to FMC)
• Setup Health Policy
o Enable/disable monitoring base on policy usage
• Setup Object Management
o Define Network Object
o Define Vanable Set(Customer will provide RFC1918 for their internal LAN)
o Define Security Zones
• Setup Security Intelligence
o Network List and Feeds
o DNS List and Feeds
• Setup Sinkhole(If applicable)
• Setup Device Management
• Discuss Integration of FSM with Active Directory (Requires AD agent to be installed on
Windows 2008+DC or member 2008+Server)
• Initial configuration of Firepower IPS
• Join sensors to FMC
• Set the sensors in discovery mode for one week minimum
(In-Scope One ASA5545-x)
• Basic Configuration
• Hostname
• IP addressing
• Register the FTD appliance with the FMC
• Build the appropriate object-groups for FTD configuration
• Build the FTD device settings
o IP addressing for all interfaces
o Routing
o NAT Policies
• Basic routing
o Dynamic or Static as discussed on design phase
• Management Settings
• Prepare for Cutover
• Clear ARP cache on upstream router if required
• Test
o Internet
o Email
o VPN
o Inbound NAT
• Troubleshoot as needed
• Save Configuration
• Roll back
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• Move cables back to existing Firewall
• Document issues related to migration and define next steps
Optimization (After one week)
• Configure IPS with FireSight Recommendation rules
• Configure access control policy
• Build four standard rules and use IPS policy
• Enable Security Intelligence
• Create local account for FP management
• View logs in FSM for one weeks
• Identify false positives
• Fine tune IPS policies
• Use Geo based policies to block traffic from regions perceived as threats
• Test Firepower policies
o IPS
• Change mode for SFR module to Inline mode
• Configure FSM for alerting
o IPS impact flags
o Discovery alert (if applicable)
• Setup scheduling to automate the following
o Reports
o Firesight Recommended Rules
o Install Latest Update (Vulnerability Database only)
• Setup backup
Knowledge Transfer
• During the Planning and Design phase of the project, ConvergeOne and the Client will
determine a
• Knowledge Transfer session(s) schedule, content and participants
• Provide up to eight<8> hours of Knowledge Transfer on the following
o FMC configuration
■ Policies
= Maintenance
■ RAVPN Conflguration
• Post-Implementation Support
ConvergeOne will provide up to eight (8) hours of Post-Implementation Support
following the services outlined in this Statement of Woik The Client will be billed at
T&M rates for additional (out-of-scope) Post-Implementation Support
• Execution Deliverables
• ConvergeOne may provide the following execution deliverables as part of the
deployment
• Documentation
o HLD Design (Firepower and RAVPN)
o LLD Design (Firepower and RAVPN)
o Updated configuration files for all devices in Scope of Work
o User guide for Firepower with screen shots of
■ Management access
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■ Policy configuration
■ Alerts and logs
■ Creating a new policy
■ Editing an existing policy
o Updated device configuration files
Specific Assumptions
• Client devices will use the native OS supplicant Windows/OSX/iOS/Android
• Any client side policy configuration, ex roll out of certificates,join to Active Directory
will be handled by the client's engineers
• Client will provide public certificates for public certificates for VPN authentication
• Always-On VPN requires certificate authentication for non-user interaction, if the
customer wishes to leverage MFA, then always-on VPN will prompt the users foz
PIN/credential validation
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EXHIBIT "B"
TO
DATACENTER ENHANCEMENT SERVICES AGREEMENT
BY AND BETWEEN
THE CITY OF REDLANDS
AND
CONVERGEONE
Project Schedule
VM Ware Installation Project - Can be completed within 30 days
ID Task Task Name Resource Names
_ Mode _
1 116 VMWare Installation Project
2Planning&Site Readiness
3 mac,, Project kickoff meeting C1 PM
4 Discovery and site readiness C1 Lead Engineer
5 5101` Pre Implementation Go,No Go meeting Customer Sponsor
6 '111J% Implementation
7 VMWare Install Cl-Engineer
a Storage integration C1-Engineer
9 : Server and network install and configure C1-Engineer
10 5410' Migration C1-Engineer
11 ' Post Migration Support C1 Engineer
12 " Project Closeout Tasks
13 ' Final Knowledge transfer C1 Engineer,C1 Lead Engineer,Custo me r
14 Attend project closeout meeting C1 Engineer C1 PM,Customer !
14
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FirePower Deployment - Can be completed within 30 days
ID Task Task Name 'Resource Names
3 Mode
1 Firepower Deployment
2 Discovery,Planning and Design
3 Project kickoff meeting C1-PM
4 oil Site 1 Discovery Cl Lead Engineer
5 Site 1 Review C1-Lead Engineer,Customer Sponsor
6 Complete/Submit High Level Design Customer Sponsor
7 1,111111 Complete/Submit Low Level Design C1-Lead Engineer
$ '11*1 Provide test plans Cl-Lead Engineer
9 Provide Site rollout templates C1-Lead Engineer
10 Tri Customer Design Sign off Meeting Customer Sponsor
11 14 Implementation
12 04 Site 1 Firepower install and configuration C1 Engineer
13 Migration C1 Engineer
14 L �, Site 1 Cutover C1 Engineer
15Next Day Support Cl Engineer
16 1 .1 Project Closeout Tasks
17 7r Final Knowledge transfer Cl Engineer,Cl Lead Engineer Customer
18 Attend project closeout meeting C1 Engineer Cl PM,Customer
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EXHIBIT "C"
TO
DATACENTER ENHANCEMENT SERVICES AGREEMENT
BY AND BETWEEN
THE CITY OF REDLANDS
AND
CONVERGEONE
Protect Costs and Hourly Rates
ConvergeOne is pleased to present the following pricing for your consideration
Professional Services $44,520.96
Labor Rate Table
Practice Lead Tier 4 $255
Senior Engineer Tier 3 $235
i Systems Engnee rTier 2 $190
;O� Desktop Engineer Tier 1 $125
II Project Manager $175
Note-Standard Rates are as follows but delivery is typically quoted in fixed fee and not using these hours
rates These are for T&M standard rates
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EXHIBIT "Dtt
WORKERS' COMPENSATION INSURANCE CERTIFICATION
Every employer,except the State, shall secure the payment of compensation in one or more of the
following ways
(a) By being insured against liability to pay compensation by one or more insurers duly
authorized to write compensation insurance in this State
(b) By securing from the Director of Industrial Relations, a certificate of consent to
self-insure, either as an individual employer, or as one employer in a group of
employers, which may be given upon furnishing proof satisfactory to the Director
of Industrial Relations of ability to self-insure and to pay any compensation that
may become due to his or her employees
CHECK
ONE
am aware of the provisions of Section 3700 of the Labor Code which requires every
employer to be insured against liability for Workers' Compensation or to undertake self-insurance
in accordance with the provisions of that Code, and I will comply with such provisions before
commencing the performance of the work and activities required or permitted under this
Agreement (Labor Code §1861)
I affirm that at all times, in performing the work and activities required or permitted under
this Agreement, I shall not employ any person in any manner such that I become subject to the
workers' compensation laws of California However, at any time,if I employ any person such that
I become subject to the workers' compensation laws of California,immediately I shall provide the
City with a certificate of consent to self-insure, or a certification of workers' compensation
insurance.
I certify under penalty of perjury under the laws of the State of California that the information and
representations made in this certificate are true and correct.
Converge One
By. Date. 71 2 0/7
r5teph onteros, Vice President of Sales
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