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HomeMy WebLinkAboutContracts & Agreements_201-2019PS 1 1 (1 24 19) AGREEMENT TO PERFORM PROFESSIONAL SERVICES This agreement for the provision of professional engineering services for the Live Oak Canyon Creek and Oakmont Park restoration project ("Agreement") is made and entered in this 15t1i day of October, 2019 ("Effective Date"), by and between the City of Redlands, a municipal corporation ("City") and Huitt-Zollars, Inc ("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 11 ARTICLE 1 — ENGAGEMENT OF CONSULTANT City hereby engages Consultant to provide professional engineering services for the Live Oak Canyon Creek and Oakmont Park restoration project which includes, but is not limited to, geological assessment and design services for City (the "Services") 1 2 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 2 1 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 2 2 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 3 2 City designates Chris Boatman, City's Interim Municipal Utilities and Engineering Department Director, 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 4 1 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 L \cald3m\Agreements1Iluttt Zollars Agreement.PS 1 1 docin 1 PS 1 1 (1 24 19) 4 2 The term of this Agreement shall be for a period of two (2) years commencing as of the Effective Date, unless terminated earlier as provided herein 4 3 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 Council adopted policy for the same It shall be the obligation of Consultant to obtain a copy of such policy from City staff ARTICLE 5 — PAYMENTS TO CONSULTANT 5 1 Total compensation for Consultant's performance of the Services shall not exceed the amount of three hundred nineteen thousand six hundred fifty dollars ($319,650) City shall pay Consultant on a time and materials based upon the hourly rates set forth in Exhibit "C," entitled "Cost Proposal," attached hereto and incorporated herein by reference 5 2 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 Services City shall pay Consultant no later than thirty {30) days after receipt and approval by City of Consultant's invoice 5 3 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, or such other address as a Party may provide notice in accordance with this section City City Clerk City of Redlands 35 Cajon Street P 0 Box 3005 (mailing) Redlands, CA 92373 Consultant Johnny Murad, Vice President Huitt-Zollars, Inc 3990 Concours, Ste 330, Ontario, CA 91764 Email jmurad@huitt-zollars coni Phone Number (909) 941-7799 ARTICLE 6 — INSURANCE AND INDEMNIFICATION 6 1 The following insurance coverage 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 1 Ica\djm\Agreements\Huitt Zollars Agreement PS t 1 doc ju 2 PS 1 1 (1 24 19) shall include a provision prohibiting cancellation or modification of the policy except upon thirty (30) days prior written notice to City A Workers' Compensation and Employer's Liability insurance in the amount that meets statutory requirements with an insurance carrier 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 execute and 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 B Consultant shall secure and maintain professional liability insurance in the amount of One Million Dollars ($1,000,000) per claim made C Comprehensive General Liability insurance with carriers acceptable to City in the minimum amount 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 D Business Auto Liability coverage, with minimum limits of One Million Dollars ($1,000,000) per 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 E Consultant is expressly prohibited from assigning or subcontracting any of the Services without the prior written consent of City In the event of mutual agreement by the Parties to assign or subcontract a portion of the Services, Consultant shall add such assignee or subcontractor as an additional insured to the insurance policies required hereby and provide City with the insurance endorsements prior to any Services being performed by the assignee or subcontractor 6 2 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 or damage to property occasioned by any negligent act or omission by, or the willful misconduct of, Consultant, of its officers, employees and agents in performing the Services ARTICLE 7 — CONFLICTS OF INTEREST 7 1 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 or investment that would be affected in any manner or L Ica\djmlAgreements\Huitt Zollars Agreement PS 1 1 docjn 3 PS 11(12419) 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 7 2 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, (n) issue, deny, suspend or revoke any City permit, license, application, certification, approval, order or similar authorization or entitlement, (iii) authorize City to enter into, modify or renew a contract, (iv) grant 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 7 3 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 or 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 8 2 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 Any assignment or attempted assignment without such prior written consent may, in the sole discretion of City, results in City's immediate termination of this Agreement 8 3 Consultant is for all purposes under this Agreement an independent contractor and shall perform the Services as an independent contractor Neither City nor 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 L lcald]mlAgreementslHwtt Zollars Agreement PS 1 1 doe ]n 4 PS 1 1 (1 24 39) 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 for 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 8 4 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 8 5 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 for examination by City at the office of Consultant 8 6 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 or 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 8 7 This Agreement shall be governed by and construed in accordance with the laws of the State of California 8 8 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 L +calciimlAgreementsliduat-Zollars Agreement PS 1 1 doc.jn 5 PS 11(12419) IN WITNESS WHEREOF, duly authorized representatives of City and Consultant have signed in confirmation of this Agreement CITY OF REDLANDS By (\ W aul W Foster, Mayor Attest ne Donaldson, City Clerk L \ca\dirn\Agreements\1-fuitt Zollars Agreement PS 1 1 docjn 6 HUTTT-ZOLLARS, INC By ohnny M ice President EXHIBIT "A" SCOPE OF SERVICES Huitt-Zollars has visited the project PS 11(12419) Live Oak Canyon Creek (LOCC), also known as Yucaipa Creek, drains westerly from Yucaipa into Redlands The creek walls are slowly eroding and closing the gap between the creek and Live Oak Canyon Road dust southerly of the Creek LOCC may have experience increased erosion from current rainfall Of specific concern is the area where drainage from Oakmont Park merges with LOCC, directly north of 31313 Live Oak Canyon Road site and noted that at this location, while the erosion is still a significant distance away from the road, it continues to show a rapid rate of erosion in a direction that may compromise the City's infrastructure Scope of work also includes improvements to the so-called "Oakmont" tributary stream to LOCC located within Oakmont Park, with a focus to be placed within the range of the existing gabions Consultant to conduct an analysis of the geological conditions specific to the location of concern in two phases that addresses, but is not limited to • Current geotechnical condition of soil in creek bed and walls • Project condition given rate of erosion • Design of required mitigation measures to prevent erosion • Protection of oak trees and the trail system in Oakmont Park • Necessary permits to construct improvements • Approval from regulatory agencies • Signage and barriers for safety • Affected public areas • Safety practices and Best Management Practices (BMP) • Monitoring It is understood that the project scope will be delivered in two phases Phase 1 — Evaluate the condition of the creek bed and surrounding walls, identify vulnerabilities, and make recommendations that assure public safety and protect property in LOCC Evaluate the creek bed and surrounding walls based on post- development L \ca\dim\Agreements\Flwtt Zollars Agreement PS 1 1 doc jn 7 PS11(12419) hydrology, evaluate vulnerability of failing check dams, and make recommendations of minimal impact that will protect oak trees and the trail system in Oakmont Park Recommendations will be associated with cost effective alternatives and presented in a written report A draft report will be presented to the City for review prior to submittal of the final report The final report that summarizes the finding and proposed recommendations will be presented to City Council Phase 2 — Develop Plans, Specifications, and Estimates (PS&E) of the recommended alternatives to prevent further significant erosion The consultant will secure permits from required regulatory agencies and assist the City during the bid process The proposed alternative(s) shall include a monitoring program A comprehensive approach to the design services will include • Geotechnical Investigation and Recommendations • Environmental Services • Topography of Existing Condition • Preliminary Design Report — Findings, Alternatives, and Recommendations • A Monitoring Program • Obtaining all necessary permits • Final Construction Documents (Plans, Specifications, and Estimates) Services to assist the City with construction include • Bidding Support • Construction Administration Coordination and research will be required with • San Bernardino County • City of Yucaipa • California Fish and Wildlife • Santa Ana Regional Board • Army Corps of Engineers L 1caldjm\Agreements F1uitt Zollars A1,reement PS 1 1 doc jn 8 PS 1 1 (1 24 19) EXHIBIT "13" PROJECT SCHEDULE Milestone Anticipated Timeline PHASE I Notice to Proceed November 4, 2019 Kick Off Meeting November 11, 2019 Aerial Topography November 22, 2019 Geotechnical Assessment December 20, 2019 Environmental Assessment December 20, 2019 Design Report - Draft Submittal January 17, 2020 City Review January 31, 2020 Design Report - Final Submittal February 21, 2020 City Council Presentation March 2, 2020 PHASE II Environmental CE *(or Environmental IS/MND) March 27, 2020 August 10, 2020 80% Design Submittal May 29, 2020 City Review June 26, 2020 90% Plans, Specification, & Estimates July 24, 2020 City Review August 21, 2020 Final Submittal September 11, 2020 Regulatory Permitting (401/404/1602) * (1f IS/MND) Regulatory Permitting (401/404/1602) September 25, 2020 February 5, 2021 Bid Support 8 weeks Construction Support 20 weeks Monitoring Survey 1 week Record Drawings 1 week *Assumes February 17, 2020 Kickoff L 1ca\djmlAgreements\Huitt Zollars Agreement PS 1 1 docjn 9 PS 1 1 (1 24 19) EXHIBIT "C" COST PROPOSAL Work Task PRINCIPAL SR PROJECT MANAGER CML ENGINEER PROJECT SURVEYOR Field Crew (2 -Person) CONVERSE GEOTECHNICAL ECORP ENV TOTAL um's TOTAL FEE (est) DESCRIPTION HRS, CAST HRS COST HRS. j CAST HR5; COST HRS! COST COST COST Phase 1 Preliminary Project Report (PDR) 1 j $5,500 $14,500 LA Hydraulcc and Geomorphic Evaluation __. 1.8 Geotechnical Desktop Study I.0 Environments[ Assessment ..___ E 40 1 4 1 4 59,000 180 mm �� 527,900 1 220 4 4 $36,900 56,400 $15,400 $900 $900 1.0 Topographic 5urveyrng WI.E Signage and Public Trails �_��-�' - I.F Preliminary Design Report Exhibits_-_-_-_ _ LG Project Administration and Meetings (lntTudes City Council Presentation) I._. 4 j $960 j 6 I 51,440 2 ` $450 8�« $1,800_ _ 24 E 55.400 24 € 55,400 4 40 60 E $620 32 3 $4,800 321 $7,520 70 $13,390 56,200 59,300 ] I _ 48 $8,000 88 515.660 30 56,840 Phase € Subtotals: 10 1 $2,400 106 $23,850 284 $44,020 32 1 $4,800 321 $7,520 $5,500 $14,560 464 $102,590 Phase II PS&E and Construction Support - 1 ILA 651e, 9014, and 100%8540 8 1 $1,920 80 I 518,000 8 11,84111 4 $900 24 = 55,400 40 59,000 440 568,200 40 i 56,200. 24 $3,720 24 $3,720--r E __ I _ .i ._. _.._ --.-------_ 528 48 588.120 5S0©0._ 0.090965WPPP _ ._... _. 11.0 Design Geotechnical Recommendations _..W ..r ._ .._. ---- $19,300 __......_ __.. W _ ..._. _._. _- -_�-� ___ 569,000 4 $20,200 11.D Bid Phase Support --__ ------ - 48 _ 64 4 $9,120 512 720 569,900 59,000 €LE Construction Phase Support II.F CEOA and 401/404/1602 permitting 4 $9013 �'i j II.G Project Administration and Meetings 40 i 59,000 'I 40 Phase II Subtotals: 200 $45,000 528 $81,840 519,300 $69,000 736 5217,060 GRAND T0TALS; 8$1,926 18 $4,320 306 568,850 812 5125,860 32 54,800 32 $7,520 $24,300 583,500 1200 $319,650 Reimbursable 1"29a of Fee) 1 �, 56,400 The above -referenced hours for the identified tasks are estimates only Huitt-Zollars, Inc will conduct the above scope on an hourly time and materials basis, and will be compensated up to the not to exceed amount of three hundred nineteen thousand six hundred fifty dollars ($319,650) L lealdjm\Agreements\Huitt Zollars Agreement PS 1 1 doc jn 10 PS 1 1 (1 24 19) EXHIBIT "D" WORKERS' COMPENSATION INSURANCE CERTIFICATION Every employer, except the State, shall secure the payment of compensation in one or more of the following ways (a) By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State (b) By securing from the Director of Industrial Relations, a certificate of consent to self -insure, either as an individual employei, or as one employer in a group of employers, which may be given upon furnishing proof satisfactory to the Director of Industrial Relations of ability to self -insure and to pay any compensation that may become due to his or hei employees CHECK ONE i am aware of the provisions of Section 3700 of the Labor Code which requires every e ployer to be insured against liability for Workers' Compensation or to undertake self- insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work and activities required or permitted under this Agreement (Labor Code §1861) I affirm that at all times, in performing the work and activities required or permitted under this Agreement, I shall not employ any person in any manner such that I become subject to the workers' compensation laws of California However, at any time, if i employ any person such that I become subject to the workers' compensation laws of California, immediately I shall provide the City with a certificate of consent to self -insure, or a certification of workers' compensation insurance I certify under penalty of penury under the laws of the State of California that the information and representations made in this certificate are true and correct Huitt-Zollars, inc By rad, Vrce President L ca\dim \Agreemcnts\Huitt Zollars Agreement PS 1 1 docju 11 Date /6 //5/// ALCOR?$ CERTIFICATE OF LIABILITY INSURANCE DATE (tdMlDDlYYYY) 1CMMIDD20 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 endorsements) PR ODUCER Risk Strategies 12801 North Central Expy Suite 1710 Dallas TX 75243 CONTACT NAME. Joe Bryant 11At/C No, Eats, (214) 503 1212 FAX No). (214) 503 8899 E-MAIL ADDRESS. certifcatedallas(Q7riSk strategies.com INSURERS) AFFORDING COVERAGE NAIC IJ INSURER A: Berkley Insurance Company 32603 INSURED Huitt-Zollars, Inc 1717 McKinney Ave Ste 1400 Dallas TX 75202 INSURER B INSURER C INSURER D . 5 INSURER E. $ INSURER F . 1 CLAIMS -MADE COVERAGES CERTIFICATE NUMBER 53701915 REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 7o THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MMIDDIYYYY) LIMITS COMMERCIAL GENERAL. LIABILITY EACH OCCURRENCE 5 DAMAGE TO PREMISES Ea occurrence) $ 1 CLAIMS -MADE OCCUR MED EXP (Any one person) S PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE POLICY OTHER LIMIT APPLIES PER jEar] LOC PRODUCTS COMP/OP AGG S S AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) 5 PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE S 5 DED RETENTION5 WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANYPROPRIErORIPARTNERIEXECUTIVEN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) I1 yes, describe under DESCRIPTION OF OPERATIONS below YIN r A I PER I OTH E STATUTE I ER E.L EACH ACCIDENT 5 E.L DISEASE EA EMPLOYEE 5 E.L DISEASE POLICY LIMIT 5 A Professional Liability Pollution Liability / AEC 9034415 04 1/23/2020 1/23/2021 Per Claim 81 000 000 Annual Aggregate 82 000 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101 Additional Remarks Schedule may be attached If more space is required) The claims made professional liability coverage is the total aggregate limit for all claims presented within the annual policy period and is subject to a deductible Thirty (30) day notice of cancellation in favor of certificate holder on all policies RE P310845 01 City of Redlands Live Oak Canyon Geological Assessment CERTIFICATE HOLDER CANCELLATION City of Redlands Attn City Clerk 35 Cajon Street Redlands CA 92373 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 Joe Bryant ACORD 25 (2016/03) OO 1988-2015 ACORD CORPORATION All rights reserved The ACORD name and logo are registered marks of ACORD 53701415 1 20/21 PI, Master 1 Ronna Dans 1 1/22/2020 12.03.06 PO (BST) 1 Page 1 of 1