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Jacobs Engineering Group (2)
t 16 AGREEMENT This AGREEMENT, made on the j��day of � 2019, by and between the CITY OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and JACOBS ENGINEERING GROUP, INC, 135 South 8411, Street, Suite 400, Milwaukee, WI 53214, party of the second part, hereinafter referred to as the CONSULTANT, WITNESSETH: The CITY and the CONSULTANT, for the consideration hereinafter named, enter into the following AGREEMENT for WEST 28TH AVENUE PUMP STATION DESIGN. ARTICLE I. PROJECT MANAGER A. Assignment of Project Manager. The CONSULTANT shall assign the following individual to manage the PROJECT described in this AGREEMENT: Linda Mohr — Senior Project Manager B. Changes in Project Manager. The CITY shall have the right to approve or disapprove of any proposed change from the individual named above as Project Manager. The CITY shall be provided with a resume or other information for any proposed substitute and shall be given the opportunity to interview that person prior to any proposed change. ARTICLE II. CITY REPRESENTATIVE The CITY shall assign the following individual to manage the PROJECT described in this AGREEMENT: Steven M. Gohde, P.E. — Assistant Director of Public Works / Utilities General Manager ARTICLE III. SCOPE OF WORK The CONSULTANT shall provide the services described in the CONSULTANT's Scope of Services. The CITY may make or approve changes within the general Scope of Services in this AGREEMENT. If such changes affect CONSULTANT's cost of or time required for performance of the services, an equitable adjustment will be made through an amendment to this AGREEMENT. l:\Engineering\292o COMRACTS\2M3 W 28th Ave Lift Station\R jeR_Informafim\Contract Page 1 of 7 Info\Comultant Agreements\26 Jacobs Agreement-W 28th Ave Lift Stat_11-2-19.dou A All reports, drawings, specifications, computer files, field data, notes, and other documents and instruments prepared by the CONSULTANT as instruments of service shall become property of the CITY upon payment for those documents by the CITY to the CONSULTANT, and shall remain the property of the CITY. ARTICLE IV. STANDARD OF CARE The standard of care applicable to CONSULTANT's services will be the degree of skill and diligence normally employed by professional consultants or consultants performing the same or similar services at the time said services are performed. CONSULTANT will re -perform any services not meeting this standard without additional compensation. ARTICLE V. OPINIONS OF COST, FINANCIAL CONSIDERATIONS. AND SCHEDULES hi providing opinions of cost, financial analyses, economic feasibility projections, and schedules for the PROJECT, CONSULTANT has no control over cost or price of labor and materials; unknown or latent conditions of existing equipment or structures that may affect operation or maintenance costs; competitive bidding procedures and market conditions; time or quality of performance by operating personnel or third parties; and other economic and operational factors that may materially affect the ultimate project cost or schedule. Therefore, it is understood between the parties the CONSULTANT makes no warranty the CITY's actual project costs, financial aspects, economic feasibility, or schedules will not vary from CONSULTANT's opinions, analyses, projections, or estimates. ARTICLE VI. RECORD DRAWINGS Record drawings, if required, will be prepared, in part, on the basis of information compiled and furnished by others. CONSULTANT is not responsible for any errors or omissions in the information from others the CONSULTANT reasonably relied upon and are incorporated into the record drawings. ARTICLE VII. CITY RESPONSIBILITIES The CITY shall furnish, at the CONSULTANT's request, such information as is needed by the CONSULTANT to aid in the progress of the PROJECT, providing it is reasonably obtainable from City records. To prevent any unreasonable delay in the CONSULTANT's work, the CITY will examine all reports and other documents and will make any authorizations necessary to proceed with work within a reasonable time period. 1:\EnginsenngMOCONT"CIS\26 W28th Ave Lift Station\P ject_Infonnalicn\Contract Page 2of7 INo\Consultant Agnxments\20 Jacobs Agreement-W 28th Ave Lift Stat_11-22-19.don L ARTICLE VIII. ASBESTOS OR HAZARDOUS SUBSTANCES If asbestos or hazardous substances in any form are encountered or suspected, CONSULTANT will stop its own work in the affected portions of the PROJECT to permit testing and evaluation. If asbestos is suspected, CONSULTANT will, if requested, manage the asbestos remediation activities using a qualified subcontractor at an additional fee and contract terms to be negotiated. If hazardous substances other than asbestos are suspected, CONSULTANT will, if requested, conduct tests to determine the extent of the problem and will perform the necessary studies and recommend the necessary remedial measures at an additional fee and contract terms to be negotiated. The CITY recognizes CONSULTANT assumes no risk and/or liability for a waste or hazardous waste site originated by other than the CONSULTANT. ARTICLE IX. CITY'S INSURANCE The CITY will maintain property insurance on all pre-existing physical facilities associated in any way with the PROJECT. The CITY will provide (or have the construction contractor(s) provide) a Builders Risk All Risk insurance policy for the full replacement value of all project work including the value of all onsite CITY -furnished equipment and/or materials associated with CONSULTANT's services. Upon request, the CITY will provide CONSULTANT a copy of such policy. ARTICLE X. TIME OF COMPLETION The work to be performed under this AGREEMENT shall be commenced and the work completed within the time limits as agreed upon in the CONSULTANT's Scope of Services. The CONSULTANT shall perform the services under this AGREEMENT with reasonable diligence and expediency consistent with sound professional practices. The CITY agrees the CONSULTANT is not responsible for damages arising directly or indirectly from any delays for causes beyond the CONSULTANT's control. For the purposes of this AGREEMENT, such causes include, but are not limited to, strikes or other labor disputes, severe weather disruptions or other natural disasters, failure of performance 1:\Engineering\2020 CONT12ACTS\2003 W 2gth Ave Lift Station\P jecUofonoaticn\Contract Page 3of7 Info\Comu tans Agreements\2003 Jacobs Agreement-W Mh Ave Lift Stat_11-22-19.douo `l by the CITY, or discovery of any hazardous substances or differing site conditions. If the delays resulting from any such causes increase the time required by the CONSULTANT to perform its services in an orderly and efficient manner, the CONSULTANT shall be entitled to an equitable adjustment in schedule. ARTICLE XI. COMPONENT PARTS OF THE AGREEMENT This AGREEMENT consists of the following component parts, all of which are as fully a part of this AGREEMENT as if herein set out verbatim, or if not attached, as if hereto attached: 1. This Instrument 2. CONSULTANT's Scope of Services dated October 31, 2019 and attached hereto In the event any provision in any of the above component parts of this AGREEMENT conflicts with any provision in any other of the component parts, the provision in the component part first enumerated above shall govern over any other component part which follows it numerically except as may be otherwise specifically stated. ARTICLE XII. PAYMENT A. The Agreement Sum. The CITY shall pay to the CONSULTANT for the performance of the AGREEMENT the total sum as set forth below, adjusted by any changes hereafter mutually agreed upon in writing by the parties hereto: • Time and Materials Not to Exceed $249,740 (Two Hundred Thousand Forty Nine Seven Hundred Forty Dollars). • Attached fee schedule(s) shall be firm for the duration of this AGREEMENT. B. Method of Payment. The CONSULTANT shall submit itemized monthly statements for services. The CITY shall pay the CONSULTANT within thirty (30) calendar days after receipt of such statement. If any statement amount is disputed, the CITY may withhold payment of such amount and shall provide to CONSULTANT a statement as to the reason(s) for withholding payment. C. Additional Costs. Costs for additional services shall be negotiated and set forth in a written amendment to this AGREEMENT executed by both parties prior to proceeding with the work covered under the subject amendment. I:\Engineering\2020 COWRACfS\2 W 28th Ave Lift StaPion\I jxt_Wotmafim\Contrect Page4of7 Info\C. uWtant Agreements\2M3 Jacobs Agreement-W 281h Ave CJt Stat 11-22-19.doa D. Indirect Costs. Indirect costs such as computer time, printing, copying, cell phone charges, telephone charges, and equipment rental shall be considered overhead and shall not be invoiced separately to the PROJECT. E. Expenses. Expenses may be billed with up to a maximum of 10% mark-up. All invoices with expenses shall include supporting documentation of the expense. Failure to include the supporting documentation will result in the reduction of payments by the amount of those expense(s) not including documentation. ARTICLE XIII. HOLD HARMLESS The CONSULTANT covenants and agrees to protect and hold the City of Oshkosh harmless against all actions, claims, and demands to the proportionate extent caused by or resulting from the intentionally wrongful or negligent acts of the CONSULTANT, his/her agents or assigns, his/her employees, or his/her subcontractors related to the performance of this AGREEMENT or be caused or result from any violation of any law or administrative regulation, and shall indemnify the CITY for all sums including court costs, attorney fees, and damages of any kind which the CITY may be obliged or adjudged to pay on any such claims or demands upon the CITY's written demand for indemnification or refund for those actions, claim, and demands caused by or resulting from intentional or negligent acts as specified in this paragraph. Subject to any limitations contained in Sec. 893.80 and any similar statute of the Wisconsin Statutes, the CITY further agrees to hold CONSULTANT harmless from any and all liability, including claims, demands, losses, costs, damages, and expenses of every kind and description (including death), or damages to person or property arising out of re -use of the documents without consent where such liability is founded upon or grows out of the acts or omission of any of the officers, employees or agents of the City of Oshkosh while acting within the scope of their employment. ARTICLE XIV. INSURANCE The CONSULTANT agrees to abide by the attached City of Oshkosh Insurance Requirements. l:\Engineering\N 00N RA=\211-09 W Nffi Ave Lift Station\t ject_Udormation\Conrad Pa e5of7 Info\C..Wtant Agreements\26QSJacobs Agreement-WM i Ave Lift Stat_11-M-19.doa g ARTICLE XV. TERMINATION A. For Cause. If the CONSULTANT shall fail to fulfill in timely and proper manner any of the obligations under this AGREEMENT, the CITY shall have the right to terminate this AGREEMENT by written notice to the CONSULTANT. In this event, the CONSULTANT shall be entitled to compensation for any satisfactory, usable work completed. B. For Convenience. The CITY may terminate this AGREEMENT at any time by giving written notice to the CONSULTANT no later than ten (10) calendar days before the termination date. If the CITY terminates under this paragraph, then the CONSULTANT shall be entitled to compensation for any satisfactory work performed to the date of termination. This document and any specified attachments contain all terms and conditions of the AGREEMENT and any alteration thereto shall be invalid unless made in writing, signed by both parties and incorporated as an amendment to this AGREEMENT. ARTICLE XVI. RE -USE OF PROTECT DOCUMENTS All reports, drawings, specifications, documents, and other deliverables of CONSULTANT, whether in hard copy or in electronic form, are instruments of service for this PROJECT, whether the PROJECT is completed or not. The CITY agrees to indemnify CONSULTANT and CONSULTANT's officers, employees, subcontractors, and affiliated corporations from all claims, damages, losses, and costs, including, but not limited to, litigation expenses and attorney's fees arising out of or related to the unauthorized re -use, change, or alteration of these project documents. ARTICLE XVIL SUSPENSION. DELAY, OR INTERRUPTION OF WORK The CITY may suspend, delay, or interrupt the services of CONSULTANT for the convenience of the CITY. In such event, CONSULTANT's contract price and schedule shall be equitably adjusted. I:\Engineering\2 ()CONTRACTS\2"3 W 28th Ave Lift Station\R ject_IN mation\Cont d Page 6of7 Info\Consultant Agreemmts\2003 Jambs Agreement-W 28th Ave Lift Stat_11-M-19.doa TRANSMITTAL TO: City of Oshkosh 215 Church Avenue PO Box 1130 Oshkosh, WI 54903-1130 ATrN: Tracy Taylor Department of Public Works RE: West 28`h Avenue Pump Station Agreement We Are Sending You ® Attached ❑ Documents ❑ Drawings ❑ Specifications ❑ Copies ❑ Other: FROM: Linda Mohr DATE: November 25, 2019 Method of Shipment: ❑ under separate cover via If the material received is not as listed, please notify us at once. Remarks: � vltv+l JACOBS RECEIVED NOV 2 6 2019 DEPT OF PUBLIC WORKS OSHKOSH, WISCONSIN 1 ARTICLE XVIIL NO THIRD -PARTY BENEFICIARIES This AGREEMENT gives no rights or benefits to anyone other than the CITY and CONSULTANT and has no third -party beneficiaries. hi the Presence of: (Seal of Consultant if a Corporation) (Witness) (Witness) APPROVED: r "4w,W!% lilt CONSULTANT By: Ra(tiJ�SaVJ�cWa 0 MAoFt4ERoFKcaer-IS-W=1MNptA (Specify Title) (Specify Title) CITY OF OSHKOSH By: Mark A. Rohloff, City Manager And: - V� Pamela R. Ubrig, City Clerk I hereby certify that the necessary provisions have been made to pay the liability which will accrue under this AGREEMENT. City Comptroller I:\Engineering\'_020 C0NTRACfS\2M3 W 28th Ave Lift StationWooject_Information\Contract Page 7of7 Info\Consultant Agreements\2M3 Jacobs Agreement-W 28th Ave Lift Stat 11-22-19.docs EXHIBIT A— SCOPE OF SERVICES OCTOBER 31, 2019 City of Oshkosh West 28th Avenue Pump Station D%�&1,D Project Purpose NOV -5 2019 The purpose of the City of Oshkosh (City) West 281h Avenue Pump Station Design Project(F"&�tyilye f&(e T RKS pump station to increase pumping capacity and provide safe access to pumping equipmeoslfjlpgt %1eoVfSCONOSIN comprised of the following: • Upgrade of existing West 281h Avenue Pump Station including replacement of existing pumping and electrical systems, modifications to station wetwell, and expansion of pump station above- and below -ground structures to accommodate addition of new stairwell to comply with current Occupational Safety and Health Administration requirements • Pump station improvements will include a new roof with integral beam for lifting equipment with portable hoist, a new portable dehumidifier, a new submersible pump, a new bubbler system air compressor, repair of leaking pipe wall penetrations, replacement of exterior lighting, upgrade of heating and ventilation systems to meet current codes, relocation of buried utilities to accommodate building expansion, and repainting of interior at -grade rooms • Addition of a new approximately 600-foot long, 12-inch diameter pump station discharge force main in West 281h Avenue, including about 100-foot trenchless (horizontal directional drilled or horizontal auger drilled) crossing Gallups-Merritts Creek and roadway bridge • Design of temporary bypass pumping system to maintain conveyance capabilities during construction. The Project schedule is driven by other City capital projects being implemented in 2020 including extension of the Oregon Street sewer interceptor and construction of the West 281h Avenue gravity sewer. Jacobs Engineering Group, Inc. (Jacobs) will deliver the Project through completion of the following tasks: Task 1— Design Report Task 2 — Final Design and Permitting Task 3 — Bid Phase Services Task 4 — Project and Quality Management For the design and bid phase services, Jacobs will subcontract to AECOM design services that are related to site civil and stormwater design and permitting. Jacobs and AECOM envision workingjointly during construction to efficiently provide optimum support to the City and the construction contractor. Task 1— Design Report To meet Wisconsin Administrative Code Chapter NR 110 Sewerage Systems requirements, a Project Design Report must be submitted to the Wisconsin Department of Natural Resources (WDNR) for review and construction approval. The Design Report will include a description of the project; the area served by the pump station; major design criteria for each engineering discipline: site civil, structural, architectural, process mechanical, hydraulics, building mechanical, corrosion control, electrical, and instrumentation and controls; facility operational strategy; estimated project costs; and construction sequence constraints. The Design Report will represent a 30-percent complete design and the basis for the final design. It will include the following preliminary drawings: • Existing and new site plan • Process Instrumentation and Control Diagram • Architectural renderings • Building layout drawings (plans and elevations) • Equipment layout drawings • Electrical one -line diagram Design Report development will include collection, review, and documentation of site information. For Project site mapping, the Jacobs team will use site topographic survey data provided by the City to develop project site plans. In the establishment of geotechnical design criteria for structural design, excavation support, dewatering, and force main installation, the Jacobs team will collaborate with the City's geotechnical consultant on the subsurface investigation, laboratory analyses, and reporting. Task 1 Meetings The Jacobs team will facilitate the following meetings with the City during Design Report development: • Kick-off meeting to confirm the City's Project goals, scope, schedule, budget, and data needs; during the kick- off meeting, preliminary design criteria will also be discussed • A design progress meeting with City to discuss design development, operational constraints during construction, and coordination with the construction of the new West 28th Avenue sewer • A review meeting to discuss the City's input on the draft Design Report • A review meeting to present a Project overview to City permitting personnel (Stormwater, Inspection Services, Planning) and gather input to reflect in final design Task 1 Deliverables • Technical review of site data provided by the City and the City s geotechnical consultant • Meeting agendas, handouts, and minutes • 1 paper and 1 PDF copy of Draft and Final Project Design Report Task 2 — Final Design and Permitting The Jacobs team will complete final design of the project based on the Project Design Report. 2.1 Contract Documents (Drawings and Specifications) Attachment 1 lists the anticipated final design drawings. During preparation of the final design documents, the Jacobs team will meet with City personnel at the 60- and 90- percent complete milestones to review design progress, make decisions, and discuss the City's input. An update to the construction cost estimate will be prepared at the 60- and 90-percent milestones. Jacobs will prepare the bidding and legal specifications, technical specifications, and drawings needed to support the project. The purpose of final design is to develop the contract documents for competitive bidding of the project. The documents will be prepared for a single construction contract. The front-end bidding, legal, and general requirements will be Jacobs standard Engineers' Joint Contract Document Committee documents. Jacobs will customize the front-end bidding and legal specifications at the 60%design point to conform to the City's standard contractual and insurance requirements. Technical specifications will be prepared using the Jacobs standard specifications. Drawings will be prepared using the Jacobs standard format, standard size (22- by 34-inch full-size drawing), CAD software (MicroStation), and legends. The MicroStation files will be converted to AutoCAD before being delivered to the City. 2.2 Permitting The Jacobs team will prepare the following project permit applications and supporting technical materials: • WDNR wastewater construction approval permit including three copies of half-size drawings and specifications, the Design Report, and WDNR design checklist forms • WDNR General Dewatering Permit supporting technical materials for construction contractor to obtain permit • WDNR Wetlands and Waterway Permit with wetlands, environmental and archeological resources provided by City • City stormwater review and erosion control plan • City Site Plan Review package • City Board of Appeals variance materials The Jacobs team will facilitate one project review meeting with WDNR and three project review meetings with City permitting authorities. Task 2 Deliverables • 1 copy of 60-percent complete drawings and specifications • 1 copy of 90-percent complete drawings and specifications, construction cost estimate • 1 half-size and 1 full-size copies of 100-percent complete drawings and specifications • 1 PDF file of the 100-percent complete drawings (full and half size) and specifications for posting to Quest Construction Data Network • Permit applications and supporting technical documentation Task 3 — Bid Phase Services Jacobs will prepare the Advertisement for Bid for City review and for incorporation in the final Bid Documents. Jacobs will respond to bidder's questions, prepare bid phase addenda for City review, facilitate a pre -bid meeting, and provide a final cost opinion. Jacobs will provide a log of Contractor questions and responses to the City for distribution in addendum. The City will advertise the bid, conduct the bid opening, and recommend the award of the bid to the Common Council. Jacobs will attend the bid opening, review the bids, make a recommendation for award, and upon award of the construction contract, will produce and deliver to the contractor the necessary contract documents after City review. Task 3 Deliverables Draft Advertisement for Bid, draft bid phase addendum, recommendation for award, and contract documents for contractor Task 4—Project and Quality Management Jacobs will manage the delivery of the project technical services and work products to meet the City's schedule and budget. Jacobs will update its project instructions for the project delivery to reflect revisions to the project schedule and scope. Project instructions addressed include the following: • Detailed scope of services and project deliverables • Task assignments • Project schedule • Project budget by task • Health and safety considerations • Quality management plan • Communication procedures within the project team and with the City The Jacobs team will maintain communication with the City through regular project progress meetings, telephone calls, and email. In addition, project activity reports will be submitted to the City with each monthly invoice. The Jacobs team will conduct QA/QC reviews of the project deliverables, including submittals to support the project delivery team throughout the project and review completed work at project milestones. All draft deliverables will be internally reviewed before submission to the City. We will log and respond to City review comments on project deliverables, particularly milestone drawings and specifications. Task 4 Deliverables • Detailed project instructions • Monthly progress reports with invoices, meeting minutes • City review comment and response logs Schedule The proposed Project schedule is shown in Exhibit 1 Exhibit 1. Schedule West 28th Avenue Pump Station 2019 2020 Task No. Task Description Oct Nov Dec Jan Feb 1 CITY SITE INVESTIGATIONS 1 Geotechnical Investigation 1 Topographic Survey 1 DESIGN REPORT 1 Kick-off Meeting 1 Draft 30%Complete Design Report Review Meeting 1 Final Design Report (30%complete design) 2 CONTRACT DOCUMENTS 2 60% Complete Design 2 60% Design Review Meeting 2 90% Complete Design 2 90%Design Review Meeting 2 100%Complete Bid Comments to City 2 PERMITTING 3 BID PHASE 4 PROJECTAND QUALITY MANAGEMENT - Level of Effort and Compensation The Jacobs team prepared the level of effort and fee estimate shown in Exhibit 2 based on the preliminary project sheet list included as Attachment 1 and the following assumptions: 1. Required Environmental Assessment and Historical and Archeological Resources will be conducted by the City. 2. There are no known hazards substances, for example lead paint or asbestos, to be abated as part of the Project. 3. Modification to the foundations of existing pump station is not required. 4. The design will be based on the federal, state, and local codes and standards in effect on the effective date of the authorization to proceed. Any changes in these codes may necessitate a change in scope. 5. Site drawings will only be prepared for the areas where new facilities are to be constructed. 6. Supervisory Control and Data Acquisition (SCADA) and telemetry system integration will be performed under separate contract during construction. Attachment 1. West 28th Avenue Pump Station Design Estimated Sheet List General 1 Title Sheet, Maps, Index to Drawings 2 Abbreviations 3 Instrumentation and Controls Legend 1 4 Instrumentation and Controls Legend 2 5 Civil Legend 6 Structural Notes 7 Architectural/Structural Legend 8 Architectural Door, Hardware & Interior Finish Schedules 9 Process Mechanical Legend 10 HVAC Legend 11 Plumbing Legend 12 Electrical Legend 1 13 Electrical Legend 2 14 Electrical Legend 3 Instrumentation and Control 15 West 28th Avenue Lift Station P&ID Civil 16 Overall Site Plan 17 Enlarged Site Demolition Plan 18 Temporary Pumpingand Piping Plan 19 Site Grading and Erosion Control Plan 20 Site Utilities Plan 21 Site Landscaping Plan and Details 22 West 28th Avenue Force Main Plan and Profile 23 Force Main Details Demolition 23 General Demolition Plan 24 General Demolition Section 25 Electrical Demolition Structural 26 Foundation, Mid, and Ground Floor Plan 27 Sections 28 Details Architectural 29 Life Safety Plan and Code Data 30 Floor and Roof Plans 31 Sections and Wall Details, Elevations Process Mechanical 32 Lower, Mid, and Upper Floor Plans 33 Sections 34 Isometric 35 Details HVAC 36 Floor Plans 37 Section and Schedules Electrical 38 One Line Diagram 39 MCC Plan and Elevation 40 Floor Power Plans 41-Floor Lighting Plans Standard Details 42 Civil 43 Structural 44 Architectural 4S HVAC 46 Electrical 47 Process Mechanical 48 Instrumentation and Controls g8888 g9, "� 88R 8 8 8 39 Og54 �4 4 Sg 9338 7 Y u 12 2 Z 3 � 00I ��� o ege 8g o� 8g o$ o o$ oR o '88888 88R S 8 $ a Y F 12 E R d �s i n $Sg 8 8o' 88 88 88 88 8 8888'g'8 88g $n 8 S »$ »n& 8 �88 88 = 8 8 8' 6n '88"8 8e8 8 8 R8 ar LY m„."E .R S 7 o a Qe s s 8 8 8 8 88 8. 80 80 8 $$ 88 8 88 8a 0 8�8 8 6A 800 8 8 8 F $ ry4»„» m NY F C E C o= a 0 �� 8g8 8 888 08 8$ 88 8a o8 08 8 888888 88 �.r`l 4� 6' 7 �"-- ga • u V E °y i 9 jj i u E 3CaIi a: 88:�±a� O 6 ;i_a9Eo,:m O a5-"^.�, �eYSq JACOBS 2020 HOURLY CHARGE RATES for PROFESSIONALS AND TECHNICIANS Classification Senior Consultant Senior Project Manager, Senior Construction Manager Senior Technologist, Senior Designer, Senior Modeler Project Designer, Project Engineer, Project Modeler Staff Designer, Staff Engineer, Staff Modeler Junior Engineer, Junior Modeler Senior CAD Technician CAD Technician Senior Clerical, Graphic Designer Clerical Project Accountant RECEIVED Nov 13 2019 DEPT OF PUBLIC WORKS OSHKOSH, WISCONSIN Hourly Rate $200-$325 $180-$220 $160-$200 $140 - $170 $100-$150 $80 - $120 $100 - $140 $75 - $100 $90 - $150 $75 - $100 $50 - $100 Expenses Expense Type Estimating Method Rate Photo Copies Service Center $0.05 Reprographics Service Center varies Auto mileage Travel Current IRS rate Auto Rental Travel Actual Other Travel (FTR Guidelines) Travel Actual Equipment Rental Operating Expense Actual Postage/Freight Operating Expense Actual Rates subject to change on January 1, 2021 A� V CERTIFICATE OF LIABILITY INSURANCE /DOYYYY) O /06 /2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LIC #0437153 - - Y-212-948-1306 Marsh Risk & Insurance Services ZTC L)\/ L� CIRTSSupport®jacobe. com _ _ 633 W. _ Fifth Street rI Q1f� JUN - L IJ CONTACT NAME: PHONE N Ez aC No: 1-212-948-1306 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAICM INSURERA: ACE AMER INS CO 22667 Los Angeles, CA 90071 / << INSURED (](' I Jacobs Engineering Group Inc. A�_r1 \VISCCNSIN QSFI I� INSURER B; INSURER C: INSURER D: C/O Global Risk Management INSURER E: 1000 Wilshire Blvd., Suite 2100 INSURER F: Los Angeles, CA 90017 COVERAGES CERTIFICATE NUMBER: 56394977 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. INSR LTR TYPE OF INSURANCEim ADO S BR POLICY NUMBER POUCYEFF MMIDDNYYY) POLICY EXP IMWDDNYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY BUD G71565129 07/01/19 07/01/20rGENERAL RENCE $ 3,000,000 � OCCUR RENTED DAMCLAIMS-MADE a occurrence $ 50,000 X yone person) $ 5,000 CONTRACTUAL LIABILITY ADV INJURY $ 3,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY a JE� LOC GREGATE $ 4,000,000 COMP/OP AGG $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY ISA H25295511 07/01/19 07/01/20 COMBINED SINGLE LIMIT Ea eccdent $ 3,000,000 X BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident $ UMBRELLALIAS OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION$ $ A A A WORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITY ANVPROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? (Mandatory in NH) N/A SCF C65892327 (WI) WCUC65892285 (AX,LA,OH,T WLR C65892248 (AOS) 07/Ol/19 )1/Ol/19 07/01/19 07/Ol/20 07/01/20 07/01/20 X STATUTE ERH E.L. EACH ACCIDENT $ 2,100,000 E.L. DISEASE - FA EMPLOYEE $ 2,100,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 2, 500, 000 A PROFESSIONAL LIABILITY EON G21655065 010 07/O1/19 07/01/20 PER CLAIM/PER AGO 1, 000, 000 "CLAIMS MADE" AGGREGATE DEFENSE INCLUDED DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) PROJECT NIGH: Linda Mohr. CONTRACT MGR: Leanne Andersen. RE: All Projects. CONTRACT END DATE: 4/8/2020. PROJECT NUMBER: BPGOOOFC.I. SECTOR: Public. s$2,250,000 SIR for states of: AK, LA, ON, TX. City of Oshkosh, and its officers council members, agents, employees and authorized volunteers are added as an additional insured for general liability & auto liability as respects the negligence of the insured in the performance of insured's services to cart holder under contract for captioned work. Coverage is primary and certificate holder's insurance is excess and non-contributory. XCV is covered under the General Liability policy. Coverage includes U.S. Longshore and Harbor Workers Compensation Ac Coverage and Outer Continental Shelf Lands Act Coverage. Designated Construction Project(s) General Aggregate Limit City of Oshkosh to: City Clerk 5 Church Avenue Box 1130 hkosh, WI 54903-1130 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 VSA All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Cart Renewal twos n-ro CONSTRUCTION PROJECT(S) GENERAL AGGIRMAYE Libirr Naraea W red Jacobs Engineering Group Inc. 6ndurrsaserp NarnOsr 3 PoWy Symbal Pony Namdar Porky Ponad fiftctim Owls Endarsemern H#O GTI565129 07MI/20 9 To 07101M20 [04UCd ay (N3ftar Wufafte Cumpanr) ACE American Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS' ENDORSEMENT MODIFIeS INSURANCE PROVWEO UNDER THE FO4LLOYMING: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A_ Suboal to and eroding the General Aggregate Limit shown in the Declarations; far all surds which the Insured becomes legally obligated to pay as damages Caused by `accurrencee under COVERAGE A (SECTION 1), and for all medical expenses caused by sccidents under COVERA13E. C (SECTION 1), which can be attributed only to ongoing operations at your construction prtjacts away from promises owned by or rented to you (such ongoing operations at such construction projects are hereinafter defined as "Your Prcjects'j: 1_ A separate Construction Project GeneaalAggregale Limit apprres to all of Your Projects, and that limit is equal to the amount required under written contract, but in no event greater than the General Aggregate Llrnit shown of Me: Declarations. 2_ The Construclian Pmjscl CkaaeTW A4gr�q,ote. Lamb is the moatwe vwllr pay for the *urn of rC ft"en under COVERAGE A, except damages because of 'bodily Injury or 'property darnawp included in the 'products• completed operations hazard', and for medical expenses under COVERAGE C, which damages and mredlcal expenses can be attributed only to Your Projects, regardless of the numbarof: a. Insureds; b. Claims made or"suits' brought: or c� Persons or organizations maklrigclairs yr bringing `suits". 3. Any payments, made under COVERAGE for damages or under COVERAGE C for medical expanses that can be attributed to Your Prnsects shall reduce the Construttian Project General Aggregals Unit and shag also reduce and erode the General Aggregate L'intil shown in the Declarations. 4, The limits shown in the Declarations for Each Occurrence, Fire Damage and Medical Expense continue to apply. However, such limits will be subject to The Construction Project General Aggregate Lenit, as well as'the General Aggregate Limit shown In P* Declarations. B. For all tunas which the Insured becomes legally obligatedla pay as damages caused by'oecurrences' under COVERAGE,A (SECTION I), and for all medical expensee. caused by accidents under COVERAGE C (SIECTION 1), which cannot be attributed' only to Your laraie w 1. Any payrrlenls made under COVERAGE A for damages or under COVERAGE C The madical expenses shall reduce the amount available under Oo General Aggregate Limit or the Products•CCrnpteted Operations Aggregate Limit, whichever is applicable, and 2. Such payments shall not reduce the Condtnrctlon Project General Aggregate Limit. C. >Wen Coverage for liability arising out of the'products•comple4ed cperslibrks hazard' Is provided, any paymerrts fur damages because ofbodily WjtuW or°proWy darnage' included in the °products-completod operations hazard" will reduce the Products•Comple4ed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the MS-22357 (O7r17) auto 2016 AAoWdsrasemed Page 1 or CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT Construction Project General Aggregate LUmL I]. If any one or more of Your Projects has been abandoned. delayed, or abandoned and then restarted, or if the authorised contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project wilt stlil be deemed to be the sattm construction project E. The prsrvislons of Llmits Of Inserancs (SECTION Ill) not otherwise modified by this endorsement shall continue to apply as stipulated. MS-22357 (uwv) ®cnWn Zeta AN ngt7I8 fWprygC. Page 2 of 2 POLICY NUMBER' HDO 071666129 Endorsement' Number: 6 COMMERCIAL GENERAL LIABILITY CG fib 10 0413 THIS ENDORSEMENT CHANGPS THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSONS OR ORGANIZATION This endorsement modifies insurance provided under the following, COMMERCIAL GENERAL LIABILITY CO)ARAGE PART SCHEDULE Name Of Additional Insured Per,ron(sl Any Owner, Lessee or Gontractorwhom you have agreed to include as an additional Ensured under a wrlltan contract requiring ISO CG 20i0 (04113). proyidad smh contract was executed prior to the data of loss, A. Sectf+orl 11 — Who Is An IrnguMd is smanded to include as an addtionalinsured the per9cn(s) or organization(s) stwven lo the Schedule. but only with respect to liability for "bodily Injury, "property damage" or "parsonal and adver4ing injury'° caused, in whole or in part. by. 1. Your acts or omissions; or 2. The acts ar ornisslons of those acting on your behalf, in the performance of your ongoing operations for the additional insured(s) at the Inratlon(s) designated above. However, C The Insurance afforded to such additional insured' only applies to the extent penrdtted by law,. and 2. If coverage provided to the additional iristlred is requited by a contract cr a greetnen4 the Insurance afforded to such addismal insured will not be broader than that which you are required by the contract or agiaernant to provide for such additional inured.. AN locations where you are performing operators for such addilional insured pursuant to any such written contract. M 4rtfith respect to the insurance afforded to these additional insurads, the fallowing additional exclusions apply: This insurance does not apply to'bodity litiJurr or 'property tfamage" occurring after, 1. All work, including maleciafs, parts or equipment furnished in connection with such work, on the project (other than service, malnterrance- or repairs) to be performed by or on betsall of the addtional' 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 orgenizalion other than enother contractor or subcontractor engaged in performing operations for a ,principal as a part of the same project- C. With respect to the Insurance afforded to these additional insureds, the following Is added to Section III — Llmlta Of Insurance: If coverage provided to the additional Insured is. required by a contract or agreement, the most ws CG 2010 04 13 0 Insurance Services Office, Inc., 2012 Pape 1 of 2 will pay on behalf of the adds tonal ircsured is the amount of Insurance' 1. Required by the conlract or agresmenl; cw 2. Available untlar the applicable LVWb of Insurance shown in the Declarations w1h3chevar is lass. This oddorsamant shall not increase the app€icable Llrr is of Insurance shown in the Dactarations_ Faas 2 of 2 0 InavrarLoL Seavices Office. Inc., 2012 CO 2010 04 13 POLICY NUMBER; HDO S715651Z9 :ro Endorsernew Number: IC COtr MERCIAL131 WRAL ELA119IUTY CG 20 37 0413 THIS ENDORSEMENT CHANGES T14E POLICY. PLEASE REDID IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART PROI]UCTS=MPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Addi'tlonal Insured Persons) Any person or organization whom you have agreed to All locsiaons where you perform work for such additional Include as an additional Insured under a wriilen Insured pursuant Its any such written contract, contract requiring ISO CG 2037 (04(13), provided such contract was executed prior to the date of lass. requfiredto complete this Schedule, if not shown above will be she" In the Declarations. A. Section 11- Who Is An Insured is amended to include as an additional insured t110 persons) or organizallon(s) shown in the Seheduta, but only with respect to liability for 'bodity injury" or 'property damage" caused, in whole or In part, by rk" 'your woat the location designaled and descrilbed in the Schedule of this endorsement performed for that addlllonal Insured and Included in the "products -completed operations hazard". However 1. The insurance afforded to such aadltlonal insured only applies to the extent permmined by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the Insurance,afforded to such addMicrra insured will net ba broader than that which you are required by the contract or agreement to provide for such additional insured. B, With respect to the insurance afforded to these additional Insureds, the following Is added to Section Ill - Limits Of Insurance: If coverage provided to the additional insured Is required by a coniraot, or agreement, the most we will pay on beW of the additional insured is lire amount of insurance: 1. Required by the contract wagreament; or Z AvOlable under the applicable Llrnks of Insumm m shaven in the De wallons; whtchevar Is toss. Mils rindarsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 0417 0:Insurance Services Office, lnc., 2012 gage 1 of 1 NOTICE TO OTHERS ENDORSEMENT — SCHEDULE — EMAIL ONLY rran"d trrsured. Jacobs Enlas Bring Group tnm ------FnWrscmorn Numcer 13 Po1ky,5ymDof PGlicr Numhkt Policyrpieriotl Effective Dare of Endorsement-- HCtU G71F l29 07012019 To (Mcima2a —. rsr=d By plain at Msurerioo Canparvit ACE American Insurance Company foeettfieac4r:7mmt ftpokr THIS ENDORSEMENT CHANGES THE POLICY. PLEASE HEAD IT CAREFULLY. A, If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason alhw than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such eiectronlc nollficatlon as we determine, to the persons or organizations listed In the schedule, that you or your repraeentalive provide or have provided to us (the "schedule )- You or your representative must provide us with the e4 ail address of such parsons or organizations, and we wit ulillze such a-mll address that you or your represerdativa provided to ur. Ott 5=11 Sctve> ub. B. The Schedule rnLrA be initially provided to uswkhin 15 days ailaP. 1. The beginning of the Polity period, "rflh isendorsement is effedive as of such date. or ik. This endorsement has been added to the Policy, if this endorsement is edfeclrve alter the Pogcy period commences. C. The Schedule must be in an eletironic formal that is acceptable to us; and must be accurate. D. Our delivery of the notification as described In Paragraph A. of Ihis endorsement will be based an the most recent Sthedula in our records as of trip date the notice of cancellation is railed or delivered to the first Named insured. E, We will endeavor to send such nafte to the e-mail address corresponding to each person or organl2ationt indicaled in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the persons) or ofgan¢ation(s) .named in the Schedule in the event of a pen[6mg cancellation of coverage, We have roo legal obligation of arty kind to any such persons} or oiganizatlon(s), Our faWre to provide advance ncrtifhcelion of taricallaien to the parson(s) or otganizatioris) shown in the Schedule shall impose no obligaWn or rrability of any kind upon us, our agents or representatives, will not extend any policy cancellation data and will rWt negate any canceilElion at the Policy. G. We are not responsible for verifying any Infcrmaslon provided to us in any Schedule, nor are we respon sible for any incorrect inftumation that you or your representative provide Io us. If you or your representative does not ,provide us with a Schedule, wu have no responsibility lor taking any anon undK this endorsement, In addition, if neither you nor your representative provides us with eanall address Irrformatlon with respect to a particular parson or organizailon, than we &hair have no tesp(nsibiiity for taking action with tegard to such person or entity tinder this endorsement. m We may arrange with your represeniEdve to aend'such notice in the event of any such cancellation. 1, You will cooperate with us In providing the ftadula, tr in causing your representative to provide the Schedule, J, This endorsement does not apply in the evert that you cancel the Policy. ALL-32605 (01111) Page 1 or All other tem p and conditions of the Policy remain unchanged. e5rdev RuthwLzed Reprewmtat e� ALL-32685 (01111) Pape 2 of 2 ISA t ACE Amrlrican !Insurance 11 TO OVOU2020 c�npekd.�ff `a+iit mfr mtlorsrmoee h proe7 wurspRM V nM RnPRr+tion THIS :ENDORSEIVENTCHAwE8 TmE policy. PLEASE READ eY CAREFULLY. A, If we cancel the Policy prior to Its expiraiDn data by notice to you or he first Named Insured for any reason other than nonpayment of prremkim, we WW dfideavor, as set out helow, to sernd written notice Of cancelfaliorh, via such efectronic notldcallon as we determine, to 1he poisons or orgaWations listed in the schedule that you or your representative Provide or have provided to us (the 'Schedule'). You or your represenlalife must provide us with the e-mail address of such parsons or organizations, and vre wwa utilize such a -mall address that you or your represerntative provided to us on such Schedule, B. The Schedule must be initially provided W uswittlln 15 days after, 1, Ttle begirff3ing cf the Pollry parVA, 11 this endorsement is effective as of Stich date; or IL This enderSemant has been added to the Policy. if this endorsemarst IS effective after the Policy period commences. C. The Schedule must he In ark electronic formal that is accepabte to us. and MuStbaaocuiralo. D. Our delivery of the notiflcaiion as describedin Paragraph A. of this endorsement will be based oin the most recant Schedule in our records as of the dabethenotice of Cancellation Is mailed cr delivered to the first yarned Insured, E. We w9 endeavor to send such notice tolhe "all address corresponding to mach person or orilanizadon indicated in the Schedule at least $0 days prior to the cancellation dale applicable to the Policy- F. The nice referenced in this endorsement is intended :only to be a courtesy neleication to the peraon(s) or organlzenerut5) aannad in lJm Scheduee in the event of a pending cancellation of coverage. ti�la trove nc Idr31 obligation of any kind to any such ptrson(5) or organizationisi.. Our failure to prdvGfe advance notification al rancellalien to the parsdn(s) or ergaNzalion(a) shown in the Schedule shalt impose no obligation of fiabitity of any kind upon Us. OUT agents or rapresenlativos, will not extend any Pollr_y cancellation date and wile not negate any cancellation of the Policy. t3. ft are nol responsible far verifying any infprrveatlon provded to us h airy Schedule, nor are vie responsible for any incorrect inforawtion INV you or your mpresentahive provide tows. If you Of your representative does not provide Us with a Schedule, we have no responsibility for taking) arry action under this andlareerr ent. In additlon, If neither you nor your topreeentaltve prrnidea us VMh e-mail address irlfonnallon vrith respect to a particular person or organization, '"n we shale have no resporu8ibility for taldng action wish regard to such person of entity Undar this endorsement, H- VW may arrange with your representative to send such notice in the event of any such carcetlation. L You will cOaperate with us in providing the Schedule, or In causing your eapresentelive to provide the Schedule, J. This endorsement does not apply in the event that you cancel the Policy. APL328115 t01111) Pepe t of 2 All Other terms and 00nd4loris of the Poky reirlain unchanged. ALL-32685 (01111) ___ ; ,4Q Iu�lluv¢86 flty`n'r.SEn4a4YY --__ PW2 of 2 waftirs'Compartmajdans dEmployaWLiabigypoilicy lim6' insured Emmsernoni Nutntwr JACOBS ENCINEEFUING GROUP INC. 1000 WILSHIRE BOULEVARD SUFFE 1000 ao0cy Nwriber LOS AN©ELES CA 90017 syrnta: WLR Number. C65892248 Pohcy r�eAod - Hva 6*5 bf Endorsement - 07-01.2019 TO 07-01-2020 07-0,2019 9srua y(Rame or rneumma Ceeyp") -- ACE AMERICAN INSURANCE OOMPANY n59R de nueAer. r,e rcn;wndff 47ihf Re. eelsn ag uaWuwENV whom lhls a1H1atBThk1't is swad wtougant141M on Mhe' NOTICE TO OTHERS ENDORSEMENT —SCHEDULE —EMAIL ONLY A. if we cancel this Policy prior to its eniralfon data by notice to you or the first Named insured for arty reason other than nonpayment of premium, we vvWl endeavor, as set out below, to sand written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed In the stheduie that you or your representative provide or have provided to us (the 'Schedule'), You or your repreaenlative must provide us with the e-mail address of such persons or organisations, and wat v4h utilize such email address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided tout Qhin 15 days after. I. The beginning of the Policy period, if this endorsement is effective as of such date; or [I. This endorsement has been added tb the Policy, if this endorsement Is effective after the Polioy period' commences, C, Thar Schedule must be In an electronic formit that is acceptable to us;. and must be accurate, D. Our delivery of the notification as describeq in paragraph A. of Ihls endorsement will be basod on the most rm mnt Schaduto In our records as of the date the nAke of cancellation is marled or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresporaitnrg to each person or organization indicated in the Schedule at least 30 days prior to the cancefiatlon date applicable to the policy. F. The notice reFw-arced in this endorsement is intended only to be a courtesy notification to the person(s) or organizations} named In the Schedule in the avant of a pending cancellation of coverage, We have no legal obligation of any kind to any such Parson(s) or organizallon(s). Our failure to provide advance notification of canoollabort to the persons) or orgartizallon(s) shown in the Schedule shah Impose no obligation or liability of any hind upon us, our agents or representatives, will not extend any policy cancellation data and will not negate any cancelfaflon of the Policy. G. We are not responsible for verifying any information vravlded to us in any Schedule, oar are we responsible for any incort%tr Information that you or your representative provide to us. If you or your representative does not provide us w sh a Schedule, vre have no responsibblry for taking any action under this endorsement, In addition, if neither you not your representative provides us with e-mail .address information with respect to a perlicular person or organization, than we Shall have no respomsibilily for taking action with regard to such person or entity under (this endorsement. H. We may arrange with your representative to send such notice In the avant of any such cancellation. I. You vrill cooperate with us in providing the &hedula, or in causing your representative to provide the Schedule- J. This andorsement does not apply in the event that you cancel the Policy. All Otherterrtvs and conditions of this Policy remain unchanged. TMIS Endorsement Is not appllrableln the states of AZ, FL, ID, ME, NC, NJ, NM,TY and WE. Authorized nepresentative WC 94 03 68 (01?11) Para t THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Jacobs Engineering Group Inc. Endorsement Number 7 Policy Symbol Policy Number Policy Period Effective Date of Endorsement EON G21655065 010 07/01/2019 to 07/01/2020 07/01/2019 Issued By (Name of Insurance Company) ACE American Insurance Company NOTICE TO OTHERS ENDORSEMENT —SCHEDULE F. If We cancel or non -renew the Policy prior to its expiration date by notice to You for any reason other than nonpayment of premium, We will endeavor, as set out below, to send written notice of cancellation or non -renewal via such electronic or other form of notification as We determine, to the persons or organizations listed in the schedule that You or Your representative provide or have provided to Us (the Schedule). You or Your representative must provide Us with both the physical and e-mail address of such persons or organizations, and We will utilize such e-mail address and/or physical address that You or Your representative provided to Us on such Schedule. G. The Schedule must be initially provided to Us within 30 days after: i. The beginning of the Policy Period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy Period commences. H. The Schedule must be in a format that is acceptable to Us and must be accurate. I. Our delivery of the notification as described in Paragraph A of this endorsement will be based on the most recent Schedule in Our records as of the date the notice of cancellation or non -renewal is mailed or delivered to You. J. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation or non -renewal date applicable to the Policy. K. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation or non - renewal of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation or non -renewal to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon Us, Our agents or representatives, will not extend any Policy cancellation or non -renewal date and will not negate any cancellation or non -renewal of the Policy. L. We are not responsible for verifying any information provided to Us in any Schedule, nor are We responsible for any incorrect information that You or Your representative provide to Us. If You or Your representative does not provide Us with a Schedule, We have no responsibility for taking any action under this endorsement. In addition, if neither You nor Your representative provides Us with e-mail address and/or physical address information with respect to a particular person or organization, then We shall have no responsibility for taking action with regard to such person or entity under this endorsement. M. With respect to this endorsement Our, Us or We means the stock insurance company listed in the Declarations, and You or Your means the insured person or entity listed in Item 1 of the Declarations page. All other terms and conditions of this Policy remain unchanged. MS-36362 (04/19) r ar JWNi 1 !UMA. Pres[nerre DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 06/06/2019 Jacobs Engineering Group Inc. Endorsement applies to the General Liability coverage. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER APPLICABLE CONTRACT.*