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HomeMy WebLinkAboutJacobs_Agreement-2023_Wtr_Util_Tech_Serv_2-10-23I:\Engineering\2021 - 2030 Contracts\2023 CONTRACTS\Jacobs 2023 Wtr Util Tech Serv\Jacobs Agreement-2023 Wtr Util Tech Serv_2-10-23.docx Page 1 of 8 AGREEMENT This AGREEMENT, made on the 10th day of January, 2023, by and between the CITY OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and JACOBS ENGINEERING GROUP, INC., 1610 North 2nd Street, Suite 201, Milwaukee, WI 53212, 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 2023 WATER UTILITY TECHNICAL SERVICES. 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, P.E. – 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 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 I:\Engineering\2021 - 2030 Contracts\2023 CONTRACTS\Jacobs 2023 Wtr Util Tech Serv\Jacobs Agreement-2023 Wtr Util Tech Serv_2-10-23.docx Page 2 of 8 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. Services included in Tasks 2, 3, and 5 are detailed in the CONSULTANT’S Scope of Services. Services included in Tasks 1 and 4 of the CONSULTANT’s Scope of Services will be detailed further within individual Project Authorizations. A sample Project Authorization form is attached to this AGREEMENT. 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 In 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 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 I:\Engineering\2021 - 2030 Contracts\2023 CONTRACTS\Jacobs 2023 Wtr Util Tech Serv\Jacobs Agreement-2023 Wtr Util Tech Serv_2-10-23.docx Page 3 of 8 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. 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 mutually agreed, 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 mutually agreed, conduct tests in an effort 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. DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 I:\Engineering\2021 - 2030 Contracts\2023 CONTRACTS\Jacobs 2023 Wtr Util Tech Serv\Jacobs Agreement-2023 Wtr Util Tech Serv_2-10-23.docx Page 4 of 8 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 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. While CONSULTANT has made reasonable efforts to incorporate into their plan for the PROJECT any known current project impacts of the COVID-19 pandemic, CONSULTANT has not accounted for, and is not responsible for, unknown future changes due to the COVID-19 pandemic, including, without limitation, additional restrictions by government agencies or others (such as the availability of the site for access or the availability of CITY or CONSULTANT staff or others) to the extent they delay or otherwise impact the PROJECT. In that event, CONSULTANT will notify CITY and work in good faith to equitably address any unexpected impacts therefrom. DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 I:\Engineering\2021 - 2030 Contracts\2023 CONTRACTS\Jacobs 2023 Wtr Util Tech Serv\Jacobs Agreement-2023 Wtr Util Tech Serv_2-10-23.docx Page 5 of 8 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 December 9, 2022 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 $124,810 (One Hundred Twenty Four Thousand Eight Hundred Ten Dollars).  Attached fee schedule 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. 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. DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 I:\Engineering\2021 - 2030 Contracts\2023 CONTRACTS\Jacobs 2023 Wtr Util Tech Serv\Jacobs Agreement-2023 Wtr Util Tech Serv_2-10-23.docx Page 6 of 8 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. STANDARD PROVISIONS The CONSULTANT agrees that, in all hiring or employment made possible by or resulting from this AGREEMENT, there will not be any discrimination against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, or national origin. ARTICLE XIV. 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 XV. INSURANCE The CONSULTANT agrees to abide by the attached City of Oshkosh Insurance Requirements. DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 I:\Engineering\2021 - 2030 Contracts\2023 CONTRACTS\Jacobs 2023 Wtr Util Tech Serv\Jacobs Agreement-2023 Wtr Util Tech Serv_2-10-23.docx Page 7 of 8 ARTICLE XVI. 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 XVII. RE-USE OF PROJECT 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. Subject to individual review, CONSULTANT’S reports, drawings, specifications, documents, or other deliverables will generally be considered public records that are available to the public upon request. Neither the CITY nor the CONSULTANT, therefore, has control of these documents once they are disclosed as a public record. It is understood between these two parties, however, that CONSULTANT does not intend to state or imply that the PROJECT documents it creates have any purpose unrelated to the PROJECT. To the extent the CITY may re-use or reference any part of the CONSULTANT’S documents or information on unrelated projects, the CITY agrees to independently verify their applicability for unrelated projects and further agrees the Standard of Care applicable to the documents for this PROJECT will not apply to their re-use or reference in unrelated projects. ARTICLE XVIII. 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 agreement price and schedule shall be equitably adjusted. DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 I:\Engineering\2021 - 2030 Contracts\2023 CONTRACTS\Jacobs 2023 Wtr Util Tech Serv\Jacobs Agreement-2023 Wtr Util Tech Serv_2-10-23.docx Page 8 of 8 ARTICLE XIX. 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. In the Presence of: CONSULTANT ____________________________ By: _____________________________ ____________________________ Rajeev Srivastava, Ph.D. (Seal of CONSULTANT Manager of Projects if a Corporation) By: _____________________________ _____________________________ (Specify Title) CITY OF OSHKOSH _____________________________ By: _____________________________ (Witness) Mark A. Rohloff, City Manager _____________________________ And: _____________________________ (Witness) Jessi L. Balcom, City Clerk APPROVED: I hereby certify that the necessary provisions have been made to pay the liability which will accrue under this AGREEMENT. _____________________________ City Attorney ___________________________________ City Comptroller DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 I:\Engineering\2021 - 2030 Contracts\2023 CONTRACTS\Jacobs 2023 Wtr Util Tech Serv\Jacobs Blank Proj Auth Form_2-10-23.docx Page 1 of 1 PROJECT AUTHORIZATION NUMBER ______ ("Task Order") Owner: City of Oshkosh Department Public Works Authorized Office: 215 Church Avenue, PO Box 1130, Oshkosh, Wisconsin 54903-1130 Owner-Authorized Representative: Steven M. Gohde, P.E., Assistant Director of Public Works / Utilities General Manager Contract: 2023 Water Utility Technical Services City of Oshkosh Contract Number: ________ Jacobs Engineering Group Project Number: _________ The authorizing office requires performance of the following described Services: Form of Compensation: Time and Materials Not to Exceed: $___________________ Additional Terms and Conditions: None Authorized Services shall be performed in accordance with the terms and provisions of the agreement between Jacobs Engineering Group and the City of Oshkosh, dated ____________, 2023. This Project Authorization shall be effective only upon date of signature of an authorized representative of the City of Oshkosh. JACOBS ENGINEERING GROUP Signature: Name: _____________________________ Title: Date: CITY OF OSHKOSH Signature: Name: __Steven M. Gohde, P.E._______ Title: Assistant Director of Public_____ Works / Utilities General Manager Date: DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY Attn: City Clerk 3,000,000 CONTRACTUAL LIABILITY Continental Shelf Lands Act Coverage. Designated Construction Project(s) General Aggregate Limit Endorsement applies to General Liability policy. Coverage includes U.S. Longshore and Harbor Workers Compensation Act Coverage and Outer 4,000,000 work. Coverage is primary and certificate holder's insurance is excess and non-contributory. XCU is covered under the 1-212-948-1306 CPM G21743793 020 the negligence of the insured in the performance of insured's services to cert holder under contract for captioned EON G21655065 013 volunteers are added as an additional insured for general liability, auto liability & pollution liability as respects BPG000FC.1. SECTOR: Public. City of Oshkosh, and its officers, council members, agents, employees and authorized PROJECT MGR: Linda Mohr. CONTRACT MGR: Leanne Andersen. RE: All Projects. CONTRACT END DATE: 8/30/2021. PROJECT NUMBER: USA N A 1-212-948-1306 Los Angeles, CA 90017 06/17/2022 HDO G72496176 07/01/23 2,500,000 Cert_Renewal 07/01/2307/01/22 2,100,000 Jacobs Engineering Group Inc. A A 2,100,000 ACE AMER INS CO A 3,000,000 07/01/22 07/01/22 07/01/22 1000 Wilshire Blvd., Suite 1140 C/O Global Risk Management X X PO Box 1130 215 Church Avenue 500,000 65828218 65828218 X 633 W. Fifth Street Los Angeles, CA 90071 1,000,000 LIC #0437153 1,000,000 ISA H25568230 3,000,000 X 07/01/23 07/01/23 07/01/23 07/01/23 07/01/23 07/01/22 07/01/22 Oshkosh, WI 54903-1130 5,000 CONTRACTORS POLLUTION PROFESSIONAL LIABILITY X WCU C68914577 (OH)* WLR C6891453A (AOS) SCF C68914619 (WI) City of Oshkosh A A A 07/01/22 X PER CLAIM/ PER AGG PER CLAIM/PER AGG 22667 4,000,000 CIRTS_Support@jacobs.com Marsh Risk & Insurance Services DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 SUPP (05/04) SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE NAME OF INSURED: Additional Description of Operations/Remarks from Page 1: Additional Information: 06/17/2022 *$2,000,000 SIR FOR STATE OF: OHIO WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* the General Liability coverage. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE Jacobs Engineering Group Inc. DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 NOTICE OF CANCELLATION TO OTHERS (Schedule – Email Only) ENDORSEMENT Named Insured Jacobs Engineering Group, Inc Endorsement Number 0 Policy Symbol CPM Policy Number G21743793 0 Policy Period 07/01/202 to 07/01/202 Effective Date of Endorsement 07/01/202 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. The “insured” and the Insurer hereby agree to the following changes to this Policy: Section IX. GENERAL CONDITIONS, Subsection A. Cancellation, of the Policy, is amended with the addition of the following: 1.If we cancel the Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic 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 the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. 2.The Schedule must be initially provided to us within 15 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. 3.The Schedule must be in an electronic format that is acceptable to us; and must be accurate. 4.Our delivery of the notification as described in Paragraph 3. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. 5.We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. 6.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 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 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 date and will not negate any cancellation of the Policy. 7.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 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. 8.We may arrange with your representative to send such notice in the event of any such cancellation. MS-299542.11 (03/20) Page 1 of 2 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5 9.You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. 10. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. Authorized Representative MS-299542.11 (03/20)Page 2 of 2 DocuSign Envelope ID: A24B1ADC-AA58-4F06-B009-56EE396B5EE5