Loading...
HomeMy WebLinkAboutBetter Dash Faster Consulting & Oshkosh/ May 22,2017 l l Oshkosh PROFESSIONAL SERVICES AGREEMENT PARKS DEPARTMENT PLANNING AND CONSULTING THIS AGREEMENT, made on the 22nd day of MAY 2017 by and between the CITY of OSHKOSH, hereinafter referred to as CITY, and BETTER DASH FASTER CONSULTING, 613 ENGLEHART DRIVE,MADISON WI 53713,hereinafter referred to as the CONSULTANT. WITNESSETH: That the CITY and the CONSULTANT, for the consideration hereinafter named, enter into the following Agreement. 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 Professional Services Proposal dated MAY 2,2017, and attached hereto. In the event that 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. CITY REPRESENTATIVE The CITY shall assign the following individual to manage this Agreement: (RAY MAURER,CITY OF OSHKOSH PARKS DIRECTOR) SCOPE OF WORK The CONSULTANT shall provide the services described in the CONSULTANT's attached Professional Services Proposal. CITY may make or approve changes within the general Scope of Services contained within the Professional Services Proposal and in this AGREEMENT. If such changes affect CONSULTANT's cost or time required for performance of the services, an equitable adjustment will be made through an amendment to this AGREEMENT. City Hall,215 Church Avenue P.O.Box 1 130 Oshkosh,WI 54903-1130 http://www.ci.oshkosh.wi.us RECORDS AND INSTRUMENTS OF SERVICE All reports, drawings, software, data, computer files, and other materials, documents and instruments prepared by the CONSULTANT as instruments of service shall remain the property of the CITY. Any document related to this agreement, whether in electronic or paper form, is considered a public record and shall be provided to the City upon request. The contractor may provide the City with an explanation of why they believe any document should not be released to the public. The City shall make all final determinations regarding the existence or release of any document related to this agreement. TERM AND TERMINATION A. Term. This Agreement shall commence upon the date indicated above and shall terminate on December 29,2017, unless terminated earlier by one of the parties as provided below. B. Termination. 1. For Cause. If either party shall fail to fulfill in timely and proper manner any of the obligations under this Agreement, the other party shall have the right to terminate this Agreement by written notice. In this event, the CONSULTANT shall be entitled to compensation to the date of delivery of the Notice. 2. For Convenience. The CITY may terminate this Agreement at any time by giving written notice to the CONSULTANT no later than 30 calendar days before the termination date. TIME OF COMPLETION The CONSULTANT shall perform the services under this Agreement with reasonable diligence and expediency consistent with sound professional practices. The CITY agrees that 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, or failure of performance by the CITY. 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. SUSPENSION DELAY OR INTERRUPTION OF WORK CITY may suspend, delay, or interrupt the Services of CONSULTANT for the convenience of CITY. In such event, CONSULTANT's contract price and schedule shall be equitably adjusted. ASSIGNMENT Contractor shall not have the right to assign this Agreement without the written prior consent of the City. INDEPENDENT CONTRACTOR CONSULTANT is an independent contractor and is not an employee of the CITY. COOPERATION IN LITIGATION AND AUDITS Contractor shall fully and completely cooperate with the City, the City's insurer, the City's attorneys, the City's Auditors or other representative of the City (collectively, the "City" for purposes of this Article) in connection with(a) any internal or governmental investigation or administrative,regulatory, arbitral or judicial proceeding (collectively "Litigation") or internal or governmental Audit, with respect to matters relating to this Agreement; other than a third party proceeding in which Contractor is a named party and Contractor and the City have not entered into a mutually acceptable joint defense agreement. Such cooperation may include,but shall not be limited to, responding to requests for documents and/or other records, and making Contractor's employees available to the City (or their respective insurers, attorneys or auditors) upon reasonable notice for: (i) interviews, factual investigations, and providing declarations or affidavits that provide truthful information in connection with any Litigation or Audit; (ii) appearing at the request of the City to give testimony without requiring service of a subpoena or other legal process; (iii) volunteering to the City all pertinent information related to any Litigation or Audit; and (iv) providing information and legal representations to auditors in a form and within a timeframe requested. City shall reimburse Contractor for reasonable direct expenses incurred in connection with providing documents and records required under this paragraph and may require, at the City's sole discretion, such expenses to be documented by receipts or other appropriate documentation. Reasonable direct expenses include costs, such as copying, postage and similar costs; but do not include wages, salaries, benefits and other employee compensation. Contractor shall not be entitled to additional compensation for employee services provided under this paragraph. 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. 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. CONSULTANT may reasonably rely upon the accuracy, timeliness, and completeness of the information provided by CITY. 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. PAYMENT A. The Agreement Sum. The CITY shall pay to the CONSULTANT for the performance of the Agreement the amount as outline in the Cost portion of the Consultant's Professional Services Proposal. B. Method of Payment. The CONSULTANT shall submit itemized monthly statements for services. The CITY shall pay the CONSULTANT within 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. HOLD HARMLESS The CONSULTANT covenants and agrees to protect and hold the City of Oshkosh harmless against all actions, claims, and demands which may be to the proportionate extent caused by or result from the intentional or negligent acts of the CONSULTANT, its agents or assigns, its employees, or its 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 or refund to the CITY all sums including court costs, attorney fees, and punitive damages which the CITY may be obliged or adjudged to pay on any such claims or demands within thirty (30) days of the date of 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 CONTRACTOR harmless from any and all liability, including claims, demands, losses, costs, damages, and expenses of every kind and description (including death), which may be to the proportionate extent caused by or result from the intentional or negligent acts of the CITY, its agents or assigns, its employees, or its subcontractors related to the performance of this Agreement or be caused or result from any violation of any law or administrative regulation, 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. It is the intention of the parties to this Agreement that each party shall be solely responsible for its own actions and activities and the actions and activities of its own officers, employees and agents while acting within the scope of their employment INSURANCE The CONSULTANT agrees to abide by the attached City of Oshkosh Insurance Requirements for Professional Services. WHOLE AGREEMENT/AMENDMENT 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. NO THIRD-PARTY BENEFICIARIES This AGREEMENT gives no rights or benefits to anyone other than CITY and CONSULTANT and has no third-party beneficiaries. AGREEMENT NOT TO BE CONSTRUED AGAINST ANY PARTY This Agreement is the product of negotiation between the parties hereto and no term, covenant or provision herein or the failure to include a term, covenant or provision shall be construed against any party hereto solely on the basis that one party or the other drafted this Agreement or any term, covenant or condition contained herein. NO WAIVER Failure of either party to insist upon the strict performance of terms and provisions of this agreement, or any of them, shall not constitute or be construed as a waiver or relinquishment of that party's right to thereafter enforce such term or provision, and that term of the provisions shall continue in full force and effect. NON-DISCRIMINATION The Operator agrees not to discriminate in its operations under this Agreement on the basis of race, color, creed, age, and gender, or as otherwise prohibited by law. A breach of this covenant may be regarded as a material breach of this Agreement SEVERABILITY If any term, covenant, condition or provision of this agreement shall be invalid or enforceable, the remainder of this agreement shall not be affected thereby the remainder of the agreement shall be valid and enforceable to the fullest extent permitted by law. CHOICE OF LAW AND VENUE The laws of the State of Wisconsin shall govern the interpretation and construction of this Agreement. Winnebago County shall be the venue for all disputes arising under this Agreement. IN WITNESS WHEREOF, the City of Oshkosh, Wisconsin, has caused this contract to be sealed with its corporate seal and to be subscribed to by its City Manager and City Clerk and countersigned by the Comptroller of said City, and CONSULTANT hereunto set its hand and seal the day and year first above written. In the es e of: CONTRACTOR Name of ny/ i e VA By: (Seal of Contractor (Specify Title) if a Corporation.) CITY OF OSHKOSH By: Mark A. ohloff, City Manager (Wi es And. (Witness) Pamela R. Ubrig, City Clerk APPROVED: I hereby certify that the necessary provisions have been made to pay the liability which will accrue under this contract Attorney, City Comptroller [, aylz$ > 3"gs r r �47c ° '3 r�" °rte f+� 1 i 3' 4=f N t�f. j F' �xO AN 7f� IM tT {� WiN y sYy t x'3 d- 1. Circ .y' 3.. x ;r -M� �F,sFyt,�y,' ,�'` .-s` •fi= zr K ,sem rs w OR 7 .»+lE& F tvC� k f� ail -to Nut -,.c�45"-t -„''{ �.,� r .r..LY'3sMz` "Y"��2T >.stti`'=a " '- a t r '-�t'�•.Y,• ?' x- 5'" "`7 >y '', r€- '�[ ' hv-`1}•-�y� '�'1 w I s tS .,�zm x sss r" J 's`�'t' mill,EKE �,f ff s4 ,NT a• s ribg Y s2s., µ�A NIP S SY�9' � ,4� N. tl�'glz Zi �Y.[,.a .�s. 3.33� 11�33�9f t�,m�-�' Ing ; St f -F'£��.Uz'�4 + -J.s.} tZ- 5- r zg.-;f�•Y£ -' .�. W" 3"z'yam of s d` 4'<1 ��P' • • '%.r^;"` X,y.�, �' WN-M. .Ez s h C.'l ?y fs `-'.3k22�"'aY*s. HIM ..} k,goo csYr£' i I 3 r( mu -r� .sr�-rr .t-G h. 3 rk3 s# -�`-� V. r.r =z:dt,�`u7w`c�-tel` cm ?�' �. #i.a e �* - tw Jr r -''fir-tr . '`i„ �gVr` b r �.' MR EN =A'D,7y z,�4 -M__' MRSrR *o, Arks 4,rcrz 3 , sf � F -Y rrf Oshkosh `s � z x sn rt 5 ter;- ti zrr z' s ., i sps 4t.,a�" , • - * e maim Tableof Contents............................................................................................................................1 ExecutiveSummary.........................................................................................................................1 DetailedCost Proposal ....................................................................................................................3 APPENDIXA-Planning Background.................................................................................................4 APPENDIXB—Better Dash Paster Background and Resume..............................................................5 APPENDIXC-Sample Deliverables by Phase....................................................................................9 Ray Maurer Parks Director City of Oshkosh 920.236.5080 RMaurer@ci.oshkosh.wi.us Oshkosh,Wisconsin 54901 Dear Ray, City of Oshkosh Parks Department Needs The City of Oshkosh Parks Department is looking for a consultant that will help the Parks Department develop their 2017- 18 operational plan that aligns to the City of Oshkosh strategic plan. Proposed High-leve) Approach We have designed our process to gather key stakeholder and internal leader Input while minimizing the time and resources spent. Developing a successful plan can be relatively easy,but executing the plan may be hard. To ensure you create a plan you can accomplish,Better Dash Faster helps your organization develop the plan quickly,assigns ownership, builds accountability,and establishes practical measures to track your progress. Here Is the high-level proposed approach: 8 e r ' ♦i e Phase 0 Activities: Establish and finalize approach,participants,logistics,schedule,etc.and Finalize Scope kick-off to planning participants Dellverables: $800 and Approach— • Approach,timeline,required meetings identified and scheduled Then Kick-off . Planning kick off meeting(90 min) Phase 1 Activities: Review existing ordinances,plans,and materials. Prepare and deliver on- Gather Data line survey to the Parks Department leadership. Analyze all survey results. $1,300 and Assess Deliverables: Strategic planning conference"packet,"survey results Activities: Facilitated planning sessions) Dellverables: • One page Roadmap Phase 2 . One page Parks Department Operational Plan(Strategic Goals,Objectives, Strategic Success Measures) Operational . Detailed Strategic Action Plan with Goals,Objectives,Strategies/Actions, $2,850 Plan for Parks Assigned Owners Department . Key Performance Indicators(KPI's)and Draft Dashboard • High-level Milestone Timeline • Report out schedule I 1 GETTER a�'ER Page 11 Strategic Planning Proposal CONSULTING Participant Time Commitment Our streamlined process requires minimum time commitment from the Parks Department staff: 90 min Strategic Planning kick-off session 45-60 min on-line survey One 8-hour or two 4-hour planning sessions One 2-hour report out City of Oshkosh Parks Department controls the throttle:we can.accommodate the pace you wish to keep based on your resources and requirements, Once the schedule is established,Better Dash Faster works very quickly to get the plan developed so you can start working on it. Better Dash Faster Consulting,LLC has an established track record of providing the services that City of Oshkosh Parks Department is requesting with Wisconsin clients such as Milwaukee County,Portage County,St.Croix County,City of Oshkosh,City of Stoughton,City of Monona,and many others. Please feel free to contact Walter Jankowski of Better Dash Faster Consulting,LLC with any questions or requests for additional information. Thank you for your consideration. (SETTER DASVI T=ASTER CONSULTING Walter Jankowski Reinvention Consultant 613 Englehart Drive Madison,WI 53713 (608)225-8219 Walter.Jankowski@gmail.com BF_TTER DASH Page (2 Strategic Planning Proposal FASTER CONSULTING I Below is a detailed cost breakout for the Parks Department strategic planning. NOTE:COSTS AND ACTIVITIES CAN BE ADJUSTED TO BETTER MEET THE NEEDS OF THE CITY OF OSHKOSH: . ........._._.......................................................... . ........... . Parks Department Planning ;Sv.4o4 a$6(l9p Rate .._...._.. at Hour i WOshkosh 10 I'll i :171,11011051 1 1!'111 111:1 W INS! s a o a ?Finalize Scope and Approach—Then Kick-off -- ............ ...............--------- !Finalize ---•--!Finalize project goals,approach,deliverables,and timeline { 1 j j — 1 $200 -- .........._........._._— .............:..-— i Phase 0 1 Identify ke ly eaders to participate 1 1 $2001 ............ ..........---- ....._;..... . i -Prep and deliver kick-off to Participants-Understand planning process 's, ; I I 2 i 2 $400; ;and best practices in planning,improvement,and effectiveness f •� ar e� •. s •+ � i 711 iGather Data and Assess-Parks Department i --p . ---..................-— ------._........... !Gather and review various relevant background documents including ! I Phase i!previous strategic plans,operating budget,participant complaint data, ! 1 $2001 :surveys,key operations data,facility plans,etc. i _...._. . :....._......... ....... i ;Pre and deliver Parks Department on-line Survey I 1 1 $200{ ( i...__._P._ - --z—...-............... ---_.......-- i !Compile results of survey 3 5 8 $900f o• a :.• .• t 1 1 iDevelop Parks Department Strategic Operational Plan ........._..------ .._ . ;Prep for.planning meeting —I 175_ j 1.75 $3501 i Phase 2 1 Deliver strategic planning sessions ! 8 ! 8 $1,600; !Document results and prepare draft results _ ? 2 5 i 7 $700: .........._.__ --- ( (Develop and deliver final report out 1 i 1 $200: a OEM- ... Total.yam- :� aA90 Note that if you would like to have external stakeholder focus groups(approx..$500 per group depending on travel)or modify the specifics of the approach,we would be happy to discuss the possible advantages and issues of those ideas. l f 1 l I SETTER DASH Page 13 Strategic Planning Proposal FASTER coNSUITING Ln rB rK E y-- a +� o u o �- N N N N � L i O v 0 0 V c— V O N V_ N C- N > V r 0 _ > til c-- N 0 N �n O O 00 0 o o V cu O O cn u -a v cu Ln w Ln > E LU cu 0 _. > E V p 0 0 O C3.. w n o d 0 ac o v 4-J k z 0 O' -uq Q _ > r) e A r Gil M cra s *000001* LiUerty Liberty Mutual Office Mtttualr 708 Heartland Trl Ste 1800 '"suea"ce Madison WI 53717 Walter Jankowski 613 Engelhart Dr Madison WI 53713-4745 CONTACT US Questions About Your Policy Thank you for renewing By phone 51-203 1-866-751-2039 Mon-Fri 8AM-10PM EST with Liberty Mutual■ SSat M-8PM EST un 811AM5PM EST Liberty Mutual Office This package contains your renewal Personal Liability Protection 708 Heartland Trl Ste 1800 insurance policy. The declarations page summarizes your selected Madison wi 53717 coverages and lists any discounts and savings that have been applied. visit us online LibertyMutual.com We are pleased to offer you a Personal Liability Protection policy To report a claim through your affiliation with University of Wisconsin - Milwaukee Alumni By phone Association. 1-800-2cLAiMS Please take a moment to look over the enclosed documents: (1-800-225-2467) 0 Online 0 . REVIEW your renewal declarations page carefully to ensure that LibertyMutual.com/claims 0 your limits, exposure information, underlying policies information, N and discounts are correct. • KEEP these materials with your important documents Co Ifyou have any questions about your coverage please call us at Y 1-608-442-9191/1-866-751-2039. 3 o Sincerely, 0 0 Scott J Hinrichs 0 Sales Representative 1-608-442-9191 1-866-751-2039 THIS IS NOT YOUR PERSONAL LIABILITY PROTECTION INSURANCE BILL. Liberty Policy Declarations IVlutuaE INSURANCE A summary of your Personal Liability Protection coverage Thank you for insuring with us. Here is your renewal Personal Liability Protection policy summary, which is effective as of 11/13/2016. INSURANCE INFORMATION QUESTIONS ABOUT Named Insured Policy Number YOUR POLICY? Walter Jankowski UK-248-973004-12 By phone 1-608-442-9191 Mailing Address Policy Effective Date 1-866-751-2039 613 Engelhart Dr 11/13/2016-11/13/2017 12:01 AM Liberty Mutual Office Madison WI 53713-4745 standard time at the address of the 708 Heartland Trl Ste Named Insured as stated in policy. 1800 Madison WI 53717 :Total:12 Month`Policy Premum $342 00 a Ive Repres Sales ent t' THIS.IS-..NOT-.YOURPERSO.NAL'L'IAB111 fY PROTECTIQN .I NS.URANQE:B(LL Scott J Hinrichs We are pleased to offer you a Personal Liability Protection policy through your affiliation with Visit us online University of Wisconsin - Milwaukee Alumni Association. LibertyMutual.com Coverage Information MANAGE YOUR LIMITS ACCOUNT ONLINE Personal Liability $1,000,000 Each Occurrence Sign up for eService LibertyMutual.com/eService Your Underlying Policies To report a claim TYPES OF INSURANCE INSURER POLICY NUMBER By phone Auto LIBERTY MUTUAL AOS-248-150367-40 1-800 (1-800--225-225-24466 7) Auto PROGRESSIVE 11111111111 Home LIBERTY MUTUAL H47-248-360844-40 If any changes have been made to your underlying policies, please contact us to ensure proper coverage. Required Minimum Liability Limits for Underlying Policies Auto and Other Vehicles $ 250,000 Each Person $ 500,000 Each Accident $ 50,000 Property Damage Or $ 500,000 Combined Single Limit Home $ 100,000 Each Occurrence Watercraft $ 100,000 Each Occurrence Your underlying policies for auto, home and watercraft must have a minimum of the above limits throughout the policy period. Exposure Information Vehicles (automobiles/ 1 Total residences (including primary, 1 motorcycles) rental, seasonal, etc) Recreational vehicles licensed for road use None None Watercraft Miscellaneous vehicles (not registered/licensed for road use) None Operators under age 25 None Liability limits are subject to a retention of$250 on exposures not covered by underlying insurance. PCE 155 03 12 Page 1 of 2 Y,11�eYL}r Mutual. INSURANCE Endorsements — Changes to your policy • LibertyGuard PLP Policy 12/04 (PC-41) . Membership in Liberty Mutual Holding Company • Amendatory Mold Endorsement (PCE-103) Inc, (2340e) • Amendment of Policy Definition (PCE-134) • Communicable Disease Exclusion 11/91 (PCE-51) • Exclusion For Lead Liability 3/94 (PCE-2) • Explanatory Endorsement-Home Day Care 11/91 (PCE-50) • Sexual Molestation Exclusion 3/94 (PCE-75) • Amendment of Policy Conditions-WI 7/05 (PCE-23) LibertyGuard Personal Liability Protection Policy Declarations This policy, including endorsements Coverage provided and underwritten by Wausau Business Insurance Company Boston, listed above, is signed by: MA. Mark C.Touhey J. Paul Condrin Ty Harris Secretary President Authorized Representative PCE 155 03 12 Page 2 of 2 Liberty Mutual INSURANCE Wisconsin Underwriting Company Change The Liberty Mutual underwriting company issuing your insurance has changed to Wausau Business Insurance Company. This new underwriting company remains a Liberty Mutual company with the same quality coverage and service, and the change does not impact your coverage or your rate. As a result of the underwriting company change, your former policy will not be renewed with Liberty Mutual Insurance Corporation; instead, we are offering you coverage with Wausau Business Insurance Company. If you choose to accept our offer of insurance with Wausau Business Insurance Company, please pay the premium by the due date that will be shown on the bill that you will receive in a separate communication from Liberty Mutual PMKT 1227 12 15 Page 1 of 1 Liberty - Mutuai INSURANCE Notice of Privacy Policy Liberty Mutual* values you as a customer and takes your personal privacy seriously. When you request a rate quotation, apply for insurance, request changes to your insurance policy or submit a claim, you disclose information about yourself or members of your family. This notice tells you how we treat the information we collect about you. 1. INFORMATION WE MAY COLLECT We collect information about you from: • Applications or other forms you complete, and information you provide to us over the telephone; • Your business dealings with us and other companies; • Your employer or association for Liberty Mutual Group products; • Consumer reporting agencies, Motor Vehicle Departments, inspection services and medical providers; and • Visits to our Liberty Mutual website 2. TYPES OF INFORMATION WE MAY DISCLOSE We may disclose the following about you: • Information from your application or other forms, such as your name, date of birth, address, social security number, vehicle and driver information; • Information about your transactions with us, our affiliates or others, such as your insurance coverages, payment history, and certain claims information; and • Information we receive from third parties, such as your motor vehicle records and claims history. 3. TO WHOM INFORMATION MAY BE DISCLOSED We do not disclose personal information about you to anyone unless allowed by law. We are allowed by law to provide information to: • A third party that performs services for us, such as claims investigations, medical examinations, inspections, and appraisals or for roadside assistance or the repair of your vehicle if you have a claim; • Our affiliated companies and reinsurers; • Insurance regulators and reporting agencies; • Consumer reporting agencies to obtain loss history information, motor vehicle reports, or credit report information where permitted by law; • State Motor Vehicle Departments to obtain a report of any accidents or convictions or to confirm your compliance with compulsory motor vehicle liability insurance laws; • Law enforcement agencies or other government authorities to report suspected illegal activities; • A person or organization conducting insurance actuarial, or research studies; • Companies that provide marketing services on our behalf, or as part of a joint marketing agreement with banks, credit unions, and affinity partners, or providers of annuity and financial products and services offered through us to our customers; and • As otherwise permitted by law. 4. HOW WE PROTECT INFORMATION We maintain physical, electronic, and procedural safeguards to protect your nonpublic personal information. These safeguards comply with applicable laws. We retain your information for as long as required by law or regulation. The only employees or agents who have access to your information are those who must have it to provide products or services to you. We do not sell your information to mass marketing or telemarketing companies. Any information we share with third parties, such as those organizations which perform a service for us or market our products, is subject to appropriate confidentiality protections and may be used only for the purposes intended. *This privacy notice is provided on behalf of the following Liberty Mutual companies and affiliates that provide personal automobile,homeowners, life insurance and annuities: Liberty Mutual Insurance Company, Liberty Mutual Fire Insurance Company, Liberty Insurance Corporation, LM Insurance Corporation,The First Liberty Insurance Corporation, Liberty Insurance Company of America, Liberty Northwest Insurance Corporation, Liberty Life Assurance Company of Boston, Liberty County Mutual Insurance Company(Texas only), Liberty Lloyds of Texas Insurance Company, LM Property and Casualty Insurance Company, Liberty Mutual Personal Insurance Company, Liberty Personal Insurance Company, Liberty Mutual Mid-Atlantic Insurance Company, LM General Insurance Company,American States Preferred Insurance Company, Consolidated Insurance Company,Wausau General Insurance Company,Wausau Underwriters Insurance Company and Wausau Business Insurance Company. 2348 12 15 Page 1 of 1 s Libert3T Mutual.. E INSURANCE Billing Information Your premium notice will be mailed to you in a few days. When it arrives, you may choose a method of payment to suit your budget. THE CHOICE/S YOURS You may pay the entire premium in full without additional charge. Your payment must be received by the due date shown on the premium notice. OR You may pay the premium in installments after a down payment and the balance in 10 monthly installments (minimum $30). Should you elect to pay by the month, your next bill and all subsequent bills, whether or not there is a minimum amount due, will include a $4.00 Billing Expense Fee (shown under "Finance Charge") reflected in your monthly payment. PREM/UM PA YMENT PLAN EXAMPLES (Minimum of$30 a month) The The Monthly And The If The Total Number Installment The Total Total Total The Balance of Monthly Before Adding Billing Fee Deferred Policy Subject To Installments The For All Payment Premium And You Billing Fee ($30 Minimum) Billing Fee Installments Price Is: Put down: Will Be: Will Be: Will Be: Will Be: Will Be $ 100 $ 30.00 $ 70.00 3 $ 30.00 $ 12.00 $ 112.00 $ 200 $ 50.00 $150.00 5 $ 30.00 $20.00 $ 220.00 $ 300 $ 75.00 $225.00 8 $ 30.00 $32.00 $ 332.00 $ 400 $100.00 $300.00 10 $ 30.00 $40.00 $ 440.00 $ 500 $150.00 $350.00 10 $ 35.00 $40.00 $ 540.00 $ 600 $200.00 $400.00 10 $ 40.00 $40.00 $ 640.00 $ 800 $200.00 $600.00 10 $ 60.00 $40.00 $ 840.00 $1000 $250.00 $750.00 10 $ 75.00 $40.00 $1040.00 AUTO 2957 R1 Page 1 of 1 jl j Liberty MutuaL INSURANCE Premium Refund Policy In most states and in most situations, any refund owed will automatically be refunded in the same method your last payment was received. For example, if the last payment you made was by personal check, we will send you a refund via check. PMKT 994 08 12 Information about Personal Liability Protection Rate Determination When determining your premium, we may consider many factors, such as your credit history, claims history, and household risk characteristics. You may request that Liberty Mutual Insurance re-evaluate your current personal liability protection insurance rate with up-to-date information using the same factors prior to your policy's expiration. Policy rate re-evaluation is limited to one request per policy period, and may result in a quoted premium either higher or lower. If you would like your policy re-evaluated, please call us at 1-608-442-9191/1-866-751-2039 and a representative will be happy to assist you. PMKT 861 1011 Page 1 of 1 Keep This Notice With Your Insurance Papers PROBLEMS WITH YOUR INSURANCE? - If you are having problems with your insurance company or agent, do not hesitate to contact the insurance company or agent to resolve your problem. Liberty Mutual Insurance Company P.O. Box 9099 Dover, NH 03821-9099 (603) 431-7545 You can also contact the OFFICE OF THE COMMISSIONER OF INSURANCE, a state agency which enforces Wisconsin's insurance laws, and file a complaint. You can contact the OFFICE OF THE COMMISSIONER OF INSURANCE by writing to: Office of the Commissioner of Insurance Complaints Department P.O. Box 7873 Madison, WI 53707-7873 or you can call 1-800-236-8517 outside of Madison or 266-0103 in Madison, and request a complaint form. PMKT 578 01 08 Liberty Mutual Insurance Group Page 1 of 1