HomeMy WebLinkAboutC-8041-1 - PSA for Enterprise Land Management, Planning & Permitting System ServicesCCO
J
PROFESSIONAL SERVICES AGREEMENT
WITH NEXLEVEL INFORMATION TECHNOLOGY, INC. FOR
V ENTERPRISE LAND MANAGEMENT, PLANNING & PERMITTING SYSTEM
SERVICES
THIS PROFESSIONAL SERVICES AGREEMENT ("Agreement') is made and
entered into as of this 11th day of May, 2016 ("Effective Date"), by and between the
CITY OF NEWPORT BEACH, a California municipal corporation and charter city
("City"), and NEXLEVEL INFORMATION TECHNOLOGY, INC., a California corporation
("Consultant'), whose address is 6829 Fair Oaks Boulevard, Suite 100, Carmichael,
California 95608, and is made with reference to the following:
RECITALS
A. City is a municipal corporation duly organized and validly existing under the laws
of the State of California with the power to carry on its business as it is now being
conducted under the statutes of the State of California and the Charter of City.
B. City desires to engage Consultant to provide enterprise land management,
planning and permitting system services (`Project').
C. Consultant possesses the skill, experience, ability, background, certification and
knowledge to provide the professional services described in this Agreement.
D. City has solicited and received a proposal from Consultant, has reviewed the
previous experience and evaluated the expertise of Consultant, and desires to
retain Consultant to render professional services under the terms and conditions
set forth in this Agreement.
NOW, THEREFORE, it is mutually agreed by and between the undersigned
parties as follows:
1. TERM
The term of this Agreement shall commence on the Effective Date, and shall
terminate on April 30, 2017, unless terminated earlier as set forth herein.
2. SERVICES TO BE PERFORMED
Consultant shall diligently perform all the services described in the Scope of
Services attached hereto as Exhibit A and incorporated herein by reference ("Services"
or "Work"). City may elect to delete certain Services within the Scope of Services at its
sole discretion.
3. TIME OF PERFORMANCE
3.1 Time is of the essence in the performance of Services under this
Agreement and Consultant shall perform the Services in accordance with the schedule
included in Exhibit A. In the absence of a specific schedule, the Services shall be
performed to completion in a diligent and timely manner. The failure by Consultant to
strictly adhere to the schedule set forth in Exhibit A, if any, or perform the Services in a
diligent and timely manner may result in termination of this Agreement by City.
3.2 Notwithstanding the foregoing, Consultant shall not be responsible for
delays due to causes beyond Consultant's reasonable control. However, in the case of
any such delay in the Services to be provided for the Project, each party hereby agrees
to provide notice within two (2) calendar days of the occurrence causing the delay to the
other party so that all delays can be addressed.
3.3 Consultant shall submit all requests for extensions of time for performance
in writing to the Project Administrator as defined herein not later than ten (10) calendar
days after the start of the condition that purportedly causes a delay. The Project
Administrator shall review all such requests and may grant reasonable time extensions
for unforeseeable delays that are beyond Consultant's control.
3.4 For all time periods not specifically set forth herein, Consultant shall
respond in the most expedient and appropriate manner under the circumstances, by
hand -delivery or mail.
4. COMPENSATION TO CONSULTANT
4.1 City shall pay Consultant for the Services on a time and expense not -to -
exceed basis in accordance with the provisions of this Section and the Schedule of
Billing Rates attached hereto as Exhibit B and incorporated herein by reference.
Consultant's compensation for all Work performed in accordance with this Agreement,
including all reimbursable items and subconsultant fees, shall not exceed Fifty Nine
Thousand Four Hundred Dollars and 00/100 ($59,400.00), without prior written
authorization from City. No billing rate changes shall be made during the term of this
Agreement without the prior written approval of City.
4.2 Consultant shall submit monthly invoices to City describing the Work
performed the preceding month. Consultant's bills shall include the name of the person
who performed the Work, a brief description of the Services performed and/or the
specific task in the Scope of Services to which it relates, the date the Services were
performed, the number of hours spent on all Work billed on an hourly basis, and a
description of any reimbursable expenditures. City shall pay Consultant no later than
thirty (30) calendar days after approval of the monthly invoice by City staff.
4.3 City shall reimburse Consultant only for those costs or expenses
specifically identified in Exhibit B to this Agreement or specifically approved in writing in
advance by City.
4.4 Consultant shall not receive any compensation for Extra Work performed
without the prior written authorization of City. As used herein, "Extra Work" means any
Work that is determined by City to be necessary for the proper completion of the
Project, but which is not included within the Scope of Services and which the parties did
NexLevel information Technology, Inc. Page 2
not reasonably anticipate would be necessary at the execution of this Agreement.
Compensation for any authorized Extra Work shall be paid in accordance with the
Schedule of Billing Rates as set forth in Exhibit B.
5. PROJECT MANAGER
5.1 Consultant shall designate a Project Manager, who shall coordinate all
phases of the Project. This Project Manager shall be available to City at all reasonable
times during the Agreement term. Consultant has designated Patrick J. Griffin to be its
Project Manager. Consultant shall not remove or reassign the Project Manager or any
personnel listed in Exhibit A or assign any new or replacement personnel to the Project
without the prior written consent of City. City's approval shall not be unreasonably
withheld with respect to the removal or assignment of non -key personnel.
5.2 Consultant, at the sole discretion of City, shall remove from the Project
any of its personnel assigned to the performance of Services upon written request of
City. Consultant warrants that it will continuously furnish the necessary personnel to
complete the Project on a timely basis as contemplated by this Agreement.
5.3 If Consultant is performing inspection services for City, the Project
Manager and any other assigned staff shall be equipped with a cellular phone to
communicate with City staff. The Project Manager's cellular phone number shall be
provided to City.
6. ADMINISTRATION
This Agreement will be administered by the Community Development
Department. City's Systems & Administration Manager.or designee shall be the Project
Administrator and shall have the authority to act for City under this Agreement. The
Project Administrator shall represent City in all matters pertaining to the Services to be
rendered pursuant to this Agreement.
7. CITY'S RESPONSIBILITIES
To assist Consultant in the execution of its responsibilities under this Agreement,
City agrees to provide access to and upon request of Consultant, one copy of all
existing relevant information on file at City. City will provide all such materials in a
timely manner so as not to cause delays in Consultant's Work schedule.
8. STANDARD OF CARE
8.1 All of the Services shall be performed by Consultant or under Consultant's
supervision. Consultant represents that it possesses the professional and technical
personnel required to perform the Services required by this Agreement, and that it will
perform all Services in a manner commensurate with community professional standards
and with the ordinary degree of skill and care that would be used by other reasonably
competent practitioners of the same discipline under similar circumstances. All
Services shall be performed by qualified and experienced personnel who are not
NexLevel Information Technology, Inc. Page 3
employed by City. By delivery of completed Work, Consultant certifies that the Work
conforms to the requirements of this Agreement, all applicable federal, state and local
laws, and legally recognized professional standards.
8.2 Consultant represents and warrants to City that it has, shall obtain, and
shall keep in full force and effect during the term hereof, at its sole cost and expense, all
licenses, permits, qualifications, insurance and approvals of whatsoever nature that is
legally required of Consultant to practice its profession. Consultant shall maintain a City
of Newport Beach business license during the term of this Agreement.
8.3 Consultant shall not be responsible for delay, nor shall Consultant be
responsible for damages or be in default or deemed to be in default by reason of strikes,
lockouts, accidents, acts of God, or the failure of City to furnish timely information or to
approve or disapprove Consultant's Work promptly, or delay or faulty performance by
City, contractors, or governmental agencies.
9. HOLD HARMLESS
9.1 To the fullest extent permitted by law, Consultant shall indemnify, defend
and hold harmless City, its City Council, boards and commissions, officers, agents,
volunteers and employees (collectively, the "Indemnified Parties") from and against any
and all claims (including, without limitation, claims for bodily injury, death or damage to
property), demands, obligations, damages, actions, causes of action, suits, losses,
judgments, fines, penalties, liabilities, costs and expenses (including, without limitation,
attorneys' fees, disbursements and court costs) of every kind and nature whatsoever
(individually, a Claim; collectively, "Claims"), which may arise from or in any manner
relate (directly or indirectly) to any breach of the terms and conditions of this
Agreement, any Work performed or Services provided under this Agreement including,
without limitation, defects in workmanship or materials or Consultant's presence or
activities conducted on the Project (including the negligent, reckless, and/or willful acts,
errors and/or omissions of Consultant, its principals, officers, agents, employees,
vendors, suppliers, consultants, subcontractors, anyone employed directly or indirectly
by any of them or for whose acts they may be liable, or any or all of them).
9.2 Notwithstanding the foregoing, nothing herein shall be construed to
require Consultant to indemnify the Indemnified Parties from any Claim arising from the
sole negligence or willful misconduct of the Indemnified Parties. Nothing in this
indemnity shall be construed as authorizing any award of attorneys' fees in any action
on or to enforce the terms of this Agreement. This indemnity shall apply to all claims
and liability regardless of whether any insurance policies are applicable. The policy
limits do not act as a limitation upon the amount of indemnification to be provided by
Consultant.
10. INDEPENDENT CONTRACTOR
It is understood that City retains Consultant on an independent contractor basis
and Consultant is not an agent or employee of City. The manner and means of
NexLevel Information Technology, Inc. Page 4
conducting the Work are under the control of Consultant, except to the extent they are
limited by statute, rule or regulation and the expressed terms of this Agreement. No
civil service status or other right of employment shall accrue to Consultant or its
employees. Nothing in this Agreement shall be deemed to constitute approval for
Consultant or any of Consultant's employees or agents, to be the agents or employees
of City. Consultant shall have the responsibility for and control over the means of
performing the Work, provided that Consultant is in compliance with the terms of this
Agreement. Anything in this Agreement that may appear to give City the right to direct
Consultant as to the details of the performance of the Work or to exercise a measure of
control over Consultant shall mean only that Consultant shall follow the desires of City
with respect to the results of the Services.
11. COOPERATION
Consultant agrees to work closely and cooperate fully with City's designated
Project Administrator and any other agencies that may have jurisdiction or interest in the
Work to be performed. City agrees to cooperate with the Consultant on the Project.
12. CITY POLICY
Consultant shall discuss and review all matters relating to policy and Project
direction with City's Project Administrator in advance of all critical decision points in
order to ensure the Project proceeds in a manner consistent with City goals and
policies.
13. PROGRESS
• Consultant is responsible for keeping the Project Administrator informed on a
regular basis regarding the status and progress of the Project, activities performed and
planned, and any meetings that have been scheduled or are desired.
14. INSURANCE
Without limiting Consultant's indemnification of City, and prior to commencement
of Work, Consultant shall obtain, provide and maintain at its own expense during the
term of this Agreement or for other periods as specified in this Agreement, policies of
insurance of the type, amounts, terms and conditions described in the Insurance
Requirements attached hereto as Exhibit C, and incorporated herein by reference.
15. PROHIBITION AGAINST ASSIGNMENTS AND TRANSFERS
Except as specifically authorized under this Agreement, the Services to be
provided under this Agreement shall not be assigned, transferred contracted or
subcontracted out without the prior written approval of City. Any of the following shall
be construed as an assignment: The sale, assignment, transfer or other disposition of
any of the issued and outstanding capital stock of Consultant, or of the interest of any
general partner or joint venturer or syndicate member or cotenant if Consultant is a
partnership or joint -venture or syndicate or co -tenancy, which shall result in changing
NexLevel Information Technology, Inc. Page 5
the control of Consultant. Control means fifty percent (50%) or more of the voting
power or twenty-five percent (25%) or more of the assets of the corporation, partnership
or joint -venture.
16. SUBCONTRACTING
The subcontractors authorized by City, if any, to perform Work on this Project are
identified in Exhibit A. Consultant shall be fully responsible to City for all acts and
omissions of any subcontractor. Nothing in this Agreement shall create any contractual
relationship between City and any subcontractor nor shall it create any obligation on the
part of City to pay or to see to the payment of any monies due to any such
subcontractor other than as otherwise required by law. City is an intended beneficiary
of any Work performed by the subcontractor for purposes of establishing a duty of care
between the subcontractor and City. Except as specifically authorized herein, the
Services to be provided under this Agreement shall not be otherwise assigned,
transferred, contracted or subcontracted out without the prior written approval of City.
17. OWNERSHIP OF DOCUMENTS
17.1 Each and every report, draft, map, record, plan, document and other
writing produced, including but not limited to, websites, blogs, social media accounts
and applications (hereinafter "Documents"), prepared or caused to be prepared by
Consultant, its officers, employees, agents and subcontractors, in the course of
implementing this Agreement, shall become the exclusive property of City, and City
shall have the sole right to use such materials in its discretion without further
compensation to Consultant or any other party. Additionally, all material posted in
cyberspace by Consultant, its officers, employees, agents and subcontractors, in the
course of implementing this Agreement, shall become the exclusive property of City,
and City shall have the sole right to use such materials in its discretion without further
compensation to Consultant or any other party. Consultant shall, at Consultant's
expense, provide such Documents, including all logins and password information to City
upon prior written request.
17.2 Documents, including drawings and specifications, prepared by
Consultant pursuant to this Agreement are not intended or represented to be suitable
for reuse by City or others on any other project. Any use of completed Documents for
other projects and any use of incomplete Documents without specific written
authorization from Consultant will be at City's sole risk and without liability to
Consultant. Further, any and all liability arising out of changes made to Consultant's
deliverables under this Agreement by City or persons other than Consultant is waived
against Consultant, and City assumes full responsibility for such changes unless City
has given Consultant prior notice and has received from Consultant written consent for
such changes.
17.3 All written documents shall be transmitted to City in formats compatible
with Microsoft Office and/or viewable with Adobe Acrobat.
NexLevel Information Technology, Inc. Page 6
18. CONFIDENTIALITY
All Documents, including drafts, preliminary drawings or plans, notes and
communications that result from the Services in this Agreement, shall be kept
confidential unless City expressly authorizes in writing the release of information.
19. INTELLECTUAL PROPERTY INDEMNITY
Consultant shall defend and indemnify City, its agents, officers, representatives
and employees against any and all liability, including costs, for infringement or alleged
infringement of any United States' letters patent, trademark, or copyright, including
costs, contained in Consultant's Documents provided under this Agreement.
20. RECORDS
Consultant shall keep records and invoices in connection with the Services to be
performed under this Agreement. Consultant shall maintain complete and accurate
records with respect to the costs incurred under this Agreement and any Services,
expenditures and disbursements charged to City, for a minimum period of three (3)
years, or for any longer period required by law, from the date of final payment to
Consultant under this Agreement. All such records and invoices shall be clearly
identifiable. Consultant shall allow a representative of City to examine, audit and make
transcripts or copies of such records and invoices during regular business hours.
Consultant shall allow inspection of all Work, data, Documents, proceedings and
activities related to the Agreement for a period of three (3) years from the date of final
payment to Consultant under this Agreement.
21. WITHHOLDINGS
City may withhold payment to Consultant of any disputed sums until satisfaction
of the dispute with respect to such payment. Such withholding shall not be deemed to
constitute a failure to pay according to the terms of this Agreement. Consultant shall
not discontinue Work as a result of such withholding. Consultant shall have an
immediate right to appeal to the City Manager or designee with respect to such disputed
sums. Consultant shall be entitled to receive interest on any withheld sums at the rate of
return that City earned on its investments during the time period, from the date of
withholding of any amounts found to have been improperly withheld.
22. ERRORS AND OMISSIONS
In the event of errors or omissions that are due to the negligence or professional
inexperience of Consultant which result in expense to City greater than what would
have resulted if there were not errors or omissions in the Work accomplished by
Consultant, the additional design, construction and/or restoration expense shall be
borne by Consultant. Nothing in this Section is intended to limit City's rights under the
law or any other sections of this Agreement.
NexLevel Information Technology, Inc. Page 7
23. CITY'S RIGHT TO EMPLOY OTHER CONSULTANTS
City reserves the right to employ other Consultants in connection with the
Project.
24. CONFLICTS OF INTEREST
24.1 Consultant or its employees may be subject to the provisions of the
California Political Reform Act of 1974 (the "Act"), which (1) requires such persons to
disclose any financial interest that may foreseeably be materially affected by the Work
performed under this Agreement, and (2) prohibits such persons from making, or
participating in making, decisions that will foreseeably financially affect such interest.
24.2 If subject to the Act, Consultant shall conform to all requirements of the
Act. Failure to do so constitutes a material breach and is grounds for immediate
termination of this Agreement by City. Consultant shall indemnify and hold harmless
City for any and all claims for damages resulting from Consultant's violation of this
Section.
25. NOTICES
25.1 All notices, demands, requests or approvals, including any change in
mailing address, to be given under the terms of this Agreement shall be given in writing,
and conclusively shall be deemed served when delivered personally, or on the third
business day after the deposit thereof in the United States mail, postage prepaid, first-
class mail, addressed as hereinafter provided.
25.2 All notices, demands, requests or approvals from Consultant to City shall
be addressed to City at:
Attn: Dan Campagnolo, Systems & Administration Manager
Community Development Department
City of Newport Beach
100 Civic Center Drive
PO Box 1768
Newport Beach, CA 92658
25.3 All notices, demands, requests or approvals from City to Consultant shall
be addressed to Consultant at:
Attn: Patrick J. Griffin
NexLevel Information Technology, Inc.
6829 Fair Oaks Blvd., Ste. 100
Carmichael, California 95608
NexLevel Information Technology, Inc. Page 8
26. CLAIMS
Unless a shorter time is specified elsewhere in this Agreement, before making its
final request for payment under this Agreement, Consultant shall submit to City, in
writing, all claims for compensation under or arising out of this Agreement.
Consultant's acceptance of the final payment shall constitute a waiver of all claims for
compensation under or arising out of this Agreement except those previously made in
writing and identified by Consultant in writing as unsettled at the time of its final request
for payment. Consultant and City expressly agree that in addition to any claims filing
requirements set forth in the Agreement, Consultant shall be required to file any claim
Consultant may have against City in strict conformance with the Government Claims Act
(Government Code sections 900 et seq.).
27. TERMINATION
27.1 In the event that either party fails or refuses to perform any of the
provisions of this Agreement at the time and in the manner required, that party shall be
deemed in default in the performance of this Agreement. If such default is not cured
within a period of two (2) calendar days, or if more than two (2) calendar days are
reasonably required to cure the default and the defaulting party fails to give adequate
assurance of due performance within two (2) calendar days after receipt of written
notice of default, specifying the nature of such default and the steps necessary to cure
such default, and thereafter diligently take steps to cure the default, the non -defaulting
party may terminate the Agreement forthwith by giving to the defaulting party written
notice thereof.
27.2 Notwithstanding the above provisions, City shall have the right, at its sole
and absolute discretion and without cause, of terminating this Agreement at any time by
giving no less than seven (7) calendar days' prior written notice to Consultant. In the
event of termination under this Section, City shall pay Consultant for Services
satisfactorily performed and costs incurred up to the effective date of termination for
which Consultant has not been previously paid. On the effective date of termination,
Consultant shall deliver to City all reports, Documents and other information developed
or accumulated in the performance of this Agreement, whether in draft or final form.
28. STANDARD PROVISIONS
28.1 Recitals. City and Consultant acknowledge that the above Recitals are
true and correct and are hereby incorporated by reference into this Agreement.
28.2 Compliance with all Laws. Consultant shall, at its own cost and expense,
comply with all statutes, ordinances, regulations and requirements of all governmental
entities, including federal, state, county or municipal, whether now in force or hereinafter
enacted. In addition, all Work prepared by Consultant shall conform to applicable City,
county, state and federal laws, rules, regulations and permit requirements and be
subject to approval of the Project Administrator and City.
NexLevel Information Technology, Inc. Page 9
28.3 Waiver. A waiver by either party of any breach, of any term, covenant or
condition contained herein shall not be deemed to be a waiver of any subsequent
breach of the same or any other term, covenant or condition contained herein, whether
of the same or a different character.
28.4 Integrated Contract. This Agreement represents the full and complete
understanding of every kind or nature whatsoever between the parties hereto, and all
preliminary negotiations and agreements of whatsoever kind or nature are merged
herein. No verbal agreement or implied covenant shall be held to vary the provisions
herein.
28.5 Conflicts or Inconsistencies. In the event there are any conflicts or
inconsistencies between this Agreement and the Scope of Services or any other
attachments attached hereto, the terms of this Agreement shall govern.
28.6 Interpretation. The terms of this Agreement shall be construed in
accordance with the meaning of the language used and shall not be construed for or
against either party by reason of the authorship of the Agreement or any other rule of
construction which might otherwise apply.
28.7 Amendments. This Agreement may be modified or amended only by a
written document executed by both Consultant and City and approved as to form by the
City Attorney.
28.8 Severability. If any term or portion of this Agreement is held to be invalid,
illegal, or otherwise unenforceable by a court of competent jurisdiction, the remaining
provisions of this Agreement shall continue in full force and effect.
28.9 Controlling Law and Venue. The laws of the State of California shall
govern this Agreement and all matters relating to it and any action brought relating to
this Agreement shall be adjudicated in a court of competent jurisdiction in the County of
Orange, State of California.
28.10 Equal Opportunity Employment. Consultant represents that it is an equal
opportunity employer and it shall not discriminate against any subcontractor, employee
or applicant for employment because race, religious creed, color, national origin,
ancestry, physical handicap, medical condition, marital status, sex, sexual orientation,
age or any other impermissible basis under law.
28.11 No Attorneys' Fees. In the event of any dispute or legal action arising
under this Agreement, the prevailing party shall not be entitled to attorneys' fees.
28.12 Counterparts. This Agreement may be executed in two (2) or more
counterparts, each of which shall be deemed an original and all of which together shall
constitute one (1) and the same instrument.
[SIGNATURES ON NEXT PAGE]
NexLevel Information Technology, Inc. Page 10
IN WITNESS WHEREOF, the parties have caused this Agreement to be
executed on the dates written below.
APPROVED AS TO FORM:
CITY ATTORNEY'S OFFICE
Date: /
By: `
Aaron C. Harp 5�9
City Attorney
ATTEST: L ��
Date: 4
By: am�� NMI—
Leilani
I. Brown
City Clerk
CITY OF NEWPORT BEACH,
a California municipal corporation
Date: -1--/7-/&
By:
Kimberly Brandt, AICP
Community Development Director
CONSULTANT: NexLevel Information
Technology, Inc --a California corporation
Date: - C/ ��k'�
By:
ek
Frank Otto
President/CEO/Director
Date:—
By-
Terry
ate:
By:Terry Hackelman
Secretary/CFO/Director
[END OF SIGNATURES]
Attachments: Exhibit A — Scope of Services
Exhibit B — Schedule of Billing Rates
Exhibit C — Insurance Requirements
NexLevel Information Technology, Inc. Page 11
EXHIBIT
SCOPE OF SERVICES
NexLevel Information Technology, Inc. Page A-1
Land Management, Planning & Permitting System
Phase 1 — Assessment and Requirements Development
NexLevel will perform a thorough assessment of the current environment capabilities, functions, and
interfaces. All current features and functions will be documented, listed, and evaluated to determine if
they are still required. The assessment of the current land management system and processes will
include a high level description for each function.
The current environment assessment will help us determine the system features and functions that
must be replaced. The capabilities of the current system that are still required provide a starting point
for requirements and specifications of the replacement system. Complete documentation of current
environment and systems will also facilitate planning for an automated conversion of data to the
replacement system.
Once the current environment is fully understood and documented, it is important to identify
opportunities for improving processes, eliminating unnecessary procedures, increased information
sharing, and automating workflow. As part of this phase, NexLevel will review readily available
information and document any features not included in the current system that should be considered
for a future system. This is the time for NexLevel to analyze existing processes to identify opportunities
for improving the integration of data, avoiding potential redundancies, minimizing time-consuming
steps, minimizing the potential for introduction of errors, and to generally improve the overall
effectiveness of operations.
This process should focus on functional visions, objectives, and goals, rather than a specific technology
or system. The following list contains considerations that need to be evaluated when procuring an
enterprise system to ensure that in the future state, work is performed more efficiently and effectively:
♦ Maximizing resources by providing staff timely and easy access to information
♦ Doing work once and on time
♦ Collecting and recording each piece of information only once
Sharing information online to allow for immediate and concurrent delivery of multiple services
♦ Eliminating the need for paper and forms -based work queues
♦ Integrating policy into the automated processes and procedures
♦ Simplifying processes to eliminate the need for task compartmentalization, excessive
specialization, and multiple hand-offs
♦ Completing services in an integrated manner to the extent possible
♦ Taking maximum advantage of enabling technologies including mobility technology
♦ Using the system to perform and control routine work actions
♦ Applying common sense in matching processes, approaches, and technology
In Table 1— Phase 1 Activities and Deliverables, we identify the activities and deliverables to be
completed as part of this phase.
Table 1- Phase 1 Activities and Deliverables
Project Approach: Phawsand Tasks I Deliverables
1.1- D.urnenh Request
1.2 -Initial DowmeMation of Ezhd r% Sys tems ✓ Recommendation Regardog Bert Practices
O 1.3- Conduct lyderview Sessions wth ldeMidled Staff ✓ Draft / FIM l Otywide UAS Needs Assessment Repeat
1.4 -Identify aM OMMM Other Comonn WS Fnctonafity
1.5-Formake Requrements
LISTEN.PLAN.DELIVER
Land Management, Planning & Permitting System
TaTActivity
Description Deliverables
1.1
— -
Documents NexLevel will request documentation to familiarize us with
Request current processes, systems, data flows, reports, policies,
and procedures for processes that utilize the land
management, planning and permitting functions.
1.2 Initial
Working with the City, NexLevel will document the current
Documentation
environment to include key workflows of existing practices
of Existing
and procedures that support the City's land management,
Systems
planning and permitting functions. NexLevel will utilize
the City's existing IT strategic plan data as a starting point
for this activity.
1.3
Conduct
This task involves conducting interviews with City staff to
Interview
understand the current processes, requirements, issues,
Sessions with
business practices, future needs, potential problems and
Identified Staff
opportunities for improvement. NexLevel will use an
interview checklist to ensure consistency and
completeness in the sessions, and will utilize our
experience with other cities selecting new software during
our data gathering sessions with City staff.
Working with City staff, NexLevel will determine what
sessions should be group or individual interviews.
NexLevel anticipates approximately 20 interviews to
complete this process.
1.4
Identify and
NexLevel will research current LMS applications and utilize
Recom-
Document
information gathered to compare current application
mendations
Other Common
features and functions with what the City is considering in
regarding Best
LMS
its use of a new LMS application.
Practices
Functionality
1.5
Formalize
Utilizing data gathered during the previous activities,
Draft Citywide
Requirements
NexLevel will develop the system's functional and
LMS Needs
technical requirements that will clearly identify the City's
Assessment
user needs. NexLevel will provide an initial draft needs
Report
assessment report for City review and comment, revise
Final Citywide
the draft report based on City input, and produce a final
LMS Needs
needs assessment report.
Assessment
Report
LISTEMPLAMDELIVER
L.V.L
Land Management, Planning & Permitting System
Phase 2 — RFP Development, Release and Administration
This phase is focused on creating the RFP and supporting processes to allow the City to select and
procure the solution(s) that provide the best overall value. An RFP is a highly structured document that
specifies minimally acceptable administrative, functional, technical, and contractual requirements, as
well as the evaluation criteria that will govern the contract award. It is important to note that while the
RFP is a highly structured document, it should also be concise and straightforward such that vendors are
able to respond in an efficient and comprehensive fashion.
The City's technical requirements should also allow room for vendors to offer innovative solutions that
exceed the specifications in the RFP. Meeting the minimum mandatory requirements should receive no
more than a satisfactory rating. To demonstrate added value, a vendor should be able to describe how a
component is integrated with other solution components. Explaining, in addition, the technical
component's contribution to the organization's business objectives is an illustration of maximum added
value.
In Table 2— Phase 2 Activities and Deliverables beginning on the following page, we identify the activities
and deliverables to be completed as part of this phase.
Table 2 - Phase 2 Activities and Deliverables
Prolect Approach: Phasesand Tasks I deliverables
2.1—Finalize Functional Requirements for Replacement System J FunTecctional Requirements Section ot RFP
J sial of RFP
2.2—Establish Technkal5mpefor Replacement Sszgm ✓ Supplemental RFP Material
ntalRRequiRFP
supplemental
2.3—Develop Suppleme tal RFP Material
2.4—Develop Evaluation Methodology ✓ Evaluation
J and Scoobgy
Scoring 6eRion of RFP
O 2.6—D'Kttbut¢Draft RFP lnternallyfa Redew
✓ Drah/Final RW
Draft/ Final RW
2.6—Develop Potential Vendor Dsting
✓ Potential Vendor lining
2.7— Publish And Release Final RFP
2.8— Coordinate and Assist in Responding to Bidder Questons ✓ Vendor RFP Release Announcement
✓ Assistance with City Responses to Bidder Questions
Task Activity
Description
Deliverables
2.1 Finalize
NexLevel will document the functional requirements to
Functional
Functional
be met by the new application software. This activity
Requirements
Requirements
includes:
Section of RFP
for
♦ Business process/workflow assessment and
Replacement
recommendations
System
♦ System improvements and user need evaluations
♦ Review of existing software strengths and
weaknesses
♦ Discussion of future trends in enterprise land
management systems
♦ Software integration planning
LISTEMPLAN.DELNER
N= L=V=L
Land Management, Planning & Permitting System
Task
Activity
Description Deliverables
I
NexLevel will work with the City to establish the technical Technical
2.2
Establish
Technical
scope for the replacement system procurement. This Requirements
Scope for
should identify not only the relevant modules, but also Section of RFP
Replacement
the following components: hardware, software,
System
database, technical platform, development approach,
integration issues, technical interfaces, testing plan,
resource requirements, training plan, ongoing
maintenance, information security, impact on existing
infrastructure and end-users, and backup and operational
recovery.
2.3
Develop
Drawing on previous work products, NexLevel will
Supplemental
Supplemental
prepare the supplemental RFP material and
RFP Material
RFP Material
requirements:
♦ Prepare RFP introductory material
♦ Prepare current system/environment material
♦ Prepare administrative requirements material
♦ Prepare technical requirements material
♦ Prepare deliverable requirements material
♦ Prepare costing requirements material
♦ Incorporate City s contract material
♦ Prepare format section material
2.4
Develop
The purpose of this task is to thoroughly define the
Evaluation
Evaluation
Evaluation Methodology, which will guide the selection
Methodology
Methodology
process. This step is critical to the ultimate selection of
Evaluation and
the appropriate vendor. NexLevel will provide examples
Scoring Section
from other municipal organizations and assist in
of RFP
identifying criteria appropriate for the City. These criteria
may include factors such as:
♦ Responsiveness to functional and technical
requirements
♦ Responsiveness to administrative requirements
♦ Long-term viability
♦ Vendor support and maintenance
♦ Vendor implementation approach
♦ Vendor experience
♦ Cost
2.5
Distribute
NexLevel will compile a draft RFP for the City's review. It
Draft RFP
Draft RFP
is essential for this document to be reviewed for accuracy
Internally for
by all key stakeholders including representatives of each
Review
department or division that will use or be affected by the
new system.
LISTEN.PLAN.DELIVER
Land Management, Planning & Permitting System
Task
Activity
Description
Deliverables
2.6
Develop
Based on NexLevel's experience and research, we will
Potential Vendor
Potential
provide a recommended vendor listing to ensure the City
Listing
Vendor Listing
procurement creates a competitive environment and
Vendor RFP
offers the City quality and qualified proposal responses.
Release
management system functions.
Announcement
2.7
Publish and
NexLevel will update the RFP and complete the
Final RFP
Release Final
preparation of the Final RFP. The Final RFP will be made
RFP
available to vendors in both hard and electronic copy
formats.
2.8
Coordinate and
NexLevel will assist the City in responding to bidder
Assistance with
Assist in
questions. NexLevel will work with the City to develop
City Responses
Responding to
answers to technical questions, compile responses to all
to Bidder
Bidder
bidder questions, and format them for publication.
Questions
Questions
Phase 3 — Proposal Evaluation and Selection
The primary purpose of this phase is to ensure that the vendor selected is in the best interest of the City.
This requires careful and detailed review of information provided in response to the RFP, as well as
independent research, validation and verification.
In Table 3 — Phase 3 Activities and Deliverables, we identify the activities and deliverables to be
completed as part of this phase.
Table 3 - Phase 3 Activities and Deliverables
Project Approach: Phasesand Tasks I Deliverables
W3.3—
mrdnate and Facilitate Evaluation Convnktee ✓ Establish Evaluation Committee
evelop Evaluation and Sooring Sheet Templates ✓ Evaluation and Scoring Sheet Teni,lates
Orepare Prod of Capabi lit es(POCITest Scots ✓ POCSatpts
oordirete OrliteVerdes Proof of Capabilities JPOC)✓ Carnpgatim of Completed EvaluationaM S<odngSheets
eriewandCompileCompleted Evaluation and Scoring Sheets✓ Vendor POC Agenda
ssiut with Perfornanceof Due Diligence Background Investigatiors✓ Nocesfran Eads Session
onduct Vendor Selection Workshop ✓ Reference Cheri Guidelines
✓ Selection Report
Task Activity Description Deliverables
3.1
Coordinate and
NexLevel will work with the City to identify individuals
Establish
Facilitate
who should participate in the evaluation of the
Evaluation
Evaluation
replacement system. This should include key
Committee
Committee
stakeholders and representatives of departments or
divisions that have a significant dependence on land
management system functions.
LISTEN.PLAN.DELIVER
Land Management, Planning & Permitting System
Task
Activity
Description
NexLevel will work with the City to develop evaluation
Deliverables
Evaluation and
3.2
Develop
Evaluation and
and scoring sheets. The evaluators will use these sheets
Scoring Sheet
Scoring Sheet
to document their evaluation results and to ensure each
Templates
Templates
evaluator focuses on the same evaluation factors.
3.3
Prepare Proof of
Working with the City, NexLevel will define test scripts
POC Scripts
Capabilities
and scenarios that vendors will follow when
(POC) Test
demonstrating the features of their products and that
Scripts
will allow for the identification of key differentiators.
3.4
Coordinate
In support of this activity, NexLevel will:
Vendor POC
Onsite Vendor
♦ Prepare the vendor POC Agenda and high level
Agenda
Proof of
scripts that will be utilized by the vendors
Notes from Each
Capabilities
during the sessions
POC Session
♦ Develop the scoring approach for evaluating
the vendor POCs
♦ Participate in these sessions, estimating three
(3) vendors and one (1) day of demonstrations
pervendor
♦ Provide a debriefing of the sessions at the
conclusion of each day of demonstrations
Because NexLevel believes these sessions to be
invaluable when selecting a new software solution, we
will work with the City to determine who should attend
and participate in the evaluation process.
3.5
Review and
NexLevel will gather and summarize the evaluation and
Compilation of
Compile
scoring sheets that have been completed by the
Completed
Completed
Evaluation Committee.
Evaluation and
Evaluation and
Scoring Sheets
Scoring Sheets
3.6
Assist with
NexLevel will prepare Reference Check Guidelines to be
Reference Check
Performance of
used when calling clients of the vendors. NexLevel will
Guidelines
Due Diligence
develop the guidelines to focus on the key City issues.
Background
NexLevel recommends that City personnel perform the
Investigations
reference checks, as these are a valuable education
tool.
L1STEMPLAMDEL/VER
No L=V=L
Land Management, Planning & Permitting System
3.7
Conduct Vendor
NexLevel will assist the City in reviewing the evaluation
Selection Report
Phase 2— RFP Development, Release and Administration
Selection
and scoring for the vendor proposals, demonstrations,
Weeks'15'= 20
Phase 3 — Proposal Evaluation and Selection
Workshop
reference checks and site visits, and help lead the
evaluation process to aid in selecting a final vendor.
NexLevel will document the results of this analysis in
the Selection Report.
Proposed Project Schedule
Based on our experience with past LMS procurements, and taking into consideration the size and
complexity of the City, NexLevel proposes the following project timeline:
Table 4 — Proposed Project Timeline
Phase
Proposed Timeline (in weeks)
Phase 1—Assessment and Requirements Development
Weeks 1-9
Phase 2— RFP Development, Release and Administration
Weeks 10-14
RFP Close Date and Response Period
Weeks'15'= 20
Phase 3 — Proposal Evaluation and Selection
Weeks 21— 32
The proposed timeline was developed to help ensure a successful procurement process that will lead to
the selection of the best fit solution for the City of Newport Beach. Based on our prior experience, we
anticipate the completion of Phases 1 & 2 within four months of contract signing. Once vendors have
responded and the RFP close date has passed, we anticipate completing Phase 3 within three months.
As part of the overall project, NexLevel will work with the City to review, refine and finalize a detailed
project schedule.
LISTEMPLAMDELIVER
EXHIBIT B
SCHEDULE OF BILLING RATES
NexLevel Information Technology, Inc. Page B-1
Land Management, Planning & Permitting System
Cost Proposal
Based on NexLevel's past experience on similar projects, as well as our review of the City's
organizational structure and size, we anticipate this project will require 330 hours to complete.
NexLevel agrees to a billing rate of $165 per hour inclusive of all travel and project related costs; thus
the cost to complete the project is estimated at $54,450. A detailed breakdown of costs is provided in
Table 1 below.
Table 1— Detailed Cost Proposal by Phase and Task
NexLevel will bill the City monthly for actual hours worked the prior month, and the invoice will provide
detail about activities undertaken during that month, along with providing information about
cumulative billing and remaining amounts available for the project.
The hours shown for each Phase are estimates of the time needed to complete the Tasks within that
Phase; thus, if a particular project Phase requires fewer than the estimated hours to complete, the City
would be able to utilize those hours on another Phase and Task.
At the City's request, NexLevel has provided a thirty (30) hour project contingency to the matrix above.
LISTEN. PLAN. DELIVER
Cost
$14,000
Phase
Phase 1
Assessment and Requirements Development
Resource
Patrick Griffin
Hours
80
Hourly
Rate
$165
Richard Keyes
80
$165
$14,000
Total Phase 1
160
$28,000
Phase
RFP Development, Release and Administration
Patrick Griffin
30
$165
$5,250
Richard Keyes
40
$165
$7,000
Total Phase 2
70
$12,250
Phase 3
Proposal Evaluation and Selection
Patrick Griffin
SO
$165
$8,750
Richard Keyes
50
$165
$8,750
Total Phase 3 100
Total Estimated Project Cost 330
Project Contingency 30
Total Contract Amount r
$17,500
1 , , 1
$165 $4,950
59,400
NexLevel will bill the City monthly for actual hours worked the prior month, and the invoice will provide
detail about activities undertaken during that month, along with providing information about
cumulative billing and remaining amounts available for the project.
The hours shown for each Phase are estimates of the time needed to complete the Tasks within that
Phase; thus, if a particular project Phase requires fewer than the estimated hours to complete, the City
would be able to utilize those hours on another Phase and Task.
At the City's request, NexLevel has provided a thirty (30) hour project contingency to the matrix above.
LISTEN. PLAN. DELIVER
EXHIBIT C
INSURANCE REQUIREMENTS — PROFESSIONAL SERVICES
1. Provision of Insurance. Without limiting Consultant's indemnification of City, and
prior to commencement of Work, Consultant shall obtain, provide and maintain at
its own expense during the term of this Agreement, policies of insurance of the
type and amounts described below and in a form satisfactory to City. Consultant
agrees to provide insurance in accordance with requirements set forth here. If
Consultant uses existing coverage to comply and that coverage does not meet
these requirements, Consultant agrees to amend, supplement or endorse the
existing coverage.
2. Acceptable Insurers. All insurance policies shall be issued by an insurance
company currently authorized by the Insurance Commissioner to transact
business of insurance in the State of California, with an assigned policyholders'
Rating of A- (or higher) and Financial Size Category Class VII (or larger) in
accordance with the latest edition of Best's Key Rating Guide, unless otherwise
approved by the City's Risk Manager.
3. Coverage Requirements.
A. Workers' Compensation Insurance. Consultant shall maintain Workers'
Compensation Insurance, statutory limits, and Employer's Liability
Insurance with limits of at least one million dollars ($1,000,000) each
accident for bodily injury by accident and each employee for bodily injury
by disease in accordance with the laws of the State of California, Section
3700 of the Labor Code.
Consultant shall submit to City, along with the certificate of insurance, a
Waiver of Subrogation endorsement in favor of City, its City Council,
boards and commissions, officers, agents, volunteers, employees and any
person or entity owning or otherwise in legal control of the property upon
which Consultant performs the Project and/or Services contemplated by
this Agreement.
B. General Liability Insurance. Consultant shall maintain commercial general
liability insurance, and if necessary umbrella liability insurance, with
coverage at least as broad as provided by Insurance Services Office form
CG 00 01, in an amount not less than one million dollars ($1,000,000) per
occurrence, two million dollars ($2,000,000) general aggregate. The
policy shall cover liability arising from premises, operations, personal and
advertising injury, and liability assumed under an insured contract
(including the tort liability of another assumed in a business contract).
C. Automobile Liability Insurance. Consultant shall maintain automobile
insurance at least as broad as Insurance Services Office form CA 00 01
covering bodily injury and property damage for all activities of Consultant
arising out of or in connection with Work to be performed under this
NexLevel Information Technology, Inc. Page C-1
Agreement, including coverage for any owned, hired, non -owned or rented
vehicles, in an amount not less than one million dollars ($1,000,000)
combined single limit each accident.
D. Professional Liability (Errors & Omissions) Insurance. Consultant shall
maintain professional liability insurance that covers the Services to be
performed in connection with this Agreement, in the minimum amount of
one million dollars ($1,000,000) per claim and two million dollars
($2,000,000) in the aggregate. Any policy inception date, continuity date,
or retroactive date must be before the Effective Date of this Agreement
and Consultant agrees to maintain continuous coverage through a period
no less than three years after completion of the Services required by this
Agreement.
4. Other Insurance Requirements. The policies are to contain, or be endorsed to
contain, the following provisions:
A. Waiver of Subrogation. All insurance coverage maintained or procured
pursuant to this Agreement shall be endorsed to waive subrogation
against City, its City Council, boards and commissions, officers, agents,
volunteers, employees and any person or entity owning or otherwise in
legal control of the property upon which Consultant performs the Project
and/or Services contemplated by this Agreement or shall specifically allow
Consultant or others providing insurance evidence in compliance with
these requirements to waive their right of recovery prior to a loss.
Consultant hereby waives its own right of recovery against City, and shall
require similar written express waivers from each of its subconsultants.
B. Additional Insured Status. All liability policies including general liability,
excess liability, pollution liability, and automobile liability, if required, but
not including professional liability, shall provide or be endorsed to provide
that City, its City Council, boards and commissions, officers, agents,
volunteers, employees and any person or entity owning or otherwise in
legal control of the property upon which Consultant performs the Project
and/or Services contemplated by this Agreement shall be included as
insureds under such policies.
C. Primary and Non Contributory. All liability coverage shall apply on a
primary basis and shall not require contribution from any insurance or self-
insurance maintained by City.
D. Notice of Cancellation. All policies shall provide City with thirty (30)
calendar days notice of cancellation (except for nonpayment for which ten
(10) calendar days notice is required) or nonrenewal of coverage for each
required coverage.
5. Additional Agreements Between the Parties. The parties hereby agree to the
following:
NexLevel Information Technology, Inc. Page C-2
A. Evidence of Insurance. Consultant shall provide certificates of insurance
to City as evidence of the insurance coverage required herein, along with
a waiver of subrogation endorsement for workers' compensation and other
endorsements as specified herein for each coverage. Insurance
certificates and endorsement must be approved by City's Risk Manager
prior to commencement of performance. Current certification of insurance
shall be kept on file with City at all times during the term of this
Agreement. City reserves the right to require complete, certified copies of
all required insurance policies, at any time.
B. City's Right to Revise Requirements. City reserves the right at any time
during the term of the Agreement to change the amounts and types of
insurance required by giving Consultant sixty (60) calendar days advance
written notice of such change. If such change results in substantial
additional cost to Consultant, City and Consultant may renegotiate
Consultant's compensation.
C. Enforcement of Agreement Provisions. Consultant acknowledges and
agrees that any actual or alleged failure on the part of City to inform
Consultant of non-compliance with any requirement imposes no additional
obligations on City nor does it waive any rights hereunder.
D. Requirements not Limiting. Requirements of specific coverage features
or limits contained in this Section are not intended as a limitation on
coverage, limits or other requirements, or a waiver of any coverage
normally provided by any insurance. Specific reference to a given
coverage feature is for purposes of clarification only as it pertains to a
given issue and is not intended by any party or insured to be all inclusive,
or to the exclusion of other coverage, or a waiver of any type. If the
Consultant maintains higher limits than the minimums shown above, the
City requires and shall be entitled to coverage for higher limits maintained
by the Consultant. Any available insurance proceeds in excess of the
specified minimum limits of insurance and coverage shall be available to
the City.
E. Self-insured Retentions. Any self-insured retentions must be declared to
and approved by City. City reserves the right to require that self-insured
retentions be eliminated, lowered, or replaced by a deductible. Self-
insurance will not be considered to comply with these requirements unless
approved by City.
F. City Remedies for Non -Compliance. If Consultant or any subconsultant
fails to provide and maintain insurance as required herein, then City shall
have the right but not the obligation, to purchase such insurance, to
terminate this Agreement, or to suspend Consultant's right to proceed until
proper evidence of insurance is provided. Any amounts paid by City shall,
at City's sole option, be deducted from amounts payable to Consultant or
reimbursed by Consultant upon demand.
NexLevel Information Technology, Inc. Page C-3
G. Timely Notice of Claims. Contractor shall give City prompt and timely
notice of claims made or suits instituted that arise out of or result from
Contractor's performance under this Contract, and that involve or may
involve coverage under any of the required liability policies. City assumes
no obligation or liability by such notice, but has the right (but not the duty)
to monitor the handling of any such claim or claims if they are likely to
involve City.
H. Consultant's Insurance. Consultant shall also procure and maintain, at its
own cost and expense, any additional kinds of insurance, which in its own
judgment may be necessary for its proper protection and prosecution of
the Work.
NexLevel Information Technology, Inc. Page C-4
CERTIFICATE OF INSURANCE
CHECKLIST
City of Newport Beach
This checklist is comprised of requirements as outlined by the City of Newport Beach. *
Date Received: 5/18/16 Dept./Contact Received From: Terresa
Date Completed: 5/18/16 Sent to: Terresa By: Alicia
Company/Person required to have certificate: Nexlevel Information Technology, Inc.
Type of contract: All Other
I. GENERAL LIABILITY
EFFECTIVE/EXPIRATION DATE: 5/1/16-5/1/17
A.
INSURANCE COMPANY: Travelers Property Casualty Company
of America
B.
AM BEST RATING (A-: VII or greater): A++: XV
C.
ADMITTED Company (Must be California Admitted):
Is Company admitted in California?
® Yes ❑ No
D.
LIMITS (Must be $1M or greater): What is limit provided?
1NV2M
E.
ADDITIONAL INSURED ENDORSEMENT—please attach
® Yes ❑ No
F.
PRODUCTS AND COMPLETED OPERATIONS (Must
include): Is it included? (completed Operations status does
F.
not apply to Waste Haulers or Recreation)
❑ Yes ❑ No
G.
ADDITIONAL INSURED FOR PRODUCTS AND
❑ Yes ❑ No
G.
COMPLETED OPERATIONS ENDORSEMENT (completed
❑ Yes ® No
H.
Operations status does not apply to Waste Haulers)
❑ Yes ❑ No
H.
ADDITIONAL INSURED WORDING TO INCLUDE (The City
its officers, officials, employees and volunteers): Is it
included?
® Yes ❑ No
I.
PRIMARY & NON-CONTRIBUTORY WORDING (Must be
included): Is it included?
® Yes ❑ No
J.
CAUTION! (Confirm that loss or liability of the named insured
is not limited solely by their negligence) Does endorsement
include `solely by negligence" wording?
❑ Yes ® No
K.
ELECTED SCMAF COVERAGE (RECREATION ONLY):
® N/A ❑ Yes ❑ No
L.
NOTICE OF CANCELLATION:
❑ N/A ® Yes ❑ No
It. AUTOMOBILE LIABILITY
EFFECTIVE/EXPIRATION DATE: 5/1/16-5/1/17
A.
INSURANCE COMPANY: Travelers Property Casualty Company of America
B.
AM BEST RATING (A-: VII or greater) A++: XV
C.
ADMITTED COMPANY (Must be California Admitted):
Is Company admitted in California?
® Yes ❑ No
D.
LIMITS - If Employees (Must be $1 M min. BI & PD and $500,000
UM, $2M min for Waste Haulers): What is limits provided? 1M
E
LIMITS Waiver of Auto Insurance / Proof of coverage (if individual)
(What is limits provided?) N/A
F.
PRIMARY & NON-CONTRIBUTORY WORDING (For Waste
Haulers only): ® NIA
❑ Yes ❑ No
G.
HIRED AND NON -OWNED AUTO ONLY: ❑ N/A
❑ Yes ® No
H.
NOTICE OF CANCELLATION: ❑ NIA
0 Yes ❑ No
III. WORKERS' COMPENSATION
EFFECTIVE/EXPIRATION DATE: 5/1/16-5/1/17
A. INSURANCE COMPANY: Travelers Property Casualty Company of America
B. AM BEST RATING (A-: VII or greater): A++: XV
C. ADMITTED Company (Must be California Admitted): ® Yes ❑ No
D. WORKERS' COMPENSATION LIMIT: Statutory ® Yes ❑ No
E. EMPLOYERS' LIABILITY LIMIT (Must be $1M or greater) 1M
F. WAIVER OF SUBROGATION (To include): Is it included? ® Yes ❑ No
G. SIGNED WORKERS' COMPENSATION EXEMPTION FORM: ® N/A ❑ Yes ❑ No
H. NOTICE OF CANCELLATION: ❑ N/A ® Yes ❑ No
ADDITIONAL COVERAGE'S THAT MAYBE REQUIRED
IV. PROFESSIONAL LIABILITY
® N/A ❑ Yes ❑ No
V POLLUTION LIABILITY
® N/A ❑ Yes ❑ No
V BUILDERS RISK
® N/A ❑ Yes ❑ No
/1 - 111111110
Approved:
5/18/16
Agent of Alliant Insurance Services Date
Broker of record for the City of Newport Beach
RISK MANAGEMENT APPROVAL REQUIRED (Non -admitted carrier rated less than _;
Self Insured Retention or Deductible greater than $ ) ❑ N/A ❑ Yes ❑ No
Reason for Risk Management approval/exception/waiver:
Approved:
Risk Management Date
* Subject to the terms of the contract.