Prescott Contract Amendment No. 2

City of Prescott
Contract Amendment No. Two (2)
Project Name FY19-24 Public Works On-Call Professional Services
Contractor: Harrington Planning + Design
Contract No: 2019-012
Account No(s): Various
04/26/202

Purpose of Amendment:
To extend the contract term one additional year, from an current expiration date of June 30, 2022.
The following changes shall be made to the Contract Documents:
Extend term to expire June 30, 2023.
Summary of Changes In Contract:
Contract Amount

Original Annual Contract Amount Annually $ 25,000.00
Amendment #1 (extend only)

Net Change this Amendment #2 (extend only) $ -
Amended Contract $ -
Original Expiration Date June 30, 2021

Amended Expiration Date June 30, 2023

Accepted by: y «0. <tr
Harrington Planning + Design Date
Approved by:_ fulton 4/27/22
Gwen Rowitsch, Public Works Deputy Director Date

Vy a yee
acest. MOAT SU BIZ
Sarah M- Siep, City Clerk Date

Approved as to Form: Lez ze > Se 7 S 2o22

Matthew P. Podréeky, Miterim City Attorney SS Date
Copy to: City Clerk

Public Works

: er)
ACORD
Nee —

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

4/27/2022

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER

Insurance Professionals of Arizona
3521 E Brown Rd. Ste 101

wae Michelle Jaramillo

PRONE, xy: (480) 981-6338 [RAIS no); (480) 981-6339

ees.  Michelle@insuranceproaz.com

INSURER(S) AFFORDING COVERAGE NAIC #
Mesa AZ 85213 INSURERA: VALLEY FORGE INS CO 20508
INSURED INSURERB: STATE AUTOMOBILE MUT INS CO 25135
Harrington Planning And Design LLC insuRERC: CONTINENTAL CAS CO 20443
3116S Mill Ave Ste 305 INSURERD: AMERICAN CAS CO OF READING PA 20427
INSURERE: NEW HAMPSHIRE INS CO
Tempe AZ 85282-3680 — |INSURERF :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Al CY
LTR TYPE OF INSURANCE INSD wv | POLICY NUMBER (MMIDOIYY) (AMIDDIYYY) LIMITS
¢ | COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
DAMAGE TO RENTED
] CLAIMS-MADE [x] occuR PREMISES (Ea occurrence) __|$ 1,000,000
MED EXP (Any one person) _|$ 10,000
A Y | Y | 7012955062 10/01/2021 | 10/01/2022 | PERSONAL & ADV INJURY $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000
X|Pouicy | Gao Loc PRODUCTS - COMP/OP AGG |$ 4,000,000
OTHER $
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY (ea accident) $ 1,000,000
ANY AUTO BODILY INJURY (Per person) |$
B OED ey SC HERULEO y | y | 10083756CA 07/11/2021 | 07/11/2022 [BODILY INJURY (Per accident) |S
La HIRED. NON-OWNED. PROPERTY DAMAGE 77
XJ autos onty AUTOS ONLY (Per accident)
$
3C| UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000
c EXCESS LIAB CLAIMS-MADE | Y 7012955126 10/01/2021 | 10/01/2022 |acGrREGATE 1,000,000
veo | X]RETENTIONS 10,000 $
(ORKERS COMPENSATION PER OTH-
JAND EMPLOYERS’ LIABILITY YIN x| STATUTE | ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT 1,000,000
D OFFICER/MEMBER EXCLUDED? [_])N/al_ ¥ | 7012955076 10/01/2021 | 10/01/2022 nae $
Mandatory in NH) E.L. DISEASE - EA EMPLOYEE|$ 1,000,000
if yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT |$ 1,000,000
: | Professional Liability - E&O Y 014111469-00 10/01/2021 | 10/01/2022 | Per occurrence 3,000,000
Per Aggregate 5,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

See ACORD 101

CERTIFICATE HOLDER

CANCELLATION

City of Prescott

atin: Public Works Director
433 N Virginia Street
1 Prescott, AZ 86301

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

Michelle Javdowitlo

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID:

LOC #:
®
A RD
wos ADDITIONAL REMARKS SCHEDULE Page 1 of 1
AGENCY NAMED INSURED
Insurance Professionals of Arizona Harrington Planning And Design LLC
POLICY NUMBER
10083756CA, 7012955126, 7012955076, 7012955062
CARRIER NAIC CODE
State Auto Insurance 25135, 2044] EFFECTIVE DATE:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE; Certificate Of Liability Insurance

Re: Public Works

Project Name FY19-24 Public Works On-Call Professional Services

The City of Prescott shall be named as an Additional Insured with respect to the liability arising out of activities performed by, or on behalf of the Professional.
City and Professional waive all rights against each other and their directors, officers, partners, commissioners, officials, agents, subcontractors and employees
for damages covered by property insurance during and after completion of the Services

Coverage is Primary and Non Contributory

30 days advance written notice of cancellation

10 days advance written notice of cancellation for non payment

ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD

o Vo
ACCORD
QQ

CERTIFICATE OF LIABILITY INSURANCE

DATE (MMIDDIYYYY)
4/27/2022

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER

Insurance Professionals of Arizona
3521 E Brown Rd. Ste 101

TONEACT Michelle Jaramillo

PHONE, ext): (480) 981-6338 (Ae, Noy: (480) 981-6339

Se ss Michelle@insuranceproaz.com

INSURER(S) AFFORDING COVERAGE NAIC #
Mesa AZ 85213 INSURERA: VALLEY FORGE INS CO 20508
INSURED INSURERB: STATE AUTOMOBILE MUT INS CO 25135
Harrington Planning And Design LLC INSURERC : CONTINENTAL CAS CO 20443
3116S Mill Ave Ste 305 INSURER D: AMERICAN CAS CO OF READING PA 20427
INSURERE: NEW HAMPSHIRE INS CO
Tempe AZ 85282-3680 | INSURERF :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS.
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NSE TYPE OF INSURANCE NSD Wo POLICY NUMBER (MIDBNYYY) (aMIDD YY) LIMITS
X [COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
——+ DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES (Ea occurrence) _|$ 1,000,000
|__| MED EXP (Any one person) $ 10,000
A Y | Y | 7012955062 10/01/2021 | 10/01/2022 | PERSONAL & ADV INJURY. $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER’ GENERAL AGGREGATE $ 4,000,000
X | Poucy C] Sect LE] Loc PRODUCTS - COMP/OP AGG |$ 4,000,000
OTHER: $
AUTOMOBILE LIABILITY ede NCETMIT Is 1,000,000
ANY AUTO BODILY INJURY (Per person) |$
B ee ouLy SCHEULED Y | Y | 10083756CA 07/11/2021 | 07/11/2022 | BODILY INJURY (Per accident) | $
HIRED NON-OWNED PROPERTY DAMAGE 3
AUTOS ONLY AUTOS ONLY (Per accident)
$
| 90] UMBRELLA LiAB occuR EACH OCCURRENCE $ 1,000,000
Cc EXCESS LIAB CLAIMS-MADE | Y 7012955126 10/01/2021 | 10/01/2022 | AGGREGATE $ 1,000,000
DED | X [retention s 10,000
(ORKERS COMPENSATION PER OTH
JAND EMPLOYERS’ LIABILITY YIN x] STATUTE I ER.
JANY PROPRIETOR/PARTNERJEXECUTIVE ACH Ai NT 1,000,000
D [prriceRMeMBER EXCLUDED? [_]]nsa] vy | 201295507 10/01/2021 | 10/01/2022 /ELEACHACCIDE s
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE|$ 1,000,000
If yes, describe under
IDESCRIPTION OF OPERATIONS below E.L, DISEASE - POLICY LIMIT _|$ 1,000,000
E | Professional Liability - F&O Y 014111469-00 10/01/2021 | 10/01/2022 | Per occurrence 3,000,000
Per Aggregate 5,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

See ACORD 101

CERTIFICATE HOLDER

CANCELLATION

City of Prescott

attn: Public Works Director
433 N Virginia Street
1 Prescott, AZ 86301

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

Michelle Jaramillo

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID:

LOC #:
- Ve

ACORD ADDITIONAL REMARKS SCHEDULE Page 1 of 1
AGENCY NAMED INSURED

Insurance Professionals of Arizona Harrington Planning And Design LLC

POLICY NUMBER

10083756CA, 7012955126, 7012955076, 7012955062

CARRIER NAIC CODE

State Auto Insurance 25135, 204¢| EFFECTIVE DATE:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: _Certificate Of Liability Insurance

Re: Public Works

Project Name FY 19-24 Public Works On-Call Professional Services

The City of Prescott shall be named as an Additional Insured with respect to the liability arising out of activities performed by, or on behalf of the Professional.
City and Professional waive all rights against each other and their directors, officers, partners, commissioners, officials, agents, subcontractors and employees
for damages covered by property insurance during and after completion of the Services

Coverage is Primary and Non Contributory

30 days advance written notice of cancellation

10 days advance written notice of cancellation for non payment

ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD

POLICY NUMBER: 7012955062

COMMERCIAL GENERAL LIABILITY
CG 20 10 10 01

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED — OWNERS, LESSEES OR
CONTRACTORS — SCHEDULED PERSON OR

ORGANIZATION

This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name of Person or Organization: "As required by written Contract"

“ALL LOCATIONS"

(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as

applicable to this endorsement.)

A Section Il — Who fs An Insured is amended to (1)
include as an insured the person or organization
shown in the Schedule, but only with respect to I+
ability arising out of your ongoing operations per-
formed for that insured.
B. With respect to the insurance afforded to these
additional insureds, the following exclusion — is
added: (2)

2. Exclusions

This insurance does not apply to "bodily injury"
or "property damage" occurring after:

CG 20 10 10 01 © ISO Properties, Inc., 2000

All work, including materials, parts or
equipment furnished in connection with
such work, on the project (other than
service, maintenance or repairs) to be
performed by or on behalf of the addi-
tional insured(s) at the site of the cov-
ered operations has been completed; or

That portion of "your work" out of which
the injury or damage arises has been
put to its intended use by any person or
organization other than another
contractor or subcontractor engaged in
performing operations for a principal as
a part of the same project.

Page 1 of 1

a

POLICY NUMBER: 7012955062 COMMERCIAL GENERAL LIABILITY
CG 20 37 10 01

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED — OWNERS, LESSEES OR
CONTRACTORS — COMPLETED OPERATIONS

This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name of Person or Organization:
AS WRITTEN PER CONTRACTS

Location And Description of Completed Operations:
"ALL LOCATIONS"

Additional Premium:

(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applicable to this endorsement.)

Section Il — Who Is An Insured is amended to include as an insured the person or organization shown in the
Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the
schedule of this endorsement performed for that insured and included in the "products-completed operations haz-

ard".

CG 20 37 10 01 © ISO Properties, Inc., 2000 Page 1 of 1

Oo

COMMERCIAL AUTO

POLICY NUMBER: 10083756CA ISSUE DATE: 07/11/2022

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED — PRIMARY AND
NON-CONTRIBUTORY WITH OTHER INSURANCE

This endorsement modifies insurance provided by the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi-
fied by this endorsement.
SCHEDULED PERSONS OR ORGANIZATIONS

AS WRITTEN PER CONTRACTS

PROVISIONS

A. The following is added to Paragraph c. in A. 1., B. The following is added to Paragraph 5., Other

CA T4 42 04 09

Who Is An Insured, of SECTION II-LIABILITY
COVERAGE:

Any person or organization shown above who is
required under a written contract or agreement
between you and that person or organization, that
is signed and executed by you before the "bodily
injury" or "property damage" occurs and that is in
effect during the policy period, to be named as an
additional insured is an "insured" for Liability Cov-
erage, but only for damages to which this insur-
ance applies and only to the extent that person or
organization qualifies as an "insured" under the
Who Is An Insured provision contained in Section
I.

© 2008 The Travelers Companies, inc.

Insurance, in B. General Conditions of SEC-
TION IV - BUSINESS AUTO CONDITIONS:

Regardless of the provisions of paragraph a. and
paragraph d. of this part 5. Other Insurance, if
the scheduled person or organization shown
above has other insurance under which it is the
first named insured and that insurance also ap-
plies, then this insurance is primary to and non-
contributory with that other insurance when the
written contract or agreement between you and
that scheduled person or organization, that is
signed and executed by you before the "bodily in-
jury" or "property damage" occurs and that is in
effect during the policy period, requires this insur-
ance to be primary and non-contributory.

Page 1 of 1

Policy: 7012955062
Harrington Planning & Design LLC

COMMERCIAL GENERAL LIABILITY
CG 20 01 04 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

PRIMARY AND NONCONTRIBUTORY -—
OTHER INSURANCE CONDITION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

The following is added to the Other Insurance (2) You have agreed in writing in a contract or
Condition and supersedes any provision to the agreement that this insurance would be
contrary: primary and would not seek contribution

from any other insurance available to the

Prim And N ibutory Insurance
tmary oncontributory Insu additional insured.

This insurance is primary to and will not seek
contribution from any other insurance available
to an additional insured under your policy
provided that:

(1) The additional insured is a Named Insured
under such other insurance; and

CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1

POLICY NUMBER: 70 129 55062
Harrington Planning & Design LLC

COMMERCIAL GENERAL LIABILITY
CG 24 040509

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE

Name Of Person Or Organization:

AS PER WRITTEN CONTRACT

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV ~ Conditions:

We waive any right of recovery we may have against
the person or organization shown in the Schedule
above because of payments we make for injury or
damage arising out of your ongoing operations or
"your work" done under a contract with that person
or organization and included in the “products-
completed operations hazard". This waiver applies
only to the person or organization shown in the
Schedule above.

CG 24 04 05 09 © Insurance Services Office, Inc., 2008

Page 1 of 1

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF OUR RIGHT TO RECOVER
FROM OTHERS ENDORSEMENT

Policy Number: 59 WEC ER4392 Endorsement Number:
Effective Date: 12/15/21 Effective hour is the same as stated on the Information Page of the policy.
Named Insured and Address: HARRINGTON PLANNING DESIGN LLC

3116 S MILL AVE STE 305

TEMPE AZ 85282

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our
right against the person or organization named in the Schedule.

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
SCHEDULE

Any person or organization for whom you are required by contract or agreement to obtain this waiver from us.
Endorsement is not applicable in KY, NH, NJ or for any MO construction risk

Countersigned by
‘Authorized Representative

Form WC 00 03 13 Printed in U.S.A.
Process Date: 11/05/20 Policy Expiration Date: 12/15/21