Agreement - Jacobs

City of Chandler — Regular Meeting (2021-08-12)

View PDF Meeting page

Extracted text (via pymupdf) 22655 characters
L"'!-: CHANDLER
'4jt$ar1zona 
Community of Innovation 
PROFESSIONAL SERVICES AGREEMENT 
Design Services 
RECLAIMED WATER SYSTEM STUDY 
Project No. WW2108.101 
Council Date: August 12, 2021 
Item No. 
THIS AGREEMENT ("Agreement") is made and entered into on the __ day of _____ _, 
2021 ("Effective Date'1, by and between City of Chandler, an Arizona municipal corporation, 
("City"), and Jacobs Engineering Group Inc., a Delaware corporation, ("Consultant") (City 
and Consultant may individually be referred to as "Party" and collectively referred to as 
"Parties"). 
RECITALS 
A. City proposes to engage Consultant to provide Design Services for RECLAIMED WATER
SYSTEM STUDY project as more fully described in Exhibit "A", which is attached to and made
a part of this Agreement by this reference.
B. Consultant is ready, willing, and able to provide the services described in Exhibit "A" for
the compensation and fees set forth and as described in Exhibit "8", which is attached to
and made a part of this Agreement by this reference.
C. City desires to contract with Consultant to provide these services under the terms and
conditions set forth in this Agreement.
AGREEMENT 
NOW, THEREFORE, in consideration of the premises and the mutual promises contained in this 
Agreement, City and Consultant agree as follows: 
SECTION !--CONSULTANT'S SERVICES 
Consultant must perform the services described in Exhibit "A" to City's satisfaction within the 
terms and conditions of this Agreement and within the care and skill that a person who 
provides similar services in Chandler, Arizona exercises under similar conditions. All work or 
services furnished by Consultant under this Agreement must be performed in a skilled and 
workmanlike manner. All fixtures, furnishings, and equipment furnished by Consultant as 
part of the work or services under this Agreement must be new, or the latest model, and of 
the most suitable grade and quality for the intended purpose of the work or service. 
City of Chandler Professional Services Agreement 
Public Works & Utilities Department, Capital Projects Division 
Project Name: RECLAIMED WATER SYSTEM STUDY 
Project No.: WW2108.101 
Rev. 5/11/2021 
Page 1

SECTION 11--PERIOD OF SERVICE 
Consultant must perform the services described in Exhibit "A" for the term of this 
Agreement. 
Unless amended in writing by the Parties, the Agreement term expires 270 
calendar days after the Notice to Proceed (NTP) Date. 
SECTION 111--PAYMENT OF COMPENSATION AND FEES 
Unless amended in writing by the Parties, Consultant's compensation and fees as more fully 
described in Exhibit "B" for performance of the services approved and accepted by City 
under this Agreement must not exceed $420,400 for the full term of the Agreement. 
Consultant may not increase any compensation or fees under this Agreement without the 
City's prior written consent. Consultant must submit monthly requests for payment of 
services approved and accepted during the previous billing period and must include, as 
applicable, detailed invoices and receipts, a narrative description of the tasks accomplished 
during the billing period, a list of any deliverables submitted, and any subconsultant's or 
supplier's actual requests for payment plus similar narrative and listing of their work. 
Consultant must submit an Application and Certification for Payment Sheet with the monthly 
request for payment to: Capita1Projects.Payab1es@chandleraz.gov. Payment for those 
services negotiated as a lump sum will be made in accordance with the percentage of the 
work completed during the preceding billing period. Services negotiated as a not-to-exceed 
fee will be paid in accordance with the work effort expended on the service during the 
preceding month. All requests for payment must be submitted to City for review and 
approval. City will make payment for approved and accepted services within 30 calendar days 
of City's receipt of the request for payment. Consultant bears all responsibility and liability for 
any and all tax obligations that result from Consultant's performance under this Agreement. 
SECTION IV--CITY'S OBLIGATIONS 
As part of Consultant's services under this Agreement, City will provide furnished items, 
services, or obligations as detailed in Exhibit "D".
SECTION V--GENERAL CONDITIONS 
5.1 Notices. Unless otherwise provided herein, demands under this Agreement must be in 
writing and will be deemed to have been duly given and received either (a) on the date of 
service if personally served on the party to whom notice is to be given, or (b) on the third day 
after the date of the postmark of deposit by first class United States mail, registered or 
certified, postage prepaid and properly addressed as follows: 
City of Chandler Professional Services Agreement 
Public Works & Utilities Department, Capital Projects Division 
Project Name: RECLAIMED WATER SYSTEM STUDY 
Project No.: WW2108.101 
Rev. 5/11/2021 
Page 2

To City: 
City of Chandler 
Public Works & Utilities Department 
Attn: CIP City Engineer 
P.O. Box 4008, Mail Stop 407 
Chandler, AZ 85244-4008 
Phone: 480-782-3343 
Email: andrew.goh@chandleraz.gov 
With a Copy to: 
Project Manager 
City of Chandler 
Public Works & Utilities Department 
P.O. Box 4008, Mail Stop 407 
Chandler, AZ 85244-4008 
To Consultant: 
Jacobs Engineering Group Inc. 
101 N. 1st Ave., Ste. 2600 Phoenix, AZ 85003 
Statutory Agent Name: CT Corporation System 
Statutory Agent Physical Address: 3800 N. Central Ave., Ste. 460 
Phoenix AZ 85012 
Consultant's Authorized Project Representative 
Name: Roman Aguirre 
Title: Vice President 
Physical Address: 1501 W. Fountainhead Pkwy., Ste. 401 Tempe, AZ 
85282 
Phone: 602-402-3494 
Email: roman.aguirre@jacobs.com 
5.2 Records/Audit. Records of Consultant's direct personnel payroll, reimbursable expenses 
pertaining to this Agreement and records of accounts between City and Consultant must be 
kept on the basis of generally accepted accounting principles and must be made available to 
City and its auditors for up to three years following City's final acceptance of the services 
under this Agreement (this requirement is increased to five years if construction of this 
project is federally funded). City, its authorized representative, or any federal agency, 
reserves the right to audit Consultant's records to verify the accuracy and appropriateness of 
all cost and pricing data, including data used to negotiate this Agreement and any 
amendments. City reserves the right to decrease the total amount of Agreement price or 
payments made under this Agreement or request reimbursement from Consultant following 
final contract payment on this Agreement if, upon audit of Consultant's records, the audit 
discloses Consultant has provided false, misleading, or inaccurate cost and pricing data. 
Consultant will include a similar provision in all of its contracts with subconsultants who 
provide services under the Agreement to ensure that City, its authorized representative, or 
the appropriate federal agency, has access to the subconsultants' records to verify the 
accuracy of all cost and pricing data. City reserves the right to decrease Contract price or 
City of Chandler Professional Services Agreement 
Public Works & Utilities Department, Capital Projects Division 
Project Name: RECLAIMED WATER SYSTEM STUDY 
Project No.: WW2108.101 
Rev. 5/11/2021 
Page 3

3.1.4. Coverage provided by Consultant must not be limited to the liability assumed under 
the indemnification provisions of this Agreement. 
3.1.5.   The policies must contain a severability of interest clause against City, its officers, 
3.1.6. Consultant, its successors and or assigns, are required to maintain Commercial 
General Liability insurance as specified in this Agreement for a minimum period of 3 
years following completion and acceptance of the Work. Consultant must submit a 
Certificate of Insurance evidencing Commercial General Liability insurance during this 
3 year period containing all the Agreement insurance requirements, including naming 
City of Chandler, its agents, representatives, officers, directors, officials and 
employees as Additional Insured as required. 
3.1. 7. If a Certificate of Insurance is submitted as verification of coverage, City will 
reasonably rely upon the Certificate of Insurance as evidence of coverage but this 
acceptance and reliance will not waive or alter in any way the insurance requirements 
or obligations of this Agreement. 
3.2. Insurance Cancellation During Term of Contract/Agreement. 
3.2.1. If any of the required policies expire during the life of this Agreement, Consultant 
must forward renewal or replacement Certificates to City within 10 days after the 
renewal date containing all the required insurance provisions. 
3.2.2. Each insurance policy required by the insurance provisions of this Agreement must 
provide the required coverage and must not be suspended, voided or canceled 
except after thirty (30) days prior written notice has been given to City, except when 
cancellation is for non-payment of premium, then ten (10) days prior notice may be 
given. 
Such notice must be sent directly to Chandler Law-Risk Management 
Department, Post Office Box 4008, Mailstop 628, Chandler, Arizona 85225. If any 
insurance company refuses to provide the required notice, Consultant or its 
insurance broker must notify City of any cancellation, suspension, non-renewal of any 
insurance within seven (7) days of receipt of insurers' notification to that effect. 
3.3 
City as Additional Insured. The policies are to contain, or be endorsed to contain, the following 
provisions: 
3.3.1. The Commercial General Liability and Automobile Liability policies are to contain, or 
be endorsed to contain, the following provisions: City, its officers, officials, agents, 
and employees are additional insureds with respect to liability arising out of 
activities performed by, or on behalf of, Consultant; Products and Completed 
operations of Consultant; and automobiles owned, leased, hired, or borrowed by 
Consultant. 
City of Chandler Professional Services Agreement Exhibit "C" 
Public Works & Utilities Department, Capital Projects Division 
Project Name: RECLAIMED WATER SYSTEM STUDY 
Project No.: WW2108.101 
Rev. 5/11/2021 
Page C-3 
officials, agents, and employees, for losses arising from Work performed by 
Consultant for City.

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:
CERTIFICATE NUMBER:
COVERAGES
IMPORTANT:  If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.  A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.  THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED.  NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$
$
$
$
PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOS
AUTOS ONLY
NON-OWNED
SCHEDULED
OWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBER
TYPE OF INSURANCE
LTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES  (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB
$
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR
CLAIMS-MADE
DED
RETENTION $
$
PRODUCTS - COMP/OP AGG
$
GENERAL AGGREGATE
$
PERSONAL & ADV INJURY
$
MED EXP (Any one person)
$
EACH OCCURRENCE
DAMAGE TO RENTED
$
PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE
OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT
LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION.  All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
22667
X
A
A
1,000,000
LIC #0437153
1,000,000
5,000
X
City of Chandler
62749080
62749080
Los Angeles, CA 90017
EON G21655065 012
P.O. Box 4008, Mail Stop 407
1-212-948-1306
X
USA
2,000,000
07/21/2021
X
500,000
HDO G72493503
ACE AMER INS CO
nyumdo_newgalexy
07/01/22
PROFESSIONAL LIABILITY
PER CLAIM/PER AGG
07/01/22
1,000,000
Chandler, AZ 85244-4008
CIRTS_Support@jacobs.com
Marsh Risk & Insurance Services
A
2,000,000
X
1,000,000
07/01/21
633 W. Fifth Street
07/01/21
CONTRACTUAL LIABILITY
C/O Global Risk Management 1000 Wilshire Blvd., Suite 2100
07/01/22
N
A
2,000,000
ISA H25545631
A
A
Jacobs Engineering Group Inc.
07/01/21
2,000,000
X
Los Angeles, CA 90071
WCU C67817588 (OH)*
SCF C6781762A (WI)
WLR C67817540 (AOS)
07/01/21
07/01/21
07/01/21
1-212-948-1306
4,000,000
07/01/22
07/01/22
07/01/22
favor of the holder.  *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR
non-contributory.  General Liability coverage includes the severability of interests/Cross Suits Liability provision in
cert holder under contract for captioned work.  Coverage is primary and certificate holder's insurance is excess and
general liability & auto liability as respects the negligence of the insured in the performance of insured's services to
SECTOR: Public.  City of Chandler, its officers, officials, agents, and employees are added as an additional insured for
- Reclaimed Water System Study Project No. WW2108.101.  CONTRACT NUMBER: WW2108.101.  CONTRACT END DATE: 2/28/2022.
PROJECT MGR: Teresa Smithdehesus.  CONTRACT MGR: Connie Hodes.  RE: Professional Services Agreement for Design Services

SUPP (05/04)
SUPPLEMENT TO CERTIFICATE OF INSURANCE
DATE
NAME OF INSURED:
Additional Description of Operations/Remarks from Page 1:
Additional Information:
07/21/2021
Jacobs Engineering Group Inc.
*$2,000,000 SIR FOR STATE OF: OHIO
BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.*

    
 
'8WEAv!ZekcEAv
ZA]ceEWEZgv'kW;Ecv
$*/v("(."(v.*4,v"(v

			v6"%/ ".v*4%5.v/4"1v
		v
-]SN>sv'kW;Ecv
%*/v(%/v
v 		
v
0tW<^Tv 6%.v
)lX<Ecv
	v
-]SN>sv-EcN]Av
JE?hRoEv8hEv^GvZB^ceEWEZhv
		
	
v2+v		
	v
		
	
!eekEAvsv'8WEv]Hv!Zekc8Z>Ev]Wa8Zs
v&."(v"(/4.(v*&,(7
#[eEciviLEv_]UO@pv[kY=Ecv3LEvcEY8O[CEcv]IviLEvO[I]cY8iO][vPevi]v=Ev@]Y_VEiECv][UpvrLE[viLOevE[C]ceEYE[ivOevOeemECvek=eE9kE[ivi]viLEv_cE_8c8iP][v]IviLEv_]UO@p




	
 
 	


:[V8[2.G28E[QBCO[&IEC2X[KMCIM[QI[CQO[8WKCM.QCIG[6.Q8[0X[GIQC28[QI[XIT[IM[QB8[:CMOQ[#.F86[CGOTM86[:IM[.GX[M8.OIG[IQB8M[QB.G
GIGK.XF8GQ[I:[KM8FCTF[V8[VCEE[8G68.UIM[.O[O8Q[ITQ[08EIV[QI[O8G6[VMCQQ8G[GIQC28[I:[2.G28EE.QCIG[UC.[OT2B[8E85MIGC2
GIQC:C2.QCIG[.O[V8[68Q8MFCG8[ QI[QB8[K8MOIGO[IM[IMA.GCZ.QCIGO[ ECOQ86[CG[ QB8[O2B86TE8[QB.Q[XIT[IM[XITM[M8KM8O8GQ.QCU8
KMIUC68[IM[B.U8[KMIUC686[QI[TO[QB8['2B86TE8[ ,IT[IM[XITM[M8KM8O8GQ.QCU8[FTOQ[KMIUC68[TO[VCQB[QB8[8F.CE[.66M8OO
I:[OT2B[K8MOIGO[IM[IMA.GCZ.QCIGO[ .G6[V8[VCEE[TQCECZ8[OT2B[8F.CE[.66M8OO[QB.Q[XIT[IM[XITM[M8KM8O8GQ.QCU8[KMIUC686[QI
TO[IG[OT2B['2B86TE8	

(B8['2B86TE8[FTOQ[08[CGCQC.EEX[KMIUC686[QI[TO[VCQBCG[[6.XO[.?8M

(B8[08ACGGCGA[I:[QB8[&IEC3Y[K8MCI6[C:[QBCO[8G6IMO8F8GQ[CO[8=82QCU8[.O[I:[OT2B[6.Q8[IM

(BCO[ 8G6IMO8F8GQ[ B.O[ 088G[ .6686[ QI[ QB8[ &IEC2X[ C:[ QBCO[ 8G6IMO8F8GQ[ CO[ 8>82QCU8[ .?8M[ QB8[ &IEC2X[ K8MCI6
2IFF8G28O

(B8['2B86TE8[FTOQ[08[CG[.G[8E83QMIGC2[<IMF.Q[QB.Q[CO[.228KQ.0E8[QI[TO[.G6[FTOQ[08[.22TM.Q8	

%TM[68ECU8MX[I:[QB8[GIQC:C2.QCIG[.O[68O2MC086[CG[ &.M.AM.KB[ I:[QBCO[8G6IMO8F8GQ[VCEE[08[0.O86[IG[QB8[FIOQ[M828GQ
'2B86TE8[CG[ITM[M82IM6O[.O[I:[QB8[6.Q8[QB8[GIQC28[I:[2.G28EE.QCIG[CO[F.CE86[IM[68ECU8M86[QI[QB8[:CMOQ[#.F86[GOTM86
	
*8[VCEE[8G68.UIM[QI[O8G6[OT2B[GIQC28[QI[QB8[8F.CE[.66M8OO[2IMM8OKIG6CGA[QI[8.2B[K8MOIG[IM[IMA.GCZ.QCIG[CG6C2.Q86[CG
QB8['2B86TE8[.Q[E8.OQ[[6.XO[KMCIM[QI[QB8[2.G28EE.QCIG[6.Q8[.KKEC2.0E8[QI[QB8[&IEC3Y


(B8[ GIQC28[ M8:8M8G286[ CG[ QBCO[ 8G6IMO8F8GQ[ CO[ CGQ8G686[ IGEX[ QI[ 08[ .[ 2ITMQ8OX[ GIQC:C2.QCIG[ QI[ QB8[ K8MOIGO[ IM
IMA.GCZ.QCIGO[ G.F86[ CG[ QB8[ '2B86TE8[ CG[ QB8[ 8U8GQ[ I:[ .[ K8G6CGA[ 2.G28EE.QCIG[ I:[ 2IU8M.A8[ *8[ B.U8[ GI[ E8A.E
I0ECA.QCIG[ I:[ .GX[ DCG6[ QI[ .GX[ OT2B[ K8MOIGO[ IM[ IMA.GCZ.QCIGO[ %TM[ :.CETM8[ QI[ KMIUC68[ .6U.G28[ GIQC:C2.QCIG[ I:
2.G28EE.QCIG[QI[QB8[K8MOIGO[IM[IMA.GCZ.QCIGO[OBIVG[ CG[ QB8['2B86TE8[OB.EE[CFKIO8[GI[I0ECA.QCIG[IM[EC.0CECQX[I:[.GX
DCG6[ TKIG[ TO[ ITM[ .A8GQO[ IM[ M8KM8O8GQ.QCU8O[ VCEE[ GIQ[ 8WQ8G6[ .GX[ &IEC2X[ 2.G28EE.QCIG[ 6.Q8[ .G6[ VCEE[ GIQ[ G8A.Q8[ .GX
2.G28EE.QCIG[I:[QB8[&IEC3Y
 *8[.M8[GIQ[M8OKIGOC0E8[:IM[U8MC@CGA[.GX[CG:IMF.QCIG[KMIUC686[QI[TO[CG[.GX['2B86TE8[GIM[.M8[V8[M8OKIGOC0E8[:IM[.GX
CG2IMM82Q[CG:IMF.QCIG[QB.Q[XIT[IM[XITM[M8KM8O8GQ.QCU8[KMIUC68[QI[TO[ :[XIT[IM[XITM[M8KM8O8GQ.QCU8[6I8O[GIQ[KMIUC68[TO
VCQB[.['2B86TE8[V8[B.U8[GI[M8OKIGOC0CECQX[:IM[Q.DCGA[.GX[.2QCIG[TG68M[QBCO[8G6IMO8F8GQ[ G[.66CQCIG[ C:[G8CQB8M[XIT
GIM[ XITM[ M8KM8O8GQ.QCU8[ KMIUC68O[ TO[ VCQB[ 8F.CE[ .66M8OO[ CG:IMF.QCIG[ VCQB[ M8OK82Q[ QI[ .[ K.MSC2TE.M[ K8MOIG[ IM
IMA.GCZ.QCIG[ QB8G[V8[OB.EE[ B.U8[GI[ M8OKIGOC0CECQX[ <IM[Q.DCGA[ .2QCIG[VCQB[ M8A.M6[QI[ OT2B[K8MOIG[IM[ 8GQCQX[ TG68M[QBCO
8G6IMO8F8GQ

*8[F.X[.MM.GA8[VCQB[XITM[M8KM8O8GQ.QCU8[QI[O8G6[OT2B[GIQC28[CG[QB8[8U8GQ[I:[.GX[OT2B[2.G28EE.QCIG

,IT[VCEE[2IIK8M.Q8[VCQB[TO[CG[KMIUC6CGA[QB8['2B86TE8[IM[CG[2.TOCGA[XITM[M8KM8O8GQ.QCU8[QI[KMIUC68[QB8['2B86TE8

(BCO[8G6IMO8F8GQ[6I8O[GIQ[.KKEX[CG[QB8[8U8GQ[QB.Q[XIT[2.G28E[QB8[&IEC3Y
EE[IQB8M[Q8MFO[.G6[2IG6CQCIGO[I:[QBCO[&IEC2X[M8F.CG[TG2B.GA86[
(BCP[H7JNP9F9HR[CP[HJR[/LLEC4/1E9[CH[RB9[PR/R9P[J;[-[![["[$[$ [$")[/H7[+[
njM`dQuFDv.FbdFfF\j:jQqFv
6vv	
vv	


v
,:KFv
v

THIS ENDORSEMENT CHANGES THE POLICY.  PLEASE READ IT CAREFULLY.
Named Insured
Jacobs Engineering Group  Inc. 
Endorsement Number
Policy Symbol
EON
Policy Number
Policy Period
 to
Effective Date of Endorsement
Issued By (Name of Insurance Company)
ACE American Insurance Company
NOTICE TO OTHERS ENDORSEMENT – SCHEDULE
.
If We cancel or non-renew the Policy prior to its expiration date by notice to You for any reason other
than nonpayment of premium, We will endeavor, as set out below, to send written notice of
cancellation or non-renewal via such electronic or other form of notification as We determine, to the
persons or organizations listed in the schedule that You or Your representative provide or have
provided to Us (the Schedule).  You or Your representative must provide Us with both the physical
and e-mail address of such persons or organizations, and We will utilize such e-mail address and/or
physical address that You or Your representative provided to Us on such Schedule.
. The Schedule must be initially provided to Us within 30 days after:
i.
The beginning of the Policy Period, if this endorsement is effective as of such date; or
ii.
This endorsement has been added to the Policy, if this endorsement is effective after the Policy
Period commences.
. The Schedule must be in a format that is acceptable to Us and must be accurate.
.
Our delivery of the notification as described in Paragraph A of this endorsement will be based on the
most recent Schedule in Our records as of the date the notice of cancellation or non-renewal is
mailed or delivered to You.
.
We will endeavor to send or deliver such notice to the e-mail address or physical address
corresponding to each person or organization indicated in the Schedule at least 30 days prior to the
cancellation or non-renewal date applicable to the Policy.
.
The notice referenced in this endorsement is intended only to be a courtesy notification to the
person(s) or organization(s) named in the Schedule in the event of a pending cancellation or non-
renewal of coverage.  We have no legal obligation of any kind to any such person(s) or
organization(s).  Our failure to provide advance notification of cancellation or non-renewal to the
person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind
upon Us, Our agents or representatives, will not extend any Policy cancellation or non-renewal date
and will not negate any cancellation or non-renewal of the Policy.
.
We are not responsible for verifying any information provided to Us in any Schedule, nor are We
responsible for any incorrect information that You or Your representative provide to Us.  If You or
Your representative does not provide Us with a Schedule, We have no responsibility for taking any
action under this endorsement.  In addition, if neither You nor Your representative provides Us with
e-mail address and/or physical address information with respect to a particular person or
organization, then We shall have no responsibility for taking action with regard to such person or
entity under this endorsement.
. With respect to this endorsement Our, Us or We means the stock insurance company listed in the
Declarations, and You or Your means the insured person or entity listed in Item 1 of the Declarations
page.
All other terms and conditions of this Policy remain unchanged.
MS-36362 (04/19) 
Authorized Representative