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HomeMy WebLinkAboutMatrix Consulting Group Ltd. 10/3/2021 CITY OF EVERETT Uri PROFESSIONAL SERVICES2 AGREEMENT J EVERETT THIS AGREEMENT made and entered into on this 3 r�"day of September,2021,by and between the CITY OF EVERETT,a municipal corporation under the laws of the State of Washington,hereinafter referred to as the"City,"and Matrix Consulting Group Ltd.,whose address 1650 South Amphlett Boulevard, Suite 213,San Mateo,CA 95112 hereinafter referred to as the"Service Provider." WHEREAS,the City desires to engage Service Provider to provide a police department efficiency assessment for the City of Everett;and WHEREAS,Service Provider represented, and by entering into this Agreement now represents,that it is fully qualified to perform the work to be performed hereunder in a competent and professional manner; NOW,THEREFORE,the parties herein do mutually agree as follows: 1. Engagement of Service Provider. In a competent and professional manner,Service Provider shall provide the following services in the attached:Exhibit A—Request for Proposal#2021-034 and elsewhere in this Agreement(the"Work"). Without a written directive of an authorized representative of the City, Service Provider shall not perform any services that are in addition to,or beyond the scope of, the Work between the City and Service Provider. This Agreement includes(1)this executed Professional Services Agreement document;(2)Exhibit A, Request for Proposal#2021-034;and(3)Exhibit B, Service Provider's proposal response which includes pricing dated July 22,2021, collectively the"Proposal"). The incorporation of the Proposal into this Agreement is subject the following: (A) if the Proposal contains or incorporates any conditions or terms in addition to or different from the terms of this executed Professional Services Agreement document, then such Proposal conditions or terms are not incorporated into this Agreement and (B) to the extent of any difference among the respective provisions of the Proposal and Exhibit A to this executed Professional Services Agreement document,the Service Provider shall be bound by the provisions that are more stringent on the Service Provider. If Service Provider's proposal is attached as an exhibit,and if such proposal contains or incorporates any conditions or terms in addition to or different from the terms of this Agreement,then Service Provider expressly agrees that such conditions or terms are neither incorporated nor included into this Agreement between the City and Service Provider. 2. Intellectual Property Rights. Unless otherwise expressly agreed in writing,all intellectual property rights in works created pursuant to this Agreement,or for the City of Everett,belong to the City of Everett. Service Provider retains any intellectual property rights in works created by Service Provider prior to engagement,or not for its performance of this Agreement. Service Provider expressly represents and warrants that the Work shall be original and shall not infringe on another's copyright,or rights in trade or service marks. Service Provider agrees to defend and indemnify City from any and all claims and damages arising out of this Agreement or the Work created hereunder. 3. Time of Beginning and Completion of Performance. This Agreement shall commence as of the date of mutual execution of this Agreement and shall be completed two years from the date of execution. Additionally,there are three(3)bilateral Option Terms. Both parties must agree to extend the contract for the Option Term. The duration of each Option Term is one-year. Page 1 Berks PSA 2020 4. Compensation. A. The City shall pay Service Provider only for completed Work and for services actually rendered which are described herein. Such payment shall be full compensation for Work performed or services rendered, including, but not limited to,all labor,materials, supplies,equipment,and incidentals necessary to complete the Work. B. Service Provider shall be paid such amounts and in such manner as provided on Form 4.03 Price Sheet. C. Total compensation,including all services and expenses,shall not exceed a maximum of $1 22,000.00. D. If Service Provider fails or refuses to accept direction or carry out the reasonable directions of the City in performance of its work,the City may,in addition to any other remedy,withhold from any payment otherwise due an amount that the City in good faith believes is equal to the cost to the City of correcting,re-procuring,or remedying any damage caused by Service Provider's conduct. 5. Termination of Contract. City reserves the right to terminate this Agreement at any time by sending written notice of termination to Service Provider("Notice"). The Notice shall specify a termination date("Termination Date")at least fourteen(14)days after the date the Notice is issued. The Notice shall be effective("Notice Date")upon the earlier of either actual receipt by Service Provider (whether by fax,mail,delivery or other method reasonably calculated to be received by Service Provider in a reasonably prompt manner)or three calendar days after issuance of the Notice. Upon the Notice Date, Service Provider shall immediately commence to end the Work in a reasonable and orderly manner. Unless terminated for Service Provider's material breach, Service Provider shall be paid or reimbursed for: (a)all hours worked and Eligible Expenses incurred up to the Notice Date,less all payments previously made;and(b)those hours worked and Eligible Expenses incurred after the Notice Date, but prior to the Termination Date,that were reasonably necessary to terminate the Work in an orderly manner. Notices under this Section 7 shall be sent by the United States Mail to Service Provider's address provided herein,postage prepaid,certified or registered mail,return receipt requested,or by delivery. In addition,Notices may also be sent by any other method reasonably believed to provide Service Provider actual notice in a timely manner,such as fax. The City does not by this Section 7 waive, release,or forego any legal remedy for any violation,breach,or non-performance of any of the provision of this Agreement. At its sole option,City may deduct from the final payment due Service Provider(a) any damages,expenses or costs arising out of any such violations,breaches,or non-performance and(b) any other backcharges or credits. The City shall not pay Service Provider for any expenses incurred or work done following the effective date of termination unless authorized in writing by the City before the expenses are incurred or the work is done. 6. Changes. The City may,from time to time, unilaterally decrease the scope of the services of Service Provider to be performed hereunder. Such decrease in the scope of work(and resulting decrease in compensation),shall:(a)be made only in writing and signed by an authorized City representative,(b) be explicitly identified as such and(c)become a part of this Agreement. 7. Subletting/Assignment of Contracts. Service Provider shall not sublet or assign any of the Work without the express,prior written consent of the City. Page 2 Berks PSA 2020 8. Indemnification. A. Service Provider will defend and indemnify and save harmless the City from any and all Claims arising out of,in connection with,or incident to any acts,errors,omissions,or conduct by Service Provider relating to,or arising out of its performance of,this Agreement. Service Provider will defend and indemnify the City whether a Claim is asserted directly against the City,or whether a Claim is asserted indirectly against the City,e.g.,a Claim is asserted against someone else who then seeks contribution or indemnity from the City.The amount of insurance obtained by,obtainable by,or required of Service Provider does not in any way limit Service Provider's duty to defend and indemnify the City. The City retains the right to approve Claims investigation and counsel assigned to said Claim and all investigation and legal work regarding said Claim shall be performed under a fiduciary relationship to the City. B. The Service Provider's obligations under this Section 8 shall not apply to Claims caused by the sole negligence of the City. If(1)RCW 4.24.115 applies to a particular Claim,and(2)such Claim is caused by or results from the concurrent negligence of(a)the Service Provider,its employees, subcontractors/subconsultants or agents and(b)the City,then the Service Provider's obligations under this Section 8 shall apply only to the extent allowed by RCW 4.24.115. C. Solely and expressly for the purpose of its duties to indemnify and defend the City, Service Provider specifically waives any immunity it may have under the State Industrial Insurance Law,Title 51 RCW. Service Provider recognizes that this waiver of immunity under Title 51 RCW was specifically entered into pursuant to the provisions of RCW 4.24.115 and was the subject of mutual negotiation. D. As used in this Section 8: (1)"City"includes the City,the City's officers,employees,agents,and representatives; (2)"Claims"include all losses,penalties,fines,claims,demands,expenses(including, but not limited to,attorney's fees and litigation expenses),suits,judgments,or damage,whether threatened,asserted or filed against the City,whether such Claims sound in tort,contract,or any other legal theory,whether such Claims have been reduced to judgment or arbitration award,irrespective of the type of relief sought or demanded(such as money or injunctive relief),and irrespective of the type of damage alleged(such as bodily injury,damage to property,economic loss,general damages, special damages,or punitive damages or infringement or misappropriation of any patent,copyright,trade secret, or other proprietary right);and(3)"Service Provider"includes Service Provider,its employees,agents, representatives and subcontractors. If,and to the extent, Service Provider employs or engages subcontractors,then Service Provider shall ensure that each such subcontractor(and subsequent tiers of subcontractors)shall expressly agree to defend and indemnify the City to the extent and on the same terms and conditions as Service Provider pursuant to this Section 8. The provisions of this Section 8 shall survive the expiration or termination of this Agreement. 9. Insurance. Service Provider shall procure and keep in force during the term of this Agreement, at Service Provider's own cost and expense,automobile liability insurance on all vehicles used by Service Provider in the performance of its duties under this Agreement. Proof of such insurance shall be provided to the City prior to performing any services hereunder. A statement certifying that no vehicle will be used in fulfilling this Agreement may be substituted for this insurance requirement. 10. Independent Contractor. A. This Agreement neither constitutes nor creates an employer-employee relationship. Service Provider must provide services under this Agreement as an independent contractor. Service Provider must comply Page 3 Berks PSA 2020 with all federal and state laws and regulations applicable to independent contractors including, but not limited to,the requirements listed in this Section 10. Service Provider agrees to indemnify and defend the City from and against any claims,valid or otherwise,made against the City because of these obligations. B. In addition to the other requirements of this Section 10,if Service Provider is a sole proprietor, Service Provider agrees that Service Provider is not an employee or worker of the City under Chapter 51 of the Revised Code of Washington,Industrial Insurance for the service performed in accordance with this Agreement,by certifying to the following: (1) Service Provider is free from control or direction over the performance of the service;and (2) The service performed is outside the usual course of business for the City,or will not be performed at any place of business of the City,or Service Provider is responsible for the costs of the principal place of business from which the service is performed;and (3) Service Provider is customarily engaged in an independently established business of the same nature as the service performed,or has a principal place of business for the service performed that is eligible for a business deduction for federal income tax purposes;and (4) On the effective date of this Agreement, Service Provider is responsible for filing a schedule of expenses,for the next applicable filing period,with the internal revenue service for the type of service performed;and (5) By the effective date of this Agreement or within a reasonable time thereafter, Service Provider has established an account with the department of revenue and other state agencies,where required,for the service performed for the payment of all state taxes normally paid by employers and businesses and has registered for and received a unified business identifier number from the state of Washington;and (6) By the effective date of this Agreement, Service Provider is maintaining a separate set of records that reflect all items of income and expenses of the services performed. C. Any and all employees of Service Provider,while engaged in the performance of any Work,shall be considered employees of Service Provider only and not of the City,and any and all claims that may or might arise under the Worker's Compensation Act on behalf of said employees or Service Provider,while so engaged in any and all claims made by a third party as a consequence of any negligent act or omission on the part of Service Provider's employees,while so engaged on any of the Work,shall be the sole obligation and responsibility of Service Provider. D. Service Provider shall comply with all applicable provisions of the Fair Labor Standards Act and other legislation affecting its employees and the rules and regulations issued thereunder insofar as applicable to its employees and shall at all times save the City free,clear and harmless from all actions, claims,demands and expenses arising out of said act,and rules and regulations that are or may be promulgated in connection therewith. E. Service Provider assumes full responsibility for the payment of all payroll taxes,use,sales, income,or other form of taxes(such as state and,city business and occupation taxes),fees,licenses, excises or payments required by any city,federal or state legislation which are now or may during the term of the Agreement be enacted as to all persons employed by Service Provider and as to all duties, activities and requirements by Service Provider in performance of the Work and Service Provider shall Page 4 Berks PSA 2020 assume exclusive liability therefore,and meet all requirements thereunder pursuant to any rules or regulations that are now or may be promulgated in connection therewith. 11. Employment/Conflict of Interest. Service Provider warrants that it has not employed or retained any company or person,other than a bona fide employee working solely for Service Provider,to solicit or secure this Agreement and that it has not paid or agreed to pay any company or person,other than a bona fide employee working solely for Service Provider,any fee,commission,percentage,brokerage fee,gifts, or any other consideration,contingent upon or resulting from the award or making of this Agreement. For breach or violation of this warranty,the City shall have the right to annul this Agreement without liability or,in its discretion,to deduct from the Agreement price or consideration or otherwise recover, the full amount of such fee,commission,percentage,brokerage fee,gift,or contingent fee. Further,it is recognized that Service Provider may or will be performing professional services during the term of this Agreement for other parties; however,such performance of other services shall not conflict with or interfere with Service Provider's ability to perform the Work. Service Provider agrees to resolve any such conflicts of interest in favor of the City. 12. Audits and Inspections. At any time during normal business hours and as often as the City may deem necessary, Service Provider shall make available to the City for the City's examination all of Service Provider's books,records and documents with respect to all matters covered by this Agreement and,furthermore, Service Provider will permit the City to audit,examine and make copies,excerpts or transcripts from such records,and to make audits of all contracts,invoices,materials,payrolls,records of personnel, conditions of employment and other data relating to all matters covered by this Agreement. 13. City of Everett Business License. Service Provider shall obtain a City of Everett business license prior to performing any work pursuant to this Agreement. 14. State of Washington Requirements. Service Provider shall register and obtain any State of Washington business licenses,Department of Revenue account and/or unified business identifier number as required by RCW 50.04.140 and 51.08.195 prior to performing any work pursuant to this Agreement. 15. Compliance with Federal, State, and Local Laws. Service Provider shall comply with and obey all federal,state,and local laws,regulations,and ordinances applicable to the operation of its business and to its performance of work hereunder. 16. Compliance with the Washington State Public Records Act. Service Provider acknowledges that the City is subject to the Public Records Act,chapter 42.56 RCW(the"Act"). All records owned,used or retained by the City are public records subject to disclosure unless exempt under the Act, whether or not such records are in the possession or control of the City or Service Provider. Service Provider shall cooperate with the City so that the City may comply with all of its obligations under the Act. Within ten (10) days after receipt of notice from the City, Service Provider shall deliver to the City copies of all records relating to this Agreement or relating to the Work that the City determines qualify as the City's public records under the Act. If the City receives a public records request relating to this Agreement or relating to the Work,the City shall seek to provide notice to Service Provider at least ten(10)days before the City releases records pursuant to such public records request, but in no event will the City have any liability to Service Provider for any failure of the City to provide such notice. In addition to its other indemnification and defense obligations under this Agreement, Service Provider shall indemnify and defend the City from and against any and all losses, penalties, fines, claims, demands, expenses (including,but not limited to, attorney's fees and litigation expenses), suits,judgments,or damage arising from or relating to any failure of Service Provider to comply with this Section 16. Page 5 Berks PSA 2020 17. Compliance with Grant Terms and Conditions. Service Provider shall comply with any and all conditions, terms and requirements of any federal, state or other grant that wholly or partially funds Service Provider's work hereunder. 18. Waiver. Any waiver by Service Provider or the City or the breach of any provision of this Agreement by the other party will not operate,or be construed,as a waiver of any subsequent breach by either party or prevent either party from thereafter enforcing any such provisions. 19. Complete Agreement. This Agreement contains the complete and integrated understanding and Agreement between the parties and supersedes any understanding,Agreement or negotiation whether oral or written not set forth herein. 20. Equal Employment Opportunity. Service Provider shall not discriminate against any employee, applicant for employment,or other person,on the basis of race, color,religion,sex,age,disability, marital state, or national origin or other circumstance prohibited by applicable federal,state,or local law or ordinance. Contractor shall comply with and shall not violate any applicable provisions of Chapter 49.60 RCW, Title VI of the Civil Rights Act of 1964, and all applicable federal, state,or local law or ordinance regarding non-discrimination. 21. Modification of Agreement. This Agreement may be modified as provided in paragraph 6,or by a writing explicitly identified as a modification of this Agreement that is signed by authorized representatives of the City and Service Provider. 22. Severability. If any part of this Agreement is found to be in conflict with applicable laws, such part shall be inoperative, null and void,insofar as it is in conflict with said laws,the remainder of the Agreement shall remain in full force and effect. 23. Notices. A. Notices to the City of Everett shall be sent to the following address: City of Everett Attn.: Theresa Bauccio-Teschlog 3200 Cedar Street Everett, WA 98201 B. Notices to Service Provider shall be sent to the following address: Matrix Consulting Group Ltd Attn.: Richard Brady 1620 South Amphlett Blvd,#213 San Mateo,CA 95112 24. Venue. It is agreed that venue for any lawsuit arising out of this Agreement shall be Snohomish County. 25. Governing Law. The laws of the State of Washington, without giving effect to principles of conflict of laws,govern all matters arising out of or relating to this Agreement. Page 6 Berks PSA 2020 26. City Marks. The Service Provider will not use any trade name,trademark, service mark,or logo of the City(or any name,mark,or logo confusingly similar thereto) in any advertising,promotions,or otherwise, without the City's express prior written consent. 27. No Personal Liability. No officer,agent or employee of the City shall be personally responsible for any liability arising under this Agreement, whether expressed or implied, nor for any statement or representation made or in any connection with this Agreement. 26. Signature/Counterparts. This Agreement may be signed in counterparts, each of which shall be deemed an original,and all of which,taken together,shall be deemed one and the same document.At the sole discretion of the City, the City may consent to the Service Provider's signature on this Agreement or amendment thereof being by email,fax,photocopy,pdf or other electronic means,in which case such Service Provider signature will be deemed an original signature for all purposes. The City will be deemed to have given such consent effective upon execution of this Agreement or amendment thereof by the Mayor of the City. IN WITNESS WHEREOF,the City and Service Provider have executed this Agreement as of the date first above written. Page 7 Berks PSA 2020 SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for your business entity. CITY OF EVERETT, WASHINGT Corporation Matrix Consulting Group [Service Provider's Complete Legal Name] sie Frankl ayor By: , ? hz4� Typed/Printed Name: /()/ 3 ( Its: President Date Date: 9-15-, AT ST: Partnership (general) [Service Provider's Complete Legal Name] a Washington general partnership Sharon Fuller,City Clerk lO / 3/?-# -/ By. ` Typed/Printed Name: Date General Partner Date: Partnership STANDARD (limited) [Service Provider's Complete Legal Name] AGREEMENT a Washington limited partnership APPROVED AS TO FORM By: DAVID C. HALL Typed/Printed Name: CITY ATTORNEY J General Partner Date: Sole Proprietorship Typed/Printed Name: Sole Proprietor: Date: Limited Liability [Service Provider's Complete Legal Name] Company a Washington limited liability company By: Typed/Printed Name: Managing Member Date: Page 8 Berks PSA 2020 STATE RETIREMENT SYSTEMS FORM ATTACHMENT TO PROFESSIONAL SERVICES AGREEMENT ALL SERVICE PROVIDERS MUST COMPLETE AND SIGN THIS FORM 1. Does Service Provider have twenty-five(25)or more employees? ❑ Yes Ea No IF YES: SKIP QUESTION 2, SKIP QUESTION 3,AND SIGN BELOW. IF NO:ANSWER QUESTIONS 2 AND 3. 2. If a Service Provider employee will perform Work under this Professional Services Agreement, did that employee retire under the Public Employers' Retirement System(PERS), School Employees' Retirement System(SERS),Teachers' Retirement System(TRS),or Law Enforcement Officers and Fire Fighters plan(LEOFF)? ❑Yes ® No 3. Answer the appropriate question below for Service Provider's business organization: Sole Proprietor. Did Service Provider retire under the Public Employers' Retirement System (PERS),School Employees' Retirement System(SERS),Teachers' Retirement System(TRS), Law Enforcement Officers and Fire Fighters plan(LEOFF)? ❑Yes❑ No Partnership. If a partner will perform Work under this Professional Services Agreement,did that partner retire under the Public Employers' Retirement System(PERS),School Employees' Retirement System(SERS),Teachers' Retirement System(TRS)or Law Enforcement Officers and Fire Fighters plan(LEOFF)? ❑ Yes ❑ No Limited Liability Company. If a member will perform Work under this Professional Services Agreement,did that member retire under the Public Employers' Retirement System(PERS), School Employees' Retirement System(SERS),Teachers' Retirement System(TRS)or Law Enforcement Officers and Fire Fighters plan(LEOFF)? ❑ Yes ❑ No Corporation. If a shareholder will perform Work under this Professional Services Agreement, did that shareholder retire under the Public Employers' Retirement System(PERS),School Employees' Retirement System(SERS),Teachers' Retirement System(TRS), or Law Enforcement Officers and Fire Fighters plan(LEOFF)? ❑ Yes ® No IF THERE IS A"YES"ANSWER TO ANY PART OF QUESTIONS 2 OR 3,AN ADDITIONAL QUESTIONNAIRE(AVAILABLE FROM HR OR LEGAL)MUST BE FILLED OUT AND SUBMITTED WITH THE CONTRACT. Service Provider Name: Matrix Consulting Group Signature: '^ ,a4.1_ Printed Name:Richard Brady Title: President (Retirement Form Approved by City Attorney's Office June 15,2014) Client#: 1635640 MATRICON2 ACORDW CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/09/2021 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Christine Torrance NAME: USI Insurance Services, LLC PHONE 602 666-4830 F'X 610 537-2283 (A/C,No,Ext): (A/C,No): 2375 E. Camelback Road,Suite 250 A oAaless: christine.torrance@usi.com Phoenix,AZ 85016 I INSURER(S)AFFORDING COVERAGE NAIC# 877 468-6516 Sentinel Insurance Company Ltd. 11000 INSURERA: p INSURED !INSURER B:Hartford-WC Multiple Issuing Cos 00914 Matrix Consulting Group, Ltd Twin CityFire Insurance Company 29459 1650 S Amphlett Blvd,Suite 213 INSURER C p y INSURER D: San Mateo, CA 94402-1234 — — i INSURER E: INSURER F: 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. INSRT TYPE OF INSURANCE INSRL WVD POLICY NUMBER (MM/DD//YYYY)'(MM/DD YY Y) LIMITS A X COMMERCIAL GENERAL LIABILITY 59SBAR00849 08/08/2021 08/08/2022 EACH OCCURRENCE $2,000,000 ,CLAIMS-MADE J OCCUR DAMAGE TO RENTEDPREMISES(Ea occurrence) $1,000,000 MED EXP(Any one person) $10,000___ PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY X JECOT LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: $ COMBINED SINGLE LIMIT A AUTOMOBILE LIABILITY '59SBAR00849 08/08/2021 08/08/2022 (Ea accident) $2,000,000 ANY AUTO I'I BODILY INJURY(Per person) $ OWNED SCHEDULED I BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE X A T OS ONLY X AUTOS NLYY (Per accident) $ I $ A X UMBRELLA LIAB X OCCUR 59SBAR00849 08/08/2021 08/08/2022 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 X RETENTION$10,000 $ B WORKERS COMPENSATION 1 DED 59WECAB6SO4 08/08/2021 08/08/2022 X STATUTE ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE rY�1l E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? I V N/A (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 C Professional Liab ,59PG0297372 08/08/2021',08/08/2022 $1,000,000/$3,0000 $5,000 deductible DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) West Virginia University,employees, agents and volunteers are additional insured as it relates to general liability&waiver of subrogation applies as it relates to general liability in accordance with the terms and conditions of the policies. Umbrella follows form as it relates to additional insured.The above coverage is primary and non-contributory where required by written contract.30 day notice of cancellation applies, 10 days for non pay. CERTIFICATE HOLDER CANCELLATION West Virginia UniversitySHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 6024 ACCORDANCE WITH THE POLICY PROVISIONS, Morgantown,WV 26506 AUTHORIZED REPRESENTATIVE yt ""�� © t9 8-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #533243100/M32921959 BFSZP This page has been left blank intentionally.