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Teen Force - 2015 Staffing AgreementTeerk� � orce General Staffing Agreement (Local Government) TeenForce, with its principal office located at 1080 N. 7t' Street San Jose, CA 95112 ( "Teen Force "), and _City of Gilroy with its principal office located at 7351 Rosanna Street, Gilroy, CA 95020 ( "CLIENT ") agree to the terms and conditions set forth in this Staffing Agreement (the "Agreement "). TEENFORCE's Duties and Responsibilities 1. TEENFORCE will a. Recruit, screen, interview, and assign its employees ( "Assigned Employees ") to perform the type of work described on Exhibit A under CLIENT's supervision at the locations specified on Exhibit A; b. Pay Assigned Employees' wages and provide them with the benefits that TEENFORCE offers to them; c. Pay, withhold, and transmit payroll taxes; provide unemployment insurance and workers' compensation benefits; and handle unemployment and workers' compensation claims involving Assigned Employees; d. Require Assigned Employees to sign agreements (in the form of Exhibit B) acknowledging that they are not entitled to holidays, vacations, disability benefits, insurance, pensions, or retirement plans, or any other benefits offered or provided by CLIENT; e. Require Assigned Employees to sign confidentiality agreements (in the form of Exhibit C) before they begin their assignments to CLIENT; f. When Assigned Employees are minors, obtain necessary work permits and monitor work duties and hours to ensure compliance with applicable child labor laws and regulations; and g. When Assigned Employees are minors, obtain parental or guardian approval of the work assignment described on Exhibit A and acknowledgement and acceptance of the contents of Exhibit B and Exhibit C, all in the form of Exhibit D. CLIENT's Duties and Responsibilities 2. CLIENT will a. Properly supervise Assigned Employees performing its work and be responsible for its business operations, products, services, and intellectual property; b. Properly supervise, control, and safeguard its premises, processes, or systems, and not permit Assigned Employees to operate any vehicle or mobile equipment, or entrust them with unattended premises, cash, checks, keys, credit cards, merchandise, confidential or trade secret information, negotiable instruments, or other valuables without TEENFORCE's express prior written approval or as strictly required by the job description provided to TEENFORCE; c. Provide Assigned Employees with a safe work site and provide appropriate information, training, and safety equipment with respect to any hazardous substances or conditions to which they may be exposed at the work site; 17666 Crest Ave., Morgan Hill, CA 95037 Phone: 408 -827 -3078 Fax: 408 - 402 -8360 teenforce1 @teenforce.org d. Not change Assigned Employees' job duties without TEENFORCE's express prior written approval; and e. Exclude Assigned Employees from CLIENT's benefit plans, policies, and practices, and not make any offer or promise relating to Assigned Employees' compensation or benefits; and f. When Assigned Employees are minors, carefully review the terms of the Assigned Employee's work permit and ensure that tasks and hours assigned are in compliance with the work permit and any supplemental information provided by TEENFORCE to CLIENT with respect to restrictions relevant to minor Assigned Employees (which will be affixed to the work permit and considered part of Exhibit A). Payment Terms, Bill Rates, and Fees 3. CLIENT will pay TEENFORCE for its performance at the rates set forth on Exhibit A. TEENFORCE will invoice CLIENT for services provided under this Agreement on a bi- weekly basis. Payment is due within 14 days. Invoices will be supported by the pertinent time sheets or other agreed system for documenting time worked by the Assigned Employees. CLIENT's signature or other agreed method of approval of the work time submitted for Assigned Employees certifies that the documented hours are correct and authorizes TEENFORCE to bill CLIENT for those hours. If a portion of any invoice is disputed, CLIENT will pay the undisputed portion. TEENFORCE guarantees that the Assigned Employees that TEENFORCE recruits and assigns to CLIENT will have the qualifications CLIENT requests. If CLIENT finds any Assigned Employee's qualifications or general work- related behavior lacking and lets TEENFORCE know within two hours, TEENFORCE will not charge for the first two hours of the assignment and will make reasonable efforts to replace the Assigned Employee immediately. 4. Assigned Employees are presumed to be nonexempt from laws requiring premium pay for overtime, holiday work, or weekend work. TEENFORCE will charge CLIENT special rates for premium work time only when an Assigned Employee's work on assignment to CLIENT, viewed by itself, would legally require premium pay and CLIENT has authorized, directed, or allowed the Assigned Employee to work such premium work time. CLIENT's special billing rate for premium hours will be the same multiple of the regular billing rate as TEENFORCE is required to apply to the Assigned Employee's regular pay rate. (For example, when federal law requires 150% of pay for work exceeding 40 hours in a week, CLIENT will be billed at 150% of the regular bill rate.) 5. If CLIENT limits an Assigned Employee's workday to fewer than two hours, TEENFORCE may deem that day to include two hours of time worked and may bill CLIENT two hours if TEENFORCE pays the Assigned Employee for the two hours. Confidential Information 6. Both parties may receive information that is proprietary to or confidential to the other party or its affiliated companies and their clients. Both parties agree to hold such information in strict confidence and not to disclose such information to third parties or to use such information for any purpose whatsoever other than performing under this Agreement or as required by law. No knowledge, possession, or use of CLIENT's confidential information will be imputed to TEENFORCE as a result of Assigned Employees' access to such information. 17666 Crest Ave., Morgan Hill, CA 95037 Phone: 408 -827 -3078 Fax 408- 402 -8360 teenforcel @teenforce.org Cooperation 7. The parties agree to cooperate fully and to provide assistance to the other party in the investigation and resolution of any complaints, claims, actions, or proceedings that may be brought by or that may involve Assigned Employees. Indemnification of Liability, Duty to Defend 8. As to general liability, to the fullest extent permitted by law, TEENFORCE shall defend, through counsel approved by CITY (which approval shall not be unreasonably withheld), indemnify and hold harmless CITY, its officers, representatives, agents and employees against any and all suits, damages, costs, fees, claims, demands, causes of action, losses, liabilities and expenses, including without limitation attorneys' fees, arising or resulting directly or indirectly from any act or omission of TEENFORCE or TEENFORCE'S assistants, employees or agents, including all claims relating to the injury or death of any person or damage to any property, except to the extent such claims arise out of or are caused by the sole negligence or willful misconduct of CITY. 9. The provisions in paragraph 9 of this Agreement constitute the complete agreement between the parties with respect to indemnification, and each party waives its right to assert any common -law indemnification or contribution claim against the other party. Miscellaneous 10. Provisions of this Agreement, which by their terms extend beyond the termination or nonrenewal of this Agreement will remain effective after termination or nonrenewal. 11. This agreement will be governed by and construed in accordance with the laws of the state of California, without reference to any conflicts of law principles thereof. 12. Each provision of this Agreement will be considered severable, such that if any one provision or clause conflicts with existing or future applicable law or may not be given full effect because of such law, no other provision that can operate without the conflicting provision or clause will be affected. 13. This Agreement and the exhibits attached to it contain the entire understanding between the parties and supersede all prior agreements and understandings relating to the subject matter of the Agreement. 14. The provisions of this Agreement will inure to the benefit of and be binding on the parties and their respective representatives, successors, and assigns. 15. The failure of a party to enforce the provisions of this Agreement will not be a waiver of any provision or the right of such party thereafter to enforce each and every provision of this Agreement. 16. Any notice or other communication will be deemed to be properly given only when sent via the United States Postal Service or a nationally recognized courier, addressed as shown on the first page of this Agreement. 17666 Crest Ave., Morgan Hill, CA 95037 Phone: 408 -827 -3078 Fax 408 - 402 -8360 teenforce1 @teenforce.org Term of Agreement 17. This Agreement will be for a term of one year from the first date on which both parties have executed it. The Agreement may be terminated by either party upon 15 days written notice to the other party, except that, if a party becomes bankrupt or insolvent, discontinues operations, or fails to make any payments as required by the Agreement, either party may terminate the agreement upon 72 hours written notice. Authorized representatives of the parties have executed this Agreement below to express the parties' agreement to its terms. Cll * Gil TeenForce CLIEN STAFFIN M Signature a e i bnoL_c4 l - e Printed Name Printed Name Date Approved as to Form: Gilroy City Attomey's Office By: City Attomey ATTEST: City Clerk al/1 /ls Date 17666 Crest Ave., Morgan Hill, CA 95037 Phone: 408 -827 -3078 Fax: 408 - 402 -8360 teenforce1 @teenforce.org Exhibit A Assignment and Rate Schedule Job Title or Description Shift Location Hourly Bill Rate Recreation Leader I Vary City of Gilroy $11.50/hr Recreation Facilities Recreation Leader II 10 -15 hours a City of Gilroy $12.75/hr week Recreation Facilities Lead Recreation Leader 20 -25 hours a City of Gilroy $15.75/hr week Recreation Facilities Recreation Specialist 20 -30 hours City of Gilroy $25.27 - $26.60 per week Recreation Facilities Maintenance Worker Assistant 20 -25 hours a Gilroy Corporation $15.00/hr. week Yard, 813 Old Gilroy Street, Gilroy and public areas throughout the city If Assigned Employees will be minors, attach work permit and any additional hourly or task- related restrictions, which shall serve as Schedule 1 to this Exhibit A. Will some or all Assigned Employees be minors? (Circle one.) Yes No TeenForce J STAFFING FIRM TSignure ig ure - ��t; Printed Name ate Printed Name Date rOQ /�. nn h„ a V Title Title Approved as to Form: Gilroy City Attomey's Office By: " " 6 - r-�Oto� City Attomov 17666 Crest Ave., Morgan Hill, CA 95037 Phone: 408 -827 -3078 Fax: 408 - 402 -8360 teenforce1 @teenforce.org Exhibit B Benefits Waiver Agreement and Waiver In consideration of my assignment to CLIENT by TEENFORCE, I agree that I am solely an employee of TEENFORCE for benefits plan purposes and that I am eligible only for such benefits as TEENFORCE may offer to me as its employee. I further understand and agree that I am not eligible for or entitled to participate in or make any claim upon any benefit plan, policy, or practice offered by CLIENT, its parents, affiliates, subsidiaries, or successors to any of their direct employees, regardless of the length of my assignment to CLIENT by TEENFORCE and regardless of whether I am held to be a common -law employee of CLIENT for any purpose; and therefore, with full knowledge and understanding, I hereby expressly waive any claim or right that I may have, now or in the future, to such benefits and agree not to make any claim for such benefits. EMPLOYEE Signature Printed Name Date PARENT OR GUARDIAN IF EMPLOYEE IS A MINOR Signature Printed Name Date 17666 Crest Ave., Morgan Hill, CA 95037 Phone: 408 -827 -3078 Fax: 408 - 402 -8360 teenforcel@teenforce.org Exhibit C Confidential Information Assigned Employee Confidentiality Agreement As a condition of my assignment by TEENFORCE to CLIENT, I hereby agree as follows: I will not use, disclose, or in any way reveal or disseminate to unauthorized parties any information I gain through contact with materials or documents that are made available through my assignment at CLIENT or which I learn about during such assignment. I will not disclose or in any way reveal or disseminate any information pertaining to CLIENT or its operating methods and procedures that come to my attention as a result of this assignment. Under no circumstances will I remove physical or electronic documents or copies of documents from the premises of CLIENT. I understand that I will be responsible for any direct or consequential damages resulting from any violation of this Agreement. The obligations of this Agreement will survive my employment by TEENFORCE. EMPLOYEE Signature Printed Name Date PARENT OR GUARDIAN IF EMPLOYEE IS A MINOR Signature Printed Name Date 17666 Crest Ave., Morgan Hill, CA 95037 Phone: 408 -827 -3078 Fax. 408 - 402 -8360 teenforcel @teenforce.org Exhibit D PARENT OR GUARDIAN APPROVAL OF WORK ASSIGNMENT I hereby confirm that I am the Parent or Guardian (circle one) of , a minor who is an Employee of TeenForce ( "MINOR "). I have reviewed the contents of Exhibit A and Schedule 1 and hereby approve of MINOR's placement in the indicated job. I have reviewed and executed Exhibits B and C and have explained their contents and importance to MINOR. Signature Printed Name Date 17666 Crest Ave., Morgan Hill, CA 95037 Phone: 408 -827 -3078 Fax 408- 402 -8360 teenforcel @teenforce.org TEENF -1 OP ID: LD ACORO 4111 ,,._ CERTIFICATE OF LIABILITY INSURANCE DATE(M M /DD/YYYY) 02/12/2015 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 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 Suhr Risk Services 5300 Stevens Creek Blvd. San Jose, CA 95129 Sheldon Beitzel - Selective CONTACT Sheldon Beitzel,CLCS,CWCA,CRIS NAME: PHONE 408- 510 -5440 AX No c No E E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC ii INSURER A: Nonprofits Ins. Alliance of CA EACH OCCURRENCE $ 1,000,00 INSURED TeenForce 344 Bean Avenue Los Gatos, CA 95030 INSURER B: State Compensation Ins. Fund 35076 INSURER C: The Hartford 29424 INSURER D: The Travelers Companies, Inc 25682 INSURER E: 'GENERAL AGGREGATE $ 2,000,00 INSURER F: PRODUCTS - COMP /OP AGG $ 2,000,00 1'nVC0A1,FC rFRTIFIr:ATF NIIMRFR• 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. INSR LTR TYPE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx� OCCUR X 201529283 03/0112015 03/01/2016 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occurrence $ 500,00 MED EXP (Any one person) $ 20,00 PERSONAL & ADV INJURY $ 1,000,00 'GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP /OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS EX AUTOS NON -OWNED 201529283 03/01/2015 03/0112016 Ea COMBINED ccien SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ATY DAMAGE PER CC $ $ A UMBRELLA LIAB EXCESSLIAB HCLAIMS-MADE OCCUR 201629283UMB 03/01/2015 03/0112016 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 DEO I X I RETENTION$ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 188744514 05/01/2014 05/01/2015 X I WC STATU- OTH- T DRY L MI ' g._ E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Gilroy, it's officers, agents and employees are being included as additional insured per the attached CG2026 endorsement form. rI=PTIFIrATF Nn1 nr-P CANCELLATION ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE �_ ' ^ ea.�y ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 201529283 COMMERCIAL GENERAL LIABILITY 'THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Additional Insured Persons or Organization(s): Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy, and for which a certificate of insurance naming such person or organization as additional insured has been issued, but only with respect to their liability arising out of their requirements for certain perform- ance placed upon you, as a nonprofit organization, in consideration for funding or financial contribu- tions you receive from them. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. City of Gilroy, it's officers, agents and employees Information r uired to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 ISO Properties, Inc., 2004 Page 1 of 1 TEENF -1 OP ID: LD /-1CORLJro CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYY) 02/12/2015 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 be endorsed. If SUBROGATIOWIS 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 endorsements ! ...: PRODUCER" • '" - _ Suhr Risk ServiGeS 5300 Stevens Creek Blvd. CONTACT t Sheldon Beitzel,CLCS,CWCA,CRIS - NAME: - - - - -- PHONE - c No E,,11:408-510-5440 - E-MAIL ADDRESS: . San Jose, CA 95129 Sheldon Beitzel - Selective INSURER(S) AFFORDING COVERAGE NAIC tl INSURER A: Nonprofits Ins. Alliance of CA $ _ _ 1,000,00 DAMAGE REMISES Ea occuffeoce INSURED TeenForce INSURER B : State Compensation Ins. Fund 35076 344 Bean Avenue Los Gatos, CA 95030 INSURER C: The Hartford 29424 INSURER D : The Traveler Companies, Inc 25682 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER MMIDDmYY : MM /DD/YYYY LIMITS • GENERAL LIABILITY _ .. _ . _ _ EACH OCCURRENCE $ _ _ 1,000,00 DAMAGE REMISES Ea occuffeoce $ -- - - _500,0014 A." X COMMERCIAL GENERAL LIABILITY X 201529283 03/01/2015 03/01 /2016, CLAIMS-MADE. OCCUR -.. ...._. __. _.. MEDEXP(Anyoneperson) _. $ 20,00 PERSONAL&ADVINJURY. $ 1,000,00 .. GENERAL AGGREGATE. $ 2,000,00 . ... .. . -- ., . .., GEN'L AGGREGATE LIMIT APPLIES'PER -, . PRODUCTS- COMP& AGG $ 2,000,00 - , $ . POLICY .Pty- 1 7 LOC .. - AUTOMOBILE' LIABILITY . - - EaacBctlentSINGLE!LIMIT $ .1,000,00 BODILY INJURY (Per person) $ A ANY AUTO 201529283 03/01/2015 03/01/2016 ALL OWNED SCHEDULED AUTOS AUTOS X HIRED X NON-OWNED AUTOS BODILY INJURY (Per. accident) $ PERTY PER ACCIDENT DAMAGE $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 A EXCESS LIAB CLAIMS -MADE 201529283UMB 03101/2015 03/0112016 RED I X I RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE[ OFFICER/MEMBER EXCLUDE09 (Mandatory In NH) N/A 1188744514 05/01/2014 05/01/2015 X WCSTATU -. OTH- _ DRY LIMIT' -_ ER, E.L. EACH ACCIDENT - $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yyees, describe under DESCRIPTIONOF OPERATIONS'. below E.L. DISEASE - POLICY LIMIT _ $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule. If more space Is required) City of Gilroy, it's officers, agents and employees are being included as additional insured per the attached CG2026 endorsement form. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 GANGtLLA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD CORPORATION. All rahts reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY.NUMBER: 201529283 _:...: COMMERCIAL GENERAL LIABILITY :THIS ENDORSEMENT'CHANGES THE POLICY: 'PLEASE.READ1T-CAREFULLY.` ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Additional Insured Person(s), or Organization (s): Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy, and for which a certificate of insurance naming such person or organization as additional insured has been issued,�b'ut only with respect to theirliability'arising out -of their requirements for certain perform- ance placed upon you, as a nonprofit organization, in consideration for funding or financial contribu- tions you receive from them. The additional insured status will not be afforded with respect to liability ansing,out-of:or. related to your activities as a real estate manager for that person : pr organization. City of Gilroy, it's officers, agents and employees Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zations) shown in the Schedule, but only with respect to liability for "bodily injury",, "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 ISO Properties, Inc., 2004 Page 1 of 1