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HomeMy WebLinkAboutNova Partners - 2012 Agreement for On-Call Construction Management - Amendment No. 1AMENDMENT TO THE AGREEMENT FOR SERVICES BETWEEN CITY OF GILROY AND NOVA PARTNERS, INC FOR ON -CALL CONSTRUCTION MANAGEMENT SERVICES DATED AUGUST 6, 2012 AMENDMENT NO. 1 This Amendment shall become effective when it has been signed by the City Administrator, Project Manager, and Consultant. All copies forwarded to Consultant for signature shall be returned to the City of Gilroy properly filled out. Upon acceptance by the City, the Consultant's copy will be returned to him as his authority to proceed with the work. This Amendment extends the term of the Agreement for Services between the City of Gilroy and NOVA PARTNERS, INC, dated AUGUUST 6, 2012 to JUNE 30, 2015. The scope of work authorized includes Construction Management support to the Engineering Division for the demolition of the building at 7453 Monterey Street for a new Paseo, and evaluation of the building at 7533 for a acquisition of the property for a second new Paseo. - See attached scope of work and fee. All requirements of the original Agreement Documents shall apply to the above work except as specifically modified by this Amendment. The contract time shall not extend unless expressly provided for in this Amendment. Nova Partners, Inc hereby agrees to make the above changes subject to the terms of this Amendment for ongoing construction management services. Cons a tLAva.Partners, Inc By Nvid Marks, President Date 91011eL ACCEPTI NOVA PARTNERS INCORPORATED July 2, 2012 Rick Smelser, P.E. Director or Public Works, City Engineer City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 Subject: Project and Construction Management Services — Gilroy Paseo's Re: Demolition of 7453 Monterey Street and Paseo Study at 7533 Monterey Street Dear Mr. Smelser: Nova Partners, Inc. is pleased to present this proposal for project and construction management services for the Demolition of 7453 Monterey Street and the structural remediation of the adjacent properties addressed as 7451 and 7455 Monterey St. located in Gilroy, CA. This proposal also includes preliminary work to assist in assessment of 7533 Monterey St. - Mafalda Building. It has been a pleasure working with the City on the Gilroy Community Library assignment and we appreciate the opportunity to be of continued assistance to ensure the successful execution and evaluation of these projects. Demolition of 7453 Monterey Street To date we have been assigned to perform a due diligence report including estimates of expected cost for the demolition of 7453 Monterey Street which are included here as Attachment A. The consultants we will enter into agreement with are listed in the fee matrix. This proposal includes managing the design of the demolition of the subject property and the remediation work needed on the adjacent properties, the preparation of bid documents for and the management of the design and implementation of the structural upgrade and the demolition of 7453 Monterey Street. We will additionally engage an architectural firm to review the trash enclosure documents and move the design process forward; we have not included time to bid out the trash enclosure portion or time to bid out or manage the paseo design, bidding or building as we understand this will be under separate agreement. This proposal does not include architectural services beyond the allowance which may be required for planning documents, meetings or coordination with other City departments. Assessment of 7533 Monterey St. We understand this assignment to include a basic review of the structure, a report indicating square foot estimates of upgrades to the property and potential upgrades to adjacent properties in an effort Construction Project Management and Real Estate Development Services 855 El Camino Real, Suite 307 Palo Alto, CA 94301 tel 650.324.5324 fax 650.324.5327 www.novapartners.com Project and Construction Management Services July 2, 2012 Demolition of 7453 Monterey Street and Assessment Services to assist the possible purchase of this building by the City. To date we have met with Biggs Cardosa and are gathering as -built drawings now. Scope of Work Pursuant to our discussions, below is a summary of our proposed scope. 1. Ensure that the proper project documentation and controls are established and used effectively throughout the project. The General Contractor will remain responsible for maintenance of project documentation including meeting minutes, change request /change order logs, request for information (RFI) logs, submittal logs, project and construction schedules, and schedules of values. 2. Coordinate among project team members and ensure that all members are providing timely and thorough response to issues. 3. Solicit proposals from environmental firms to provide oversight for the removal of hazardous waste, make recommendations to The City to enter into agreement for supervision and documentation of this work if required. 4. Monitor the schedule to confirm the milestone dates are being met. Actively guide all members of the project team to ensure project success. 5. Work with the team to resolve identified field problems and other issues during construction. 6. Review contractor applications for payment for accuracy against the work in place, including monthly verification of lien releases. 7. Provide oversight of the change order process, including review of General Contractor change requests for accuracy, and fairness. Prepare recommendations to you for final review and approval. 8. Coordinate with the General Contractor to develop procedures for project closeout items including as- builts, warranties and lien releases. 9. Assist general contractor in preparation and correction of ongoing and final punchlist items. 10. Provide response on the Owner's behalf to inquiries and action items resulting from jurisdictional oversight, Building /Planning, etc. 11. Provide QA /QC controls as required by the contract documents including testing and inspection services. 12. Assist with closeout of contracts including documentation of BAAQMD clearance reports. We will serve as your representative, problem solver, and advocate throughout the project and provide the necessary effort and support to ensure the project is being executed in a timely and cost - effective manner. Schedule and Compensation We propose to provide the Scope of Work as described above for the improvements for a total fixed fee of $126,853 as more clearly defined below. We will invoice monthly corresponding to the approximate completion status of the work. Based on the current schedule, we estimate that the Project and Construction Management Services July 2, 2012 Demolition of 7453 Monterey Street and Assessment Services Demolition of 7453 Monterey Street will begin after the award of the General Contractor Contract anticipated in early September and the demolition to take approximately 10 weeks completing in early December. We have allowed for a month closeout period, which can vary depending on the complexity of the required grant documentation. We estimate that the assessment assignments can be completed in a month depending on the information discovered and requested. We view this as a part time assignment and have allocated services as outlined in the Fee Matrix below as recently discussed: Demolition of 7453 Monterey Street Scope Scope Labor Duration Estimated Hourly Extended Category wks Hours Rate Rate Task 1— July — Seat 2012 PM 8wks 80 150 12,000 Pre Construction Phase Reimbursable I I 2mo IOhrs /wk) 500 1,000 Subtotal Task 1 13,000 Task 2 — Sept — Nov 2012 PM 10 wks 250 150 37,500 Construction Phase Reimbursable 2.5mo 25hrs /wk) 750 1,875 Subtotal Task 2 39,375 Task 3 — Dec 2012 Post Construction PM 4wks 45 150 6,750 Reimbursable Imo 500 500 Subtotal Task 3 7,250 SUBTOTAL LABOR 56,250 Structural Engineering BCA 35,477 Architectural HED 12,500 Testing and Inspection Allow 10,000 REIMB. 3,375 GRAND TOTAL NOT TO EXCEED PRICE 22wks 375 $117,602 Assessment of 7533 Monterey St. Mafalda Building Scope Labor Category Duration wks Estimated Hours Hourly Rate Extended Rate Project and Construction Management Services Demolition of 7453 Monterey Street and Assessment Services July 2, 2012 Task 1— July 2012 Pre Construction Phase PM 4wks 25 150 3,750 Reimbursable i 1 mo 500 500 SUBTOTAL LABOR 3,750 Structural Engineering BCA 5,000 REIMB. 500 GRAND TOTAL NOT TO EXCEED PRICE 4wks $9,250 If for any reason the construction schedule, design or assessment needs are significantly shortened or extended relative to this, we will be happy to work with you to develop a revised arrangement. As requested we will enter into an agreement with a Materials Testing and Inspection firm for materials testing as required per the contract documents. We have included a $10,000 dollar allowance for this work, as the scope is undefined at this time. We will also carry the structural engineers professional service agreement and the limited architectural agreement, their pricing is reflected in the fee matrix above. Beyond this arrangement, we do not anticipate any significant reimbursable expenses other than document copying and printing which we have included. Should any other reimbursable expenses be required, we will obtain your specific advance approval and invoice those expenses at cost plus a 7% administrative fee upon submission of a paid invoice. As discussed, we are very flexible with the services we provide and are confident that we can develop the right level of service for your project, timing, and budget. Thank you for the opportunity to assist you on this project. If this proposal is acceptable, please use this proposal as an attachment to the Cities professional service agreement and forward for out execution. Please do not hesitate to contact me at (408) 828 -2897 with any questions. Sincerely, q M James Kuhn Nova Partners, Inc. Cc: David Marks, Nova Partners ACC>R 1Y CERTIFICATE OF LIABILITY INSURANCE DATE 05 /15IDD /Y2 05/15/2012 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 LIC #0726293 1- 415- 391 -1500 Gallagher Construction Services/ Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. 1 Market St., Spear Tower #200 CONTACT NAME: PHONE FAX Ext: AIC No: E -MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# San Francisco, CA 94105 INSURER A: JAMES RIVER INS CO 12203 00024244 -5 INSURED Nova Partners, Inc. INSURER B: REPUBLIC IND CO OF AMER 22179 INSURER C: HOUSTON CAS CO 42374 INSURER D: 855 E1 Camino Real #307 INSURER E: Palo Alto, CA 94301 INSURER F: $ 50,000 MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER: 27144352 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 ADDL SUBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X X 00024244 -5 05/16/1 05/16/13 EACH OCCURRENCE $ 1,000,000 X COM MERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR E PREMISES (Eaoccur ante) $ 50,000 MED EXP (Any one person) $ PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ POLICY X PRO- LOC I $ A AUTOMOBILE LIABILITY X X 00024244 -5 05F1_6/1 05/16/13 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ A UMBRELLA LIAB X OCCUR 00024388 -5 05/16/1 05/16/13 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 7X EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN 16649907 08/01/1 08/01/12 WCSTATU- OT H- X T Y LIMITS R E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE- EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ 1,000,000 C Professional Liab. HCC 11 20364 09/24/1 09/24/12 Ea. Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. %Ir=rx i IrRIM I r= nvr_UCrc I.ANL.CLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Community Development Department ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 A USA ACORD 25 (2010105) anandgcs 27144352 © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 00024244 -5 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 Additional Insured Person(s) Or Organ ization s : Location And Description Of Completed Opera - tions City of Gilroy, its officers and All Locations employees are named as Additional Insured as respects to General Liability as required by written contract only as pertains to Insured' s operations. 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard ". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the follow ng: ALL COVERAGE PARTS SECTION II — Who Is An Insured is ame -ided to include any person or organization you are required to include as an additional insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the 'occurrence" of the "bodily injury or "property damage." The insurance provided to the Additional Insured under this endorsement is limited as follows: 1. The person or organization is only an additional insured with respect to liabi'ity arising solely alit of "your work" or "your product" which is imputnd to the Additional Insured, 2. In the event that the Limits of insurance provided by this policy exceed the Limits n` Insurance required by the written contract or written agreement, tho insurance proviJed by th +s endorsement shall be limited to the Limits of Insurance required by the written contract or written agreement. This endorsement shall not increase the Limits of Insurance stated in the Dec!arations. 1 This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products — completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only for the period of time required by the written contact or written agreement and only for "bodity injury" or "property damage" that occurs during the pol!cy period arising out of "your work' or "your product ". Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any othor basis unless a written contract or written agreement specifically requires that th,s insurance apply on a primary and Noncontributory basis. 5, Where no coverage shall apply herein for the Named Insured, no coverage or defense shall be afforded to the Additional Insured. 6. This insurance does not apply to "bodily injury" or "property darnage" arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2009LIS 02 -05 Page 1 of I THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY. CONTRACT T'1AIVER OF SUBROGATION AS REQUIRED Bi This endorsement modifies insurance provided under the following: ALL COVERAGE FARTS The Company agrees to waive any r.ght of recovery against any person or organization, as required by written contract, because of payments we make for Injury or damage which is lirnilect to liability directly miused by "your work" which Is Imputed to suC'i person or o- gan!zation. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED, AP5004US 11 -06 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY_ PLEASE READ IT CAREFULLY, This endorsement modifies insurance provided under tho `ollowing: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage . r 1� _ Limit of Insurance Additional Premium Herod Auto Liability_., - L_1,at)(7.`000 The insurance provided under SECTION 1, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the ma,ntenance or use of a " hirod auto" by you cr your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above, is the most we will oay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "hired auto" by you o- your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations Nothing in this endorsement shalt increase the Limits of Insurance shown in the Declarations. A. So'ely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" aris'.ng out of any: (1) Uninsured or Underinsured INlotonst h::w; or (2) No Fault Law or similar scat or law, "Properly damage" to: (1) Prop" owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the Insurod. B. Solely with respect to HIRED AUTO LIABILITY: SECTION II - WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth bellow: a. You; b, Any other person using a "hired auto" with your per-n'ssion; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a, or b, above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, chlld, parent, brother or sister of that co- "employr3e" as a consequence of such " bodily injury ", or for any obligation to share damages with or repay someone else who must pay damages because of the'nJury; (2) Any partner or "executive officer" for any "autn" owned by such partner or officer or a member of his or her household, (3) Any person while emp'oyed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; AP2126US 01 -08 Page 1 of 2 (4) The owner or lessee (of whore you are a sub lessee) of a "hired auto" or, any agent or 11 ornp!oyee" of any such owner or lessee; (5) Any person or organization for the conduct of any current or pest partnership or joint ventu1'9 chat is not shown as a Named Insured ill Ih!, Doc!arations, C. Solely with respect to HIRED AUTO LIABILITY; SECTION V — DEFINITIONS is, amended by adding tho following' 1. "Auto BUSineSS' means tha business or occupation of selling, repairing, servicing, stoning or parking "autos ". 2. "Hired Auto" means any "auto" you lease, hire or borrow. This does not include any "auto" you lease, hire or borrow frorn any of your "employees" or mernbers of their households, or from any partner or "executive office[' of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement i- nodifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limits of Insurance Additional Premium --- Non -Owned Auto L!ahilt 1 000 000 .... ..,...� --. -.. ....�._....�.A .. _ l � .. Included The insuranco provided under SECTION I — COVERAGES, COVERAGE. A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person othe- than you in the course of your business. The Limit of Insurance shown in the Schedule above s the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury' or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in the endorsement shall increase the Limits of Insurance shown In the Declarations. A. Solely with respect to NON60WNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusio -is: This insurance does not apply tc: "Bodily injury" or "f roporty damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transoorted by, or renled or loemed to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON - OWNED AUTO LIABILITY: SECTION If —WHO IS AN INSURED, is replaced by the following: Each of the following is an nsured under this endorsement to the extent set forgo below: a. You; b, For a "non -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" is being used in your business; and c. Any other person or organization, but only for their iiability bocause of acts or omissions of an insured under a. or b. above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for bodily injury" to any co- "omployee" of such perso'i'.njured in the course of employment, o: to the spouse, child, parent, brother or s!ster of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share da.naces with or repay someone else who must pay damages because of the injury; (2) Any pa -trier or "executive officer" far any "auto" owned by such partner or officer or a member of his or her household, AP2127US 01 -08 Page 1 of 2 (3) Any per, on while employed in or otherw'so engaged In duties in connection with an "auto business ", other than an "auto business" you operate; (4) The owner of a "non -owned auto" or any agent or "employee" of any such owner; (5) Any ;person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Sololy with respect to NON -OWNED AUTO LIABILITY. SECTION V — DEFINITIONS is amended by adding the following 1. "Auto f3us418ss" rnearis tho business or occupation of selling, repairing, servicing. storing or parking "autos 2. "Non -Owned Auto" means any "auto" you do not own lease, hire or borrow which is used in connection with your business_ However, if you are a partnership, a "rion rowned auto" does not includa any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 0 1 -0B Page 2 of 2 to AGENCY CUSTOMER ID: _ LOC #: A p® ADDITIONAL REMARKS SCHEDULE Page of AGENCY Gallagher Construction Services/ Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. NAMED INSURED Nova Partners, Inc. 855 E1 Camino Real #307 POLICY NUMBER Palo Alto, CA 94301 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: *Addittional Insured when required by written contract per Form: AP2009US 02 -06 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 AUTOMOBILE LIABILITY: *Additional Insured when required by written contract per Forms: AP212GUS 01 -08 & AP2127US 01 -08 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD