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HomeMy WebLinkAboutJames Free - 2016 Agreement - Amendment No. 2AMENDMENT TO THE AGREEMENT FOR SERVICES BETWEEN CITY OF GILROY AND JAMES R. FREE FOR APPRAISAL SERVICES DATED JUNE 6, 2016 AMENDMENT NO X, PO No. 161045 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 t_ proceed with the work. This amendment is to perform additional appraisal services (residential appraisal) for 251 Old Gilroy Street which are above and beyond the original scope of work (commercial appraisal) in an amount not to exceed $3,500. 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. James R. Free hereby agrees to perform the above work subject to the terms of this Amendment for additional appraisal services. Consultant: James R. Free, MAI, SRA By !:::L e --z- — James R. Free Date ACCEPTED: Lod 7 Project Manager Date Zf //I .For Department Head Date 2 t --r- (1-7 City Administrator Date :°` CERTIFICATE OF LIABILITY INSURANCE D10/24120 6 HEIDI LANHAM - STATE FARM INSURANCE 2542 S.- BASCOM AVENUE, SUITE 155 ACAMPBELL, CA 95008 -5541 408 -371 -9700 INSURED FREE, JAMES 1760 MOUNT VERNON DR�ti SAN JOSE CA 95125 -5552 i;� ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURER A: State Fame General insurance Company 25151 25151 INSURER B: State Farm Mutual Automobile Insurance Company 25178 25178 D: E: THE POLICIES'OFINSURANCE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR _LTR ADO'L INSRIO ___ —_ ___ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMID POLICY EXPIRATION DATE MMMP LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR 97-BT VS333 G 0411512016 0411512017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLI CY JET LOC PRODUCTS - COMP /OP -AGG $ 2,000,000 $ B X AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NO"WNED AUTOS 360 4111- A2845J 07128/2016 07%18/2017 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per per) $ 100,000 BODILY INJURY (Per accident) $ 300 +000 PROPERTY DAMAGE (Per accident) $ 25,000 GARAGE LIABILITY ANY AUTO AUTO ONLY EAACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG _ $ $ EXCESS / UMBRELLA LIABILITY OCCUR EI CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE� OFFICER/MEMBER EXCLUDED? (Mandatory In NH) ff yes, describe under SPFrIAJ S ATU- TH TORYtIMITS ER, E: L. EACH ACCIDENT - $ E. L. DISEASE -EA EMPLOYE $ E.L. DISEASE - POLICY `LIMIT $. OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CITY OF GILROY, ITS OFFICERS AND EMPLOYEES AS ADDITIONAL INSURED 7351 ROSANNA ST GILROY CA 95020 CITY OF GILROY, ITS OFFICERS AND EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. HEIDI LANHAM ©1988 -2009 ACORD CORPORATION. All dahts reserved. The ACORD name and logo are registered marks of ACORD 1001486 132849.3 04-06 -2009 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Crtficate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. HHDU Policy No.: 97 BT- V533 -3 FE -6609 ma rur SECTION II ADDITIONAL INSURED ENDORSEMENT ucruwc� Policy No.: 97 BT- V533 -3 Named Insured: JAMES FREE Additional Insured (include address): CITY OF GILROY, ITS OFFICERS AND EMPLOYEES AS ADDITIONAL INSURED 7351 ROSANNA ST GILROY CA 95020 WHO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to include as an insured the Additional Insured shown above, but only to the extent that liability is imposed on that Additional Insured solely because of your work performed for that Additional Insured shown above. Any insurance provided to the Additional Insured shall only apply with respect to a claim made or a suit brought for damages for which you are provided coverage. The Primary Insurance coverage below applies only when there is an "X" in the box. ❑ Primary Insurance. The insurance provided to the Additional Insured shown above shall be primary insurance. Any insurance carried by the Additional Insured shall be noncontributory with respect to coverage provided to you. All other policy provisions apply. FE -6609 Printed in U.S.A.