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HomeMy WebLinkAboutTamayo, Michele; 2005-12-09;AMENDMENT NO. 2 TO EXTEND THE AGREEMENT FOR ORGANIZATIONAL AND TEAM BUILDING PROCESS Michele Tamayo This Amendment No. 2 is entered into and effective as of the c^f day of . 200j£_, extending the agreement dated December 9, 2005 (the "Agreement") by and between the City of Carlsbad, a municipal corporation, ("City"), and Michele Tamayo, ("Contractor") (collectively, the "Parties"). RECITALS A. The Parties desire to extend the Agreement for a period of one (1) year; and NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contractor agree as follows: 1. The Agreement, as may have been amended from time to time, is hereby extended for a period of one (1) year ending on December 9, 2008. 2. All other provisions of the Agreement, as may have been amended from time to time, shall remain in full force and effect. 3. All requisite insurance policies to be maintained by the Contractor pursuant to the Agreement, as may have been amended from time to time, shall include coverage for this Amendment. City Attorney Approved Version #05.22.01 4. The individuals executing this Amendment and the instruments referenced on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions hereof of this Amendment. CONTRACTOR *Bv: (sign here) CITY OF corporation By: (print name/title) (e-mail address) *By: (sign here) (print name/title) LQBRAINE'M City Clerk (e-mail address) If required by City, proper notarial acknowledgment of execution by contractor must be attached. If a Corporation, Agreement must be signed by one corporate officer from each of the following two groups. *Group A. Chairman, President, or Vice-President 'Group B. Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officers) signing to bind the corporation. APPROVED AS^TO FORM: ^£~\RONALD^R^ALU, City Attorne Deputy City Attorney City Attorney Approved Version #05.22.01 AMENDMENT NO. 1 TO EXTEND THE AGREEMENT FOR ORGANIZATIONAL AND TEAM BUILDING PROCESS Michele Tamayo This Amendment No. 1 is entered into and effective as of the day of , 200^__, extending the agreement dated December 9, 2005 (the_ __ "Agreement") by and between the City of Carlsbad, a municipal corporation, ("City"), and Michele Tamayo, ("Contractor") (collectively, the "Parties"). RECITALS A. The Parties desire to extend the Agreement for a period of one (1) year; and NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contractor agree as follows: 1. The Agreement, as may have been amended from time to time, is hereby extended for a period of one (1) year ending on December 9, 2007. 2. All other provisions of the Agreement, as may have been amended from time to time, shall remain in full force and effect. 3. All requisite insurance policies to be maintained by the Contractor pursuant to the Agreement, as may have been amended from time to time, shall include coverage for this Amendment. City Attorney Approved Version #05.22.01 4. The individuals executing this Amendment and the instruments referenced on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions hereof of this Amendment. CONTRACTOR *c (sign here) ** Mi *By: (print name/tme) (e-man address) (sign here) (print name/title) (e-mail address) '/tf CITY OF CARLSBAD, a municipal corporation of the State of California By: City Manager or Mayer ATTEST: LORRAINE' City Clerk If required by City, proper notarial acknowledgment of execution by contractor must be attached. If a Corporation. Agreement must be signed by one corporate officer from each of the following two groups. *Group A. Chairman, President, or Vice-President "Group B. Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officers) signing to bind the corporation. APPROVED AS TO FORM: LL, City Attorney Deputy City Attorney City Attorney Approved Version #05.22.01 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION / EMPLOYERS' LIABILITY INSURANCE I, Michele Tamayo, am a sole proprietor. I hereby certify that I, Michele Tamayo, have no employees and am not required by law to maintain workers' compensation or employers' liability insurance. Should I, Michele Tamayo, employ any person during the term of the Agreement with the City of Carlsbad to provide engineering services, then workers' compensation and employers' liability insurance will be obtained. Executed on this . day of , 2006, at Consultant's Signature Print Consultant's Name Title AGREEMENT FOR ORGANIZATIONAL AND TEAM BUILDING PROCESS S E RVI C ES Michele Tamayo THIS AGREEMENT is made and entered into as of the day of =m , 20&, by and between the CITY OF CARLSBAD, a municipal ("Contractor") . corporation, ("City"), and 4 1 , a 54 PLw;L~, V RECITALS A. City requires the professional services of an organizational consultant that is experienced in evaluating, facilitating, and developing organizational strategic goals, team building, and team work skills. B. Contractor has the necessary experience in providing the above mentioned professional services and advice related to goal setting, team building, and teamwork skills. C. Selection of Contractor is expected to achieve the desired results in an expedited fashion. D. Contractor has submitted a proposal to City and has affirmed its willingness and ability to perform such work. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contractor agree as follows: 1. SCOPE OF WORK City retains Contractor to perform, and Contractor agrees to render, those services (the "Services") that are defined in attached Exhibit "A", which is incorporated by this reference in accordance with this Agreement's terms and conditions. 2. STANDARD OF PERFORMANCE While performing the Services, Contractor will exercise the reasonable professional care and skill customarily exercised by reputable members of Contractor's profession practicing in the Metropolitan Southern California Area, and will use reasonable diligence and best judgment while exercising its professional skill and expertise. 3. TERM The term of this Agreement will be effective for a period of one (1) year from the date first above written. The City Manager may amend the Agreement to extend it for two (2) additional one (1) year periods or parts thereof in an amount not to exceed Fifty thousand dollars ($50,000) per Agreement year. Extensions will be based upon a satisfactory review of Contractor's performance, City needs, and appropriation of funds by the City Council. The parties will prepare a written amendment indicating the effective date and length of the extended Agreement. City Attorney Approved Version #04.01.02 1 4. Time is of the essence for each and every provision of this Agreement. TIME IS OF THE ESSENCE 5. COMPENSATION The total fee payable for the Services to be performed during the initial Agreement term will be in the amount not-to-exceed Fifty thousand dollars ($50,000). No other compensation for the Services will be allowed except for items covered by subsequent amendments to this Agreement. The City reserves the right to withhold a ten percent (1 0%) retention until City has accepted the work and/or Services specified in Exhibit "A". Incremental payments, if applicable, should be made as outlined in attached Exhibit "A". 6. STATUS OF CONTRACTOR Contractor will perform the Services in Contractor's own way as an independent contractor and in pursuit of Contractor's independent calling, and not as an employee of City. Contractor will be under control of City only as to the result to be accomplished, but will consult with City as necessary. The persons used by Contractor to provide services under this Agreement will not be considered employees of City for any purposes. The payment made to Contractor pursuant to the Agreement will be the full and complete compensation to which Contractor is entitled. City will not make any federal or state tax withholdings on behalf of Contractor or its agents, employees or subcontractors. City will not be required to pay any workers' compensation insurance or unemployment contributions on behalf of Contractor or its employees or subcontractors. Contractor agrees to indemnify City within thirty (30) days for any tax, retirement contribution, social security, overtime payment, unemployment payment or workers' compensation payment which City may be required to make on behalf of Contractor or any agent, employee, or subcontractor of Contractor for work done under this Agreement. At the City's election, City may deduct the indemnification amount from any balance owing to Contractor. 7. SUBCONTRACTING Contractor will not subcontract any portion of the Services without prior written approval of City. If Contractor subcontracts any of the Services, Contractor will be fully responsible to City for the acts and omissions of Contractor's subcontractor and of the persons either directly or indirectly employed by the subcontractor, as Contractor is for the acts and omissions of persons directly employed by Contractor. Nothing contained in this Agreement will create any contractual relationship between any subcontractor of Contractor and City. Contractor will be responsible for payment of subcontractors. Contractor will bind every subcontractor and every subcontractor of a subcontractor by the terms of this Agreement applicable to Contractor's work unless specifically noted to the contrary in the subcontract and approved in writing by City. 2 City Attorney Approved Version #04.01.02 8. OTHER CONTRACTORS The City reserves the right to employ other Contractors in connection with the Services. 9. INDEMNIFICATION Contractor agrees to indemnify and hold harmless the City and its officers, officials, employees and volunteers from and against all claims, damages, losses and expenses including attorneys fees arising out of the performance of the work described herein caused in whole or in part by any willful misconduct or negligent act or omission of the Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. The parties expressly agree that any payment, attorney's fee, costs or expense City incurs or makes to or on behalf of an injured employee under the City's self- administered workers' compensation is included as a loss, expense or cost for the purposes of this section, and that this section will survive the expiration or early termination of this Agreement. IO. INSURANCE Contractor will obtain and maintain for the duration of the Agreement and any and all amendments, insurance against claims for injuries to persons or damage to property which may arise out of or in connection with performance of the services by Contractor or Contractor's agents, representatives, employees or subcontractors. The insurance will be obtained from an insurance carrier admitted and authorized to do business in the State of California. The insurance carrier is required to have a current Best's Key Rating of not less than "A-:V". IO. 1 Coverages and Limits. Contractor will maintain the types of coverages and minimum limits indicated below, unless City Attorney or City Manager approves a lower amount. These minimum amounts of coverage will not constitute any limitations or cap on Contractor's indemnification obligations under this Agreement. City, its officers, agents and employees make no representation that the limits of the insurance specified to be carried by Contractor pursuant to this Agreement are adequate to protect Contractor. If Contractor believes that any required insurance coverage is inadequate, Contractor will obtain such additional insurance coverage, as Contractor deems adequate, at Contractor's sole expense. 10.1 .I Commercial General Liability Insurance. $500,000 combined single-limit per occurrence for bodily injury, personal injury and property damage. If the submitted policies contain aggregate limits, general aggregate limits will apply separately to the work under this Agreement or the general aggregate will be twice the required per occurrence limit. 10.1.2 Automobile Liability (if the use of an automobile is involved for Contractor's work for City). $500,000 combined single-limit per accident for bodily injury and property damage. 3 City Attorney Approved Version #04.01.02 10.1.3 Workers' Compensation and Employer's Liability. Workers' Compensation limits as required by the California Labor Code and Employer's Liability limits of $500,000 per accident for bodily injury. Workers' Compensation and Employer's Liability insurance will .not be required if Contractor has no employees and provides, to City's satisfaction, a declaration stating this. 10.1.4 Professional Liability. Errors and omissions liability appropriate to Contractor's profession with limits of not less than $500,000 per claim. Coverage must be maintained for a period of five years following the date of completion of the work. 10.2. Additional Provisions. Contractor will ensure that the policies of insurance required under this Agreement contain, or are endorsed to contain, the following provisions: 10.2.1 The City will be named as an additional insured on General Liability. 10.2.2 Contractor will obtain occurrence coverage, excluding Professional Liability, which will be written as claims-made coverage. 10.2.3 This insurance will be in force during the life of the Agreement and any extensions of it and will not be canceled without thirty (30) days prior written notice to City sent by certified mail pursuant to the Notice provisions of this Agreement. 10.3 Providinlq Certificates of Insurance and Endorsements. Prior to City's execution of this Agreement, Contractor will furnish certificates of insurance and endorsements to City. 10.4 Failure to Maintain Coverage. If Contractor fails to maintain any of these insurance coverages, then City will have the option to declare Contractor in breach, or may purchase replacement insurance or pay the premiums that are due on existing policies in order to maintain the required coverages. Contractor is responsible for any payments made by City to obtain or maintain insurance and City may collect these payments from Contractor or deduct the amount paid from any sums due Contractor under this Agreement. 10.5 Submission of Insurance Policies. City resetves the right to require, at anytime, complete and certified copies of any or all required insurance policies and endorse men ts . 11. BUSINESS LICENSE Contractor will obtain and maintain a City of Carlsbad Business License for the term of the Agreement, as may be amended from time-to-time. City Attorney Approved Version #04.01.02 4 12. ACCOUNTING RECORDS Contractor will maintain complete and accurate records with respect to costs incurred under this Agreement. All records will be clearly identifiable. Contractor will allow a representative of City during normal business hours to examine, audit, and make transcripts or copies of records and any other documents created pursuant to this Agreement. Contractor will allow inspection of all work, data, documents, proceedings, and activities related to the Agreement for a period of three (3) years from the date of final payment under this Agreement. 13. OWNERSHIP OF DOCUMENTS All work product produced by Contractor or its agents, employees, and subcontractors pursuant to this Agreement is the property of City. In the event this Agreement is terminated, all work product produced by Contractor or its agents, employees and subcontractors pursuant to this Agreement will be delivered at once to City. Contractor will have the right to make one (1) copy of the work product for Contractor’s records. 14. COPYRIGHTS Contractor agrees that all copyrights that arise from the services will be vested in City and Contractor relinquishes all claims to the copyrights in favor of City. 15. NOTICES The name of the persons who are authorized to give written notices or to receive written notice on behalf of City and on behalf of Contractor under this Agreement. For Citv: For Contractor: Name-Joe Garuba Title-Sr. Management Analyst Title _Principal Department-City Manager City of Carlsbad Address -1 200 Carlsbad Village Dr. N a m e-M i c h e I e Tam a yo Address -721 0 Manzanita St. Phone No. -760 929-0071 Phone No. -760 434 2893 Each party will notify the other immediately of any changes of address that would require any notice or delivery to be directed to another address. 16. CONFLICT OF INTEREST City will evaluate Contractor’s duties pursuant to this Agreement to determine whether disclosure under the Political Reform Act and City’s Conflict of Interest Code is required of Contractor or any of Contractor’s employees, agents, or subcontractors. Should it be determined that disclosure is required, Contractor or Contractor’s affected employees, City Attorney Approved Version #04.01.02 5 agents, or subcontractors will complete and file with the City Clerk those schedules specified by City and contained in the Statement of Economic Interests Form 700. Contractor, for Contractor and on behalf of Contractor’s agents, employees, subcontractors and consultants warrants that by execution of this Agreement, that they have no interest, present or contemplated, in the projects affected by this Agreement. Contractor further warrants that neither Contractor, nor Contractor’s agents, employees, subcontractors and consultants have any ancillary real property, business interests or income that will be affected by this Agreement or, alternatively, that Contractor will file with the City an affidavit disclosing this interest. 17. GENERAL COMPLIANCE WITH LAWS Contractor will keep fully informed of federal, state and local laws and ordinances and regulations which in any manner affect those employed by Contractor, or in any way affect the performance of the Services by Contractor. Contractor will at all times observe and comply with these laws, ordinances, and regulations and will be responsible for the compliance of Contractor‘s services with all applicable laws, ordinances and regulations. Contractor will be aware of the requirements of the Immigration Reform and Control Act of 1986 and will comply with those requirements, including, but not limited to, verifying the eligibility for employment of all agents, employees, subcontractors and consultants that the services required by this Agreement. 18. DISCRIMINATION AND HARASSMENT PROHIBITED Contractor will comply with all applicable local, state and federal laws and regulations prohibiting d i scri m i n a t ion and harassment . 19. DISPUTE RESOLUTION If a dispute should arise regarding the performance of the Services the following procedure will be used to resolve any questions of fact or interpretation not otherwise settled by agreement between the parties. Representatives of Contractor or City will reduce such questions, and their respective views, to writing. A copy of such documented dispute will be forwarded to both parties involved along with recommended methods of resolution, which would be of benefit to both parties. The representative receiving the letter will reply to the letter along with a recommended method of resolution within ten (1 0) business days. If the resolution thus obtained is unsatisfactory to the aggrieved party, a letter outlining the disputes will be forwarded to the City Manager. The City Manager will consider the facts and solutions recommended by each party and may then opt to direct a solution to the problem. In such cases, the action of the City Manager will be binding upon the parties involved, although nothing in this procedure will prohibit the parties from seeking remedies available to them at law. 6 City Attorney Approved Version #04.01.02 20. TERMINATION In the event of the Contractor's failure to prosecute, deliver, or perform the Services, City may terminate this Agreement for nonperformance by notifying Contractor by certified mail of the termination. If City decides to abandon or indefinitely postpone the work or services contemplated by this Agreement, City may terminate this Agreement upon written notice to Contractor. Upon notification of termination, Contractor has five (5) business days to deliver any documents owned by City and all work in progress to City address contained in this Agreement. City will make a determination of fact based upon the work product delivered to City and of the percentage of work that Contractor has performed which is usable and of worth to City in having the Agreement completed. Based upon that finding City will determine the final payment of the Agreement. Either party upon tendering thirty (30) days written notice to the other party may terminate this Agreement. In this event and upon request of City, Contractor will assemble the work product and put it in order for proper filing and closing and deliver it to City. Contractor will be paid for work performed to the termination date; however, the total will not exceed the lump sum fee payable under this Agreement. City will make the final determination as to the portions of tasks completed and the compensation to be made. 21. COVENANTS AGAINST CONTINGENT FEES Contractor warrants that Contractor has not employed or retained any company or person, other than a bona fide employee working for Contractor, to solicit or secure this Agreement, and that Contractor has not paid or agreed to pay any company or person, other than a bona fide employee, any fee, commission, percentage, brokerage fee, gift, or any other consideration contingent upon, or resulting from, the award or making of this Agreement. For breach or violation of this warranty, City will have the right to annul this Agreement without liability, or, in its discretion, to deduct from the Agreement price or consideration, or othetwise recover, the full amount of the fee, commission, percentage, brokerage fees, gift, or contingent fee. 22. CLAIMS AND LAWSUITS By signing this Agreement, Contractor agrees that any Agreement claim submitted to City must be asserted as part of the Agreement process as set forth in this Agreement and not in anticipation of litigation or in conjunction with litigation. Contractor acknowledges that if a false claim is submitted to City, it may be considered fraud and Contractor may be subject to criminal prosecution. Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act applies to this Agreement and, provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of information. If City seeks to recover penalties pursuant to the False Claims Act, it is entitled to recover its litigation costs, including attorney's fees. Contractor acknowledges that the filing of a false claim may subject Contractor to an administrative debarment proceeding as the result of which Contractor may be prevented to act as a Contractor on any public work or improvement for a period of up to five (5) years. Contractor City Attorney Approved Version #04.01.02 7 acknowledges debarment by another jurisdiction is grounds for City to terminate this Agreement. 23. JURISDICTIONS AND VENUE Any action at law or in equity brought by either of the parties for the purpose of enforcing a right or rights provided for by this Agreement will be tried in a court of competent jurisdiction in the County of San Diego, State of California, and the parties waive all provisions of law providing for a change of venue in these proceedings to any other cou nt y . 24. SUCCESSORS AND ASSIGNS It is mutually understood and agreed that this Agreement will be binding upon City and Contractor and their respective successors. Neither this Agreement or any part of it nor any monies due or to become due under it may be assigned by Contractor without the prior consent of City, which shall not be unreasonably withheld. 25. ENTIRE AGREEMENT This Agreement, together with any other written document referred to or contemplated by it, along with the purchase order for this Agreement and its provisions, embody the entire Agreement and understanding between the parties relating to the subject matter of it. In case of conflict, the terms of the Agreement supersede the purchase order. Neither this Agreement nor any of its provisions may be amended, modified, waived or discharged except in a writing signed by both parties. 26. AUTHORITY The individuals executing this Agreement and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Agreement. CONTRACTOR CITY OF CARLSBAD, a municipal *By: A r- &rc/kele. -hHZaYO! cd W/&f- (si& here) CY (print name/titlej (e-mail'address) ATTEST: Dl -fcc&to+j~ d- t@ &t&biU, d **By: (sign here) (print name/title) (e-mail address) City Attorney Approved Version #04.01.02 0 If required by City, proper notarial acknowledgment of execution by contractor must be attached. If a Corporation, Agreement must be signed by one corporate officer from each of the following two groups. *Group A. Chairman, President, or Vice-president **Group B. Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer@) signing to bind the corporation. APPROVED AS TO FORM: R-D R. BALL, City Attorney City Attorney Approved Version #04.01.02 9 EXHIBIT “A” SCOPE OF SERVICES Itemized List of what Contractor will do for City and at what price. See Attached Exhibit A City Attorney Approved Version #04.01.02 10 . Organizational Effectiveness Michele Tamayo City of Carlsbad -Scope of Work- September 21,2005 Organizational Development and Consulting Services for City of Carlsbad Services may include: Coaching Teambuilding Meeting design and facilitation Daily Rate: Tota/ Fee Not to Exceed: $1 500May $30,000 7210 Manzanita Street, Carlsbad, Ca 92009 Phone/Fax 760-929-0071 mtamayoI@adelphia.net From: Colette Wengenroth To: Joe Garuba Date: 12/06/2005 12:45:14 PM Subject: Re: Request for sole source Joe, Okay to use Michele Tamayo for this project. Colette >>> Joe Garuba 11/29/05 157 PM >>> Colette, we request your approval of our sole sourcing a contract to Michele Tamayo for developing and facitiltating the City Council’s Strategic Goal Setting process, internal organizational goal setting, and team building services. As you may be aware, Michele has done significant and impressive work in the past with numerous City departments, and her knowledge of the organization and the significant issues that we are currently dealing with make her uniquely qualified to provide these services to the City. She has developed a positive relationship with both Council and staff, and based upon her proven track record, we are confidant Michele can provide the services we need. The term of the contract is for one year, with a possibility of 2, one (1) year extensions, each of which are not to exceed $50,000. If you have any questions please let me know Joe cc: John DeRego REQUEST FORM - PROFESSIONAL LIABILITY FACTORS IN SUPPORT OF REQUEST TO MODIFY PROFESSIONAL LIABILITY INSURANCE REQUIREMENT@) Generally, a modification to the coverage requirement will be accepting a lower limit of coverage or waiving the requirement(s). Requested by: &X &ad&* c*ur @/d6/9 6 The proposed modification(s) to the insurance requirement(s) for N?#’& x-+ p=, is: (Name and Department) ‘ (Dhe) (Name ofcontract) 0 P- e!# 0 0 63’ 0 Coverage in the amount of: $ . & FACTOR(S) IN SUPPORT OF MODIFICATION(S) (check those that apply) Catenorv Assumption(s) NA: Category assumptions are not applicable. [explain] db ;s Add;=- lFce Significance of Contractor: Contractor has previous experience with the City that is important to the efficiency of completing the scope of work and the quality of the work-product. [explain] Simificance of Contractor: Contractor has unique skills and there are few if any alternatives. [explain: include number of candidates RFP sent to and number responded if applicable] Contractor’s work-product is recommendations only; no design or other work-product for which there is no in-house expertise. [explain]: Professional Liability coverage is not available to this contractor or would increase the cost of the contract b! $ [explain]. Other (ex. explain why exposures minimal, how exposures covered in another policy, exposure control mechanisms, and any other information pertinent to your request): %&LLcrhrJ ‘e&- Q dd a& Approved by City Attorney for this contract only: - (Signature) (Date) http://ci tyweb/adminserv/risWdocumentation/ProfessionalSe~ic~Con~c~.doc 1’ REQUEST FORM - GENERAL LIABILITY FACTORS IN SUPPORT OF REQUEST TO MODIFY GENERAL LIABILITY INSURANCE REQUIREMENT(S) Generally, a modification to the coverage requirement(s) will be either accepting a lower limit of coverage or waiving the requirement(s). Requested by: &e &Q-f& I -%$+ (Name and Department) The proposed modification to the insurance requirement(s) for P?f.&L& z-0 is: (Name cd contract) Coverage in the amount of: $ A3 1. FACTOR(S) IN SUPPORT OF MODIFICATION(S) (check those that apply) c Category Assurnption(s) NA Category assumptions are not applicable. [explain] -44;l-l fld r-&n A*J Significance of Contractor: Contractor has previous experience with the City that is important to the efficiency of completing the scope of work and the quality of the work-product. [explain] Simificance of Contractor: Contractor has unique skills and there are few if any alternatives. [explain. include number of candidates RFP sent to and number responded ifapplicable] +- Contract Amount/Term of Contract: $ -,eo~ . Work will be completed over a period of . [This factor alone is not enough to support a request] 42 'y' wk;-s Other (ex. explain why exposures are minimal, how exposures are covered in another policy, exposure control mechanisms, and any other information pertinent to your request): D'cu G.swcA.c.cc - ,F 1 PROOF OF INSURANCE Interinsurance Exchange of the Automobile Club Name Insured Policy Number G 7249533 TAMAYO. FELIX MARIO & MICHELE Effective Date 10/22/03 Expiration Date 10/22/04 This policy provides a1 least the minimum amounts of liatulily insurance required by the CA VEH CODE SECTION 16056 for the cpecilied vehicles and named insureds and may provide coverage for other persons and other vehicles as provided by the insurance policy VEHICLES ON WLlCY YEAR MAKE VEH I.D. W 1995 VOLVO WlKW9610S1022177 199 1 LEXUS JTBUF 1 1 E9M0060573 B TAMAYO. MICHELE 2 1994 JEEP 1J4FY29S9RP441417 DRIVERS ON POLICY TAMAYQ, FELIX U ’. CERTIFICATE OF EXEMPTION FROM WORKERS’ COMPENSATION / EMPLOYERS’ LIABILITY INSURANCE I, Michele Tamavo, am a sole proprietor. I hereby certify that I, Michele Tamavo, have no employees and are not required by law to maintain workers’ compensation or employers’ liability insurance. Should I, Michele Tamavo, employ any person during the term of the Agreement with the City of Carlsbad to provide engineering services, then workers’ compensation and employers’ liability insurance will be obtained. Executed on this 9 day of eb ,2004, at ChdJkw-td! c JA- QZ4& GW,D Consultant’s Signature 1 0 Print Consultant’s Name