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HomeMy WebLinkAboutRicoh USA Inc; 2021-02-19;Page 1 of 2 28938132 1/25/2021 Version#1.1 ORDER AGREEMENT Sales Type: CASH Master Maintenance and Sale Agreement Number: Master Maintenance and Sale Agreement Date: EQUIPMENT BILL TO INFORMATION Customer Legal Name: CARLSBAD, CITY OF Address Line 1: 2560 ORION WAY Contact: Ruthann Pearlman Address Line 2: Phone: (760)602-7592 City: CARLSBAD E-mail: Ruthann.Pearlman@carlsbadca.gov ST/Zip: CA/92010-7240 County: SAN DIEGO Fax: Check all that apply: ☐ PO Included PO# ☐ PS Service (Subject to and governed by additional Terms and Conditions) ☐ TS PO# (if applicable) ☐ IT Service (Subject to and governed by additional Terms and Conditions) ☐ Sales Tax Exempt (Attach Valid Exemption Certificate) ☐ Fixed Rate Service Term ☐ Syndication ☐ Add to Existing Service Contract #: This is an Order made pursuant to the terms and conditions of the above referenced Master Agreement(s) between Customer and Ricoh USA, Inc. The signature below indicates that the customer accepts all terms and conditions of the applicable Master Agreement(s) for this sale, all of which are incorporated herein by reference and made part of this Order. This Order is not valid unless and until signed by and Authorized Signatory of Ricoh USA, Inc. SHIP TO INFORMATION Customer Name Address Line 1 Address Line 2 City ST/Zip County Contact Phone E-mail Fax CITY OF CARLSBAD 1635 FARADAY AVE CARLSBAD CA/92008-7314 SAN DIEGO Ruthann Pearlman (760)602-7592 Ruthann.Pearlman@carlsbadca.gov BASIC CONNECTIVITY / PS / IT Services Description Quantity Sell Price Extended Sell Price [SOW NO SDA]ECM PS BLOCK OF TIME 24 MONTHS 90 $172.00 $15,480.00 DocuSign Envelope ID: EBB21C6B-5221-4B06-9FAE-74295AE34A43DocuSign Envelope ID: 02D5E878-2D12-4D2C-9311-2DDB5B4F0E95 Page 2 of 2 28938132 1/25/2021 Version#1.1 ORDER TOTALS Service Type Offerings: Product Total: $0.00 Gold: Includes all supplies and staples. Excludes paper. BASIC CONNECTIVITY / PS / IT Services : $15,480.00 Silver: Includes all supplies. Excludes paper and staples. BuyOut After Promotions: $0.00 Bronze: Parts and labor only. Excludes paper, staples and supplies. Additional Provisions: Insert ANY additional provisions here Grand Total: (Excludes Tax) $15,480.00 Accepted by Customer Accepted: Ricoh USA, Inc. Authorized Signature: \s1\ Authorized Signature: {{s2} } Printed Name: \SignerName1\ Printed Name: Title: \SignerTitle1\ Title: Date:\d1\ Date:\d1\ \i1\ _____ Initials DocuSign Envelope ID: EBB21C6B-5221-4B06-9FAE-74295AE34A43DocuSign Envelope ID: 02D5E878-2D12-4D2C-9311-2DDB5B4F0E95 VPMD 2/12/2021 Curt AlbrechtMaria Callander 2/19/2021 Director of Information Technology PS SOW v1.1 - Page 1 103803v1 Statement of Work Professional Service Support Block of Time Created for: City of Carlsbad 11-11-2020 SOW Design Record # DR28586793 DocuSign Envelope ID: 02D5E878-2D12-4D2C-9311-2DDB5B4F0E95 PS SOW v1.1 - Page 2 103803v1 Proprietary & Confidential Information The enclosed materials are proprietary to RICOH USA, INC. (“Ricoh”), and Ricoh reserves all right, title, and interest in and to such materials. The terms, conditions, and information set forth herein are confidential to Ricoh and may not be disclosed in any manner to any person other than the addressee, together with its officers, employees, and agents who are directly responsible for evaluating the contents of these materials for the limited purpose intended. These materials may not be used in any manner other than for such limited purpose. Any unauthorized disclosure, use, reproduction, or transmission is expressly prohibited without the prior written consent of Ricoh. © 2020 RICOH USA, INC. all rights reserved. DocuSign Envelope ID: 02D5E878-2D12-4D2C-9311-2DDB5B4F0E95 PS SOW v1.1 - Page 3 103803v1 Introduction Ricoh USA, Inc. (“Ricoh”) has prepared the following Statement of Work (“SOW”) to detail services for the Block of Time project (the “Project”) at City of Carlsbad (“Customer”). From time to time the Customer may require technical assistance from Ricoh’s Professional Services organization. The Block of Time Statement of Work provides the Customer with the flexibility to quickly engage resources to provide technical services. This provides lower-cost standard service rates, and by prepaying services, it’s much easier to budget for upcoming initiatives. Here are just a few of the many benefits that purchasing Block of Time offers: • Simplified process of contracting and budgeting for technical support services • Access to a wide range of highly-skilled Ricoh resources at a single reduced rate valid for a 24-month period • No longer a need to contract for each individual project • Budgeting and pre-planning process is greatly improved • Leverages most Professional Services activities to achieve a competitive standard rate Any necessary or requested changes to the scope of the Block of Time will be handled through the change control procedures outlined in this SOW. Ricoh has outlined the Project scope and costs for the Project. The service costs outlined in this document are based on Ricoh’s experience and preliminary information received from Customer. The information in this SOW supersedes all previous estimates or verbal discussions on the Project. Services Objective This arrangement is designed to give the Customer a blended rate for a variety of resources and skill sets. Resources will be assigned based on skill set, availability and type of service requested. Ricoh USA, Inc. (“Ricoh”) has prepared the following Statement of Work (SOW) for a Block of Services Time to provide the Customer with the ability to leverage hourly-based Professional Services at competitive rates. This Statement of Work delivers resources on a time-and-materials basis over a 12-month period beginning the first day of purchase. DocuSign Envelope ID: 02D5E878-2D12-4D2C-9311-2DDB5B4F0E95 PS SOW v1.1 - Page 4 103803v1 Services Scope Services Included Time applied toward the block hours includes: all telephone and email conversations, preparation time, and any agreed upon documentation to perform and support the following support services: • Connectivity • Reinstallation of Software • Technical Support (WPTZ30/PS-SUPTECH) • Training (WPVZ00/PS-TRAINING) • Implementation support services around Rightfax, Autostore, Output Manager (Control Suite) Additional services can be provided other than those listed above. However, a Statement of Work for any services other than technical support services listed above is required. The scope of the services can be utilized for any Ricoh hourly service, including: • Troubleshooting and Problem Solving of installed Ricoh supplied products • Assist with configuration or customization of Ricoh supplied products • Supplemental Training of Product Administrators, Trainers or End Users • Preliminary Requirements Analysis, Design Services, and Development Services • Staff Augmentation Services; to perform work your staff is either not trained to do or too busy to do • Best practices and Document Management System consulting • Project Management services Services Excluded This project does not cover the following functions or deliverables: • Resources that must travel outside of their home area • Expert / Specialized technical consulting • Complex Solution Consulting and / or Development • Formal Project Development or Implementation • Work performed outside of standard working hours (Monday thru Friday 8:00am - 5:00 pm) Customer Locations The following customer location(s) is/are included in the scope of this Statement of Work. Any additional locations will require the execution of a Change Order and may incur additional costs. 1635 Faraday Ave, Carlsbad CA 92008 DocuSign Envelope ID: 02D5E878-2D12-4D2C-9311-2DDB5B4F0E95 PS SOW v1.1 - Page 5 103803v1 Engagement Process Software Enterprise Support Center (SESC) In order to obtain service under a Block of Time SOW, Customer will place a call to the Ricoh Software Enterprise Support Center at 1-888-424-1573, any time from 8 am to 8 pm EST, Monday through Friday. Details regarding the Software Enterprise Support Center can be found here. Completion Criteria Acceptance Criteria At the end of each service delivery, either a Professional Services Service Order or a Solutions Delivery and Acceptance (SD&A) form (if services are rendered under a Statement of Work) will be delivered to the Customer with the service description and the amount of time defined. Customer will sign this form to acknowledge and accept service delivery. Change Control Any changes to the scope or terms of this Statement of Work must be documented and approved by both parties through the use of a Change Order. The following list provides a detailed process to follow if changes to components within the scope of this SOW are required. A Change Order (CO) will be the vehicle for communicating change. The CO must describe the change, the reason for the change, and the effect the change will have on the project. The designated Project Manager of the requesting party will review the proposed change and determine whether to submit the request to the other party. A written Change Authorization must be signed by both parties to authorize the implementation of the investigated changes. DocuSign Envelope ID: 02D5E878-2D12-4D2C-9311-2DDB5B4F0E95 PS SOW v1.1 - Page 6 103803v1 Block of Time Price The total services price for this engagement shall be $15,480.00 and does not include any hardware, software, or sales tax. The purchase or lease of any hardware or software is independent from this Statement of Work and therefore not contingent on Customer’s acceptance of these services performed. Customer Name: City of Carlsbad Project Name: Professional Service Support Block of Time Deliverable Description: Support – Block of Time Block Hours 90 Block Term 24 months Standard Price /hr: $205/hr Discounted Price /hr: $172 /hr Total Services: $15,480.00 BOT SOW NOTES: • All Services must be prepaid with Statement of Work signing and execution. • All hours must be used within the term of the contract as defined in the block size above where the start date is the date of execution of this contract. • Services provided by Ricoh will be provided during normal business hours (8:00 am to 5:00 pm) Monday through Friday excluding Ricoh recognized holidays. Required services provided outside of these hours have not been included in the costs. • Once the block of time has been depleted, additional time can be purchased at the negotiated rate. • Services are provided remotely unless otherwise indicated. • Services must be scheduled 48 hours in advance. • There will be a ½ hour minimum charge for services including email and telephone support. • This estimate does not include taxes or miscellaneous expenses. Payment Schedule Block hours will be pre-paid. Services amount described above will be payable upon execution of this Statement of Work. DocuSign Envelope ID: 02D5E878-2D12-4D2C-9311-2DDB5B4F0E95 PS SOW v1.1 - Page 7 103803v1 Terms & Conditions: The performance of the Services described in this SOW by Ricoh for Customer is subject to and shall be governed solely by the following terms and conditions: 1. On-Site Security; Insurance. While on Customer’s premises, Ricoh will comply with Customer’s reasonable workplace safety and physical security processes and procedures provided by Customer in writing prior to performance of the Services. Each party certifies that it maintains reasonable amounts of general liability, auto and personal property insurance, and workers’ compensation insurance in the amount required by law, and that such insurance will remain in effect during the term of this SOW. Upon request, each party agrees to deliver the other evidence of such insurance coverage. 2. Term; Termination. Upon signature by both parties, this SOW shall become effective on the Effective Date and shall continue in effect for the shorter of the period necessary to complete the Services or one year, unless terminated earlier as specified in this Section (the “Term”). Either party shall have the right to terminate this SOW for cause in the event of a material breach by the other party, unless such breach is cured within thirty (30) days of receipt of written notice of such breach. Either party may terminate this SOW immediately for cause upon the commencement of any voluntary or involuntary bankruptcy or insolvency proceeding by or against either party. Either party may cancel this SOW, for convenience without cause, upon sixty (60) days prior written notice to the other party. In addition to its other legal remedies, Ricoh may suspend the performance of the Services, stop delivery of products and/or terminate this SOW for any non-payment on Customer’s accounts that continues for more than ten (10) days following the due date. In the event a SOW is terminated by Customer without cause or terminated by Ricoh for cause, Customer agrees to pay Ricoh the Fees, materials and reimbursable expenses for all non-defective Services that Ricoh provides through the date of termination. In the event a SOW is cancelled by Ricoh without cause or terminated by Customer for cause, with respect to Services for which Customer has prepaid and which Ricoh has not yet fully provided to Customer, Ricoh will provide Customer with a prorated refund. The obligations of the parties under this SOW that by their nature would continue beyond expiration, termination or cancellation of this SOW shall survive any such expiration, termination or cancellation. 3. Limited Warranty for Services; Limitation of Liability. Ricoh warrants that it will perform the Services (i) in a good and workmanlike fashion, (ii) using reasonable care and skill, and (iii) according to the description contained in this SOW. Customer must report any defects in the Services in writing within thirty (30) days of performance of such Services in order to receive warranty remedies. Ricoh’s entire liability, and Customer’s exclusive remedy for any breach of this limited warranty shall be Ricoh’s reasonable effort to perform corrective work or, if the Services still cannot be completed after commercially reasonable efforts to do so, a refund to Customer of a prorated amount of the Fees and charges attributable to the defective Services, as determine in Ricoh’s reasonable discretion. Except as provided above, THE SERVICES, WORK AND DELIVERABLES ARE PROVIDED "AS IS.” EXCEPT FOR THE LIMITED WARRANTY SET FORTH ABOVE, RICOH DISCLAIMS ALL WARRANTIES EXPRESS OR IMPLIED, INCLUDING ANY WARRANTIES OF UTILITY, MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR NON-INFRINGEMENT, OR ANY WARRANTY ARISING BY STATUTE, OPERATION OF LAW, COURSE OF DEALING OR PERFORMANCE, OR USAGE OF TRADE. FURTHERMORE, RICOH DOES NOT WARRANT THAT ALL DEFECTS WILL BE CORRECTED, OR THAT ANY SERVICES, PRODUCTS OR PROGRAMS SUPPLIED, INSTALLED OR CONFIGURED BY US WILL OPERATE ON AN UNINTERRUPTED OR ERROR FREE BASIS, OR SHALL FUNCTION OR DocuSign Envelope ID: 02D5E878-2D12-4D2C-9311-2DDB5B4F0E95 PS SOW v1.1 - Page 8 103803v1 OPERATE IN CONJUNCTION WITH ANY OTHER PRODUCT OR SYSTEM. IN NO EVENT SHALL RICOH BE LIABLE TO CUSTOMER FOR ANY INDIRECT, SPECIAL OR CONSEQUENTIAL DAMAGES OR LOST PROFITS ARISING OUT OF OR RELATED TO THE SERVICES, THIS SOW OR THE PERFORMANCE OR BREACH HEREOF, EVEN IF RICOH HAS BEEN ADVISED OF THE POSSIBILITY THEREOF. RICOH'S LIABILITY TO CUSTOMER HEREUNDER, IF ANY, SHALL IN NO EVENT EXCEED THE TOTAL OF THE FEES PAID TO RICOH HEREUNDER BY CUSTOMER. IN NO EVENT SHALL RICOH BE LIABLE TO CUSTOMER FOR ANY DAMAGES RESULTING FROM OR RELATED TO ANY FAILURE OF ANY SOFTWARE, INCLUDING, BUT NOT LIMITED TO, LOSS OF DATA OR DELAY OF DELIVERY OF SERVICES UNDER THIS SOW. RICOH ASSUMES NO OBLIGATION TO PROVIDE OR INSTALL ANY ANTI-VIRUS OR SIMILAR SOFTWARE, AND THE SCOPE OF SERVICES CONTEMPLATED HEREBY DOES NOT INCLUDE ANY SUCH SERVICES. 4. IP Matters; Software Licenses. a. Ownership of IP Rights. Neither party shall acquire any right, title or interest in or to the other party's intellectual property (“IP”) rights including their copyrights, patents, trade secrets, trademarks, service marks, trade names or product names. Subject to payment of all relevant Fees and charges, Ricoh hereby grants Customer a worldwide, perpetual, nonexclusive, non-transferable, royalty-free (other than payments identified in this SOW or other transaction documents) license for its internal business purposes only to use, execute, display, perform and distribute (within Customer’s organization only) anything developed by Ricoh for Customer in connection with the Services (“Contract Property”). Ricoh shall retain all ownership rights to the Contract Property. For purposes of clarity this SOW and the foregoing license relates to the professional services only, and software programs shall not be deemed to be deliverables or “Services”. All licensing for Ricoh or third party software shall be as provided in subsection (b), below. b. Software Licenses. All Ricoh and/or third party software provided by Ricoh as part of or in connection with the Services is licensed, not sold, and is subject to both the server, seat, quantity or other usage restrictions set forth the relevant transaction documentation, and to the terms of the respective End User License Agreements, with which Customer agrees to comply. If such software is manufactured by a party other than Ricoh, then Customer acknowledges that Ricoh is not the manufacturer or copyright owner of such third party software and that Ricoh makes no representations and provides no warranties with respect thereto. Ricoh shall make available to Customer any warranties made to Ricoh by the manufacturer of the software and/or products utilized by Ricoh in connection with the Services hereunder, to the extent transferable and without recourse. 5. Confidentiality and Non-Solicitation. a. Confidentiality. Except for purposes of this SOW, Ricoh shall not use or disclose any proprietary or confidential Customer data derived from the Services hereunder; provided, however, that Ricoh may use general statistics relating to the Service engagement so long as it does not disclose the identity of Customer or make any reference to any information from which the identity of Customer may be reasonably ascertained. Notwithstanding the foregoing, the parties acknowledge and agree that Ricoh shall have no obligation to remove, delete, preserve, maintain or otherwise safeguard any information, images or content retained by, in or on any item of equipment serviced by Ricoh, whether through a digital storage device, hard drive or similar electronic medium (“Data Management Services”). If desired, Customer may engage Ricoh to perform such Data Management Services at its then-current rates. Notwithstanding anything in this SOW to the contrary, in the event that Customer engages Ricoh to perform any Data Management Services that relate to the security or accessibility of information stored in or recoverable from any devices provided or serviced by Ricoh, including DocuSign Envelope ID: 02D5E878-2D12-4D2C-9311-2DDB5B4F0E95 PS SOW v1.1 - Page 9 103803v1 but not limited to any hard drive removal, cleansing or formatting services of any kind, Customer expressly acknowledges and agrees that (i) it is aware of the security alternatives available to it, (ii) it has assessed such alternatives and exercised its own independent judgment in selecting the Data Management Services and determined that such Data Management Services are appropriate for its needs and compliance, (iii) Ricoh does not provide legal advice with respect to information security or represent or warrant that its Data Management Services or products are appropriate for Customer’s needs or that such Data Management Services will guarantee or ensure compliance with any law, regulation, policy, obligation or requirement that may apply to or affect Customer’s business, information retention strategies and standards, or information security requirements. Additionally, Customer expressly acknowledges and agrees that, (a) Customer is responsible for ensuring its own compliance with legal requirements pertaining to data retention and protection, (b) it is the Customer’s sole responsibility to obtain advice of competent legal counsel as to the identification and interpretation of any relevant laws and regulatory requirements that may affect the Customer’s business or data retention, and any actions required to comply with such laws, and (c) the selection, use and design of any Data Management Services, and any and all decisions arising with respect to the deletion or storage of any data, as well as any loss, or presence, of data resulting therefrom, shall be the sole responsibility of Customer, and Customer shall indemnify and hold harmless Ricoh and its subsidiaries, directors, officers, employees and agents from and against any and all costs, expenses, liabilities, claims, damages, losses, judgments or fees (including reasonable attorneys’ fees) arising therefrom or related thereto. b. Non-Solicitation. Customer agrees that during the term of the Services and for a period of one (1) year after termination thereof, it shall not directly or indirectly solicit, hire or otherwise retain as an employee or independent contractor any employee of Ricoh that is or was involved with or part of the Services. 6. General. This SOW represents the entire agreement between the parties relating to the subject matter hereof and supersedes all prior understandings, writings, proposals, representations or communications, oral or written, of either party. Only a Change Order in writing executed by authorized representatives of both parties may amend this SOW. Any purchase order, service order or other Customer ordering document will not modify or affect this SOW, nor have any other legal effect. All equipment is purchased or leased by Customer pursuant to a separate agreement and are separate and independent obligations of Customer governed solely by the terms set forth in such separate agreement. This SOW may not be transferred or assigned by Customer without the prior written consent of Ricoh. This SOW shall be interpreted in accordance with the substantive laws of the State of California, without regard to principles of conflicts of law. The parties hereto also agree to submit to the non-exclusive jurisdiction of the courts of San Diego County to resolve any action under this Agreement. The relationship of the parties is that of independent contractors. Ricoh shall not be responsible for and shall be excused from performance, or have reasonable additional periods of time to perform its obligations, where it is delayed or prevented from performing any of its obligations for reasons beyond Ricoh’s reasonable control, including, without limitation, acts of God, natural disasters, labor disputes, strikes or unavailability of services, personnel or materials. The parties hereby acknowledge that this SOW may be executed by electronic means through the affixation of a digital signature, or through other such similar electronic means, and any such electronic signature by either party constitutes a signature, acceptance, and agreement as if such had been actually signed in writing by the applicable party. [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK] DocuSign Envelope ID: 02D5E878-2D12-4D2C-9311-2DDB5B4F0E95 PS SOW v1.1 - Page 10 103803v1 This SOW shall be effective as of the date of execution by both Ricoh and Customer. Scheduling of resources and Project duration estimates can only be provided after this SOW has been signed by both parties. By signing below, the undersigned represent that they are duly authorized to enter into this SOW on behalf of their respective entities. RICOH PRELIMINARY REVIEW Authorized Sales Engineering Signature Name and Title Date CUSTOMER ACCEPTANCE \s1\ \signertitle1\ \d1\ Authorized Signature Name and Title Date RICOH ACCEPTANCE Authorized Sales Engineering Signature Name and Title Date PLEASE PRINT THE NAME AND TITLE OF THE SIGNER IN THE APPROPRIATE SIGNATURE BLOCK. APPROVED AS TO FORM Celia Brewer, City Attorney BY: _______________________ Assistant City Attorney DocuSign Envelope ID: 02D5E878-2D12-4D2C-9311-2DDB5B4F0E95 Ramon Martinez Manager, Tech. Sales Analyst2/9/2021 Maria Callander Director of Information Technology2/19/2021 PS SOW v1.1 - Page 11 103803v1 Appendix (If applicable) ADD SOFTWARE INFORMATION / SPECIFICATIONS / BROCHURES ADD HARDWARE INFORMATION / SPECIFICATIONS / BROCHURES DocuSign Envelope ID: 02D5E878-2D12-4D2C-9311-2DDB5B4F0E95 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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 rights to the certificate holder in lieu of such endorsement(s). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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 THISCERTIFICATE 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY Willis Towers Watson Northeast, Inc.c/o 26 Century BlvdP.O. Box 305191Nashville, TN 372305191 USA Ricoh Americas Holdings, Inc.Ricoh USA, Inc.300 Eagleview Blvd., Suite 200Exton, PA 19341 Re: 1635 Faraday Ave., Carlsbad, CA 92008 Waiver of Subrogation applies to Workers Compensation, where required by written contract and as permitted by law. Certificate Holder is included as an Additional Insured as respects to General Liability where required by writtencontract. City of CarlsbadAttn: Ruthann Pearlman1635 Faraday AveCarlsbad, CA 92008-7314 09/09/2020 1-877-945-7378 1-888-467-2378 certificates@willis.com Sompo America Insurance Company 11126 Safety National Casualty Corporation 15105 W17669565 A 1,000,000 300,000 15,000 1,000,000 2,000,000 2,000,000 Y GDL40033H0 06/01/2020 06/01/2021 A 1,000,000 06/01/202106/01/2020ADV40018S0 LDC4054740BY 2,000,000No06/01/2020 06/01/2021 2,000,000 2,000,000 180925320063343SR ID:BATCH: Willis Towers Watson Certificate Center Page 1 of 1DocuSign Envelope ID: 02D5E878-2D12-4D2C-9311-2DDB5B4F0E95 DocuSign Envelope ID: 02D5E878-2D12-4D2C-9311-2DDB5B4F0E95