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HomeMy WebLinkAboutAlexander Atkins Design Inc V AGREEMENT THIS AGREEMENT is made and entered into on the I day of July, 2016 by and between the TOWN OF LOS ALTOS HILLS (hereinafter referred to as "TOWN") and Alexander Atkins Design, Inc. (hereinafter referred to as "CONTRACTOR"). In consideration of their mutual covenants, the parties hereto agree as follows: 1. CONTRACTOR. Shall provide or furnish the following specified services and/or or materials: Creative Services and Production Services as defined in Exhibit A for the Town's quarterly Our Town Newsletter. 2. EXHIBITS. The following attached exhibits are hereby incorporated into and made a part of this Agreement: Proposal from CONTRACTOR dated April 22, 2016. 3. TERMS. The services and/or materials furnished under this Agreement shall commence July 1, 2016 and shall be completed by June 30, 2018, unless terminated pursuant to Section 5(f). 4. COMPENSATION. For the full performance of this Agreement: a. TOWN shall pay CONTRACTOR an amount not to exceed twenty-four thousand, dollars ($24,000.00) per year. TOWN shall pay the CONTRACTOR within thirty (30) days following receipt of invoice and completion/delivery of services/goods as detailed in Sections 1, 2, and 3 of this Agreement and only upon satisfactory delivery/completion of goods/services in a manner consistent with professional/industry standards for the area in which CONTRACTOR operates. TOWN is not responsible for paying for any work done by CONTRACTOR or any subcontractor above and beyond the not to exceed amount. b. Town shall not reimburse for any of CONTRACTOR's costs or expenses to deliver any services/goods. Town shall not be responsible for any interest or late charges on any payments from Town to CONTRACTOR. c. CONTRACTOR is responsible for monitoring its own forces/employees/agents/ subcontractors to ensure delivery of goods/services within the terms of this Agreement. TOWN will not accept or compensate CONTRACTOR for incomplete goods/services. Town of Los Altos Hills Page 1 of 4 Shaft tom Updated 4/23/10 V 5. GENERAL TERMS AND CONDITIONS. a. HOLD HARMLESS. CONTRACTOR agrees to indemnify, defend and hold harmless the TOWN, its officers, agents and employees from any and all demands, claims or liability of personal injury (including death) and property damage of any nature, caused by or arising out of the performance of CONTRACTOR under this Agreement. With regard to CONTRACTOR'S work product, CONTRACTOR agrees to indemnify, defend and hold harmless the TOWN, its officers, agents and employees from any and all demands, claims or liability of any nature to the extent caused by the negligent performance of CONTRACTOR under this Agreement. b. INSURANCE. CONTRACTOR shall file with the TOWN a certificate of insurance before commencing any services under this Agreement as follows: {units- (Initial) ii. COMMERCIAL GENERAL LIABILITY AND PROPERTY DAMAGE INSURANCE: General Liability and Property Damage Combined. $1,000,000.00 per occurrence including comprehensive form, personal injury, broad form personal damage, contractual and premises/operation, all on an occurrence basis. If an aggregate limit exists, it shall apply separately or be no less than two (2) times the occurrence limit. iii. _ . ,, . _ - : ... aa . .. ---- - --. Contractor is not required to and shall not use a vehicle in the performance of the services provided herein. (Initial) iv. - ° ' - ,tall. . .. . . . -e . (Initial) v. NOTICE OF CANCELLATION: The City requires 30 days written notice of cancellation. Additionally, the notice statement on the certificate should not include the wording "endeavor to" or "but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives." vi. CERTIFICATE OF INSURANCE: Prior to commencement of services, evidence of insurance coverage must be shown by a properly executed certificate of insurance and it shall name "The Town of Los Altos Hills, its elective and appointed officers, employees, and volunteers" as additional insureds. Town of Los Altos Hills Page 2 of 4 Short m� Updated 423110 4.0 vii. To prevent delay and ensure compliance with this Agreement, the insurance certificates and endorsements must be submitted to: Town of Los Altos Hills 26379 Fremont Road Los Altos Hills, CA 94022 c. NON-DISCRIMINATION. No discrimination shall be made in the employment of persons under this Agreement because of the race, color, national origin, age, ancestry, religion or sex of such person. d. INTEREST OF CONTRACTOR. It is understood and agreed that this Agreement is not a contract of employment and does not create an employer-employee relationship between the TOWN and CONTRACTOR. At all times CONTRACTOR shall be an independent contractor and CONTRACTOR is not authorized to bind the TOWN to any contracts or other obligations without the express written consent of the TOWN. In executing this Agreement, CONTRACTOR certifies that no one who has or will have any financial interest under this Agreement is an officer or employee of TOWN. e. CHANGES. This Agreement shall not be assigned or transferred without advance written consent of the TOWN. No changes or variations of any kind are authorized without the written consent of the City Manager. This Agreement may only be amended by a written instrument signed by both parties. f. TERMINATION. This Agreement may be terminated by TOWN upon seven (7) days written notice to CONTRACTOR. Monies owed for work satisfactorily completed shall be paid to CONTRACTOR within 14 days of termination. g. RECORDS. All reports, data, maps, models, charts, studies, surveys, calculations, photographs, memoranda, plans, studies, specifications, records, files, or any other documents or materials, in electronic or any other form, that are prepared or obtained pursuant to this Agreement and that relate to the matters covered hereunder shall be the property of the TOWN. CONTRACTOR hereby agrees to deliver those documents to the TOWN at any time upon demand of the TOWN. It is understood and agreed that the documents and other materials, including but not limited to those described above, prepared pursuant to this Agreement are prepared specifically for the TOWN and are not necessarily suitable for any future or other use. Failure by CONTRACTOR to deliver these documents to the TOWN within a reasonable time period or as specified by the TOWN shall be a material breach of this Agreement. TOWN and CONTRACTOR agree that until final approval by TOWN, all data, plans, specifications, reports and other documents are preliminary drafts not kept by the TOWN in the ordinary course of business and will not be disclosed to third parties without prior written consent of both parties. All work products submitted to the TOWN pursuant to this Agreement shall be deemed a "work for hire." Town of Los Altos Hills Page 3 of 4 Short form Updated mmlo V ri Upon submission of any work for hire pursuant to this Agreement, and acceptance by the TOWN as complete, non-exclusive title to copyright of said work for hire shall transfer to the TOWN. The compensation recited in Section 4 shall be deemed to be sufficient consideration for said transfer of copyright. CONTRACTOR retains the right to use any project records, documents and materials for marketing of their professional services. h. ENTIRE AGREEMENT. This Agreement represents the entire agreement between the Parties. Any ambiguities or disputed terms between this Agreement and any attached Exhibits shall be interpreted according to the language in this Agreement and not the Exhibits. 6. INVOICING. Send all invoices to the contract coordinator at the address below. This Agreement shall become effective upon its approval and execution by TOWN. In witness whereof, the parties have executed this Agreement the day and year first written above. CONTRACT COORDINATOR and representative for TOWN: CONTRACTOR: Deborah L. Padovan City Clerk !% Town of Los Altos Hills By: 6.1•16 26379 Fremont Road Signature Date Los Altos Hills, CA 94022 kueM..NdQt Kmcinb ea esr&Gur`A Wc. Print name, Title TOWN OF LOS ALTOS HILLS: By: Cin t/4vCarl Cahill, City anager Town of Los Altos Hills Page 4 of 4 Short TOM Updated 4/23/10 0 V Form W.9 Request for Taxpayer Give form to the (Rev.O"aber 2007) Identification Number and Certification requester. Do not Decal, err cr a,e lrear,n send to the IRS. Internal Revenue Sem cc Name as shown an your income tax return) 4Loc unio't frt"kWJ OEs%so Wt.. Business name,if different from above a • m Check appropriate box, ❑ IMlvidud/Sole proprietor ® Corporation El PoNreretip Exept 5 ❑ Limited liability company.Enter the tax classification padisregerded entity,C=corporation.P partnership)• C Payee b 2 ❑ Other(see inetructors) • c Address(number,street,and apt.or suite no) Requester's name and address(options') a_ 3790 el_ CAMINo REAL` Sfh. 3006 a City state,. end ZIP code Town of Los Mtos Hills 26379 Fremont Road I OR to ALTO CA °1t304-33t4Los AltosHills, CA 94022 -_ AList account number(s)here(optional) Taxpayer Identification Number(TIN) -. Enter your TIN in the appropriate box.The TIN provided must match the name given on Line 1 to avoid Social cemity number backup withholding. For individuals,this is your social security number(55N). However,for a resident alien,sole proprietor,or dsregarded entity, see the Part I instructions on page 3. For other entities,it is your employer identification number(EIN). If you do not have a number,see How to get a EN on page 3. OE Note.If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer identification ranker number to enter. 77 O32ct g I6 Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because:(a)I am exempt from backup withholding, or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. I am a U.S.citizen or other U.S.person(defined below). Certification Instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions,item 2 does not apply. For mortgage interest paid,acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the Certification, but you must provide your correct TIN.See the instructions on page 4 Sign Signature of Here us.person pate . 6-1.16 General Instructions Definition of a U.S. person. For federal tax purposes, you are considered a U.S.person if you are: Section references are to the Internal Revenue Code unless • An individual who is a U.S.citizen or U.S. resident alien, otherwise noted. •A partnership, corporation, company, or association created or Purpose of Form organized in the united States or under the laws of the United A person who is required to file an information return with the States, IRS must obtain your correct taxpayer identification number(TIN) • An estate(other than a foreign estate), or to report,for example. income paid to you, real estate • A domestic trust(as defined in Regulations section transactions,mortgage interest you paid, acquisition or 301.7701-7). abandonment of secured property, cancellation of debt, or Special rules for partnerships Partnerships that conduct a contributions you made to an IRA trade or business in the United States are generally required to Use Form W-9 only if you are a U.S. person(including a pay a withholding tax on any foreign partners'share of income resident alien), to provide your correct TIN to the person from such business. Further, in certain cases where a Form W-9 requesting it (the requester) and, when applicable,to: has not been received, a partnership is required to presume that 1. Certify that the TIN you are giving is correct (or you are a partner is a foreign person, and pay the withholding tax. waiting for a number to be issued). Therefore, if you are a U.S. person that is a partner in a 2. Certify that you are not subject to backup withholding, or partnership conducting a trade or business in the United States. provide Form W-9 to the partnership to establish your U.S. 3.Claim exemption from backup withholding if you are a U S. status and avoid withholding on your share of partnership exempt payee. If applicable,you are also certifying that as a income. U S. person,your allocable share of any partnership income from The person who gives Form W-9 to the partnership for a U.S. trade or business is not subject to the withholding tax on purposes of establishing its U.S. status and avoiding withholding foreign partners' share of effectively connected income. on its allocable share of net income from the partnership Note. It a requester gives you a form other than Form W-9 to conducting a trade or business in the United States is in the request your TIN,you must use the requester's form if it is following cases: substantially similar to this Form W-9. •The U S.owner of a disregarded entity and not the entity. Cat.No.10231X Form W-9 may.10-2007) v v Alexander790 El Atkins Deal, S,Inc. F: 650-948-664439 3790 Camino Real, Suite 346 F:650-948-3999 • Palo Alto, CA 94306 E: alex@alexatkinsdesign.com www.alexatkinsdesig n.com PROPOSAL Town of Los Altos Hills 26379 Fremont Road Los Altos Hills, CA 94022-2624 Date 4/22/16 Project Title Our Town Newsletter 8.5x11, 12 pages Ordered By Deborah Padovan Completion Date 4 issues per year(June, Sept, Dec 2016, March 2017 Issues) Description Amount Creative Services 5,000.00 Editorial Services 2,700.00 Digital Production 2,700.00 Digital Image Processing 1,300.00 Stock Photography&Research 600.00 Print Supervision 500.00 Project Revisions 1,350.00 Project Expenses 100.00 Subtotal $14,250.00 Donation of Services -$8,250.00 Subtotal $6,000.00 Sales Tax* 0.00% 0.00 Total PER ISSUE FEE $6,000.00 $24,0000 per year 'Nontaxable:files transferred via email. A service charge of 1.5%per month(18%APR)will be charged on accounts past due atter 30 days,plus all costs of collection, suit,and reasonable attorneys lees. AGREEM4T FOR GRAPHIC DESIGERVICES SERVICES Alexander Atkins Design,Inc.hereinafter referred to as the Designer,will provide the services specified below. Creative Services. The Designer shall provide creative services that include all or some of the following:developing design concepts for print or web, art direction, reviewing stock photography, illustration, purchasing stock images, consultation, research, copywriting, and editing. The Designer shall prepare and present digital files (PDFs) to the Client that demonstrate or describe the Designer's concepts. Digital Production Services. In tandem with creative services, digital (computer) production services may be provided to implement the design concepts. The Designer's fee may also include all or some of the following specialized production services:working with professional-grade software(e.g.,Adobe Creative Suite) to: (I) Create page layouts for print projects or website designs. (2) Digital image processing, such as color correction, retouching, photo composition, etc. (3) Create illustrations, such as unique artwork, logos, charts, diagrams, infographics, maps, etc. (4) The creation and/or supervision of color comprehensives or mock-ups, or samples. (5) Website programming (e.g., utilizing a CMS like Joomla or WordPress).Services(4)and(5) may be provided by outside vendors and billed to the Client as reimbursable expenses. Supervision. The Designer's services under this Agreement do not include Implementation such as printing, fabrication, and installation of the project design. The Client and Designer agree that any such Implementation is to be provided by others, and the Designer's services with respect to such Implementation shall be restricted to providing specifications, coordination, and supervision (reviewing technical quality, but not proofreading of content). Unless otherwise specified in this Agreement, the Designer shall have no responsibility to the providers of such Implementation, and those charges shall be billed directly to the Client. COMPENSATION Proposals. The Designer will submit a proposal for each design project as it arises. Alternatively, the Client and the Designer can agree to a retainer structure,or develop a budget range(a not-to-exceed figure) for a specified number of non concurrent projects that are defined by the initial proposal.A proposal not accepted within thirty days is subject to review and reestimation. Proposals based on inaccurate or incomplete project specifications are subject to reestimation upon review of final project specifications and digital files or other materials provided by the Client. Revisions and Additions.Any revisions or additions to the services described in this Agreement shall be billed as additional services which are not included in the original proposal. Such additional services shall include, but shall not be limited to, changes to the originally submitted designs, changes in the scope of work, changes in the complexity of any elements of the project, changes to the projects defined in a retainer agreement, changes made to any proofs, changes in illustrations or photography, and any changes made after approval has been given for a specific stage of design or stage of production. Revisions made after final approval of the projects constitutes additional work.All additional work shall be charged at the Designer's current rates. Reimbursable Expenses. The Client shall reimburse the Designer for all out-of-pocket expenses incurred by the Designer with respect to the project including, but not limited to, expenditures for implementation, such as: photography, color proofs, mockups, digital imaging services, website programming, stock photography or art and related handling fees, presentation and artwork materials, copies, fax, telephone charges, postage, delivery services, out-of-town travel, and shipping. Terms of Payment. Payment shall be made upon receipt of invoice.The Designer will institute a service charge of 1.5%per month (18%APR)on any overdue balance past 30 days.As security for payment of any sum due or to become due under any terms of this Agreement, the Designer shall have the right, if necessary, to retain possession of and shall have a lien on all client property in the Designer's possession including all work in progress and all finished work. Sales Tax.The Client shall pay any sales, use, or other transfer taxes that may be applicable to the services provided under this Agreement. If, after the Client has paid the invoice,it is determined by the California State Board of Equalization that more tax is due, then the customer must promptly remit the required taxes to the Board of Equalization or immediately reimburse the Designer for any additional taxes paid. No tax exemption will be granted unless the Client provides a valid and current Resale Permit from the California State Board of Equalization. Termination. Either party may terminate this Agreement upon written notice. Should the Client cancel the project prior to completion, the Designer shall be compensated for all expenses incurred and attributable to the project and for all work,whether usable or not, done up to the time of cancellation.All work done up to the time of cancellation remains the property of the Designer unless otherwise specified in this Agreement.All indemnities shall continue even after any such termination. CLIENT OBLIGATIONS Client's Representative. The Client shall appoint a sole Representative with full authority to provide or obtain any necessary information and approvals that may be required by the Designer. All final proofs must be approved by the Client in writing. The Client's Representative shall be responsible for coordination of briefing, review, and the decision- making process with respect to persons and parties other than the Designer and its subcontractors. If, after the Client's Representative has approved a design, the Client or any other authorized person requires changes that require additional services from the Designer,the Client shall pay all fees and expenses arising from such changes as additional services. [PAGE I OF 3] 440 Materials. The Client shall provide accurate and complete information and materials to the Designer and shall be responsible for the accuracy and completeness of all information and materials so provided.The Client guarantees that all materials supplied to the Designer are owned by the Client or that the Client has all necessary rights in such materials to permit the Designer to use them for the project. Client Furnished Materials.All copy provided by the Client shall be submitted on a Mac formatted CD, Mac formatted portable flash drive or memory stick, sent via email, or a secure file sharing service (e.g, Box.com, Dropbox.com, or WeTransfer.com, etc.). Photographs, illustrations, or other visual materials provided by the Client, shall be of professional quality, high resolution,and in a form suitable for reproduction without further preparation or alteration. The Client shall pay all fees and expenses arising from its provision of materials that do not meet such standards. Model Release Forms. The Client shall be responsible for obtaining and storing signed model and/or minor photograph release forms for any individuals who will be photographed as apart of a project.These forms are available for free on the Internet. Digital Manuscript or Images.The Client shall be responsible for maintaining a copy of any original digital files furnished to the Designer.The Designer is not responsible for accidental damage to media supplied by the Client or for the accuracy of furnished input or final output. Until the digital files can be evaluated by the Designer, no claims or promises are made about the Designer's ability to work with projects submitted in digital format, and no liability is assumed for problems that arise. Any additional conversion, translating, editing, or programming needed to utilize Client-supplied files will be charged at prevailing rates.CDs,memory sticks or drives,or files that are infected with a virus will nor be accepted. Indemnification. The Client agrees to protect the Designer from economic loss and any other harmful consequences that could arise in connection with any graphic design projects. The Client will hold the Designer harmless and save, indemnify, and otherwise defend the Designer against claims, demands,actions, and proceedings on any and all grounds. This will apply regardless of responsibility for negligence. (a) Copyrights.The Client warrants that the subject matter that is reproduced or becomes part of a final design or layout is not copyrighted by a third party.The Client also warrants that no copyright notice has been removed from any material used in preparing the subject matter for reproduction.To support these warranties, the customer agrees to indemnify and hold the Designer harmless for all liability, damages, and attorney fees that may be incurred in any legal action connected with copyright infringement involving the work produced or provided. (b) Personal or Economic Rights. The Client also warrants that the work does not contain anything that is libelous or scandalous, or anything that threatens anyone's right to privacy or other personal or economic rights. The Client will, at the Client's sole expense, promptly and thoroughly defend the Designer in all legal actions on these grounds as long as the Designer promptly notifies the Client of the legal action, and/or gives the Client time to undertake and conduct a defense. The Designer reserves the right to use his or her sole discretion in refusing to reproduce anything that he or she deems illegal,libelous,scandalous,improper or infringing upon copyright law. Liability of Designer. The Designer shall take reasonable precautions to safeguard original or other materials provided by the Client. The Designer shall, however, not be liable for any damage to, or loss of any material provided by the Client, including artwork, photographs, disks, or manuscripts, other than or on account of willful or gross negligence of the Designer.The Designer's liability for this property will nor exceed the amount recoverable from the insurance. Client Approval.The Client shall proofread and approve all proofs (hardcopy or digital) in writing or via email.All proofs should be returned to the Designer indicating final approval, along with the date, and the Client's signature. If revised proofs are desired, the request must be made when proofs are returned. The Designer shall not be responsible for errors if the Client has not made the appropriate corrections, has failed to return corrected proofs,has ordered changes verbally, or has instructed the Designer to proceed without submission of proofs.The signature of the Client's Representative shall be conclusive as to the approval of all printing specifications, photographs, illustrations,charts and any other design elements prior to their release for printing,website development, fabrication, or installation.All liability for errors, or omissions, in the final proof,whether the fault of the Client or the Designer,shall become the responsibility of the Client.The Designer shall not be liable for any reprint or refabrication costs or damages of any kind resulting from such errors. Schedule. The Designer and Client agree that the due date for any particular project shall be agreed upon in writing. The Designer reserves the right to adjust the schedule and due date in the event that the Client or any third party: fails to respond to emails in a timely manner; fails to meet agreed deadlines for submission of materials; fails to meet agreed deadlines for making revisions to proofs, or granting approvals for any materials; requires the creation of additional proofs and requires additional time to review those proofs; or changes the design direction, scope, or complexity of services as described in the original proposal.There will be no liability or penalty for delays due to state of war, riot,civil disorder, fire, strikes,accidents,power outages,action of government or civil authority,acts of God,or other causes beyond the control of the Designer.For projects with new clients,work begins only after payment of initial deposit. Instructions to Third Parties. The Client specifically grants to the Designer the right to act on the Client's behalf to give instructions on behalf of the Client to any person or entity involved in the project, such as photographers, illustrators, writers, printers, web developers, and fabricators. Any such instructions or approvals by the Client may only be made through the Designer. The Client shall be bound by all such instructions given by the Designer within the scope of the Agreement. Clients should attend press checks. In the event that the Client has chosen not to attend a press check, the Client shall be bound by the Designer's final approval of the contract color proof or the press sheet. [PAGE 2 OF 3] 0 Files Sent Vla Internet. The Designer is not responsible for any errors, omissions, or extra costs resulting from faults in transmission of digital files via the Internet to third parties,or from third parties to the Designer. RIGHTS AND OWNERSHIP Rights.All services provided by the Designer under this agreement shall be for the exclusive use of the Client other than for the promotional use of the Designer. Upon payment of all fees and expenses, the Client shall be granted full reproduction rights for the approved final design unless otherwise specified in this Agreement. Ownership.All the final digital PDF files (the finished product, in web quality and print quality),approved by the Client, become the property of the Client upon payment of all fees and expenses.All documents, materials, and digital files of a preliminary or intermediate nature, including but not limited to notes, sketches, creative exploration work, source digital program files, layered master files, or intermediary digital files remain the property of the Designer. All preliminary concepts and visual presentations produced by the Designer remain the property of the Designer and may not be used by the Client without written permission of and additional compensation to the Designer. Stock Images.All stock images purchased by the Designer on behalf of the Client remain the property of the Designer and the Client,except to the extent barred by restrictions imposed by the seller of such images;both parties shall be bound by any such use restrictions. Third Party Contracts. The Designer may contract with others to provide creative services such as, but not limited to, production, writing, photography, illustration, and web development. The Client agrees to be bound by any terms and conditions,including required credits,with respect to reproduction of such material as may be imposed on the Designer by such third parties. MISCELLANEOUS Code of Ethics. The Designer's services shall be performed in accordance with the American Institute of Graphic Artists Code of Ethics and Professional Conduct for Graphic Designers. Credit.The Designer shall have the right to include a credit line on the completed designs (print collateral or website),any portion or element of that design,or any visual representation of that design.This same credit shall also be included in any publication of the design, in part or in whole, by the Client.The wording is at the discretion of the Designer's. Examples include:"Design a Production:Alexander Atkins Design,Inc"or"Design:www.alexatkinsdesign.com." Samples.The Client shall provide the Designer with samples of each printed or manufactured design. Such samples shall be representative of the highest quality of work produced.The Designer may use such copies and samples for publication, exhibition, or other promotional purposes (for website, email solicitations,and printed collateral). The number of samples shall be indicated on instructions to the printer. Confidentiality.The Client shall inform the Designer in writing if any portion of any material or information provided by the Client or if any portion of the project is confidential. Arbitration. Either party may request that any dispute arising out of the Agreement shall be submitted to binding arbitration before a mutually agreed upon arbitrator pursuant to the rules of the American Arbitration Association. The arbitrator's award shall be final and judgment may be entered upon it in any court having jurisdiction thereof. Agreement.This Agreement represents the entire agreement between the Client and the Designer and may be changed or modified only in writing. Representations. The Client represents that it has full power and authority to enter into this Agreement and that it is binding upon the Client and enforceable in accordance with its terms.The Designer represents that it has full power and authority to enter into this Agreement and that it is binding upon the Designer and enforceable in accordance with its terms. [PAGE 3 OF 3] fr V FEBRUARY 17, 2016 Fire Policy Status H Ph. (650)948-0282 ATKINS, ALEXANDER Si ALLISON GENL Policy: 05-K1-8312-3 G Yr issd: 1991 26990 ORCHARD HILL LN Xref: V27 4276-05 AO LOS ALTOS HLS CA 94022-3416 05-NC-5276-0 H , 047 6224-05 AO Term: CONT Type: PERS LIAB UMB Renew date: FEB-15-17 Coverage information Premium: 952.00 L-PERS LIAB 1000000 U-UN/UNDRNS 1000000 Amount due: SFPP Date due: SFPP Bill to: SFPP Prey prem: 952 Prey risk: 0 SFPP acct:0344-7095-02 Auto liab: LOWER Deductibles applied: Messages: Rate class: II Automobiles: 03 Rec vehicles: Comprehensive liab: Y Farm vehicles: Business liab: Drivers: 03 Office liab: Underage drivers: 1 Employee liab: Rentals: Watercraft liab: Territory: B Family farms, corp, or part liab: Farm comp, pers liab: Customer Copy-ALERAER ATKINS11110 Page I of 1 Customer name:ALEXANDER ATKINS Company:SF Mutual Address:26990 ORCHARD HILL LN Servicing Agent:JAMES FLYNN LOS ALTOS HLS, CA 94022- Eff date:01-21-2016 to 07-21-2016 3416 Description:2014 ACURA RDX SPORT WG Policy:V27 4276-A21-05N VIN:5J8TB3H57EL009584 Status:PAID IN FULL SFPP#. POLICY NOT ON SFPP Coverage Details The premium amounts shown reflect a six-month policy term. Code Description Amount A Liability Coverage 132.05 Bodily Injury Limits Each Person,Each Accident $100,000$300,000 Property Damage Limit Each Accident $50,000 C Medical Payments Coverage 35.36 Limit-Each Person $100,000 D Comprehensive Coverage-$500 Deductible 1028 G Collision Coverage-$500 Deductible 173.00 U Uninsured Motor Vehicle Coverage 23.06 Bodily Injury Limits Each Person,Each Accident $100000$300000 U1 Uninsured Motor Vehicle Property Damage Coverage 1.99 Total: 383.74 The information on this document is presented for general informational purposes only and is not intended to serve as a declaration page or policy. State Farm Mutual Automobile Insurance Company,Bloomington,Illinois https://sfnet.opr.statefarm.org/sysapv/printOptionsAction.do 2/17/2016 it S Customer Name: Atkins, Alexander Company: SF General Address: 26990 Orchard Hill Ln Servicing agent: James Flynn Los Altos His. CA 94022- Eff date: 10-26-2015 to 10-26-2016 3416 Description: Homeowners Policy Policy 05-NIC-5276-D Years with State Farm 9+ Location Address:26990 Orchard Hill Ln SFPP#_0344709502 Los Altos Hls, CA 94022- 3416 Status: Active Fire Policy Information Coverages Code Description Limits A Dwelling 1337,100 Dwelling Extension up to 133,710 B Personal Property 1,002,825 C Loss of Use Actual Loss Sustained Personal Liability 100,000 (Each Occurrence) Damage to Property of Others 500 M Medical Payments to Others 1,000 (Each Person) Premium Adjustments Description Home Alert Utility Rating Home/Auto(Multi-line) Claim Record Jewelry and Furs Special Coverage Deductibles type Percent Amount Deductible M5 6,685 Forms,Options,8.Endorsements Number Description FP-7955.CA Homeowners Policy LSP Al Replacement Cost-Similar Construction LSP B1 Limited Replacement Cost-Coverage B Option ID Increase cwlg Up To$267,420 Option OL Ordinance/Law 10%$133,710 FE-1313 Form 438bfu Ns Lndr Loss Pay FE-3422 Homeowners Policy Endorsement FE-3247 Amendatory Endorsement Option JF Jewelry and Furs$1,500 Each Article/$2,500 Aggregate The information on this document is presented for general informational purposes only and is not intended to serve as a declaration page or policy. https://sfnet.opr.statefarin.org/sysftrehow/V3/PrintOptionsAction.do 2/17/2016 4 S To: CONTRACTOR From: Town of Los Altos Hills Re: Agreement Transmittal Memo Enclosed, please find the following documents: AGREEMENT — If you require a fully executed, signed original of the Agreement for your records, please photocopy the Agreement prior to signing the enclosed document. Return both originals with your signature to the Town and a fully executed Agreement will be returned. IRS FORM W-9 — Request for Taxpayer Identification Number (TIN) and Certification. This form is required for all vendors of the Town and it is important that you provide the Town with the correct TIN. If your company is a: Sole Proprietorship - The taxpayer identification number must be the social security number of the sole proprietor. -OR- Partnerships or Corporations — The taxpayer identification number must be the employer identification number issued to the partnership or corporation. Once all documents have been completed, please return the signed Agreement(s) and IRS Form W-9 to the following address: Town of Los Altos Hills Contracts 26379 Fremont Road Los Altos Hills, CA 94022