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1 ATTACHMENT A PROPOSAL SUMMARY AND STATEMENT OF RESPONSIBILITY Health & Human Services – Public Health Officer RFP Number: HHSA 2014-002 RFP Issue Date: April 16, 2014 RFP Submission Deadline: May 28, 2014 Proposals must be enclosed in a sealed envelope or package, clearly marked “Alpine County RFP No. HHSA 2014-002, and delivered by 4:00 p.m., May 28, 2014 to: Alpine County Clerk P.O. Box 158 50 Diamond Valley Road Markleeville, CA 96120 This Proposal Summary and Statement of Responsibility (Signature Page) must be included with your submittal in order to validate your proposal. Proposals submitted without this page will be deemed non-responsive. Proposer’s Authorized Representative Company Name: _ Date: Representative: _ Title: Address: Phone: Fax: Federal Tax ID No: Email: RFP Contact Information (if different than above) Contact Person: _ Title: Phone: Fax: Address: Email: ---PAGE BREAK--- 2 Attachment A – page 2 Certifications: 1. Do you agree to comply with specifications, RFP instructions, draft contract requirements and other pertinent references contained in this RFP? ☐YES ☐NO 2. Do you agree that the proposal will stand firm and will not be withdrawn for a period of 90-days after the proposal is opened? ☐YES ☐NO 3. Do you certify that all statements in the proposal are true? This shall constitute a warranty, the falsity of which shall entitle the County to pursue any remedy authorized by law, and shall include the right, at the option of the County, of declaring any contract made as a result thereof to be void. ☐YES ☐NO 4. Do you agree to provide the County with any other information the County determines is necessary for accurate determination of your qualifications to provide services? ☐YES ☐NO 5. Do you agree that the proposal amount includes all costs incident to the proposed contract? ☐YES ☐NO To the best of my knowledge and belief, the information provided in this initial determination of responsibilities is true and correct. Authorized Representative: (Printed name) Signature: _ Date: _ ---PAGE BREAK--- 3 ATTACHMENT B PROPOSAL CHECK LIST/TABLE OF CONTENTS This proposal check-list identifies the various components that must be submitted with your proposal. This form is to be completed and included in the proposal and must be located directly behind Attachment A. Follow this sequence in presenting your proposal with the check-list serving as your table of contents. Proposal Checklist Page No. Signature Page, signed by authorized representative (RFP Attachment A) Proposal Check List/Table of Contents (RFP Attachment B) Executive Summary Scope of Services Background and Experience (including staff resumes where applicable) Proposal Cost Plan and Narrative Exceptions to the RFP (RFP Attachment C) Letters of Reference (minimum of three (RFP Attachment D) Certificate of Non-Collusion, signed by authorized representative (RFP Attachment E) Insurance Coverage (Certificate of Insurance to meet the requirements of attachment C within the Contract Template (Attachment G) Evidence of the ability to obtain medical malpractice insurance ---PAGE BREAK--- 4 ATTACHMENT C EXCEPTIONS TO RFP Company Name: _ Representative: _ Title: _ Address: _ Phone: Email: I have reviewed the RFP and General Contract Terms in their entirety and have the following exceptions: (Please identify and list your exceptions by indicating the section or paragraph and page no. as applicable. Be specific about your proposed exception(s) to content, language, or omissions. Add as many pages as required.) Authorized Representative: (Printed name): Signature: Date: ---PAGE BREAK--- 5 ATTACHMENT D LETTERS OF REFERENCE Please list the references (minimum of three in the section provided below and attach corresponding letters to this form. Agency Name/Address Phone No. Dates of Service ---PAGE BREAK--- 6 ATTACHMENT E CERTIFICATE OF NON-COLLUSION The undersigned certifies, under penalty of perjury, that this proposal has been made in good faith and without collusion or fraud with any other person. As used in this certification, the word “person” shall mean any natural person, business, partnership, corporation, union, committee, club, or other organization, entity, or group of individuals. _ (Name of Proposer) _ (Signature of Authorized Agent) , 2014 ---PAGE BREAK--- 7 ATTACHMENT F COUNTY OF ALPINE HEALTH & HUMAN SERVICES AGENCY SAMPLE PROPOSAL EVALUATION FORM RFP No. HHSA 2014-002 Proposer Name: Evaluation Committee Member Names: A. Completeness of Response Pass/Fail B. Financial Stability Pass/Fail C. Technical Criteria Pass/Fail Weight Weight Score D. Cost 15 Points E. Implementation Plan and Schedule 25 Points F. Relevant Experience 35 Points G References 10 Points H. Overall Proposal 15 Points Total Comments: ---PAGE BREAK--- 8 ATTACHMENT G COUNTY OF ALPINE PROFESSIONAL SERVICES AGREEMENT FOR [GENERAL MODEL - INSERT TYPE OF SERVICE] This Agreement is entered into this day of _ , 20 , by and between the County of Alpine, a political subdivision of the state of California (“County”), and [INSERT NAME OF COMPANY], a [INSERT TYPE OF BUSINESS; CORPORATION; LIMITED LIABILITY COMPANY; ETC.] (“Consultant”). Recitals A . C ons u ltant d e s i r e s to pe rf o r m and assu m e r e s p onsibility f or the p r o vi s i on of p r o f e ss i onal [ I N SE RT T Y P E O F SE R VIC E ] cons u ltant s e rv i c e s r e q u i r e d b y the C o u nty on the terms and conditions set forth in this Agreement. B. Consultant has presented a proposal for such services to the County, dated , 20 , (attached hereto and incorporated herein as Exhibit and is duly licensed, qualified and experienced to perform those services. C . C ons u ltant a gr e e s it h a s satis f i e d its e lf b y its o w n in v e sti g ation and r e sea r ch r e g a rd ing the con d itions a ff e cting the w o r k to b e d one and labor a nd mate r ials ne e d e d , a nd that its d e c i s i on to e x e c u te th i s Agr e e ment i s b as e d on s u ch in d ep e n d ent in v e sti g a t i on and research. D. Co u nty d e s i r e s to e n g a g e C ons u ltant to r e n d e r s u ch s e r v i c e s as set f o r th in this Agreement, only to the extent that adequate funding for such services is available. Agreement 1. SCOPE OF SERVICES. 1.1 G e n e r a l S c ope of S er v i ce s. C onsult a nt p r omi s e s a nd a g r e e s to f u r nish to the C oun t y a ll l a bo r , m a t er i a ls, tools, e quipm e nt, s er vi ce s a nd in c id e nt a l a nd c ustom a r y w o r k n ece ss a r y to f ul l y a nd a d e qu a t e l y supp l y t h e n ece s s a r y p r o fe ssion a l [ I N S E R T TY P E O F S E R V I C E] c onsult a nt s er vi ce s S er v i ce s ” ) . T he S er vi c e s a r e mo r e p a r ti c ul ar l y d e s cr ib e d in Exhibit 2. SCHEDULE OF SERVICES. 2.1 S c h e dule of S er vi c e s. The Se r vi ce s of C on s ult a nt ar e to c omm e n c e upon e x ec ution of this A g r ee m e nt b y the C oun t y a nd sh a ll be und er t a k e n a nd c ompl e t e d in a p r ompt a nd tim e l y m a n n er , p u r s u a nt to the s c h e du l e outlin e d in the S c ope o f W o r k, mo r e p ar ti c ul ar l y described in Exhibit ---PAGE BREAK--- 9 2.2 E x t e nsion of Tim e . C o n sult a nt m a y , f or g ood c a u s e , re qu e st e x t e nsions of time to p erf o r m the S er v i ce s re q ui re d h ere un d er . S u c h e x t e nsions sh a ll be a utho r i z e d in a dv a n c e b y t h e County in writing and shall be incorporated in written amendments to this Agreement. 3. FEES AND PAYMENTS. 3.1 C omp e ns a tion. C onsu l t a nt sh a ll rece i v e c o m p e ns a tion, in c luding a u tho r i z e d re imbu r s e m e nts, f or a ll S er vi ce s re nd e r e d und e r this A g r e e m e nt a t the ra t e s s e t f o r th in E x hib i t “ T h e tot a l c omp e ns a tion sh a ll not e x cee d [ I N S E R T WR I T TEN DO L L AR AMOUNT] DOLLARS ($[INSERT NUMBER]) without County’s prior written approval. 3.2 Pa y m e nt of C omp e n s a tion. C onsult a nt sh a ll sub m it to C oun t y a month l y it e mi z e d st a t e m e nt whi c h indi ca t e s wo r k c ompl e t e d a nd h ou r s of S er vi c e s re n d er e d b y C onsult a nt. The st a t e m e nt sh a ll d e s cr ibe the a mount of S er vi ce s a nd suppli e s p r ovid e d sin c e the initi a l c omm e n ce m e nt d a te or s in c e the st ar t of the subs e qu e nt billing p er iods, a s a pp r op r i a t e , th r o u g h the d a te o f the st a t e m e nt. C oun t y s h a ll, within f o r t y - f ive ( 4 5 ) d a y s of r e ce iving su c h s t a t e m e nt, review the statement and pay all approved charges thereon. 3.3 CertificationofFunds;BudgetandFiscalProvisions;Terminationinthe Eventof Non-Appropriation. This Agreement is subject to the budget and fiscal provisions of applicable laws, the County Code and rules of the County. Unless otherwise stated in the Agreement, charges will accrue only after execution of the Agreement, and the amount of County's obligation hereunder shall not at any time exceed the amount stated in the Agreement for the purpose and period stated in the Agreement. This Agreement will terminate without penalty, liability or expense of any kind to County at the end of any fiscal year if funds are not appropriated for the next succeeding fiscal year. If funds are appropriated for a portion of the fiscal year, this Agreement will terminate, without penalty, liability or expense of any kind at the end of the term for which funds are appropriated. This Agreement will terminate if funds that were previously appropriated for this Agreement are reduced, eliminated, and/or re-allocated by County as a result of mid-year budget reductions. County has no obligation to make appropriations for this Agreement in lieu of appropriations for new or other agreements. County budget decisions are subject to the discretion of the County Administrative Officer and the Board of Supervisors. Contractor’s assumption of risk of possible non-appropriation is part of the consideration for this Agreement 4. CHANGES. 4.1 The P ar ti e s m a y , f r om t i me to tim e , r e qu e st c h a n g e s in the s c ope of t h e S er vi ce s of C onsult a nt to be p e rf o r m e d h e re und e r . S u c h c h a n g e s, in c luding a n y i n crea s e o r d e cr e a se in the a mount of C onsult a nt ’ s c omp e ns a tion a nd/or c h a n g e s in the s c h e dule must be a utho r i z e d in a dv a n c e b y t h e C oun t y in writin g . Mutu a l l y a g ree d c h a n g e s sh a ll be i n c o r po ra t e d in writt e n amendments to the Agreement. ---PAGE BREAK--- 10 5. RESPONSIBILITIES OF CONSULTANT. 5.1 I n d e p e nd e nt C ont rac to r ; C ont r ol a nd Pa y m e nt of S ubo r din a t e s. C onsu l t a nt e nt er s into this Ag ree m e nt a s a n in d e p e nd e nt c ont r a c tor a nd not a s a n e m pl o y e e of the C oun t y . C onsult a nt sh a ll h a ve no pow e r or a utho r i t y b y th i s Ag ree m e nt to bind the C oun t y in a n y re sp e c t. Nothing in this A g r e e m e nt sh a ll be c onst r u e d to be in c onsist e nt with this re l a tionship or st a tus. All e mpl o y e e s, a g e nts, c ont rac to r s o r sub c ont r a c to r s hi re d or re t a in e d b y the C onsult a nt a re e mpl o y e e s, a g e nts, c ont r ac to r s or su b c ont r a c to r s of the C onsult a nt a nd n o t of the C oun t y . The C oun t y sh a ll not be obli g a t e d in a n y w a y to p a y a n y w a g e c l a ims or oth e r c l a ims m a de a g a inst C onsult a nt b y a n y su c h e mpl o y e e s, a g e nts, c o n t rac to r s or sub c ont r ac to r s or a n y ot h e r p er son resulting from performance of this Agreement. 5.2 C on f o r m a n c e to Appli c a ble R e qui re m e nts. All w o r k p re p are d b y C onsult a nt sh a ll be subject to the approval of County. 5.3 P r oj ec t M a n a g er . T h e C onsult a nt sh a ll d e si g n a te a p r oj e c t m a n a g e r w h o a t a ll tim e s sh a ll re p re s e nt the C onsult a nt b ef o r e the C oun t y on a ll m a tt er s r e l a t i ng to this A g ree m e nt. The p r oj e c t m a n a g e r sh a ll c ontinue in su c h ca p a c i t y unl e ss a nd until he or she is re mov e d a t the re qu e st o f the C oun t y , is no long e r e mpl o y e d b y C onsult a nt or r e pl ace d wi t h the w r itt e n a pp r o v a l of the County which shall not be unreasonably withheld. 5.4 C oo r din a tion of S er vi ce s. C ons u lt a nt a g ree s to wo r k c los e l y with C oun t y st af f in the p erf o r m a n c e of Se r vi ce s a nd s h a ll be a v a il a b l e to C oun t y st a ff , c onsu l t a nts a nd oth e r st a f f a t a ll rea son a b l e tim e s. C oun t y a g ree s to w o r k c lo s e l y with C onsult a nt ’ s st a f f in the p e r f o r m a n ce of Services and shall be available to Consultant’s staff at all reasonable times. 5.5 W arra n t y . C onsult a nt a g ree s a nd r e p re s e nts th a t it is qu a li f i e d to p r op er l y p r ovide the S er vi ce s s e t f o r th in E x hib i t “ A” in a m a nn e r whi c h is c onsist e nt with the g e n e r a l l y a cce p t e d st a nd ar ds of C onsult a nt ’ s p r o fe ssion. C onsul t a nt f u r th e r re p re s e nts a nd a g r ee s th a t it will p erf o r m s a id S er vi c e s in a l e g a l l y a d e qu a te m a nn e r in c on f o r m a n c e with a p pli ca ble fe d e r a l, st a te and local laws and guidelines. 5.6 I nt e re st in C ont rac t. C onsult a nt c ov e n a nts th a t n e ith e r it, nor a n y of its e mpl o y e e s, a g e nts, c on t rac to r s or sub c on t rac to r s h a s a n y int e r e st, nor sh a ll th e y a c qui r e a n y int ere st, di rec t or indi rec t, in the subj ec t of the C ont rac t, nor a n y oth e r int ere st whi c h would conflict in any manner or degree with the performance of its services hereunder. C onsult a nt sh a ll m a ke a ll dis c losu re s re qui re d b y t he C oun t y ’ s c on f li c t of int ere st c ode in acc o r d a n c e with the ca t e g o r y d e s i g n a t e d b y the C oun t y , unl e ss the C o un t y Administ ra tor or B o ar d of S up e r viso r s d e t er min e s in writi n g th a t C onsult a nt ’ s duti e s ar e mo r e limit e d in s c ope th a n is w arra n t e d b y the ca t e g o r y d e si g n a t e d b y t he C oun t y C ode a nd th a t a n arr o w e r dis c losu r e ca t e g o r y should a pp l y . C onsult a nt a lso a g ree s to m a ke dis c losu r e in c ompli a n c e with the C oun t y c on f li c t of int e r e st c o d e i f , a t a n y time af t e r the e x ec ution of this A g r ee m e n t, C oun t y d e t e r min e s a nd noti f i e s C onsult a nt in writing th a t C onsult a n t ’ s duti e s und e r this A g re e m e nt w a r ra nt g r ea t e r dis c losu r e b y C onsult a nt th a n w a s o r i g in a l l y c ont e mpl a t e d. C onsult a nt sh a ll m a ke dis c losu re s in the time, place and manner set forth in the conflict of interest code and as directed by the County. ---PAGE BREAK--- 11 6. INSURANCE. 6.1 Time f or C ompli a n ce . C onsult a nt sh a ll not c omm e n c e S er vi c e s un d e r this Ag ree m e nt until it h a s p r ovid e d e vid e n c e s a tis f ac to r y to the C oun t y t h a t it h a s s ec u r e d a ll insu ra n c e re qu i re d und e r this S ec tion. I n a ddition, C onsult a nt sh a ll not a l low a n y su b c onsult a nt to c omm e n c e wo r k on a n y su b c ont r a c t until it h a s p r ovid e d e vid e n c e s a ti s fac to r y to the C oun t y that the subconsultant has secured all insurance required under this Section. 6.2 T y p e s o f R e qui re d C ov e r a g e s. As a c ondition p rece d e nt to the e f fec tiv e n e ss of this A g r e e m e nt f or w o r k to be p erf o r m e d h e re und e r a nd without limiting the ind e mni t y p r ovisions of the A g r ee m e nt, the C onsult a nt in p ar ti a l p e r f o r m a n c e o f i t s obli g a tions und e r su c h Ag ree m e nt, s h a ll p r o c u r e a nd m a int a in in f ull f o rc e a nd e ff e c t du r i n g the t e r m of the A g ree m e nt, the following policies of insurance: 6.2.1 C omm erc i a l G e n e ra l L i a bili t y : C omm erc i a l G e n era l L i a bili t y I nsu ra n c e which affords coverage at least as broad as Insurance Services Office “occurrence” form CG 0001, with minimum limits of at least $1,000,000 per occurrence. Defense costs shall be paid in addition to the limits. The poli c y sh a ll c ont a in no e ndo r s e m e nts or p r o v isions li m iting c ov er a g e f or ( 1) p r odu c ts a nd c ompl e t e d op era tions; ( 2) c ont rac tu a l li a bili t y ; ( 3) thi r d p ar t y ac tion ov e r claims; or cross liability exclusion for claims or suits by one insured against another. 6.2.2 Automobile L i a bili t y : Automobile L i a bili t y I n su ra n c e with c ov e ra g e a t l ea st a s b r o a d a s I nsu ra n c e S er v i ce s O ff i c e F o r m C A 0001 c ov e r ing “ A n y Auto” ( S y mbol 1 ) with minimum limits of $1,000,000 each accident. 6.2.3 W o r k er s’ C omp e ns a tion : W o r k er s’ C omp e ns a ti o n I ns u ra n c e , a s re qui re d by the State of California and Employer’s Liability Insurance with a limit of not less than $1,000,000 per accident for bodily injury and disease. 6.2.4 P r o fe ssion a l L i a bili t y : P r o fe ssion a l L i a bili t y i n su ra n c e f or err o r s a nd omissions with min i m u m lim i ts of $1,000,0 0 0. C ov ere d P r o fe ssion a l S er vi ce s sh a ll specifically include all work to be performed under the Agreement. I f c o v er a ge is writt e n on a c l a ims - m a de b a si s , the r e t r o a c tive d a te s h a ll p rece d e the e f fec tive d a te of t h e initi a l A g re e m e nt a nd c ontinuous c ov er a ge will be m a int a in e d or a n e x t e nd e d re po r ting p er iod will be e x erc is e d f or a p er iod of a t l ea st th re e ( 3 ) years from termination or expiration of this Agreement. I f c o v er a ge is writt e n on a c l a ims - m a de b a si s , the r e t r o a c tive d a te s h a ll p rece d e the e f fec tive d a te of t h e initi a l A g re e m e nt a nd c ontinuous c ov er a ge will be m a int a in e d or a n e x t e nd e d re po r ting p er iod will be e x erc is e d f or a p er iod of a t l ea st th re e ( 3 ) years from termination or expiration of this Agreement. ---PAGE BREAK--- 12 6.3 Endorsements. 6.3.1 The poli c y or poli c i e s of insu ra n c e r e qui re d b y Se c tions 6.2.1 C omm erc i a l G e n e r a l L i a bili t y a nd 6 . 2.2 Automobile L i a bili t y a nd E rr o r ! R e fe re n c e so u rc e n ot f o u n d. Contractor’s Pollution Liability shall be endorsed to provide the following: 6.3.1.1 Addition a l I nsu re d : The ind e mni f i e d p ar ti e s sh a ll be a ddition a l insu re ds with re g a r d to li a bili t y a nd d efe n s e of suits or c l a ims ar is i ng out of the p erf o r m a n c e of t h e A g ree m e nt. Addition a l I n su re d Endo r s e m e nts s h a ll not ( 1) be re st r i c t e d to “ o n g oing op era tions ” ; ( 2 ) e x c lude “c ont r ac tu a l li a bili t y ” ; ( 3) re st r i c t c ov er a ge to “ sol e ” li a bili t y of C onsult a nt; or ( 4 ) c ont a in a n y oth e r e x c lusions c ont ra r y to the Agreement. 6.3.1.2 P r im a r y I ns u ra n c e a n d Non - C ont r ibuting I nsu ra n ce : This insu ra n c e sh a ll be p r i m a r y a nd a n y ot h e r i nsu ra n ce , d e d u c tible or s e l f- insu r a n c e maintained by the indemnified parties shall not contribute with this primary insurance. 6.3.1.3 S e v era bili t y : I n the e v e nt of one insu re d, w h e th e r n a m e d or a ddition a l, in c u r s li a bility to a n y oth e r of t h e in s u re ds, w h e th e r n a m e d or a ddition a l, the poli c y sh a ll c ov e r the insu re d a g a inst whom c l a im is or m a y b e m a de in the s a me m a nn er a s if s e p a r a te poli c i e s h a d b ee n issu e d to eac h in s u re d, e x ce pt th a t the lim i ts of insu ra n ce shall not be increased thereby. 6.3.1.4 C a n ce ll a tion : T h e poli c y s h a ll not be c a n ce l e d or the c o v er a ge susp e nd e d, void e d, re d u ce d or a llo w e d to e x pi r e until a thi r t y ( 30) d a y p r ior writt e n noti c e of c a n ce ll a tion h a s b ee n s er v e d upon the C oun t y e x ce pt t e n ( 1 0 ) d a y s p r ior writt e n notice shall be allowed for non-payment of premium. 6.3.1.5 Duti e s : A n y f a ilu r e b y the n a m e d insu re d to c omp l y with re po r ti n g p r ovisions of t he poli c y or b r e ac h e s or viol a tions of w a r ra nti e s sh a ll not af f ec t coverage provided to the indemnified parties. 6.3.1.6 Appli ca bili t y : Th a t the c ov er a ge p r ovid e d th ere i n sh a ll a pp l y to the obli g a tions a ssum e d b y the C onsult a nt und e r the ind e mni t y p r o visions of the Ag ree m e nt, unl e ss the p oli c y o r poli c i e s c ont a in a bl a n k e t f o r m of c ont r ac tu a l li a bili t y coverage. 6.3.2 The poli c y or poli c i e s o f insu ra n c e r e qui re d b y S ec tion 6.2.3 W o r k er s’ Compensation shall be endorsed, as follows: 6.3.2.1 W a iv er of S ub r o g a tion : A w a iv e r of sub r o g a ti o n st a ting th a t the insurer waives all rights of subrogation against the indemnified parties. 6.3.2.2 C a n ce ll a tion : T h e poli c y s h a ll not be c a n ce l e d or the c o v er a ge susp e nd e d, void e d, re d u ce d or a llo w e d to e x pi r e until a thi r t y ( 30) d a y p r ior writt e n noti c e of c a n ce ll a tion h a s b ee n s er v e d upon the C oun t y e x ce pt t e n ( 1 0 ) d a y s p r ior writt e n notice shall be allowed for non-payment of premium. ---PAGE BREAK--- 13 6.3.3 The policy or policies of insurance required by Section 6.2.4 Professional Liability shall be endorsed, as follows: 6.3.3.1 C a n ce ll a tion : T h e poli c y s h a ll not be c a n ce l e d or the c o v er a ge susp e nd e d, void e d, re d u ce d or a llo w e d to e x pi r e until a thi r t y ( 30) d a y p r ior writt e n noti c e of c a n ce ll a tion h a s b ee n s er v e d upon the C oun t y e x ce pt t e n ( 1 0 ) d a y s p r ior writt e n notice shall be allowed for non-payment of premium. 6.4 D e du c tibl e . A n y d e du c t i ble or s e l f- insu r e d r e t e ntion must be a pp r ov e d in writing b y t h e C oun t y a nd s h a ll p r ot ec t t h e ind e mni f i e d p ar ti e s in t h e s a me m a nn e r a nd to the s a me e x t e nt a s th e y would h a v e b ee n p r ot e c t e d h a d the poli c y or poli c i e s not c o nt a in e d a d e du c tible or self-insured retention. 6.5 Evid e n ce of I nsu ra n ce . The C onsult a nt, c on c u r r e nt l y with the e x ec ution of the Ag ree m e nt, a nd a s a c o n dition p rece d e nt to the e f fec tiv e n e ss th e re o f , sh a ll d e liv e r e ith e r c er ti f i e d c opi e s of the re qui re d poli c i e s or o r i g in a l cer ti f i ca t e s a nd e ndo r s e m e nts on f o r ms a pp r ov e d b y the C oun t y . The c e r ti f i ca t e s a nd e ndo r s e m e nts f or eac h insu ra n c e poli c y s h a ll be si g n e d b y a p er son a utho r i z e d b y th a t insu re r to bind c ov er a ge on its b e h a l f . At l ea st f i f t ee n ( 1 5 ) d a y s p r ior to the e x pi ra tion of a n y s u c h poli c y , e vid e n c e of i nsu ra n c e showi n g th a t s u c h insu ra n c e c ov e r a g e h a s b ee n re n e w e d or e x t e nd e d sh a ll be f il e d with the C oun t y . I f su c h c ov er a g e is ca n ce ll e d or re du ce d, C onsult a nt sh a ll, within t e n ( 10) d a y s af t e r r ece ipt o f writt e n noti c e of s u c h c a n ce ll a tion or re du c tion of c ov e ra g e , f ile with the C oun t y e v id e n c e of insu r a n c e showing th a t the re qui r e d insu ra n c e h a s b ee n re i n st a t e d or h a s b ee n p r o v id e d th r ou g h a noth e r i n su ra n c e c omp a n y o r companies. 6.6 Fa ilu r e to M a int a in C o v er a g e . C onsult a nt a g r ee s to sus p e nd a nd c e a se a ll op era tions h e r e und e r d u r ing s u c h p er iod o f time if the r e qui re d insu ra n c e c o v er a ge is not in eff e c t a nd e vid e n c e of insu ra n c e h a s not b ee n f u r nish e d to the C oun t y . T he C oun t y s h a ll h a ve the r i g ht to withhold a ny p a y m e nt due C onsult a nt until C onsult a nt h a s f ul l y c ompli e d with the insurance provisions of this Agreement. I n the e v e nt th a t the C o n sult a nt ’ s op era tions ar e susp e nd e d f o r f a ilu r e to m a int a in re qui re d insu ra n c e c o v e r a g e , the C onsult a nt sh a ll not be e ntitl e d to a n e x t e nsion of t i me f or completion of the Work because of production lost during suspension. 6.7 A cce p t a bili t y o f I ns u r e r s. E ac h su c h poli c y sh a ll be fr om a c o m p a n y or c omp a ni e s with a c u r r e nt A.M. B e st ’ s ra ti n g of no l e ss th a n A: V I I a nd a ut h o r i z e d to do busin e ss in the S t a te of C a li f o r n i a or oth er wise a llow e d t o pl ac e insu ra n c e th r o u gh su r plus line b r ok er s under applicable provisions of the California Insurance Code or any federal law. 6.8 I ns u ra n c e f or S ub c onsult a nts. All sub c onsult a nts sh a ll be in c lud e d a s a ddition a l insu re ds und e r the C o n sult a nt ’ s poli c i e s or the C onsult a nt sh a ll be r e sponsible f or ca usi n g sub c onsult a nts to pu rc h a se the a pp r o p r i a te in s u ra n c e in c ompli a n c e with the t er ms o f this Agreement, including adding the County as an Additional Insured to the subconsultant’s policies. ---PAGE BREAK--- 14 7. OWNERSHIP OF MATERIALS AND CONFIDENTIALITY. 7.1 Do c um e nts & D a t a ; L i c e nsing of I nt e ll ec tu a l P r o p er t y . This A g r ee m e nt cr ea t e s a non -e x c lusive a nd p er p e tu a l li ce nse f o r C oun t y to c o p y , u s e , modi f y , r e use or subli ce nse a n y a nd a ll c o p y r i g hts, d e s i g ns a nd oth e r int e ll e c tu a l p r o p er t y e mbodi e d in pl a ns, sp ec i f i c a tions, studi e s, d raw i n g s, e stim a t e s a nd oth e r do c um e nts or wo r k s of a utho r ship f i x e d in a n y t a n g ible m e dium of e x p re ssion, in c luding but not li m it e d to, p h y si c a l d raw in g s or d a ta m a gn e ti ca l l y or oth e rw ise rec o r d e d on c omput e r d isk e tt e s, whi c h ar e p re p are d or ca us e d to be pr e p are d b y C onsult a nt under this Agreement (“Documents & Data”). C onsult a nt sh a ll re qui r e a ll sub c onsult a nts to a g r e e in writing th a t C oun t y is g r a nt e d a no n -e x c lusive a nd p er p e t u a l li ce n s e f or a n y Do c um e nts & D a ta the sub c onsult a nt p re p a r e s und e r this A g re e m e nt. C onsult a nt re p re s e nts a nd w arra nts th a t C onsult a nt h a s the l e g a l r i g ht to li ce nse a n y a nd a ll Do c um e nts & D a t a . C onsult a nt m a k e s no s u c h re p r e s e nt a tion a nd w ar r a n t y in re g a r d to D o c um e nts & D a ta whi c h w er e p re p are d b y d e si g n p r o fe ssion a ls oth e r th a n Consultant or provided to Consultant by the County. C oun t y sh a ll not b e l i mit e d in a n y w a y in i ts use or modi f i c a tion of the Do c um e nts a nd D a ta a t a n y tim e , p r ovid e d th a t a n y su c h use or modi f i ca tion not within t h e purposes intended by this Agreement shall be at County’s sole risk. 7.2 C on f id e nti a li t y . All Do c um e nts & D a ta a r e c o n f id e nti a l a nd C onsult a nt a g r ee s th a t th e y s h a ll not be m a de a v a il a ble to a n y individu a l or o r g a ni z a tion without the p r ior writt e n approval of the County, except by court order. 8. ACCOUNTING RECORDS. 8.1 M a int e n a n ce a nd I nsp e c tion. C ons u lt a nt sh a ll m a int a in a nd m a ke a v a il a ble f or insp ec tion b y the C oun t y a nd its a udito r’ s acc ur a te r e c o r ds of a ll its c o s ts, disbu r s e m e nts a nd rece ipts with re s p ec t to a n y w o r k und e r this A g re e m e nt. S u c h insp ec tions m a y b e m a de du r i n g r e g ul a r o f f i c e hou r s a t a n y time until one ( 1) y e a r af t e r the f i n a l p a y m e nts und e r this Ag ree m e nt are made to the Consultant. 9. SUBCONTRACTING. 9.1 P r ior App r ov a l R e qui r e d. C onsult a nt sh a l l not sub c ont rac t a n y po r tion of the wo r k re qui r e d b y this Ag ree m e nt, e x ce pt a s e x p re ss l y st a t e d h ere in, without p r ior writt e n a pp r ov a l of C oun t y . S ub c ont rac ts, if a n y , s h a ll c ont a in a p r ovision m a king th e m subj ec t to a ll provisions stipulated in this Agreement. 10. TERMINATION OF AGREEMENT. 10.1 Grounds f or T er min a tio n . C oun t y m a y , b y w r itt e n noti c e to C onsult a nt, t er min a te a ll or a n y p ar t of this Ag ree m e nt a t a n y time a nd without ca u s e b y g i ving w r itt e n noti c e to C onsult a nt of su c h t er m i n a tion, a nd sp e c i f y i n g t h e e f fec tive d a te t h ere o f , a t l ea st s e v e n ( 7 ) d a y s b ef o r e t h e e f fec tive d a te of su c h t er min a tion. Upon t er min a tion, C onsult a nt sh a ll be compensated only for those Services which have been adequately rendered to County, and ---PAGE BREAK--- 15 Consultant shall be entitled to no further compensation. Consultant may not terminate this Agreement except for cause. 10.2 E ffec t of T e r min a tion. I f this Ag ree m e nt is t er min a t e d a s p r ovid e d h ere in, C oun t y m a y re qui r e C o nsult a nt to p r ovide a ll f i nish e d or un f inish e d D o c um e nts a nd D a ta a nd oth e r in f o r m a tion of a ny kind p re p a re d b y C o n sult a nt in c onn ec tion w i th the p erf o r m a n c e of S er vi ce s und e r this Ag r e e m e nt. C onsult a nt sh a ll be re qui re d to p r ovide su c h do c um e nt a nd oth e r information within fifteen (15) days of the request. 10.3 Addition a l S er vi ce s. I n t he e v e nt this A g r ee m e nt is t er min a t e d in whole or in p ar t a s p r ovid e d h ere in, C o un t y m a y p r o c u r e , up o n su c h t er ms a nd in su c h m a nn e r a s it m a y determine appropriate, services similar to those terminated. 11. GENERAL PROVISIONS. 11.1 D e liv e r y of Noti ce s. All noti ce s p er mitt e d or re qui re d und e r this A g r ee m e nt sh a ll be g iv e n to the re sp e c tive p ar ti e s a t the f ollowing a dd r e ss or a t su c h oth e r a dd re ss a s the respective parties may provide in writing for this purpose: County: County of Alpine 99 Water Street Markleeville, California 96120 Attn: County Clerk Consultant: [INSERT NAME, ADDRESS & CONTACT PERSON] S u c h noti c e sh a ll be d e e m e d m a de wh e n p er s o n a l l y d e liv ere d or w h e n m a il e d, f o r t y - e i g ht ( 48) hou r s af t e r d e posit in the U. S . M a il, f i r st c l a ss post a g e p r e p a id a nd a dd re s s e d to the p ar t y a t its a ppli ca b l e a dd r e ss. A c tu a l noti c e sh a ll be d e e m e d a d e q u a te noti c e on the d a te actual notice occurred, regardless of the method of service. 11.2 I n d e mni f i ca tion. C onsult a nt sh a ll d efe nd, ind e mni f y a nd hold the C oun t y , its e l ec t e d o f f i c i a ls, o ff i c er s , e mpl o y e e s, volunt eer s a nd a g e nts f r e e a nd h ar ml e ss fr om a n y a nd a ll c l a ims, d e m a nds, ca us e s of ac tion, c osts, e x p e n s e s, li a bili t y , loss, d a m a ge or inju r y , in l a w or e qui t y , to p r op er t y or p er sons, in c luding wrong f ul d ea th, in a n y m a nn e r ar i sing out of or in c id e nt to a n y a ll e g e d ac ts, o m issions, n e g lig e n c e o r will f ul mis c ondu c t of C onsult a nt, its o ff i c i a ls, o ff i cer s, e mpl o y e e s, a g e nts, sub c ont rac to r s a nd sub c onsult a nts ar ising o ut of or in c onn ec tion with the p erf o r m a n c e o f the S er vi ce s or this Ag ree m e nt, in c ludi n g without lim i t a tion the p a y m e nt of a ll c ons e qu e nti a l d a m a g e s a nd a tto r n e y s ’ f e e s a nd oth e r r e l a t e d c osts a nd e x p e ns e s e x ce pt su c h loss or d a m a ge whi c h w a s ca us e d b y the a c tive n e g l i g e n ce , sole n e g l i g e n c e or willful misconduct of the County. ---PAGE BREAK--- 16 C onsult a nt sh a ll d efe nd, a t C onsult a nt ’ s own c os t , e x p e nse a nd r isk, a n y a nd a ll su c h af o r e s a id suits, ac tions or oth e r l e g a l p r o ce e din g s of e v e r y kind t h a t m a y b e b r o u g ht or institut e d a g a inst the C oun t y , its di rec to r s, o f f i c i a ls, o ff i c e r s, e mpl o y e e s, a g e nts or volunt eer s. C onsult a nt sh a ll p a y a n d s a tis f y a n y ju d g m e nt, a w ar d or d ec r e e th a t m a y be r e nd e r e d a g a inst C oun t y or its e l ec t e d o ff i c i a ls, o ff i c er s, e mpl o y ee s, a g e nts or volunt e er s, i n a n y su c h suit, ac tion or oth e r l e g a l p r o c ee di n g . C onsult a nt sh a ll re imbu r se C oun t y a nd its e l e c t e d o ff i c i a ls, o ff i cer s, e mpl o y e e s, a g e nts a nd/or volunt eer s, f or a n y a nd a ll l e g a l e x p e ns e s a nd c osts in c u rre d b y eac h o f them in connection therewith or in enforcing the indemnity herein provided. C onsult a nt ’ s obli g a tion t o ind e mni f y s h a ll not be re st r i c t e d to insu ra n c e p r o cee ds, if any, received by the County, its elected officials, officers, employees, agents or volunteers. 11.3 L a ws a nd Re g ul a tions. C onsult a nt sh a ll k ee p its e lf f ul l y in f o r m e d of a nd in c ompli a n c e with a ll lo c a l, st a te a nd f e d e r a l l a ws, r ul e s, r e g ul a tions a nd o r d i n a n ce s in a n y m a nn er aff e c ting the p e rf o r m a n c e of the Se r vi ce s, i n c luding without limit a tion C oun t y busin e ss li ce n s e re qui re m e nts a nd a ll C a l/O S HA re qui re m e nts, a nd sh a ll g ive a ll noti ce s re qui re d b y l a w. C onsult a nt sh a ll be li a ble f or a ll viol a tions of su c h l a ws a nd r e g ul a ti o ns in c onn ec tion with S er vi ce s. I f the C onsult a nt p erf o r ms a n y wo r k k n owing it to be c ont r a r y t o su c h l a ws, r u l e s a nd r e g ul a tions a nd without g ivi n g w r itt e n noti c e to the C oun t y , C onsult a nt sh a ll be sol e l y re sponsible f or a ll c osts ar ising th e re f r om. C onsult a nt sh a ll d efe nd, ind e mni f y a nd hold C oun t y , its e l ec t e d o ff i c i a ls, o ff i c er s, e mpl o y e e s, volunt e e r s a nd a g e nts fre e a nd h a r ml e ss, pu r su a nt to the ind e mni f i ca tion p r ovisions of this A g r e e m e nt, f r om a n y c l a im or li a bili t y ar isi n g out of a n y failure or alleged failure to comply with such laws, rules or regulations. 11.4 P r ohibit e d I nt e r e sts. C onsult a nt c ov e n a nts t h a t n e ith e r it, nor a n y of its e mpl o y e e s, a g e nts, c on t rac to r s or sub c on t rac to r s h a s a n y int e r e st, nor sh a ll th e y a c qui r e a n y int ere st, di rec t or indi r e c t, in the subj ec t of the A g r ee m e nt, nor a n y oth e r int ere st whi c h would conflict in any manner or degree with the performance of the Services hereunder. 11.5 P re v a iling Wa g e s . C onsult a nt is a w a r e of the r e qui re m e nts of C a li f o r n i a L a bor C ode s ec tion 1720, e t s e q. , a nd 1770, e t s e q. , a s w e ll a s C a li f o r nia C ode of Re g ul a tions, Title 8, s ec tion 16000, e t s e q. , P re v a iling Wa g e L a ws ” ) , whi c h re qui r e the p a y m e nt of p re v a iling w a g e ra t e s a nd the p e r f o r m a n c e of oth e r re qui r e m e nts on “ public wo r ks” a nd “ m a int e n a n c e ” p r o j ec ts. I f t h e S er vi ce s ar e subj e c t to the P re v a iling Wa ge L a ws, C onsult a nt a g r e e s to f ul l y c omp l y with such Prevailing Wage Laws. 11.6 Equ a l Oppo r tuni t y E m pl o y m e nt . C onsult a nt sh a ll not e n g a ge in unl a wful e mpl o y m e nt dis c r imin a tion. S u c h unl a w f ul e mpl o y m e nt dis cr imin a t i on in c lud e s, but is not limit e d to, e mpl o y m e nt dis cr imin a tion b a s e d u pon a p er son ’ s ra c e , r e li g ious cr e e d, c olo r , n a tion a l o r i g in, a n ce st r y , p h y si ca l h a ndi ca p, m e di c a l c ondition, m ar it a l st a tus, g e n d er , c iti z e nship or sexual orientation. 11.7 L a b o r C er ti f i ca tion. B y its si g n a tu r e h e r e und er , C onsult a nt cer ti f i e s th a t it is a w a r e of the p r ovisions of S ec tion 3700 of the C a li f o r nia L a bor C ode whi c h re qui r e e v e r y e mpl o y e r to be insu re d a g a inst li a bili t y f or W o r k er’ s C omp e ns a tion or to und er t a ke s e l f- insu ra n c e in a cc o r d a n c e with the p r ovisions of th a t C od e , a nd a g r ee s to c omp l y with su c h provisions before commencing the performance of the Services. ---PAGE BREAK--- 17 11.8 Attorneys’ Fees. If either party commences an action against the other party, either legal, administrative or otherwise, arising out of or in connection with this Agreement, the prevailing party in such litigation shall be entitled to reasonable attorneys’ fees and all other costs of such action. 11.9 Assi g nm e nt or T ra ns f er . C onsult a nt sh a ll not a ss ig n or t r a ns f e r a n y int e re s t in this Ag ree m e nt w h e th e r b y a ssi g nm e nt or nov a tion, without the p r ior writt e n c ons e nt of the C oun t y , whi c h will not be un rea s on a b l y withh e ld. P r ovi d e d, how e v e r , th a t c l a ims f or mon e y due or to b ec ome due C onsult a nt fr om the C oun t y un d e r t his A g r e e m e nt m a y be a ssi g n e d to a f in a n c i a l institution or to a t r ust e e in b a nk r upt c y , without su c h a pp r ov a l. Noti c e of a n y a ss i g nm e nt or transfer, whether voluntary or involuntary, shall be furnished to the County. 11.10 S u cce sso r s a nd Ass i g ns. This A g r e e m e nt sh a ll b e binding on the s u cce s s o r s a nd assigns of the Parties. 11.11 Amendment; Modification. No supplement, modification or amendment of this Agreement shall be binding unless executed in writing and signed by both Parties. 11.12 W a iv er . No w a iv e r o f a n y d efa ult sh a ll c onstitute a w a iv e r of a n y oth e r d e f a ult or b reac h, w h e th e r of the s a me or oth e r c ov e n a nt o r c ondition. No w a iv er , b e n ef it, p r ivil e g e or s er vi c e volunt ar i l y g iv e n or p erf o r m e d b y a P ar t y s h a ll g ive the oth e r P ar t y a n y c on t rac tu a l r i g hts by custom, estoppel or otherwise. 11.13 Enti re A g r ee m e nt . This Ag ree m e nt c onstitut e s the e nti r e a g r e e m e nt b e tw e e n the P ar ti e s re l a tive to the S er vi ce s sp e c i f i e d h e re in. Th er e a r e no und e r st a ndin g s, a g r e e m e nts, c onditions, re p re s e nt a tions, w ar r a nti e s or p r omis e s with re sp e c t to this A g r ee m e nt, e x ce pt those contained in or referred to in the writing. 11.14 Governing Law. This Agreement shall be governed by the laws of the State of California. Venue shall be in Alpine County. 11.15 Time of Essence. Time is of the essence for each and every provision of this Agreement. 11.16 I nt e r p re t a tion. S in c e t h e P ar ti e s or th e ir a g e nts h a ve p ar ti c ip a t e d f ul l y in the p re p a r a tion of this Ag r ee m e nt, the l a n g u a ge o f this A g r ee m e nt sh a ll be c onst r u e d simp l y , according to its fair meaning, and not strictly for or against any Party. 11.17 No Thi r d P ar t y B e n ef i c i ar i e s. Th er e a r e no int e nd e d thi r d p ar t y b e n ef i c i ar i e s of any right or obligation assumed by the Parties. 11.18 Autho r i t y to Ent e r A g r e e m e nt. E ac h P ar t y w a rra n ts th a t the individu a ls who h a v e si g n e d this A g r ee m e nt h a ve the l e g a l pow e r , r i ght a nd a utho r i t y to m a k e this Ag r e e m e nt a nd bind each respective Party. 11.19 I n v a lidi t y ; S e v e r a bili t y . I f a n y po r tion of this Ag ree m e nt is d e c l a r e d inv a lid, ill e g a l or ot h er wise u n e n f o rc e a ble b y a c ou r t o f c omp e t e nt ju r isdi c tion, the re m a ini n g p r ovisions shall continue in full force and effect. ---PAGE BREAK--- 18 11.20 Counterparts. This Agreement may be signed in counterparts, each of which shall constitute an original. IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year first above written. COUNTY OF ALPINE [INSERT NAME OF CONSULTANT] By: _ By: _ [***INSERT NAME***] [Name] County Administrator or Board Chairperson [Title] Attest: Attest: By: _ By: _ [***INSERT NAME***] [Name] County Clerk [Title] Approved as to Form: By: _ County Counsel ---PAGE BREAK--- EXHIBIT CONSULTANT PROPOSAL [ATTACH CONSULTANT PROPOSAL] {SCO/00030114. }