#10-5444 (Beck Disaster Recovery)
ITEM NO.:lO ~ \>ec- Ol S91
Date:
April 27, 2010
. V(f DATE RECEIVED:
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REQUEST FOR LEGAL SERVICES
FILE NO.:
ROUTED TO:
To:
Office of the County Attorney
Attention: Jeff Klatzkow
From: Dianna Perryman., Contract Specialist
Purchasing Department, Extension 4270
St2...\
":J)\..u.. 4/30
Re: Contract: #10-5444 "FEMA Acceptable Monitoring for Disaster
Generated Debris"
Contractors: ,O'Brien's Response Mgmt.
~ Beck Disaster Recovery (BDR)
Metric Engineering
BACKGROUND OF REQUEST:
This Contract was approved by the BCC on April 27, 2010, Agenda
Item 16.C.2
This item has not been submitted.
ACTION REQUESTED:
Contract review and approval.
OTHER COMMENTS:
Jeff, please forward to the Chairman of the Board of County
Commissioners for signature after approval. If there are any questions
concerning the document, please contact me. Purchasing would appreciate
notification when the documents exit your office. Thank you. ~ ~
C: Oscar Martinez, PUPPMD \ .
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to~ aOLSq7
CHECKLIST FOR REVIEWING CONTRACTS
EnmYNam':6e..c.,";'" U;Ss.s-\e.r?e.CO\lUY :~ .
Entity nam, corr,ct on conlmot? ~'NO
I:::~::;~;;;'~:~:o:::?OfSt're? ./ ~:: _:: J ~~
Insured registered in Florida? ZYes .l.cA 00 (l-; j"iJ' '
Contract # &Jor Project referenced on Certificate? ~YeG<.-~ No 'J~ \ \-V'
Certificate Holder name correct (BCC)? _ Yes ---=- No , ~.
Commercial General Liability u I . \ .
General Aggregate Required $ Provided $ \ () "0', \ \ Exp. Date ~l
Products/CompVOp Required $ \ M\ \ \ Provided $ ? l""\ \ \ Exp. Date
Personal & Advert Required $ Provided $ \ yv'\ ~ \ \ Exp. Date =;z l ( J I
Each Occurrence Required $ \ VV"\ ~ \ \ Provided $ u " Exp. Date
FirelProp Damage Required $ Provided $ I. J I Exp. Date
Automobile Liability L \ *
Bodily Inj & Prop Required $ SOb \'\ Provided $ trv\~ \ \ Exp Date 4. I \
WOrke,.s~o ensation
Each accident /J.'%:.quired $ St>C:> 'h Provided $ ~ n\~ \ \ Exp Date ~
Disease Aggregat ~",~uired $ Provided $ " / I Exp Date '--;1 L( J }
Disease Each Empl \ l (f'\ Required $ Provided $ II " Exp Date
Umbrella Lwbility , ,1. \, ,
Each Occurrence Provided $ 1 Dm', \.\ Exp Date ~
Aggregate Provided $ II t l Exp Date It , I
Does Umbrella sufficiently cover any underinsured portion? Yes
Professional Liability ,
Each Occurrence Required $ ~ Provided $ \DmL \ \
Per Aggregate Required $ ~ Provided $ It J I
Other Insurance ~'i.. ....- L-e--:-
Each Occur Type:01 \ \\tl~ ~ Required $ ~ :\t Provided $
County required to be named as additionitdsured? ~s
County named as additional insured? Yes
Indemnification
Does indemnification meet County standards?
Is County indemnifying other party?
0s
Yes
Performance Bond
Bond requirement referenced in contract?
Ifattached, expiration date of bond
Does dollar amount match contract?
Agent registered in Florida?
Yes
Yes
Yes
Signature Blocks
Correct executor name in signature block?
Correct title of executor?
Executor authorized to sign for entity?
Proper number of witnesses/notary?
Authorization for executor to sign, if necessary:
Chairman's signature block?
Clerk's attestation signature block?
County Attorney's signature block?
Attachments
Are all required attachments included?
RLS#
~
No
Exp. Date Q) 3D \ \D
Exp. Date ", I I
\m ~ \\oEXPD,re~'ll~~7,
=bo · StY (tJ 17 \,IJ,~1
>> 01-'- ~
oYI
i)~
!~
No
No
No
No
No
No
No
_No
No
No
No
Reviewer Initials:
Date:
04-COA-OJ
2 \ID
MEMORANDUM
TO:
Ray Carter
Risk Management Department
-fi-~
~~?
FROM:
Dianna Perryman, Contract Specialist
Purchasing Department
DATE: April 27,2010
RE: Review of Insurance for Contract: #10-5444 "FEMA Acceptable
Monitoring for Disaster Generated Debris"
Contractors: O'Brien's Response Mgmt.
/Beck Disaster Recovery (BDR)
Metric Engineering
This Contract was approved by the BCC on April 27, 2010, Agenda Item
16.C.2
Please review the Insurance Certificates and Payment & Performance Bonds
for the above-referenced contract. If everything is acceptable, please forward
to the County Attorney for further review and approval. Also, please advise
me when it has been forwarded. Thank you. If you have any questions,
please contact me at extension 4270.
dod/DP
C: Oscar Martinez, PUPPMD
DATE RECEIVED
APR 2 7 2010
IUS tMAGE~ NT
· t/1/
._~1:
mausen_9
From:
Sent:
To:
Cc:
Subject:
RaymondCarter
Tuesday, April 27, 2010 3:04 PM
perryman_d
DeLeonDiana; mausen_g; HerreraSandra; MartinezOscar
Contract 10-5444 "FEMA Acceptable Monitoring for Diaster Generated Debris"
All, I have approved the certificate(s) of insurance provided by the following vendors for contract 10-5444:
· ~riens Response Mgmt
~eck Disaster Recovery (BDR)
· Metric Engineering
These three contracts will now be forwarded to the county attorney's office for their review.
Thank you,
Ray
~ Cah.t.e.h.
Manager Risk Finance
Office 239-252-8839
Cell 239-821-9370
Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send
electronic mail to this entity. Instead, contact this office by telephone or in writing.
www.sunbiz.org - Department of State
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Foreign Profit Corporation
BECK DISASTER RECOVERY, INC.
Filing Information
Document Number F05000005463
FEIIEIN Number 91208097~
Date Filed 09/22/2005
State WA
Status ACTIVE
Last Event NAME CHANGE AMENDMENT
Event Date Filed 10/25/2005
Event Effective Date NONE
j
Principal Address
2301 LUCIEN WAY
SUITE 120
tv'IAITLAND FL 32751
Changed 01/08/2010
Mailing Address
2301 LUCIEN WAY
SUITE 120
MAITLAND FL 32751
Changed 01/08/2010
Registered Agent Name & Address
C T CORPORATION SYSTEM
1200 SOUTH PINE ISLAND ROAD
PLANTATION FL 33324 US
Officer/Director Detail
Name & Address
Title DCEO
BURGIEL, JONATHAN J
2301 LUCIEN WAY
MAITLAND FL 32751
Title DCOO
MALMSJO, ALBERT B III
1000 LEGION PLACE, SUITE 1000
ORLANDO FL 32801
Title VP
http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&in~ doc _ number=F050000054... 4/12/2010
www.sunbiz.org - Department of State
Page 2 of2
MCLENDON, CHARLES M
2301 LUCIEN WAY
MAITLAND FL 32751
Title SEC
SCHAEFER, JOHNATHAN F
2301 LUCIEN WAY
MAITLAND FL 32751
Title AS
QUELLA, C. VINCENT
10260 CAMPUS POINT DRIVE
SAN DIEGO CA 92121
Title T
CROWN, MARK H
10260 CAMPUS POINT DRIVE
SAN DIEGO CA 92121
Annual Reports
Report Year Filed Date
2008 01/03/2008
2009 01/15/2009
2010 01/08/2010
Document Images
01/08/2010 -- ANNUAL REPORT
01/15/2009 -- ANNUAL REPORT
01/03/2008 -- ANNUAL REPORT
Note: This is not official record. See documents if question or conflict.
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Copyright @ 2007 State of Florida, Department of State.
http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inCL doc _ number=F050000054... 4/12/2010
A G R E E MEN T 10-5444
for
"FEMA Acceptable Monitoring for Disaster Generated Debris"
THIS AGREEMENT, made and entered into on this 27 day of April, 2010, by and between
Beck Disaster Recovery, Inc (BDR), authorized to do business in the State of Florida, whose
business address is 2301 Lucien Way, Suite 120, Maitland, Florida 32751, hereinafter called
the "Contractor" and Collier County, a political subdivision of the State of Florida, Collier
County, Naples, hereinafter called the "County":
WITNESSETH:
1. COMMENCEMENT. The contract shall be for a two (2) year period, commencing on
April 27, 2010, and terminating on April 26, 2012. Work shall commence upon issuance
of a purchase order.
The County may, at its discretion and with the consent of the Contractor, renew the
Agreement under all of the terms and conditions contained in this Agreement for two
(2) additional one (1) year periods. The County shall give the Contractor written notice
of the County's intention to extend the Agreement term not less than ten (10) days prior
to the end of the Agreement term then in effect.
2. STATEMENT OF WORK. The Contractor shall provide FEMA Acceptable Monitoring
of Disaster Debris Management and Technical Assistance in accordance with the terms
and conditions of RFP #10-5444 and the Contractor's proposal referred to herein and
made an integral part of this agreement. This Agreement contains the entire
understanding between the parties and any modifications to this Agreement shall be
mutually agreed upon in writing by the Contractor and the County project manager or
his designee, in compliance with the County Purchasing Policy and Administrative
Procedures in effect at the time such services are authorized.
3. COMPENSATION: The County shall pay the Contractor for the performance of this
Agreement upon completion of each work assignment as accepted and approved by the
Solid Waste Director, or his designee. Compensation for each work assignment shall be
in accordance with Exhibit A, "Hourly Rate Schedule" or as a lump sum as negotiated
and mutually agreed upon by the Contractor and Solid Waste Director, or his designee.
Payments shall be made to the Contractor when requested as work progresses, but not
more than once per month. Payment will be made upon receipt of a proper invoice and
in compliance with Chapter 218 Fla. Stats., otherwise known as the "Local Government
Page 10f8
Prompt Payment Act". Invoices must be submitted within six (6) months after
completion of work assignment. Any untimely submission of invoices beyond the
specified deadline period is subject to non-payment under the legal doctrine of "laches"
as untimely submitted. Time shall be deemed of the essence with respect to the timely
submission of invoices under this agreement.
4. SALES TAX. Contractor shall pay all sales, consumer, use and other similar taxes
associated with the Work or portions thereof, which are applicable during the
performance of the Work.
5. NOTICES. All notices from the County to the Contractor shall be deemed duly served
if mailed or faxed to the Contractor at the following Address:
Beck Disaster Recovery, Inc
Attention: Mr. Jonathan Schaefer, Vice President
2301 Lucien Way, Suite 120
Maitland, Florida 32751
Telephone: 321-441-8500
Facsimile: 321-441-8501
E-mail: dbrap@beckdr.com
All Notices from the Contractor to the County shall be deemed duly served if mailed or
faxed to the County to:
Collier County Government Center
Purchasing Department - Purchasing Building
3301 Tamiami Trail, East
Naples, Florida 34112
Attention: Steve Carnell, Purchasing/ GS Director
Telephone: 239-252-8371
Facsimile: 239-252-6584
The Contractor and the County may change the above mailing address at any time
upon giving the other party written notification. All notices under this Agreement must
be in writing.
6. NO PARTNERSHIP. Nothing herein contained shall create or be construed as creating
a partnership between the County and the Contractor or to constitute the Contractor as
an agent of the County.
7. PERMITS: LICENSES: TAXES. In compliance with Section 218.80, F.5., all permits
necessary for the prosecution of the Work shall be obtained by the Contractor. Payment
for all such permits issued by the County shall be processed internally by the County.
All non-County permits necessary for the prosecution of the Work shall be procured
and paid for by the Contractor. The Contractor shall also be solely responsible for
payment of any and all taxes levied on the Contractor. In addition, the Contractor shall
Page 2 of8
comply with all rules, regulations and laws of Collier County, the State of Florida, or the
U. S. Government now in force or hereafter adopted. The Contractor agrees to comply
with all laws governing the responsibility of an employer with respect to persons
employed by the Contractor.
8. NO IMPROPER USE. The Contractor will not use, nor suffer or permit any person to
use in any manner whatsoever, County facilities for any improper, immoral or offensive
purpose, or for any purpose in violation of any federal, state, county or municipal
ordinance, rule, order or regulation, or of any governmental rule or regulation now in
effect or hereafter enacted or adopted. In the event of such violation by the Contractor
or if the County or its authorized representative shall deem any conduct on the part of
the Contractor to be objectionable or improper, the County shall have the right to
suspend the contract of the Contractor. Should the Contractor fail to correct any such
violation, conduct, or practice to the satisfaction of the County within twenty-four (24)
hours after receiving notice of such violation, conduct, or practice, such suspension to
continue until the violation is cured. The Contractor further agrees not to commence
operation during the suspension period until the violation has been corrected to the
satisfaction of the County.
9. TERMINATION. Should the Contractor be found to have failed to perform his
services in a manner satisfactory to the County as per this Agreement, the County may
terminate said agreement for cause; further the County may terminate this Agreement
for convenience with a thirty (30) day written notice. The County shall be sole judge of
non-performance.
10. NO DISCRIMINATION. The Contractor agrees that there shall be no discrimination as
to race, sex, color, creed or national origin.
11. INSURANCE. The Contractor shall provide insurance as follows:
A. Commercial General Liability: Coverage shall have minimum limits of $1,000,000
Per Occurrence, Combined Single Limit for Bodily Injury Liability and Property
Damage Liability. This shall include Premises and Operations; Independent
Contractors; Products and Completed Operations and Contractual Liability.
B. Business Auto Liability: Coverage shall have minimum limits of $500,000 Per
Occurrence, Combined Single Limit for Bodily Injury Liability and Property
Damage Liability. This shall include: Owned Vehicles, Hired and Non-Owned
Vehicles and Employee Non-Ownership.
C. Workers' Compensation: Insurance covering all employees meeting Statutory
Limits in compliance with the applicable state and federal laws.
The coverage must include Employers' Liability with a minimum limit of $500,000
for each accident.
Page 3 of8
Special Requirements: Collier County Government shall be listed as the
Certificate Holder and included as an Additional Insured on the Comprehensive
General Liability Policy.
Current, valid insurance policies meeting the requirement herein identified shall
be maintained by Contractor during the duration of this Agreement. Renewal
certificates shall be sent to the County ten (10) days prior to any expiration date.
There shall be a thirty (30) day notification to the County in the event of
cancellation or modification of any stipulated insurance coverage.
Contractor shall insure that all subcontractors comply with the same insurance
requirements that he is required to meet. The same Contractor shall provide
County with certificates of insurance meeting the required insurance provisions.
12. INDEMNIFICATION. To the maximum extent permitted by Florida law, the
Contractor shall indemnify and hold harmless Collier County, its officers and
employees from any and all liabilities, damages, losses and costs, including, but not
limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused by the
negligence, recklessness, or intentionally wrongful conduct of the Contractor or anyone
employed or utilized by the Contractor in the performance of this Agreement. This
indemnification obligation shall not be construed to negate, abridge or reduce any other
rights or remedies which otherwise may be available to an indemnified party or person
described in this paragraph.
This section does not pertain to any incident arising from the sole negligence of
Collier County.
13. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf
of the County by the Solid Waste Department.
14. CONFLICT OF INTEREST: Contractor represents that it presently has no interest and
shall acquire no interest, either direct or indirect, which would conflict in any manner
with the performance of services required hereunder. Contractor further represents
that no persons having any such interest shall be employed to perform those services.
15. COMPONENT PARTS OF THIS CONTRACT. This Contract consists of the attached
component parts, all of which are as fully a part of the contract as if herein set out
verbatim: Contractor's Proposal, Insurance Certificate, RFP #10-5444 Scope of Services,
Addendum and Exhibit A "Hourly Rate Schedule".
16. SUBJECT TO APPROPRIATION. It is further understood and agreed by and between
the parties herein that this agreement is subject to appropriation by the Board of County
Commissioners.
17. PROHIBITION OF GIFTS TO COUNTY EMPLOYEES. No organization or individual
shall offer or give, either directly or indirectly, any favor, gift, loan, fee, service or other
Page 4 of 8
item of value to any County employee, as set forth in Chapter 112, Part III, Florida
Statutes, Collier County Ethics Ordinance No. 2004-05, and County Administrative
Procedure 5311. Violation of this provision may result in one or more of the following
consequences: a. Prohibition by the individual, firm, and/ or any employee of the firm
from contact with County staff for a specified period of time; b. Prohibition by the
individual and/ or firm from doing business with the County for a specified period of
time, including but not limited to: submitting bids, RFP, and/ or quotes; and, c.
immediate termination of any contract held by the individual and/ or firm for cause.
18. IMMIGRATION LAW COMPLIANCE. By executing and entering into this agreement,
the Contractor is formally acknowledging without exception or stipulation that it is
fully responsible for complying with the provisions of the Immigration Reform and
Control Act of 1986 as located at 8 U.s.e. 1324, et seq. and regulations relating thereto,
as either may be amended. Failure by the Contractor to comply with the laws referenced
herein shall constitute a breach of this agreement and the County shall have the
discretion to unilaterally terminate this agreement immediately.
19. OFFER EXTENDED TO OTHER GOVERNMENTAL ENTITIES. Collier County
encourages and agrees to the successful proposer extending the pricing, terms and
conditions of this solicitation or resultant contract to other governmental entities at the
discretion of the successful proposer.
20. AGREEMENT TERMS. If any portion of this Agreement is held to be void, invalid, or
otherwise unenforceable, in whole or in part, the remaining portion of this Agreement
shall remain in effect.
21. ADDITIONAL ITEMS/SERVICES. Additional items and/ or services may be added to
this contract upon satisfactory negotiation of price by the Contract Manager and
Contractor.
22. DISPUTE RESOLUTION. Prior to the initiation of any action or proceeding permitted
by this Agreement to resolve disputes between the parties, the parties shall make a good
faith effort to resolve any such disputes by negotiation. The negotiation shall be
attended by representatives of Contractor with full decision-making authority and by
County's staff person who would make the presentation of any settlement reached
during negotiations to County for approval. Failing resolution, and prior to the
commencement of depositions in any litigation between the parties arising out of this
Agreement, the parties shall attempt to resolve the dispute through Mediation before an
agreed-upon Circuit Court Mediator certified by the State of Florida. The mediation
shall be attended by representatives of Contractor with full decision-making authority
and by County's staff person who would make the presentation of any settlement
reached at mediation to County's board for approval. Should either party fail to submit
to mediation as required hereunder, the other party may obtain a court order requiring
mediation under section 44.102, Fla. Stat.
Page 5 of8
Any suit or action brought by either party to this Agreement against the other party
relating to or arising out of this Agreement must be brought in the appropriate federal
or state courts in Collier County, Florida, which courts have sole and exclusive
jurisdiction on all such matters.
23. KEY PERSONNEuPROTECT STAFFING: The proposer's personnel and management
to be utilized for this project shall be knowledgeable in their areas of expertise. The
County reserves the right to perform investigations as may be deemed necessary to
insure that competent persons will be utilized in the performance of the contract.
Selected firm shall assign as many people as necessary to complete the project on a
timely basis, and each person assigned shall be available for an amount of time
adequate to meet the dates set forth in the Project Schedule. Firm shall not change Key
Personnel unless the following conditions are met: (1) Proposed replacements have
substantially the same or better qualifications and/ or experience. (2) that the County is
notified in writing as far in advance as possible. Firm shall make commercially
reasonable efforts to notify Collier County within seven (7) days of the change. The
County retains final approval of proposed replacement personnel.
24. SAFETY: All contractors and subcontractors performing services for Collier County are
required and shall comply with all Occupational Safety and Health Administration
(OSHA), State and County Safety and Occupational Health Standard and any other
applicable rules and regulations. Also, all contractors and subcontractors shall be
responsible for the safety of their employees. Contractor has established and maintains
programs and procedures for the safety of its employees. Contractor specifically
disclaims any authority or responsibility for job site safety and safety of persons other
than Contractor's employees.
25. TRAVEL EXPENSES: Expenses associated with travel, per diem, lodging and mileage
will be reimbursed as per Section 112.061 Fla. Stats. Reimbursement shall be at the
following rates:
Mileage:
Breakfast:
Lunch:
Dinner:
Airfare:
Rental car:
$ .445 per mile
$6.00
$11.00
$19.00
Actual ticket cost limited to tourist or coach class fare
Actual rental cost limited to compact or standard-size
vehicles
Actual cost of lodging at single occupancy rate with a
cap of no more than $150.00 per night
Lodging:
Parking:
Actual cost of parking
Page 6 of8
26. SUBSTITUTE PERFORMANCE: In the event the Contractor fails to perform any
required services within the time schedule under the contact, The County reserves the
right to obtain substitute performance. Further, the County reserves the right to deduct
the cost of such substitute performance from the Contractor's payments. The Contractor
may be exempt from this provision if such exemption is granted by the Project Manager
or his designee, in writing, prior to any delays or as a result of an Act of Nature.
IN WITNESS WHEREOF, the Contractor and the County, have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on the date and year first above
written.
~..... . ~~',),~ .
ATTEST;,' " : -~ -d,t)
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DW_~
By' -, "' ","': -
D;le~;I ?Jl'UIU" ..
Atte,*S~~. ....~fI ,
-It9l'&tIre "\t'~
(-
Dorcas Martinez
tTypejprintwitness namet
Approved as to form and
le~:C;CYI?)~~
~t County Attorney
SenT\- ~ ~ \ ~~c...h
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By: ~W. 7-
Fred W. Coyle, Chairman
Jonathan Burgiel. President
Typed signature and title
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Page 7 of8
Exhibit A
Hourly Rate Schedule
Position Title
Administrative/Clerical Assistance
Annual Table Top Exercise
Billing Invoice Analysis/Data Manager Invoice Reconciliation
Damage /Customer Services
Debris Site/Tower/Field/ Crew Monitors
Dispatch/Schedule Manager
Emergency Management Planning
Environment Specialist/Compliance Specialist
Environmental Project Manager
Federal Program Coordinator
Field Supervisor/Monitor/Collection & Disposal Operations
GIS Analysis/Mapping Manager
Grant Manager
IT Manager
IT Technician
Load Ticket/Data Entry Clerk
Operations Manager/Coordinator
Post Project FEMA Close Out Support
Project Coordinator
Project Inspector/Roving QA QC Inspector
Project Manager
Public Assistant Officer/Public Information
Hourly Rate
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
30
No Cost
60
30
40
54
79
75
100
79
65
60
90
85
75
30
70
79
35
40
100
85
MEMORANDUM OF INSURANCE
This Memorandum is issued as a matter of information only to authorized viewers for their internal use only and confers no rights upon any viewer of this
Memorandum. This Memorandum does not amend, extend or alter the coverage described below. This Memorandum may only be copied, printed and
distributed within an authorized viewer and may only be used and viewed by an authorized viewer for its internal use. Any other use, duplication or distribution
of this Memorandum without the consent of Science Applications International Corp. (SAle) is prohibited. "Authorized viewer" shall mean an entity or person
which is authorized by the insured named herein to access this Memorandum via htto://www.saic.com/customer/moi/ . The information contained herein is
valid as of today's date, and shall be updated upon any material policy changes and upon each policy's renewal.
BROKER COMPANIES AFFORDING COVERAGE
Marsh Risk & Insurance SelVices ("Marsh") Co. A National Union Fire Insurance Company of Pittsburgh, PA
INSURED Co. B New Hampshire Insurance Company
Beck Disaster Recovery, Inc., a wholly owned subsidiary ofSAIC Co. C The Insurance Company of the State of Pennsylvania
1001 Fourth Avenue, Suite 2500 Co. D Underwriters at Lloyd's, London (A F Beazley #623 & #2623)
Seattle, WA 98154 Co. E Factory Mutual Insurance Company
COVERAGES
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 THIS MEMORANDUM
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.
CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS
LTR DATE DATE
GENERAL GENERAL $ 10,000,000
A LIABILITY GL 7146225 04/01/10 04/01/11 AGGREGATE
PRODUCTS - $ 2,000,000
COMMERCIAL COMP/OP AGG
GENERAL LIABILITY PERSONAL & ADV $ 1,000,000
INCLUDING INJURY
CONTRACTUAL EACH $ 1,000,000
LIABILITY (per ISO
Form CGOOOI 12/07) OCCURRENCE
FIRE DAMAGE (ANY $ 1,000,000
OCCURRENCE FORM ONE FIRE)
MED EXP $ 10,000
(ANY ONE PERSON)
AUTOMOBILE COMBINED SINGLE $ 1,000,000
A LIABILITY CA 9727003 04/01/10 04/01/11 LIMIT
COVERING ANY (All Other States)
A OWNED AUTOS, CA 9727005 (MA) 04/01/10 04/01/11
HIRED AUTOS &
A NON-OWNED AUTOS CA 9727004 (V A) 04/01/10 04/01/11
UMBRELLA EACH $ 10,000,000
A LIABILITY 27471737 04/01/10 04/01/11 OCCURRENCE
UMBRELLA FORM AGGREGATE $ 10,000,000
B WORKERS WC 020342415 04/01/10 04/01/11 WORKERSCOMP STATUTORY
COMPENSATION (All Other States) LIMITS
C AND EMPLOYERS' WC 020342416 (CA) EL $ 3,000,000
LIABILITY 04/01/10 04/01/11
EACH ACCIDENT
C INCLUDES USL&H WC 020342421 (MA) 04/01/10 04/01/11 EL DISEASE - $ 3,000,000
B WC 020342417 (FL) 04/01/10 04/01/11 POLICY LIMIT
THE PROPRIETOR / EL DISEASE - $ 3,000,000
B PARTNERS/ WC 020342418 (OR) 04/01/10 04/01/11 EACH EMPLOYEE
EXECUTIVE
B OFFICERS ARE: WC 020342419 (TX) 04/01/10 04/01/11
A INCLUDED WC 020342420 (WI) 04/01/10 04/01/11
PROFESSIONAL EACH CLAIM $ 10,000,000
D LIABILITY QF 034409 06/30/09 06/30/1 0
INCLUDING AGGREGATE $ 10,000,000
CONTRACTOR'S
POLLUTION LEGAL
LIABILITY
CLAIMS MADE BASIS
ALL RISK AMOUNT OF $ 1,000,000
E PROPERTY UB755 10/0 1/09 10/01/10 INSURANCE
INCLUDING ALL
REAL & PERSONAL
PROPERTY OF
INSURED, AND
PROPERTY OF
OTHERS WHERE
REQUIRED
The Memorandum of Insurance serves solely to list insurance policies, limits and dates of coverage. Any modifications hereto are not authorized.
IMEMORANDUM OF INSURANCE
This Memorandum is issued as a matter of information only to authorized viewers for their internal use only and confers no rights upon any viewer of this
Memorandum. This Memorandum does not amend, extend or alter the coverage described below. This Memorandum may only be copied, printed and
distributed within an authorized viewer and may only be used and viewed by an authorized viewer for its internal use. Any other use, duplication or distribution
of this Memorandum without the consent of Science Applications International Corp. (SAle) is prohibited. "Authorized viewer" shall mean an entity or person
which is authorized by the insured named herein to access this Memorandum via httD://www.saic.com/customer/moi/ . The information contained herein is
valid as of today's date, and shall be updated upon any material policy changes and upon each policy's renewal.
BROKER INSURED
Marsh Risk & Insurance Services ("Marsh") Beck Disaster Recovery, Inc., a wholly owned subsidiary ofSAIC
777 South Figueroa Street 1001 Fourth Avenue, Suite 2500
Los Angeles, CA 90017 Seattle, WA 98154
ADDITIONAL INFORMATION
Please note that the ahove Liability policies are endorsed to provide that our customers and any other organizations or persons where required by contract or
agreement we enter into are named as Additional Insureds under these policies. Additionally, coverage applies on a primary basis where required by contract, and,
a waiver of subrogation is provided in favor of any person or organization required pursuant to the terms of any contract or agreement we enter into.
Please note that the above Property policy is endorsed to provide that our customers and any other organizations or persons where required by contract or
agreement we enter into are named as Loss Payees As Their Interest May Appear under this policy.
Should you wish to view these endorsements, or print a copy for your files, please click on the below links.
GENERAL LIABILITY ENDORSEMENTS:
Additional Insured - Where Required Under Contract Or Agreement (AIG Form 61712 (9/01))
htto://www_"aic,conv'cu.;tOlTIli'r/moi/do\vnload!GL Wh~~r..:l Ih~(!uired bv Contract,pdf
Additional Insured - Managers or Lessors of Premises (Form CG 20 II 01 96)
hnn:!/wwv,',saic.com/customer/moi/download/GL 1\:["r or L.essors of Prclllisesodf
Additional Insured - Lessor of Leased Equipment (CG 20 28 07 04)
hUo://www.saic.com!customer/moi/download/Gt Les<=:or of LeasedE(lUio,odf
Additional Insured - Vendors (Form CG 20 150704)
httl)://W\-vw saic. COlnicustom~r/nH.ll/do'Wllload/GL Vendors. ndf
Additional Insured - Primary Insurance (AIG Form 74434 (10/99))
hun:....f \\ww.saic .comi cuslomcr/mOlido\\lJlloadr'GL Pn marv Insurance'. odf
Waiver Of Transfer Of Rights Of Recovery Against Others To Us (CG 2404 10 93)
httJ):i/~'\V\"',s:uc.conl/custom-cr/m01jdo\!rnload!GL Waiv~r of SlJbro~ation,Ddf
AUTOMOBILE LIABILITY ENDORSEMENTS:
Additional Insured - Where Required Under Contract Or Agreement (AIG Form 87950 (10/05))
b.J!P.J!..~~:'.5;.tj,~.,.~.Q.m!s..Y.~.19.D;1el'/nl.Q.!IdQ.~nJ.9,iJ.9/.61~1l.'i!.LR...\in:"(LQ'y_(.Qn.1J.iH;.LP'Q.f
Lessor- Additional Insured and Loss Payee (CA 20 01 1001)
tHJj?;.!.!..Wy'{~':'1lj.~::5!mn/.9..~5J.Q.nJ.~r/.m91iQ.Q.l"!:.ulQ.a.4:!1L._L.~~~LJ,!.Q.~.5~~"lli!f
Insurance Primary As To Certain Additional Insureds (AIG Form 74445 (10/99))
htto://v.'ww. sa.ic. com/CUSlomer/motldo\\11IO<ldfAL Pnmal'\" Insured. ndl'
Waiver of Transfer of Rights Of Recovery Against Others To Us (AIG Form 62897 (06/95))
httoj/www.saic.comicustomer/moi/download/AL \Vaiver of Subrol!a1'ion.ndf
WORKERS' COMPENSATION & EMPLOYERS LIABILITY ENDORSEMENTS:
Waiver of Our Right To Recover From Others
hlto./iv.ww.sai":.cQm/CUSlomcrinlOlldo\\11Ioadi\VC Will \'0r of Subropation.Ddf
NOTE: Workers Compensation insurance for work in the state of Washington is not provided under the above referenced workers compensation policy. Coverage is
provided by the Washington State Department of Labor & Industries program. Stop Gap Employers Liability insurance for the state of Washington is provided under the
above referenced workers compensation policy.
UMBRELLA LIABILITY ENDORSEMENTS:
Additional Insured - please note that because the AIG Umbrella Prime form #80517 05/06 policy definition of an Insured includes: "Any person or organization, other than the
Named Insured, included as an additional insured under the Schedule of Underlying Insurance, but not for broader coverage than would be afforded by such Schedule of
Underlying Insurance" that there is no separate Additional Insured endorsement applicable to this policy, Therefore, if you are an Additional Insured on the General Liability
or Automobile Liability policies above, that status extends to the Umbrella Liability policy as well.
Transfer of Rights of Recovery (Waiver of Subrogation) - please note that because the AIG Umbrella Prime form #80517 05/06 policy states that "If, prior to the time of an
Occurrence, you and the insurer of Scheduled Underlying Insurance waive any right of recovery against a specific person or organization for injury or damage as required
under an Insured Contract, we will also waive any rights we may have against such person or organization." that there is no separate Waiver of Subrogation endorsement
applicable to these policy, Therefore, if you are granted a Waiver of Subrogation on the General Liability, Automobile Liability or Employers Liability policies above, that
status extends to the Umbrella Liability policy as well.
PROFESSIONAL LIABILITY ENDORSEMENTS:
Additional Insured - Where Required by Contract or Agreement
httn:/l\\,ww ii" .. Il'fc"stom->r/moiidov.llloa i/07~08 E&(),ndf
Waiver of Subrogation - please note that the policy wording states that "However, it is agreed that the Underwriters waives its rights of subrogation under this policy against
any person or organization as respects Claims arising from Professional Services or Contracting Services provided under a contract to perform such Professional Services or
Contracting Services which requires a waiver of subrogation, but only to the extent required by written contract. Therefore, if our contract requires we waive our rights of
subrogation in your favor, the waiver extends to this policy,
NOTICE OF CANCELLA TION:
Please note that due to the very large number of contracts that SAIC and its subsidiaries enter into each year, the above policies do not contain an endorsement obligating the
insurer to provide any advance written notice directly to anyone but SAle. However, insurers have endorsed their policy to provide SAIC with 90 days advance written notice
of any cancellation (except 10 days for non-payment of premium) so as to enable SAIC to provide any required Notices to its customers in accordance with agreed to contract
terms and conditions,
The Memorandum of Insurance serves solely to list insurance pol icies, limits and dates of coverage. Any modifications hereto are not authorized.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ENDORSEMENT
This endorsement, effective 12:01 A.M. 04/01/2010
forms a part of
Policy No. GL 714-62-25 issued to SAIC, INC.
by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURG, PA
ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SECTION" - WHO IS AN INSURED, is amended to include as an additional insured:
Any person or organization to whom you become obligated to include as an
additional insured under this policy, as a result of any contract or agreement
you enter into which requires you to furnish insurance to that person or
organization of the type provided by this policy, but only with respect to liability
arising out of your operations or premises owned by or rented to you.
However, the insurance provided will not exceed the lesser of:
. The coverage and/or limits of this policy, or
. The coverage and/or limits required by said contract or agreement.
~~
AUTHORIZED REPRESENTATIVE
61712 (12/06)
POLICY NUMBER: GL 714-62-25
COMMERCIAL GENERAL LIABILITY
CG 20 11 01 96
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - MANAGERS OR LESSORS OF
PREMISES
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
1.Designation of Premises (Part Leased to You): ANY PREMISES OR PART THEREOF LEASED TO YOU.
2. Name of Person or Organization (Additional Insured): ANY AND ALL PERSONS OR ORGANIZATIONS
CONTRACTUALLY REQUIRING ADDITIONAL INSURED STATUS AS THE MANAGER OR LESSOR OF
PREMISES TO YOU.
3. Additional Premium: INCLUDED
(If no entry appears above, the information required to complete this endorsement will be shown in the Declara-
tions as applicable to this endorsement.)
WHO IS AN INSURED (Section II) Is amended to include as an insured the person or organization shown in the
Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the
premises leased to you and shown in the Schedule and subject to the following additional exclusions:
This insurance does not apply to:
1. Any "occurrence" which takes place after you cease to be a tenant in that premises.
2. Structural alterations, new construction or demolition operations performed by or on behalf of the person or
organization shown in the Schedule.
CG 20 11 01 96
Copyright, Insurance Services Office, Inc., 1994
Page 1 of1
CJ
POLICY NUMBER: CG 714-62-25
COMMERCIAL GENERAL LIABILITY
CG 20 28 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - LESSOR OF
LEASED EQUIPMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Oraanizatlon(s)
ANY AND ALL PERSONS OR ORGANIZA nONS CONTRACTUALL Y REQUIRING ADDITIONAL INSURED
STATUS AS A LESSOR UNDER TERMS OF AN EQUIPMENT LEASING CONTRACT YOU ENTER INTO
WITH SUCH PERSONS OR ORGANIZA TIONS.
Information reauired to comolete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II - Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily Injury", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by your maintenance,
operation or use of equipment leased to you by
such person(s) or organization(s).
B. With respect to the insurance afforded to these
additional insureds, this insurance does not apply
to any "occurrence" which takes place after the
equipment lease expires.
CG 20 28 07 04
@ ISO Properties, Inc., 2004
Page 1 of 1
Cl
POLICY NUMBER: CG 714-62-25
COMMERCIAL GENERAL LIABILITY
CG 20 150704
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - VENDORS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or
Oraanlzation(s) (Vendor) Your Products
ALL VENDORS ALL PRODUCTS
Information reauired to complete this Schedule. if not shown above will be shown in the Declarations.
A. Section II - Who Is An Insured is amended to
include as an additional insured any person(s) or
organization(s) (referred to below as vendor)
shown in the Schedule, but only with respect to
"bodily injury" or "property damage" arising out of
"your products" shown in the Schedule which are
distributed or sold in the regular course of the ven-
dor's business, subject to the following additional
exclusions:
1. The insurance afforded the vendor does not
apply to:
a. "Bodily injury" or .property damage" for
which the vendor is obligated to pay dam-
ages by reason of the assumption of liabil-
ity in a contract or agreement. This exclu-
sion does not apply to liability for damages
that the vendor would have in the absence
of the contract or agreement;
b. Any express warranty unauthorized by you;
c. Any physical or chemical change in the
product made intentionally by the vendor;
d. Repackaging, except when unpacked solely
for the purpose of inspection, demonstra-
tion, testing, or the substitution of parts un-
der instructions from the manufacturer, and
then repackaged in the original container;
e. Any failure to make such inspections, ad-
Justments, tests or servicing as the vendor
has agreed to make or normally undertakes
to make in the usual course of business, in
connection with the distribution or sale of
the products;
f. Demonstration, installation, servicing or
repair operations, except such operations
performed at the vendor's premises in con-
nection with the sale of the product;
CG 20 150704
@ ISO Properties, Inc., 2004
Page 1 of2
IJ
g, Products which, after distribution or sale by
you, have been labeled or relabeled or
used as a container. part or ingredient of
any other thing or substance by or for the
vendor; or
h. "Bodily injury" or "property damage" arising
out of the sole negligence of the vendor for
Its own acts or omissions or those of its
employees or anyone else acting on its be-
half. However, this exdusion does not ap-
ply to:
(1) The exceptions contained in Sub-
paragraphs d. or f.; or
(2) Such inspections, adjustments, tests or
servicing as the vendor has agreed to
make or normally undertakes to make in
the usual course of business, In connec-
tion with the distribution or sale of the
products.
2. This insurance does not apply to any insured
person or organization, from whom you have
acquired such products, or any ingredient, part
or container, entering into, accompanying or
containing such products.
Page 2 of 2
@ ISO Properties, Inc., 2004
CG 20 150704
o
ENDORSEMENT
This endorsement, effective 12:01 A.M.
04/01/2010
forms a part of
Policy No.
GL 714-62-25
issued to SAIC, INC.
by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
ADDITIONAL INSURED - PRIMARY INSURANCE
This endorsement modifies insurance provided under the following:
COMMERCIAL LIABILITY COVERAGE FORM
Section IV, Commercial General Liability Conditions. paragraph 4., Other Insurance, subparagraph a. Primary
Insurance, is amended by the addition of the following:
However, coverage under this policy afforded to an additional insured will apply as primary insurance where
required by contract. and any other insurance issued to such additional insured shall apply as excess and
noncontributory insurance.
~~
Authorized Representative
74434 (10/99)
POLICY NUMBER: CG 714-62-25
COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Person Or Organization:
"PURSUANT TO APPLICABLE WRITTEN CONTRAcr OR AGREEMENT YOU ENTER INTO,"
Information reauired to comolete this Schedule, if not shown above, will be shown in the Declarations.
The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV - Conditions:
We waive any right of recovery we may have against
the person or organization shown in the Schedule
above because of payments we make for injury or
damage arising out of your ongoing operations or
"your work" done under a contract with that person
or organization and included in the "products-
completed operations hazard". This waiver applies
only to the person or organization shown in the
Schedule above.
CG 24 04 05 09
@ Insurance Services Office, Inc., 2008
Page 1 of 1
o
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ENDORSEMENT
This endorsement, effective 12:01 A.M. 04/01/2010 forms a part of
Policy No. CA 972-70-03 issued to SAIC, INC.
by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT
This endorsement modifies insurance provided under the foJ/owing:
BUSINESS AUTO COVERAGE FORM
SCHEDULE
ADDITIONAL INSURED:
"Any person or organization for whom you are contractually bound to provide Additional
Insured status but only to the extent of such person or organizations liability arising out of
the use of a covered "auto".
I. SECTION II - LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is
amended to add:
d. Any person or organization, shown in the schedule above, to whom you
become obligated to include as an additional insured under this policy, as a
result of any contract or agreement you enter into which requires you to
furnish insurance to that person or organization of the type provided by this
policy, but only with respect to liability arising out of use of a covered
"auto". However, the insurance provided will not exceed the lesser of:
(1) The coverage and/or limits of this policy, or
(2) The coverage and/or limits required by said contract or agreement.
~~
AUTHORIZED REPRESENTATIVE
87950 (10/05)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
ENDORSEMENT
This endorsement, effective 12:01 A.M. 04/01/2010
Policy No. CA 972-70-05 issued to SAIC, INC.
by NEW HAMPSHIRE INSURANCE COMPANY
forms a part of
ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
SCHEDULE
ADDITIONAL INSURED:
"Any person or organization for whom you are contractually bound to provide Additional
Insured status but only to the extent of such person or organizations liability arising out of
the use of a covered "auto".
,. SECTION II - LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is
amended to add:
d. Any person or organization, shown in the schedule above, to whom you
become obligated to include as an additional insured under this policy, as a
result of any contract or agreement you enter into which requires you to
furnish insurance to that person or organization of the type provided by this
policy, but only with respect to liability arising out of use of a covered
"auto". However, the insurance provided will not exceed the lesser of:
(1) The coverage and/or limits of this policy, or
(2) The coverage and/or limits required by said contract or agreement.
(~
AUTHORIZED REPRESENTATIVE
87950 (10/05)
POLICY NUMBER: CA 972-70-03
COMMERCIAL AUTO
CA 20 010306
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LESSOR - ADDITIONAL INSURED AND LOSS PAYEE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi-
fied by the endorsement.
This endorsement changes the policy effective on the inceptlon date of the policy unless another date is indi-
cated below.
Named Insured: SAIC, INC.
Endorsement Effective Date: 04/01/2010
Countersianature Of Authorized ReDresentatlve
Name:
Title:
Signature:
Date:
CA20 010306
@ ISO Properties, Inc., 2005
Page 1 of 3 [J
SCHEDULE
Insurance Company: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
Policy Number: CA 972-70-03 I Effective Date: 04/01/2010
Expiration Date: 04/01/2011
Named Insured: SAIC, INC.
Address: 10260 CAMPUS POINT DR., MIS D-6 SAN DIEGO, CA 92121
Additional Insured (Les- ANY LESSOR UNDER CONTRACT OR AGREEMENT THAT REQUIRES YOU
sor): TO PROVIDE DIRECT PRIMARY INSURANCE FOR THAT LESSOR
Address:
Designation Or Description ANY AUTO LEASED UNDER CONTRACT OR AGREEMENT THAT RE-
Of "Leased Autos": QUIRES YOU TO PROVIDE DIRECT PRIMARY INSURANCE FOR THE LES-
SOR
Coverages Limit Of Insurance
Liability $ Each "Accident"
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus
Comprehensive $ Deductible For Each Covered "Leased Auto"
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus
Collision $ Deductible For Each Covered "Leased Auto"
Specified Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus
Causes Of Loss $ Deductible For Each Covered "Leased Auto"
Information required to complete this Schedule. if not shown above, will be shown in the Declarations.
A. Coverage
1. Any "leased auto" designated or described in
the Schedule will be considered a covered
"auto" you own and not a covered "auto" you
hire or borrow.
2. For a "leased auto" designated or described in
the Schedule, Who Is An Insured Is changed
to include as an "insured" the lessor named in
the Schedule. However, the lessor is an "in-
sured" only for "bodily injury" or "property dam-
age" resulting from the acts or omissions by:
a. You;
b. Any of your "employees" or agents; or
c. Any person, except the lessor or any "em-
ployee" or agent of the lessor. operating a
"leased auto" with the permission of any of
the above.
Page 2 of 3
@ ISO Properties, Inc., 2005
CA 20 01 03 06
Cl
3. The coverages provided under this endorse-
ment apply to any "leased auto" described in
the Schedule until the expiration date shown in
the Schedule, or when the lessor or his or her
agent takes possession of the "'eased auto",
whichever occurs first.
B. Loss Payable Clause
1. We will pay, as interest may appear, you and
the lessor named in this endorsement for "loss"
to a "leased auto".
2. The insurance covers the Interest of the lessor
unless the "loss" results from fraudulent acts or
omissions on your part.
3. If we make any payment to the lessor, we will
obtain his or her rights against any other party.
C. Cancellation
1. If we cancel the policy, we will mail notice to
the lessor in accordance with the Cancellation
Common Policy Condition.
2. If you cancel the policy, we will mail notice to
the lessor.
3. Cancellation ends this agreement.
CA 20 01 03 06
D. The lessor is not liable for payment of your premi-
ums.
E. Additional Definition
As used in this endorsement:
"Leased auto" means an "auto" leased or rented to
you, including any substitute, replacement or extra
"auto" needed to meet seasonal or other needs,
under a leasing or rental agreement that requires
you to provide direct primary Insurance for the les-
sor.
Page 3 of 3
[J
@ ISO Properties, Inc.. 2005
MM 20 26 10 06
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LESSOR - ADDITIONAL INSURED AND LOSS PAYEE
MASSACHUSETTS
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply
unless modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another
date is indicated below.
Named Insured: SAIC, INC.
Endorsement Effective Date: 04/01/2010
Countersianature Of Authorized ReDresentative
Name:
Title:
Signature:
Date:
SCHEDULE
Insurance Company: NEW HAMPHIRE INS CO
Policy Number: CA 972-70-05 I Effective Date: 04/01/2010
Expiration Date: 04/01/2011
Named Insured: SAIC, INC,
Address: 10260 CAMPUS POINT DR, MIS 0-6
SAN DIEGO, CA 92121
Additional Insured (Lessor):
AS KNOWN TO INSURER
Address:
Designation Or Description Of "Leased Autos":
ON FILE WITH COMPANY
MM 20 26 1 0 06
Includes copyrighted material of Insurance Services Office,
with its permission.
Copyright, Insurance Services Office. Inc., 2005
Page 1 of 3
MM 20 26 10 06
COVERAGES LIMITS OF INSURANCE
COMPULSORY BODILY INJURY $20,000 EACH PERSON
$40.000 EACH ACCIDENT
LIABILITY INSURANCE
OPTIONAL BODILY INJURY $ EACH PERSON
$ EACH ACCIDENT
PROPERTY DAMAGE $ EACH ACCIDENT
(COMPULSORY LIMIT $5,0001
LIABILITY $ 1,000,000 EACH ACCIDENT
PHYSICAL DAMAGE INSURANCE ACTUAL CASH VALUE OR COST OF REPAIR,
WHICHEVER IS LESS. MINUS
COMPREHENSIVE $ Deductible FOR EACH COVERED AUTO
SPECIFIED CAUSES OF LOSS $ Deductible FOR EACH COVERED AUTO
COLLISION $ Deductible FOR EACH COVERED AUTO
LIMITED COLLISION $ Deductible FOR EACH COVERED AUTO
Information required to complete this Schedule, if not shown above, will be shown in the
Declarations.
A. Coverage
1. Any "leased auto" designated or described in the Schedule will be considered a covered
"auto" you own and not a covered "auto" you hire or borrow.
2. For a "Ieased auto" designated or described in the Schedule, Who Is An Insured is changed
to include as an "insured" the lessor named in the Schedule. However, the lessor is an
"insured" only for "bodily injury" or "property damage" resulting from the acts or omissions
by:
a. You;
b. Any of your "employees" or agents; or
c. Any person, except the lessor or any "employee" or agent of the lessor, operating a
"Ieased auto" with the permission of any of the above.
3. The coverages provided under this endorsement apply to any "leased auto" described in the
Schedule until the expiration date shown in the Schedule, or when the lessor or his or her
agent takes possession of the "leased auto," whichever occurs first.
B. Loss Payable Clause
1. We will pay, as interest may appear, you and the lessor named in this endorsement for
"Ioss" to a "Ieased auto."
MM 20 26 10 06
Includes copyrighted material of Insurance Services Office,
with its permission.
Copyright, Insurance Services Office, Inc., 2005
Page 2 of 3
MM 20 26 10 06
2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts
or omissions on your part or if the loss is the result of arson, theft or any other means of
disposal committed by you or at your direction.
3. If we make any payment to the lessor, we will obtain his or her rights against any other
party.
C. Cancellation
1. If we cancel the policy, we will mail notice to the lessor in accordance with the Cancellation
Condition.
2. If you cancel the policy, we will mail notice to the lessor.
3. Cancellation ends this agreement.
D. The lessor is not liable for payment of your premiums.
E. Additional Definition
As used in this endorsement:
"Leased auto" means an "auto" leased or rented to you, including any substitute, replacement
or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement
that requires you to provide direct primary insurance.
MM 20 26 10 06
Includes copyrighted material of Insurance Services Office,
with its permission.
Copyright, Insurance Services Office, Inc., 2005
Page 3 of 3
POLICY NUMBER: CA 972-70-04
COMMERCIAL AUTO
CA 20 39 11 02
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
VIRGINIA LESSOR - ADDITIONAL INSURED AND
LOSS PAYEE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi-
fied by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is indi-
cated below.
Endorsement Effective: 04/01/2010 Countersigned By:
Named Insured: SAIC, INC.
(Authorized Representative)
SCHEDULE
Insurance Company NATIONAL UNION FIRE INS CO OF PITTSBURGH, PA
Policy Number CA 972-70-04 Expiration Date 04/01/2011
Effective Date 04/01/2010
Named Insured SAIC, INC.
Address 10260 CAMPUS POINT DR., M/S 0-6 SAN DIEGO. CA 92121
Additional Insured (Lessor) ANY LESSOR UNDER CONTRACT OR AGREEMENT THAT REQUIRES YOU TO
PROVIDE DIRECT PRIMARY INSURANCE FOR THAT LESSOR
Address
Designation or Description of Leased "Autos"
lANY AUTO LEASED UNDER CONTRACT OR AGREEMENT THAT REQUIRES YOU TO PROVIDE DIRECT
PRIMARY INSURANCE FOR THE LESSOR
Coverages Limit Of Insurance
Liabilitv $ Each "Accident"
Medical Expense Benefits $ Each Person
Income Loss Benefits $ Each Person
Comprehensive ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS;
MINUS: $ For Each Covered "Auto"
Collision ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS;
MINUS: $ For Each Covered "Auto"
Specified Causes of Loss ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER lS LESS;
MINUS: $ For Each Covered "Auto"
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
CA 20 39 11 02
@) ISO Properties, 2002
Page 1 of 2
o
A. Coverage
1. Any "leased auto" designated or described in
the Schedule will be considered a covered
"auto" you own and not a covered "auto" you
hire or borrow. For a covered "auto" that is a
"leased auto" Who Is An Insured is changed
to Include as an "insured" the lessor named in
the Schedule.
2. The coverages provided under this endorse-
ment apply to any "leased auto" described in
the Schedule until the expiration date shown in
the Schedule, or when the lessor or his or her
agent takes possession of the "leased auto",
whichever occurs first.
B. Loss Payable Clause
1. We will pay, as interest may appear, you and
the lessor named in this endorsement for "loss"
to a "leased auto".
2. The insurance covers the interest of the lessor
unless the "loss" results from fraudulent acts or
omissions on your part.
3. If we make any payment to the lessor, we will
obtain his or her rights against any other party.
C. Cancellation
1. If we cancel the polley, we will mail notice to
the lessor in accordance with the Cancellation
Common Policy Condition.
2, If you cancel the policy, we will mail notice to
the lessor.
3. Cancellation ends this agreement.
D. The lessor is not liable for payment of your premi-
ums.
E. Additional Definition
As used in this endorsement:
"Leased auto" means an "auto" leased to you, in-
cluding any substitute, replacement or extra "auto"
needed to meet seasonal or other needs, under a
leasing agreement that requires you to provide di-
rect primary insurance for the lessor.
Page 2 of 2
@ ISO Properties, 2002
CA 20 39 11 02
[J
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT
CAREFULLY.
ENDORSEMENT
Insurance Primary as to Certain Additional Insureds
This endorsement, effective 12:01 A.M. 04/01/2010
forms a part of
Policy No. CA 972-70-03 issued to
SAIC, INC.
by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
Section IV - Business Auto Conditions, B., General Conditions, 5., Other Insurance, c., is
amended by the addition of the following sentence:
The insurance afforded under this policy to an additional insured will apply as primary
insurance for such additional insured where so required 1.U1der an agreement executed prior
to the date of accident. We will not ask any insurer that has issued other insurance to such
additional insured to contribute to the settlement ofloss arising out of such accident.
All other terms and conditions remain 1.U1changed.
~~
AUTHORIZED REPRESENTATIVE
74445 (10-99)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT
CAREFULLY.
ENDORSEMENT
Insurance Primary as to Certain Additional Insureds
This endorsement, effective 12:01 A.M. 04/01/2010
forms a part of
Policy No. CA 972-70-05 issued to
SAIC, INC.
by NEW HAMPSHIRE INSURANCE COMPANY
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
Section IV - Business Auto Conditions, B., General Conditions,S., Other Insurance, c., is
amended by the addition of the following sentence:
The insurance afforded under this policy to an additional insured will apply as primary
insurance for such additional insured where so required under an agreement executed prior
to the date of accident. We will not ask any insurer that has issued other insurance to such
additional insured to contribute to the settlement of loss arising out of such accident.
All other terms and conditions remain unchanged.
~~
AUTHORIZED REPRESENTATIVE
74445 (10-99)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT
CAREFULLY.
ENDORSEMENT
Insurance Primary as to Certain Additional Insureds
This endorsement, effective 12:01 A.M. 04/01/2010
forms a part of
Policy No. CA 972-70-04 issued to
SAIC. INC.
by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
Section IV - Business Auto Conditions, B., General Conditions, 5., Other Insurance, c., is
amended by the addition of the following sentence:
The insurance afforded under this policy to an additional insured will apply as primary
insurance for such additional insured where so required under an agreement executed prior
to the date of accident. We will not ask any insurer that has issued other insurance to such
additional insured to contribute to the settlement of loss arising out of such accident.
All other terms and conditions remain unchanged.
~~
AUTHORIZED REPRESENTATIVE
74445 (10-99)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ENDORSEMENT
This endorsement, effective 12:01 A.M.
04/01/2010
forms a part of
Policy No.
CA 972-70-03
issued to SAIC, INC.
by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
Section IV - Business Auto Conditions, A. - Loss Conditions. 5. - Transfer of Rights of
Recovery Against Others to Us. is amended to add:
However, we will waive any right of recovery we have against any person or organization
with whom you have entered into a contract or agreement because of payments we make
under this Coverage Form arising out of an "accident" or "loss" if:
(1) The "accident" or "\oss" is due to operations undertaken in accordance with the
contract existing between you and such person or organization; and
(2) The contract or agreement was entered into prior to any "accident" or "Ioss".
No waiver of the right of recovery will directly or indirectly apply to your employees or
employees of the person or organization, and we reserve our rights or lien to be reimbursed
from any recovered funds obtained by any injured employee.
,,~
AUTHORIZED REPRESENTATIVE
62897 (6/951
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ENDORSEMENT
This endorsement, effective 12:01 A.M.
04/01/2010
forms a part of
Policy No.
CA 972-70-05
issued to SAIC, INC.
by NEW HAMPSHIRE INSURANCE COMPANY
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
TMs endorsement modifies insurance provided under the foJ/owing:
BUSINESS AUTO COVERAGE FORM
Section IV - Business Auto Conditions, A. - Loss Conditions, 5. a Transfer of Rights of
Recovery Against Others to Us, is amended to add:
However, we will waive any right of recovery we have against any person or organization
with whom you have entered into a contract or agreement because of payments we make
under this Coverage Form arising out of an "accident" or "loss" if:
(1) The "accident" or "loss" is due to operations undertaken in accordance with the
contract existing between you and such person or organization; and
121 The contract or agreement was entered into prior to any "accident" or "loss".
No waiver of the right of recovery will directly or indirectly apply to your employees or
employees of the person or organization, and we reserve our rights or lien to be reimbursed
from any recovered funds obtained by any injured employee.
(~
AUTHORIZED REPRESENTATIVE
62897 (6/95)
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
WC 00 03 13
{Ed. 4-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce
our right against the person or organization named in the Schedule. (This agreement applies only to the extent that
you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
"ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME
OBLIGATED TO WAIVE YOUR RIGHTS OF RECOVERY
AGAINST, UNDER ANY CONTRACT OR AGREEMENT YOU
ENTER INTO PRIOR TO THE OCCURRENCE OF LOSS"
This form is not applicable in California, Kentucky, New Hampshire, New Jersey, North Dakota, Ohio, Tennessee,
Texas, Utah or Washington.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The InformatIon below [s required only when thIs endorsement Is issued subsequent to preparation of the policy.)
Endorsement Effective 04101/2010 Policy No. WC 020-34-2415
Insured
SAIC, INC.
Endorsement No.
Premium
~(flJ,
Insurance Company CountersIgned by
NEW HAMPSHIRE INSURANCE COMPANY
we 00 03 13
(Ed. 4-84)
C 1983 National Counell on Compensation Insurance.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
WC 00 03 13
(Ed. 4-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce
our right against the person or organization named in the Schedule. (This agreement applies only to the extent that
you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or Indirectly to benefit anyone not named in the Schedule.
Schedule
"ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME
OBLIGATED TO WAIVE YOUR RIGHTS OF RECOVERY
AGAINST, UNDER ANY CONTRACT OR AGREEMENT YOU
ENTER INTO PRIOR TO THE OCCURRENCE OF LOSS"
This form is not applicable in California, Kentucky, New Hampshire, New Jersey, North Dakota, Ohio, Tennessee,
Texas, Utah or Washington.
This endorsement changes the polley to which it is attached and is effective on the date issued unless otherwise stated.
(The Information below Is required only when this endorsement is Issued subsequent to preparation of the policy.)
Endorsement Effective 04/01/2010 Policy No. WC 020-34-2417
Insured
SAIC, INC.
Endorsement No.
Premium
~ './U,
Insurance Company Countersigned by
NEW HAMPSHIRE INSURANCE COMPANY
WC 00 03 13
(Ed. 4-84)
@ 1983 National Council on Compensation Insurance.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
WC 00 03 13
(Ed. 4-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce
our right against the person or organization named in the Schedule. (This agreement applies only to the extent that
you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit anyone not named In the Schedule.
Schedule
"ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME
OBLIGATED TO WAIVE YOUR RIGHTS OF RECOVERY
AGAINST, UNDER ANY CONTRACT OR AGREEMENT YOU
ENTER INTO PRIOR TO THE OCCURRENCE OF LOSS"
This form is not applicable in California, Kentucky, New Hampshire, New Jersey, North Dakota, Ohio, Tennessee,
Texas, Utah or Washington.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below Is required only when this endorsement Is Issued subsequent to preparatIon of the policy.)
Endorsement Effective 04/01{2010 Policy No. WC 020-34-2421
Insured
SAIC, INC.
Endorsement No.
Premium
~<~
Insurance Company Countersigned by
NEW HAMPSHIRE INSURANCE COMPANY
we 00 03 13
{Ed. 4-84)
(Ill 1983 National Council on Compensation Insurance.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
WC 00 03 13
(Ed. 4-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce
our right against the person or organization named in the Schedule. (This agreement applies only to the extent that
you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
"ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME
OBLIGATED TO WAIVE YOUR RIGHTS OF RECOVERY
AGAINST, UNDER ANY CONTRACT OR AGREEMENT YOU
ENTER INTO PRIOR TO THE OCCURRENCE OF LOSS"
This form is not applicable in California, Kentucky, New Hampshire, New Jersey, North Dakota, Ohio, Tennessee.
Texas, Utah or Washington.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The Infannatlon below [s required only when this endorsement Is Issued subsequent to preparation of the policy.)
Endorsement Effective 04/01/2010 Policy No. WC 020-34-2418
Insured
SAIC, INC.
Endorsement No.
Premium
~~~
Insurance Company Countersigned by
NEW HAMPSHIRE INSURANCE COMPANY
we 00 03 13
(Ed. 4-84)
C 1983 NaUonal Council on CompenaaUon Insurance.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
WC 42 03 04 A
(Ed. 1-00)
TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3A of the
Information Page.
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce
our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily
injury arising out of the operations described in the Schedule where you are required by a written contract to obtain
this waiver from us.
This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
The premium for this endorsement is shown in the Schedule.
Schedule
1. ( ) Specific Waiver
Name of person or organization
(X ) Blanket Waiver
Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver.
2. Operations:
ALL TEXAS OPERATIONS
3. Premium:
The premium charge for this endorsement shall be 2% percent of the premium developed on payroll in
connection with work performed for the above person(s) or organization(s) arising out of the operations described.
4. Advance Premium: INCLUDED
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The Infonnatlon below is required only when thIs endorsement Is Issued subsequent to preparation of the policy.)
Endorsement Effective 04/01/2010
Insured
SAIC, INC.
Policy No. WC 020-34-2419
Endorsement No.
Premium $ INCLUDED
/"~~
Insurance Company
NEW HAMPSHIRE INSURANCE COMPANY
Countersigned by
we 42 03 04A
(Ed. 1-00)
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
WC 43 03 05
(Ed. 7-00)
UTAH WAIVER OF SUBROGATION ENDORSEMENT
This endorsement applies only to the insurance provided by the policy because Utah is shown in Item 3.A. of the
Information Page.
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce
our right against the person or organization named in the Schedule. (This agreement applies only to the extent that
you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Our waiver of
rights does not release your employees' rights against third parties and does not release our authority as trustee of
claims against third parties.
Schedule
"ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME
OBLIGATED TO WAIVE YOUR RIGHTS OF RECOVERY
AGAINST, UNDER ANY CONTRACT OR AGREEMENT YOU
ENTER INTO PRIOR TO THE OCCURRENCE OF LOSS"
ThiS endorsement changes the policy to which It [s attached and is effective on the date issued unless otherwise stated.
{The Information below is required only when this endorsement is Issued subsequent to preparation of the policy.}
Endorsement Effectlve 04101/2010
Insured
SAIC, INC.
Policy No. WC 020-34-2415
Endorsement No.
Premium $ INCLUDED
~"!L4
Insurance Company
NEW HAMPSHIRE INSURANCE COMPANY
we 43 03 05
(Ed. 7-00)
Countersigned by
C 2000 National Council on Compensation Insurance, Inc.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
WC 00 03 13
(Ed.4-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce
our right against the person or organization named in the Schedule. (This agreement applies only to the extent that
you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
"ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME
OBLIGATED TO WAIVE YOUR RIGHTS OF RECOVERY
AGAINST, UNDER ANY CONTRACT OR AGREEMENT YOU
ENTER INTO PRIOR TO THE OCCURRENCE OF LOSS"
This form is not applicable in California, Kentucky, New Hampshire, New Jersey, North Dakota, Ohio, Tennessee,
Texas, Utah or Washington.
This endorsement changes the policy to which it Is attached and is effective on the date issued unless otherwise stated.
(The infonnatlon below Is required only when this endorsement Is Issued subsequent to preparation of the policy.)
Endorsement Effective 04/01/2010 Polley No. WC 020-34-2420
Insured
SAIC, INC.
Endorsement No.
Premium
~~~
Insurance Company Countersigned by
NEW HAMPSHIRE INSURANCE COMPANY
WC 00 03 13
(Ed. 4-84)
o 1983 National Council on Compensation Insurance.
...__ _on. .._.._.....__ ...n ...u ... ....... . ...... ..:... ... ..... ....... -.. -........ ,. ...... .... p........ ... .... ."'" .......... ....... .. ....
f
.;...
ENDORSEMENT NO.4
THIS ENDORSEMENT CHANGES THE POLlCY. PLEASE READ IT CAREFULLY.
This endorsemenl modifies insurance provided under the following:
It is agreed that any person or organizntion lIS mJuired by contract or agreement is included as an Additiorml
Insured, but solely with respect to liability arising oUl. of Professional Services or COJllI'lIcting Setvices
pcd'ormed by or on beba1f of the Named Insllled and only to the extent ~Ilired by contract or agreement,
slibject to the Limit of Liability and all other terms, conditions and limitations of this policy. It is further agreed
that this insurance will be primary and non-contributoIy with any other available insurance, when required by
con1Iact or agreement
All other terms and conditions remain unaltered.
" .
MEMORANDUM
Date:
April 27, 2010
To:
Dianna Perryman, Contract Specialist
Purchasing Department
From:
Martha Vergara, Deputy Clerk
Minutes & Records Department
Re:
Modification to Contract #10-5444
FEMA Acceptable Monitoring for Disaster Generated
Debris
Contractor: Beck Disaster Recovery (BDR)
Attached please find two original contract amendments (Agenda Item
#16C2), approved by the Board of County Commissioners on Tuesday,
April 29, 2010.
An original amendment document has been retained in the Minutes
and Records Department as part of the Board's permanent record.
If you should have any questions, please contact me at 252-7240.
Thank you.
Attachment (1 )