COMPLETED BOARD ORDER AND AME
��19
Before the Board of Supervisors in and for the
County of Monterey, State of California
Agreement No. A-11763
Authorize the Purchasing Manager for Natividad
Medical Center NMC) to execute Renewal
Amendment #1 to the Agreement No. A-11763 with
NetXperts Inc. for Voice-over-IP Vol?) Telephony
System Network Engineering Support Services at
NMC in an aggregate amount of $375,000 and the not
to exceed amount of $228,098 for the period July 1,
2011 to June 30, 2012
Upon motion of Supervisor Salinas, seconded by Supervisor Calcagno, and carried by those
members present, the Board hereby;
Authorized the Purchasing Manager for Natividad Medical Center NMC) to
execute Renewal Amendment #1 to the Agreement No. A-11763 with NetXperts
Inc. for Voice-over-IP VoIP) Telephony System Network Engineering Support
Services at NMC in an aggregate amount of $375,000 and not to exceed the
amount of $228,098 for the period July 1, 2011 to June 30, 2012.
PASSED AND ADOPTED on this 2 8th day of June, 2011, by the following vote, to wit:
AYES: Supervisors Calcagno, Salinas, and Parker
NOES: None
ABSENT: Supervisors Armenta and Potter
I, Gail T. Borkowski, Clerk of the Board of Supervisors of the County of Monterey, State of California, hereby
certify that the foregoing is a true copy of an original order of said Board of Supervisors duly made and entered in the
minutes thereof of Minute Book 75 for the meeting on June 28, 2011.
Dated: June 29, 2011 Gail T. Borkowski, Clerk of the Board of Supervisors
County of Monterey, State of California
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COMPLETED BOARD ORDER AND AME
��Original Agreement No or PO#. A-11763)
RENEWAL AMENDMENT NO. 1
FOR PROFESSIONAL SERVICE AGREEMENT
BETWEEN NetXperts Inc AND
THE NATIVIDAD MEDICAL CENTER
FOR
System and Network En:lineerin2 Support Services
The parties to Professional Service Agreement, dated July 1, 2010 between the County of Monterey, on behalf of
Natividad Medical Center NMC"), and NetXperts Inc Contractor), hereby agree to renew their Agreement No.
A-11763) on the following terms and conditions:
1. Contractor will continue to provide NMC with the same scope of service as stated in the original
Agreement No. A-I 1763). Additionally, the vendor will provide services described on Attachment A
attached to this Amendment #1.
2. This Amendment shall become effective on July 1, 2011 and shall continue in full force until June 30, 2012.
3. The total amount payable by County to Contractor under Agreement N 11763) shall not exceed the
4.
5.
total sum of $375,000 for the full term of the Agreement and 000 for fiscal e 012.
All other terms and conditions of the Agreement shall continue in a force and effect.
A copy of this Amendment shall be attached to the original Agreement No. A-11763).
P
4
IN WITNESS WHEREOF, the parties hereto are in agreement with this Amendment and Professional
Service Agreement on the basis set forth in this document and have executed this amendment on the day and year
set forth herein.
CONTRACTOR
Signature I
Printed Name Gar
Signature 2
N V ti 1 r
Printed Name V,(, V y E, Fool f V1 i
Dated 7
Title Nees 1 de /it E 0
Dated # 11 13,
Z O L I
Title e C C'z t(Z-( /
***INSTRUCTIONS: If CONTRACTOR is a corporation, including limited liability and non profit corporations, the fidl legal name of the
corporation shall be set forth above together with the signatures of two specified officers. If CONTRACTOR is a partnership, the name of
the partnership shall be set forth above together with the signature of a partner who has authority to execute this Agreement on behalf of
the partnership. If CONTRACTOR is contracting in and individual capacity, the individual shall set forth the name of the business, if any
and shall personally sign the Agreement.
NATIVIDAD MEDICAL CENTER
Signature Dated
Purchasi Manager
Signature G Dated q o /l l
NMC CEO
Approved as to Legal Form:
Charles J McKee, County Counsel
Stacy Saetta, Deputy
Attorneys for County and NMC Dated: 201 I
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COMPLETED BOARD ORDER AND AME
��Original Agreement No or PO#. A- 11763
RENEWAL AMENDMENT NO. 1
FOR PROFESSIONAL SERVICE AGREEMENT
BETWEEN NetXperts Inc AND
THE NATIVIDAD MEDICAL CENTER
FOR
System and Network Enl:ineering Support Services
The parties to Professional Service Agreement, dated July 1, 2010 between the County of Monterey, on
behalf of Natividad Medical Center NMC"), and NetXperts Inc Contractor), hereby agree to renew
their Agreement No. A- 11763) on the following terms and conditions:
1. Contractor will continue to provide NMC with the same scope of service as stated in the original
Agreement No. A-I 1763).
2. This Amendment shall become effective on July 1, 2011 and shall continue in full force until June
30, 2012.
3. The total amount payable by County to Contractor under Agreement No. A-11763) shall not
exceed the total sum of $375,000 for the full term of the Agreement and-24i fiscal year
2011-2012.
4. All other terms and conditions of the Agreement shall continue in full force and effect.
5. A copy of this Amendment shall be attached to the original Agreement No. A-11763).
IN WITNESS WHEREOF, the parties hereto are in agreement with this Amendment and
Professional Service Agreement on the basis set forth in this document and have executed this
amendment on the day and year set forth herein.
CONTRACTOR
Signature
Printed Name G GtYN Nr V"1k vi 0--
NATIVIDAD MEDICAL CENTER
Signature
Signature
Purchasing Manager
NMC CEO
Approved as to Legal Form:
Charles J. McKee, County Counsel
Title P(e' a Y\ r
Dated
Dated
Stacy Saetta, Dept /
Attorneys for County and NMC Dated: r~ 2011
1 t,
O~
SI
Dated 44tt.YGk z e /
rt~o-~w- \~
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COMPLETED BOARD ORDER AND AME
��A, A Natividad
MEDICAL CENTER
Statement of Work
For
Training
ERTS INC.
All Net, All the Time
Prepared by. NetXperts Confidential
1
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COMPLETED BOARD ORDER AND AME
��PROPOSED STATEMENT OF WORK
NetXperts is pleased to deliver this Proposed Statement of Work SOW) which defines the services and
deliverables that NetXperts shall provideNatividad Medical Center(referred to as Customer" for the
remainder of this document) under the terms of the agreement. The terms of this Proposal are limited to
the scope of this SOW statement of work) and shall not be applicable to any other SOWs, which may be
executed and attached to the Agreement.
Scope of Work
NetXperts will complete the project as detailed below. The project will be fully documented and delivered
upon completion of the amount of hours allocated for this project under this Scope of work.
Customer Information
Site Name Address, Phone Site Contact
Michael Cross 1441 Constitution
Blvd. Salinas
California93912 crossm@natividad.com
Prepared by: NetXperts Confidential
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��NetXperts Methodology Overview
NetXperts leverages a services methodology approach that is termed PPDIOO:
Prepare
Plan
Design
Implement
Operate
Optimization
i \ I I\ Ill tl) \Ii flit tf + l,l'ft~il~
NetXperts in addition to our PPDIOO for Project work and planning for the customer, NetXperts also
provides Pro services to our customers to provide hands on training to their IT Departments to provide
Industry Standard's best practice training on any new Technology added to their Infrastructure.
Preparation and planning include discovery of business challenges and reviewing possible solutions that
can address these issues. We will leverage subject matter experts to work through these phases. Server
Virtualization, Unified Communications, Mobility, Security, Applications, Active Directory, Storage, Etc.)
We will have success criteria developed at this time.
Planning and design come together in mapping business solutions that actually address objective needs.
These phases look at different angles to see if actual issues have been addressed; cost, timing and ROI
evaluation.
Design and implementation include final review of design and timelines, beginning stages of project
management come into play as we map out project plan, resources, obstacles, impending events and
risks.
Implementation and operation is where the rubber hits the road, we have come to agreements on the
following areas: solution, design, costs, timeline, risks. We begin implementation and start implementing
operating procedures and training.
Operation and Optimization, the solution is deployed and either cutover or ready to be cutover, training is
complete; staff is ready to begin day to day operations of solution. Operation, monitoring, and
maintenance is now in play, we now have there in place and should be able to successfully begin
measuring our success criteria. Optimization will be an ongoing process that happens when we find better
ways to manage or operate your solution, this phase never ends.
Prepared by: NetXperts Confidential
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��Executive Summary
v
%
ice
% \.1'.t1\ 1)al) J1I DIh!I,'(.I
Natividad Medical Center is a 172-bed acute care medical center owned and operated by Monterey
County. They are a public community hospital emphasizing the care of women, children and families. Fully
Accredited by the Joint Commission on Accreditation of Hospitals and Healthcare Organizations, Natividad
Medical Center is a modern medical center campus offering comprehensive inpatient, outpatient,
diagnostic and specialty care.
This document provides a Scope of Work Proservices Agreement" PSA) that will be completed
on a Time and Material basis with a run rate of $195.00 per hour to include all T and E.
The following classes are a summary of training that NetXperts will work with NMC to perform,
valid from 7/1/11 to 6/30/12.
Prepared by: NetXperts Confidential
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��NetXperts Responsibilities
Employee and Class
Mike:
FIREWALL Deploying Cisco ASA Firewall Solutions. 5 days)
SECURE Securing Networks with Cisco Routers and Switches. 5 days)
ROUTE Implementing Cisco IP Routing.(5 days)
TSHOOT Troubleshooting and Maintaining Cisco IP Networks.(5 days)
VMWare View: Design Best Practices This class is included with VMWare View ICM).(n/a)
VMWare View: Install, Configure, Manage v4].(4 days)
VMWare VSphere: Install, Configure, Manage v4].(5days)
Richard:
VMWare View: Install, Configure, Manage v4.(4days)
VMWare VSphere: Install, Configure, Manage v4].(5days)
MS Course 2279B: Planning, Implementing, and Maintaining a Microsoft Windows Server 2003
Active Directory Infrastructure New Version 2008).(5days)
MS Course 2278B: Planning and Maintaining a Microsoft Windows Server 2003 Network
Infrastructure New Version is 2008).(3days)
New engineer:
VMWare View: Install, Configure, Manage v4].(4days)
VMWare VSphere: Install, Configure, Manage v4].(5days)
Keith:
MS Course 2274C: Managing a Microsoft Windows Server 2003 Environment New Version
2008).(5days)
MS Course 2277C: Implementing, Managing, and Maintaining a Microsoft Windows Server 2003
Network Infrastructure: Network Services New version is 2008).(5days)
MS Course 2278B: Planning and Maintaining a Microsoft Windows Server 2003 Network
Infrastructure New Version is 2008).(3 days)
MS Course 2279B: Planning, Implementing, and Maintaining a Microsoft Windows Server 2003
Active Directory Infrastructure New Version 2008).(5days)
Prepared by: NetXperts Confidential
5
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� �Daniel:
Interconnecting Cisco Networking Devices Part 1 ICND1) v1.1. 5days)
Interconnecting Cisco Networking Devices Part 2 ICND2) 0.0. 5days)
Implementing Cisco Switched Networks SWITCH)(TRN-SWITCH 1.0). 5days)
MS Course 2277C: Implementing, Managing, and Maintaining a Microsoft Windows Server 2003
Network Infrastructure: Network Services New version is 2008). 5days)
MS Course 2278B: Planning and Maintaining a Microsoft Windows Server 2003 Network
Infrastructure New Version is 2008). 3days)
Charlie:
MS Course 2274C: Managing a Microsoft Windows Server 2003
Environment New Version 2008).(5days)
MS Course 2277C: Implementing, Managing, and Maintaining a
Microsoft Windows Server 2003 Network Infrastructure: Network
Services New Version 2008).(5days)
MS Course 2278B: Planning and Maintaining a Microsoft Windows Server 2003
Network Infrastructure New Version 2008).(3days)
MS Course 2279B: Planning, Implementing, and Maintaining a
Microsoft Windows Server 2003 Active Directory Infrastructure New Version 2008).(5days)
Carlos:
MS Course 2274C: Managing a Microsoft Windows Server 2003 Environment New Version
2008).(5days)
MS Course 2277C: Implementing, Managing, and Maintaining a Microsoft Windows Server 2003
Network Infrastructure: Network Services New Version 2008).(5days)
MS Course 2278B: Planning and Maintaining a Microsoft Windows Server 2003 Network
Infrastructure New Version 2008).(3days)
MS Course 2279B: Planning, Implementing, and Maintaining a Microsoft Windows Server 2003
Active Directory Infrastructure New Version 2008).(5days)
Prepared by: NetXperts Confidential
6
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�
�Assumptions
All training will be performed during normal business hours: Monday through Friday, 8:00AM to
5:00PM or after hours depending on the tasks.
Any training or resulting projects from this SOW performed during non-business hours or
weekends at the customer's request could be billed at NetXperts standard rates.
If necessary, the Customer can move, add, or change via NetXperts standard change order
process, see Appendix A" Change Request form. This form will need to be completed and
signed by both parties.
Any delays experienced while a NetXperts engineer is on-site due to customer infrastructure
issues, customer-not-ready or employee problems will be billable at NetXperts applicable hourly
rate schedule.
Cancellation or rescheduling of the training with less than 3 days notice will result in cancellation
charges. The cancellation charges will be billed at the NetXperts applicable hourly rate schedule
for a day's work.
That the client will have an approved onsite schedule listing times/dates the facility will be available
for this project.
Prepared by: NetXperts Confidential
7
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�
�Customer Responsibilities
1. Provide schedule of training classes with months and dates for each NMC engineer.
2. Designate a Project Manager to be NetXperts primary point of contact for all training and inform
NetXperts if there is an engineer substitution or change. Project Manager will be responsible for
coordinating all project personnel and Customer suppliers to resolve any issues encountered by
the project personnel.
3. Provide 24 hour cancellation for any class if at all possible.
4. Retain overall responsibility for any business process impact and any process change.
5. Designate the location where NetXperts will set up the training class.
6. Provide sign off at the end of each training class and engineer receives Certification for the Mfg.
Prepared by: NetXperts Confidential
8
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�
�Completion Criteria
NetXperts will have satisfied its obligations to the customer under this Scope of Work when the training
Proservices listed under NetXperts Responsibilities" are completed and signed off by NMC designated
Project Manager.
Customer Signature
The customer, by signing below, indicates that the Statement of Work has been read and the terms
outlined within have been accepted. This Statement of Work is part of NetXperts ProServices
Agreement" PSA). Pricing for the training provided in 2010/2011 for this Statement of Work is provided in
NetXperts attached quote. Any questions concerning NetXperts responsibilities and the work to be done
should be directed to the NetXperts representative.
Customer's Name Company
NetXperts Representative Location
Prepared by: NetXperts Confidential
Date
Date
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�
�APPENDIX A CHANGE REQUEST
In reference to the section titled Assumptions of the above referenced Statement of Work between
NetXperts and Customer, both parties hereby certify, by the signature of an authorized representative, that
this Change Management Request will amend and be fully incorporated into the existing Statement of
Work SOW).
1. Change Request Number:
2. Reason for Change Request:
3. Changes to SOW:
4. Schedule Impact:
5. Cost Impact:
a. Original Value of SOW:
b. Added Value of Change Request:
c. New Value of SOW:
6. Purchase Order Issuance if applicable): Customer shall issue a written Purchase Order to
NetXperts, or shall issue an amendment to its original Purchase Order issued under this SOW, for
the total amount of $
Except as changed herein, all terms and conditions of the SOW remain in full force and effect.
IN WITNESS WHEREOF, the duly authorized representatives of the parties hereto have caused this
Change Management Request to be fully executed.
NetXperts Customer
By: By:
Name: Name:
Title: Title
Date: Date:
Prepared by: NetXperts Confidential
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��AA 1' 1'111 y II)-1I) MPJ)1(jAj, CENTER
APPENDIX B RATES
Business Hours 8:00 AM 5:00 PM $195.00/hr
Non Business. Hours. 5:01 PM 7:59'AM $195 00/hr
Weekends & Holidays 8:00 AM 5:00 PM $195.00/hr
Prepared by: NetXperts Confidential
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��Statement of Work
For
Professional Services for
and UC Communications
Shawn Zandi
March 4th, 2011
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��PROPOSED STATEMENT OF WORK
NetXperts is pleased to deliver this Proposed Statement of Work SOW) which defines the services and
deliverables that NetXperts shall provide Na tividadMedicalCen ter referred to as Customer" for the
remainder of this document) under the terms of the agreement. The terms of this Proposal are limited to
the scope of this SOW statement of work) and shall not be applicable to any other SOWs, which may be
executed and attached to the Agreement.
Scope of Work
NetXperts will complete the project as detailed below. The project will be fully documented and delivered
upon completion of the amount of hours allocated for this project under this Scope of work.
Customer Information
Site` Name Address Phone Site Contact
Kit Sun 1441 Constitution
Blvd. S al inas C ali forni a 650-766-3409 sunk@natividad.com
Repared by. ft0oorft Confidential
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��NetXperts Methodology Overview
NetXperts leverages a services methodology approach that is termed PPDIOO:
Prepare
Plan
Design
Implement
Operate
Optimization
By leveraging this framework to successfully plan, design, implement, and support technology solutions,
NetXperts has helped many customers in the successful adoption and evolution of business networking
and communication solutions.
Preparation and planning include discovery of business challenges and reviewing possible solutions that
can address these issues. We will leverage subject matter experts to work through these phases.
Whether it is Server Virtualization, Security, RSA, Unified Communications, Data Center, Co location
services, Mobility, Orion Monitoring), Applications, Active Directory, Storage, Etc.) We will have success
criteria developed at this time.
Planning and design come together in mapping business solutions that actually address objective needs.
These phases look at different angles to see if actual issues have been addressed, cost, timing and ROI
evaluation.
Design and implementation include final review of design and timelines, beginning stages of project
management come into play as we map out project plan, resources, obstacles, impending events and
risks.
Implementation and operation is where the rubber hits the road, we have come to agreements on the
following areas: solution, design, costs, timeline, risks. We begin implementation and start implementing
operating procedures and training.
Operation and Optimization, the solution is deployed and either cutover or ready to be cutover, training is
complete; staff is ready to begin day to day operations of solution. Operation, monitoring, and
maintenance is now in play, we now have there in place and should be able to successfully begin
measuring our success criteria. Optimization will be an ongoing process that happens when we find better
ways to manage or operate your solution, this phase never ends.
Repamd by: JVq?terts Corrfideathal
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��Executive Summary
Natividad Medical Center is a 172-bed acute care medical center owned and operated by Monterey
County. They are a public community hospital emphasizing the care of women, children and families. Fully
Accredited by the Joint Commission on Accreditation of Hospitals and Healthcare Organizations, Natividad
Medical Center is a modern medical center campus offering comprehensive inpatient, outpatient,
diagnostic and specialty care.
NetXperts will provide pro services to assist in support, installation, Training and post cut over support for
NMC's UC Communications Project. NetXperts will provide NMC with several Cisco Advanced
Communication CCIEs for this project. NetXperts is providing professional services to complete all the
tasks as stated in the scope of work. The NetXperts professional services will be carried out by a Cisco
highest level Certified CCIE in Advanced UC Communications Engineer.
The document provides a scope of work that will be completed on a Time and Material basis based
on a mutually agreed run rate of $195.00 per hour. This rate includes all T and E.
Ptep8+eany:I t erts Coxlydentna!
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VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
COMPLETED BOARD ORDER AND AME
��NetXperts Responsibilities
The Cisco Voice CCIE Network Engineer will complete the work as stated below in conjunction with the
customer.
1. Designate a NetXperts Project Engineer to be the customer's primary point of contact for all project
activities.
2. Coordinate with a designated customer Project Manager and NetXperts project personnel to
facilitate all activities related to this project.
3. Providing each task updates to customer as applicable and transition the project deliverables on
each major tasks on an ongoing basis.
4. All such information obtained by Contractor or its employees, agents and representatives, shall be
deemed to be the confidential and proprietary information of Owner. Contractor agrees to hold
such information in strict confidence and not disclose such information for any purposes other than
the provision of products and services to Owner under this Contract.
5. UC Communications Pro services to include:
a. Create Project Plan for UC Communications Deployment
b. Set up kick off meeting to establish timelines and delegate responsibilities of NMC IT Team and
NetXperts Engineering Team
c. Confirm customer's business goals and review items to be completed prior to the cutover.
d. Meet with NMC's PRI vendor to coordinate all installation dates.
e. Provide Miles stone Certifications to customer as applicable and transition project deliverables
per agreed upon Project Plan.
f. Proposed VOIP system will be comprised of Cisco equipment.
g. NetXperts will install and configure Cisco router & telephony components based on Natividad
initial requirements. agreed in the requirement gathering phase)
h. NetXperts will inspect LAN and the switched network and identify needed changes.
i. NetXperts will build a dial plan and internally tests and maps users.
j. NetXperts will test telco cross connects and PSTN communication.
k. NetXperts will test and configure features and capabilities sold in the BOM like Voice Mail,
Meeting Place and IVR based on the best practices and requirements.
1. NetXperts will supply on-site training to IT staff on VOICE features, normal administrative
functions, and basic troubleshooting processes.
6. Post cut support
Provide post cut on site support for any Data Center issue, configuration change,
engineering support required by the customer until DC is stable and IT staff is trained.
Ptepaz d by., ftVQ)*zts Confidential
5
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MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104192-U03
C15-U03
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16743-U05
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AUTHORIZE-U07
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NMC)-U07
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NO.-U07
1-U07
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THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
COMPLETED BOARD ORDER AND AME
��Customer Responsibilities
1. Overall management, planning, and functional definition of the planned project.
2. Designate a Customer Project Manager to be NetXperts primary point of contact for all activities.
Customer's Project Manager will be responsible for coordinating all project personnel and
Customer suppliers to resolve any issues encountered by the project personnel.
3. At the inception of the project, define business rules impacting Customer business functionality.
4. Retain overall responsibility for any business process impact and any process change
implementation for Customer's Business Units and facilities.
5. Designate the location where NetXperts on-site personnel will perform the Services outlined under
this SOW.
6. Provide NetXperts personnel with: Physical site access and security access to the site and
relevant hardware and software systems.
7. Provide the subject matter experts to support the configuration and connectivity to any 3rd party
products excluded in this Statement of Work, but required for the successful completion of the
project. Customer's Project Manager is responsible for coordinating the technical support
resources for the 3rd party components. Examples of this type of component are servers and their
applications, legacy PBX systems, etc.
8. Ensure that any customer-provided hardware is certified and configured based on Customer's
recommended hardware configurations or better.
9. Verify the accuracy, correctness and the functionality of the information content of any applications
that may interface with the applications.
10. SECURITY: Customer is responsible for the implementation of any physical site security, loss
protection, disaster or business recovery, and protection against losses caused by natural
disasters, acts of violence, and willful use of force or sabotage. It is the customer's responsibility to
safeguard the information contents, integrity and security of hardware, software and data used in
this project from any unauthorized personnel.
Prepamd ay: Nf pertr Confidential
7
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AS99966-U03
AS99967-U03
AI103224-U03
DO104192-U03
C15-U03
COMPLETED-U03
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ORDER-U03
7/15/2011-U04
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3-U06
AUTHORIZE-U07
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PURCHASING-U07
MANAGER-U07
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NMC)-U07
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MAEGAN-U09
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6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
COMPLETED BOARD ORDER AND AME
��Completion Criteria
NetXperts will have satisfied its obligations to the customer under this Scope of Work when the tasks listed
under NetXperts Responsibilities" are completed.
Customer Signature
The customer, by signing below, indicates that the Statement of Work has been read and the terms
outlined within have been accepted. This Statement of Work is part of NetXperts Product and Services
Agreement. Pricing for the installation of the products for this Statement of Work is provided in NetXperts
attached quote. The customer also is aware that any delays incurred because of any of the reasons listed
in the Customer Responsibilities section is considered billable time. Any questions concerning NetXperts
responsibilities and the work to be done should be directed to the NetXperts representative.
Customer's Name Company Date
NetXperts Representative Location
Prepared by. 1 W) etts Contideetial
Date
8
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BOARD-U02
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MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104192-U03
C15-U03
COMPLETED-U03
BOARD-U03
ORDER-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
COMPLETED BOARD ORDER AND AME
��APPENDIX A CHANGE REQUEST
In reference to the section titled Assumptions of the above referenced Statement of Work between
NetXperts and Customer, both parties hereby certify, by the signature of an authorized representative, that
this Change Management Request will amend and be fully incorporated into the existing Statement of
Work SOW).
1. Change Request Number:
2. Reason for Change Request:
3. Changes to SOW:
4. Schedule Impact:
5. Cost Impact:
a. Original Value of SOW:
b. Added Value of Change Request:
c. New Value of SOW:
6. Purchase Order Issuance if applicable): Customer shall issue a written Purchase Order to
NetXperts, or shall issue an amendment to its original Purchase Order issued under this SOW, for
the total amount of $
Except as changed herein, all terms and conditions of the SOW remain in full force and effect.
IN WITNESS WHEREOF, the duly authorized representatives of the parties hereto have caused this
Change Management Request to be fully executed.
NetXperts Customer
By: By:
Name: Name:
Title: Title
Date: Date:
Prepared by: NQt4 eits Confidential
9
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AMENDMENT-U02
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MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104192-U03
C15-U03
COMPLETED-U03
BOARD-U03
ORDER-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
COMPLETED BOARD ORDER AND AME
��APPENDIX B RATES
Business Hours 8:00 AM 5:00 PM $195.00/hr
Non Business. Hours 5:01 PM 7:59 AM $195.00/hr
Weekends & Holidays 8:00 AM 5:00 PM $195.00/hr
Plepai d by: AWXpe. is Corrlydextiis!
10
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COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104192-U03
C15-U03
COMPLETED-U03
BOARD-U03
ORDER-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
COMPLETED BOARD ORDER AND AME
��NETXI'
ERT /NC.
All Net, All the Time
NetXperts Inc.
2680 Bishop Drive Suite 125
San Ramon, CA 94583
925-806-0800 Tel
925-806-0899 Fax
Quote To,
Natividad Medical Center
Michael Cross
1441 Constitution Blvd
Salinas
CA 93912
crossm@natividad.com
1
Ship To:
Natividad Medical Center
Michael Cross
1441 Constitution Blvd
Salinas
CA 93912
crossm@natividad.com
D
s
i
tio
cr
p
n
e
Natividad Medical Center
Voice Installation
NetXperts Professional Services
Includes:
Implementation
Configuration
Testing
Training
Cut-Over Support
Dates of service April 1, 2011- June 30, 2011
Run rate $195/Hr This is a fully loaded run rate including all travel
and expenses.
Quote #
Date
Sales Rep_
QUOTE
NETQ7186
03/16/11
ddrake
Unit Price Ext. Price
$155,000.00 $155,000.00
SubTotal $155,000.00
Sales Tax $0.00
Shipping $0.00
Total $155,000.00
All orders will be placed upon receipt of signed purchase order or a signed contract between NetXperts, Inc. and customer. All
hardware is warranted per manufacturer's published warranty only, unless an extended service contract has been purchased. This
order may be subject to sales tax, VAT, duty and freight charges even if not noted on this quote. this quote valid for 30 days.
NetXperts Inc. Confidential and Proprietary, except as required by law.
Page 1
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40740-U01
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AMENDMENT-U02
LI21329-U03
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FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104192-U03
C15-U03
COMPLETED-U03
BOARD-U03
ORDER-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
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EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
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1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
COMPLETED BOARD ORDER AND AME
��111E
Jr- RTS INC.
All Net, All the. Time
Quote To:
Natividad Medical Center
Michael Cross
1441 Constitution Blvd.
Salinas
CA 93912
crossm@natividad.com
m
Part Number
NetXperts Inc. QUOTE
2680 Bishop Drive Suite 125
Quote #
NETQ7028
San Ramon, CA 94583
Date
02/02/11
925-806-0800 Tel
925-806-0899 Fax Sales Rep. ddrake
Ship To:
Natividad Medical Center
Michael Cross
1441 Constitution Blvd.
Salinas
CA 93912
crossm@natividad.com
Description
Natividad Medical Center
Training
1 NPTS
NetXperts Professional Services
Training
Cisco, VMware, Microsoft training
courses per attached sheet.
Courses to be completed between
February 1, 2011 and January 31,
2012
Unit Price Ext. Price
$73,098.60 $73,098.60
SubTotal $73,098.60
Sales Tax $0.00
Shipping $0.00
Total $73,098.60
All orders will be placed upon receipt of signed purchase order or a signed contract between NetXperts, Inc. and customer. All
hardware is warranted per manufacturer's published warranty only, unless an extended service contract has been purchased. This
order may be subject to sales tax, VAT, duty and freight charges even if not noted on this quote. This quotation is valid for 30 days.
NetXperts Inc. Confidential and Proprietary, except as required by law.
Page 1
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FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104192-U03
C15-U03
COMPLETED-U03
BOARD-U03
ORDER-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
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AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
COMPLETED BOARD ORDER AND AME
��Employee and Class Days Price
Mike:
FIREWALL Deploying Cisco ASA Firewall Solutions 5 $3,395
SECURE Securing Networks with Cisco Routers and Switches 5 $3,395
ROUTE Implementing Cisco IP Routing 5 $3,195
TSHOOT Troubleshooting and Maintaining Cisco IP Networks 5 $3,195
VMWare View: Design Best Practices This include_I 01: 11.`{dare v: l M1 n/a n/a
VMWare View: Install, Configure, Manage v4] 4 $2,995
VMWare VSphere: Install, Configure, Manage v4] 5 $3,495
Richard:
VMWare View: Install, Configure, Manage v4] 4 $2,995
VMWare VSphere: Install, Configure, Manage v4] 5 $3,495
MS Course 2279B: Planning, Implementing, and Maintaining a Microsoft Windows Server 2003 Active Directory Infrastructure New Version 2008) 5 $2,595
MS Course 22788: Planning and Maintaining a Microsoft Windows Server 2003 Network Infrastructure New Version is 2008) 3 $1,795
New engineer:
VMWare View: Install, Configure, Manage v4] 4 $2,995
VMWare VSphere: Install, Configure, Manage v4] 5 $3,495
Keith:
MS Course 2274C: Managing a Microsoft Windows Server 2003 Environment New Version 2008) 5 $2,495
MS Course 2277C: Implementing, Managing, and Maintaining a Microsoft Windows Server 2003 Network Infrastructure: Network Services New version is 2008) 5 $2,695
MS Course 22788: Planning and Maintaining a Microsoft Windows Server 2003 Network Infrastructure New Version is 2008) 3 $1,795
MS Course 2279B: Planning, Implementing, and Maintaining a Microsoft Windows Server 2003 Active Directory Infrastructure New Version 2008) 5 $2,595
Daniel:
Interconnecting Cisco Networking Devices Part 1 ICND1) v1.1 5 $2,995
Interconnecting Cisco Networking Devices Part 2 ICND2) v1.0 5 $2,995
Implementing Cisco Switched Networks SWITCH)(TRN-SWITCH 1.0) 5 $3,195
MS Course 2277C: Implementing, Managing, and Maintaining a Microsoft Windows Server 2003 Network Infrastructure: Network Services New version is 2008) 5 $2,695
MS Course 22788: Planning and Maintaining a Microsoft Windows Server 2003 Network Infrastructure New Version is 2008) 3 $1,795
Charlie:
MS Course 2274C: Managing a Microsoft Windows Server 2003 Environment New Version 2008) 5 $2,495
MS Course 2277C: Implementing, Managing, and Maintaining a Microsoft Windows Server 2003 Network Infrastructure: Network Services New Version 2008) 5 $2,695
MS Course 22788: Planning and Maintaining a Microsoft Windows Server 2003 Network Infrastructure New Version 2008) 3 $1,795
MS Course 2279B: Planning, Implementing, and Maintaining a Microsoft Windows Server 2003 Active Directory Infrastructure New Version 2008) 5 $2,595
Carlos:
MS Course 2274C: Managing a Microsoft Windows Server 2003 Environment New Version 2008) 5 $2,495
MS Course 2277C: Implementing, Managing, and Maintaining a Microsoft Windows Server 2003 Network Infrastructure: Network Services New Version 2008) 5 $2,695
MS Course 2278B: Planning and Maintaining a Microsoft Windows Server 2003 Network Infrastructure New Version 2008) 3 $1,795
MS Course 2279B: Planning, Implementing, and Maintaining a Microsoft Windows Server 2003 Active Directory Infrastructure New Version 2008) 5 $2,595
Total $79,455
BIB]
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FO96183-U03
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AS99967-U03
AI103224-U03
DO104192-U03
C15-U03
COMPLETED-U03
BOARD-U03
ORDER-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
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RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
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IN-U012
AN-U012
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THE-U012
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SIGNED BOARD REPORT AND SUPPO
��MONTEREY COUNTY BOARD OF SUPERVISORS
MEETING: June 28, 2011 AGENDA NO.: I T
SUBJECT: Authorize the Purchasing Manager for Natividad Medical Center NMC)
to execute Renewal Amendment #1 to the Agreement with NetXperts Inc.
#A-11763) for Voice-over-11? VoIP) Telephony System Network
Engineering Support Services at NMC in an aggregate amount of
$375,000 and the not to exceed amount of $228,098 for the period July 1,
2011 to June 30, 2012.
DEPARTMENT: Natividad Medical Center
RECOMMENDATION:
It is recommended the Board of Supervisors authorize the Purchasing Manager for Natividad
Medical Center NMC) to execute Renewal Amendment #1 to the Agreement with NetXperts Inc.
#A-11763) for Voice-over-11? VoIP) Telephony System Network Engineering Support Services at
NMC in an aggregate amount of $375,000 and the not to exceed amount of $228,098 for the period
July 1, 2011 to June 30, 2012.
SUMMARY/DISCUSSION:
As NMC continues to enhance and optimize information technology at NMC, a need has been
identified to replace the current aging and costly analog telephone system with a new independent
VoIP) or digital phone system in order to achieve significant operational efficiency and cost saving.
The recommendation is to engage NetXperts Inc., a company with a strong reputation for providing
highly competent network and system engineering technical expertise to provide the following
services:
design and implement a new Cisco Voice-over-EP VoIP) telephony systems at NMC
provide post implementation training and support to NMC IT staff
provide Cisco network training courses to NMC IT personnel
The project is scheduled to run over the course of 4 months and completion of these important
technical services will allow NMC IT staff to acquire the necessary knowledge and skills needed to
support an enhanced digital telephony VoIP) system across NMC's new medical grade network.
OTHER AGENCY INVOLVEMENT:
The Amendment has been reviewed and approved by County Counsel, the Auditor/Controller's
office, and the Natividad Medical Center Board of Trustees' Finance Committee.
FINANCING:
The cost for this Agreement is $228,098 and is included in the Fiscal Year 2011/2012
Recommended Budget. This action will not require any additional General Fund subsidy.
Prepared by:
Jim Fenstermaker; 796-1647
Interim Chief Information Officer
March 22, 2011
Harry Weis
Chief Executive Officer
Attachments: Amendment #1, Agreement, Board Order
Attachments are on file with the Clerk of the Board
BIB]
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SIGNED BOARD REPORT AND SUPPO
��MONTEREY COUNTY BOARD OF SUPERVISORS
MEETING: July 13, 2010
AGENDA NO.:
SUBJECT: Authorize the Purchasing Manager for Natividad Medical Center NMC)
to execute an Agreement with NetXperts Inc for System and Network
Engineering Support Services at NMC in an amount not to exceed
$175,000 for the period July 1, 2010 to June 30, 2011.
DEPARTMENT: Natividad Medical Center
RECOMMENDATION:
It is recommended the Board of Supervisors authorize the Purchasing Manager for Natividad
Medical Center NMC) to execute an Agreement with NetXperts Inc for System and Network
Engineering Support Services at NMC in an amount not to exceed $175,000 for the period July 1,
2010 to June 30, 2011.
SUMMARY/DISCUSSION:
NMC continues to enhance its information technology network and in doing so has need for
additional engineering expertise. The recommendation is to engage NetXperts Inc,, a company with
a strong reputation for providing highly competent network and system engineering services.
NetXperts will provide engineering services for installing new network switches, deploying wireless
access points, enhancing Meditech print services, developing new interfaces, and documenting all
significant changes. Completion of these important engineering tasks will allow NMC to upgrade its
network, provide wider wireless coverage, and improve Meditech performance. Such goals fit with
NMC's long range IT plan. By engaging NetXperts, these important goals will be met.
OTHER AGENCY INVOLVEMENT:
The Agreement has been reviewed and approved by County Counsel, the Auditor/Controller's
office, and the Natividad Medical Center Board of Trustees' Finance Committee.
FINANCING:
The cost for this Agreement is $175,000 and is included in the Fiscal Year 2010/2011
Recommended Budget. This action will not require any additional General Fund subsidy.
Prepared by: N- I
Kirk Larson Harry Weis
Chief Information Officer Chief Executive Officer
June 24, 2010
Attachments: Agreement, Board Order
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SIGNED BOARD REPORT AND SUPPO
��23
Before the Board of Supervisors in and for the
County of Monterey, State of California
Agreement No: A 11763
Authorize the Purchasing Manager for Natividad Medical
Center NMC) to execute an Agreement with NetXperts Inc
for System and Network Engineering Support Services at
NMC in an amount not to exceed $175,000 for the period
July 1, 2010 to June 30, 2011.
Upon motion of Supervisor Parker, seconded by Supervisor Armenta, and carried by those
members present, the Board hereby:
Authorized the Purchasing Manager for Natividad Medical Center NMC) to execute an
Agreement with NetXperts Inc for System and Network Engineering Support Services at NMC
in an amount not to exceed $175,000 for the period July 1, 2010 to June 30, 2011.
PASSED AND ADOPTED this 13th day of July, 2010, by the following vote, to wit:
AYES: Supervisors Armenta, Calcagno, Salinas, Parker, Potter
NOES: None
ABSENT: None
I, Gail T. Borkowski, Clerk of the Board of Supervisors of the County of Monterey, State of California, hereby
certify that the foregoing is a true copy of an original order of said Board of Supervisors duly made and entered in
the minutes thereof of Minute Book 75 for the meeting on July 13, 2010.
Dated: July 13, 2010 Gail T. Borkowski, Clerk of the Board of Supervisors
County of Monterey, State of California
2 /k- /~
By Deputy
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SIGNED BOARD REPORT AND SUPPO
��Frint Form
A& NatividadMEDICALCENTER
COUNTY OF MONTEREY AGREEMENT FOR PROFESSIONAL SERVICES
MORE THAN $100,0091
This Professional Services Agreement hereinafter Agreement") is made by and between Natividad
Medical Center NMC"), a general acute care teaching hospital wholly owned and operatedby the County
of Monterey, which is a political subdivision of the State of California and NetXperts Inc.
hereinafter CONTRACTOR").
In consideration of the mutual covenants and conditions set forth in this Agreement, the parties agree as
follows:
1. SERVICES TO BE PROVIDED. NMC hereby engages CONTRACTOR to perform, and
CONTRACTOR hereby agrees to perform, the services described in Exhibit A in conformity with the
terms of the Agreement. The services are generally described as follows: Provide System and
Network Engineering Support Services
2. PAYMENTS BY NMC. NMC shall pay the CONTRACTOR in accordance with the payment
provisions set forth in Exhibit A, subject to the limitations set forth in this Agreement. The total amount
payable by NMC to CONTRACTOR under this Agreement shall not exceed the sum of 175,000
3. TERMS OF AGREEMENT The term of this Agreement is from IJu. 1, 2010 to Jun 30, 2011
unless sooner terminated pursuant to the terms of this Agreement. This Agreement is of no force or
effect u- ntil-signed by-both-C-ON-T-R-AC-T-OR and-NMC-and-with-NMC-signing-last-and-CONTRACTOR
may not commence work before NMC signs this Agreement.
4. ADDITIONAL PROVISIONS/EXHIBITS. The following attached exhibits are incorporated herein
by reference and constitute a part of this Agreement:
Exhibit A Scope of Services/Payment Provisions
5. PERFORMANCE STANDARDS.
5.1. CONTRACTOR warrants that CONTRACTOR and Contractor's agents, employees, and
subcontractors performing services under this Agreement are specially trained, experienced,
competent, and appropriately licensed to perform the work and deliver the services required under
this Agreement and are not employees of NMC, or immediate family of an employee of NMC.
5.2. CONTRACTOR, its agents, employees, and subcontractors shall perform all work in a safe and
skillful manner and in compliance with all applicable laws and regulations. All work performed
under this Agreement that is required by law to be performed or supervised by licensed personnel
shall be performed in accordance with such licensing requirements.
5.3. CONTRACTOR shall furnish, at its own expense, all materials, equipment, and personnel
necessary to carry out the terms of this Agreement, except as other wise specified in this
Agreement. CONTRACTOR shall not use NMC premises, property including equipment,
Revised NMC PSA Form over $100,000
Page 1 of 8
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��instruments, or supplies) or personnel for any purpose other than in the performance of its
obligations under this Agreement.
6. PAYMENT CONDITIONS.
6.1. CONTRACTOR shall submit to the Contract Administrator an invoice on a form acceptable to
NMC. If not otherwise specified, the CONTRACTOR may submit such invoice periodically or at
the completion of services, but in any event, not later than thirty 30) days after completion of
services. The invoice shall set forth the amounts claimed by CONTRACTOR for the previous
period, together with an itemized basis for Administrator or his or her designee shall certify the
invoice, either in the requested amount or in such other amount as NMC approves in conformity
with this Agreement, and shall promptly submit such invoice to the County Auditor-Controller for
payment. The County Auditor-Controller shall pay the amount certified within thirty 30) days of
receiving the certified invoice.
6.2. CONTRACTOR shall not receive reimbursement for travel expenses unless set forth in this
Agreement; and then only in accordance with any applicable County policies.
7. TERMINATION.
7.1. During the term of this Agreement, NMC may terminate the Agreement for any reason by giving
written notice of termination to the CONTRACTOR at least thirty 30) days prior to the effective
date of termination. Such notice shall set forth the effective date of termination. In the event of such
termination, the amount payable under this Agreement shall be reduced in proportion to the services
provided prior to the date of termination.
7.2. NMC may cancel and terminate this Agreement for good cause effective immediately upon written
notice to Contractor. Good cause" includes the failure of CONTRACTOR to perform the required
services at the time and in the manner provided under this Agreement. If NMC terminates this
Agreement for good cause, NMC may be relieved of the payment of any consideration to
Contractor, and NMC may proceed with the work in any manner, which NMC deems proper. The
cost to NMC shall be deducted from any sum due the CONTRACTOR under this Agreement.
8. INDEMNIFICATION: CONTRACTOR shall indemnify, defend and hold harmless, NMC and the
County of Monterey hereinafter County"), it officers, agents and employees from any and all claims,
liability, losses, whatsoever including damages to property and injuries to or death of persons, court
costs, and reasonable attorneys' fees) occurring or resulting to any and all persons, firms or corporations
furnishing or supplying work, services, materials, or supplies in connection with the performance of this
Agreement, and from any and all claims, liabilities, and losses occurring or resulting to any person, firm,
or corporation for damage, injury, or death arising out of or connected with the Contractor's
performance of this Agreement, unless such claims, liabilities, or looses arise out of the sole negligence
or willful misconduct of NMC. Contractor's performance" includes Contractor's action or inaction and
the action or inaction of Contractor's officers, employees, agents and subcontractors.
9. INSURANCE.
9.1. Evidence of Coverage:
Prior to commencement of this Agreement, the CONTRACTOR shall provide a Certificate of
Insurance" certifying that coverage as required herein has been obtained. Individual endorsements
Revised NMC PSA Form over $100,000 Page 2 of 8
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��executed by the insurance carrier shall accompany the certificate. In addition, the CONTRACTOR
upon request shall provide a certified copy of the policy or policies.
This verification of coverage shall be sent to NMC's Contracts/Purchasing Department, unless
otherwise directed. The CONTRACTOR shall not receive a Notice to Proceed" with the work
under this Agreement until it has obtained all insurance required and NMC has approved such
insurance. This approval of insurance shall neither relieve nor decrease the liability of the
Contractor.
9.2. Qualifying Insurers: All coverage's except surety, shall be issued by companies which hold a
current policy holder's alphabetic and financial size category rating of not less that A-VII,
according to the current Best's Key Rating Guide or a company of equal financial stability that is
approved by NMC's Contracts/Purchasing Director.
9.3. Insurance Coverage Requirements: Without limiting Contractor's duty to indemnify,
CONTRACTOR shall maintain in effect throughout the term of this Agreement a policy or policies
of insurance with the following minimum limits of liability:
Commercial general liability insurance, including but not limited to premises and operations,
including coverage for Bodily Injury and Property Damage, Personal Injury, Contractual Liability,
Broad form Property Damage, Independent Contractors, Products and Completed Operations, with a
combined single limit for Bodily Injury and Property Damage of not less than $1,000,000 per
occurrence.
rT Exemption/Modification Justification attached; subject to approval).
Business automobile liability insurance, covering all motor vehicles, including owned, leased, non-
owned, and hired vehicles, used in providing services under this Agreement, with a combined single
limit for Bodily Injury and Property Damage of not less than $1,000,000 per occurrence.
ri Exemption/Modification Justification attached; subject to approval).
Workers' Compensation Insurance, If CONTRACTOR employs other in the performance of this
Agreement, in accordance with California Labor Code section 3700 and with Employer's Liability
limits not less than $1,000,000 each person, $1,000,000 each accident and $1,000,000 each disease.
fT Exemption/Modification Justification attached; subject to approval).
Professional liability insurance, if required for the professional services being provided, e.g., those
persons authorized by a license to engage in a business or profession regulated by the California
Business and Professions Code), in the amount of not less than $1,000,000 per claim and $2,000,000
in the aggregate, to cover liability for malpractice or errors or omissions made in the course of
rendering professional services. If professional liability insurance is written on a claims-made"
basis rather than an occurrence basis, the CONTRACTOR shall, upon the expiration or earlier
termination of this Agreement, obtain extended reporting coverage tail coverage") with the same
liability limits. Any such tail coverage shall continue for at least three years following the expiration
or earlier termination of this Agreement.
CI Exemption/Modification Justification attached; subject to approval).
Revised NMC PSA Form over $100,000 Page 3 of 8
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��9.4. Other Insurance Requirements:
All insurance required by this Agreement shall be with a company acceptable to NMC and issued
and executed by an admitted insurer authorized to transact insurance business in the State of
California. Unless otherwise specified by this Agreement, all such insurance shall be written on an
occurrence basis, or, if the policy is not written on an occurrence basis, such policy with the
coverage required herein shall continue in effect for a period of three years following the date
CONTRACTOR completes its performance of services under this Agreement.
Each liability policy shall provide that NMC shall be given notice in writing at least thirty days in
advance of any endorsed reduction in coverage or limit, cancellation, or intended non-renewal
thereof. Each policy shall provide coverage for CONTRACTOR and additional insured with respect
to claims arising from each subcontractor, if any, performing work under this Agreement, or be
accompanied by a certificate of insurance from each subcontractor showing each subcontractor has
identical insurance coverage to the above requirements.
Commercial general liability and automobile liability policies shall provide an endorsement naming
the County of Monterey, its officers, agents, and employees as Additional insureds with respect to
liability arising out of the Contractor's work, including ongoing and completed operations, and shall
further provide that such insurance is primary insurance to any insurance or self-insurance
maintained by the County and that the insurance of the Additional Insureds shall not be called upon to
contribute to a loss covered by the Contractor's insurance. The required endorsement from for
Commercial General Liability Additional Insured is ISO Form CG 20 10 11-85 or CG 20 10 10 01
in-tandem-with eCT-20 3-7-10-01-(2000)-T-he~equired-end-orsementfromfor Automahile Additiona
Insured Endorsement is ISO Form CA 20 48 02 99.
Prior to the execution of this Agreement by NMC, CONTRACTOR shall file certificates of
insurance with NMC's Contracts/Purchasing Department, showing that the CONTRACTOR has in
effect the insurance required by this Agreement. The CONTRACTOR shall file a new or amended
certificate of insurance within five 5) calendar days after any change is made in any insurance
policy, which would alter the information on the certificate then on file. Acceptance or approval of
insurance shall in no way modify or change the indemnification clause in this Agreement, which
shall continue in full force and effect.
CONTRACTOR shall at all times during the term of this Agreement maintain in force the insurance
coverage required under this Agreement and shall send, without demand by NMC, annual
certificates to NMC's Contracts/Purchasing Department. If the certificate is not received by the
expiration date, NMC shall notify CONTRACTOR and CONTRACTOR shall have five calendar
days to send in the certificate, evidencing no lapse in coverage during the interim. Failure by
CONTRACTOR to maintain such insurance is a default of this Agreement, which entitles NMC, at
its sole discretion, to terminate the Agreement immediately.
10. RECORDS AND CONFIDENTIALITY.
10.1. Confidentiality, CONTRACTOR and its officers, employees, agents and subcontractors shall
comply with any and all federal, state, and local laws, which provide for the confidentiality of
records and other information. CONTRACTOR shall not disclose any confidential records or other
confidential information received from NMC or prepared in connection with the performance of this
Revised NMC PSA Form over $100,000 Page 4 of 8
BIB]
40740-U01
SIGNED-U02
BOARD-U02
REPORT-U02
SUPPORTING-U02
DOCS-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104195-U03
C10-U03
BOARD-U03
REPORTS-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
SIGNED BOARD REPORT AND SUPPO
��Agreement, unless NMC specifically permits CONTRACTOR to disclose such records or
information. CONTRACTOR shall promptly transmit to NMC any and all requests for disclosure of
any such confidential records or information. CONTRACTOR shall not use any confidential
information gained by CONTRACTOR in the performance of this Agreement except for the sole
purpose of carrying out Contractor's obligations under this Agreement.
10.2. NMC Records. When this Agreement expires or terminates, CONTRACTOR shall return to NMC
and NMC records which CONTRACTOR used or received from NMC to perform services under
this Agreement.
10.3. Maintenance of Records. CONTRACTOR shall prepare, maintain, and preserve all reports and
records that may be required by federal state, and County rules and regulations related to services
performed under this Agreement. CONTRACTOR shall maintain such records for a period of at
least three years after receipt of final payment under this Agreement. If any litigation, claim,
negotiation, audit exception, or other action relating to this Agreement is pending at the end of the
three year period, then CONTRACTOR shall retain said records until such action is resolved.
10.4. Access to and Audit of Records. NMC shall have the right to examine, monitor and audit all
records, documents, conditions, and activities of the CONTRACTOR and its subcontractors
related to services provided under this Agreement. Pursuant to Government Code section 8546.7,
if this Agreement involves the expenditure of public funds in excess or $10,000, the parties to this
Agreement may be subject, at the request of NMC or as part of any audit of NMC, to the
examination and audit of the State Auditor pertaining to matters connected with the performance
of this Agreement for a period of three years after final payment under the Agreement.
10:5. Royalties and Inventions. NMC shall have a royalty-free, exclusive and irrevocable license to
reproduce, publish, and use, and authorize other to do so, all original computer programs, writings,
sound recordings, pictorial reproductions, drawings, and other works of similar nature produced in
the course of or under this Agreement. CONTRACTOR shall not publish any such material
without the prior written approval of NMC.
11. NON-DISCRIMINATION. During the performance of this Agreement, Contractor, and its
subcontractors, shall not unlawfully discriminate against any person because of race, religious creed,
color, sex, national origin, ancestry, physical disability, mental disability, medical condition, marital
status, age over 40), or sexual orientation, either in Contractor's employment practices or in the
furnishing of services to recipients. CONTRACTOR shall ensure that the evaluation and treatment of its
employees and applicants for employment and all persons receiving and requesting services are free of
such discrimination. CONTRACTOR and any subcontractor shall, in the performance of this
Agreement, full comply with all federal, sate, and local laws and regulations which prohibit
discrimination. The provision of services primarily or exclusively to such target population as may be
designated in this Agreement shall not be deemed to be prohibited discrimination.
12. COMPLIANCE WITH TERMS OF STATE OR FEDERAL GRANT. If this Agreement has been or
will be funded with monies received by NMC pursuant to a contract with the state or federal government
in which NMC is the grantee, CONTRACTOR will comply with all the provisions of said contract, and
said provisions shall be deemed a part of this Agreement, as though fully set forth herein. Upon request,
NMC will deliver a copy of said contract to Contractor, at no cost to Contractor.
Revised NMC PSA Fonn over $100,000 Page 5 of 8
BIB]
40740-U01
SIGNED-U02
BOARD-U02
REPORT-U02
SUPPORTING-U02
DOCS-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104195-U03
C10-U03
BOARD-U03
REPORTS-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
SIGNED BOARD REPORT AND SUPPO
� �13. INDEPENDENT CONTRACTOR. In the performance of work, duties, and obligations under this
Agreement, CONTRACTOR is at all times acting and performing as an independent CONTRACTOR
and not as an employee of NMC. No offer or obligation of permanent employment with NMC or
particular County department or agency is intended in any manner, and CONTRACTOR shall not
become entitled by virtue of this Agreement to receive from NMC any form of employee benefits
including but not limited to sick leave, vacation, retirement benefits, workers' compensation coverage,
insurance or disability benefits. CONTRACTOR shall be solely liable for an obligated to pay directly all
applicable taxes, including federal and state income taxes and social security, arising out of Contractor's
performance of this Agreement. In connection therewith, CONTRACTOR shall defend, indemnify, and
hold NMC and the County of Monterey harmless from any and all liability, which NMC may incur
because of Contractor's failure to pay such taxes.
14. NOTICES. Notices required under this Agreement shall be delivered personally or by first-class,
postage per-paid mail to NMC and Contractor's contract administrators at the addresses listed below.
FOR NATIVIDAD MEDICAL CENTER:
Contracts/Purchasing Manager
Name and Title
FOR CONTRACTOR:
Name and Title
144- Consfitution Blvd-Salinas, CA-93906-
Address
831.755.4111
Phone
15. MISCELLANEOUS PROVISIONS.
Phone
15.1. Conflict of Interest. CONTRACTOR represents that it presently has no interest and agrees not to
acquire any interest during the term of this Agreement, which would directly, or indirectly
conflict in any manner or to any degree with the full and complete performance of the professional
services required to be rendered under this Agreement.
15.2. Amendment. This Agreement may be amended or modified only by an instrument in writing
signed by NMC and the Contractor.
15.3. Waiver. Any waiver of any terms and conditions of this Agreement must be in writing and signed
by NMC and the Contractor. A waiver of any of the terms and conditions of this Agreement shall
not be construed as a waiver of any other terms or conditions in this Agreement.
15.4. Contractor. The term Contractor" as used in this Agreement includes Contractor's officers,
agents, and employees acting on Contractor's behalf in the performance of this Agreement.
Address
g2~---76 6- b d 6o X
Revised NMC PSA Form over $100,000 Page 6 of 8
BIB]
40740-U01
SIGNED-U02
BOARD-U02
REPORT-U02
SUPPORTING-U02
DOCS-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104195-U03
C10-U03
BOARD-U03
REPORTS-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
SIGNED BOARD REPORT AND SUPPO
�
�1 5.5. Disputes. CONTRACTOR shall continue to perform under this Agreement during any dispute.
15.6. Assignment and Subcontracting. The CONTRACTOR shall not assign, sell, or otherwise transfer
its interest or obligations in this Agreement without the prior written consent of NMC. None of the
services covered by this Agreement shall be subcontracted without the prior written approval of
NMC. Notwithstanding any such subcontract, CONTRACTOR shall continue to be liable for the
performance of all requirements of this Agreement.
15.7. Successors and Assigns. This Agreement and the rights, privileges, duties, and obligations of NMC
and CONTRACTOR under this Agreement, to the extent assignable or delegable, shall be binding
upon and inure to the benefit of the parties and their respective successors, permitted assigns, and
heirs.
15.8. Compliance with Applicable Law. The parties shall comply with all applicable federal, state, and
local laws and regulations in performing this Agreement.
15.9. Headings. The headings are for convenience only and shall not be used to interpret the terms of
this Agreement.
15.10. Time is of the Essence. Time is of the essence in each and all of the provisions of this Agreement
15.11. Governing Law. This Agreement shall be governed by and interpreted under the laws of the State
of California.
1 ST2. on-exc usiv greement This Agreement is nonxluive and-bot11 NMC-and
CONTRACTOR expressly reserve the right to contract with other entities for the same or similar
services.
15.13. Construction of Agreement NMC and CONTRACTOR agree that each party has fully
participated in the review and revision of this Agreement and that any rule of construction to the
effect that ambiguities are to be resolved against the drafting party shall not apply in the
interpretation of this Agreement or any amendment to this Agreement.
15.14. Counterparts This Agreement may be executed in two or more counterparts, each of which shall
be deemed an original, but all of which together shall constitute one and the same Agreement.
15.15. Integration. This Agreement, including the exhibits, represents the entire Agreement between
NMC and the CONTRACTOR with respect to the subject matter of this Agreement and shall
supersede all prior negotiations. Representations, or agreements, either written or oral, between
NMC and CONTRACTOR as of the effective date of this Agreement, which is the date that
NMC signs the Agreement.
15.16. Interpretation of Conflicting Provisions In the event of any conflict or inconsistency between the
provisions of this Agreement and the Provisions of any exhibit or other attachment to this
Agreement, the provisions of this Agreement shall prevail and control.
Revised NMC PSA Form over $100,000 Page 7 of 8
BIB]
40740-U01
SIGNED-U02
BOARD-U02
REPORT-U02
SUPPORTING-U02
DOCS-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104195-U03
C10-U03
BOARD-U03
REPORTS-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
SIGNED BOARD REPORT AND SUPPO
�
�NATIVIDAD MEDICAL CENTER
NMC Contracts/Purchasing Agent
c7
Date:
CONTRACTOR
Ndlpt,"-t5, 2-,
Contractor's Business Name***
Signature of Chair, President, or Vice-President
By: k._) 1
Department Head if applicable)
Date: I Z-(1 %
By:
Stacy Saetta, De ty County Counsel
Date: 6~ /0
4
Name and Title
Date: C flA I e- /4 e 2,0i/ b
By: 1
Signature of Secretary, Asst. Secretary,
CFO. Treasurer or Asst. Treasurer
By:
Auditor/Contr ller
Date:
N 5e-o
Name and Title
Date: / I b
***INSTRUCTIONS: If CONTRACTOR is a
corporation, including limited liability and
non-profit corporations, the full legal name
of the corporation shall be set forth above
together with the signatures of two
specified officers. If CONTRACTOR is a
partnership, the name of the partnership
shall be set forth above together with the
signature of a partner who has authority to
execute this Agreement on behalf of the
partnership. If CONTRACTOR is
contracting in and individual capacity, the
individual shall set forth the name of the
business, if any and shall personally sign
the Agreement.
Revised NMC PSA Form over $100,000
Page 8 of 8
BIB]
40740-U01
SIGNED-U02
BOARD-U02
REPORT-U02
SUPPORTING-U02
DOCS-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104195-U03
C10-U03
BOARD-U03
REPORTS-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
SIGNED BOARD REPORT AND SUPPO
�
�ACORD,. CERTIFICATE OF LIABILITY INSURANCE U022 06-23DA TE
2010
PRODUCER
HUB INTERNATIONAL INS SVCS INC/PHS
255611 P: 866)467-8730 F: 877)905-0457 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO BOX 33015
SAN ANTONIO TX 78265
INSURERS AFFORDING COVERAGE
INSURED INSURER A: Hartford Casualty Ins Co
INSURERS: Property & Casualty Co of Hartford
NETXPERTS INC. INSURER c: Hartford Fire Ins Co
2680 BISHOP DR. BLDG. 1 STE 125 INSURERD:
SAN RAMON CA 9 4 5 8 3 INSURER E:
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 CERTIFICATE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER POLICY EFFECTIVE
DATE MM D Y POLICY EXPIRATION
DATE MM/DD/YV LIMITS
GENERAL LIABILITY EACH OCCURRENCE s2 000, 000
A COMMERCIAL GENERAL LIABILITY 72 SBA 1A3042 07/01/10 07/01/11 FIRE DAMAGE IAny one Orel 01 000, 000
CLAIMS MADE OCCUR MED EXP Any one person) 01 0 000
X General Liab PERSONAL &ADV INJURY 02 000, 000
GENERAL AGGREGATE 04 000, 000
GEN'L AGGREGATE OMIT APPLIES PER: PRODUCTS COMP/OP AGG 04 000, 000
POLICY X PRO- LOC
B AU
X TOMOBILE LIABIL?Y
ANY AUTO
72 UEC HY 613 6
07/01/10
07/01/11
COMBINED SINGLE LIMIT
IEe accldentl
$1, 000, 000
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY
Per person)
0
X
X HIRED AUTOS
NON-OWNED AUTOS BODILY INJURY
Per occldent) 0
PROPERTY DAMAGE
Per accldentl
GAR AGE LIABILITY AUTO ONLY EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC I
AUTO ONLY: AGG I
EXCESS LIABILITY EACH OCCURRENCE 01 0 0 0,0 0 0_
A
X OCCUR I CLAIMSMADE
72 SBA IA3042
07/01/10
07/01/11
AGGREGATE
$1 000, 000
S
DEDUCTIBLE $
X RETENTION 010 000 $
WORKERS COMPENSATION ANO WC STATU- JOETR
X
EMPLOYERS'UARILITY 72 WEC IX6529 07/01/10 07/01/11 E.L. EACH ACCIDENT 41, 000, 000
E.L. DISEASE EA EMPLOYEE 0 1, 000, 000
E.L. DISEASE POLICY LIMIT $1,000,000
OTHER
DESCRIPTION OF OPERA TIONS/LOCATIONSNEHICLES/EXCL USIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations. See cover page for wording:
CERTIFICATE HOLDER
ADDITIONAL INSURED; INSURER LETTER.'
Natividad Medical Center
1441 CONSTITUTION BLVD
SALINAS, CA 93906
ACORD 25-S 7/97)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE 10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZE ESENTATIVE
ACORD CORPORATION 1988
BIB]
40740-U01
SIGNED-U02
BOARD-U02
REPORT-U02
SUPPORTING-U02
DOCS-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104195-U03
C10-U03
BOARD-U03
REPORTS-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
SIGNED BOARD REPORT AND SUPPO
�
�HUB INTERNATIONAL INS SVCS INC/PHS
PO BOX 33315
SAN ANTONIO TX, 78265
Natividad Medical Center
1441 CONSTITUTION BLVD
SALINAS, CA 93906
Additional Certholder Text
County of Monterey, its officers, agents, and employees are listed as additional
insured Additional Insured, Coverage is primary & non-contributory, and Contractual
Liability applies per the Business Liability Coverage Form SS0008, attached to this
policy. Certificate holder is an Additional insured in reference to Auto Liability
per form CA2048.
ACORD 25-S 7/97)
BIB]
40740-U01
SIGNED-U02
BOARD-U02
REPORT-U02
SUPPORTING-U02
DOCS-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104195-U03
C10-U03
BOARD-U03
REPORTS-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
SIGNED BOARD REPORT AND SUPPO
��THE
HARTFORD
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY,
ADDITIONAL INSURED DESIGNATED PERSON OR
ORGANIZATION
This endorsement modifies Insurance provided under the following:
BUSINESS LIABILITY COVERAGE-FORM
C. Who Is an Insured in the BUSINESS LIABILITY or losses covered under the BUSINESS
C, Who Is an Insured In. the BUSINESS LIABILITY For losses covered under the BUS.INES$
COVERAGE FORM Is amended to Include as an LIABILITY COVERAGE of this policy this Insurance Is
Insured the person or organlzatIon shown In the primarily to other valid and collective Insurance which Is
Declarations but only with respect to liability arising available to the person or organization
out of the operations of the named insured, shown In the Declarations as an Additional Insured.
Form SS 04 49 05 93 Printed In U.S.A. NS)
Copyright, Hartford Fire Insurance Company, I993
BIB]
40740-U01
SIGNED-U02
BOARD-U02
REPORT-U02
SUPPORTING-U02
DOCS-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104195-U03
C10-U03
BOARD-U03
REPORTS-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
SIGNED BOARD REPORT AND SUPPO
��BUSINESS LIABILITY COVERAGE FORM
b. To sue us on this policy unless all of Its
terms have been fully compiled with.
A person or organization may sue us to recover
on an sgreed.settlement or on a final Judgment
against an insured obtained after en actual trial;
but we will not be liable for damages that are not
payable under the terms of: this policy or that are
in excess of the applicabie'Llmit of Insurance. An
agreed settlement means a settlement and
release of liability signed' by us, the Insured and
the claimant or the claimant's legal
representative.
5. Separation of Insureds
Except with respect to the Limits of Insurance,
and any rights or duties specifically assigned In
this policy to the first Named Insured, this
insurance applies:
a. As if each Named Insured were the only
Named Insured; and
b. Separately-to each insured against whom
claim is made or suit" Is brought.
6. Unintentional Failure To Disclose Hazards
it is agreed that based on our reliance on your
representations as to existing hazards, If
unintentionally you should fall to disclose all
such hazards at' the inception date of your
policy, we shall not deny any coverage under
this Coverage Part because of such failure.
7. Other Insurance. Primary Additional
Insured
If the written contract or agreement or permit
requires this insurance to, be primary for any
person or organization with whom you agree to
Include in WHO IS AN INSURED, this Other
Insurance Provision is applicable.
If other valid and collectible insurance is
available for a loss we cover under this
Business Liability Coverage Form, our
obligations are limited as follows:
a. Primary Insurance
This insurance is primary. We will not seek
contributions from other Insurance
available to the person or organization with
whom you agree to include In WHO IS AN
iNSU-RED e-except-wh-en-b.-app-Iles.
b. Excess Insurance
This Insurance Is excess over any of the
other Insurance whether primary, excess,
contingent or on any other basis:
1) That' Is Fire, Extended Coverage,
Builder's Rlsk, Installation Rlsk or
sim liar coverage for your work;"
2) That is Fire, lightning or explosion
Insurance for premises rented to you;
ar
temporarily occupied by you with.
permissions of the owner; or
3) If the loss arises out of the
maintenance or. use:of aircraft; auto"
or watercraft to the extent not subject
to Exclusion g of this Business
Liability Coverage Form Section I).
When this Insurance Is excess, we will
have no duty to defend any claim' or
suit" that any other insurer has a duty
to defend. If no other insurer defends,
we will undertake to do so, but we will
be entitled to the Insured's rights
against all those other Insurers,
When this Insurance Is excess over
other insurance, we will pay only our
share of the amount of the loss, If any,'
that exceeds the sum of:
1) The total amount that all such
other insurance would'pay for the
loss in the' absence of this
insurance; and
2) The total of all deductible and self-
insured amounts under all that
other Insurance.
We will share the remaining loss, If
any, with any other Insurance'that is
not described in this excess of the"
Limits of Insurance shown: in the
Declarations of this Coverage Part,
c. Method of Sharing
If all the other Insurance permits contribution
by equal shares, we will follow this method
also. Under this approach each insurer
contributes equal amounts until it has paid Its
applicable limit of Insurance or none of the
loss remains, whichever comes first.
If any or the other insurance does not
permit contribution by equal shares, we will
contribute by limits. Under this method,
each Insurer's base on the ratio of its.
applicable limits of Insurance of all insurer.
d. This provision provides such insurance as is
afforded under this policy, but only with
respect to-your-eperatlens-"year-work"-or
facilities owned or used by you.
F. OPTIONAL COVERAGES
If listed or shown as applicable in the Declarations,
one or more of the following Optional Coverages also
apply, These coverages are subject to the terms and
conditions applicable to Business Liability Coverage
In this policy, except as provided below:
1. Additional Insured Designated Person or
Organization
Form SS 00 08 02 98 Printed in US.A. NS)
Page I of 3
0 1998, The Hartford
BIB]
40740-U01
SIGNED-U02
BOARD-U02
REPORT-U02
SUPPORTING-U02
DOCS-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104195-U03
C10-U03
BOARD-U03
REPORTS-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
SIGNED BOARD REPORT AND SUPPO
��BUSIIN1SS LIABILITY COVERAGE FORM
WHO IS AN INSURED under SECTION C. Is
amended to Include as an insured the person
or organization shown In the Declarations, but
only with respect to liability arising out of your
operatlons or premises. owned by or rented to
you:
2. Additional Insured Managers or lessors of
Premises
a.
WHO IS AN INSURED under SECTION C.
Is amended to Include as an Insured the
person(s) or organization(s) shown In the
Declarations; 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
Declarations and subject to the following
additional exclusions:
Additional Exclusions
This insurance does not apply to: 1) Bodily injury," property damage,"
3.
b.
1) Any occurrence" which takes place personal injury" or edvertising'Injury"
after you cease to be a tenant In' that arising out of operations performed for
premises. the state or political subdivision; or
2). Structural alterations, new 2) Bodily injury" or property damage" In-
constructions or demolition operations cluded in the product-completed
performed by or for that person or operations" hazard.
organization. 7. Additional Insured Vendors
Additional Insured Grantor of Franchise a. WHO IS AN INSURED under'SECTION C.'
WHO IS AN INSURED under SECTION C, Is Is amended to include as an insured the
amended to Include as an insured the person(s) or organization(s) referred to
per_snn.(s)_or organization(s)-shown-in-the below-as-vendo- r-)-shown-in-the-
Declarations, but only with respect to their Declarations, but only with respect to.
liability as grantor of franchise to you, bodily injury" or p'roperty damage" arising
4.
Additional Insured Lessor of Leased out of your products which are distributed
Equipment or sold In the regular course of the
a. WHO IS AN INSURED under SECTION C. vendor's business.
is amended to include as an insured the b. Additional Exclusions
person(s) or organization(s) shown In the 1) The insurance afforded the vendor
Declarations, but only with respect to their does not apply to:
liability arising out of the maintenance, a) Bodily injury" or property
operation or use by you of equipment leased damage" for which the vendor Is
to you by such person(s) or organization(s). obligated to pay damages by
b. Additional Exclusions: reason of the assumption of
This Insurance does not apply: liability In a contractor agreement.
1) To any occurrence" which takes place This exclusion does not apply to
Jfte~uipm-un iabtllty--for--damnUe-s-that-ttra--
2) To bodily injury" or property damage" vendor would have in the absence
arising out of the'sole negligence of of the contract or agreement;
the lessor, b) Any express warranty unauthorized
5. Additional Insured Owners Or Other by you;
Interests From Whom Land Has Been
Leased
WHO IS AN INSURED under SECTION C. Is
amended to include as an Insured the person or
organization shown In the Declarations, but only
with respect to ability arising out of the owner-
ship, maintenance or use of that part of the land
leased to you and shown In the Declarations and
subject to the following additional exclusion:
Form SS 00 08 02 98 Printed in U.S.A. NS)
This Insurance does not apply to:
a. Any occurrence" that takes place after
you cease to lease that land; or
IS Structural aiteratlons; new. consfructlon or
demolition operations performed by or for
the person or organization shown In the
Declarations.
6. Additional Insured' State or Political
Subdivision Permits
a. WHO IS AN INSURED under SECTION C.
Is amended to Include as an insured the
state or political subdivision shown in the
Declarations, but only with respect to
operations performed by you or on your
behalf for which the state or political
subdivision has Issued a permit.
b. Additional Exclusions
This Insurance does not apply to:
Page 2 of 3
1998, The Hartford
BIB]
40740-U01
SIGNED-U02
BOARD-U02
REPORT-U02
SUPPORTING-U02
DOCS-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104195-U03
C10-U03
BOARD-U03
REPORTS-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
SIGNED BOARD REPORT AND SUPPO
��BUSINESS LIABILITY COVERAGE FORM
2)
c) Any physical or chemical change
In the product made Intentionally
by the vendor;.
d) Repackaging., unless unpacked
solely for the purpose of
Inspection, demonstration, testing,
or. the substitution of parts under
Instructions from the manufacturer, and then repackaged In the
original container;
a) Any failure to make such
f)
Inspections, adjustments, 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;
Demonstration, Installation,
servicing or repair operations,
except such operations performed
at the vendor's premises in
connection with the sale of the
product;
s~j Products which, after distrlbution
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.
This insurance does not apply to any
insur_ed_p er_son_or-organlzation-from
whom you have acquired such
products, or any ingredient, part or
container, entering into, accompanying
or containing such products.
G. LIABILITY AND MEDICAL EXPENSES
DEFINITIONS
1. Advertising injury" means injury arising out of
one or more of the following offenses:
a. Oral or written publication of material in
your advertisement" that slanders or iibels
a person or disparages a person's or
organization's goods, products or services;
b-Gr-ei-emswritten-publ icetion-of-materlat-tn-
your advertisement" that violates a
person's right of privacy;
c. Copying, in your advertisement", a
person's or organization's advertising
Idea" or style of advertisement"; or
d. Infringement of copyright, slogan, ortitle of
any literary or artistic work, In. your
advertisement"
L
Form SS 00 08 02 98 Printed in U.S.A. NS)
2. Advertisement" means a dissemination of
Information or images that has the purpose of
Inducing the sale of goods, products or
services through:
a. 1) Radio;
4.
2) Television;
3) Billboard;
4) Magazine;
5) Newspaper; or
b. Any other publication that Is given
widespread public distribution.
However, advertisement" does not include the
design, printed material, Information or Images
contained in, on or upon the packaging or
labeling of any goods or products.
Advertising idea" means any idea for an
advertisement".
Auto" means- a land motor vehicle, trailer or
semi-trailer designed for travel on public roads,
including any attached machinery or equipment.
But auto" does not include mobile equipment."
Bodily Injury" means bodily Injury: sickness or
disease sustained by a person, Including
mental anguish or death resulting from any of
fhese.at anytime.
Coverage Territory" means:
a. The United States of America including its
territories and_pessesslons),puer-to-Rico-
7.
and Canada;
b. International. waters or airspace, provided
the Injury or damage does not occur In the
course of travel or transportation to or from
any place not included in a. above; or
c. All parts of the world if:
1). The injury or damage. arises out of,
a) Goods or products made or sold
by you in the territory described in
a. above; or
b) The activities of a' person whose
home Is In the Territory described
In a. above, but Is away for a short
time on your business; and
2)- he-insured s-responsibility-try-pay-
damages Is determined in a suit" on
the merits In the territory described In
a. above or in a settlement we agree
to.
Employee" includes a leased worker".
Employee" does not Include a temporary
worker".
Page3of3
1998, The Hartford
BIB]
40740-U01
SIGNED-U02
BOARD-U02
REPORT-U02
SUPPORTING-U02
DOCS-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104195-U03
C10-U03
BOARD-U03
REPORTS-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
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JUNE-U012
30,-U012
2012.-U012
SIGNED BOARD REPORT AND SUPPO
��if.� 13ROAD FORM JNSURlrD
THIS EN1 ORSE NT GJIANGES THE PO'LIC1!,'.PL`' AS�E READ IT'CAREFU.LLY,,.
G?R~fl11EF I AUTOMOBILE OOQI~ FORM
5-N DO S1 MEN
This endorssinenj.ipb`d_lfiss'lri6(irahoe pvgvfaad tinder he fo'llovwing:
b)�That~serr insured'etnd eranyothgr,~:?' I.
pollcjl, 2, AUTOS RENTED SY EMPLOYEES y
c) That has exhausted Its Limit of Any auto" hired or rented by your etnpto
direction wp,,.lae.,t� I�'
Iggurdriop Utict r v otherpolicy pt; on' your behalf and. pt your,
d
i
To the extent that` the provisions of this endoraernar;t` provide.: broader benefits to the Insured" than oti', r
provisions'ofTha Coverage Fonif, the provlstons�ofthi�'atrdoragrgsntapply.
re,
an auo. you
d).:1$0,,,.deye or'' more, aflsr, p9ns bra
Th
O
HE
R INSURANCE Condition is Meng
d
0
T
acquisitlgh or, fnrrnafl4,n by yew��
uq-esa,�you,heve gteen us:,notIoe pfb addi; thefollow in
the acqulsition.orf6rrnratlon. If an employee's'' personal Insurance- also
Qovaraga. does, n pit apply. to b.4dliy
InJury or pr,'op,afjy.darnogat that results.
provide direct primary Insurance for
the lessor and
The auto" Is leased without.adr)uer,;;�:
Such a leased auto" will be considered a.
applies on an excess pasts to- a caveraci auto"
hired m rented by your employee?, on your:
from an eooiderlt"�'ii�iat�'occurred before behalf and at your dlreotion, this Insurance wIli.
you formed:or aoqulmd the organlzatlon, be prhr)a to the, employee's" peraonel
COMNISRCIAL AUTOMOBILE
13USINESSAUTO COVERACOE Ft7RM
Suhsitl)brles a st Nr3w'Ty`Acqulrad'or
A.
Formed Organlzafi^ns
3, i nlployves as Insureds
e J Paragraph A,1. WHO IS AN JJ;J Ltii ED-.'of
SECTION JI LIABILITY COV
ERAGE'ls:
Tti'e. Named Insured shown In the
of Insurance.
amended to add:
d, Any employee" of yours While using-.
covered auto" you don't own`, hlre.,or
borrow in your business or yoUr
personal affairs,
C, Lessors as Insured'
Paragraph A,1, WHO IS AN JNSUR D of
Section II Liability Coverage Is amended to
add:
e;' 1'he=hesaer.�esfia oovered''Ceute"�whfJa,the
auto" is leased to you under a written
agreement If.
1') The agreement requires you to
Insured' under. suoh,a,polloy_,but for Its
te'riiifndtldn or fhe e,thau ion tif'Ite LIn'
Declarations la amended to Inoiude:
1) Any togelly Jt`corporated subsldiary�Iti
which you own more than 60% of the
voting stoop on the effeotlve data of the
Coverage Form, However, the Named
Insured does not Include any subsidiary
whet la an insured" u~in er any other
automobile policy or would be an
I
or tmlted ltabilJy company + covered auto" you own and not a oovpred
2) Any organization that is acquired or
formed by you and over which you
maintain majority ownership, However,
the Named.Jneured does not Include. any
newly formed or acquired orrganlzatfoni
a) That Is a partnership, Joint venture
Forum HA g0 16 07 06
insurance,
02006, The Hartford Includes copyrighted material.
or ISO Properties, Inc,, with Its permission)
Pa,ge�1,of 3
I
BIB]
40740-U01
SIGNED-U02
BOARD-U02
REPORT-U02
SUPPORTING-U02
DOCS-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104195-U03
C10-U03
BOARD-U03
REPORTS-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
SIGNED BOARD REPORT AND SUPPO
��3. AMPNI' D FELLOW t'MPI.QYEE EXOLU8ION B, LEASE GAP COVERAGE
EXCLUSION 8, FELLOW EMPLOYEE of Under SECTION Ilt PHYSICAL DAMAGE
S3EC'rlby fI.- LIA51.17Y.COVE(~AGq.'does.ngt CO.VPRAGE, if a lone Corm leased. auto" is 8.,
apply If.ybu�' hav'e' workera3 odhlpdneatlorr Co'ered�-"auto" and the lesser Is nemea In�the
Ihetlranpe In-fore a oovarIng all of your pollpy as'a Lose Payee, we will pay:in:th;,.Ova t
employvee", of a total ass" your additional legal ohJl lmtlon to
tliti lessor fpr er y.'d(f(eren:ae bo.twoen f(la'notupI
Obveragb Is f3'Xd9ss~ o~ai' any` 6tf7eY oallebtlblo
cash value of the auto" at the time o{ tho';"jbaa
i
IheJrrsn4
balanoe" of'the'tees`e;
andthe outstandin
g
A
L bAMAtE
4, HIREb AUTO PHYSIC
cOV> tiAO!~ Outstanding belanpe" means the smtiurit,ycu
owe on the ease at the time' of loss" aes'eny
if'hlred autos tti agveled utoe for IJabillty
amounts representing taxed; o v�rdua.payinental
Coverage and If' Com
S
a
rehene
va
l~'ed
p
p
i
penalties interest or ohbrges' rbsulfln
g frah3
o
Ceuaes of Loss, bt Collision coverages are overdue paym~nte; additlonal mJIsage chergesf
provided lender this Coverage Form for any excess wear and tear charges; tsAsgwtbrminatlon'
ayto
you oyvn,,thap.,th.,f yslpel arnpgp fees
Covsra as prgVid eri qtQ iaXfdlyded: fo niifos" you
hire or' borrow, subject lb'tlie'followfng Ilrnlt, 7, AIRBAG COVERAGE
The most,wq w11J pay for,"lase!; tc.apy.tllr~d Under Paragraph B, EXCLUSIONS. of SECTION
auto" Is; Ill. PHYSICAL' DAMAGE" COVERAGE, ie'
follop/1pgls
added
1) $ti0 ODO
The exolusl'bn relating to-mechsnloal bt`esk&wn�
2j T.haaQtual cash value af
the daroagad.or
stnleh property at the time of the loos.','; or does not apply to the accidental discharge of nn
airbag,'
3) The cost of repairing or replacing the a;' ELtrG'f I~ONJC EQUIPMENT-13ROADDSNED
damaged or stolen property, COVERAGE
whlchever Is emalleel, minus a deductible, The The exceptions to Paragraphs 6.4
deductible will be equal to the largest deductible EXCLUSIONS of SECTION IIl PHYSICAL
applicable to any owned auto" for that DAMAGE COVERAGE are replaced by the
co
veraga, o err Opp ffs c
e
i
s
LU
i
rs followln
t d
N
t
l 11
1
a
l
caused by.flre or lightning. Hired Auto Physical c'
Damage coverage Is excess over' any other EXpluslcns 4.c. and 4,d. do not apply to:
cdlieoHbls lnsrlran'o Subject t� the�gb'ove'linilt d;''r`Equfp'menf' Idslghetl a lely: fqr' fhe'
deductible and excess provisions, we will reproduction of sound and a ocean orlea.usod
provide coverage equal to the broadest with such equipment, provided such
ooverage applicable to any ooversd auto" you egtfpment Is permanently dnetalled In the
owrx covered auto" at the time of, the loss" or
We will, also c�ver.loss of use of the hired auto" such equipment Is removable from a
N It results from srh aooldeht" du are In all houeing,unlf'wlilch 1s perrnan�titl;3.'Irtatellsd
Y g Y In the covered auto" at'. the' time' of itf&
liable and the foaear Inaiire' an actual ilnanclal
tole, subject to a rnsxj mpf. 411009 par; T.:. 1038", and such equipment Is' designad to
acoldenf" lid dolely'operated by use of.ths 06wdi ft rd
y the auto's" eleotrloal��system, In'et�Up'on die
This extension of coveragadoes-not'.apply�fo ob'ored"auto" or
any auto" you hire or borrow from ap of your
stn foyi3es',.partners If you era's partnershi~), b", Electronic equipment that Is,�t1aoe ary:',for
l
h
opQrattory of t
e pvgrad,,, fr
the nwhma
members: If you�ere a 14-096 II aJjllltq"d6fn Sri'
Y)
F
b f I zld or the monitoring of the cdverdd auto's"''
07 mem ors W j hots. sn
opetphnp�systern' or�
V PHYSICAL' DAMAGE ADbl'rltNAlr.
TEMP-ORAR- rRANSf OC TA.t'Jl7N b(PbNb.E-::
COVERAGE
Paragraph A.4;a, of SECT.IdN�"IJl.4't'HY$IC'AL
DAMAGE';COVffRAOE Is aniendedto urovided
e' limit of $rob per day and a' maxlniurn' Iri'iIt of
$1,000,
Form HA 99 18 97 08
c, Eleotronlq equipment that 1s. artJiikpgre'l
part`;
g,.-drty.; sound
of�.the,,.:asme unit hpusfi
reprgduoing equipment described' in
Paragraph a. above and permanently
In:etalled� In the opbning of" the' dash t','
console of the. covered'"auto'''�norrnally used
by the manufacturer for' Instaliatlbri of a
radio,
Page 2 of 3
BIB]
40740-U01
SIGNED-U02
BOARD-U02
REPORT-U02
SUPPORTING-U02
DOCS-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104195-U03
C10-U03
BOARD-U03
REPORTS-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
SIGNED BOARD REPORT AND SUPPO
��d, Any other aibotrdrilo equipment that reoelviis
or Iransmits: nvcJo, visual or data signals If
such equipment;
1) Is perrhano'h(ly Inetaltad In o oovoratl�.
auto" at the-time of-the loss"; and
2) Is designed ta.ba� solely' operated by
bf the flower. front then rauto'd" oieotrldel'.
system; ih or Upon the covered auto"l`
and
3) was Initially Inatalied or'Ia'a repladetndhl
of equIpment that was Initially instable'
by,'the duto mttnufacturer� or deeIM'2'�' fq Nt}Z Ct'3i:11TO 00VIEJ*AGE''rF:R1;ITORY<'.
hefora�the covered pautor' was delive'rod
to.the orlbi(ial purchaser; and
4) the vJue,of the equipment was Included
1, the retell ooe(�tire orlglrraf'purohase
Paid foh�tt acovered"auto",
EXTRA Ei PENSE BROADENED
COVERAGE
Under Paragraph A. OOVERAQE'~.of. SECTION
22)' A Partner, If you are a partnDrell lp;
3) A- me?nber, If you arm- a limited liability,
dbhlpany; or
4) Arr;bxecutive offloer or irr uranoa manager;.lf:c,:.
you area
oarporetfon.:.
NTIQNAL PAJLt,1r E TO D1SCL.OS
13, H UtJ(N`fRa6
If yq.Li Uri)ntentlonally f iL o dls alone arty hazards
eXJafbjg at, the Inpeptlon date of your policy we
wlil-M'Ot,;dony'ocverags uhdar this Coverage,
Ford teoaus6 of such failure.
Paragraph- e. of GENERAL CONDITIONS 7
POUCY.;PERIQD,. COVERAGE. TERRi7'OR.Y of'...
SECTION IV- BUSINESS AUTO CON17i�'r(ON6 19 s'
rsplaopdbythefollowing; t�
e. For short-term hired autos", the oovdf16ge'
tyrr.Itpry. with. re peat to, 1,} b111#y overage Is
anywhere hi the world provided thet� if'the
insured's" respbnslbilIty to'-pay damages fd'r;
III PHYSICAL DAMAGE CPVERAGE, We w411
auto" td you.
pey'for th's expense of returning r'r stolen covered.�..�
Under Paragraph D. DEDUCTIBLE of SECTION
ft PHYSICAL DAMAGE COVERAGE, the
foilowfng Is added;
bodily Injury" or' property datnabe!'
detorm in ed' In a suit," the: s'uit"- Is- brought In-.'
the United States of Amerlba, the tart'itories.
9t?, GLASS REPAIR WAIVELOF:DEDUCTIBLE ane. poesesslona, of the. IJplt�ii Stetea::' Of!'
America, Puerto Rico or Canada or. in a
settlement we agree to,
15. WAIVER OF SUBROGATION
No deduo(lble ap lisp eta glass damage If the TRANSFER OF RIGHTS OF RECOVERY
glass is repaired rather than replaced. ALAI ST OT S 0 SECTILsN~V
11. TWO OR MORE DEDUCTIBLES BUSINESS AUTO CONDITIONS Is amended by
Under Ps~greAh p, DSQUQTI~LE: of SSC.T.ION adding the following:
III I'HY5ICAL.DAMAGE COVERAGE, the We waive any rllii of recovery'we may have
following Is added: against any person or organlzetldn with, whore
If another Hartford Financial Servloes Group, you have a written contract that requires such
Inc. company policy or coverage,form that Is not waiver because of payments we make for
For
da
es under:thJe Covera
e
a
m
g
g
m,
an automobile policy, or coverage form applies to
S
ULT,INTMENTAL ANPU.ISH OOVly RAGE
the same accident the following applies; c� 1.6. E
1)' if the deductible under this Business Auto The detlpJtion� of bodily. Injury" art SECTJON V_,
deduotlble,'ft'wlil be waived; %'� BddIiJrijuYy" means 66cilly Injury,;: eicilnass or
Coverage Farm is the smaller or smallest) DEFINITIONS Is replaced by the following:.
2) If the deduotipla under.;Phis' l3lisjness'Auto'""::' disease'�st?stalnad by any
Coverage Forth Is not smalfe'r dr mental anguish or death resulting from' any Of.
the arnount, of the stitaller GDr�"slrrabeetl MXTENDFDCANGEL-LA-710N:CONDiT.I.ON.
email ast) dadbotlbl~,�:ity4n.�be-red uobd by"':: these,
deduotlbl.p.' Rarggreph 2 of the. COMMON'"-P'OLICY'
12, AMENDED DUTIES IN THE 1EV~NT OF CONDITIONS CANCELLATION applies'eyoep~ + r'r
AC,CIDENT,�C,LAIM,SUIT OR.LOSS...,
The requiromont In LOSS CoNDI`r1.ON&.2.a, if we+ d'ances'. for any reason pfller, than
accident" Is known to;
0) You, if you are an Individual;
notify us of an hedcldent" eppllsa' only When the date of ddnbeilatlon,':
J3U81NC-SS AUTO CONDITIONS tlitit�you�muel' canbebafloh el�leeet'60 days beforeatl~s. ffgotive'
ULR,IIK, SUIT OR j_oSS of,'SECTION IV`- to 10
first Nomad Insured wrlttgn. natloeaof
DUTIES.- IN THE EVENT OF'��ACCIDENT;�'`'�': nonpayment of premium, wewlli;rtrajI�oPdellver
Form HA 99160706
Page3ofq
BIB]
40740-U01
SIGNED-U02
BOARD-U02
REPORT-U02
SUPPORTING-U02
DOCS-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104195-U03
C10-U03
BOARD-U03
REPORTS-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012
SIGNED BOARD REPORT AND SUPPO
��YEAR
2000
Withholding Exemption Certificate
This form can only be used to certify exemption from nonresident withholding under California
R&TC Section 18662. This form cannot be used for exemption from wane withholding.
File this form with your withholding agent.
Please type or print)
Vendor/Payee's name
Vendor/Payee's address number and street)
City State
Jc r~ Ct Vvlo r~ C A
Withholding agent's name
Vendor/Payee's Social security number
SOS. no. California corp. no. g FEIN
off 01109173
APT no.
ZIP Code
Private Mailbox no.
CALIFORNIA FORM
590
Note:
Failure to furnish your
identification number will
make this certificate void.
Vendor/Payee's daytime telephone no.
q 5) 3r0(, o5 iO
I certify that for the reasons checked below, the entity or individual named on this form is exempt from the California income tax
withholding requirement on payment(s) made to the entity or individual. Read the following carefully and check the box that applies
to the vendor/payee:
Individuals Certification of Residency:
I am a resident of California and I reside at the address shown above. If I become a nonresident at any time, I will promptly
inform the withholding agent. See instructions for Form 590, General Information D, for the definition of a resident.
Corporations:
The above-named corporation has a permanent place of business in California at the address shown above or is qualified
through the California Secretary of State to do business in California. The corporation will withhold on payments of Califor-
nia source income to nonresidents when required. If this corporation ceases to have a permanent place of business in
California or ceases to be qualified to do business in California, I will promptly inform the withholding agent. See instruc-
tions for Form 590, General Information E, for the definition of permanent place of business.
Partnerships:
The above-named partnership has a permanent place of business in California at the address shown above or is registered
with the California Secretary of State, and is subject to the laws of California. The partnership will file a California tax return
and will withhold on foreign and domestic nonresident partners when required. If the partnership ceases to do any of the
above, I will promptly inform the withholding agent. Note: For withholding purposes, a Limited Liability Partnership is treated
like any other partnership.
Limited Liability Companies LLC):
The above-named LLC has a permanent place of business in California at the address shown above or is registered with
the California Secretary of State, and is subject to the laws of California. The LLC will file a California tax return and will
withhold on foreign and domestic nonresident members when required. If the LLC ceases to do any of the above, I will
promptly inform the withholding agent.
Tax-Exempt Entities:
The above-named entity is exempt from tax under California or federal law. The tax-exempt entity will withhold on payments
of California source income to nonresidents when required. If this entity ceases to be exempt from tax, I will promptly inform
the withholding agent.
Insurance Companies, IRAs, or Qualified Pension/Profit Sharing Plans:
The above-named entity is an insurance company, IRA, or a federally qualified pension or profit-sharing plan.
California Irrevocable Trusts:
At least one trustee of the above-named irrevocable trust is a California resident. The trust will file a California fiduciary tax
return and will withhold on foreign and domestic nonresident beneficiaries when required. If the trustee becomes a nonresi-
dent at any time, I will promptly inform the withholding agent.
Estates Certification of Residency of Deceased Person:
I am the executor of the above-named person's estate. The decedent was a California resident at the time of death. The
estate will file a California fiduciary tax return and will withhold on foreign and domestic nonresident beneficiaries when
required.
CERTIFICATE: Please complete and sign below.
Under penalties of perjury, I hereby certify that the information provided herein is, to the best of my knowledge, true and correct. If
conditions change, I will promptly inform the withholding agent.
t
Vendor/Payee's name and title type or print) y C1 1 F_ iV''o VA i n 0, pr t` I l~C i'\ c ti /i C)
Vendor/Payee's signature Date 9~z o /
For Privacy Act Notice, get farm FTB 1131 individuals only). 9 0 02 10 3 Form 590 C2 REV. 2002)
5
BIB]
40740-U01
SIGNED-U02
BOARD-U02
REPORT-U02
SUPPORTING-U02
DOCS-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99828-U03
MG99940-U03
AS99966-U03
AS99967-U03
AI103224-U03
DO104195-U03
C10-U03
BOARD-U03
REPORTS-U03
7/15/2011-U04
MARCELLAC-U04
16743-U05
3-U06
AUTHORIZE-U07
THE-U07
PURCHASING-U07
MANAGER-U07
NATIVIDAD-U07
MEDICAL-U07
CENTER-U07
NMC)-U07
TO-U07
EXECUTE-U07
RENEWAL-U07
AMENDMENT-U07
NO.-U07
1-U07
TO-U07
THE-U07
960-NMC-U08
RUIZ-IGNACIO-U09
MAEGAN-U09
RUIZ-IGNACIOM-U10
6/17/2011-U011
AGREEMENT-U012
NETXPERTS-U012
INC.-U012
A-11763)-U012
VOICE-OVER-IP-U012
VOIP)-U012
TELEPHONY-U012
SYSTEM-U012
NETWORK-U012
ENGINEERING-U012
SUPPORT-U012
SERVICES-U012
AT-U012
NMC-U012
IN-U012
AN-U012
AGGREGATE-U012
AMOUNT-U012
OF-U012
$375,000-U012
THE-U012
TO-U012
EXCEED-U012
AMOUNT-U012
OF-U012
$228,098-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2011-U012
TO-U012
JUNE-U012
30,-U012
2012.-U012