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HomeMy WebLinkAboutTVHS20-02 ElectricBabyFIRST AMENDMENT TO AGREEMENT BETWEEN
THE VALLEY HOME STORE, LLC
AND
ELECTRICBABY INCORPORATED
THIS FIRST AMENDMENT (“First Amendment”) is effective as of the
____________________ by and between Electricbaby Incorporated a Colorado corporation
(hereinafter “Contractor”) and The Valley Home Store, LLC (hereinafter “VHS”).
RECITALS
WHEREAS, VHS and Contractor entered into an agreement dated the 19th day of March, 2019,
for certain Services (the “Original Agreement”); and
WHEREAS, the Original Agreement contemplated that the Contractor would perform certain
duties and use certain software applications to provide an application management program for
its potential homeowner applicants. Exhibit A to the Original Agreement described the various
components of such program; and
WHEREAS, the Contractor developed a software application called Public House Online
Housing Applications (“Public House”) that will function better within the application
management program and, as a result, VHS and the Contractor desire to modify Exhibit A to
reflect use of this software application; and
WHEREAS, VHS desires to apply additional Public House security testing and breach
protections; and
WHEREAS, VHS desires to extend the term of this Agreement for an additional 12 month
period; and
WHEREAS, VHS and Consultant desire by this First Amendment to expand the scope of
Services as set forth in the Original Agreement.
FIRST AMENDMENT
NOW THEREFORE, in consideration of the foregoing and the mutual rights and obligations as
set forth below, the parties agree as follows:
1. In Section 1.A.i.a. of Exhibit A in the Original Agreement, it stated that
“FormAssembly” would be used as the Eligibility Questionnaire form.
“FormAssembly” shall be deleted as substituted with “Public House Online Housing
Application”.
2. Paragraph 1 shall be supplemented with the following language:
DocuSign Envelope ID: 22A7DBA3-9401-40FB-8965-09EE4D99E2A7
12/10/2020
TVHS20-02
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VHS Am Scope Comp Final 5/14
c. Audit. Electricbaby grants permission to the County to engage a knowledgeable
third party to perform an assessment, audit, penetration test, examination or review of
all controls in Electricbaby’s physical and/or technical environment in relation to all
data being handled and/or services being provided to the County pursuant to this
Agreement. Electricbaby shall fully cooperate with such assessment by providing
access to knowledgeable personnel, physical premises, documentation, infrastructure
and application software that processes, stores or transmits data pursuant to this
Agreement.
The County may require, at County expense, Electricbaby to perform an initial
independently conducted penetration test (the “Pen Test”) that at a minimum will
include evaluating the shared platform, inter-platform APIs, secret management, and
the appropriate separation of tenants. Referenced Pen Testing should follow a
standard framework and methodology such as the Open Source Security Testing
Methodology Manual (OSSTMM), the Penetration Testing Execution Standard
(PTES), the NIST Special Publication 800-115, the Information System Security
Assessment Framework (ISSAF) or the Open Web Administration Security Project
(OWASP) Testing Guide.
Subsequent to the initial Pen Test, Electricbaby shall at its own expense, perform
regular independently conducted Pen Tests focused on evaluating the effectiveness of
security controls on an ongoing basis. Ongoing Pen Tests will be conducted at an
interval of no less than once per year. All Pen Test results shall be forwarded directly
from the independent third party organization conducting the Pen Test to the County.
Electricbaby will promptly take appropriate measures to mitigate deficiencies
identified by a Pen Test in order to meet its obligations under this Agreement.
d. Data Protection. Electricbaby shall not access Customer or Eagle County Data,
except (1) in response to service or technical issues, (2) for proactive service and
problem resolution, (3) for the purpose of performing its obligations under the
Agreement this Agreement or (4) at Customer’s written request. Electricbaby agrees
to keep confidential all Customer and Eagle County Data, and agrees not to sell,
assign, distribute, or disclose any such information to any other person or entity
without seeking written permission from Customer and Eagle County. For purposes
of this Section, Customer and Eagle County Data means all information, whether in
oral or written (including electronic) form, created by or in any way originating with
Customer or Eagle County and End Users, and all information that is the output of
any computer processing, or other electronic manipulation, of any information that
was created by or in any way originating with Customer or Eagle County and End
Users, in the course of using and configuring the Services provided under this
Agreement.
e. Security Provisions. Electricbaby attests that it has implemented administrative,
physical and technical safeguards for its data security that at a minimum meet
industry best practices. Electricbaby shall ensure that all such safeguards, including
the manner in which data is collected, accessed, transmitted, used, stored, processed,
DocuSign Envelope ID: 22A7DBA3-9401-40FB-8965-09EE4D99E2A7
3
VHS Am Scope Comp Final 5/14
disposed of and disclosed, comply with applicable data protection and privacy laws,
as well as the terms and conditions of this Agreement. Electricbaby will ensure that
security measures are regularly reviewed and revised to address evolving threats and
vulnerabilities while Electricbaby has responsibility for County information under the
terms of this agreement. Prior to the effective date of this Agreement, and
periodically thereafter (no more frequently than annually) at the County’s request,
Electricbaby will provide assurance, in the form of a third-party audit report or other
documentation (such as the Cloud Security Alliance Consensus Assessments
Initiative Questionnaire) acceptable to the County, demonstrating that appropriate
information security safeguards and controls are in place.
f. Data Breach. Electricbaby will respond to, contain and remediate security
incidents, using commercially reasonable efforts, on a 24/7 basis. Electricbaby shall
notify Customer of security incidents within twenty-four (24) hours of becoming
aware of an actual incident involving Customer or Eagle County Data. An “incident”
is a breach of data protection, confidentiality, data integrity or a security compromise
of a network or server resulting in the unauthorized access, use, transfer or acquisition
of Customer or Eagle County Data. Electricbaby shall inform Customer about
incident response activities in reasonable intervals until the incident is resolved,
which may include documenting and keeping Customer reasonably informed of all
investigative and recovery efforts related to any such incidents, including discovery,
investigation and containment, recovery, use of data and experience for gap
identification and process improvement, mitigation plans, and cooperation with law
enforcement, if legally permissible, as reasonably appropriate.
g. Breach Responsibilities. Unless otherwise stipulated, if a data breach is a direct
result of Electricbaby’s breach of its contractual obligation to prevent the
unauthorized release of Customer or Eagle County Data (a “Data Breach”),
Electricbaby shall bear the reasonable and documented costs associated with (1) the
investigation and resolution of the Data Breach; (2) Customer’s notifications to
individuals, regulators or others as may be required by applicable state law; (3) a
credit monitoring service as may be required by applicable state (or federal) law; (4) a
website or a toll-free number and call center for affected individuals as may be
required by applicable state law; and (5) all corrective actions based on root cause. In
the case of a breach originating from Customer or Eagle County, Electricbaby will
provide reasonable assistance to Customer and/or Eagle County for identification and
resolution, but Customer and/or Eagle County will have sole responsibility for any
remediation actions, costs and expenses necessary as a result of the Data Breach.
3. Paragraph 3 shall be revised to add an additional 12 month term from March 19, 2020
through March 19, 2021.
4. Capitalized terms in this First Amendment will have the same meaning as in the
Original Agreement. To the extent that the terms and provisions of the First
Amendment conflict with, modify or supplement portions of the Original Agreement,
DocuSign Envelope ID: 22A7DBA3-9401-40FB-8965-09EE4D99E2A7
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VHS Am Scope Comp Final 5/14
the terms and provisions contained in this First Amendment shall govern and control
the rights and obligations of the parties.
5. Except as expressly altered, modified and changed in this First Amendment, all terms
and provisions of the Original Agreement shall remain in full force and effect, and are
hereby ratified and confirmed in all respects as of the date hereof.
6. This First Amendment shall be binding on the parties hereto, their heirs, executors,
successors, and assigns.
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the
Original Agreement the day and year first above written.
The Valley Home Store, LLC
By and through Eagle County Housing and Development
Authority, its member
By: _____________________________________
Kathy Chandler-Henry, Chair
Attest:
By: ___________________________________
Regina O’Brien, Clerk
CONSULTANT
By: _____________________________________
Print Name:______________________________
Title: ___________________________________
DocuSign Envelope ID: 22A7DBA3-9401-40FB-8965-09EE4D99E2A7
Franklin Joyce
President
EXHIBIT 1
SCOPE OF SERVICES, SCHEDULE, FEES
1. Description of Services
Contractor will create an online form application for VHS managed housing programs that allows
applicants to submit an application for deed restricted housing by uploading required documentation.
Contractor will perform consulting, mapping, installation and testing for the creation of an online
HomeKeeper Application for VHS. Contractor also agrees to create Online Forms with SalesForce
Configuration and Testing Phase, Required Document Management, and a Two-Step Authentication
System, to be used in conjunction with the online application.
a. Online Forms with SalesForce Configuration and Testing Phase: Contractor will configure
custom objects, workflows, process builders and e-mail templates for this implementation.
i. Eligibility Questionnaire: Contractor will create an eligibility questionnaire, which will
function to determine an applicant’s eligibility in the housing programs managed by VHS
without having to review a buyer’s application. An applicant will input information and
the inputted information will populate into Salesforce, creating a new contact and
mapping the questions into a custom object called Eligibility. Once in Salesforce, VHS
specific custom formula fields calculate eligibility and either emails to applicant a
success email with links to the full application form or emails to applicant a non-eligible
email with detailed explanations for each requirement that the applicant did not meet and
as applicable, references to alternative resources.
a) The Eligibility Questionnaire FormAssembly form that maps to a custom
object in SalesForce.
b) The Eligibility Questionnaire is also embedded into VHS's website with a
single line of HTML for an iframe.
ii. Full Application: Contractor will create and customize a full application with adaptive
fields specific to VHS’s needs to create a Service File for each applicant. Contractor will
map back applicant information into Salesforce. Features of application are:
a) Automated creation of up to 34 objects and mapping of up to 282 fields for
each application in Salesforce
b) Pre-populating all fields for testing
c) Editable HTML support text on each page
d) Populates a number of select boxes automatically so that the applicant does not
have to make changes to each one
e) Shows / hides Employment or School fields based on age
f) Clean school selection and field mapping
g) Propagates the Race and Ethnicity of the primary applicant to all other
applicant household members
h) Google fonts
i) Can optionally create contacts for all applicant household members by
changing a single default field value
j) Can accept an existing SalesForce Account IDBuild a pre-fill connector to
populate a form with data from existing Service Files in
Homekeeper/Salesforce.
k) Insert “Save My Progress” buttons on each page of the online application.
l) All processes will be encapsulated to not interfere with HomeKeeper or
existing VHS functionality.
DocuSign Envelope ID: 22A7DBA3-9401-40FB-8965-09EE4D99E2A7
m) Forms include enhancements for error notifications, improved validation,
casing proper names, formatting phone number / currency / date fields and
email verification.
iii. Testing Phase: Forms and processes of this nature require testing by Contractor
and VHS. VHS should anticipate 2-3 weeks for testing and reviewing.
b. Required Document Management: Contractor will embed in the full application the Required
Documents for applicant.
i. Create stages for Required Documents in review and Required Documents approved.
a. Applicants can submit multiple files for each Required Document.
b. Google Team Drive folder automatically created for each new service file.
c. Mass document edit tool provided to VHS to review / approve / decline
documents for each Service File with notification to applicant to view declined
documents and comments from staff.
c. Two -Step Authentication System: Contractor will create a two-step authentication system for the
Online Application and Required Documents email originating from SalesForce to applicant that
includes the security that is Contact specific with 64 bit encryption.
i. Applicants may access the application via custom links in Salesforce generated email.
a) Applicants that are not found in the system do not have a service file and are
redirected to the pre application questionnaire.
b) Applicants (who have remained applicants and have not purchased a unit) with
existing service files will be able to supplement their required documents over
time.
ii. SMS will be initiated automatically when online application page is accessed through the
email link. If authentication page is not accessed via email link then email authentication
and SMS authentication will be required.
iii. Two - Step Authentication features:
● Unique 64 bit encrypted ID for each contact
● Update encrypted id for single contact or all contacts
● Temporary maintenance redirect
● Invalid ID redirect
● Session expiration after period of inactivity
● Site usage logging - Most recent visit and number of visits (at least 10 minutes
apart)
● Help requests logged as Cases at authentication and in Site
● Staff access to Site without usage logging
● Twilio utilized for SMS delivery
2. Cost Tables – Labor
The project plan below includes tasks, corresponding labor category codes, and estimated labor hours. If work is
completed in less time than estimated, VHS reserves the right to request Contractor to configure additional
workflows, custom code, forms and emails to facilitate VHS’s application processing at additional billable hours.
VHS may request additional customizations (within the original scoped hours). VHS is not obligated to use the full
scoped hours if the objectives are met before then.
Product Product Hours Customization Hours
Online Forms and SalesForce Configuration 40 25
DocuSign Envelope ID: 22A7DBA3-9401-40FB-8965-09EE4D99E2A7
Required Documents 45 55
Two -step Authentication 20 25
Total hours 105 105
Total costs $12,600 $12,600
TOTAL: 210 Hours, $25,200
Contractor will perform the work shown in the following tables
Online Forms and Salesforce Configuration
Tasks Hours Price
Discovery Phase 2 $360.00
Paper Application 3 $960.00
Service File configuration 2 $1,440.00
Intake / Pre-eligibility form 6 $600.00
Full Homeownership Application 14 $840.00
Email Verification 1 $600.00
Workflows, Email Alerts and Email Templates 3 $720.00
Testing 3 $1,200.00
Project Management 6 $1,200.00
Total 40 $4,800
Required Documents
Tasks Hours Price
Discovery phase (Standard Req Docs, messaging, branding, etc.) 3 $360.00
Configure Email/SMS authentication to look up applicant Contacts on existing
Service Files actively in application process
4 $480.00
Creation of custom objects and fields 3 $360.00
Service File configuration and page layouts 2 $240.00
Code installation for Required Docs 4 $480.00
Code installation for Document Mass Editor 4 $480.00
Standard Req Docs Process Builder 3 $360.00
Insert Header / Footer code 2 $240.00
Email templates for applicant action requested notifications 1 $120.00
Messaging: Under review, process completion 2 $240.00
DocuSign Envelope ID: 22A7DBA3-9401-40FB-8965-09EE4D99E2A7
Configuration of Case logging, staff assignment and notifications 3 $360.00
Testing 4 $480.00
User acceptance testing 4 $480.00
Deployment 2 $240.00
Project management 4 $480.00
Total 45 $5,400.00
Required Documents Customization
Tasks Hours Price
Inclusion of application links and completion tracking into Required
Documents
6 $720.00
Include application completion in progress tracking 3 $360.00
Redirects to Application 2 $240.00
Email templates for portal invitation, application submission,
application completion
3 $360.00
Extension request / appeal process 3 $360.00
Tracking reports 2 $240.00
Testing 3 $360.00
User Acceptance Testing 3 $360.00
Project management 2 $240.00
Training 4 $480.00
Total 25 $3,000.00
Online Form Customizations
Tasks Hours Price
Prefill-Connectors for Full Application 18 $2,160.00
Save my Progress and Final Application Submission functionally
coded for forms 2
$240.00
Conditional redirects to Application and Portal 2 $240.00
Testing 3 $360.00
Total 25 $3,000.00
Two-step Authentication
Tasks Hours Price
Install code 3 $360.00
DocuSign Envelope ID: 22A7DBA3-9401-40FB-8965-09EE4D99E2A7
Configure Twilio 2 $240.00
Set up Sites 2 $240.00
Create Custom Settings 2 $240.00
Create custom fields on Contacts and update layouts 3 $360.00
Email templates and workflow 2 $240.00
SMS templates and workflow 2 $240.00
Testing 3 $360.00
Deploy to Production 1 $120.00
Total 20 $2,400.00
Two-step Authentication Customization
Tasks Hours Price
Re-code to send SMS if page is loaded via email link 8 $960.00
Re-code to first authenticate via email and then authenticate via SMS 8 $960.00
Update test code 2 $240.00
Testing 2 $240.00
Deploy to Production 1 $120.00
User Acceptance Testing 2 $240.00
Project Management 2 $240.00
Total 25 $3,000.00
Subscription Service Costs
VHS is responsible for obtaining Public House Online Housing Application supplied by Electricbaby Inc. and
Twilio services and providing credentials to Contractor.
Public House Online Housing Application- $3,000 per year
Twilio $0.0075 per SMS
3. Period of Performance
Installation and configuration time:
● 4-6 weeks discovery / configuration General Online forms
● 3-4 weeks installation / configuration for portal
● 1-2 weeks user acceptance testing
● 1-2 weeks document deliverable received by VHS
Total time: 9-14 weeks
4. Final Hand off and Documentation Deliverable
Contractor will meet with VHS and Eagle County IT personnel in order to facilitate knowledge transference to
include the following:
DocuSign Envelope ID: 22A7DBA3-9401-40FB-8965-09EE4D99E2A7
● Working knowledge of overall solution. Contractor will review how all the components and key
integration points fit and function together, the online form system functions and usage, as well as a high
level review of the salesforce.com custom code design and location.
● Authentication credential information related to all systems and integration points in order that relevant
passwords could be successfully updated by Eagle County IT upon conclusion of contract.
● Contractor will prepare technical documentation deliverable that will include documentation outlining
o 1) flowchart and / or wireframe documentation of overall solution design
o 2) narrative describing what the application is intended to do and key aspects of how over solution
functions
o 3) the main integration points and related authentication mechanisms and
o 4) details concerning location and intent of custom codes within any of the solution platforms.
DocuSign Envelope ID: 22A7DBA3-9401-40FB-8965-09EE4D99E2A7
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:CONTACT
(A/C, No):FAX
E-MAILADDRESS:
PRODUCER
(A/C, No, Ext):PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
EROTH-STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED $PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
11/09/2020
Hiscox Inc.
520 Madison Avenue
32nd Floor
New York, NY 10022
(888) 202-3007
contact@hiscox.com
Hiscox Insurance Company Inc 10200
Electricbaby, Inc.
PO Box 94
Frisco, CO 80443
X
X
A
X
Y UDC-1779010-CGL-20 07/15/2020 07/15/2021
1,000,000
100,000
5,000
1,000,000
2,000,000
S/T Gen. Agg
Eagle County Housing Department Authority - The Valley Home Store, LLS
500 Broadway, PO Box 850 Eagle, CO 81631
DocuSign Envelope ID: 22A7DBA3-9401-40FB-8965-09EE4D99E2A7
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:CONTACT
(A/C, No):FAX
E-MAILADDRESS:
PRODUCER
(A/C, No, Ext):PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
EROTH-STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED $PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
10/28/2020
CYBERPOLICY 855-465-8080 805-367-5676
5655 LINDERO CANYON ROAD SUITE 420
WESTLAKE VILLAGE CA 91362 Lloyd's of London (Hiscox)15792
Electricbaby Inc.
P.O. Box 94
Frisco, CO 80443
N
EACH CLAIM
AGGREGATE LIMIT
RETENTION
1,000,000.00
A CYBER PROFESSIONAL LIABILITY MPL4337527.20 3/14/2020 3/4/2021
5.000.00
1,000,000.00
Josselin Leiva
Eagle County Housing Department Authority
500 Broadway PO Box 850
Eagle, CO 81631
Certificate Holder is an Additional Insured according to listed coverages for Vicarious Liability. Please refer to endorsement
E8845.1 for policy coverage.
Y
DocuSign Envelope ID: 22A7DBA3-9401-40FB-8965-09EE4D99E2A7
Administered by Hiscox Inc.
520 Madison Avenue 32nd Floor, New York, NY 10022
(646) 452-2353
Endorsement 9
NAMED INSURED: Electricbaby, Inc.
CYBCL-CYB E2002 CW (04/19)Page 1 of 1
HPSENSLNPE15
E8845.1 Additional Insured Endorsement
In consideration of the premium charged, and on the understanding this endorsement leaves all other terms, conditions, and
exclusions unchanged, it is agreed the Cyber Coverage Part is amended as follows:
I.The following definition is added to the end of Section III. Who is an insured:
means the person(s) or organization(s) listed below:Additional insured
The City of Dublin
100 Civic Plaza
Dublin CA 94568
Coverage is available for additional insureds solely for their liability arising out of the
named insured’s negligence or of those acting on the named insured’s behalf and not for
any liability arising out of the sole negligence of the additional insured.
II.In the preamble of Section III. Who is an insured, the words “additional insured,” are added after “named insured,”.
III.In Section VII. Definitions, the definition of “You, your, or insured” is amended to add the words “additional insured,” after
“named insured”.
Endorsement effective:04/02/2020 Certificate No.:MPL4337527.20
Endorsement No:9 Processed Date:04/08/2020
Hiscox Inc.
Authorized Representative
Kevin Kerridge
DocuSign Envelope ID: 22A7DBA3-9401-40FB-8965-09EE4D99E2A7