Fiscal Year 2024 Purchase of Services Grant Amendment and Copyrighted
September 11, 2023
City of Dubuque Consent Items # 01.
Special Meeting
ITEM TITLE: Fiscal Year 2024 Purchase of Services GrantAmendment and
Reallocated Agreement
SUM MARY: City Manager recommending City Council approve the attached
Purchase of Services Grant Amendment with St. Mark Youth Enrichment
and Purchase of Services Agreement with St. John's Almost Home and
authorize the Mayor to execute the agreements on behalf of the City.
RESOLUTION Authorizing Execution of FY24 Purchase of Services
Grant Agreements
SUGGESTED Suggested Disposition: Receive and File;Adopt Resolution(s)
DISPOSITION:
ATTACHMENTS:
Description Type
MVM Memo City Manager Memo
FY24 POSG-Staff Memo Staff Memo
Resolution Resolutions
St. Mark Youth Enrichment Amendment#1 Supporting Documentation
St. John's Almost Home Agreement Supporting Documentation
Dubuque
THE CITY QF �
All-Meriea Ciry
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TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Fiscal Year 2024 Purchase of Services Grant Amendment & Reallocated
Agreement
DATE: September 7, 2023
Housing and Community Development Director Alexis Steger is recommending City
Council approve the attached Purchase of Services Grant Amendment with St. Mark
Youth Enrichment and Purchase of Services Agreement with St. John's Almost Home
and authorize the Mayor to execute the agreements on behalf of the City.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
v
Mic ael C. Van Milligen
MCVM:sv
Attachment
cc: Crenna Brumwell, City Attorney
Cori Burbach, Assistant City Manager
Alexis Steger, Housing and Community Development Director
Dubuque
THE CITY OF �
All•pmerisa Ci$
DuB E w5��m���r�k��4.�
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Ml�ster iece on the MisSiSsi i zoo�•zoiz*zois
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TO: Michael C. Van Milligen, City Manager
FROM: Alexis M. Steger, Housing and Community Development Director
SUBJECT: Fiscal Year 2024 Purchase of Services Grant Amendment & Reallocated
Agreement
DATE: September 7, 2023
Introduction
This memorandum transmits the Fiscal Year 2024 Purchase of Services Grant
Amendment for St. Mark Youth Enrichment and an Agreement for St. John's Almost
Home as proposed by the Community Development Advisory Commission (CDAC).
Purchase of Services Grantees partner with the City of Dubuque to provide support for
human service programs that further the City's goals, objectives, and priorities.
Background
There was $17,080 unexpended funds in FY23 Purchase of Services Grant program.
These unexpended funds become carryover dollars. Therefore, the FY24 budget for
the Purchase of Services Grant competition increased from $100,000 in general funds
to $117,080.
The City received ten applications for FY24 Purchase of Services Grant program. A
subgroup of CDAC members and two city staff (8 in total) reviewed and scored
applications and awarded initial grantees. With the increase in funding, CDAC met on
Wednesday, August 16, 2023, and approved funding for the unallocated $17,080.
Discussion
St. Mark Youth Enrichment applied and requested $25,000 but was only awarded
$18,000 because, at the time, only $100,000 was set aside for the Purchase of Service
Applications. However, with the additional $17,080, CDAC approved an increase to
their award by $7,000 to award St. Mark Youth Enrichment their full request of$25,000.
St. John's Almost Home had the next highest applicant score based off the 8 reviewers.
St. John's Almost Home requested $25,000 for onsite case management services via a
social worker who can facilitate referrals for medical, brain health, addictions, and basic
needs. CDAC approved funding St. John's Almost Home with the remaining $10,080.
Recommendation
I respectfully request the City Council approve the attached Purchase of Services Grant
Amendment with St. Mark Youth Enrichment and Purchase of Services Agreement with
St. John's Almost Home and authorize the Mayor to execute the agreements on behalf
of the City.
Prepared by: Mary Bridget Corken-Deutsch, Community Development Specialist
RESOLUTION NO. 299-23
RESOLUTION AUTHORIZING EXECUTION OF FY24 PURCHASE OF SERVICES
GRANT AGREEMENTS
Whereas, the following non-profit organizations prepared and submitted requests
to provide support for human service programs in the City of Dubuque:
• St. Mark Youth Enrichment Amendment#1
• St. John's Almost Home
; and
Whereas, the City Council approved the Fiscal Year 2024 budget that included
the Purchase of Services allocation; and
Whereas, the submissions have been approved by the Community Development
Advisory Commission on August 16, 2023; and
Whereas, all services provided will be to a minimum of 51% low/moderate
income residents.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF DUBUQUE, IOWA:
Section 1. That the Funding Approval/Agreements, authorized by the Community
Development Advisory Commission beginning September 11, 2023 for Purchase of
Services Grants to the aforementioned organizations be approved.
Section 2. That the Mayor of the City of Dubuque is hereby authorized and directed
to execute said Agreement and related documents on behalf of the City of Dubuque, lowa.
Passed, approved, and adopted on this 11th day of September 2023.
Brad M. Cavanagh, Mayor
Attest:
Trish L. Gleason, Assistant City Clerk
FIRST AMENDMENT
ro
AGREEMENT BETWEEN I
THE CITY OF DUBUQUE i
AND I
ST. MARK YOUTH ENRICHMENT
I
This First Amendment to Purchase of Service Agreement, dated for reference purposes the Sth
day of September , 2023, is made and entered into by the City of Dubuque, lowa (City), and the St.
Mark Youth Enrichment(Agency).
WHEREAS, City and Agency entered into a Agreement dated July 5, 2023 (the Agreementj; and
WHEREAS, City and Agency desire to amend the Agreement as set forth herein.
NOW THEREFORE, IN GONSIDERATION OF THE MUTUAL TERMS AND COVENANTS CONTAINED
HEREIN, CITY AND AGENCY A6REE AS FOLLOWS:
Section i. Section 4. of the Agreement is hereby amended to read as follows:
4. Compensation
City shall pay Agency $25,000 as compensation for the services provided by Agency, which
payment shall constitute full and complete compensation for such services.
The compensation shall be paid by City to Agency upon receipt by City of a requisition for such
sum from Agency.
Section 2. Except as modified herein,the Subrecipient Agreement shall remain in full force and
effect. —
GTY OP DUBUQUE, IOWA St. Mark Youth Enrichment �!I
By: B : I II
Y
8rad M. Cavanagh, Mayor Dawn gan, Executive Dir tor '�
AGREEMENT
BETWEEN
THE CITY OF DUBUQUE, IOWA
AND
ST. JOHN'S ALMOST HOME
=eP,emee,
THIS AGREEMENT, dated for reference purposes the 5ih day of�2023, is made and
entered into by and between fhe City of Dubuque, lowa (City) and St. John's Aimost Home
(Agency).
WHEREAS, City desires to engage the service of Agency to provide onsite case
management services via a sociai worker who can facilitate referrals for medical, brain health,
addictions, and basic needs; and
WHEREAS, Agency is willing to provide such services to City upon the terms and
conditions set forth herein.
NOW TFiEREFORE, the parties hereto agree as foilows:
1. Scope of Service
Agency shall:
a) further the City of Dubuque Goal of Partnership for a Better Dubuque: Buiiding
our Community that is Viabie, Livable, and Equitabie;
b) provide onsite case management services via a sociai worker who can facilitate
referrals for medical, brain health, addictions, and basic needs;
c) comply with City Council goals and priorities; and
d) support the City's efforts to be a viable, livabie, and equitable community, and to
advance equity and inciusion.
2. City Responsibilities
City designafes the Community Development Specialist, to act as its representative with
respect to the work to be performed under this Agreement, and such person shail have
authority to transmit instructions, receive information, interpret and define City's policies
and provide decisions in a timely manner pertinent to the work covered by this Agreement
until Agency has been advised in writing by City that such authority has been revoked.
City wiil provide opportunities to demonstrate this support by inviting the President of the
Board of the Agency and any volunteers working on services covered by this agreement
to participate in the foilowing professionai development opportunities and supporting
activities:
a) The opportunity to be active and engaged participants in Inciusive Dubuque peer
learning opportunities and strategic efForts to advance Diversity, Equity, and
Inciusion;
b) Tne opportunity to attend intercultural and equity workshops offered by the City,
including trainings that focus an developing an intercultural team with a strategic
1
plan for advancing equity and inciusion within the Agency and through the
Agency's work;
c) Assistance in creating quarterly status reports that demonstrate the ways in which
the Agency's efforts are advancing equity and inclusion; and
d) Access to the City's equity toolkit and SMART Goals Worksheet.
3. Time of PerFormance
The term of this Agreement shall be from September 5, 2023 through June 30, 2024.
4. Compensation
Gity shall pay Agency $10,080 as compensation for the services provided by Agency,
which payment shail constitute fuil and complete compensation for such services.
The compensation shall be paid by Gity to Agency upon receipt by City of a requisition
for such sum from Agency.
5. Audit and Evaluation
Inasmuch as the funds to be provided to Agency by City are public funds, the Agency
agrees that it will maintain books of account in accordance with Generally Accepted
Accounting Standards together with necessary documentation to support aIl
expenditures. The records of Agency, inciuding payroll accounts and other records of
disbursements and receipts, and other records relating to the performance of the activities
herein specified, shail be made availabie for inspection by City or any Certified Public
Accountant acting on its behalf, in orderto 'ascertain performance of Agency under this
Agreement. Agency agrees to retain such records for not less than three (3} years.
6. Reportinct and Monitorinq
Agency shall compiy with the City of Dubuque's Reporting and Monitoring requirements
by using the following link to submit quarterly online reports detailing Agency activities
related to the use of City funds provided to Agency.
The online quarterly reports shali be due on October 15�h, January 15i'', April 15th, and
July 15t''. Such reports shall inciude a perFormance report on the program(s) supported
by City funds and a financial report on the use of City funds.
If Agency has an annual audit performed, Agency shall provide City a copy of the annuai
audit report within 60 days of audit completion. The Audit shall be submitted as either an
electronic or paper document to the Community Development Specialist.
7. Reimbursement Schedule
2
�he Agency may requisition a reimbursement of expenses for project costs with each
quarterly report due on October 15t", January 15t'', Aprii 151", and July 15t". Such
reimbursement requests must include proof of payment of the requested expense.
Request for salary reimbursement must be within 30 days from end of pay period. Other
requests dated within 60 days from date of service/purchase will be accepted. Final
request must be submitted by June 15. 2024.
8. Discrimination
In carrying out the services under this Agreement, Agency shail not discriminate against
any employee or applicant for empioyment because of race, creed, color, sex, age,
national origin, religion, sexuai orientation, gender identity, or disability. Agency shail take
affirmative action to ensure that appiicants for employment are employed and that
employees are treated during employment without regard to race, creed, color, sex, age,
national origin, religion, sexuai orientation, gender identity, or disability. Such action shall
include, but not be limited to, the following: employment, upgrading, demotion or transfer;
recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of
compensation; and selection for training, including apprenticeship. Agency assures that
ail qualified appiicants will receive consideration for empioyment without regard to race,
creed, color, sex, age, national origin, religion, sexual orientation, gender identity or
disability.
Agency agrees and will undertake whatever affirmative measures are necessary so that
no person shall be excluded from participation in, be denied the benefits of, nor be
subjected to discrimination under any program or activities funded in whole or in part with
any of the funds made available to Agency under the terms of this Agreement because
of race, color, creed, religion, sex, national origin, age, sexual orientation, or disability.
9. Termination of Aareement
if, through any cause, Agency shall faii to fulfiil in a timely and proper manner its
obligations under this Agreement, or if the Agency shall violate any of the covenants,
agreements or stipulations of this Agreement, City shali thereupon have the right to
terminate this Agreement by giving written notice to Agency of such and specifying the
effective date thereof not less than thirty days before the effective date of such
termination. Final request for reimbursement must be submitted by June 15. 2024.
if Agency shall fail to cure its defauif to the satisfaction of City in City's sole discretion
within such seven-day period, this Agreement shail be deemed terminated at the end of
such seven-day period without further action of either party.
Upon termination of this Agreement, Agency shali return to City ail unexpended funds
and/or any funds utilized for purposes other than stated in the Agreement.
10. Assignabilitv
Agency shall not assign any interest in this Agreement without the prior written approval
of City.
11. Acknowledgement.
3
Agency wiil acknowledge City's financial support in appropriate signage, program
materials, publicity, advertising activities, websites, and other online media pertaining to
this Agreement and work performed with funds from this Agreement. Recognition
guidelines are located at: https://www.cityofdubuque.org12805/Funding-Recognition
Agency wili provide evidence of such acknowledgement as an addendum to the Final
Report.
12. Conflict of Interest
No member, officer or employee of City, or its designees or agents, no member of the
Dubuque City Council and no other public official of the City who exercises any function
or responsibilities with respect to the program during such person's tenure, may have any
direct or indirect interest in this Agreement, the proceeds from this Agreement, or work
performed in connection with the program assisted under fhis Agreement.
13. Insurance
At the time of execution of this Agreement by Agency, Agency shaii provide City copies
of Agency's insurance certificates showing compliance with the insurance requirements
of Insurance Scheduie G, included as Attachment A.
CITY OF DUBUQUE, IOWA ST. JOHN'S ALMOST HOME
1 �
/ � �G�
Brad M. Cavanagh, Mayor nn Fritschel, Interim Pasto
Witness:
Adrienne Breitfelder, City Clerk
4
ATTACHMENT A
Crty of Dubuque irasurance Requiremenis for Vendors{Suppiiers. Service ?roviders}
1NSlIRANCE SCHEDULE G
t. -�'4•� �,��n�csi]�eRrse� shal6�umistr a s:gr�d c��caze�t 9ns€�ra�e�i��he Ci�ot C3uUuque; Ic�ava
for ih� caveraga re+.;uired in�5ibit 1 psier;o ih2 bniaact commencemenf.�ach c�tiseae�shul?
�e pr�ears�on ii32 anasi curr2n?AG£?RQ form ap,�roved:�y tite ia.va insu�anve�ivision or a;�
2i�UiJd1?R?. E�Ch C�I�C3tE Sh331 i€7CItIL;?a Se3iefSiEP6t E,1I7€;2�i;t''a'Ci�U�iO[I Oz`�%�2Ei'ci Ct3S 35�O�i'�'3i1`
:he cet,ifcaie eaas :ssu�ri.Eg: r�rcject= os purchasz�greemerai
2. Ail poiicses a;�suranee required taereun�zr sS7aEl i�v:ifh an]nsurar au�hor�ed t�do busSRbss in
1c4va and a1!S�surers shatE hav�a ra�ng of a or t�2�tzr ir,ihe cu�rer�t r�.Ptt. 5est's Rai;�g Guide.
3_ Each cerLfcafe sha[f�e fumishe�to tY[e�inance i.�p�r:men;af i�5e i:z!r�t�u;��aque.
4. The�ervice cravider shai(be requ=re�ia eamj�e minimum coverage:'�imits, cr greaizr if required
�y ia�.�cr cther€e�a€agreem�r�� :n F�chib7 i. Fa;lure�O}^,FGV�tlefh�recuired m;r�imum cov�u,e
shat!nnt�e c�eemed a v��aiver of suth cequ;remcnis bv ihe CiiV of Duf�uq�re_
5. i=ailure to cbta;n or mai�iain the required ir.suranc2 shaiE�car�:dered a maieriai;�reaci��i ihis
agreemen:.
�. AH reGuirGd endsresements shall f�e a��ache;E�certffcaie.
7. t�,fienever w s�c[fc�SO#orrn is referenczcF ihe curr�n#ec9ito�t vf tix2 iorm musi be usetl uNess
an equ=.va�en:form is app,aveu by't?e�ir�cor o�Financ�and Eu�gei_Tne se;vice psovicser must
ideni�fy or Iist fn wr=i#nr�att deviations and exdus;cns from the 1SQ iorm_
�. i;��endor's linz°'�s af liab;lif}�are high2r ihan:hG r�q�ired m{ninruxn iim;ts then ihe v�n�or's I�mits
sha(1 be Unis agreemenfs tectuir�timits.
9. Venrier sna11 re�uirz aii suEscantrac:ors and sub-su�ccn'c.•aciors io ebtain a�mair,3.ajn durina ih�
perform3nce e�v��rh�rt�urance io;ihe coveraees describe��sr tt�5 ins[arance Seh�du(e and sh�li
obta;n c�rtit:r.aces�f:nsu:ance fran�a14 such subcantraci�rs anu su�-su�con�actars_Vezdo�
ay^rees tha;it shall �e iiable for the faiiure oi a subccntraci�r anu sub-subconiraeior io cbtain and
ma:nt�in such cauerage. Th�Ci��rnav�reGuest a ca�y c�P sFact� c2rtlficates from tY�e Vendor.
iv. 'dentler shali;�e respcnsit�le for ded�Cibt2�icedf-insured reieni�an#cr r�ayme�T oi a13 pe(fcv
¢f�Et"tiUtT15 afid 6ihef CG5t5 3SSDC78iEd bYi�h ihE ITlsitf�flCB�tOiiCl2S i2qull"2L C72:oi`!. -
1 t. R�€ ceriiflcai�s o#insurance mus2 includA ag�nts na�rfe,phone numtter,and ema f a�dress.
12 The G7b�c€�uE�uGn�reseroes ll�z righi io require cor,�plete, cer�i.�ccpies o�ali requireC
�rr�urance pc�i�ies, inctu�ing en�erssments. requirec by Uhis Sc1�e�uEe a:any;ime.
13. The Cin cf Dui�u:iuz res2rdes f1�E fghi to mo�;i��tlzese requirer�e;�ts. includinc timrfs, basec+nn
cha�gcs in ihe rsk�s�iiher special circ�i:,�stances durina ttte tesrn nf the 3greemei�#.sut�jec:to
inuiva3�gr��neni of the p�rties.
5
City of Dubuque Insurance Requirements for Vendors (8uppliers. Service Providers)
(NSURANCE SGHEDULE G {contincied}
EXHIBIT i
Aj CdMMERCIAI GEN�RAL UABI�ITY
Generai Aggregate L:mit 52;OC���,�GO
Prc�di�cts-�otnpieted Uperations Ag�reg��te Gni�F �1.Du�3,���Q
Perscnai anc}Adverti��ng tnjury Lim{t S t.0��7;4�0
Each Occurrence �9;00�u60
F;re Damage Lim;#�any o�e occu�renr_e} 55�,Q0�
i;tedfc�l Pavmen#s ,�.G�GO
i l Coverac�e shait be v.•r;t�zn an an eccuaence. n�t c{aNr�s made.form.The genetz�!
tiabiii;=eovzrac��shaltt�e s✓�itteil;n a�ecref�4i€h dSC�icsriai CG 04 D i ortusiness
rav,i�ers fornt BP Od}�2. A{I deviations froni the stan�3arQ 15�� c��mmerciai gEi��rak
ti3t�iliy fcrm CG i)0 0t,�ir Eusiness�wners ioem BP�0�12,shafs f�e ctaarty
i�en€ifien.
2j fnr_iude iSU es7dorse�nenEfomi G�25 G4 "Designated Lvcat�n�s)GenErat
�g9reg:�te L;mit:
3} {nGtide endorsement trtdfcatfirtg#h<t coverag�is pr:niaN an�i non-contributvrf.
�Sj lncluc�e�rEs�rvat?cn et Gov�mmeniai tmmuni�ies Entlors�ment{�ampE�
attach��l}-
�) inclutle afl��t;�nat inst�red endorsemeni for
The City�f�t#f�uque,inciading all�is ei�c��d and a�paEn�ed�f�r3als,aif its
en3plo}�ees 3nd valunteer�, aii it�b�ard�,commissfons artlfo�ataihotities and
fhele i�cartl n��n�k�ers.em�4oy�es and vo!€m�eers_ Use I•S�a foini�G 2� '!�
¢t�ngoing cg�eratir�rk)or its equivaleni.
F} Po(Ic��shali inc€od�:"Jaiver�f[�igl�ifo Recov�nc��ni Uthers endors�Enent.
B) WORKERS' COMPENSATlON& EMP�OYERS LIAB4LITY
Staiufo€y Benefiits covering ali en��piayees in;ur�d on tilejat�b}°accident or disease as
prescrit�ed Gy I�wa Goc�e fiita�ter&�.
c:o�erage A 4tatutory—State ot lovta
Gbveragz�B Enaploy2�rs��a;�6it��
E�rch A�r��eni :IOO.��d
�ach Eanpkayee�L�isease St0�7;i304
Poi;cy Limit-D€se��se �S:�DD,G4D
Poiicy�hali include 4Vaiver oP Ric�ht ta Recaver from �thers endorsement.
Gover�ge B f�mits ShaO be grea3fer if rec,tnretl Uy tt7e umbreila:excess insurer.
OR
if, t�y tcv•a Cede SPrtian R�.lA, the Vendt�r�s not requireci to pi�rchase VVorF:ers'
C�7pensation Insttranc�, the�lendcr shalt 17ave a copy a€the State's Nonei�ction of
V'r'orkers`�6napynsa�t�n or Empioyers' Liabitii�Gov'er�ge Tornt on fie vdi�t#.he io.tia
b'lorFers' Com�'iensat�cn insurance Comn�issi�ner, a�rsq�iire�t�Y It�'.ti+�-Code Sec+ion
�7.22. Compr�ted form musf Ue attacY�ed.
6
City af Dubuqt�e 1nse:rance Requdrements f�r Venriars {Supptiers.Service Pmvaderc)
iNstlRaNCE scHEDULE G tcontinuea)
C} POLLUTiOhF L€RBILITY
Co�:e�age required: _Yes X h�a
r�(;�tian Iia�iiuy caverage sh2it�e reqczir�� !f the}essee.�orfrac#ir,c�Pach':or�arnaitteE
T73S cllv OL'i�t4''{FOil 2Xi'JZ7SUC8 TQF 3J3iE[tlSi}3 O��22L3fd6:1S tr:'COIkf3Cvlli ivt?t�illat2fl5}.t5�
ERCiliC�37T(s'.�,?:if i10t kEiTtti£Q°O,�'Q�FC}�fl't7R1,DfO�UGiS,fil�T2f1TQ'vu��Q�18e3S'�.aS�7�5tOS,TJ("r'�i^.
�oEi:,t:an Froouct ar,�cemGleted op.e;aY�ons eo;era�s shat(aiso ve co��ere3.
Eacn�ccurrerce :,2,�Ot7,J��J
PolicvAggreoata '�.":40�,#1�3�7
i) ?olir_W'tc inc[ud=;cu site and=ransportat?on c�verzce.
2'� Includs a�d:fio�a=irrLrsd,`or
Tne{;i�r o9 Clu�uque;ir:c`s�:ding�?i ifs�iected an�aFooir:4ed cf;c}afs.�iI rs
en,gio;�ees ar,d 4�a(uatesrs,a�4 i�s baards; ecEnmissior.s ar•�/or a�th�rtias anc
#.heir ncascf inen?�ers,er�pioyces and vmunieArs. tlse iS0`oma C;�2D :�_
it?ngaing t��raii3nc)cr i�s equiv�lsnt:�n�CG 2G'7(ecn7F�f�operaii�ns}.
3'; 3r..clude�resen<ation a`Gove=nrnent3Elmmun�ies E�dossemenT_
�'? ?r�z.�id�2vidence oo c��.eraa2 for��;2ars 2ftsr cocn�i�tion of�snjec?-
CS) PROFESS(ONAL LtAB}LiTY 51,GOD,OOa
C�vesage reGuired: X Yes _No
It�he ra_q;�ire� eolisy grov�c3ts ciait�s-n3ade coveeag�=
1} T;�s Retro�c�'-ee Da<e mcast'ae shoaJn and c��s�s��s�e#ore t#�e�a#e a;the
ags�rnant.
�. !i�t�ranre r�est u�main#aine�and e}idar,ce af ir.auru±�ce n1€,sz i;e proai3e�for;�
(P.::stf��E(�)t�sars after con�teiiar�of;he'r.o�?c os ser.�ices.
3` !f c�•�e�age;s canc�!ed a�ran-re�ewo��n;,s rot rep�ac�d:•.n=h�nother ctain;s_
�
a=.ad��o{ic,o fa.�rc .:ith;t;etr�4ctiu��ata�:iar to the uate o`:tha agream=r.�.?!:e
CDi1tC3C�0701CiSf�rO:it38'flJC$8P.��I�C9y'1Q1t`tllt�3 L4V@!"'.igBiOF3:Siii?I,^.1UP.lOrtr3V@4F.j
�y'@'a':o 3tiBi CO_T.,*J)2.�(O€2 OF i�Z2':'.'OC�C^;'SECr'iCt'S.
E) �YBER L(ABl�iTY;BREACH Si.GJsa,00�J
t�overage r=qusre�: _Yes X F�#o
Coverage ior First and;h;rd Party�liaGiIi�+;incEuding bu's no_�mr:ed to{osl data and
resforation.(ass oi incoms ar,d�y�er Lreach of ir.;ern�ation.
t=) UMBRELLf�.�EXCESS St.Gt}O.�DQ
Cov�rage reauired: X Yes _Ra
Tie C=e;�etal�ia€�rliir,���bma`�1a Lia�;ifi✓and�A�tsrkers Com�ensatsan insurance
requi;emen��a;a 6�c�tisr e� �;ii;�a coniuinaiion ai orir;2ary an�' u'mbrelia or�cess
'_iabstit�;lnsur2r:ce. li ti�e#J�niareiia ar�cecs ir,s�ranc�ooiicy coes�o:€oti�:�:fh�corrz o`
ifte�.*;mary,�fici�. it shaii inc����Thn sane e�saoeae.r:-��is as ra_quir��ot ste�pzi�urd
paiic:es in�c�din�4i'a�ver�Suurogaiian an*��ri�rary ar�fVa:�-contribu�fon:;�}L;or o�1��;=
r�rY�.
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t,ity�i E7ubuque Insuranee Requirements for Vendors(Supptiers, Service Providersj
Ftease 3�e aware that namir.y ihe Cit;t�f DuGuque as an a�d;tionai irsttred as is requir2d Gy tFtis
Ir?s�;an��Schectuie r,�a�d result an the .saf.-er c{th4 Citc's go't-ernn}enFaf irnn;vnities pru�'tded in to.va Co�e
sec.�7J.:1.IE vou�:.oc�'d like tU preserve those i�7n�ur,ities, please c;s�fh�;er:dorsFtr,�nt or an ec��iiv3lent
to.m�.
PRESERVATIC#N OF G�VERNMEtVTAL tMMtJIVlTIES ENDORSEMENT
i. Non�,ai:er ci Govemn�ental Immuni�r.Tha insurRr express[y agrees ar�states that tF.e purchase
of thss poiEcy an�the ir�t(udirg of tl�e c�ihr cf Duau�ue, lon�a as an AdditicaaP Ins,ireJ cfcws r.of w3i:e an_v
of the tlefenses of ga.err�;ar:tai immunity a�:ai�a;�le fo the C�ty of Dubuque,lo�a under Code af Eo,S�a
Spction 670.4 as it is no,v exists�n�1 as it n�ay 6e amendec� frani time ta tin�e.
2. Gfaims Go.eraqe.The insurer fu;ther agrees that this policy o€insatance shafi co�er eniy thosa
,;IaSms�at sut�}ect tcr the defense of�oyernmental9mnrunify+m�er th�Code af I�v�a SecGot��7�.4 as it
nah sxis#s and as it n�ay t�e an�endad#r�nt time ta iime.Those clain�s a�ot s�Ujec#to Code of Io°,va
Seation �7k�_4 shaif'�e cover� bv theter*:ts�nd eandiiicns a#Ihis insusa�ce policj�.
3. Assertion Gf Go'Memn3ar,t Ir�mu��st�✓. 7Fa City of Duliuque, bwa shatl Ge responsib{e for assErt±ng
2ny tie;ense of govPenmes:t�l in�munity, arid may do so aE any fime and sha14 do s�upon the fimety v,�ntten
reqLiest of#he inseir�r.
d. Nan-D�r,iai csf t;overaae.The ins«rer stia(1 r.ot deny coverage under this poticy a�d tf�e insurer
�hall not deny any of tfie eigh#s and t,enefits accrui�a io the�ity of Dubuque, to-n�a��nder this�,olicy for
rsasa�ofgocemmentai immunii�j unless and ontila cvort of canipeter�t�c�risdictian has ruled in fa^�ar of
the de#ei�se{sj of gov�mmenfa!imniunit�asserted by ihe City�o€Dubuque,lon•a.
No C�ther�hanpe in Poaicv. The aE�ovs praserration of gavernmental immu�ities shall no#otherxise
change or atterthe cocerage a,�aiiabfe tmderthe polic.•.
�1 ������
{DEPARTMENT MANAGE�; FILL IN ALl 6LAN�4S AND CHEC.K BUXESj
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