After Action Report Support Regarding COVID-19 Incident 3-12-20>3/1/22

10/10/2022 BUFFALO, ERIE, & NIAGARA REGION REQUEST FOR PROPOSAL After Action Report Support Regarding COVID-19 Incident March 12, 2020 through March 1, 2022 Contents Introduction ................................................................................................................................................................... 1 Background and General Description of the Project ..................................................................................................... 1 Project Overview ........................................................................................................................................................... 2 Schedule of Events ......................................................................................................................................................... 2 Scope of Work

............................................................................................................................................................... 2 Budget ....................................................................................................................................................................... 4 Submission Process........................................................................................................................................................ 1 Registration ........................................................................................................................................................... 1 Proposal Submission ............................................................................................................................................. 1 Question Process .................................................................................................................................................. 1 Proposal Layout .................................................................................................................................................... 1 General Conditions ........................................................................................................................................................ 1 Introduction The regional partnership of the City of Buffalo, County of Erie, and County of Niagara (henceforth “BEN Region”) is seeking a consultant to coordinate and facilitate COVID-19 After-Action workshops and from those workshops create an After-Action Report / Improvement Plan (AAR/IP). In addition, the BEN Region is seeking a consultant to assist with developing a Logistics & Supply Chain Management Plan, updates and enhancements to the Continuity of Operation (COOP) Plans to address issues identified in the COVID-19 pandemic, and finally to develop and create a training plan/program for the Health & Safety of First Responders responding to a natural or man-made disaster. The project will be funded through the New York State Department of Homeland Security Fiscal Year 2020 Regional Catastrophic Preparedness Grant. Erie County will be the contracting entity of record. All grant funds must be expended no later than Tuesday, August 31, 2023. Background and General Description of the Project March 12, 2020 an Emergency Declaration was initiated by the Governor of New York State, County Executive of Erie County, County Manager of Niagara County, Mayor of the City of Buffalo, and many other municipalities within and surrounding these areas. Four projects should be addressed in answering this RFP: Project 1: Conduct, Facilitate and create an After-Action Workshop/Report/Improvement Plan for the COVID-19 Pandemic As the COVID-19 Pandemic affected many agencies throughout the region we are seeking a consultant to develop, with the help of Key Stakeholders, a series of two (2) After-Action workshops and one (1) tabletop exercise to identify strengths and gaps as individual entities and as a region. The consultant will provide an electronic version of the AAR/IP and one (1) hard copy to each the City of Buffalo, County of Erie, and County of Niagara. Project 2: Logistics & Supply Chain Management Plan Development During the COVID-19 incident – the region identified that improvements can be made on Logistics & Supply Chain Management. Currently, there is a general idea within the region on how to complete this, however during the COVID-19 incident it was identified that multiple agencies were competing for the same supplies/equipment. This caused delayed responses of getting Personal Protective Equipment (PPE) to those deemed essential workers during a pandemic or other large scale response. The region would like to develop a regional plan to purchase, order and distribute supplies/equipment regionally so that the competition is lessened and the region can redistribute to those agencies that need supplies/equipment more effectively and efficiently. The consultant will provide a template of a regional Logistic and Supply Chain Management Plan. Project 3: Continuity of Operations Plan (COOP) Update / Pandemic Enhancement Agencies in the region all have Continuity of Operations Plans, however it was identified that during the COVID-19 incident these may need to be adjusted as many more agencies are displaced/have staff limitations. Public Safety Answering Points (PSAPs) for example have identified that they need to address and update their plan for a pandemic. The consultant will provide a Pandemic update / enhancement template for the Continuity of Operations Plan. Project 4: First Responder Health & Wellness Training Plan It was identified during COVID-19 that training needs to be provided to first responders on infectious diseases, monitoring signs/symptoms, donning/doffing PPE, mental health of first responders/healthcare workers. The region would like to work on developing a more robust training program in regards to pandemics/infectious disease outbreaks. The consultant will provide a template of a training program / plan for First Responder Health & Wellness. Project Overview Erie County on behalf of the BEN Region seeks a consultant (henceforth “proposer”) to create and facilitate an after- action workshops/tabletop and create final after action report to identify strengths, gaps and areas of improvement in the response capabilities during the COVID-19 pandemic. In addition, the proposer will provide a template of a single agency and regional Logistic and Supply Chain Management Plan. The proposer will provide a Pandemic update / enhancement template for the Continuity of Operations Plan (COOP). Finally, the proposer will provide template of a training program / plan for First Responder Health & Wellness. Schedule of Events All times listed within shall be Eastern Standard Time Request for Proposal Released October 10, 2022 Questions Submitted to Project Coordinator October 20, 2022 Answers to questions published October 24, 2022 Proposals due October 31, 2022 Proposal Review November 3, 2022 Intent to award notification December 2, 2022 Contract approval and initiation December 9, 2022 Review Delivered to project group January, 2023 Scope of Work Each Proposer may submit for a single project, or multiple projects. Submissions must contain a timeframe which allows for the completion of all project deliverables no later than Monday, July 31, 2023. Project 1: Conduct, Facilitate and create an After-Action Workshop/Report/Improvement Plan for the COVID-19 Pandemic Each workshop should be available for up to 75 participants divided into the defined disciplines. Selection of a venue by Proposer is required (consult of regional partners is welcomed) with refreshments encouraged. Workshop #1 – AAR Workshop Invitees: Public Health, EMS, Fire, Police, Emergency Management, Hospitals, Ambulance Services, PSAPS, Funeral Directors, Medical Examiners, & Coroners, Lifeline Sector (e.g.,. Non-Traditional agencies – food, energy, etc.) For the AAR Workshop (Niagara / Erie Counties (Buffalo included in Erie)) - Separate Meeting by Discipline - Meeting for 4 hours with agencies involved to discuss their preparation and execution of plans in response to COVID-19 What were the strengths in their response? What can be identified as gaps/areas of improvement? Create a list of Action Items Workshop #2 – Presentation of Plans/Action Items Separate Meeting by Discipline- must have attended prior meeting Invitees: Public Health, EMS, Fire, Police, Emergency Managers, Hospitals, Ambulance Services, PSAPS, Funeral Directors, Medical Examiners, & Coroners, Lifeline Sector (e.g., Non-Traditional agencies – food, energy, etc.) Meeting for 4 hours with agencies involved Discuss modification in plans that were required in order to respond to COVID-19/future pandemics Additional information or ideas that were developed due to AAR Tabletop Exercise Invitees: Public Health, EMS, Fire, Police, Emergency Managers, Hospitals, Ambulance Services, PSAPS, Funeral Directors, Medical Examiners, & Coroners, Lifeline Sector (e.g., Non-Traditional agencies – food, energy, etc.) Bring all partners together 8 Hours – All disciplines will have attended prior meetings First 2 hours - Review implementation of plans modifications in preparation of future pandemics Second 6 hours - Tabletop of Pandemic Response- Erie County Epidemiology and Disease Control/ /Niagara County Communicable Disease will work together & develop a scenario with injects to simulate another outbreak and see if plans developed are responsive to another outbreak EMS Agencies – Commercial / Volunteer (Niagara / Erie Counties) PSAPS – (Niagara / Erie Counties) Fire Department – Professional / Volunteer (Niagara / Erie Counties) Hospital Organizations – (Niagara / Erie Counties) Police – (Niagara / Erie Counties) Emergency Managers (Erie County Municipal/Niagara County) Proposer shall also facilitate a location for the Tabletop exercise. Total cost allocated: Timeline for completion: Logistics & Supply Chain Management Plan Development This project will include a review of federal and state guidance and all existing plans from each entity to include but not be limited to: Comprehensive Emergency Management Plan, Public Health Emergency Preparedness and Response Plan, Strategic National Stockpile Plan, Public Health Asset Distribution Plan, and Emergency Support Function (ESF) 7 Annex. The plan should include a relevant discussion of procurement policies and purchasing waivers that are available routinely and under an emergency declaration. Total cost allocated: Timeline for completion: Continuity of Operations Plan (COOP) Update / Pandemic Enhancement This project will include a review of federal and state guidance and all existing agency and department COOP plans. Enhancements for pandemic related issues should be added and cover topics such as reduced workforce due to illness, social distancing, use of PPE in the workplace, alternate/redundant work locations, exploration of remote work options (telecommuting), virtual EOC operations, etc. Total cost allocated: Timeline for completion: First Responder Health & Wellness Training Plan This project will include a comprehensive training plan that includes at a minimum the following components: • Infectious Disease Transmission • Use of PPE (donning/doffing) • Monitoring for signs/Symptoms • Mental Health and Resiliency for prolonged events The training plan should be specific for each discipline (Public Health, EMS, Fire, Law Enforcement) as appropriate and include a variety of training methodologies. When possible, the trainings should be no cost and from a reputable training center or agency. Total cost allocated: Timeline for completion: Budget The budgeted amount awarded from the Regional Catastrophic Preparedness Grant Program is $184,833.00. All work performed must remain within this budgetary constraint as no additional funds have been allocated for this project. Submission Process Registration All firms wishing to participate in this process must register with Darien Pratchett, Erie County Department of Homeland Security & Emergency Services- Emergency Preparedness at darien.pratchett@erie.gov. All further information including addendums and contact from the BEN Region will be sent electronically. Proposal Submission Respondents shall submit in a sealed envelope one (1) signed proposal and one (1) digital copy (usb, cd-rom, dvd- rom) to: Darien Pratchett-Emergency Services Coordinator Erie County Public Safety Campus 45 Elm Street, 2nd Floor Buffalo, New York 14203 Proposals must be delivered by 3pm on October 31, 2022. Submissions received after 3pm will not be considered. Proposals may be delivered by United States Postal Service or Private Carrier (i.e. UPS, FEDEX, DHL) in a sealed envelope containing original proposal and copies should be marked as follows: “After Action Report Support-Covid- 19” RFP#. Question Process Questions regarding this RFP may be submitted to darien.pratchett@erie.gov prior to 3pm on October 20, 2022. Questions shall be answered for all submissions at a single time by email. Please ensure to whitelist darien.pratchett@erie.gov. Proposal Layout In order for Erie County to conduct a uniform review process of all proposals, proposals must be submitted in the format set forth below. Failure to follow this format, without consent of the BEN Region, may be cause for rejection of a proposal as this format is critical to the BEN Region’s evaluation process. For each Project: Proposal Section 1: Executive Summary This section must contain a brief outline of the proposal. Proposal Section 2: Firm Profile This section must address the Proposer’s qualifications and experience to carry out the requested service, inclusive of, but not limited to, qualification to do business in the State of New York, the number of years in business office locations, etc. Proposal Section 3: Project Approach This section must address: • This section will be used for carrying out all aspects of the project. mailto:darien.pratchett@erie.gov mailto:darien.pratchett@erie.gov mailto:darien.pratchett@erie.gov • Proposed quality control procedures that will be utilized to check out the accuracy of work. • Proposed education and marketing tools to promote the plan to our target market of the City of Buffalo, Erie County and Niagara County. Proposal Section 4: Project References/Project History Proposers shall submit with their proposal a listing of a minimum of three detailed references and a list of similar projects for the previous three years that can attest to the Proposer’s qualifications to do the work called for in this project. References should be recent clients of Proposer. Reference information should contain at minimum the following information: • Firm name • Firm address • Contact person phone and email • Project Title/Project Location • Brief description of goals • Checklist of goals Proposal Section 5: Project Management Team This section must describe the assigned team for the project as well as the resumes of key staff personnel. Included in this section should be a projection of hours intended to be spent on this project by each team member. The team allocated to the project may not be removed from the assignment without prior written consent of Erie County. Proposal Section 6: Cost The section must include the cost associated with the Proposer’s plan to carry out the requested services. A detailed budget should be included for each project. Proposal Section 7: Presentation Workload The Proposer shall include in the technical proposal an outline of the workload of the proposed staff to be involved in the project. Each task shall be identified by name percentage of work time taken by the project, and completion deadline. Proposal Section 8: Schedule and Detailed Timeline This section must include a schedule identifying all the major milestones of the work plan and a detailed timeline of all tasks and deliverable identified in the RFP. Proposal Section 9: Required Additional Documents This section must include the following: any other material the Proposer would like Erie County to consider when evaluating the proposal. a) Proposer Certificate b) Standard Insurance Provisions c) Equal Pay Certification d) MBE\WBE Certification General Conditions Please take notice, by submission of a proposal in response to this request for proposals, the proposer agrees to and understands: • that any proposal, attachments, additional information, etc. submitted pursuant to this Request for Proposals constitute merely a suggestion to negotiate with Erie County and is not a bid under Section 103 of the New York State General Municipal Law; • submission of a proposal, attachments, and additional information shall not entitle the proposer to enter into an agreement with Erie County for the required services; • by submitting a proposal, the proposer agrees and understands that Erie County is not obligated to respond to the proposal, nor is it legally bound in any manner whatsoever by submission of same; • that any and all counter-proposals, negotiations or any communications received by a proposing entity, its officers, employees or agents from the BEN Region, its elected officials, officers, employees or agents, shall not be binding against the BEN Region, its elected officials, officers, employees or agents unless and until a formal written agreement for the services sought by this RFP is duly executed by both parties and approved by the Erie County Legislature, the Erie County Fiscal Stability Authority, and the Office of the Erie County Attorney. • In addition to the foregoing, by submitting a proposal, the proposer also understands and agrees that Erie County reserves the right, and may at its sole discretion exercise, the following rights and options with respect to this Request for Proposals: o To reject any or all proposals; o To issue amendments to this RFP; o To issue additional solicitations for proposals o To waive any irregularities in proposals received after notification to proposers affected; o To select any proposal as the basis for negotiations of a contract, and to negotiate with one or more of the proposers for amendments or other modifications to their proposals; o To conduct investigations with respect to the qualifications of each proposer; o To exercise its discretion and apply its judgment with respect to any aspect of this RFP, the evaluation of proposals, and the negotiations and award of any contract; o To enter into an agreement for only portions (or not to enter into an agreement for any) of the services contemplated by the proposals with one or more of the proposers; o To select the proposal that best satisfies the interests of Erie County and not necessarily on the basis of price or any other single factor; o To interview the proposer(s); o To request or obtain additional information Erie County deems necessary to determine the ability of the proposer; o To modify dates; • All proposals prepared in response to this RFP are at the sole expense of the proposer, and with the express understanding that there will be no claim, whatsoever, for reimbursement from Erie County for the expenses of preparation. Erie County assumes no responsibility or liability of any kind for costs incurred in the preparation or submission of any proposal; • While this is an RFP and not a bid, Erie County reserves the right to apply the case law under General Municipal Law § 103 regarding bidder responsibility in determining whether a proposer is a responsible vendor for the purpose of this RFP process; and • Erie County is not responsible for any internal or external delivery delays which may cause any proposal to arrive beyond the stated deadline. To be considered, proposals MUST arrive at the place specified herein and be time stamped prior to the deadline. Contract After selection of the successful proposer, a formal written contract will be prepared by Erie County and will not be binding until signed by both parties and, if necessary, approved by the Erie County Legislature, the Erie County Fiscal Stability Authority and the Office of Erie County Attorney. NO RIGHTS SHALL ACCRUE TO ANY PROPOSER BY THE FACT THAT A PROPOSAL HAS BEEN SELECTED BY ERIE COUNTY FOR SUBMISSION TO THE ERIE COUNTY LEGISLATURE AND/OR THE ERIE COUNTY FISCAL STABILITY AUTHORITY FOR APPROVAL. THE APPROVAL OF SAID LEGISLATURE AND/OR AUTHORITY MAY BE NECESSARY BEFORE A VALID AND BINDING CONTRACT MAY BE EXECUTED BY ERIE COUNTY. The term of the contract shall be for a One (1) year period commencing __________, 20__ and terminating __________________, 20__ Erie County, in its sole discretion may extend the agreement beyond is initial term for up to two (2) additional year periods at the same prices and conditions. Indemnification and Insurance The proposer accepts and agrees that language in substantially the following form will be included in the contract between the proposer and Erie County: “In addition to, and not in limitation of the insurance requirements contained herein the Consultant agrees: (a) that except for the amount, if any, of damage contributed to, caused by or resulting from the negligence of Erie County, the Consultant shall indemnify and hold harmless Erie County, its officers, employees and agents from and against any and all liability, damage, claims, demands, costs, judgments, fees, attorneys' fees or loss arising directly or indirectly out of the acts or omissions hereunder by the Consultant or third parties under the direction or control of the Consultant; and (b) to provide defense for and defend, at its sole expense, any and all claims, demands or causes of action directly or indirectly arising out of this Agreement and to bear all other costs and expenses related thereto. Upon execution of any contract between the proposer and Erie County, the proposer will be required to provide proof of the insurance coverage described in Schedule “B”. Insurance coverage in amount and form shall not be deemed acceptable until approved by Erie County Attorney. Intellectual Property Rights The proposer accepts and agrees that language in substantially the following form will be included in the contract between the proposer and Erie County: All deliverables created under this Agreement by the Consultant are to be considered “works made for hire”. If any of the deliverables do not qualify as “works made for hire”, the Consultant hereby assigns to Erie County all right, title and interest (including ownership of copyright) in such deliverables and such assignment allows Erie County to obtain in its name copyrights, registrations and similar protections which may be available. The Consultant agrees to assist Erie County, if required, in perfecting these rights. The Consultant shall provide Erie County with at least one copy of each deliverable. The Consultant agrees to indemnify and hold harmless Erie County for all damages, liabilities, losses and expenses arising out of any claim that a deliverable infringes upon an intellectual property right of a third party. If such a claim is made, or appears likely to be made, the Consultant agrees to enable Erie County’s continued use of the deliverable, or to modify or replace it. If Erie County determines that none of these alternatives is reasonably available, the deliverable will be returned. All records compiled by the Consultant in completing the work described in this Agreement, including but not limited to written reports, source codes, studies, drawings, blueprints, negatives of photographs, computer printouts, graphs, charts, plans, specifications and all other similar recorded data, shall become and remain the property of Erie County. The Consultant may retain copies of such records for its own use. Non-Collusion The proposer, by signing the proposal, does hereby warrant and represent that any ensuing agreement has not been solicited, secured or prepared directly or indirectly, in a manner contrary to the laws of the State of New York and Erie County, and that said laws have not been violated and shall not be violated as they relate to the procurement or the performance of the agreement by any conduct, including the paying or the giving of any fee, commission, compensation, gift, gratuity or consideration of any kind, directly or indirectly, to any County employee, officer or official. Conflict of Interest All proposers must disclose with their proposals the name of any officer, director or agent who is also an employee of Erie County. Further, all proposers must disclose the name of any County employee who owns, directly or indirectly, an interest of ten percent or more in the firm or any of its subsidiaries or affiliates. There shall be no conflicts in existence during the term of any contract with Erie County. The existence of a conflict shall be grounds for termination of a contract. Compliance with Laws By submitting a proposal, the proposer represents and warrants that it is familiar with all federal, state and local laws and regulations and will conform to said laws and regulations. The preparation of proposals, selection of proposers and the award of contracts are subject to provisions of all federal, state and county laws, rules and regulations. The New York State Freedom of Information Law as set forth in Public Officers Law, Article 6, Sections 84 et seq., mandates public access to government records. However, proposals submitted in response to this RFP may contain technical, financial background or other data, public disclosure of which could cause substantial injury to the proposer's competitive position or constitute a trade secret. Proposers who have a good faith belief that information submitted in their proposals is protected from disclosure under the New York Freedom of Information Law shall: a) insert the following notice in the front of its proposal: “NOTICE” The data on pages ___ of this proposal identified by an asterisk (*) contains technical or financial information constituting trade secrets or information the disclosure of which would result in substantial injury to the proposer’s competitive position. The proposer requests that such information be used only for the evaluation of the proposal, but understands that any disclosure will be limited to the extent that Erie County considers proper under the law. If Erie County enters into an agreement with this proposer, Erie County shall have the right to use or disclose such information as provided in the agreement, unless otherwise obligated by law.” and b) clearly identify the pages of the proposals containing such information by typing in bold face on the top of each page " * THE PROPOSER BELIEVES THAT THIS INFORMATION IS PROTECTED FROM DISCLOSURE UNDER THE STATE FREEDOM OF INFORMATION LAW." Erie County assumes no liability for disclosure of information so identified, provided that Erie County has made a good faith legal determination that the information is not protected from disclosure under applicable law or where disclosure is required to comply with an order or judgment of a court of competent jurisdiction. The contents of the proposal which is accepted by Erie County, except portions "Protected from Disclosure", may become part of any agreement resulting from this RFP. Equal Pay Certification During the term of this Contract, the Consultant shall comply with Executive Order13 (2014), and the Consultant shall make such records available, upon request, to Erie County’s Division of Equal Employment Opportunity for review. Erie County shall have the right, upon reasonable notice and at reasonable times, to inspect the books and records of the Consultant, its offices and facilities, for the purpose of verifying information supplied in the Erie County Equal Pay Certification (Schedule “C”) and for any other purpose reasonably related to confirming the Consultant’s compliance with Erie County Executive Order No. 13 (2014). Violation of the provisions of Executive Order 13 (2014), which is attached hereto and made a part hereof, can constitute grounds for the immediate termination of this contract and may constitute grounds for determining that a bidder is not qualified to participate in future county contracts. EFFECTIVE PERIOD OF PROPOSALS All proposals must state the period for which the proposal shall remain in effect (i.e. how much time does Erie County have to accept or reject the proposal under the terms proposed). Such period shall not be less than 120 days from the proposal date. Schedule A PROPOSER CERTIFICATION The undersigned agrees and understands that this proposal and all attachments, additional information, etc. submitted herewith constitute merely an offer to negotiate with the County of Erie (the “County”) and is NOT A BID. Submission of this proposal, attachments, and additional information shall not obligate or entitle the proposing entity to enter into a service agreement with the County for the required services. The undersigned agrees and understands that the County is not obligated to respond to this proposal nor is it legally bound in any manner whatsoever by the submission of same. Further, the undersigned agrees and understands that any and all proposals and negotiations shall not be binding or valid against the County, its directors, officers, employees or agents unless an agreement is signed by a duly authorized County officer and, if necessary, approved by the Erie County Legislature, the Office of the County Attorney and/or the Erie County Fiscal Stability Authority. It is understood and agreed that the County reserves the right to reject consideration of any and all proposals including, but not limited to, proposals which are conditional or incomplete. It is further understood and agreed that the County reserves all rights specified in the Request for Proposals (RFP). It is understood and agreed that the undersigned, prior to entering into an agreement with Erie County, will properly execute the County of Erie Standard Insurance Certificate (example on pp. [ ] of this RFP), and that it will be complete and acceptable to Erie County. It is represented and warranted by those submitting this proposal that except as disclosed in the proposal, no officer or employee of the County is directly or indirectly a party to or in any other manner interested in this proposal or any subsequent service agreement that may be entered into. ___________________________________________________________________ Proposer Agency Name By: ___________________________________________________________________ Name and Title (Rev 3/11) County of Erie 95 Franklin St Buffalo NY, 14202 INSTRUCTIONS FOR COUNTY OF ERIE STANDARD INSURANCE CERTIFICATE I. Insurance shall be procured and certificates delivered before commencement of work or delivery of merchandise or equipment. II. CERTIFICATES OF INSURANCE A. Shall be made to the "County of Erie, 95 Franklin St, Buffalo NY, 14202" B. Coverage must comply with all specifications of the contract. C. Must be executed by an insurance company, agency or broker, which is licensed by the Insurance Department of the State of New York. If executed by a broker, notarized copy of authorization to bind or certify coverage must be attached. III. Forward the completed certificate to: County of Erie, (Department or Division) responsible for entering into the agreement for construction, purchase, lease or service. IV. Minimum coverage with limits are as follows: Vendor Classification A Construction and Maintenance B Purchase or Lease of Merchandise or Equipment C Professional Services D Property Leased To Others Or Use Of Facilities Or Grounds E Concession- aires Services F Livery Services G All Purposes Public Entity Contracts Commercial Gen. Liab. $1,000,000 per occ. $1,000,000 CSL $1,000,000 CSL $1,000,000 $1,000,000 CSL $1,000,000 $1,000,000 CSL General Aggregate $2,000,000 $2,000,000 $2,000,000 $2,000,000 $2,000,000 $2,000,000 $2,000,000 Products Completed Operations Liability $2,000,000 $2,000,000 $2,000,000 $2,000,000 $2,000,000 $2,000,000 $2,000,000 Blanket Broad Form Contractual Liability INCLUDE Contractual Liability INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE Broad Form P.D. INCLUDE X.C.U. (explosion, collapse, Underground) INCLUDE Liquor Law INCLUDE INCLUDE Auto Liab. $1,000,000 CSL $1,000,000 CSL $1,000,000 CSL $1,000,000 CSL $1,000,000 CSL $1,000,000 CSL Owned INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE Hired INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE Non-Owned INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE Excess/Umbrella Liab. $5,000,000 $1,000,000 $1,000,000 $1,000,000 $1,000,000 $5,000,000 $1,000,000 Worker's Compensation STATUTORY STATUTORY STATUTORY STATUTORY STATUTORY STATUTORY STATUTORY & Employer's Liability Disability Benefits STATUTORY STATUTORY STATUTORY STATUTORY STATUTORY STATUTORY STATUTORY Professional Liability $5,000,000 Erie County, To Be Named Add'l Insd. Gen. Liab., Auto Liab., & Excess Broad Form Vendors May Be Required Gen. Liab., Auto Liab., & Excess Gen. Liab., Auto Liab., & Excess Gen. Liab., Auto Liab., & Excess Gen. Liab., Auto Liab., & Excess Gen. Liab., Auto Liab., & Excess V. Construction contracts require excess Umbrella Liability limits of $5,000,000. VI. Coverage must be provided on a primary noncontributory bases. VII. Designated Construction Project General Aggregate Limit Per Project Endorsement CG 25 03 is required. VIII. If the concessionaire is required to have a N.Y.S. license to dispense alcoholic beverages an endorsement for liquor liability is required. IX. Waiver of Subrogation: Required on all lines unless noted. X. Transportation of people in buses, vans or station wagons requires $5,000,000 excess liability. XI. Workers Compensation: State Workers' Compensation / Disability Benefits Law Use Applicable Certificates Below: Workers Compensation Forms DBL (Disability Benefits Law) Forms CE-200 Exemption CE-200 Exemption C105.2 Commercial Insurer DB-120.1 Insurers SI-12 Self Insurer DB-155 Self Insured GSI-105.2 Group Self Insured U-26.3 New York State Insurance Fund XII. The "ACORD" form certificate may be used in place of the County of Erie Standard Insurance Certificate, provided that all of the above referenced requirements are incorporated into the "ACORD" form certificate. Erie County Equal Pay Certification In order to comply with Executive Order 13 dated November 6, 2014, we hereby certify that we are in compliance with federal law, including the Equal Pay Act of 1963, Title VII of the Civil Rights Act of 1964, Federal Executive Order 11246 of September 24, 1965 and New York State Labor Law Section 194 (together “ Equal Pay Law”). We understand that this certification is a material component of this contract. Violation of the provisions of Executive Order 13, which is attached hereto and made a part hereof, can constitute grounds for the immediate termination of this contract and may constitute grounds for determining that a bidder is not qualified to participate in future county contracts. We have evaluated wages and benefits to ensure compliance with the Equal Pay Law. We certify that we have not been the subject of an adverse finding under the Equal Pay Law within the previous five years and, in the alternative, if we were the subject of an adverse finding under the Equal Pay Law within the previous five years, we have annexed a detailed description of the finding(s). In addition, we have annexed a detailed description of any currently pending claims under the Equal Pay Law in which we are involved. ______________________________________ Signature Verification STATE OF _______________ ) COUNTY OF _____________ ) SS: A) ___________________________________________, being duly sworn, states he or she is the owner of (or a partner in) ________________________________________, and is making the foregoing Certification and that the statements and representations made in the Certification are true to his or her own knowledge. B) _______________________________________, being duly sworn, states that he or she is the Name of Corporate Officer _______________________________________, of _________________________________, Title of Corporate Officer Name of Corporation the enterprise making the foregoing Certification, that he or she has read the Certification and knows its contents, that the statements and representations made in the Certification are true to his or her own knowledge, and that the Certification is made at the direction of the Board of Directors of the Corporation. Sworn to before me this ______ Day of ______________, 20__ __________________________