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Vista Fence Company Inc; 2025-03-17; PWM25-3658UTIL
PWM25-3658UTIL Install Motorized Gate at Maerkle Reservoir Property Cont. No. 5009 Page 1 General Counsel Approved 6/5/24 CARLSBAD MUNICIPAL WATER DISTRICT MINOR PUBLIC WORKS CONTRACT INSTALL MOTORIZED GATE AT MAERKLE RESERVOIR PROPERTY CONT. NO. 5009 This contract is made on the _____________ day of _________________________, 2025 (“Contract”), by the Carlsbad Municipal Water District, a Public Agency organized under the Municipal Water Act of 1911, and a Subsidiary District of the City of Carlsbad, California (hereinafter referred to as “CMWD”) and Vista Fence Company, Inc., a California corporation, whose principal place of business is 1131 South Santa Fe Avenue, Vista, California 92083 (“Contractor”). CMWD and Contractor agree as follows: DESCRIPTION OF WORK. Contractor shall perform all work specified in the Contract documents for the project described by these Contract Documents (hereinafter called “Project”). PROVISIONS OF LABOR AND MATERIALS. Contractor shall provide all labor, materials, tools, equipment, and personnel to perform the work specified by the Contract Documents unless excepted elsewhere in this Contract. CONTRACT DOCUMENTS. The Contract Documents consist of this Contract, exhibits to this Contract, Contractor's Proposal, the Plans and Specifications, the General Provisions, as contained in the Standard Specifications for Public Works Construction “Greenbook”, latest edition and including all errata; Part 1 General Provisions, addendum(s) to said Plans and Specifications, and all proper amendments and changes made thereto in accordance with this Contract or the Plans and Specifications, all of which are incorporated herein by this reference. When in conflict, this Contract will supersede terms and conditions in the Contractor’s proposal. LABOR. Contractor will employ only skilled workers and abide by all State laws and City of Carlsbad Ordinances governing labor. GUARANTEE. Contractor guarantees all labor and materials furnished and agrees to complete the Project in accordance with directions and subject to inspection approval and acceptance by: Ray Martinez (CMWD Project Manager) PAYMENT. CMWD shall withhold retention as required by Public Contract Code Section 9203. PREVAILING WAGE RATES. Any construction, alteration, demolition, repair, and maintenance work, including work performed during design and preconstruction such as inspection and land surveying work, cumulatively exceeding $1,000 and performed under this Contract constitute “public works” under California Labor Code Section 1720 et seq., and are subject to state prevailing wage laws. The general prevailing rate of wages, for each craft or type of worker needed to execute the contract, shall be those as determined by the Director of Industrial Relations pursuant to the Sections 1770, 1773 and 1773.1 of the California Labor Code. Consistent with the requirement of Section 1773.2 of the California Labor code, a current copy of applicable wage rates may be obtained via the internet at: www.dir.ca.gov/dlsr/. Docusign Envelope ID: DA22E36B-8E3B-4EEF-B615-CFBBE3B53EB8 17th March PWM25-3658UTIL Install Motorized Gate at Maerkle Reservoir Property Cont. No. 5009 Page 2 General Counsel Approved 6/5/24 Contractor shall not pay less than the said specified prevailing rates of wages to all such workers employed by him or her in the execution of the Contract. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Labor Code Section 1776. DIR REGISTRATION. California Labor Code Section 1725.5 requires the Contractor and any subcontractor or subconsultant performing any public work under this Contract to be currently registered with the California Department of Industrial Relations (‘DIR’), as specified in Labor Code Section 1725.5. Labor Code Section 1771.1 provides that a contractor or subcontractor/subconsultant shall not be qualified to engage in the performance of any contract for public work, unless currently registered and qualified to perform public work pursuant to Labor Code section 1725.5. Prior to the performance of public work by any subcontractor or subconsultant under this Contract, Contractor must furnish CMWD with the subcontractor or subconsultant's current DIR registration number. CALIFORNIA AIR RESOURCE BOARD (CARB) ADVANCED CLEAN FLEETS REGULATION. Contractor’s vehicles with a gross vehicle weight rating greater than 8,500 lbs. and light-duty package delivery vehicles operated in California may be subject to the California Air Resources Board (CARB) Advanced Clean Fleets regulations. Such vehicles may therefore be subject to requirements to reduce emissions of air pollutants. For more information, please visit the CARB Advanced Clean Fleets webpage at https://ww2.arb.ca.gov/our-work/programs/advanced-clean-fleets. CALIFORNIA AIR RESOURCES BOARD (CARB) IN-USE OFF-ROAD DIESEL FUELED FLEETS REGULATION. Contractors are required to comply with the requirements of the In-Use Off-Road Diesel-Fueled Fleet regulations, including, without limitation, compliance with Title 13 of the California Code of Regulations section 2449 et seq. throughout the term of the Project. More information about the requirements and Contractor’s required certification is provided in Exhibit D. CONSTRUCTION MANAGEMENT SOFTWARE. Procore Project Management and Collaboration System. This project may utilize the Owner’s Procore (www.procore.com) online project management and document control platform. The intent of utilizing Procore is to reduce cost and schedule risk, improve quality and safety, and maintain a healthy team dynamic by improving information flow, reducing non- productive activities, reducing rework and decreasing turnaround times. The Contractor is required to create a free web-based Procore user account(s) and utilize web-based training / tutorials (as needed) to become familiar with the system. Unless the Engineer approves otherwise, the Contractor shall process all project documents through Procore because this platform will be used to submit, track, distribute and collaborate on project. If unfamiliar or not otherwise trained with Procore, Contractor and applicable team members shall complete a free training certification course located at http://learn.procore.com/procore-certification-subcontractor. The Contractor is responsible for attaining their own Procore support, as needed, either through the online training or reaching out to the Procore support team. It will be the responsibility of the Contractor to regularly check Procore and review updated documents as they are added. There will be no cost to the Contractor for use of Procore. It is recommended that the Contractor provide mobile access for Windows, iOS located at https://apps.apple.com/us/app/procore-construction-management/id374930542 or Android devices located at https://play.google.com/store/apps/details?id=com.procore.activities with the Procore App installed to at least one on-site individual to provide real-time access to current posted drawings, specifications, RFIs, submittals, schedules, change orders, project documents, as well as any deficient Docusign Envelope ID: DA22E36B-8E3B-4EEF-B615-CFBBE3B53EB8 Docusign Envelope ID: DA22E36B-8E3B-4EEF-B615-CFBBE3B53EB8 PWM 25-3658UTI L observations or punch list items. Providing mobile access will improve communication, efficiency, and productivity for all parties. The use of Procore for project management does not relieve the contractor of any other requirements as may be specified in the contract documents. FALSE CLAIMS. Contractor hereby agrees that any contract claim submitted to CMWD must be asserted as part of the contract process as set forth in this Contract and not in anticipation of litigation or in conjunction with litigation. Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act, provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of the information. The provisions of Carlsbad Municipal Code sections 3.32.025, 3.32.026, 3.32.027 and 3.32.028 pertaining to false claims are incorporated herein by reference. Contractor hereby acknowledges that the filing of a false claim may subject the Contractor to an administrative debarment proceeding wherein the contractor may be prevented from further bidding on public contracts for a period of up to five years and that debarment by another jurisdiction is grounds for CMWD to disqualify the Contractor or subcontractor from participating in contract bidding. Signature: Print Name: 1ylu-A. Griffiths REQUIRED INSURANCE. The successful contractor shall provide to CMWD, a Certification of Commercial General Liability and Property Damage Insurance and a Certificate of Workers' Compensation Insurance indicating coverage in a form approved by the California Insurance Commission. The certificates shall indicate coverage during the period of the contract and must be furnished to CMWD prior to the start of work. The minimum limits of liability insurance are to be placed with California admitted insurers that have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of California's List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best's Key Rating Guide of at least "A:X"; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAie) latest quarterly listings report. Commercial General Liability Insurance written on an "occurrence" basis, including personal & advertising injury, with limits no less than $2,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. Property damage insurance in an amount of not less than ........ $2,000,000 Automobile Liability Insurance in the amount of $2,000,000 combined single limit per accident for bodily injury and property damage. In addition, the auto policy must cover any vehicle used in the performance of the contract, used onsite or offsite, whether owned, non-owned or hired, and whether scheduled or non-scheduled. The automobile insurance certificate must state the coverage is for "any auto" and cannot be limited in any manner. Install Motorized Gate at Maerkle Reservoir Property Cont. No. 5009 Page 3 General Counsel Approved 6/5/24 PWM25-3658UTIL Install Motorized Gate at Maerkle Reservoir Property Cont. No. 5009 Page 4 General Counsel Approved 6/5/24 The above policies shall have non-cancellation clauses providing that 30 days written notice shall be given to CMWD prior to such cancellation. The policies shall name CMWD as an additional insured. The full limits available to the named insured shall also be available and applicable to CMWD as an additional insured. WORKERS COMPENSATION AND EMPLOYER’S LIABILITY. Worker’s Compensation limits as required by the California Labor Code. Workers’ Compensation will not be required if Contractor has no employees and provides, to City’s satisfaction, a declaration stating this. BUSINESS LICENSE. The Contractor and all subcontractors are required to have and maintain a valid City of Carlsbad Business License for the duration of the contract. INDEMNITY. Contractor agrees to defend (with counsel approved by CMWD), indemnify, and hold harmless CMWD, the City of Carlsbad, and its officers, elected and appointed officials, employees and volunteers from and against all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the performance of the Contract or work; or from any failure or alleged failure of Contractor to comply with any applicable law, rules or regulations including those related to safety and health; and from any and all claims, loss, damages, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by the Contract, except for loss or damage caused by the sole or active negligence or willful misconduct of CMWD. The expenses of defense include all costs and expenses including attorneys’ fees for litigation, arbitration, or other dispute resolution method. THIRD PARTY RIGHTS. Nothing in this Agreement should be construed to give any rights or benefits to any party other than the City and Contractor. JURISDICTION AND VENUE. This Agreement shall be interpreted in accordance with the laws of the State of California. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this Contract is San Diego County, California. Start Work: Contractor agrees to start within thirty (30) working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within sixty (60) working days after receipt of Notice to Proceed. CONTRACTOR’S INFORMATION. Vista Fence Company, Inc. 1131 S. Santa Fe Ave. (name of Contractor) 519456 (street address) Vista, CA 92083 (Contractor’s license number) C13-Fencing - 10/31/2025 (city/state/zip) 760.941.1629 (license class. and exp. date) 1000012912 - 6/30/2027 (telephone no.) jaime@vistafence.com (DIR registration number/exp. date) (e-mail address) Docusign Envelope ID: DA22E36B-8E3B-4EEF-B615-CFBBE3B53EB8 Docusign Envelope ID: DA22E36B-8E3B-4EEF-B615-CFBBE3B53EB8 PWM25-3658UTIL AUTHORITY. The individuals executing this Contract and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Contract. CONTRACTOR VISTA FENCE COMPANY, INC., a California corporation By: (sign here) Tyler A. Griffiths, Vice President (print name, title) By: (si~~ Jacob Robert Griffiths, Chief Financial Officer (print name, title) CARLSBAD MUNICIPAL WATER DISTRICT, a Public Agency organized under the Municipal Water Act of 1911, and a Subsidiary District of the City of Carlsbad By: Amanda L. Flesse, General Manager, as authorized by the Executive Manager ATTEST: SHERRY FREISINGER, Secretary By: .:'.J~ R.. --WV.,~ Deputy Secretary If required by CMWD, proper notarial acknowledgment of execution by Contractor must be attached. lf..s corporation, Contractmust be signed by one corporate officer from each of the following two groups: Group A Chairman, President, or Vice-President Group B Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CINDIE K. McMAHON, General Counsel BY: ___ bl_·-~-~-~--'tl.,--- Assistant General Counsel Install Motorized Gate at Maerkle Reservoir Property Cont. No. 5009 Page 5 General Counsel Approved 6/5/24 Docusign Envelope ID: DA22E36B-8E3B-4EEF-B615-CFBBE3B53EB8 PWM25-3658UTIL EXHIBIT A LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR Set forth below is the full name and location of the place of business of each sub-contractor whom the Contractor proposes to subcontract portions of the Project in excess of one-half of one percent of the total bid, and the portion of the Project which will be done by each sub-contractor for each subcontract. NOTE: The Contractor understands that if it fails to specify a subcontractor for any portion of the Project to be performed under the contract in excess of one-half of one percent of the bid, the contractor shall be deemed to have agreed to perform such portion, and that the Contractor shall not be permitted to sublet or subcontract that portion of the work, except in cases of public emergency or necessity, and then only after a finding, reduced in writing as a public record of the Awarding Authority, setting forth the facts constituting the emergency or necessity in accordance with the provisions of the Subletting and Subcontracting Fair Practices Act (Section 4100 et seq. of the California Public Contract Code). If no subcontractors are to be employed on the project, enter the word "NONE." SUBCONTRACTORS Type of Work to Business Name and Address DIR Registration License No., %of be No. & Exp. Date Classification Total Subcontracted & Expiration Contract Date NoQi No/It, __,-- ----- ~ Total% Subcontracted: ___ O ___ _ The Contractor must perform no less than 50% of the work with its own forces. Install Motorized Gate at Maerkle Reservoir Property Cont. No. 5009 Page 6 General Counsel Approved 6/5/24 PWM25-3658UTIL Install Motorized Gate at Maerkle Reservoir Property Cont. No. 5009 Page 7 General Counsel Approved 6/5/24 EXHIBIT B Install Motorized Gate at Maerkle Reservoir Property Security gate installation and front gate access modification JOB QUOTATION ITEM NO. UNIT QTY DESCRIPTION PRICE 1 Job 1 Modify existing Chain-link Double Gate replacing hinges with welded power hinges. Automate gate with All-o-Matic SW214 (DC) 1/2 HP Swing gate operator, Watchman W450 access point through Verizon cell service. Operator components to include AOM Loop Detector and Photo Eye Beam. All saw cutting to be patched and sealed. Front Gate on Applewood - Add Watchman W450 Access System and wireless access keypad. All other components to remain as is. Project bid using prevailing wages. $29,820.00 TOTAL* *$29,820.00 *Includes taxes, fees, expenses and all other costs. Docusign Envelope ID: DA22E36B-8E3B-4EEF-B615-CFBBE3B53EB8 Docusign Envelope ID: DA22E36B-8E3B-4EEF-B615-CFBBE3B53EB8 PWM25-3658UTIL EXHIBIT C LABOR AND MATERIALS BOND Bond No ACC006A001916 WHEREAS, the Board of Directors of the Carlsbad Municipal Water District has awarded to Vista Fence Company, Inc. (hereinafter designated as the "Principal"), a Contract for: INSTALLATION OF MOTORIZED GATE AT MAERKLE RESERVOIR PROPERTY CONTRACT NO. 5009 in the City of Carlsbad, in strict conformity with the drawings and specifications, and other Contract Documents now on file in the Office of the City Clerk of the City of Carlsbad and all of which are incorporated herein by this reference. WHEREAS, Principal has executed or is about to execute said Contract and the terms thereof require the furnishing of a bond, providing that if Principal or any of its subcontractors shall fail to pay for any materials, provisions, provender or other supplies or teams used in, upon or about the performance of the work agreed to be done, or for any work or labor done thereon of any kind, the Surety on this bond will pay the same to the extent hereinafter set forth. NOW, THEREFORE, WE, VISTA FENCE COMPANY, INC., as Principal, (hereinafter designated as the "Contractor"), and Allegheny Casualty Company as Surety, are held firmly bound unto CMWD in the sum of twenty-nine thousand eight hundred twenty dollars ($29,820), said sum being an amount equal to: One hundred percent (100%) of the total amount payable under the terms of the Contract by the City of Carlsbad, and for which payment well and truly to be made we bind ourselves, our heirs, executors and administrators, successors, or assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if the Contractor or his/her subcontractors fail to pay for any materials, provisions, provender, supplies, or teams used in, upon, for, or about the performance of the work contracted to be done, or for any other work or labor thereon of any kind, consistent with California Civil Code section 9100, or for amounts due under the Unemployment Insurance Code with respect to the work or labor performed under this Contract, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of the contractor and subcontractors pursuant to section 13020 of the Unemployment Insurance Code with respect to the work and labor, that the Surety will pay for the same, and, also, in case suit is brought upon the bond, reasonable attorney's fees, to be fixed by the court consistent with California Civil Code section 9554. This bond shall inure to the benefit of any of the persons named in California Civil Code section 9100, so as to give a right of action to those persons or their assigns in any suit brought upon the bond. Surety stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract, or to the work to be performed hereunder or the specifications accompanying the same shall affect its obligations on this bond, and it does hereby waive notice of any change, extension of time, alterations or addition to the terms of the contract or to the work or to the specifications. In the event that Contractor is an individual, it is agreed that the death of any such Contractor shall not exonerate the Surety from its obligations under this bond. Install Motorized Gate at Maerkle Reservoir Property Cont. No. 5009 Page 8 General Counsel Approved 6/5/24 Docusign Envelope ID: DA22E36B-8E3B-4EEF-B615-CFBBE3B53EB8 PWM25-3658UTIL This labor and materials bond may be approved as to form by the General Counsel for CMWD in counterpart, and the counterparts shall all constitute a single, original instrument. SIGNED AND SEALED, this __ 2_9_t_h ___ day of_ . Janua_r--"LY.~-----'' 2025. Vista Fence Company _(SEAL) (Principal) Tyl.er Tribble .. CE9 ___ _ (Name/Title) (Signature) Eric Fauerbach Attorney in Fact (Name/Title) (SEAL AND NOTARIAL ACKNOWLEDGEMENT OF SURETY-ATTACH ATTORNEY-IN-FACT CERTIFICATE) APPROVED AS TO FORM: CINDIE K. McMAHON General Counsel By: Assistant General Counsel Install Motorized Gate at Maerkle Reservoir Property Cont. No. 5009 Page 9 General Counsel Approved 6/5/24 Docusign Envelope ID: DA22E36B-8E3B-4EEF-B615-CFBBE3B53EB81.:-, __ ::egheny ~ CASUALT Y CO M PA N Y bond number: ACCO O 6AO O 1 916 One Newark Center, 20th. Floor, Newark, New Jersey, 07102-5207 PHONE: (973) 624-7200 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That ALLEGHENY CASUAL TY COMPANY, a corporation organized and existing under the laws of the State of New Jersey, having its principal office in the City of Newark, New Jersey, does hereby constitute and appoint Er i c Fauerbac h its true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said ALLEGHENY CASUAL TY COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal offices. This Power of Attorney is executed, and may be revoked, pursuant to and by authority of the By-Laws of ALLEGHENY CASUAL TY COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of ALLEGHENY CASUAL TY COMPANY at a meeting duly held on the 13th day of December, 2018. "RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the Corporation shall have the power to appoint, and to revoke the appointments of, Attorneys-in-Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2) any such Officers of the Corporation may appoint and revoke the appointments of joint-control custodians, agents for acceptance of process, and Attorneys-in-Fact with authority to execute waivers and consents on behalf of the Corporation; and (3) the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation, to be valid and binding upon the Corporation with the same force and effect as though manually affixed." IN WITNESS WHEREOF, ALLEGHENY CASUAL TY COMPANY has executed and attested these presents on this 31st day of December 2021 STATE OF NEW JERSEY County of Es ex rt Kersnlck Vice Pre&ide11t. ALLEGHENY CASUALTY COMPANY On this 31st day of December, 2021, before me came the individual who executed the preceding instrument, to me personally known, and, being by me duly sworn, said he is the therein described and authorized officer of ALLEGHENY CASUAL TY COMPANY; that the seal affixed to said instrument is the Corporate Seal of said Company; that the said Corporate Seal and his signature were duly affixed by order of the Boards of Directors of said Company. IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the City of Newark, New Jersey the day and year first above written CERTI FICATION I, the undersigned officer of ALLEGHENY CASUAL TY COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Sections of the By-Laws of said Company as set forth in said Power of Attorney, with the originals on file in the home office of said company, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand on this 2 9th day of ______ J_a_n_u_a_r~y~2_0_2_5 ___ _ James Portman, Secretary ACC-9001 (06/21) PWM25-3658UTIL Install Motorized Gate at Maerkle Reservoir Property Cont. No. 5009 Page 10 General Counsel Approved 6/5/24 EXHIBIT D IN-USE OFF-ROAD DIESEL-FUELED FLEET REGULATION REQUIREMENTS CARB implemented amendments to the In-Use Off-Road Diesel Fueled Fleets Regulations that apply broadly to all self-propelled off-road diesel vehicles 25 horsepower or greater and other forms of equipment used in California. More information about the requirements can be found at https://ww2.arb.ca.gov/our-work/programs/use-road-diesel-fueled-fleets-regulation Contractors are required to comply with the requirements of the In-Use Off-Road Diesel-Fueled Fleet regulations, including, without limitation, compliance with Title of the California Code of Regulations section 2449 et seq. throughout the term of the Project. CMWD is a “Public Works Awarding Body,” as that term is defined under Title 13 California Code of Regulations Section 2449(c)(46). Accordingly, the Contractor must submit, with their pre-award contract documents, valid Certificates of Reported Compliance (CRC) for the Contractor’s fleet, and for the fleets of any listed subcontractors (including any applicable leased equipment or vehicles). Failure to provide a valid CRC, will limit CMWD’s ability to proceed with awarding this Contract. Contractor has an on-going obligation for term of this Contract to provide copies of Contractor’s, as well as all listed subcontractors, most recent CRC issued by CARB. Throughout the Project, and for three (3) years thereafter, Contractor shall make available for inspection and copying any and all documents or information associated with Contractor’s and subcontractors’ fleet including, without limitation, CRC, fuel/refueling records, maintenance records, emissions records, and any other information the Contractor is required to produce, keep or maintain pursuant to the Regulation upon two (2) calendar days’ notice from CMWD. Docusign Envelope ID: DA22E36B-8E3B-4EEF-B615-CFBBE3B53EB8 Docusign Envelope ID: DA22E36B-8E3B-4EEF-B615-CFBBE3B53EB8 PWM25-3658UTIL EXHIBIT D (CONT.) IN-USE OFF-ROAD DIESEL-FUELED FLEET REGULATION CERTIFICATION Contractor hereby acknowledges that they have reviewed the CARB's policies, rules and regulations and are familiar with the requirements of In-Use Off-Road Diesel-Fueled Fleet Regulation. Contractor hereby certifies, subject to the penalty of perjury, that the option checked below relating to the Contractor's fleet, and/or that of their subcontractor(s) ("Fleet") is true and correct: D The Fleet is subject to the requirements of the Regulation, and the appropriate Certificate(s) of Reported Compliance have been attached hereto. D The Fleet is exempt from the Regulation under Section 2449.1(f)(2), and a signed description of the subject vehicles, and reasoning for exemption has been attached hereto. D Contractor and/or their subcontractor is unable to procure R99 or R100 renewable diesel fuel as defined in the Regulation pursuant to Section 2449.1(f)(3). Contractor shall keep detailed records describing the normal refueling methods, their attempts to procure renewable diesel fuel and proof that shows they were not able to procure renewable diesel (i.e., third party correspondence or vendor bids). D The Fleet is exempt from the requirements of the Regulation pursuant to Section 2449(i)(4) because this Project has been deemed an "emergency", as that term is defined in Section 2449(c)(18). Contractor shall only operate the exempted vehicles in the emergency situation and records of the exempted vehicles must be maintained, pursuant to Section 2449(i)(4). ~ The Fleet does not fall under the Regulation or are otherwise exempt and a detailed reasoning is attached to this certification. Name of Contractor: Vista Fence Company, Inc. Name: Tyler A. Griffiths Title: Vice President Date: Install Motorized Gate at Maerkle Reservoir Property Cont. No. 5009 Page 11 General Counsel Approved 6/5/24 ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 11/7/2024 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. 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). PRODUCER CONTACT Gerrv Johnston NAME: RG Business Insurance Agency, Inc. PHONE 626-214-7900 I FAX 626-214-7969 CDS Insurance Services IA/C No Extl: IA/C Nol: E-MAIL 2001 E. Financial Way, Suite 201 ADDRESS: aiohnstonc@rabusinessinsurance.com Glendora, CA 91741 INSURER(Sl AFFORDING COVERAGE NAIC# Agency License #: 0555729 INSURER A: Continental Casualtv Comoanv 20443 INSURED INSURERB: lnfinitv Select Insurance Comoanv 20260 Vista Fence Company Inc. INSURERC: 1131 S. Santa Fe Ave. Vista CA 92083 INSURERD: INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER: 82662472 REVISION NUMBER: 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. INSR ADDL SUBR POLICYEFF POLICY EXP LTR TYPE OF INSURANCE IM<>n wvn POLICY NUMBER !MM/DD/YYYYl !MM/DD/YYYYl LIMITS A ✓ COMMERCIAL GENERAL LIABILITY ✓ 7039020142 10/9/2024 10/9/2025 EACH OCCURRENCE $1,000,000 -□ CLAIMS-MADE W OCCUR DAMAGE TO RENTED PREMISES /Ea occurrence I $1,000,000 MED EXP (Any one person) $10 000 - PERSONAL & ADV INJURY $1 000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 ~ [2J PRO-DLoc PRODUCTS -COMP/OP AGG $2,000,000 POLICY JECT OTHER: $ B AUTOMOBILE LIABILITY 50018572701 10/29/2024 4/29/2025 COMBINED SINGLE LIMIT $1,000,000 !Ea accidentl - ✓ ANY AUTO BODILY INJURY (Per person) $ -OWNED ~ SCHEDULED AUTOS ONLY AUTOS BODIL y INJURY (Per accident) $ -HIRED ~ NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY /Per accident} $ -~ $ A _.,r_ UMBRELLA LIAB r1 OCCUR 7039020979 10/9/2024 10/9/2025 EACH OCCURRENCE $2 000,000 EXCESSLIAB CLAIMS-MADE AGGREGATE $2,000,000 DED I ✓ I RETENTION $10,000 $ WORKERS COMPENSATION I PER I I OTH- AND EMPLOYERS' LIABILITY STATUTE ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE □ N/A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ ~~;i~rt-¥f~~ ~nl~PERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Carlsbad is named as Additional Insured under the General Liability per the attached. Project: All Operations CERTIFICATE HOLDER CANCELLATION City of Carlsbad/CMWD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN c/o EXIGIS Insurance Com~liance Services ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 4668 -ECM #350 0 NewYork NY 10163-4668 AUTHORIZED REPRESENTATIVE ~1-~ I Roger Gutierrez © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 82662472 I 24-25 GL/AUTO/UMB I Marlene Custer I 11/7/2024 11:31:01 AM (PST) I Page 1 of 6 CNA BLANKET ADDfflONAL INSURED-OWNERS, LESSEES OR CONTRACTORS • WITH PRODUCTII COIIPLETB> OPERATIONS COVERAGE AND LIABILJTYEXIENIION ENDORIElENT Thlt endorlement modlllN llnMlrance Jlll)•1ded under 1h8 lbllowlng: BUSINESSOWNERS LIABILITY COVERAGE PART BUSINESSOWNERS COMMON POLICY CONDITIONS TABLE OF CONIENTS I. Blankat Addltlllnal lnaunid-lnducllng Prh•~onwnblbutary invlllon II. Llabllty Exlllmlon c-....-,,_ Badly Injury-Expanded DeflnHlon a. BNad Kr,c11d1dg1 or~ C. E■talN, Legal Rlpn•nlall-ancl lpo- D. Fellow EmployN Fht Aid E. PMlctnal and Advaltl•lnl lnJury-DIKlfnjMtlon or Humllatlon F. PMlctnal and Advaltl•lnl lnJury-Bl'Nllanad Eviction G. Wahv fll lml'Olatlon -Blanbt H. Additional ._urecl -EdendCld C0\•1'111• I. BLANKET ADDITIONAL INSURED PROV1810N8 A. 'Who la An lnauNd Is amended lo lnc:bl• aa an adllt!DIIIII lnaured Brr/ pen10n or organization whom you are required ~ "1.11111111 contract" to add • an adlltlonal lnlured on Ille Bualnwa.mers Lllbll~ Covel'IIII• Fonn. a. The lnaurence p,ovlded to Ille llddlllonal lnaulld 11 limited • folloWI: 1. 1be per-, or organization la an additional Insured only with niepect to •blllly for "llodlly 11'1,lury,• •property dam...-,• or "IMl"OIIII end a.dveitlalng la1ury" ceuNd in whole or in patl by: L YO!a' acta or omllllons: or b. Tlw acts or omlalona ofthOl8 8161g on your behalf in lhe perfom1111ee of your ongoing operation■ apeciliod in the "wiltbN1 c.,ntrac1"; or c. "Yair work" that la speclfled In the wllllen conlnict but only far "bodily Injury" or "property d9mqe" included in tho pn:iducta completed oper9tio111 heuld, end o~ if: (1) The '\witttan c:ontrad" requires yo11 to pnwld8 1h8 addltlonal lnaured IIIICh o:M1111110illlld (2) Thia Coverage Pllt prcr.1cles 1Qch coverage. 2. Subfect alnya lo Iha tanns and condlllor8 of 1h18 polcy, lnduA,g Iha llmllB of ln8WMC8, we wl not p,ovlde sucl'I eddltlonal l..ired wltli: L Coverage broader than reqllhld by the "wrltlen contract": SB146835E (10-18) Paget !..ired Neme:vi.,a,-eoq.,..., ~ht IXA M Rlgl!'-R 8ZHM1Z I Ji-» Clr./MI~ I ~I.-.• e.a.tai: I 11,MJZoa-t 11;31;01 ilQI OM) I P-.. J of I Pdicy N0lnmolo1<12 EndOINll'Ulnt No: Elrectlva Dala:1~ CNA b. A higher 11ml of Insurance than required by Iha "wrlllan cont!Kt." C. Tho insurance providocl to the additio .. l i111Ured dON not apply to "bodily lnJury, • "property dlmlQI." or •.,.._i and advarllll111 ~..,-arising out of. L The rendering d, or the falure to render, 81,:, p,ol'tleei.inel lldlilln:lural, engineering, or -,ing aeMC811, lndudlng: (1) 11w pniparing apprvving, or failirG ID 1J111P8A1 or approve mllP8, shop dnlWinga, opinions, repclla, a,iwya, field ordel&, change crdara or chwlngs and apedftcallona; and (2) Supe~. lnapec:tkJn, archlteclural or engblerlng adMllee; or b. Nrf pleffliHI o, wot1t for .tiidl tho additional insuted i$ apecificelly liS!ed • en edditionel lnaured an another 81 llknamenl altadNKI ID this Polley. D. Notwilhstending enytl-ing to the connry in 1he Olhot lnsutMCe condition of Ille Butineuo:M1at1 Common Poley Condition&, this lnauranca II eve of all o1her l118Uranco avallahle ID the addltlonal lnaured, wlle1hor an a primary, 8Xf , "'ln1fngont or any olher balla. But If raqulred by the ■..1llbw1 connct. • thi9 inllnnCO will be pri1111ry and non-c:oncri,ull)ry relltive lo ineuranco on wlich the addltlonal lnaurad Is a Naned 11111188d. E. Under Blllln•townera Llabllty Concltlona, 1he DullM In the Ewnt of Occurrence, OlfMN, Claim or Sult ccndltlon Is am111ded ID add the folkMlng additions! condltlona applcabla lo Iha adlltlanal lnauntd 18 amondocl ea folloWs: NI addltlonal Insured IDier this endorwl181 it wl aa _.. u prac1fcable: L Giw us writbln notioa vi an "occ:41,nm:e" or an off8n99 Ylhidl n-.y ,wijj in a claim or "•It" under 1h11 ln818'81lC8, and of any clalm or ■.ult" 1hal doea niswl; b. Tender the dara N and lndamnll)< of any dalm or "aull" to any other lnsurar or •If lllllirer _._ pclcy or program appllae ID all loaa we aM1r Lllder 11118 Pdlcy; c:. Except • pnwldad In Paragraph B.3. of this endcnemanl, agree ID nwke avallabla any other Insurance Ille addltlonal lnaured 1111a far a 1Da8-C01111r 1a1derthl1 Polley; and d. Send .. coplea of •• , papare rac:alvad. mid Olh-iae c:ooperate with UI In the IIMl81lgatlon, defenae, or lllllllement or Ille dalm or ■.ult.• Wa hava no duty to defend or lndamnlfy an addltlonal lnaured under this endcnemant un111 wa reealve 1hlm Iha adclUCII 181 lnaullld Wlltllln nallca d a dalm or ■.ult." F. Und.-Llallllltyand Madlcal Ellpanae Datlnlllons, lhafollowlng daflnltlon Is added: "Wrflilln canhct" mean11 a wailDn connct or 119rea,..,,t that n,quirea you ID nmke a perwon or organlza1lan an addltlonal lnaurad on 1h11 pollcy, provided Iha c:onlract or &gr9111181 it: L 11 c:umin!ly in ell'vc:I or beco11189 atracti\'9 dumg Iha tarm of tit policy; and b. W• executed prior II>: (1) The "lloclly ~ or "property •maae": or (2) The offall88 lhat CRined Iha °'plnlenal and advarllalng lnJur(; SB146835E (10-18) Page2 Insured Name: for whieh Iha additional insuted seeks~- ~lit!XA Al Rlgl!'-R ..i. 8ZHM1Z I Ji-» Clr./MI~ I ~I.-.• e.a.tai: I 11,MJZoa-t 11;31;01 ilQI OM) I P-.. J of I PdicyNo: End01N111ant No: Effective Data: CNA II. LIABUTY EXIENBION COVERAGES It la 1mde.aluod and agreed that 1h19 endoraemant emends the Bualn111w,»-11 Llabllly eova,... Fonn. If any other endorsement e1laclled ID 1111$ polley amenda any pnwlalon al8o emended by 11111 endollement, lhen that olher o. idiawment c:onllvls di R19pel:i fD aui;h provision, and the c:hqee made by thi• endo191111111nt ID auc:h provision do not apply. A. BodllJ Injury-Expandad Detlnlllan Under Llabllty and llleclc.J Expen... Del'lltlona, Iha definition of "Bodly lnJu,y" iS deleled and replaced with the folOlll!ng: •Bodily 1!1u,y"' moena pllylicel iliuty, liclu!IIS or dileue austained by • pet90n, including deelh, humlatlon, shock, mental anguish or menlal lnJiay by that penon at any the which .-,Its a a conaequ1111011 d Iha physical Injury, aldcneaa or di-. Under BualnHtCMnw. Llabllty conditions, the condition entitled Dull• In Thi Evln1 of Occ:unwnce, Otra-. Claim or Sult la amended to add the folOlll!ng: PalWIQraplll .. Nld b. apply to )'DII ot to any additional insured only v.11en IUch ~. olfeneo, dalm or "aull" Ill known to: (1) You or any additional in1111Rld that i• an individual; (2) MY parlner, Ir you or an addltlonll Insured la e patne19hlp: (I) MY manager, If you or an adlltlonal llllllnll 18 a llmllad lablllty company: (4) MY "IIUCGIII.. r.iffl ar" or lneurance manager, If you or an addllonal ln111red la a eo.poiatlu.,, (S) Nl'f lluslee, if ,OU or en edditionel ineul'8d ii• lr\la1; or (I) My elected or appointed official, If )'DU or an adcltlonal Insured 18 a pollllcal aubdlvllllon or public entity, Thia paragraph •· applies aeparately ID ,ou and any additional lnaured. C. Enda, Lepl RepnNllhllw and SpDU- The .. latN, hen, legal 1'8P/818111atiVM and tpOI 1908 of any natural pGIIOn ineured llhell alto be inlured under lhla polcy; pnwldad, ho!.•Je'IW, CDWllllgB la afforded ID auc:h Nlal&&, helra, legal nipr88lllllatlv en,;t spouset only for clelffl8 ellalng solely out of Ills ~ • tlJCh and, In the cue of a 1P01•e. when, 11uch daim leek■ dmnqDB from marital commor, p,ope,ty, joiflllY held property, or property 1nlll8fa11ed tram such 1'111111ral pan10n lnaunid ID such spouae. No -.ga la pnwldad for 8tr'/ act, anor or omlalon of an estate, heir, legal rep1'88811ta11Ye or apou" oulslde Iha ecope tit tuch pet1011'a capacity a such, PRMded tv,_. 1hat the spouse Gf a natural penon Named lnllnd and the spousr.11 of mambanl or pmtn818 of Joint venua or paltnarahlp Named llllllndl are lnaunidll v.1th l'88pllCl to such 8PGIII u· 11da, errora «on•1alcn1 ln11le con.-ict of the Named lnaurecrs buelneet. D. fallow Empio,aa flrat Aid C-■1a In 1he aictlon en1lllad Who Is An lnaurad, paragraph 2.a. 1. Is amended to add lhe followlng: SB146835E (10-18) Paga3 Insured Name: ~ht!XA Al Rlgl!'-R ..i. 8ZHM1Z I Ji-» Clr./MI~ I ~I.-.• e.a.tai: I 11,MJZoa-t 11;31;01 ilQI OM) I P-.. 4 of I PdicyNo: EndOINll'Ulnt No: Effective Data: CNA The ll1r1lllltlo,11 dasalbed In subparagraph& .2.■,1.(a), (b) and {c) do not apply to your "IIIIPI...-for "bodily lnJul'f' lhat .-ilia tmm pl'Oll!dlng canllopanon■ry resuacllatlon or o!herflrst aid BMl!ce& to a co- "emplo,M" or "volunlNr worw 1hat beec,met nee: IMfY v.tiile ,our -.mpio,te" ii performing dutiOI In the conduct of yu .. bulln888. Your "ampla, 111" 818 henlby l111Urada for auc:h sal'IIIC&B. But the Insured status confemid by thlt pl'Olllalon does not apply to ■.mlllo, HI" 1MlOl8 ~ In your bUIIM8$ 111111 to lffl)'<ide pnm,eeional health care --,iee9 or health uaminations, E. PaNolllll llld AdVeltlsllll lnJury-Dllcllnndon or Humllatlon 1. Undar l.lalllllty and lladk■I Elqlan-De1'1111ona, Iha dallnlllon of 'Pa,...J and ■cm11ll■ln9 lnJu,y" ii amended to add the followlrci: h. DIIICllrnncdlan or humlllallan that 181111118 In Injury to the faalnga or niputatlon of a natural pereon, but only if t4leh dillcriminetion or h1■nlielion is: (1) Not clane lntan11onllly by or at the dlrec:aan of: (a} The lnaurad; or {b) Any ■.ueuuv. ollleai," diredor. eb:kholder, pertner, meniler or maiavar (If you are a lmlt■d llablty mmpany) of the lnlllnd; and (2) Not diree!ly or indireclly releted ID 1M em~ protpocliw lffl1)!oyment. pat employment or tannlnatlon of employment of any pamon or pan10n by any lnaunK!. 2. Under a. Exalualona, 1. Applkl■bla lo au■r-Ll■lllllty c-rage. Iha axclualon enlltlad Pal'IOnel Gld Adveit.lng Injury II emended to add the fcllOH19 addlllonal «xdllclon&: (15) DlaCllmllnlltlan R911111ng ID Room, DMlllng or PNmlN■ Cau119d by dllaldnallon dlnielly or lndll1IC!ly ralatecl to the llllle, Nnlal, 1-or MI- ia.a or pn 18f 'Cll:tlva aala, nintal, leaa8 or sub-I-of any room, dwelllng or pramlleB by or at the direc:tiorl of any insured. (11) Emplop1811t Related Dllcmilnatlon Dlac:llmlnatlon or humlllatlon dlrec:lly or lndlrec:lly related to the eq,loymant, proapec:tlva empllr/fflent. pasl employment or lllnnlnatlon of emplo'/mclnt al any pe,-a by any insured. (17) FIIMaarPlln■IIIN Fin• or pallllllas lcwlad or lmpoNd by a gcM1111mantal entity bac:ausa of dlm.,6 ... Uan. 3. Thi11 p,owiaioii (Panional Ind ~na Injury -DIICllmllnlltlan or Hnll■tlan) doee not apply It Pll1110nal and Adwr11alng In.Jury Llulllty Is excluded either by tha pl'Oll!slons of Iha Polley or by endotserneftt. F. Paraonal and Acm1r11■1111 lnJury • Broadened Evldlon Under Ullblllty and llhclc:al Elpa-Detlnllona, Iha ddlltlon of "Personal and INIWi lhllng l~u,y' 1B amendad to delete Plllllgraph c. and niplaca n with Iha followfng: c. Tha wrongful avlcllan fium, -,gful ,ent,y Into, or Inman of tha right of prlvale occupancy of a room dwell~ or premlw that a pcnm, or crgantzallon GCaJpllla can111111t8d by or on behalf of Ila owner, lsndlold or leMot. SB146835E (10-18) Policy No: Page 4 End01N111ant No: Insured Name: ~ht!XA Al Rlgl!'-R ..i. 8ZHM1Z I Ji-» Clr./MI~ I ~I.-.• e.a.tai: I 11,MJZoa-t 11;31;01 ilQI OM) I P-.. S of I Effectlva Dale: CNA O. Wa!wr di S.n,gaton -Blanllllt We waive any right of l1ICIMIIY we may hava against: 1. My pinon w organization wi1h whom yvu hllW a written c:onlnld that n,quirw auch a waiwr, H. AddltJonal lnturad -Extended CCMln.ge Whan an addltlonal lnaullld 18 added by 1h18 or any Dlhar end01N111ent allllchad to lhlB c-ag& Plllt, Iha eection entilled Who .. An lntured ii emended ID meke Iha following na1UNI pellON i...ureda: If Iha addlllDnal lnlllnd la: 1. NI lmlvldual, 1hlln hla or her 1J11D11N la an lnllunid; 2. A parlnetlllip or joint ventu,e, then ill patlnett, mernbe1'1 911d th~., tfCl 111 are iMUl'eda; 3. A llmltad lablltly ccmpany, than Ila members m,d mm,BQM8 -llllllnda; 4. NI orgenlza1lon olh• than a pmtmnhlp, joint venture or llmltad lleblty CC1f1111111Y, then Its llllUICllllva afflcara, dlrac:IDnl BIid ahal'IIIIDldels -lnsands; or &. My 1ypa of entity, then Ila emplD)'BN are l11111rada; but Oliy with~ to locatiu,1& ■ild opc,ntione CD',i&ed by the additional imlured enclorwmenfa pRNIIIDIIB, and anlywtth raapac.t lo their ....,tedlva nil• within their organlz:a!lona. Fudhennora, em~• of addltlonel INUreda ere not lnllndl wttll respect to lllbllty arlllng out ol'! (1) "Bodlly lnJur," ar "panonal and advaltlal111 lnJia," to any fallow employee or to any nalural pereon llated In pereg"l)lla 1. thn,uah,.eboW: (2) "Prapelty damq.-to property ownad, oca,pled or 1188d by lllelr empll,fer or by any fallow employee; or (J) Plollklng ar fa■ng tD pnwlde profealonal health Cll/8 88MC88. All olher 1llrn1' and conditions of the Poley AIIIWin unchanged. Thia endanlement, v.tlk:h folllVI a part d and Is for allaclvnant to Iha Polley l11111ad by the d881gnaled lnaurers, lalca8 effect on the elredive dale of Mid Policy at the hoW stated in Uid Poley, ..,INa another effective date ii•~ below, and .... n1ras conc:umin!IY -1th llllld Pol""'. SB146835E (10-18) Page5 Insured Neme: ~ht!H\Allllgl!'-R ..i. 8ZHM1Z I Ji-» Clr./MI~ I ~I.-.• e.a.tai: I 11,MJZoa-t 11;31;01 ilQI OM) I P-.. I of I PolieyNo: EndOINlllanl No: Effecllva Data: ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 1/14/2025 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. 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). PRODUCER NAM1:~"' ADRIANA HERNANDEZ Matriarch Insurance Services, Inc. rtgN:o, Extl: (916) 917-0525 I {..VC, No): 7653 Lily Mar Lane C•m~~ adriana@matriarchinsuranceservices.com ADDRESS: Antelope CA 95843 INSURER(S) AFFORDING COVERAGE NAIC# Lie# 6012874 INSURER A: TECHNOLOGY INS CO INC 42376 INSURED INSURERB: Vista Fence Company, Inc. INSURERC: 1131 S. Santa Fe Avenue INSURERD: Vista CA 92083 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. 1·;:-;R TYPE OF INSURANCE INSD WVD POLICY NUMBER !MMroo!Ym') 1iAM1001YYYYJ LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ -D CLAIMS-MADE OoccuR 1..1ri.1v1rn.;,1... I U 1,1...1 11 C.U PREMISES (Ea occurrence) $ f-- MED EXP (Any one person) $ -PERSONAL & ADV INJURY $ f-- GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ Fl □PRO-DLoc PRODUCTS -COMP/OP AGG $ POLICY JECT OTHER: $ AUTOMOBILE LIABILITY (Ea accidentf'N(.;LI:: LIMI' $ -ANY AUTO BODILY INJURY (Per person) $ f--OWNED -SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ --HIRED NON-OWNED (P~-,,~~id~~trMA(.;I:: $ f--AUTOS ONLY -AUTOS ONLY $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ f--EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION KlsTATUTE I IUIH· ~ND EMPLOYERS' LIABILITY ER Y/N A ~NY PROPRIETOR/PARTNER/EXECUTIVE [TI N/A TWC4492709 10/01/2024 10/01/2025 E.L. EACH ACCIDENT $ 1,000,000 PFFICER/MEMBER EXCLUDED? Y y (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ 1,000,000 If yes, describe under $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All Operations. Blanket Waiver of Subrogation applies to Workers Compensation Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Carlsbad/CMWD ACCORDANCE WITH THE POLICY PROVISIONS. c/o EXIGIS Insurance Compliance Services AUTHORIZED REPRESENTATIVE P.O. Box 947 Adr~ He.it'"~ I Murrieta CA 92564 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Any person or organization as required by written contract. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subse,quent to preparation of the policy.) Endorsement Effective Insured Insurance Company WC 04 03 06 (Ed. 04-84) 10/1/2024 Policy No. TWC4492709 Vista Fence Company, Inc. Technology Insurance Company, Inc. Endorsement No. 1 Premium$ 14,969 Countersigned by __________________ _