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HomeMy WebLinkAboutOceanside Auto Country Inc d.b.a. Toyota Carlsbad d.b.a. Eco Friendly Auto Spa; 2025-04-15; PSA25-3700FLTPSA25-3700FLT City Attorney Approved Version 5/22/2024 Page 1 AGREEMENT FOR AS NEEDED CAR WASH SERVICES OCEANSIDE AUTO COUNTRY, INC. THIS AGREEMENT is made and entered into as of the ______________ day of _________________________, 2025, by and between the City of Carlsbad, California, a municipal corporation ("City") and Oceanside Auto Country, Inc., a California corporation, d.b.a. Toyota Carlsbad d.b.a. Eco Friendly Auto Spa ("Contractor"). RECITALS City requires the services of a consultant that is experienced in as needed car wash services. Contractor has the necessary experience in providing these services, has submitted a proposal to City and has affirmed its willingness and ability to perform such work. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contractor agree as follows: 1.SCOPE OF WORK City retains Contractor to perform, and Contractor agrees to render, those services (the “Services”) that are defined in Exhibit “A,” attached and incorporated by this reference in accordance with the terms and conditions set forth in this Agreement. 2.TERM The term of this Agreement will be effective from the date first above written to March 25, 2026. 3.COMPENSATION The total fee payable for the Services to be performed during the initial Agreement term shall not exceed five thousand dollars ($5,000). No other compensation for the Services will be allowed except for items covered by subsequent amendments to this Agreement. City reserves the right to withhold a ten percent (10%) retention until City has accepted the work and/or the Services specified in Exhibit “A.” 4.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. Docusign Envelope ID: 9D72D7F5-32A2-4618-9914-173120268CA0 April 15th PSA25-3700FLT City Attorney Approved Version 5/22/2024 Page 2 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 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. 5. STATUS OF CONTRACTOR Contractor will perform the Services as an independent contractor and in pursuit of Contractor’s independent calling, and not as an employee of City. Contractor will be under the control of City only as to the results to be accomplished. 6. INDEMNIFICATION Contractor agrees to defend (with counsel approved by the City), indemnify, and hold harmless the City and its officers, elected and appointed officials, employees and volunteers from and against all claims, damages, losses and expenses including attorney’s fees arising out of the performance of the work described herein caused by any willful misconduct or negligent act or omission of the Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. If Contractor’s obligation to defend, indemnify, and/or hold harmless arises out of Contractor’s performance as a “design professional” (as that term is defined under Civil Code section 2782.8), then, and only to the extent required by Civil Code Section 2782.8, which is fully incorporated herein, Contractor’s indemnification obligation shall be limited to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor, and, upon Contractor obtaining a final adjudication by a court of competent jurisdiction. Contractor’s liability for such claim, including the cost to defend, shall not exceed the Contractor’s proportionate percentage of fault. The parties expressly agree that any payment, attorney’s fee, costs or expense City incurs or makes to or on behalf of an injured employee under the City’s self-administered workers’ compensation is included as a loss, expense or cost for the purposes of this section, and that this section will survive the expiration or early termination of this Agreement. 7. INSURANCE Contractor will obtain and maintain policies of commercial general liability insurance, automobile liability insurance, a combined policy of workers' compensation, employers liability insurance, and professional liability insurance from an insurance company authorized to transact the business of insurance in the State of California which has 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 (NAIC) latest quarterly listings report, in an amount of not less than one million dollars ($1,000,000) each, unless otherwise authorized and approved by the Risk Manager or the City Manager. Contractor will obtain occurrence coverage, excluding Professional Liability, which will be written as claims-made coverage. The insurance will be in force during the life of this Agreement and will not be canceled without thirty (30) days prior written notice to the City by certified mail. City will be named as an additional insured on General Liability which shall provide primary coverage to the City. The full limits available to the named insured shall also be available and applicable to the City as an additional Docusign Envelope ID: 9D72D7F5-32A2-4618-9914-173120268CA0 PSA25-3700FLT City Attorney Approved Version 5/22/2024 Page 3 insured. Contractor will furnish certificates of insurance to the Contract Department, with endorsements to City prior to City’s execution of this Agreement. 8. NOTICES The name of the persons who are authorized to give written notice or to receive written notice on behalf of City and on behalf of Contractor under this Agreement. For City For Contractor Name Bradley Northup Name Ivan Mendelson Title Public Works Superintendent Title President & General Manager Department Fleet & Facilities Address 6010 Avenida Encinas City of Carlsbad Carlsbad, CA 92011 Address 405 Oak Ave. Phone No. 760-496-2583 Carlsbad, CA 92008 Email ffranco@toyotacarlsbad.com Phone No. 760-473-1267 Each party will notify the other immediately of any changes of address that would require any notice or delivery to be directed to another address. 9. CONFLICT OF INTEREST Contractor shall file a Conflict of Interest Statement with the City Clerk in accordance with the requirements of the City of Carlsbad Conflict of Interest Code. The Contractor shall report investments or interests as required in the City of Carlsbad Conflict of Interest Code. Yes ☐ No ☒ If yes, list the contact information below for all individuals required to file: Name Email Phone Number 10. COMPLIANCE WITH LAWS Contractor will comply with all applicable local, state and federal laws and regulations prohibiting discrimination and harassment and will obtain and maintain a City of Carlsbad Business License for the term of this Agreement. 11. CALIFORNIA AIR RESOURCES BOARD (CARB) ADVANCED CLEAN FLEETS REGULATIONS 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) Docusign Envelope ID: 9D72D7F5-32A2-4618-9914-173120268CA0 PSA25-3700FLT City Attorney Approved Version 5/22/2024 Page 4 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. 12. TERMINATION City or Contractor may terminate this Agreement at any time after a discussion, and written notice to the other party. City will pay Contractor's costs for services delivered up to the time of termination, if the services have been delivered in accordance with the Agreement. 13. CLAIMS AND LAWSUITS By signing this Agreement, Contractor agrees it may be subject to civil penalties for the filing of false claims as set forth in the California False Claims Act, Government Code sections 12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. Contractor further acknowledges that debarment by another jurisdiction is grounds for the City of Carlsbad to terminate this Agreement. 14. JURISDICTIONS AND VENUE This Agreement shall be interpreted in accordance with the laws of the State of California. Contractor agrees and stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this Agreement is the State Superior Court, San Diego County, California. 15. ASSIGNMENT Contractor may assign neither this Agreement nor any part of it, nor any monies due or to become due under it, without the prior written consent of City. 16. AMENDMENTS This Agreement may be amended by mutual consent of City and Contractor. Any amendment will be in writing, signed by both parties, with a statement of estimated changes in charges or time schedule. 17. 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. 18. ENTIRE AGREEMENT This Agreement, together with any other written document referred to or contemplated by it, along with the purchase order for this Agreement and its provisions, embody the entire Agreement and understanding between the parties relating to the subject matter of it. In case of conflict, the terms of the Agreement supersede the purchase order. Neither this Agreement nor any of its provisions may be amended, modified, waived or discharged except in a writing signed by both parties. This Agreement may be executed in counterparts. 19. AUTHORITY The individuals executing this Agreement 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 Agreement. [signatures on following page] Docusign Envelope ID: 9D72D7F5-32A2-4618-9914-173120268CA0 PSA25-3700FLT City Attorney Approved Version 5/22/2024 Page 5 CONTRACTOR CITY OF CARLSBAD, a municipal corporation of the State of California OCEANSIDE AUTO COUNTRY, INC., a California corporation, d.b.a. Toyota Carlsbad d.b.a. Eco Friendly Auto Spa By: By: (sign here) Paz Gomez, Deputy City Manager, Public Works as authorized by the City Manager Kevin Carroll, Vice President (print name/title) ATTEST: By: SHERRY FREISINGER, City Clerk (sign here) By: Paul Kim, Chief Financial Officer Deputy City Clerk (print name/title) If required by City, proper notarial acknowledgment of execution by contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A. Group B. Chairman, Secretary, President, or Assistant Secretary, Vice-President 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, City Attorney By: _____________________________ Docusign Envelope ID: 9D72D7F5-32A2-4618-9914-173120268CA0 PSA25-3700FLT City Attorney Approved Version 5/22/2024 Page 6 EXHIBIT A SCOPE OF SERVICES AND FEE Oceanside Auto Country, Inc. will provide as-needed “Bronze” car wash services for City vehicles. Services will be completed in accordance with safe industry standards, practices and in accordance with local stormwater regulations. As-needed “Bronze” car washes will be provided to the City at a price of $10.00 per vehicle wash and include “Bronze” car wash services as depicted in the menu pricing item as shown below. Services Tracking & Validation – Vendor shall track services provided utilizing a City provided Car Wash Vendor – Log Sheet, attached as Exhibit “B.” Each City employee shall complete this log sheet for each wash provided. Vendor shall confirm name of City employee via their City ID. Any log sheet inaccuracies shall be identified by Vendor prior to submission of invoices for payment. Monthly Invoicing – Vendor shall adhere to the following procedures to ensure prompt payment for services rendered. • Monthly service invoice statements shall include that months’ Car Wash Vendor – Log Sheet. Incomplete information may result in delayed payment. • Vendor shall submit monthly invoices for payment no later than the 5th business day after the last day of each month. • Invoices shall be sent via fax 760-438-1532 and emailed to fleetinvoices@carlsbadca.gov Cost Per Wash Estimated # of washes Total Compensation (not-to-exceed) $10.00 500 $5,000 Docusign Envelope ID: 9D72D7F5-32A2-4618-9914-173120268CA0 Bronze $10 0 Wash 0 Spot Free Rinse • Dry 0 Air Freshner VEID XXXXXXXX Date Employee ID Make Model Unit # / License #Phone # PSA25-3700FLT City of Carlsbad - Vehicle Car Wash Log Oceanside Auto Country, Inc. d.b.a. Toyota Carlsbad d.b.a. Eco Friendly Auto Spa PSA25-3700FLT; Exhibit "B" Docusign Envelope ID: 9D72D7F5-32A2-4618-9914-173120268CA0 Docusign Envelope ID: 9D72D7F5-32A2-4618-9914-173120268CA0 ACORb® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) L...-_,,, 04/15/2025 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 NAME7-CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES PHONE I FAX INCLUDING PRIMARY SOURCE INSURANCE AGENCY CA/C, No, Ext): 888-333-4949 CA/C, No): 507-446-4664 121 E. PARK SQUARE tJ-ID~i\"ss: CLIENTCONTACTCENTER@FEDINS.COM OWATONNA, MN 55060 INSURERS AFFORDING COVERAGE NAIC# INSURER A:FEDERATED SERVICE INSURANCE COMPANY 28304 INSURED ~~ll:'A TRAVELERS PROPERTY CASUALTY CO OF 25674 OCEANSIDE AUTO COUNTRY INC INSURER C: 6030 AVENIDA ENCINAS CARLSBAD, CA 92011-1061 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 43 REVISION NUMBER: 3 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER 1rl~,';!,5'{yVJy1 1t8~/,'r,;y\Vy1 LIMITS LTR INSR WVD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ~ ~ CLAIMS-MADE □OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) f-- PERSONAL & JlJJV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE RPOLICY O RO-DLoc PRODUCTS & COMP/OP ACC ECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) - ANY AUTO BODILY INJURY (Per Person) --SCHEDULED OWNED AUTOS ONLY AUTOS BODILY INJURY (Per Accident) --NON-OWNED PROPERTY DAMAGE HIRED AUTOS ONLY _ AUTOS ONLY (Per Accident) - X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $10,000,000 A EXCESS LIAB CLAIMS-MADE N N 6121175 09/01/2024 09/01/2025 AGGREGATE $30,000,000 DED I I RETENTION WORKERS COMPENSATION I PER ST AT UTE I flTHER AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/ EXECUTIVE C E.L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A {Mandatory in NH) E.L DISEASE ·EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT AUTO DEALER LIABILITY y N 6121173 09/01/2024 09/01/2025 ,O.UTO L IAB -EA ACCIDENT $500,000 A GENERAL LIABILITY -EACH ACCIDENT $500,000 -AGGREGATE $1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS l VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) SEE ATTACHED PAGE CERTIFICATE HOLDER CANCELLATION CITY OF CARLSBAD/CMWD 43 3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED C/0 EXIGIS INSURANCE COMPLIANCE SERVICES PO BOX 947 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MURRIETA, CA 92564-0947 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE '!J..L NI t.~ © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: 9D72D7F5-32A2-4618-9914-173120268CA0 AUt:N<.:Y CUSTOMER ID: ----------------------- LO C #: _____________________ _ ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES OCEANSIDE AUTO COUNTRY INC 6030 AVENI DA ENCINAS INCLUDING PRIMARY SOURCE INSURANCE AGENCY CARLSBAD, CA 92011-1061 POLICY NUMBER SEE CERTIFICATE# 43.3 CARRIER I NAIC CODE EFFECTIVE DATE: SEE CERTIFICATE# 43.3 SEE CERTIFICATE# 43.3 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: -~2_5~_ FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE SECONDARY POLICYCSl XUMB N N EX7Sl870809/0l/2024 09/01/2025 EACH OCCURRENCE AGGREGATE GENERAL LIABILITY IS PROVIDED UNDER THE AUTO DEALERS COVERAGE FORM. Page $10,000,000 $10,000,000 of THE CERTIFICATE HOLDER IS A DESIGNATED INSURED ON AUTO DEALERS COVERAGE FORM SUBJECT TO THE CONDITIONS OF THE DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE. UMBRELLA FOLLOWS FORM. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reseived. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 6121173 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unlessmodified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Auto Liability Coverageunder the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage providedin the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicatedbelow. Named Insured: Oceanside Auto Country Inc Endorsement Effective:04/11/2025 SCHEDULE Name of Person(s) Or Organization(s): City of Carlsbad/CMWD C/O EXIGIS Insurance Compliance Services Murrieta, CA 92564-0947 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Docusign Envelope ID: 9D72D7F5-32A2-4618-9914-173120268CA0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 3/26/2025 Edgewood Partners Ins. Center10877 White Rock Road Ste 300Lic#0B29370Rancho Cordova CA 95670 Michelle Russell 916-974-4610 michelle.russell@epicbrokers.com Benchmark Insurance Company 41394 OCEAAUT2 Oceanside Auto Country, Inc.See Desc of Ops for add'l named insured & locations6030 Avenida Encinas Suite 200Carlsbad CA 92011 934248979 A X Y Y 99WC0000281900 1/1/2025 1/1/2026 1,000,000 1,000,000 1,000,000 Additional Named Insureds on Policy: Halo Motor Company, Inc.Culture Craft Coffee and EspressoCulture CafeCarlsbad Collision Center, LLCTry J AdvertisingStellar Properties, LLCSee Attached... City of Carlsbad/CMWDc/o EXIGIS Insurance Compliance ServicesP.O. Box 947Murrieta CA 92564 Docusign Envelope ID: 9D72D7F5-32A2-4618-9914-173120268CA0 ACORD® I ~ I ~ □ □ ~ ~ Fl □ □ ~ ~ ~ ~ ~ ~ ~ ~ H I I I I I □ I ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: OCEAAUT2 1 1 Edgewood Partners Ins. Center Oceanside Auto Country, Inc.See Desc of Ops for add'l named insured & locations6030 Avenida Encinas Suite 200Carlsbad CA 92011 25 CERTIFICATE OF LIABILITY INSURANCE Luna Properties, LLCThe Centre Additional Locations on Policy: Carlsbad Collision Center, 6030 Avenida Encinas #200, Carlsbad, CA 92011Toyota Carlsbad, 5424 Paseo Del Norte, Carlsbad, CA 92008Toyota Carlsbad, 5434 Paseo Del Norte, Carlsbad, CA 92008Toyota Carlsbad, 6020 Avenida Encinas, Carlsbad, CA 92011Lexus Carlsbad, 5444 Paseo Del Norte, Carlsbad, CA 92008Lexus Carlsbad, 5434 Paseo Del Norte, Carlsbad, CA 92008Lexus Carlsbad, 5450 Paseo Del Norte, Carlsbad, CA 92008Lexus Escondido, 1205 Auto Park Way, Escondido, CA 92029Toyota Carlsbad, 5124 Paseo Del Norte, Carlsbad, CA 92008Toyota Lexus Carlsbad Parking Structure, 1040 Auto Center Ct., Carlsbad, CA 92008Eco Friendly Auto Spa, 6010 Avenida Encinas, Carlsbad, CA 92008Lexus Escondido, 1551 Tanglewood Lane, Escondido, CA 92029 Docusign Envelope ID: 9D72D7F5-32A2-4618-9914-173120268CA0 I WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) 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 subsequent to preparation of the policy.) EndorsementEffective 3/19/2025 PolicyNo. 99 WC-00004350-00 EndorsementNo. 1 Insured Insurance Company Benchmark Insurance Company Oceanside Auto Country Countersigned By ______________________________ 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 3% of the California workers’ compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description City of Carlsbad/CMWD The insured does work on their vehicles throughout the year. Docusign Envelope ID: 9D72D7F5-32A2-4618-9914-173120268CA0