HomeMy WebLinkAboutSparling Instruments LLC; 2025-08-08; MSA25-3875UTILMSA25-3875UTIL
General Counsel Approved Version 6/30/2025
Page 1
MAINTENANCE SERVICES AGREEMENT FOR ANNUAL FIELD CALIBRATION SERVICES
WITH SPARLING INSTRUMENTS, LLC
THIS AGREEMENT (“Agreement”) is made and entered into as of the ______________ day
of _________________________, 2025 (“Agreement”), by and between 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 (“CMWD”) and Sparling Instruments, LLC, a
California limited liability company (“Contractor”).
RECITALS
A. CMWD requires the services of a contractor that is experienced in field testing and
calibration of water mag meters (“Services”).
B. Contractor is duly qualified and has the necessary experience to provide the
Services.
C. CMWD issued a request for services and fees and in response, the Contractor
submitted a proposal to CMWD and affirmed its willingness and ability to perform the work.
NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained
herein, CMWD and Contractor agree as follows:
1. SCOPE OF WORK
CMWD retains Contractor to perform, and Contractor agrees to render, those Services
(“Services”) described and delineated in Exhibit “A.” To the extent that any of the terms in the
Exhibits(s), including any attachments, conflict with the terms in this Agreement, in whole or in
part, the terms of this Agreement control.
2. TERM
The term of this Agreement will be effective from the date first written above to December 31,
2025.
3. COMPENSATION
The total fee payable for the Services to be performed during the initial Agreement term shall
not exceed four thousand one hundred thirty-three dollars ($4,133). No other compensation for
the Services will be allowed except for items covered by subsequent amendments to this
Agreement.
Payment terms are Net 30 unless otherwise provided in Exhibit “A” or agreed to in writing by the
parties. CMWD reserves the right to withhold a ten percent (10%) retention until CMWD has
accepted the work and/or Services specified in Exhibit “A.” Incremental payments, if applicable,
should be made as outlined in attached Exhibit “A.”
4. PUBLIC WORKS
4.1 Prevailing Wage Rates. Any construction, alteration, demolition, installation, repair, and
maintenance work, including work performed during design and preconstruction such as
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
August
8th
MSA25-3875UTIL
General Counsel Approved Version 6/30/2025
Page 2
inspection and land surveying work, cumulatively exceeding $1,000 and performed under this
Agreement 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 Section 1770, 1773 and 1773.1 of the California Labor Code.
Pursuant to Section 1773.2 of the California Labor code, a current copy of applicable wage rates
is on file in the office of the City of Carlsbad City Engineer. Contractor shall not pay less than the
said specified prevailing rates of wages to all such workers employed by Contractor in the
execution of the Agreement. Contractor and any subcontractors shall comply with Section 1776
of the California Labor Code, which generally requires keeping accurate payroll records, verifying
and certifying payroll records, and making them available for inspection. Contractor shall require
any subcontractors to comply with Section 1776.
4.2 DIR Registration. California Labor Code section 1725.5 requires the Contractor and any
subcontractor or subconsultant performing any public work under this Agreement 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 Agreement, Contractor must furnish CMWD with the subcontractor or
subconsultant's current DIR registration number, including submitting the form provided in
Exhibit “B.”
5. CONSTRUCTION MANAGEMENT SOFTWARE
Procore Project Management and Collaboration System. This project may utilize CMWD’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. 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. 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 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
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
MSA25-3875UTIL
General Counsel Approved Version 6/30/2025
Page 3
posted drawings, specifications, requests for information, 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 Contractor of any other requirements as may be
specified in this Agreement.
6. STATUS OF CONTRACTOR
Contractor will perform the Services in Contractor's own way as an independent contractor and
in pursuit of Contractor's independent calling, and not as an employee of CMWD. Contractor will
be under the control of CMWD only as to the result to be accomplished, but will consult with
CMWD as necessary. The persons used by Contractor to provide services under this Agreement
will not be considered employees of CMWD for any purposes.
The payment made to Contractor pursuant to the Agreement will be the full and complete
compensation to which Contractor is entitled. CMWD will not make any federal or state tax
withholdings on behalf of Contractor or its agents, employees or subcontractors. CMWD will not
be required to pay any workers' compensation insurance or unemployment contributions on
behalf of Contractor or its employees or subcontractors. Contractor agrees to indemnify CMWD
within thirty (30) days for any tax, retirement contribution, social security, overtime payment,
unemployment payment or workers' compensation payment which CMWD may be required to
make on behalf of Contractor or any agent, employee, or subcontractor of Contractor for work
done under this Agreement. At CMWD’s election, CMWD may deduct the indemnification
amount from any balance owing to Contractor.
7. SUBCONTRACTING
Contractor will not subcontract any portion of the Services without prior written approval of
CMWD. If Contractor subcontracts any of the Services, Contractor will be fully responsible to
CMWD for the acts and omissions of Contractor's subcontractor and of the persons either directly
or indirectly employed by the subcontractor, as Contractor is for the acts and omissions of
persons directly employed by Contractor. Nothing contained in this Agreement will create any
contractual relationship between any subcontractor of Contractor and CMWD. Contractor will be
responsible for payment of subcontractors. Contractor will bind every subcontractor and every
subcontractor of a subcontractor by the terms of this Agreement applicable to Contractor's work
unless specifically noted to the contrary in the subcontract and approved in writing by CMWD.
8. OTHER CONTRACTORS
CMWD reserves the right to employ other Contractors in connection with the Services.
9. INDEMNIFICATION
Contractor agrees to defend (with counsel approved by CMWD), indemnify, and hold harmless
CMWD and its officers, elected and appointed officials, employees and volunteers from and
against all claims, damages, losses and expenses including attorneys fees arising out of the
performance of the work described herein caused by any negligence, recklessness, or willful
misconduct 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.
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
MSA25-3875UTIL
General Counsel Approved Version 6/30/2025
Page 4
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 California Civil Code
section 2782.8), then, and only to the extent required by California 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 CMWD or the City
of Carlsbad incurs or makes to or on behalf of an injured employee under CMWD’s self-
administered workers’ compensation program 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.
10. INSURANCE
Contractor will obtain and maintain for the duration of the Agreement and any and all
amendments, insurance against claims for injuries to persons or damage to property which may
arise out of or in connection with performance of the services by Contractor or Contractor’s
agents, representatives, employees or subcontractors. The insurance will be obtained from an
insurance carrier admitted and authorized to do business in the State of California. The insurance
carrier is required to 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 (NAIC) latest quarterly listings report.
10.1 Coverages and Limits. Contractor will maintain the types of coverages and minimum limits
indicated below, unless the Risk Manager or Executive Manager approves a lower amount. These
minimum amounts of coverage will not constitute any limitations or cap on Contractor's
indemnification obligations under this Agreement. CMWD, its officers, agents and employees
make no representation that the limits of the insurance specified to be carried by Contractor
pursuant to this Agreement are adequate to protect Contractor. If Contractor believes that any
required insurance coverage is inadequate, Contractor will obtain such additional insurance
coverage, as Contractor deems adequate, at Contractor's sole expense. The full limits available
to the named insured shall also be available and applicable to CMWD as an additional insured.
10.1.1 Commercial General Liability (CGL) Insurance. 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.
10.1.2 Automobile Liability. (if the use of an automobile is involved for Contractor's work
for CMWD). $2,000,000 combined single-limit per accident for bodily injury and property
damage.
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
MSA25-3875UTIL
General Counsel Approved Version 6/30/2025
Page 5
10.1.3 Workers' Compensation and Employer's Liability. Workers' Compensation limits
as required by the California Labor Code. Workers' Compensation will not be required if
Contractor has no employees and provides, to CWMD's satisfaction, a declaration stating this.
10.1.4 Professional Liability. Errors and omissions liability appropriate to Contractor’s
profession with limits of not less than $1,000,000 per claim. Coverage must be maintained for a
period of five years following the date of completion of the work.
10.2 Additional Provisions. Contractor will ensure that the policies of insurance required under
this Agreement contain, or are endorsed to contain, the following provisions:
10.2.1 CMWD will be named as an additional insured on Commercial General Liability
which shall provide primary coverage to CMWD.
10.2.2 Contractor will obtain occurrence coverage, excluding Professional Liability, which
will be written as claims-made coverage.
10.2.3 If Contractor maintains higher limits than the minimums shown above, CMWD
requires and will be entitled to coverage for the higher limits maintained by Contractor. Any
available insurance proceeds in excess of the specified minimum limits of insurance and coverage
will be available to CMWD.
10.2.4 This insurance will be in force during the life of the Agreement and any extensions
of it and will not be canceled without thirty (30) days prior written notice to CMWD sent by
certified mail pursuant to the Notice provisions of this Agreement.
10.3 Providing Certificates of Insurance and Endorsements. Prior to CMWD's execution of this
Agreement, Contractor will furnish certificates of insurance and endorsements to CMWD.
10.4 Failure to Maintain Coverage. If Contractor fails to maintain any of these insurance
coverages, then CMWD will have the option to declare Contractor in breach, or may purchase
replacement insurance or pay the premiums that are due on existing policies in order to maintain
the required coverages. Contractor is responsible for any payments made by CMWD to obtain or
maintain insurance and CMWD may collect these payments from Contractor or deduct the
amount paid from any sums due Contractor under this Agreement.
10.5 Submission of Insurance Policies. CMWD reserves the right to require, at any time,
complete and certified copies of any or all required insurance policies and endorsements.
11. BUSINESS LICENSE
Contractor will obtain and maintain a City of Carlsbad Business License for the term of the
Agreement, as may be amended from time-to-time.
12. ACCOUNTING RECORDS
Contractor will maintain complete and accurate records with respect to costs incurred under this
Agreement. All records will be clearly identifiable. Contractor will allow a representative of
CMWD during normal business hours to examine, audit, and make transcripts or copies of records
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
MSA25-3875UTIL
General Counsel Approved Version 6/30/2025
Page 6
and any other documents created pursuant to this Agreement. Contractor will allow inspection
of all work, data, documents, proceedings, and activities related to the Agreement for a period
of four (4) years from the date of final payment under this Agreement.
13. NOTICES
The name of the persons who are authorized to give written notice or to receive written notice
on behalf of CMWD and on behalf of Contractor under this Agreement are:
For CMWD: For Contractor:
Name Ray Martinez Name Patti Spigarelli
Title Utilities Supervisor Title Project Contact
Dept PW Utilities Address 4097 N. Temple City Blvd.
Carlsbad Municipal Water District El Monte, CA 91731
Address 5950 El Camino Real Phone 626-899-4579
Carlsbad, CA 92008 Email pspigarelli@sparlinginstruments.com
Phone 760-802-8097
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.
14. CONFLICT OF INTEREST
Contractor shall file a Conflict of Interest Statement with the City Clerk in accordance with the
requirements of the CMWD Conflict of Interest Code. The Contractor shall report investments or
interests as required in the CMWD Conflict of Interest Code.
Yes ☐ No ☒
15. GENERAL COMPLIANCE WITH LAWS
Contractor will keep fully informed of federal, state and local laws and ordinances and regulations
which in any manner affect those employed by Contractor, or in any way affect the performance
of the Services by Contractor. Contractor will at all times observe and comply with these laws,
ordinances, and regulations and will be responsible for the compliance of Contractor's services
with all applicable laws, ordinances and regulations.
Contractor will be aware of the requirements of the Immigration Reform and Control Act of 1986
and will comply with those requirements, including, but not limited to, verifying the eligibility for
employment of all agents, employees, subcontractors and consultants whose services are
required by this Agreement.
16. 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) 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
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
MSA25-3875UTIL
General Counsel Approved Version 6/30/2025
Page 7
Advanced Clean Fleets webpage at https://ww2.arb.ca.gov/our-work/programs/advanced-
clean-fleets.
17. DISCRIMINATION, HARASSMENT, AND RETALIATION PROHIBITED
Contractor will comply with all applicable local, state and federal laws and regulations prohibiting
discrimination, harassment, and retaliation.
18. DISPUTE RESOLUTION
If a dispute should arise regarding the performance of the Services the following procedure will
be used to resolve any questions of fact or interpretation not otherwise settled by agreement
between the parties. Representatives of Contractor or CMWD will reduce such questions, and
their respective views, to writing. A copy of such documented dispute will be forwarded to both
parties involved along with recommended methods of resolution, which would be of benefit to
both parties. The representative receiving the letter will reply to the letter along with a
recommended method of resolution within ten (10) business days. If the resolution thus obtained
is unsatisfactory to the aggrieved party, a letter outlining the disputes will be forwarded to the
Executive Manager. The Executive Manager will consider the facts and solutions recommended
by each party and may then opt to direct a solution to the problem. In such cases, the action of
the Executive Manager will be binding upon the parties involved, although nothing in this
procedure will prohibit the parties from seeking remedies available to them at law.
19. TERMINATION
In the event of the Contractor's failure to prosecute, deliver, or perform the Services, CMWD may
terminate this Agreement for nonperformance by notifying Contractor by certified mail of the
termination. If CMWD decides to abandon or indefinitely postpone the work or services
contemplated by this Agreement, CMWD may terminate this Agreement upon written notice to
Contractor. Upon notification of termination, Contractor has five (5) business days to deliver any
documents owned by CMWD and all work in progress to CMWD’s address contained in this
Agreement. CMWD will make a determination of fact based upon the work product delivered to
CMWD and of the percentage of work that Contractor has performed which is usable and of
worth to CMWD in having the Agreement completed. Based upon that finding CMWD will
determine the final payment of the Agreement.
CMWD may terminate this Agreement by tendering thirty (30) days written notice to Contractor.
Contractor may terminate this Agreement by tendering thirty (30) days written notice to CMWD.
In the event of termination of this Agreement by either party and upon request of CMWD,
Contractor will assemble the work product and put it in order for proper filing and closing and
deliver it to CMWD. Contractor will be paid for work performed to the termination date;
however, the total will not exceed the lump sum fee payable under this Agreement. CMWD will
make the final determination as to the portions of tasks completed and the compensation to be
made.
20. COVENANTS AGAINST CONTINGENT FEES
Contractor warrants that Contractor has not employed or retained any company or person, other
than a bona fide employee working for Contractor, to solicit or secure this Agreement, and that
Contractor has not paid or agreed to pay any company or person, other than a bona fide
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
MSA25-3875UTIL
General Counsel Approved Version 6/30/2025
Page 8
employee, any fee, commission, percentage, brokerage fee, gift, or any other consideration
contingent upon, or resulting from, the award or making of this Agreement. For breach or
violation of this warranty, CMWD will have the right to annul this Agreement without liability, or,
in its discretion, to deduct from the Agreement price or consideration, or otherwise recover, the
full amount of the fee, commission, percentage, brokerage fees, gift, or contingent fee.
21. CLAIMS AND LAWSUITS
By signing this Agreement, Contractor agrees that any Agreement claim submitted to CMWD
must be asserted as part of the Agreement process as set forth in this Agreement and not in
anticipation of litigation or in conjunction with litigation. Contractor acknowledges that if a false
claim is submitted to CMWD, it may be considered fraud and Contractor may be subject to
criminal prosecution. Contractor acknowledges that California Government Code sections 12650
et seq., the False Claims Act applies to this Agreement and, 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 information. If CMWD seeks to recover penalties pursuant to the False Claims Act, it is
entitled to recover its litigation costs, including attorneys fees. Contractor acknowledges that the
filing of a false claim may subject Contractor to an administrative debarment proceeding as the
result of which Contractor may be prevented to act as a Contractor on any public work or
improvement for a period of up to five (5) years. Contractor acknowledges debarment by another
jurisdiction is grounds for CMWD to terminate this Agreement.
22. JURISDICTIONS AND VENUE
This Agreement shall be interpreted in accordance with the laws of the State of California without
regard to, or application of choice of law principles. 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.
23. NO ATTORNEYS FEES AND COSTS.
Except as otherwise specifically provided in this Agreement, if there is any litigation, mediation,
arbitration or other dispute resolution proceedings arising out of this Agreement, each Party shall
for its own attorney and other professional fees, costs and expenses.
24. SUCCESSORS AND ASSIGNS
It is mutually understood and agreed that this Agreement will be binding upon CMWD and
Contractor and their respective successors. Neither this Agreement nor any part of it nor any
monies due or to become due under it may be assigned by Contractor without the prior consent
of CMWD, which shall not be unreasonably withheld.
25. THIRD PARTY RIGHTS
Nothing in this Agreement should be construed to give any rights or benefits to any party other
than CMWD and Contractor.
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
MSA25-3875UTIL
General Counsel Approved Version 6/30/2025
Page 9
26. 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: 19CF3581-7D4C-4508-A98D-7851E076B877
MSA25-3875UTIL
General Counsel Approved Version 6/30/2025
Page 10
IN WITNESS WHEREOF, the Parties have executed this Agreement on the date first written above.
CONTRACTOR
CARLSBAD MUNICIPAL WATER DISTRICT, a
Public Agency organized under the
Municipal Water Act of 1911, and a
Subsidiary District of the City of Carlsbad
SPARLING INSTRUMENTS, LLC, a
California limited liability company
By: By:
(sign here) AMANDA L. FLESSE, General Manager, as
authorized by the Executive Manager
Yosufi Tyebkhan, Managing Member
ATTEST:
By: SHERRY FREISINGER, Secretary
(sign here) By:
Deputy / Assistant Secretary
If required by CMWD, 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, General Counsel
By:
Deputy / Assistant General Counsel
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
MSA25-3875UTIL
General Counsel Approved Version 6/30/2025
Page 11
EXHIBIT A
SCOPE OF SERVICES AND FEE
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
General Counsel Approved Version 5/22/2024
Page 1
EXHIBIT A
SCOPE OF SERVICES AND FEE
Contractor’s technician to connect their testing/calibration device to each of the 14 mag meters
to perform the annual field testing and calibration of each mag meter.
Contractor to provide a field calibration certification document for each of the 14 mag meters.
QUANTITY DESCRIPTION EACH EXTENDED AMOUNT
16.00 FIELD SERVICE LABOR $225.00 $3,600.00
440.00 FIELD SERVICE MILEAGE $0.70 $308.00
1.00 FIELD SERVICE PER DIEM $225.00 $225.00
METER NO. LOCATION
M07890 CWRF, AVENIDA ENCINAS RECLAIM
M09252 CALAVERA RECLAIM
M09266 “D” PUMP STATION RECLAIM
M09593 BRESSI POTABLE
M09594 BRESSI RECLAIM
M13432 MAERKLE CONTROL
M16450 MAERKLE PUMP STATION
M17572 LAKE OUTFLOW
M17916 MAERKLE HYDRO
M19029 CALAVERA POTABLE
M21103 D3 INFLUENT
M21564 D3 EFFLUENT
M22162 MAERKLE #3 UPPER STATION
M27103 MAERKLE TANK OVERFLOW
*TOTAL (NOT-TO-EXCEED)*$4,133.00
*Includes taxes, fees, expenses and all other costs.
CMWD to provide access to each site.
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
MSA25-3875UTIL
General Counsel Approved Version 6/30/2025
Page 12
EXHIBIT “B”
DIR CONTRACTOR REGISTRATION CERTIFICATION
NAME OF PROJECT: Annual Field Calibration Services
NAME OF CONTRACTOR: Sparling Instruments, LLC
Pursuant to Labor Code Sections 1725.5 and 1771.1, the Contractors and any Subcontractors
for this Project must be registered with the Department of Industrial Relations. See Public
Works (ca.gov) for additional information.
Contractor certifies that it is aware of the registration requirements set forth in Labor Code
Sections 1725.5 and 1771.1 and is currently registered as a Contractor with the Department of
Industrial Relations.
Name of Contractor: Sparling Instruments, LLC
DIR Registration Number: N/A
DIR Registration Expiration: N/A
Contractor further certifies:
1.Contractor shall maintain a current DIR registration for the duration of the Project.
2.Contractor will include the requirements of Labor Code Sections 1725.5 and 1771.1 in
any contractor with subcontractors and ensure that all subcontractors are registered at
the time of contract award and will maintain registration status for the duration of the
Project.
Signature: Date:
Name: Yosufi Tyebkhan Title: Managing Member
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
7/17/2025
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
Enclosed is a Policy Change Endorsement for Policy Number: TWC4500995
For questions, please contact our Underwriting Office at: 877-528-7878.
10/28/2024
Technology Insurance Company, Inc.
800 Superior Avenue East, 21st Floor
Cleveland, OH 44114
Policy Change Endorsement
Sparling Instruments LLC
4097 Temple City Blvd
El Monte, CA 91731
ADP Insurance Services (NJ)
1 ADP Blvd., M/S 625
Roseland, NJ. 07068
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 89 06 00 B
POLICY INFORMATION PAGE ENDORSEMENT
Insured:Sparling Instruments LLC Policy No:TWC4500995
Policy Period:9/25/2024 to 9/25/2025 Endorsement No:3
Carrier Name:Technology Insurance Company, Inc.Endmt Effective:9/25/2024
Authorized Rep:
The following item(s)
Insured’s Name (WC 89 06 01) Item 3.B. Limits (WC 89 06 12)
Policy Number (WC 89 06 02) Item 3.C. States (WC 89 06 13)
Effective Date (WC 89 06 03) Item 3.D. Endorsement Numbers (WC 89 06 14)
Expiration Date (WC 89 06 04) Item 4.* Class, Rate, Other (WC 89 04 15)
Insured’s Mailing Address (WC 89 06 05) Interim Adjustment of Premium (WC 89 04 16)
Experience Modification (WC 89 04 06) Carrier Servicing Office (WC 89 06 17)
Producer’s Name (WC 89 06 07) Interstate/Intrastate Risk ID Number (WC 89 06 18)
Change in Workplace of Insured (WC 89 06 08) Carrier Number (WC 89 06 19)
Insured's Legal Status (WC 89 06 10) Issuing Agency/Producer Office Address (WC 89 06 25)
Item 3.A. States (WC 89 06 11)
is changed to read:
Blanket waiver of subrogation is added to the policy.
Adding form(s): EndmtMailSheet WC890600B WC990001E_Class WC990001E_PmtSched
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
TECHNOLOGY INSURANCE COMPANY, INC.
[59 Maiden Lane, 43rd Floor
New York, NY 10038 ]
WORKERS' COMPENSATION
and
EMPLOYERS’ LIABILITY INSURANCE POLICY
In Witness Whereof, we have caused this policy to be executed and attested.
[][]
[Stephen Ungar, Secretary ][Christopher H. Foy, President ]
To obtain information, please contact your agent or Technology Insurance Company, Inc.
at 877-528-7878. You may also write Technology Insurance Company, Inc. Consumer
Relations at:
800 Superior Avenue East, 21st Floor
Cleveland, OH 44114
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective 9/25/2024 Policy No.TWC4500995 Endorsement No.3
Insured Sparling Instruments LLC Premium $6939
Insurance Company Technology Insurance Company, Inc.
WC 99 00 00 B
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
Technology Insurance Company, Inc.WC 99 00 01 E
4 of 5
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE
POLICY INFORMATION PAGE
Insured: Sparling Instruments LLC Policy Number: TWC4500995
EXTENSION OF INFORMATION PAGE FOR ITEM #4
ITEM 4: SCHEDULE OF PREMIUMS
Classifications
# of
Emps
Code
No.
Premium Basis
Total Estimated
Annual
Remuneration
Rate Per
$100 of
Remun.
Estimated
Annual
Premium
California
Instrument Mfg. — electronic 13 3681 287,000 1.93 5,539
CLERICAL OFFICE EMPLOYEES — N.O.C
— Non–Governing Class 2 8810 120,000 0.79 948
Manual Premium 6,487
Total Manual Premium 6,487
Blanket Waiver 2% ($250 Minimum)0930 250
Total Premium Subject To Experience Modification 6,737
Experience Modification N/A 6,737
Premium Discount 0.9%0063 -61
Terrorism 3%9740 122
Catastrophe (other than Terrorism) 1%9741 41
Expense Constant 0900 100
Total CA Premium 6,939
WCARF 2.4604%9999 171
UEBTF 0.1505%9999 10
SIBTF 1.5891%9999 110
OSHAF 0.7266%9999 50
LECF 0.7109%9999 49
FRAUD 0.4122%9999 29
Total CA Cost 7,358
TOTAL ESTIMATED ANNUAL PREMIUM 6,939
STATE ASSESSMENT 419
TOTAL COST 7,358
POLICY COST BEFORE ENDORSEMENT 7,104
TOTAL ENDORSEMENT PREMIUM CHANGE 254
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
Technology Insurance Company, Inc.WC 99 00 01 E
5 of 5
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE
POLICY INFORMATION PAGE
Insured: Sparling Instruments LLC Policy Number: TWC4500995
PAYMENT SCHEDULE
Printed: 10/28/2024
Statement
Closing Date
Payment
Due Date Description Amount Due
11/10/2024 Pay Period 1 of 12 $966.00
12/10/2024 Pay Period 2 of 12 $593.00
1/10/2025 Pay Period 3 of 12 $580.00
2/10/2025 Pay Period 4 of 12 $580.00
3/10/2025 Pay Period 5 of 12 $580.00
4/10/2025 Pay Period 6 of 12 $580.00
5/10/2025 Pay Period 7 of 12 $580.00
6/10/2025 Pay Period 8 of 12 $580.00
7/10/2025 Pay Period 9 of 12 $580.00
8/10/2025 Pay Period 10 of 12 $580.00
9/10/2025 Pay Period 11 of 12 $580.00
10/10/2025 Pay Period 12 of 12 $579.00
Total Cost $7,358.00
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
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.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06
(Ed. 04-84)
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 subsequent to preparation of the policy.)
Endorsement Effective 9/25/2024 Policy No.TWC4500995 Endorsement No.3
Insured Sparling Instruments LLC Premium $6,939
Insurance Company Technology Insurance Company, Inc.
Countersigned by
WC 04 03 06
(Ed. 04-84)
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877
[PolicyListPayoByPayrollCo]
AmTrust North America, Inc.
Technology Insurance Company, Inc.
800 Superior Avenue East, 21st Floor
Cleveland, OH 44114
PAYO Net Rate Schedule
Payroll Company:
ADP Insurance Services
One ADP Blvd, MS 325
Roseland NJ 70680
Payroll Co Phone: (973)712-3500
Payroll Co Email: SBS_Insurance@adp.com
Payroll Co ID#: 5
Print Date:
Agency Phone:
Agent ID#:
Insured Contact:
Insured Phone:
Insured Email:
10/28/2024
(800) 524-7024
19728
Joel Buckley
6268994596
jbuckley@sparlinginstruments.com
Policy Insured Fein New/Renew Effective Expiration Agent
TWC4500995 Sparling Instruments LLC 262230668 New 9/25/2024 9/25/2025 ADP Insurance Services (NJ)
Eff Date State Class Classification Net Rate
9/25/2024 CA 3681 Instrument Mfg. — electronic 0.021891
9/25/2024 CA 8810
CLERICAL OFFICE EMPLOYEES — N.O.C —
Non–Governing Class 0.008961
Type:
Description:
E
Blanket waiver of subrogation is added to the policy.
Adding form(s): EndmtMailSheet WC890600B WC990001E_Class WC990001E_PmtSched
Docusign Envelope ID: 19CF3581-7D4C-4508-A98D-7851E076B877