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HomeMy WebLinkAboutFireground Training Specialist LLC; 2025-11-06;Docusign Envelope ID: 2764857E-4592-4C5A-B129-983F5AE7FC39 AGREEMENT FOR ROPE RESCUE AWARENESS AND OPERATIONS TRAINING SERVICES FIREGROUND TRAINING SPECIALIST, LLC THIS AGREEMENT ("Agreement") is made and entered into as of the 6th day of November 20 25, by and between the City of Carlsbad, California, a municipal corporation ("City") and Fireground Training Specialist, a limited liability company ("Contractor"). RECITALS City requires the professional services of a consultant that is experienced in comprehensive fire service training programs. Contractor has the necessary experience in providing these professional 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 in this Agreement, 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 This Agreement will be effective for a period of six (6) months from the date first above written. 3. COMPENSATION The total fee payable for the Services to be performed during the initial Agreement term shall not exceed ten thousand and five hundred dollars ($10,500). 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. 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. 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. 5. INDEMNIFICATION Contractor agrees to defend (with counsel approved by City), indemnify, and hold harmless City 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 in this Agreement caused by any willful misconduct or negligent act or omission of Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. City Attorney Approved Version 10/23/2025 Page 1 Docusign Envelope ID: 2764857E-4592-4C5A-B129-983F5AE7FC39 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 in this Agreement, 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 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 Contractor's proportionate percentage of fault. The parties expressly agree that any payment, attorneys fee, costs or expense City incurs or makes to or on behalf of an injured employee under City'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. 6. 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 City by certified mail. City will be named as an additional insured on General Liability which shall provide primary coverage to City. The full limits available to the named insured shall also be available and applicable to City as an additional insured. Contractor will furnish certificates of insurance to the Contract Department, with endorsements to City prior to City's execution of this Agreement. 7. 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 Name Title Kevin Lynds Division Chief Department Fire City of Carlsbad Address 2560 Orion Way Carlsbad, CA 92010 Phone No. 442-339-2141 For Contractor Eduardo Nila Name Title Address Owner Phone No. Email Page 2 846 Majella Ave. La Verne, CA 91750 909-964-0037 fts@firegroundts.com City Attorney Approved Version 10/23/2025 Docusign Envelope ID: 2764857E-4592-4C5A-B129-983F5AE7FC39 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. 8. 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. 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 9. 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. 10. SEVERABILITY If any term or portion of this Agreement is held to be invalid, illegal, or otherwise unenforceable by a court of competent jurisdiction, the remaining provisions of this Agreement shall continue in full force and effect. 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) 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.a rb.ca.gov /ou r-work/programs/adva need-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, California 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. City Attorney Approved Version 10/23/2025 Page 3 Docusign Envelope ID: 2764857E-4592-4C5A-B129-983F5AE7FC39 14. 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 rules or 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. 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. THIRD PARTY RIGHTS Nothing in this Agreement should be construed to give any rights or benefits to any party other than City and Contractor. 17. 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. 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. II II II II II II II II II II Page 4 City Attorney Approved Version 10/23/2025 Docusign Envelope ID: 2764857E-4592-4C5A-B129-983F5AE7FC39 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. CONTRACTOR Fireground Training Specialist, a limited liability company By: ,r;J»& Jo Nlb (sign here) Eduardo Nila, Owner (print name/title) By: (sign here) (print name/title) CITY OF CARLSBAD, a municipal corporation of the State of California By: Fire Chief ATTEST: SHERRY FREISINGER, City Clerk By: Deputy/ Assistant City Clerk If required by City, proper notarial acknowledgment of execution by contractor must be attached. ~ corporation, Agreement must 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, City Attorney BY: Jt-WAifu: r, fvw_, Senior Assistant City Attorney City Attorney Approved Version 10/23/2025 Page 5 Docusign Envelope ID: 2764857E-4592-4C5A-B129-983F5AE7FC39 EXHIBIT A SCOPE OF SERVICES AND FEE Fireground Training Specialist, LLC will provide Rope Rescue Awareness and Operations Training at the City of Carlsbad Safety Training Center, located at 5750 Orion Street, Carlsbad, California. Course Description: The course provides emergency responders with the knowledge and hands-on skills necessary to safely and effectively perform operations-level tower rescue procedures in accordance with Authority Having Jurisdiction (AHJ) policies and procedures. Instruction covers both awareness and operations training components based on NFPA 1006 (2021) standards. Upon completion, participants will be prepared to conduct tower rescue operations in compliance with industry and safety best practices. Course Topics Include: • Use and inspection of personal protective equipment (PPE) and rope rescue equipment • Incident size-up, planning, and operational support • Construction of anchor systems • Placement of edge protection • Design and implementation of fall protection systems • Construction and operation of lowering systems, simple, compound, and complex mechanical advantage systems, and ladder-based rescue systems • Rescue operations in low-angle and high-angle environments • Incident termination and post-incident procedures Prerequisites: Participants must complete the following FEMA courses prior to enrollment: • IS-100: Introduction to the Incident Command System • IS-200: /CS for Single Resources and Initial Action Incidents • IS-700: National Incident Management System, An Introduction • IS-800: National Response Framework, An Introduction Course Details: • Dates: November 10-13, 2025 • Times: 0800 -1800 hours • Location: 5750 Orion Street, Carlsbad, CA 92010 • Tuition: $875.00 per participant • Maximum Participants: 12 City Attorney Approved Version 10/23/2025 Page 6 Docusign Envelope ID: 2764857E-4592-4C5A-B129-983F5AE7FC39 Dress Code and Required PPE: Participants must wear approved agency attire and provide the following NFPA-compliant personal protective equipment: • NFPA-rated helmet (rescue style preferred) • Safety glasses • Rescue gloves • Steel-toe safety boots • Long pants (brush or single-layer pants and coat recommended) Fi reground Training Specialist will provide: • Qualified instructors keeping a 6:1 student-to-instructor ratio • State Fire Training Certificate of Completion • Administrative Fees City Attorney Approved Version 10/23/2025 Page 7 Docusign Envelope ID: 2764857E-4592-4C5A-B129-983F5AE7FC39 --, ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) ~ 11/05/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Simply Business CONTACT Simply Business NAME: 53 State Street PHONE (844\ 654-7272 I rt,~ Nol: 19th Floor IA/C No Ext\: E-MAIL contactus@simplybusiness.com Boston, MA02109 ADDRESS: INSURER($) AFFORDING COVERAGE NAIC# INSURER A: Hiscox Insurance Company Inc 10200 INSURED Fi reground Training Specialist LLC INSURER B: 846 Majella Ave INSURERC: La Verne, California 91750 INSURERD: 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. NOT\MTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IMTH RESPECT TO \M-ilCH 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 SHO\M'J MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICYEFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMM/DDNYYYl IMM/DDNYYYl LIMITS A X COMMERCIAL GENERAL LIABILITY X HIUS4670666XB2 09/25/2025 09/25/2026 $1,000,000 EACH OCCURRENCE I CLAIMS-MADE ~ OCCUR ~t~~~~J?E~~J,~~\ $100,000 -MED EXP ( Any one person) $5,000 PERSONAL & ADV INJURY -$1,000,000 ~'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X □PRO-□LOG SIT Gen. Aaa. _ POLICY JECT PRODUCTS-COMP/OPAGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMI I >--/Ea accident\ ANY AUTO BODILY INJURY (Per person) -,--SCHEDULED OWNED AUTOS BODILY INJURY (Per accident) t--AUTOS ONLY >--HIRED NON-OWNED PROPERTY DAMAGE t--AUTOS ONLY >--AUTOS ONLY /Per accident\ UMBRELLA LIAB HOCCUR EACH OCCURRENCE t-- EXCESS LIAB CLAIMS-MADE AGGREGATE OED I I RETENTION WORKERS COMPENSATION I PER I IOTH- AND EMPLOYERS' LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE □ E.L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L DISEASE -EA EM PLO YEE If yes, describe under DESCRIPTION OF OPERATIONS belo.v E.L DISEASE -POLICY LIMIT PROFESSIONAL LIABILITY EACH CLAIM AGGREGATE DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as an additional insured on the General Liabiltty policy per written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2560 Orion Way, Carlsbad, CA 92010 AUTHORIZED REPRESENTATIVE c?~(!)~ © 1988-2015ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD "'(") HISCOX HISCOX INSURANCE COMPANY INC. (A Stock Company) 30 North LaSalle Street, Suite 1760, Chicago, Illinois 60602 Policy Number: HIUS4670666XB2 Named Insured: Fi reground Training Specialist LLC Endorsement Number: 17 Effective Date: September 25, 2025 (312) 380-5555 ADDITIONAL INSURED -AUTOMATIC STATUS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: A. Section II -Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) for whom you are performing operations or leasing a premises when you and such person(s) or organization(s) have agreed in writing in a contract or agreement that such person(s) or organization(s) be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. A person's or organization's status as an additional insured under this endorsement ends when your operations or lease agreement for that additional insured are completed. I ISO CGL E5421 CW (02/14) Page 41 of 62 Docusign Envelope ID: 2764857E-4592-4C5A-B129-983F5AE7FC39 --~ ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) ~ 11/05/2025 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 pollcy(les} 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 Simply Business CONTACT Simply Business NAME: 53 State Street PHONE (844) 654-7272 I FAX 19th Floor /A/C No Ext\: /A/C No\: E-MAIL contactus@simplybusiness.com Boston, MA 02109 ADDRESS: INSURER($) AFFORDING COVERAGE NAIC# INSURER A: Hiscox Insurance Comoanv Inc 10200 INSURED Fi reground Training Specialist LLC INSURERB: 846 Majella Ave INSURERC: La Verne, California 91750 INSURER D: 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. NOT\MTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT \MTH RESPECT TO \M-IICH 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 SHO\M',J MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICYEFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMM/DDNYYYI IMMIDDNYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE -D CLAIMS-MADE OoccuR DAMAGE TO RENTED -PREMISES /Ea occurrence\ -MED EXP (Any one person) PERSONAL & ADV INJURY -GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE R □PRO-DLoc POLICY JECT PRODUCTS· COMP/OP AGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT -/Ea accident\ ANY AUTO BODILY INJURY (Per person) --SCHEDULED OWNED AUTOS BODILY INJURY (Per accident) AUTOS ONLY -HIRED -NON-OWNED PROPERTY DAMAGE -AUTOS ONLY -AUTOS ONLY / Per accident\ UMBRELLA LIAB HOCCUR EACH OCCURRENCE -EXCESSLIAB CLAIMS-MADE AGGREGATE OED I I RETENTION WORKERS COMPENSATION IPER I IOTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE □ E.L EACH ACCIDENT OFFICER/MEMBEREXCLUDED? N/A (Mandatory In NH) E.L DISEASE· EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS bela.v E.L DISEASE· POLICY LIM IT A PROFESSIONAL LIABILITY X HIUS4670667XB 09/25/2025 09/25/2026 EACH CLAIM $1,000,000.00 AGGREGATE $1,000,000.00 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as an additional insured on the Professional Liability policy per written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2560 Orion Way, ACCORDANCE WITH THE POLICY PROVISIONS. Carlsbad, CA 92010 AUTHORIZED REPRESENTATIVE (?~cf)~ © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: 2764857E-4592-4C5A-B129-983F5AE7FC39 WAIVER REQUEST FORM FACTORS IN SUPPORT OF REQUEST TO MODIFY INSURANCE REQUIREMENT(S) Generally, a modification to the coverage requirement will be accepting a lower limit of coverage or waiving the requirement(s). Requested by: Jennie Marinov, City of Carlsbad Fire Department (Name and Department) 11/5/2025 (Date) Proposed modification(s) to the _A_u_to_m_o_b_il_e ____ requirement(s) for Fireground Training Specialist, LLC (Type of insurance) (Name of contract) D Reduce coverage to the amount of: "'"$ ______ _ 00 Waive coverage D Other: ---------------------------------- FACTOR(S) IN SUPPORT OF MODIFICATION(S) (check those that apply) □Significance of Contractor: Contractor has previous experience with the City that is impo1iant to the efficiency of completing the scope of work and the quality of the work-product. [explain] ______ _ □Significance of Contractor: Contractor has unique skills and there are few if any alternatives. [explain: include number of candidates RFP sent to and number responded if applicable] __________ _ 00Contract Amount/Term of Contract: $ 10,500, 6 months . Work will be completed over a period of 4 days □Professional Liability coverage is not available to this contractor or would increase the cost of the contract by $ [explain]. __________________________ _ 000ther (e.g. explain why exposures are minimal, how exposures are covered in another policy, exposure control mechanisms, and any other information pe1iinent to your request): The training course will take place at the City of Carlsbad Safety Training Center for Carlsbad fire personnel. The course will not involve any driving activities. Approved by Risk Manager for this contract only: 11/6/2025 (Signature) (Date) Docusign Envelope ID: 2764857E-4592-4C5A-B129-983F5AE7FC39 CERTIFICATE OF EXEMPTION WORKERS' COMPENSATION/EMPLOYERS' LIABILITY INSURANCE Eduardo Nilo h owner I, ________________ , amt e _______________ _ [insert name] Fireground Training Specialist, LLC of _____________ _ [ name of company] [title] b . h Fireground Training Specialist I here y certify t at __________ _ [ name of company] has no employees and is not required by law to maintain workers' compensation or employers' Id Fireground Training Specialist, LLC liability insurance. Shou _________________ employ any person [ name of company] . . fire service training programs durmg the term of the Agreement with the City of Carlsbad for ___________ _ [ description of project or work that is being contracted] then workers' compensation and employers' liability insurance will be obtained. [Name] Owner of Fireground Training Specialist, LLC [Title and name of company or corporation]