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HomeMy WebLinkAboutStilson Kent Scott dba Scott Fence; 2026-01-22; PR-MPW-25022PTracking #: AVIARA COMMUNITY PARK BACKSTOP REPAIRS CONT. NO. PR-MPW-25022P Page 1 City Attorney Approved 12/18/2025 CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT AVIARA COMMUNITY PARK BACKSTOP REPAIRS; CONT. NO. PR-MPW-25022P This contract is made on the ______________ day of _________________________, 20__ (“Contract”), by the City of Carlsbad, California, a municipal corporation ("City") and Stilson Kent Scott, a sole proprietorship dba Scott Fence, whose principal place of business is 1255 Distribution Way, Vista, CA 92081 ("Contractor"). City 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 Temujin Matsubara (City Project Manager). PAYMENT. The City 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/. 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 Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 22nd January 26 Tracking #: AVIARA COMMUNITY PARK BACKSTOP REPAIRS CONT. NO. PR-MPW-25022P Page 2 City Attorney Approved 12/18/2025 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 the City with the subcontractor or subconsultant's current DIR registration number. CALIFORNIA AIR RESOURCES 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: 3C690709-2992-4257-9638-CA86A2AD3AC2 Tracking #: AVIARA COMMUNITY PARK BACKSTOP REPAIRS CONT. NO. PR-MPW-25022P Page 3 City Attorney Approved 12/18/2025 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. CONTRACTOR PERFORMANCE EVALUATION. The City will use a standardized Contractor Performance Evaluation (“Evaluation”) to assess the Contractor’s effectiveness, reliability, and overall quality of performance under this Contract. Performance will be evaluated across key categories like specifications & standards, responsiveness, cost control, communication, and safety & risk management, using a standardized rating scale described in the Evaluation form. The Evaluation will serve as a formal record of Contractor’s performance and is intended to promote accountability, transparency, and continuous improvement in the Contractor's execution of the work. The City will provide the Contractor with the current Evaluation form and full list of performance criteria at the start of the Project, typically during the pre-construction meeting or initial kickoff. Evaluations may be completed by the Engineer or other designated City representative. The Contractor may provide written comments or responses to the completed Evaluation, which the City will retain with the Evaluation record. Evaluation results may be considered in future City procurements, responsibility determinations, and Contract renewals. Corrective actions for unsatisfactory performance may include written notice, corrective action plans, withholding of payment, suspension of work, termination for cause, and other remedies permitted by this Contract or law. Evaluations may occur at substantial completion, final completion, or when performance issues arise. Nothing described in this section limits the City’s discretion to enforce Contract remedies or take any other action permitted under this Contract or applicable law. FALSE CLAIMS. Contractor hereby agrees that any contract claim submitted to the City 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 (5) years and that debarment by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor or subcontractor from participating in contract bidding. Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 Tracking #: AVIARA COMMUNITY PARK BACKSTOP REPAIRS CONT. NO. PR-MPW-25022P Page 4 City Attorney Approved 12/18/2025 Signature: ___________________________________ Print Name: ___________________________________ REQUIRED INSURANCE. The successful contractor shall provide to the City of Carlsbad, 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 the City 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 (NAIC) 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 $2,000,000 combined single limit per accident for bodily injury and property damage. In addition, the auto policy must cover any vehicle used in the performance of the contract, used onsite or offsite, whether owned, non-owned or hired, and whether scheduled or non-scheduled. The automobile insurance certificate must state the coverage is for “any auto” and cannot be limited in any manner. The above policies shall have non-cancellation clauses providing that 30 days written notice shall be given to the City prior to such cancellation. The policies shall name the City of Carlsbad as an additional insured. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. WORKERS’ COMPENSATION AND EMPLOYER’S LIABILITY. Workers’ Compensation limits as required by the California Labor Code. Workers’ Compensation will not be required if Contractor has no employees and provides, to City’s satisfaction, a declaration stating this. BUSINESS LICENSE. The Contractor and all subcontractors are required to have and maintain a valid City of Carlsbad Business License for the duration of the contract. INDEMNITY. Contractor agrees to defend (with counsel approved by the City), indemnify, and hold harmless the City and its officers, elected and appointed officials, employees and volunteers from and against all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the performance of the Contract or work; or from any failure or alleged failure of Contractor to comply with any applicable law, rules or regulations including those related to safety and health; and from any and all claims, loss, damages, injury and liability, howsoever Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 Stilson Kent Scotts rilSl>IA., hw-$ cir Tracking #: AVIARA COMMUNITY PARK BACKSTOP REPAIRS CONT. NO. PR-MPW-25022P Page 5 City Attorney Approved 12/18/2025 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 the City. 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 fifteen (15) working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within forty-five (45) working days after receipt of Notice to Proceed. Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 Tracking #: AVIARA COMMUNITY PARK BACKSTOP REPAIRS CONT. NO. PR-MPW-25022P Page 6 City Attorney Approved 12/18/2025 CONTRACTOR’S INFORMATION. Stilson Kent Scott dba Scott Fence 1255 Distribution Way (name of Contractor) 581918 (street address) Vista, CA 92081 (Contractor’s license number) C-13, B; 11/30/2027 (city/state/zip) 760-598-0070 (license class. and exp. date) 1000002709; 6/30/2026 (telephone no.) scottfencewefence@yahoo.com (DIR registration number/exp. date) (e-mail address) 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. [signatures on following page] Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 Tracking #: AVIARA COMMUNITY PARK BACKSTOP REPAIRS CONT. NO. PR-MPW-25022P Page 7 City Attorney Approved 12/18/2025 CONTRACTOR CITY OF CARLSBAD, a municipal corporation of the State of California Stilson Kent Scott, a sole proprietorship dba Scott Fence By: By: (sign here) Kyle Lancaster, Parks & Recreation Director Stilson Kent Scott, Owner (print name/title) ATTEST: By: SHERRY FREISINGER, City Clerk (sign here) By: Deputy City Clerk (print name/title) If required by City, proper notarial acknowledgment of execution by Contractor must be attached. If a corporation, Contract must be signed by one corporate officer from each of the following two groups: Group A Group B Chairman, President, or Vice-President 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: _____________________________ Deputy / Assistant City Attorney Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 Tracking #: AVIARA COMMUNITY PARK BACKSTOP REPAIRS CONT. NO. PR-MPW-25022P Page 8 City Attorney Approved 12/18/2025 EXHIBIT A LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR Set forth below is the full name and location of the place of business of each subcontractor 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 subcontractor 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 be Subcontracted Business Name and Address DIR Registration No. & Expiration Date License No., Classification & Expiration Date % of Total Contract Total % Subcontracted: _______________ The Contractor must perform no less than 50% of the work with its own forces. Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 0 Tracking #: AVIARA COMMUNITY PARK BACKSTOP REPAIRS CONT. NO. PR-MPW-25022P Page 9 City Attorney Approved 12/18/2025 EXHIBIT B SCOPE OF WORK AND COST Project Overview: Contractor shall furnish all labor, materials, equipment and disposal services necessary to remove and replace approximately 100 linear feet of 4-foot-high chain-link mesh at the backstop and wings of the Aviara Community Park baseball field. Scope of Work: 1. Removal • Remove approximately 100 LF of existing 4' chain-link mesh at the backstop and wings. • Carefully detach and dispose of all existing mesh materials. • All spoils and debris shall be hauled off and disposed of by the contractor. 2. Installation • Install approximately 100 LF of new 4' chain-link mesh at the backstop and wings. • New mesh shall be 6-gauge, 2" KK galvanized chain-link mesh. • Install 9-gauge ties at 8" on center. • Work shall be completed in a substantial, workmanlike manner consistent with standard industry practices. 3. Exclusions The following items are not included in the contractor’s scope unless otherwise added by written change order: • Utility locating, surveying, staking, or layout. • Deferred submittals, structural calculations, or stamped engineering drawings. • Traffic control. • Concrete, curbs, masonry, fence posts, railings, or gate footings. • Any work beyond the removal and replacement of chain-link mesh. 4. General Conditions • All materials shall meet the specifications listed above. • Any deviations or additional work will require written authorization and may result in additional charges. • Contractor’s workers are covered by Workers’ Compensation Insurance. • Fence location is the responsibility of the owner; survey stakes must be provided if required for placement. • Proposal pricing is based on prevailing wage requirements. 5. Total Cost - $5,644.00* *Includes prevailing wage, taxes, fees, expenses and all other costs. Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 Tracking #: AVIARA COMMUNITY PARK BACKSTOP REPAIRS CONT. NO. PR-MPW-25022P Page 10 City Attorney Approved 12/18/2025 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 13 of the California Code of Regulations section 2449 et seq. throughout the term of the Project. The City 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 the city’s ability to proceed with awarding this Contract. Contractor has an on-going obligation for term of this Agreement 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 the City. Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 Tracking #: AVIARA COMMUNITY PARK BACKSTOP REPAIRS CONT. NO. PR-MPW-25022P Page 11 City Attorney Approved 12/18/2025 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: ☐ The Fleet is subject to the requirements of the Regulation, and the appropriate Certificate(s) of Reported Compliance have been attached hereto. ☐ 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. ☐ 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). ☐ 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: Stilson Kent Scott dba Scott Fence Signature: Name: Title: Owner Date: Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 X Stilson Kent Scott 1/6/2026 H~ s M 'v1QSJ!tS ~ Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 SCOTFEN-01 NCHUNG ACORD'" CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 5/29/2025 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 License# 0757776 22~!~cT Sandra Cooper HUB International Insurance Services Inc. r~8,NJo, Ext): (858) 255-3275 I rt~. No):(951) 231-2572 9855 Scranton Road Suite 100 i~o'~~ss, cal.cpu@hubinternational.com San Diego, CA 92121 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: GuideOne National Insurance Comoanv 14167 INSURED INSURER B, GuideOne Insurance Comoanv 15032 Scott Fence INSURER c : Palomar Excess and Surplus Insurance Comoanv 20907 dba: Stilson Kent Scott INSURER D, Sentinel Insurance Comoanv Ltd. 11000 1255 Distribution Way Vista, CA 92081 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~-ff TYPE OF INSURANCE ,~.~.P~ 1~i POLICY NUMBER POLICY EFF POLICY EXP LIMITS " A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ,__ D CLAIMS-MADE [K] OCCUR X 70K100189 04 317/2025 317/2026 DAMAGE TO RENTED 100,000 ,__ PRE'-''"~" /Ea occurrence\ $ X Ded: $2,500 PD MED EXP /Anv one oerson\ $ 5,000 ,__ X per occur PERSONAL & ADV INJURY $ 1,000,000 ,__ RGEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000 POLICY [K] ~rg: □ LOC PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: CYBER LIABILITY $ 50,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 >--I~• accident\ $ X ANY AUTO 70K100190 04 317/2025 3/7/2026 BODIL y INJURY (Per person) $ OWNED -SCHEDULED ~ AUTOS ONLY >--AUTOS BODILY INJURY (Per accident\ $ X ~LRT!ffi, ONLY X ~ara~~1.~ 1PF;,7~1\'ci~'fit?AMAGE $ ~ >-- Comp/Coll Ded $ 1,000 C UMBRELLA LIAB ~ OCCUR 5,000,000 ,__ EACH OCCURRENCE $ X EXCESS LIAB CLAIMS-MADE PES-XS-01-4532 317/2025 3/7/2026 AGGREGATE 5,000,000 OED I I RETENTION$ $ $ D WORKERS COMPENSATION X I ~f frnTE I I ~!H-AND EMPLOYERS" LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE CY] X 72WEABTOA TY 6/1/2025 6/1/2026 E.L EACH ACCIDENT 1,000,000 OFFICER/MEMBER EXCLUDED? N/A $ (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ 1,000,000 ~m::~ftfr8~ ~f~PERA TIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTIO~ OF OPERATIONS/LOCATIONS/ VEH!CLES (ACORD 101 , Additional Remarks Schedule, may be attached If more space is required) RE: Operations of the Named Insured during the current policy term. City of Carlsbad is Additional Insured with regard to General Liability when required by written contract per the attached endorsement form CG2010 12/19. Waiver of Subrogation applies to the Workers Compensation policy when required by written contract, endorsement form WC040306 04/84. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad/CMWD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 799 Pine Ave., Suite 200 ACCORDANCE WITH THE POLICY PROVISIONS. Carlsbad, CA 92008 AUTHORIZED REPRESENTATIVE I ~~ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 POLICY NUMBER: 70K100189 Effective Dates: 3/7/2025 -3/7/2026 04 00 CA COMMERCIAL GENERAL LIABILITY CG 20101219 (Blkt) THIS ENDORSEMENT CHANGES THE POLICY .. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Oraanization(s) Location(s) Of Covered Operations Blanket as required by written contract and effective Primary Insurance applies: It is agreed that such during the policy period as stated on the policy insurance as is afforded by this policy for the declarations. benefit of the additional insured shown shall be primary insurance, and any other insurance maintained by the additional insured(s) shall be excess and noncontributory as respects any claim, loss or liability allegedly arising out of the operations of the named insured or its subcontractors, provided however that this insurance will not apply to any claim loss or liability which is determined to be solely the result of the additional insured's negligence or solely the additional insured's responsibility. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than seNice, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 20 10 12 19 (81kt) © Insurance SeNices Office, Inc., 2018 Page 1 of 2 Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill -Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 10 1219 (81kt) Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA Policy Number: 72 WEA BT0ATY Endorsement Number: Effective Date: 06/01/25 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: Stilson Kent Scott dba Scott Fence 1255 DISTRIBUTION WAY VISTA, CA 92081-8817 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 for whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by --------------,-----,-----,-----------,--Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 06/01/25 Policy Expiration Date: 06/01/26 Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 SCOTFEN-01 NCHUNG ACORD'" CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) ~ 5/29/2025 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 License# 0757776 22ij?CT Sandra Cooper HUB International Insurance Services Inc. ri:J8.N~o, Ext): (858) 255-3275 I rie~. No):(951) 231-2572 9855 Scranton Road Suite 100 iflJb.,,.. cal.cpu@hubinternational.com San Diego, CA 92121 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: GuideOne National Insurance Companv 14167 INSURED INSURER B: GuideOne Insurance Company 15032 Scott Fence INSURER c : Palomar Excess and Surplus Insurance Comoanv 20907 dba: Stilson Kent Scott INSURER D: Sentinel Insurance Comoanv Ltd. 11000 1255 Distribution Way Vista, CA 92081 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. I~~: TYPE OF INSURANCE ~.\le:°,~ ~~i POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 >--D CLAIMS-MADE [K] OCCUR DAMAGE TO RENTED 100,000 X 70K100189 04 317/2025 317/2026 PREMI'"'" /Ea nccurrencel s x Ded: $2,500 PD MED EXP (Anv one person) s 5,000 >-- X per occur PERSONAL & ADV INJURY $ 1,000,000 >-- RGEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY [K] ~m □ LOG PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: CYBER LIABILITY $ 50,000 B ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 /Fa accident\ X ANY AUTO 70K100190 04 317/2025 317/2026 BODILY INJURY {Per person\ $ >--OWNED ~ SCHEDULED ~ AUTOS ONLY ~ AUTOS BODILY INJURY /Per accident) $ X ~lfT'H'soNLY X ~8-fbi~Jl~ f t.,9~fc~diitfAMAGE $ >--~ Comp/Coll Ded $ 1,000 C UMBRELLA LIAB ~ OCCUR EACH OCCURRENCE $ 5,000,000 >--X EXCESS LIAB CLAIMS-MADE PES-XS-01-4532 317/2025 317/2026 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ D WORKERS COMPENSATION X I ~-ffrnTE I I ~~H-AND EMPLOYERS' LIABILITY Y/N X 72WEABTOA TY 6/1/2025 6/1/2026 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE [Y] NIA E.L. EACH ACCIDENT $ PJI~~i~ti~~~~ EXCLUDED? E.L. DISEASE -EA EMPLOYEE $ 1,000,000 i~ii~~t-ITJ~ ~:;PERATIONS below E.L. DISEASE -POLICY LIMIT s 1,000,000 D_ESCRIPTION OF Of'.ERATIO_N_S /LOCATIONS/ V~HICLES (ACORD 101, Addili!)na! ~•marks Schedule, may be attached If more space Is required) City of Carlsbad ts Addtt1onal Insured with regard to General L1ab11tty when required by written contract per the attached endorsement form CG2010 12/19. Waiver of Subrogation applies to the Workers Compensation policy when required by written contract, endorsement form WC040306 04/84. Should the policies be cancelled before the expiration date, Hub International Insurance Services Inc. (Hub), independent of any rights which may be afforded within the policies to the certificate holder named below, will provide to such certificate holder notice of such cancellation within thirty (30) days of the cancellation date, except in the event the cancellation is due to non-payment of premium, in which case Hub will provide to such certificate holder notice of such cancellation within ten (10) days of the cancellation date. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad/CMWD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN c/o EXIGIS Insurance Compliance Services ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 4668 -ECM #35050 New York, NY 10163-4668 AUTHORIZED REPRESENTATIVE I ~ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 POLICY NUMBER: 70K100189 Effective Dates: 3/7/2025 -3/7/2026 04 00 CA COMMERCIAL GENERAL LIABILITY CG 20101219 (81kt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Ooerations Blanket as required by written contract and effective Primary Insurance applies: It is agreed that such during the policy period as stated on the policy insurance as is afforded by this policy for the declarations. benefit of the additional insured shown shall be primary insurance, and any other insurance maintained by the additional insured(s) shall be excess and noncontributory as respects any claim, loss or liability allegedly arising out of the operations of the named insured or its subcontractors, provided however that this insurance will not apply to any claim loss or liability which is determined to be solely the result of the additional insured's negligence or solely the additional insured's responsibility. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 8. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 20 10 1219 (81kt) © Insurance Services Office, Inc., 2018 Page 1 of 2 Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill -Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; wh ichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 10 12 19 (81kt) Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA Policy Number: 72 WEA BT0A TY Endorsement Number: Effective Date: 06/01/25 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: Stilson Kent Scott dba Scott Fence 1255 DISTRIBUTION WAY VISTA, CA 92081-8817 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 for whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by ____________________ _ Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 06/01/25 Policy Expiration Date: 06/01/26 Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 5/29/2025 ~ SCOTFEN-01 NCHUNG 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 License# 0757776 ij2~!~cT Sandra Cooper HUB International Insurance Services Inc. Fi:J8,NJo, Ext): {858) 255-3275 I r.e~. No):(951) 231-2572 9855 Scranton Road Suite 100 ~~rfJ~.,.,. cal.cpu@hubinternational.com San Diego, CA 92121 INSURER(Sl AFFORDING COVERAGE NAIC# INSURER A: GuideOne National Insurance Companv 14167 INSURED INSURER B: GuideOne Insurance Company 15032 Scott Fence INSURER c : Palomar Excess and Surplus Insurance Company 20907 dba: Stilson Kent Scott INSURER D: Sentinel Insurance Company Ltd. 11000 1255 Distribution Way Vista, CA 92081 INSURERE : 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. l~f: TYPE OF INSURANCE 1~.?.P.z SUBR lv.n,n POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 I--0 CLAIMS-MADE 0 OCCUR X 70K100189 04 3/7/2025 3/7/2026 DAMAGE TO RENTED 100,000 oi:;,i=u1C:.i=c:. ti=~ nr-r-11"enl"a\ $ X Ded: $2,500 PD MED EXP /Anv one oerson\ $ 5,000 I-- X per occur PERSONAL & ADV INJURY $ 1,000,000 RGEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000 POLICY 0 ~~T □ LOG PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: CYBER LIABILITY $ 50,000 B ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 IE a accirlont) s X ANY AUTO 70K100190 04 3/7/2025 3/7/2026 BODILY INJURY (Per personl $ I--OWNED ~ SCHEDULED I--AUTOS ONLY I--AUTOS BODILY INJURY (Per accident\ $ X ~LRi!WsoNLY X ~8~~~1.~ jP;f,OPERTY11~AMAGE $ I--I--er accident Comp/Coll Ded $ 1,000 C UMBRELLA LIAB ~ OCCUR 5,000,000 I--EACH OCCURRENCE $ X EXCESS LIAB CLAIMS-MADE PES-XS-01-4532 3/7/2025 3/7/2026 AGGREGATE $ 5,000,000 OED I I RETENTION$ $ D WORKERS COMPENSATION XI ~f~TUTE I I ~~H-AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE [Y] X 72WEABTOA TY 6/1/2025 6/1/2026 E.L. EACH ACCIDENT $ 1,000,000 ~FICER/MEMBER EXCLUDED? N/A ( andatory In NH) E.L. DISEASE -EA EMPLOYEE $ 1,000,000 ~m~~ft-IT8~ cl'f;PERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTIOf'! OF OPERATIONS/ LOCATIONS/ VEH!CLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Operations of the Named Insured during the current policy term. City of Carlsbad/CMWD is Additional Insured with regard to General Liability when required by written contract per the attached endorsement form CG2010 12/19. Waiver of Subrogation applies to the Workers Compensation policy when required by written contract, endorsement form WC040306 04/84. Should the policies be cancelled before the expiration date, Hub International Insurance Services Inc. (Hub), independent of any rights which may be afforded within the policies to the certificate holder named below, will provide to such certificate holder notice of such cancellation within thirty (30) days of the SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad/CMWD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN c/o EXIGIS Insurance Compliance Services ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 947 Murrieta, CA 92564 AUTHORIZED REPRESENTATIVE I ~Af2~ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 AGENCY CUSTOMER ID: SCOTFEN-01 NCHUNG -------------------LO C #: 1 ADDITIONAL REMARKS SCHEDULE AGENCY License# 0757776 HUB International Insurance Services Inc. POLICY NUMBER SEE PAGE 1 CARRIER I NAICCODE SEE PAGE 1 SEEP 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/LocationsNehicles: NAMED INSURED Scott Fence dba: Stilson Kent Scott 1255 Distribution Way Vista, CA 92081 EFFECTIVE DATE: SEE PAGE 1 Page 1 of 1 cancellation date, except in the event the cancellation is due to non-payment of premium, in which case Hub will provide to such certificate holder notice of such cancellation within ten (10) days of the cancellation date. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 POLICY NUMBER: 70K100189 Effective Dates: 3/7/2025 -3/7/2026 04 00 CA COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 (81kt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Oraanization(s) Location(s) Of Covered Operations Blanket as required by written contract and effective Primary Insurance applies: It is agreed that such during the policy period as stated on the policy insurance as is afforded by this policy for the declarations. benefit of the additional insured shown shall be primary insurance, and any other insurance maintained by the additional insured(s) shall be excess and noncontributory as respects any claim, loss or liability allegedly arising out of the operations of the named insured or its subcontractors, provided however that this insurance will not apply to any claim loss or liability which is determined to be solely the result of the additional insured's negligence or solely the additional insured's responsibility. Information reauired to comolete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 8. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service , maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 20 10 12 19 (81kt) © Insurance Services Office, Inc., 2018 Page 1 of 2 Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill -Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. Th is endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office , Inc., 2018 CG 20 10 12 19 (81kt) Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA Policy Number: 72 WEA BT0A TY Endorsement Number: Effective Date: 06/01/25 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: Stilson Kent Scott dba Scott Fence 1255 DISTRIBUTION WAY VISTA, CA 92081 -8817 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 for whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by --------------------Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 06/01/25 Policy Expiration Date: 06/01/26 Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 SCOTFEN-01 NCHUNG ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 5/29/2025 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 License# 0757776 ssmi~cT Sandra Cooper HUB International Insurance Services Inc. wg~Jo, Ext): (858) 255-3275 I r.o~. No):(951) 231-2572 9855 Scranton Road ~~nAJb,,.,.cal.cpu@hubinternational.com Suite 100 San Diego, CA 92121 INSURER($) AFFORDING COVERAGE NAIC# 1NSURERA ,GuideOne National Insurance Companv 14167 INSURED 1NsuRER s : GuideOne Insurance Comoanv 15032 Scott Fence INSURER c : Palomar Excess and Surplus Insurance Comoanv 20907 dba: Stilson Kent Scott 1NSURER D ,Sentinel Insurance Comoanv Ltd. 11000 1255 Distribution Way Vista, CA 92081 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. l~ft TYPE OF INSURANCE ,~.\'J>k ,~i POLICY NUMBER .. ~9LICY EFF Pq~JCY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 >--D CLAIMS-MADE [K] OCCUR DAMAGE TO RENTED 100,000 X 70K100189 04 317/2025 317/2026 PRl=MIC:I=<; /Ea ner, rrencel $ X Ded: $2,500 PD MED EXP (Any one person) $ 5,000 ~ X per occur PERSONAL & ADV INJURY $ 1,000,000 >-- RGEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY [Kl ft8f □ LOC PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: CYBER LIABILITY $ 50,000 B ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea ~e,-;rlAnt\ X ANY AUTO 70K100190 04 317/2025 317/2026 BODILY INJURY (Per personl s ~ OWNED ~ SCHEDULED >--AUTOS ONLY ~ AUTOS BODIL y INJURY (Per accident) s X ~L'Wfs ONLY X ~8-ft~~t~ Ft.9~tc~di~t?AMAGE $ >--~ Comp/Coll Ded s 1,000 C UMBRELLA LIAS ~ OCCUR EACH OCCURRENCE $ 5,000,000 ~ X EXCESS LIAB CLAIMS-MADE PES-XS-01-4532 317/2025 3/7/2026 AGGREGATE $ 5,000,000 OED I I RETENTION$ $ D WORKERS COMPENSATION XI ~ffrnTE I I OTH-AND EMPLOYERS" LIABILITY ER Y/N X 72WEABTOA TY 6/1/2025 6/1/2026 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE m N/A E.L. EACH ACCIDENT $ p,::~~i~~~~~~~ EXCLUDED? E.L. DISEASE -EA EMPLOYEE $ 1,000,000 ~~;~~ft-¥rt~ ~f'gPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTIO~ OF OPERATIONS/ LOCATIONS/ VEH!CLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Operations of the Named Insured during the current policy term. City of Carlsbad is Additional Insured with regard to General Liability when required by written contract per the attached endorsement form CG2010 12/19. Waiver of Subrogation applies to the Workers Compensation policy when required by written contract, endorsement form WC040306 04/84. S~o~ld the p~li~ies be cance~l~d before the expiration date, Hub International Insurance Services Inc. (Hub), independent of any rights which may be afforded within the policies to the cert1f1cate holder named below, will provide to such certificate holder notice of such cancellation within thirty (30) days of the cancellation date, except in the event the cancellation is due to non-payment of premium, in which case Hub will provide to such certificate holder notice of such cancellation within ten (10) days of the cancellation date. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad/CMWD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN c/o EXIGIS Insurance Compliance Services ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 947 Murrieta, CA 92564 AUTHORIZED REPRESENTATIVE I ~~ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 POLICY NUMBER: 70K100189 Effective Dates: 3/7/2025 -3/7/2026 04 00 CA COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Ooerations Blanket as required by written contract and effective Primary Insurance applies: It is agreed that such during the policy period as stated on the policy insurance as is afforded by this policy for the declarations. benefit of the additional insured shown shall be primary insurance, and any other insurance maintained by the additional insured(s) shall be excess and noncontributory as respects any claim, loss or liability allegedly arising out of the operations of the named insured or its subcontractors, provided however that this insurance will not apply to any claim loss or liability which is determined to be solely the result of the additional insured's negligence or solely the additional insured's responsibility. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 20101219 (Blkt) © Insurance Services Office, Inc., 2018 Page 1 of 2 Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill -Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 10 1219 (81kt) Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA Policy Number: 72 WEA BT0A TY Endorsement Number: Effective Date: 06/01/25 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: Stilson Kent Scott dba Scott Fence 1255 DISTRIBUTION WAY VISTA, CA 92081-8817 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 for whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by ___________________ _ Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 06/01/25 Policy Expiration Date: 06/01/26 Docusign Envelope ID: 3C690709-2992-4257-9638-CA86A2AD3AC2 California Environmental Protection Agency Air Resources Board January 1, 2025 CERTIFICATE OF REPORTED COMPLIANCE OFF-ROAD DIESEL VEHICLE REGULATION is issued to SCOTT FENCE This certificate indicates that the fleet listed aboVe has reported off-road diesel vehicles to the California AJr Resources Board and has certified they are ,n compliance wrth title 13 CCR, section 2449. All applicable vehicles owned by the individual, company, or agency must be reported and labeled, as specified in Section 2449, with all possible completeness, else this certificate is nun and void Certificate expires 2/28/2026 J /L--- f J.:ick Kltowsld Ctlfef, Mobile source COO.trot DMslon Olifocni.i Airflewurces Do.ltd Off-road Diesel Fleet Identification 12441 To verify the ai.Aht'nlielt)' of this cerufieate. enter this numb• at htll):/il'rMv.art.ca.gov/doors/compliance_cert1.html