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S & J Builders and Restoration Services Inc; 2026-06-01; PWM26-4078FAC
Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 June1st PWM26-4078FAC CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT CITY HALL SOUTH CLERK'S OFFICE ADDITION This contract is made on the ______ day of __________ ___, 2026 ("Contract"), by the City of Carlsbad, California, a municipal corporation (11City") and S & J Builders and Restoration Services, Inc., a California corporation, whose principal place of business is 10815 Wheatlands Avenue Suite J, Santee, California 92071 ("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 11Project"). 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 11Greenbook," 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 Brian Bacardi (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, installation, 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 11public 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 CITY HALL SOUTH CLERK'S OFFICE ADDITION Page 1 City Attorney Approved 4/16/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 PWM26-4078FAC 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 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 CllY HALL SOUTH CLERK'S OFFICE ADDITION Page 2 City Attorney Approved 4/16/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 PWM26-4078FAC 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, RFls, submittals, schedules, change orders, project documents, as well as any deficient observations or punch list items. Providing mobile access will improve communication, efficiency, and productivity for all parties. The use of Procore for project management does not relieve the contractor of any other requirements as may be specified in the contract documents. 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. Signature: .~oa Cas Print Name: Gracie Wilson 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"; CITY HALL SOUTH CLERK'S OFFICE ADDITION Page 3 City Attorney Approved 4/16/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 PWM26-4078FAC 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 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. CITY HALL SOUTH CLERK'S OFFICE ADDITION Page 4 City Attorney Approved 4/16/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 PWM26-4078FAC 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 ten (10) working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within sixty (60) working days after receipt of Notice to Proceed. CITY HALL SOUTH CLERK'S OFFICE ADDITION Page 5 City Attorney Approved 4/16/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 CONTRACTOR'S INFORMATION. S & J Builders and Restoration Services, Inc. (name of Contractor) 689944 (Contractor's license number) B, C36 2/29/2028 (license class. and exp. date) 1000018498 6/30/2026 (DIR registration number and exp. date) PWM26-4078FAC 10815 Wheatlands Ave Suite J (street address) Santee, CA 92071 (city/state/zip) 619-449-2014 X 106 (telephone no.) swilson@sandjbuild.com (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] CITY HALL SOUTH CLERK'S OFFICE ADDITION Page 6 City Attorney Approved 4/16/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 CONTRACTOR S & J BUILDERS AND RESTORATION SERVICES, INC., a California corporation By: ~v&z s:i (sign here) Gracie Wilson, President and Secretary (print name, title) By: __... (sign here) (print name, title) 7 PWM26-4078FAC CITY OF CARLSBAD, a municipal corporation of the State of California By: Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager ATTEST: SHERRY FREISINGER, City Clerk By: Deputy/ Assistant City Clerk 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 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: 11~ b!A.,S ------------- Assistant City Attorney CITY HALL SOUTH CLERK'S OFFICE ADDITION Page 7 City Attorney Approved 4/16/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 PWM26-4078FAC 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 Business Name and Address DIR Registration License No., %of to be No. & Expiration Classification Total Subcontracted Date & Expiration Contract Date £Ju. /.r:-. FI\ l'N &A,"4 'Oc. u 'C ''°-t""...,,, t l O O t)OS''J ,s q S-fl..l.Z. fi'b ffl .r1o1c. t>11A F-. ,N.,,,... a, ~;w ' -3o•-l.O~ C, 41/'&J /2 '1 Vo? I I'< ,,_. ,-,+,' ~ ,...__,,y,,.,. e T . Total% Subcontracted: __ ___.z: ___ 0 ...... 1/-_o __ The Contractor must perform no less than 50% of the work with its own forces. CITY HALL SOUTH CLERK'S OFFICE ADDITION Page 8 City Attorney Approved 4/16/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 PWM26-4078FAC EXHIBIT B CITY HALL SOUTH CLERK'S OFFICE ADDITION Contractor to provide all materials, tools and labor to remodel an office space located at the City of Carlsbad City Hall located at 1200 Carlsbad Village Drive, Carlsbad, California 92008. All work to be consistent with the contractor's proposal dated May 8, 2026, and is attached to this agreement as Exhibit E. JOB QUOTATION ITEM UNIT QTY DESCRIPTION PRICE NO. 1 LS 1 Office remodel and addition. $32,527.87 TOTAL* $32,527.87 *Includes taxes, fees, expenses and all other costs. CITY HALL SOUTH CLERK'S OFFICE ADDITION Page 9 City Attorney Approved 4/16/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 EXHIBIT C LABOR AND MATERIALS BOND PWM26-4078FAC Bond no. 101069650 Premium $651 .00 WHEREAS, the City Council of the City of Carlsbad, State of California, has awarded to S & J Builders and Restoration Services, Inc. (hereinafter designated as the ({Principal"), a Contract for: CITY HALL SOUTH CLERK'S OFFICE ADDITION in the City of Carlsbad, in strict conformity with the drawings and specifications, and other Contract Documents now on file in the Office of the City Clerk of the City of Carlsbad and all of which are incorporated herein by this reference. WHEREAS, Principal has executed or is about to execute said Contract and the terms thereof require the furnishing of a bond, providing that if Principal or any of its subcontractors shall fail to pay for any materials, provisions, provender or other supplies or teams used in, upon or about the performance of the work agreed to be done, or for any work or labor done thereon of any kind, the Surety on this bond will pay the same to the extent hereinafter set forth. NOW, THEREFORE, WE, S & J Builders and Restoration Services, Inc., as Principal, (hereinafter designated as the ({Contractor"), and American Contractors Indemnity Company as Surety, are held firmly bound unto the City of Carlsbad in the sum of thirty-two thousand five hundred twenty-seven dollars and eighty-seven cents ($32,527.87), said sum being an amount equal to: One hundred percent (100%) of the total amount payable under the terms of the Contract by the City of Carlsbad, and for which payment well and truly to be made we bind ourselves, our heirs, executors and administrators, successors, or assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if the Contractor or his/her subcontractors fail to pay for any materials, provisions, provender, supplies, or teams used in, upon, for, or about the performance of the work contracted to be done, or for any other work or labor thereon of any kind, consistent with California Civil Code section 9100, or for amounts due under the Unemployment Insurance Code with respect to the work or labor performed under this Contract, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of the contractor and subcontractors pursuant to section 13020 of the Unemployment Insurance Code with respect to the work and labor, that the Surety will pay for the same, and, also, in case suit is brought upon the bond, reasonable attorney's fees, to be fixed by the court consistent with California Civil Code section 9554. This bond shall inure to the benefit of any of the persons named in California Civil Code section 9100, so as to give a right of action to those persons or their assigns in any suit brought upon the bond. CITY HALL SOUTH CLERK'S OFFICE ADDITION Page 10 City Attorney Approved 4/16/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 PWM 26-4078FAC Surety stipulates and agrees that no change, extension oftime, alteration or addition to the terms of the Contract, or to the work to be performed hereunder or the specifications accompanying the same shall affect its obligations on this bond, and it does hereby waive notice of any change, extension of time, alterations or addition to the terms of the contract or to the work or to the specifications. In the event that Contractor is an individual, it is agreed that the death of any such Contractor shall not exonerate the Surety from its obligations under this bond. This labor and materials bond may be approved as to form by the City Attorney for the City in counterpart, and the counterparts shall all constitute a single, original instrument. SIGNED AND SEALED, this _2_2_n_d __ day of __ M_a_y _________ _, 2026. S & J Builders and Restoration Services, Inc., (SEAL) (Principal) By: ~~?:: (Signature) American Contractors Indemnity Company (SE.~L} (Surety) - ~---- (SEAL AND NOTARIAL ACKNOWLEDGEMENT OF SURETY-ATTACH ATTORNEY-IN-FACT CERTIFICATE) APPROVED AS TO FORM: CINDIE K. McMAHON, City Attorney By: Assistant City Attorney CITY HALL SOUTH CLERK'S OFFICE ADDITION Page 11 City Attorney Approved 4/16/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange on __ ~_-_/_~_2-_/_L_v ____ before me, ____ N_a_ta_li_e_L_a_n_d_a,_N_o_t_a_ry_P_u_b_li_c ___ _ (insert name and title of the officer) personally appeared ___________ A_ri_e_l T_. _H_e_re_d_i_a __________ _ who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. cnnesononooo~ Signature ___ Cozl ________ ..........., ________ _ (Seal) Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 TOKIO MARINE HCC KNOW ALL MEN BY THESE PRESENTS: POWER OF ATTORNEY That American Contractors Indemnity Company of the State of California, a California corporation, does hereby appoint, ARIEL T. HEREDIA its true and lawful Attorney-in-Fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety regarding bond number 101069650 , providing the bond penalty does not exceed Thirty-two thousand, five hundred twenty-seven and 87/100 Dollars ( $32,527.87 ). This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the Board of Directors of AMERICAN CONTRACTORS INDEMNITY COMPANY at a meeting duly called and held on the 1st day of September, 2011. "Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney-in-Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." The Attorney-in-Fact named above may be an agent or a broker of the Company. The granting of this Power of Attorney is specific to this bond and does not indicate whether the Attorney-in-Fact is or is not an appointed agent of the Company. IN WITNESS WHEREOF, American Contractors Indemnity Cnmoany has caused its seal to be affixed hereto and executed by its ,,,1111i'nfii1i,1;, President on this 20th day of November, 2024. ~,,,,~<?-f'.cro"';,,,~, /~~~-----------·--·----<~~ AMERICAN CON1 CTO S INDEMNITY COMPANY ff~/ \~\ . = ~ : INCORPORATE:D ' :::j : y - \~--~~-~=--~~---:-~~-~~..-:o/ A Notary Public or other officer completing this certificate ~ 1~1, fy the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accurac , or validit of that document. State of California County of Los Angeles On this 20th day of November, 2024, before me, D. Littlefield, a notary public, personally appeared Adam S. Pessin, President of American Contractors Indemnity Company, who proved to me on the basis of satisfactory evidence, to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of CALIFORNIA that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ia• 0 0 0 :ot!:~i: • 1 I ~c:=10 .. Signature -----t------\----::if'"t'~~qf/ciM-1~--(seal) ~ MYCo111m. Expll'~J6113t, 2021 f I, Kio Lo, Assistant Secretary of A erican Contractors Indemnity Company, do hereby certify that the Power of Attorney and the resolution adopted by the Board of Directors of said Company as set forth above, are true and correct transcripts thereof and that neither the said Power of Attorney nor the resolution have been revoked and they are now in full force and effect. IN WITNESS WHEREOF, I 22nd day of Bond No. Agency No. 101069650 4046 HCCSOZZPOAACIC07 /2025 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 PWM26-4078FAC 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. CITY HALL SOUTH CLERK'S OFFICE ADDITION Page 12 City Attorney Approved 4/16/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 PWM26-4078FAC 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.l(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 Rl00 renewable diesel fuel as defined in the Regulation pursuant to Section 2449.l(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: S & J Builders and Restoration Services, Inc. Signature: ~ e 6 C _,, Name: Gracie Wilson Title: President CITY HALL SOUTH CLERK'S OFFICE ADDITION Page 13 City Attorney Approved 4/16/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 PWM26-4078FAC EXHIBIT E S&J Builders and Restoration Services Inc 10815 Wheatlands Ave Suite J Santee, CA 9~071 619-449-2014 619-449-0XR7 rax Uc 689944 ln ·urcd: Property: Claim Rep.: City of Cnrl·bad 1200 C.arlshad Village Dr Carl'ihad . C' A 92008 fa,timator: St'an Wibon Company: S&J Builders Bm,incss: 10815 Whcatlands Ave Suit~ J S:mtee, CA 92071 Reference: Company: City of Carlsbad Contractor: Cellular: (760) 585-8076 E-mai I: brnin.hacur<l i@carlshauca.gov Busines~: (619) 449-2014 x I06 E-m.iil: swilson@sandjbuild.com Busines:-.: (619) 449-2014 Company: S&J Builtkrs and Rc:-.torntion Scrvicl!s Im: Bu ·ine s: I 0815 Wheat lands Ave Suite J Santee. CA 92071 Claim Number:"'*"'':'* Dale Contacted: 2/25/2026 12:00 PM Date or Loss: 2/23/2026 12:00 PM L>atc ln,pected: 2/26/2026 6:30 AM Price List: Estimale: CASDHX_JlJN25 Rcs1oration/Scrvice/Remodel CITYCB-CITYHALL-TI-1 CITY HALL SOUTH CLERK'S OFFICE ADDITION Type of Loss: Other Date Rcceivctl: 2/25(2026 12:00 PM Oat~ Entered: 5/8/202.6 3:30 PM Page 14 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 -,_ ............. S&J Builders and Restoration Services Inc 10815 Wheatland~ Ave Suite J Santee. CJ\ 92071 619-449-2014 619-449-08 R 7 fax Lk 6X9Q44 PWM26-4078FAC We would like to thank you for the opportunity to provide you with this COST PROPOSAL FOR Housing & Neighbor Sen•ices / City Clerk Office Tl the total cost ror the repairs <lcrnilcd in the following proposal is$ 32,527.87 Proposal includes prevailing wages. The attached estimate details the specilic work lo be completed. Additional work outside of that specified in this estimate will be through separate propusal(s) unc..1/or change ordcr(s) di:tailing the ad<litional/duuigcd scope of work a<; well a.-. the lenm and pricing of those change-. Repair:; will be '-Cheduled afrer a signed contract is received by S&J Builder~ and :i PO i'i issued by the city. Unless noted otherwise, the customer il> rc~uircd to provide heat. water and electricity on-site for the duration of thil> project. The rnstomer is responsihle for providing continuous acces~ to the project area during Saturday husiness hours, Saturday., 7:30 ;1m - 4:00 pm. Where an item is being replaced. we will be matching the existing item's quality. color. tini~h. texture or material as dn~c as possihlt.-where applicahle unless noted otherwise. there is nn guaranty cilher specified or implied on exact m:.itchcs. This estimate does nm include h.vardous material tes1ing or ahatcmcnt unless spccific.:ally detailed in the following eslimme. This e~timatc is v.11id for 30 day°' from 5/8/2026. If you have any quc~tion ahout this estimate. please contact Sean Wil. on 10 discu~s those questions. Respectfully. Scan Wilson CJTYCB-CITYHALL-TI-1 CITY HALL SOUTH CLERK'S OFFICE ADDITION 5/8{1.026 Page 15 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 S&J Builders and Restoration Services Inc 1OHl5 Whcatlnnd~ Ave Suite J Santee, CA 91071 619-449-2014 619-449-0887 fax Lie 689'->44 CrTVCR-CITYHALI.-Tl-1 .l\fain Level Door Door Window Door F.xisting Housing Office 428.7:'i SF Wall:-. 601.00 SF Walb. & Ceiling 19.14 SY Flooring 52.50 Lf Ceil. Perimeter 3' X 6' 8" 3' X 6' 8" 5' XS' 6" .1' X 6' 8" OF.SCRJPTJON QTY RF.:\IIO\'f. RF.Pl.ACF, I. Contems -mow out then re~t -By th~City 1.00 EA 2. floor protection -self-adhesive I 72.2~ SF pla~tic film .3. ContainmeJ11 Barrier/Airlod,./Decon. 57X.25 SF Chamber . Pet>l & s.-a.l zipper 2.00 EA :'i. Neg. air fan/Air ..cruh.-Large 11,er I0.00 DA 24 hr period}-1 o monit. 6. Add for I IEPA filter (for negative 1.00 EA air exhauq fan) 7. Equipment decomamina1ion charge -1.00 EA per piece of cquip1m:nt 8. Mera! -,1udding. 3 5/1!" wi<lc. 16" OC 127.83 SF 0.9] CUX) (1.00 0.00 0.00 O.CXl 0.00 Wall to be hullt on top of the existln11 carp~t and below the e~lstlng drop ceiling, 9. Rt•wire\w,n: -.ivg. Ol'tice -bo cs & metal clad wiring IO. Outlet 11. Empiy conduit runs for future u~c 11. Batt in~ulation -4" -R 13 -unfao.:d ~ttt 13 .. V8" drywall -hw1g, raped. ready for IC'<lun.: 1-L Tape joint for new to existing drywtlll -per LF 15. Mil rnr,e-J'<'f LF ClTYC 8-CITY HALL-TI-I 130.00 SF 2.00 EA 2.00 LF 127.HJ SF 127.X3 SF 19.67 LF 5.~.00 LF CITY HALL SOUTH CLERK'S OFFICE ADDITION 0.00 0.11() 0.00 0.00 (1.00 0.00 (1.00 Page 16 0.00 I.W 17.IO 132.63 219.76 59.00 7.57 7.4tJ 27.9:\ 6.94 1.28 3.-B 14.21 9.24 PWM26-4078FAC I 72.2Ci SF Ceiling 172.25 SF Floor Height: 9' 10" 43.50 LF Floor Perimeler Opens into Exterior Opens into Exterior Opens into EXlSTl'.'JG_IIAL Opens into EXlSTl'.'IG_HAL TAX O&P 1.87 :n.42 7.62 l 85.40 1.55 7.16 O.CXl 265.26 15.20 ,17.00 0.45 I J.90 42.20 201.98 10.98 1%.94 1.30 11.44 0.1:'i 2.82 7.73 34.26 7.13 89.12 0.6l 56.01 3.90 98.7:! 5/8/2026 TOTAL EXCL· DED 194.48 1.112.44 42.91 I59I.:'ifi 281.96 71.35 1.111.85 1.1~1.62 68.60 16.85 205.61 534.71 336.14 592.34 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 S&J Builders and Restoration Services Inc 10815 Wheatland~ Ave Suite J Santee. CA 9::!071 6)9-449-2014 619-449-0887 fax Lie 6X9944 PWM26-4078FAC CO 'TINUEU • Existing Housin~ Office DF.SCRIPTIO QTY RF.MO\'f. REPLACE Metal mill core detail at ba~e height and around door and window opening. 16. c.,1urc drywall -smooth/ ,kim I. 7.:n S • 0.00 coat 17. Seal the surfm:c area w/latcx ha,c,I 15V.• SF 0.tKJ stain blocker -one coat IX. P,1im the wall,• 1wo c1~t1s 4'.?R.75 Sr-(l.00 19. Cove ha-.c moldmg -mbhcrm Jlton I.F 0.00 vinyl. 4" high 20. Final de.ming -con,tmction -172.25 SF (l.lK) Commercial Totals: Existing. Housing Office Existin~ City Clerk Office Door Door Door Door Window Door Window Window 681.6 1 Sf Walb 1,077.03 SF Walb & C'i.!iling 43.94 SY Flooring R6.83 LF Ceil. Perimeter 3' X 6' 8" .V X 6' 8" .'' X6' 8" 3' X 6' 8" 2' X6'4" 3' X6' 8" 5' X5' 6" 6' 5" X5' '.Ul 0.95 1.46 :!.n4 051 DF.SCRJPTIOX QTY RF.MOVF. RF.Pl.ACF. 21. Comcnh -move out 1hcn reset - By 1h~ City 22. Flom protection -self-adhesive plastic film 23. Containment Barrier/ A irlodJl)ccon. Chmnti.:r 24. Conrainment Barrier -ten,ion JJO!,t (pcrdJy) 2.5. Re mow Cabinetry -upper nvull I UIIIIS CITYCB-CITYHALL-TI-1 1.00 EA 395. 2 SF 361.54 SF 30.00 DA tl.00 Lf CllY HALL SOUTH CLERK'S OFFICE ADDITION 0.93 0.00 0.00 1..59 0.00 :u5 11.17 0.00 Page 17 TAX O&P 1.83 73.04 1.2:! 30.14 9.97 127.20 2.04 9.90 0.00 17.SX 115.75 1.498.30 395.42 Sr-Ceiling 395.42 SF Floor TOTAi. 438.3(1 1~0.82 7t-i:U5 .W.46 105.43 8.989.5!! Hci~ht: 9' 10" 71.83 Lf-Floor P~rimctcr Opens into F,xtcrior Opens into Exterior Opens into Exterior Opens into EW _ OFFICE Opens into NEW_ OFFICE Opens into EXISTl~G_HAL Opens into EXIS'fl~G _ HAL Opens into EXISTl:\G _ HAL TAX O&P -1.29 74AO .t7(l I 15.94 0.00 20.10 0.00 17.l.ll.l 5/8/2026 TOTAi. EXCLUDED -i46.· 3 695.55 120.60 101.:!.4 Page: 4 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 S&J Builders and Restoration Services Inc 10815 Wheatland~ Ave Suite J Santee. CA 9::!071 619-449-2014 619-449-088 7 fax Lie 689944 COYl'INlJED -Existing Cit)' Clerk Onice DF.SCRIPTJON 26. 220 volt metal clad orpcr wiring and box --rough-in only Relocate the copier outlet. 27. Vr, drywall • hung. taped, ready for te:,,.ture 1~. T J()C joint for nc~ to existing uryw,tll .. J)l!T Lr :!CJ. Mil cure-per LF QTY 1.00 EA 49.17 SF 19.67 Lr- 4.001..F RF.MOVE RE.Pl.ACF. 468.53 (J.O(l ().()() 14.11 (J.O(l 9.24 Metal mill core detail at base heigh! and around door and window opening, 30. Texture drywall --~mooth / ~kim 98.:n SF Clllll JI. P.tint door ~lah only --2 emus (per 1.00 EA sitlc) .12. !'.tint door trim & jamb • 2 rn.it~ 1.00 E,\ (per sitle) 33. Paint window opt:nmg • 2 coat~ I .Of► f.i\ (per sitle) 34. Sc,11 the ~urra,c an:a w/latc~ ha,cd 91U.\ S stain tilockcr --one coat 35. P.iint the wall, • two co.us 6R1.61 SF 36. Cove ha'<: molding --rubber or llWOLf \ inyl. 4" hi~h 37. rinal cleaning --rnnstruction --395.42 Sr Cmnmcrcial Total~: fo.i~1ing Ci1y Clerl Office CITYCB-CITYHALL-TI-1 CITY HALL SOUTH CLERK'S OFFICE ADDITION 0,00 (J.O(l (),!Kl (l.00 0.00 0.00 O.Oll 0.00 Page 18 2.31 57.)9 48.51 1.46 2.M 0.51 PWM26-4078FAC TAX O&P TOTAi. 15.27 96.76 580.5<> 2.74 J4.2R 205.67 0.61 56.02 .U6.l4 11.29 7.46 44.71 1.14 45.64 273.92 0.7H 11.60 69.57 0.47 9.1!0 51U8 O..l7 9.RO .'iH.7X 0.76 llUW 113.01 15.!t'i 202.22 1.213.22 2.D-l 9.90 59.46 0.00 -«>.34 242.00 49.-17 770.98 1,625.64 5/8/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 Door Window Window Mis.<,ing Wall Missin~ Wall Window Door S&J Builders and Restoration Services Inc 108 IS Wheatland~ Ave Suite J Santee, CA 92071 619-449-2014 619-449-0887 fax Lie 689944 Exi~1ing Hall 915.25 SF Walls 1.232.75 SF Walb & Ceiling 35.28 SY Flooring I 06.00 LF Ceil. Perimeter J' X6' 8'' 5' X 5' 6" 6' 5" X5' 6' X 9' 10" 6' X 9' JO" 5' X5'6" ]' X 6' 8" DESCRIPTIO ' QTY REMOVE REPLACE .lit Cont.:nh • move out then reset • By 1he City 39. Floor protccuon • '-'!ll'-udh ·,i11c plastic film 40. Cnn1:1111mo.:n1 Ban ic:r/Ai1 lo,:k/Dccon. Chamher 41. Coniammcnl lfon-kr wn,inn pc,,-1 (per day} -11. P.::cl & seal 7ip(lCr 43. cg . .iir fan/Air :m1b.-Larg,: ()1'.'r '.!4 hr period)· o monil. -4. /\d<l for HEP/\ filler (for ncgulivc air ei,hau~t fon l, 45. E4uipmcn1 <lccnnlmmnalion dwrg • • per piece of et1uipment -U1. Rclll~l\C Pas,-Tnrn window ~7. Rcmo\•e Coum~nop -~olid ~urfa<'e 48. Metal studding, 3 5/!I" wide. 16" oc Fill in pas.,;agr ll-indow Opt'ning. 9. Ball insulation - 4" • R 13 -unfaceJ hall 50. 5/800 drywnll -hung. 1apeJ. ready for ,~xture :'i I. T ~\Po-' joint for new 10 existing drywall • p.-r U· 52. Texture dl)c\\al] • Ornngc Peel CITYCB-CITYHALL-TI-1 1.00 F.,\ no.oo Sf- 137.67 S • 20.00 DA 1.00 F.A I0.00 DA 1.00 EA 1.00 EA .H03 SI· n.42 SF 31.01 SF .,1.01 SF 48.00 SF 24.00 LF 60.00 SF CITY HALL SOUTH CLERK'S OFFICE ADDITION 0.93 0.00 !UK) 159 ().0() :l.35 o.uo 17.10 0.00 132.63 0,(K) 21lJ.7n ()JI() W.00 11.2., 0.00 10.23 0,00 0.00 7.57 0.00 1.28 (l.00 3.4J 0.00 I .21 0.00 1.()4 Page 19 PWM26-4078FAC 3 I 7.50 SF Ceiling 317 .50 SF Floor Height: 9' 10" 100.00 LF Floor Perimeter Opens into EXISTl~G _ CIT Open.<, into J<.:XJSTl~G _ CIT Opens into J<.:XlSTl. G_crr Opens into F,xterior Opens into Exterior Opl'ns in1o EXlSTI~G _ HOl. Opens in1o EXISTl~G_HOU TAX O&P 0.(15 I I.JO I.RI M.14 0,00 U.-W 0.78 .t58 0.00 20.'i.:?.o l~.20 47.UO 0.45 JJ.l)() o.on 146.H6 0.00 13.14 10.24 49.00 1.87 !U2 '.!.68 .H46 0.74 68.34 0.2.'1 12.52 5/8/2026 TOTAL EXCLUDED 67.7':- 2M.85 80.J(J 21.46 1591.~n 281.% 71.JS R81.J'.? 71(~2 293.99 49.R!! 200.78 4I0.12 75.15 Pag.:: 6 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 S&J Builders and Restoration Services Inc 10815 Wheatland~ Ave Suite J Santee. CA 9:!071 6)9-449-2014 619--449-0887 fax Lie 689944 CONTINUED -Existing Hall DESCRIPTION QTY RF. '10\IF. REPI.ACF. S&.J will attempt to match the existing orange peel texture . 3. Seal the surf';u.:e urea w/lalcll btN:d stain blocker -one coal 54. P.iint the surface urea • l\ln rnu1, Painl from dour jamb to door jamb 55. In tall Commerdal Sign -Dct.ich und rehL,;wll 60.00 SF ().()() 44o.60 SF (l.00 1.00 SF 0.00 Rdocatr thr wall mounfl.'11 City Clerk sign 56. Fin:il d!!aning -con~trul'tion - Comm<rcial Door Window 158.75 SF 0.00 ~ew Office 3Rl.97 SFW~,11~ 487.06 SF Walls & Ceiling I I .68 SY floo1ing 42.17 LF Ceil, Perimeter 3' X 6' 8" 2' X6' 4" 0.9 1.46 45.47 0.51 DESCRIPTION QTY RF.MOVF. REPl,ACE 57. Concent, -move out then reset - By th• City 58. Flom protection -self-adhe\i\'e plas1k film 59. Containment Burricr/J\irlodJD ·con. Chamhcr 60. Metal studding. 3 5/8" wide. 16'' oc 1.00 EA 105.08 SF l05.08 SF 39.D SF 0.93 0.00 0.00 1.59 (J.00 7.57 PWM26-4078FAC TAX O&P 0.47 11.50 10.J8 1.U .48 0.00 CJ.10 0.(XI 16.10 45.50 897.50 tn5.08 SF Ceiling I 05.08 Sf Floor TOTAi. 68.97 794.90 .~4.57 97.16 5,384.79 Height: 9' 10" 39. J 7 LF Floor Perimeter Opens into EXISTl:--IG_t:rr Opens into EXISTl~G _ CIT TAX O&P 1.14 19.76 33.70 12.99 62.14 TOTAi. EXCLUDED IH!.62 202.16 372.86 Create new door and side light opening between lhr new otlice location and the existing City Clerk Oftkc 61. 110 volt metal clad copper wiring 1.00 EA and box -TOll!,!h-in only ·cw switch leg to existing ceiling light fixture. 61. Rcwire\wi1e -avg. Office• ho:i1es & ,rn:tal clad wiring 6..1. Oulkt CITYCB-CJTYHALL-TI-1 105.0R Sr: 2.00 CA CITY HALL SOUTH CLERK'S OFFICE ADDITION 0.00 0.00 0.00 Page 20 19J.55 1.98 39.12 :D4.65 7.49 159.'.!0 17.9.l IIA4 6R.60 5/8/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 PWM26-4078FAC -S&J Builders and Restoration Services Inc 10815 Wheatl:md~ Ave Suite J &~l-1,Yo,~N'-'-bt-Santee, CA 9~07 I 6I9449-2014 619-449-0887 fax Lie 6X99'44 CONTINUEU -"ew Ollice DESCRIPTION QTY RF.MOVE REPI.ACR TAX O&P TOTAi. 64. Switch 1.00 EA 0.00 31.91 0.96 6.58 J9.45 6 .. ·.mply i:vnduil run, for fu1urc u,.: 2.00 I. 0.(1() 6.94 0.1. .?.82 16Jt M. Ball in~ulation -4" -R 13 -unf'accd 39.:n SF 0.110 1.28 2.38 10.54 n3.26 hall 67. 5/'d" drywall -hung. 1apcd. rcndy 167.17 SF 0.00 :1,4:1 lJ.33 11654 699.26 for lCXIUJ'C 6X. Tape join1 for new to cxi~lmg .l9.n LF 0,()() 14.21 1.22 112.02 n7:?.t2 drywall -per LF 69. Mil core-per LF X2.l7 LF O.tlO 9.24 6.05 153.0lS 9JK.3~ \1etul mill core detail al base height. ut wood panel, around door and winduu opening. 70. Texture drywall -smooth/ ~kim 255.67 SF 0.00 2.31 2.97 118.7:! 712.29 CCJ<ll 71. Interior door unit -Smooth Slab 1.00 EA 0.00 587.10 38.0l 125.02 750.D .ro•· x o'K'" x 1 :V+" 72. Paint door slab only -2 coals (~r 1.00 EA 0.00 57.JCJ 0.78 11.6() 69.57 side) 7'!1. Paint door rrim & jamb -Z coats 1.00 EA 0.00 41.<..S I 0.47 9.80 58.78 (per ~i1k:l 74. Lock ·ct -Commcr(·ial grad -$ 1.00 EA 0.00 271.01 18.09 57.82 346.92 IR6 M,m:nal Allowance 75. Door lire in en -full sitklit..-. up to l.00 EA n.oo 763.40 4lJ.96 ]62.68 976.04 :r .,.. 6-S" • Clear Gia,~ Temp 76. Door jamb per LF -intcnor -3 18.0U LF 0.00 12.95 13.34 ..i9.:?8 295.72 5/'lr' wide 77. P.iint window opcmng -2 mars 1.00 EA 0.00 4851 0.47 9.l<O 51!.78 (per sit.le) 71l. S.:al the ~urfocc an:a w/lalcit ba,cd 255.o7 s o.uo ().95 1.98 411.98 293.85 ~tain blocker -one coat 79. Pnint the wall~• lwo coats .~81.97 SF (l.00 1.46 K.8K 11 3.32 679.K8 l<O. Cove ba~c mo!Jing -rubber or 39.17 LF 0.00 2.64 -U3 21.56 129.40 vinyl. 4" high Ill. Carpel -R<'p,tir l.00 EA n.oo 373.D -U15 75.6R 454.0n Carpel repair 111 new door opening. City to provide carpet materials. 82. r-inal deaning -conMruct.ion -10:'i.Ol! SF 0.(}l) 0.51 0.00 10.72 M.31 Commercial Tornls: ·cw Office 191.79 1.541.92 9.251.07 Total: Mt1in Lev.:] 402.51 4.708.70 28,251.0R CJTYCB-CITYI IALL-TI-1 5/8/2026 Page:8 CllY HALL SOUTH CLERK'S OFFICE ADDITION Page 21 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 S&J Builders and Restoration Services Inc 10815 Whcatlands Ave Suite J Santee. C !\ 9~071 619-449-2014 619-449-0887 fax Lie 6X9944 General DESCRIPTION QTY 83. Asbcsto., test fee -full service l.00 EA survey • htl\c fee 84. Asbcsto:,, 1es1 fee -run service 6.00 EA stirvcy • per sample 85. Hazardou • Material Abatement 1.00 EA (A,l-..:,10s) REPLACE TAX S&J will provide a thange order for the usbcstos abatement Ir anr of' the results tome buck positive for asbestos 86. A~be~IO:. test fee • po~! abatement air dear.me-.:-busc Ice 87. Lead teM frc -full servke h:a<l ~urvey • ba~t: f.:c 88. Lead test fee -full ser\'ice survey (per ~ample) X9. Hazardous Material Remediation (Lead Painll l.00 EA l.00 EA 4.00 EA I.CJOEA PWM26-4078FAC O&P TOTAi. BY CITI' BY CITY EXCLUDED BY CITY BY CITY BY CITY EXC'L DED S&J will pro,·ide a change order for the tead pain I ubatemenl if im. of lhe results come buck posiliw for lend painl 90. Architectw-al/Drn.fting fees (By l.00 EA C11yl Additional cost "ill apply if' the city wants building plans 91. Pennits & fee,-(By City I 1.00 EA Additional cosl will o1pply if the l'il) wanls S&J 10 pull 1hc permits. 9.:!. Haul lkbris -per pickup truck load .2.00 EA • indudintz dump Ices 93. Pl.istk contractor dl•bri~ bng 30.00 EA 1),1_ Commercial Supervision/ Proj~ct 16.00 HR \1anagcmenl • per hour Additionul time to complete UO's-U2's 95. Bond 1.00 EA Total~: General Lint' Item Totals: CITYCB-CITYHi\l.L-Tl-1 CITYCB-CJTYI-IALL-TI-1 CITY HALL SOUTH CLERK'S OFFICE ADDITION 310.44 0.83 0.00 O.lXl 0.00 0.00 91.08 1,459.00 Page 22 EXCL OED EXCLUDED 0.00 124.11:1 745.06 l.93 5.36 32.19 0.00 291 .46 1,748.74 o.no 291.XO 1.1so.1m l.93 712.80 <l.276.79 404.44 s .. m.so 32,527.87 5/8/2026 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 S&J Builders and Restoration Services Inc 10815 Wheatland~ Ave Suite J Santee, CA 9~07 I 619-449-2014 619-449-0887 fax Lk 689944 Grand Total Areas: 2.407.S8 SF Walls. 990.25 SF Floor 0.00 SF Long W:1ll 990.:25 rloor Area 1~154.81 Extt'rior Wall Area 0.00 Surface Area 0.00 Total Ridge Length CITYCB-C'JTYI IALL-TI-1 CITY HALL SOUTH CLERK'S OFFICE ADDITION 990.25 SF Ceiling 110.m SY Flooring 0.00 SF Short Wall l.060.61 Total Area 145.'.l:'l Exterior Perimeter of Wall~ 0.00 i ·umber of Square~ 0.00 Total (lip Length Page 23 PWM26-4078FAC 3 .. N7.83 SF Walls and Ceiling 254.50 LF Floor Pc::rimeler 287.50 LF C'eil. Perimt"ter 2,407.58 Interior Wall Are:, 0.00 Total PcrimeH:r Length 5/8{!.026 Page: 10 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 S&J Builders and Restoration Services Inc 10815 Wheatland~ Ave Suite J Santee, CA 92071 619-449-2014 619-449-0887 fax Lie 689944 Line Item Total Material Sale), Tux. Suhltllal Overhead Profit Replacement Co~1 Value ·c1 Claim Summary for Tenant Improvement Sean Wilson CITYCB-CITYI IALL-TI-1 CITY HALL SOUTH CLERK'S OFFICE ADDITION Page 24 PWM26-4078FAC 5/8/2026 26.701.9., 404.44 27.106.37 2.710.75 2,710.75 $32,527.87 $32,527.87 Page: 11 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 S&J Builders and Restoration Services Inc 10815 Wheatland~ Ave Suite J Santee. CA 92071 619-449-2014 619-449-0887 fax Lie 689944 Recap of Taxes, Overhead and Profit Line Items 2.710.75 2.710.75 Tutal 2.7I0.75 2,7J0.7~ CITYCB-CJTYI IALL-TI-1 CITY HALL SOUTH CLERK'S OFFICE ADDITION Page 25 Mahirial Sa!ci, Tux (7.75%) 404.44 PWM26-4078FAC Sturage R~nl.ll Tall: • (7.75Ck) 0.(JO 0.00 5/8(2026 Page: 12 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 S&J Builders and Restoration Services lnc 10815 Wheatland~ Ave Suite J Santee. CA 91071 619-449-2014 619-449-0887 fax Lie 689944 Estimate: CITYCB-CITYHALL-Tl-l Arca: Main Lu·cl Ell'.istin~ Housing Office Existing City Clerk Office Existin~ HaJI New Offke Area Subtotal: ~lain Level General Subtotal of Areas Total CITYCB-CITYHALL-TI-1 CITY HALL SOUTH CLERK'S OFFICE ADDITION Recap b)' Room Page 26 PWM26-4078FAC 7,.~75.53 27.62% ,\,805.19 14.25% 4,-1,U.79 16.63% 7,517.36 28.15% 23,139.87 86.66% 3.562.06 13.34% 26,701.93 100.00% 26,701.93 100.00% 5/8/2026 Page: 13 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 S&J Builders and Restoration Services Inc O&P Items CLEANING 10815 Wheatland~ Ave Suite J Santee. Ct\ 92071 619-449-2014 619-449-0887 fax Lie 689944 GE~ERAL OEMOLITION DOORS DRYWALL ELECTRICAL MISC. EQUIPMENT -COMMERCIAL f1~)0R COVERING -CARPJ<:T FLOOR COVERING -VINYL PERl\UTS AND FEES FlNISH CARPENTRY / TRl\1WORK FNISII IIARDW ARE FRAMING & ROUGH CARPENTRY HAZARDOUS MATERIAL RF.MF:DIATJON INSULATION LABOR ONLY PAINTING O&P llems Subtotal ~alerial Sales Tax Overhead Profit Total CITYCB-CITYl IALL-TI-1 CITY HALL SOUTH CLERK'S OFFICE ADDITION Recap by Category Page 27 PWM26-4078FAC Total % 424.06 1.30% 2,216.53 6.81% 1.350.50 -U5% 5,.UJ.58 16.40% 2,594.22 7.98% 45.47 0.14% 373.7.1 1.15% 198.45 0.61% l.459.00 4.49% 233.IO 0.72% 271.01 0.83% 1,500.15 4.61% 5,.,(19.17 16.32% 253.65 0.78% 1,457.28 4.48% 3,682.03 1U2% 26,701.93 82J)9% 404.44 1.24% 2,710.75 8.33% 2.710.75 8.33% 32.527.87 100.00% 5/8/2026 Page: 14 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 S&J Builders and Restoration Services Inc 5 7 I0815 Wheatlands Ave Suite J Santee. CA 92071 619-449-2014 619-449..0887 fax I.it· 689944 CITYCB-CITYI IALL-Tl-1 CITY HALL SOUTH CLERK'S OFFICE ADDITION 2 4 6 Page 28 PWM26-4078FAC 5/8/2026 Page: 15 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 S&J Builders and Restoration Services Inc 9 11 13 15 10815 Wheatlands Ave Suite J Santee. CA 92071 6I9-449-2014 619-449-0887 fax. Lie 6891}44 CITYCB-CITYI IALL-Tl-1 CllY HALL SOUTH CLERK'S OFFICE ADDITION 10 12 14 16 Page 29 PWM26-4078FAC 5/8/2026 Page: 16 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 S&J Builders and Restoration Services Inc 17 19 10815 Wheatland~ Ave Suite J Santee, CA 92071 619-449-2014 619-449--088 7 fax l.ic 689944 CITYCB-CITYI lALL-TI-1 CllY HALL SOUTH CLERK'S OFFICE ADDITION 18 Page 30 PWM26-4078FAC 5/8/2026 Page: 17 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 Muin 1_.,vel ,., 1------ --Containments CITYCJ3-CITYI IALL-TI-1 CITY HALL SOUTH CLERK'S OFFICE ADDITION Page 31 Exis • ng City Clerlr. Office Fill widnow opening PWM26-4078FAC 5/Y,{l0'2.6 Li M.iin Lcvd Patic: 11:S Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 S&JBUIL-01 KANDREAS ACORD$ CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 5/13/2026 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 22~I~cT Kristi Andreas-Redondo JPL Insurance Group, Inc. PHONE I FAX 3033 Fifth Ave. #325 (A/C, No, Ext): (A/C, No): San Diego, CA 92103 i~D"'i!~ss: kristi@jplinsurance.com INSURER(S) AFFORDING COVERAGE NAIC# 1NsURERA:James River Insurance 12203 INSURED INSURER B: Infinity Select Insurance Company 20260 S & J Builders And Restoration Services, Inc. INSURER c: State Compensation Ins Fund 35076 10815 Wheatlands Ave. Ste. J INSURER D: Beazley Excess And Surplus Insurance, Inc. Santee, CA 92071 INSURER E: Financial Pacific Insurance Co 31453 INSURERF: 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~ff TYPE OF INSURANCE A X COMMERCIAL GENERAL LIABILITY ~□ CLAIMS-MADE X OCCUR ~ ------------ ~ ------------ GEN'L AGGREGATE LIMIT APPLIES PER: Fl POLICY [K] ~r8-f = LOG OTHER: 8 AUTOMOBILE LIABILITY A X ANYAUTO OWNED AUTOS ONLY HIRED AUTOS ONLY UMBRELLA LIAB SCHEDULED AUTOS NON-OWNED AUTOS ONLY X OCCUR X EXCESS LIAB CLAIMS-MADE OED I I RETENTION$ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below D COL & Prof Liab E Property f9J1J-~~ POLICY NUMBER X P0000010966 N/A 50004339601 00166803-0 X 9372480-2026 D3AD12250101 60497187 POLICY EFF POLICY EXP IMM/DDNYYYl IMM/DDNYYYl LIMITS EACH OCCURRENCE $ 1,000,000 10/15/2025 10/15/2026 e-'~'--'-~~~""'~""~"'~"-J9--'-'E""~c-'i';,~'"'~T,,,.,i,"-'?e"-'n"'ce,,__l__,$,__ ____ 1_0_0_,0_0-----!0 3/1/2026 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 COMBINED SINGLE LIMIT (Ea accident) $ $ 3/1/2027 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ 1,000,000 10/15/2025 10/15/2026 EACH OCCURRENCE AGGREGATE $ $ $ 2,000,000 2,000,000 1/1/2026 1/1/2027 X I ~ff ruTE I I OTHER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ 10/15/2025 10/15/2026 $4MIUOcc/Agg 10/10/2025 10/10/2026 Personal Prop of 0TH 1,000,000 1,000,000 1,000,000 4,000,000 29,200 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: All Projects with the City As respects General Liability, 'The City of Carlsbad/CMWD' is additional insured when required by written contract per attached endorsements. Cancellation Clause applies per attached policy language. Waiver of Subrogation applies with respects to Workers Compensation. Excess policy to follow form over the GL, Auto and Workers Compensation. 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 ACCORDANCE WITH THE POLICY PROVISIONS. c/o EXIGIS Insurance Compliance Services P.O. Box 947 Murrieta, CA 92564 AUTHORIZED REPRESENTATIVE I ,/k-/4--LL ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 POLICY NUMBER: P0000010966 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 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 Operations Where required by written contract or written agreement All operations of the Named Insured 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. 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 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. CG 2010 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 □ Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 POLICY NUMBER: P0000010966 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Where required by written contract or written All operations of the Named Insureds agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II -Who Is An Insured is amended to include as an additional insured the person(s) ororganization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work'' at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 □ Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 POLICY NUMBER: P0000010966 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMON POLICY CONDITIONS All Coverage Parts in this policy are subject to the following Conditions. 1. CANCELLATION AND NON-RENEWAL A. The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. B. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least: (1) 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or (2) 30 days before the effective date of cancellation if we cancel for any other reason. C. We will mail or deliver our notice to the first Named lnsured's last mailing address known to us. D. Notice of cancellation will state the effective date of cancellation. The policy will end on that date. E. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata unless cancellation is due to non payment of premium, in which case the refund may be less than pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. F. If notice is mailed, proof of mailing will be sufficient proof of notice. If we elect not to renew this policy, we shall mail written notice to the First Named Insured at the address shown in the Declarations. Such written notice of non-renewal shall be mailed at least 30 days prior to the end of the policy term. 2. CHANGES This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy. 3. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US If the insured has rights to recover all or part of any payment we have made under this policy, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. 4. REPRESENTATIONS By accepting this policy, you agree: A. The statements in the Declarations are accurate and complete; B. Those statements are based upon representations you made to us; and C. We have issued this policy in reliance upon your representations. 5. SERVICE OF SUIT It is agreed that in the event of the failure of this Company to pay any amount claimed to be due hereunder, this Company will submit to the jurisdiction of any court of competent jurisdiction within the United States of America and will comply with all requirements necessary to give such Court jurisdiction and all matters arising hereunder shall be determined in accordance with the law and practice of such Court. It is further agreed that service of process in such suit may be made upon the Company's President, or his nominee, at the address shown on the Declarations page of this policy, and that in any suit instituted against any one of them upon this policy, this Company will abide by the final decision of such Court or of any Appellate Court in the event of an appeal. AP2104US 06-25 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 2 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 SCHEDULE OF UNDERLYING INSURANCE SCHEDULE B COMMERCIAL EXCESS LIABILITY COVERAGE This schedule forms a part of Policy No. 00166803-0 TYPE OF POLICY LIMITS OF LIABILITY A. COMMERCIAL GENERAL LIABILITY Company: James River Insurance Company Each Occurrence: $1,000,000 General Aggregate: $2,000,000 Products-Completed Policy No.: P0000010966 Operations $2,000,000 Aggregate: Policy 10/15/2025 to 10/15/2026 Personal & $1,000,000 Dates: Advertising Limit: Occurrence ~ Claims Made D Retroactive Date: N/A B. AUTOMOBILE LIABILITY Each Accident Bodily Injury & $1,000,000 Company: Infinity Select Insurance Company Property Damage Combined Single Limit: Policy No.: 50004339601 Hired & Non-Owned Limit Each Accident: Policy 03/01/2026 to 03/01/2027 Dates: C. EMPLOYERS LIABILITY State Compensation Insurance Fund Bodily Injury by Company: of CA Accident -Each $1,000,000 Accident: Bodily Injury by Policy No.: 9372480-26 Disease -Policy $1,000,000 Limit: Policy Bodily Injury by 01/01/2026 to 01/01/2027 Disease -Each $1,000,000 Dates: Employee: XC0003US 09-16 Page 1 of 1 Docusign Envelope ID: F75283BC-54D3-819E-80C8-E75A07867233 STATE COMPE;NSATION INSUFANCE FU :ND HOME OFFICE SAN FRANCISCO ALL EFFECTIVE DATES AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS EFFECTIVE January 1, 2026 AT 12:01 AM. AND EXPIRING January 1, 2027 AT 12:01 AM S & J BUILDERS AND RESTORATION SERV 10815 WHEATLANDS AVE STEJ SANTEE, CA 92071-2872 Page 1 9372480-26 RENEWAL Southern 0443480 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. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER BLANKET WAIVER OF SUBROGATION NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: December 31, 2025 AUTHORIZED REPRESENTATIVE PRESIDENT AND CEO 2572 SCIF FORM 10217 (REV. 4 -2018) OLD DP 217