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HomeMy WebLinkAboutBaker Electric Inc; 2018-01-09; PWL18-52TRANRECORDED REQUESTED BY CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 DOC# 2018-0250984 111111111111 lllll 111111111111111111111111111111111111111111111 IIII IIII Jun 20, 2018 03:48 PM OFFICIAL RECORDS Ernest J. Dronenburg, Jr., SAN DIEGO COUNTY RECORDER FEES $0.00 (SB2 Atkins $0.00) PAGES 1 Space above this line for Recorder's use. PARCEL NO: NOTICE OF COMPLETION Notice is hereby given that: n/a 1. The undersigned is owner of the interest or estate stated below in the property hereinafter described. 2. The full name of the undersigned is City of Carlsbad, a municipal corporation. 3. The full address of the undersigned is 1200 Carlsbad Village Drive, Carlsbad, California 92008. 4. The nature of the title of the undersigned is: In fee. 5. A work or improvement on the property hereinafter described was completed on May 25, 2018. 6. The name of the contractor for such work or improvement is Baker Electric, Inc. 7. The property on which said work or improvement was completed is in the City of Carlsbad, County of San Diego, State of California, and is described as follows: EV Charger Installation, Contract No. PWL18-52TRAN. 8. The street addresses of said properties are 3420 Camino De Los Caches, and 3021 State Street, in the City of Carlsbad. VERIFICATION OF CITY CLERK I, the undersigned, say: I am the City Clerk of the City of Carlsbad, 1200 Carlsbad Village Drive, Carlsbad, California, 92008; the City Manager of said City on --:::S:t !p o /~~ , 2018, accepted the above described work as completed and ordered that a Notice of Co~pletion be filed. I declare under penalty of perjury that the foregoing is true and correct. Executed O~¼) J 'f , 2018, at Carlsbad, California. r Cl1;( OF CARLSBAD/) . , . ~ 1<-t/4 rL ~ BARBARA ENGLESON City Clerk Q:\Public Works\PW Common\CAPITAL-ACTIVE\PWL 18-52TRAN EV Charger lnstallation\PWL 18-52TRAN EV Charger Installation NOC.doc CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS Baker Electric, Inc. has completed the contract work required for Contract No. PWL 18- 52TRAN, EV Charger Installation. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS VALUE Installation of seven (7) Electric Vehicle Chargers. $3,312.00 CERTIFICATION OF COMPLETION OF IMPROVEMENTS Dat~ ' CITY MANAGER'S ACCEPTANCE OF PUBLIC IMPROVEMENTS The construction of the above described contract is deemed complete and hereby accepted. The City Clerk is hereby authorized to record the Notice of Completion and release the bonds in accordance with State Law and City Ordinances. The City of Carlsbad is hereby directed to commence maintaining the above described improvements. APPROVED AS TO FORM: CELIA BREWER, City Attorney By~ Deputy City Attorney Q:\Public Works\PW Common\CAPITAL-ACTIVEIPWL 18-52TRAN EV Charger lnstallation\API (Public Works)-revised 2018-02-15.doc TRACKING# PWL 18-52TRAN CITY OF CARLSBAD PUBLIC WORKS LETTER OF AGREEMENT EV Charger Installation This letter will serve as an agreement between Baker Electric, Inc., a California corporation (Contractor) and the City of Carlsbad (City). The Contractor will provide all equipment, material and labor necessary to meet City representative at storage location (5815 El Camino Real, Carlsbad, California) and assemble seven (7) Charge Point CT4000 Charging units. One (1) dual charging unit will be installed at the State Street parking lot (3045 State Street, Carlsbad, California) where an existing electrical infrastructure stub- up is located, and four (4) dual charging units and two (2) single charging units will be installed at the Stagecoach Park parking lot (3420 Camino De Los Coches, Carlsbad, California) where existing electrical infrastructure stub-ups are located. In each location, Contractor will make relevant wire connections, energize circuits and test for proper operation, pinpoint and commission charging units and clean up work areas, per Exhibit A and City specifications, for a sum not to exceed Three Thousand Three Hundred Twelve Dollars ($3,312). This work is to be completed within thirty (30) working days after issuance of a Purchase Order by the City. Locations for installation or charging units are as noted in Exhibit A. ADDITIONAL REQUIREMENTS 1. City of Carlsbad Business License 2. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its agents, officers, officials, employees, and volunteers from 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 this Contract or work; or from any failure or alleged failure of the contractor to comply with any applicable law, rules or regulations including those relating to safety and health; except for loss or damage which was caused solely by the active negligence of the City; and from any and all claims, loss, damage, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by this Contract, unless the loss or damage was caused solely by the active negligence of the City. The expenses of defense include all costs and expenses, including attorney's fees for litigation, arbitration, or other dispute resolution method. 3. Contractor shall furnish policies of general liability insurance, automobile liability insurance and a combined policy of workers compensation and Employers' Liability in an insurable amount of not less than one million dollars ($1,000,000) each, unless a lower amount is approved by the Risk Manager or the City Manager. Said 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. Insurance is 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. Proof of all such insurance shall be given by filing certificates of insurance with contracting department prior to the signing of the contract by the City. 4. The Contractor shall be aware of and comply with all Federal, State, County and City Statues, Ordinances and Regulations, including Workers Compensation laws (Division 4 California Labor Code) and the "Immigration Reform and Control Act of 1986" (8USC, Sections 1101 through 1525), to include but not limited to, verifying the eligibility for employment of all agents, employees, subcontractors and consultants that are included in this Contract. 5. The Contractor may be subject to civil penalties for the filing of false claims as set forth in the California False Claims Act, Government Code sections 12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. z2:}:l init ____ init ,y· 6. The Contractor hereby acknowledges that debarment by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor from participating in contract bidding. ",1,-?0 init ___ init / ' . ./ EV Charger Installation - 1 -City Attorney Approved 2/29/2016 TRACKING# PWL 18-52TRAN 7. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this agreement is San Diego County, California. 8. The general prevailing rate of wages, for each craft or type of worker needed to execute the contract, shall be those as determined by the Director of Industrial Relations pursuant to the Section 1770, 1773 and 1773.1 of the California Labor Code. Pursuant to Section 1773.2 of the California Labor code, a current copy of applicable wage rates is on file in the office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all workers employed by him or her in the execution of the work covered by this Letter of Agreement. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. 9. City Contact: Steven Stewart 760-602-7543 Contractor Contact: David Lacombe 760-745-2001 CONTRACTOR Baker Electric, Inc., a California corporation 1298 Pacific Oaks Place Escondido, CA 92029 P: 760-745-2001 F: 760-745-3610 dlacom be@baker-electric.com George England, Vice President (print name/title) By: (sign here) Brian Miliate, CFO (print name/title) CITY OF CARLSBAD, a municipal corporation of the State of California By: Dated: Elaine Lukey/Pu ~ orks Director as authorized by the City Manager (Proper notarial acknowledgment of execution by Contractor must be attached. Chairman, president or vice-president and secretary, assistant secretary, CFO or assistant treasurer must sign for corporations. 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: CELIA A. BREWER, City Attorney BY: Deputy City Attorney EV Charger Installation - 2 -City Attorney Approved 2/29/2016 CAU:FCRrt,UA ALL-PU~POSE ACKNOWLEDGMENT CIVIL CODE§ 1189 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 .5 tl f"'\ } ) On I l, } ~ ) 'J before me, Dana Rasmussen, Notary Public Date Here Insert Name and Title of the Officer personally appeared _G=-e_o r;_~-t-'e_ __ u,~'9-,....l~~"'-'-----"'-'----tt_J _ __,/3-=--r.-'--1M-". -"--....... ft__._,_.· J_,_,-'-'-i,-'--k-=-_ Name(s) of Signer(s) 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 capacityCTes), 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. OANA RASMUSSEN Commission# 214753: z Notary Public • California ! San Qiego County My Comm. Expires Apr 22, 2020 Place Notary Seal Above 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. Signature a~ Signature of Notary Public --------------oPTIONAL-------------- Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: ____________ Document Date: ______ _ Number of Pages: ___ Signer(s) Other Than Named Above: ___________ _ Capacity[ies) Claimed by Slgner{s) Signer's Name: ___________ _ Signer's Name: ___________ _ 0 Corporate Officer -Title{s): _____ _ 0 Corporate Officer -Title(s): _____ _ O Partner -0 Limited O General 0 Partner -0 limited O General 0 Individual O Attorney in Fact 0 Individual O Attorney in Fact O Trustee O Guardian or Conservator 0 Trustee O Guardian or Conservator OOther: ____________ _ 0 Other: ____________ _ Signer Is Representing: ________ _ Signer Is Representing: ________ _ ©2014 National Notary Association· www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827} Item #5907 TRACKING# PWL 18-52TRAN EXHIBIT A ITE UNIT QTY DESCRIPTION PRICE M NO. Access City service center at 5815 El Camino Real in 1 Job Lot Carlsbad, California and pick up seven (7) Chargepoint CT4000 charging unit and pedestal sets. Assemble and install one (1) dual charging unit at the State Street parking lot (3045 State Street Carlsbad, 2 Job 1 California) where an existing electrical infrastructure stub-up is located. LOTO circuits, (2) make relevant wire connections, (3) energize circuits and test for proper operation, and (4) cleanup work areas. 3 Job 6 Assemble and install four (4) dual charging units and two (2) single charging units at the Stagecoach Park parking lot (3420 Camino De Los Coches, Carlsbad, California) where existing electrical infrastructure stub-ups are located. Access electrical panel and LOTO circuits, (2) make relevant wire connections, (3) energize circuits and test for proper operation, and (4) cleanup work areas. 4 Job Lot Commission CT4000 Chargepoint charging units, inclusive of site validation survey prior to activation (including standard electrical power consistency evaluation, circuit breaker and electrical panel evaluation) and cellular network communications test for cellular signal strength. TOTAL NOT TO EXCEED* $3,312 *Includes taxes, fees, expenses and all other costs. EV Charger Installation -3 -City Attorney Approved 2/29/2016 t " State Street Parking Lot, (south of Carlsbad Village Dr.) 3045 State St. Carlsbad Ca.92008 APN: 203-296-0600 Stagecoach Park 3420 Camino De Los .9?~b~~ Carlsbad, CA 92009 APN: 223-060-6100 EXHIBIT A Premises Page 1 EVgo~ ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 12/7/2017 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 ~~:i~cT Wella Campbell Alliant Insurance Services, Inc. f.~~N,t Ext\: 619-849-3924 I FAX 701 B Street, 6th floor IA/C Nol: 619-699-2164 San Diego CA 92101 ~t1D~~ss: wcampbell@.alliant.com INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Old Republic Insurance Company 24147 INSURED INSURER B: Baker Electric, Inc. INSURERC: NB Baker Electric, Inc. 1298 Pacific Oaks Pl INSURER D: Escondido CA 92029 INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 1717905692 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE "'~n ,.n,n POLICY NUMBER IMMIDD/YYYYl IMMIDD/YYYY\ LIMITS A X COMMERCIAL GENERAL LIABILITY y y MWZY309767 31112017 3/1/2018 EACH OCCURRENCE $1,000,000 -~ CLAIMS-MADE 0 OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $500,000 X Contractual L1ab MED EXP (Any one person) $ 10.000 - PERSONAL & ADV INJURY $1,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 ~ 0PRO-DLOC PRODUCTS -COMP/OP AGG $2,000,000 POLICY JECT OTHER: PD DEDUCTIBLE $5,000 A AUTOMOBILE LIABILITY y y MWTB309768 31112017 31112018 COMBINED SINGLE LIMIT $ 1000000 /Ea accident\ -X ANY AUTO BODILY INJURY (Per person) $ --OWNED SCHEDULED BODILY INJURY (Per accident) s AUTOS ONLY -AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) -$ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION $ $ A WORKERS COMPENSATION y MWC309766 31112017 311/2018 X I PER IX I OTH- AND EMPLOYERS" LIABILITY STATUTE ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE D E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under E.L. DISEASE -POLICY LIMIT $ 1.000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Job #17509, Customer Contract #PWL 18-52TRAN, Carlsbad EV Charger Install, 3045 State St. & Camino Dells Caches, Carlsbad, CA 92008 & Carlsbad, CA 92009. The City of Carlsbad, its officials, employees and volunteers are included as Additional Insureds on primary and non-contributory basis, waiver of subrogation applies. 30 Days Noticie of Cancellation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Carlsbad/CMWD 9.::_ ;D. ~ 1635 Faraday Ave. 1Carlsbad CA 92008 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD / POLICY NUMBER MWZY309767 COMMERCIAL GENERAL LIABILITY CG 2010 0413 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 All persons or organizations when required by written All Locations contract or agreement 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 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 0413 © Insurance Services Office. Inc., 2012 Page 1 of 2 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 shown in the Declarations; whichever is less. This endorsement shall not applicable limits of Insurance Declarations. increase the shown in the Page 2 of 2 © Insurance Services Office. Inc., 2012 CG 2010 0413 ~ POLICY NUMBER MWZY309767 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 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 PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations All persons or organizations when required by written All completed operations contract or agreement 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" 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". 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 is added to Section Ill -Limits Of Insurance: If coverage provided to the additional insured 1s 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 shown in the Declarations: whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 0413 © Insurance Services Office. Inc .. 2012 Page 1 of 1 POLICY NUMBER MWZY309767 / COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and wiU not seek contribution from any other insurance available to an additional insured under your policy provided that: (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. (1) The additional insured is a Named Insured under such other insurance: and CG 20 01 0413 © Insurance Services Office. Inc., 2012 Page 1 of 1 POLICY NUMBER: MWZY309767 l COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): The project(s) as specified in the written contracts or agreements. Information required to complete this Schedule. if not shown above. will be shown in the Declarations. A. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under Section I -Coverage A, and for all medical expenses caused by accidents under Section I -Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Project General Aggregate Umit applies to each des- ignated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Proiect General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, ex- cept damages because of "bodily injury" or "property damage" included in the "products- completed operations hazard". and for medi- cal expenses under Coverage C regardless of the number of: a. Insureds: b. Claims made or "suits" brought: or c. Persons or organizations making claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Con- struction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Ag- gregate Limit shown in the Declarations nor shall they reduce any other Designated Con- struction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However. instead of being subject to the General Aggregate Limit shown in the Decla- rations, such limits will be subject to the appli- cable Designated Construction Project Gen - eral Aggregate Limit. CG 25 03 0509 © Insurance Services Office, Inc., 2008 Page 1 of 2 B. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under Section I -Coverage A, and for all medical expenses caused by accidents under Section I -Coverage C, which cannot be at- tributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-completed Operations Aggregate Limit, whichever 1s applicable; and 2. Such payments shall not reduce any Desig- nated Construction Project General Aggre- gate Limit. C. When coverage for liability arising out of the "products-completed operations hazard" is pro- vided. any payments for damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-completed Operations Ag- gregate Limit, and not reduce the General Ag- gregate Limit nor the Designated Construction Project General Aggregate Limit. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted. or if the authorized contract- ing parties deviate from plans. blueprints. de- signs, specifications or timetables, the project will still be deemed to be the same construction pro- ject. E. The provisions of Section Ill -Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of2 © Insurance Services Office, Inc., 2008 CG 25 03 0509 POLICY NUMBER: MWZY309767 \ COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: All persons or organizations as required by written contract or agreement Information required to complete this Schedule. 1f not shown above. will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV -Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 0509 © Insurance Services Office. Inc .. 2008 Page 1 of 1 POLICY NUMBER: MWTB309768 / COMMERCIAL AUTO CA 20 4810 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement. the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Baker Electric, Inc.; NB Baker Electric. Inc. Endorsement Effective Date: 03/01/2017 SCHEDULE Name Of Person(s) Or Organization(s): A'! persons or organizations as required by written contract or agreement Information required to complete this Schedule. if not shown above. will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage. but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph 0.2. of Section I -Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20481013 © Insurance Services Office, Inc .. 2011 Page 1 of 1 POLICY NUMBER MWTB309768 IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED/DESIGNATED INSURED AMENDMENT -PRIMARY AND NON-CONTRIBUTORY This endorsement mod,f1es insurance provided under the following BUSINESS AUTO COVERAGE FORM SCHEDULE Designated Person{s) or Orgamzat,on(s) All persons or organizations where required by wnllen contract WHO IS AN INSURED (SECTION II) Is amended to include the person(s) or organ12at1on(s) shown ,n the above Schedule. but only with respect 10 "accidents" ans,ng out of worK being performed for such person(s) O' organ1zat1on(s} As respects any person(s) or organ,2a11on(s) shown In the above Schedule with whom you have agreed In a wntten contract to provide primary insurance on a non-contributory basis. this insurance will be primary to and non-contnbuhng with any other insurance available to such person{s) or organ,zat,ons(s). PCA 048 10 13 Page 1 of 1 POLICY NUMBER MWTB309768 / COMMERCIAL AUTO CA 04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement mod1f,es insurance provided under the following· AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement the provisions of the Coverage Form app:y unless modified by the endorsement. This endorsement changes the policy effective on the 1ncept1on date of the policy unless another date Is indicated below Named Insured: Baker Electric, Inc.; NB Baker Electric, Inc. Inc Endorsement Effective Date 03/01/2017 SCHEDULE I Name(s) Of Person(s) Or Organization(s): Alt l)('rr.or,s or orc;an,lat,ons a~ required hy written contract or ac;rcencnl Information required to complete this Schedule. 1f not shown above. wtll be shown m the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organ1zat1on(s) shown in the Schedule. but only to the extent that subrogation ,s waived prior to the "accident" or the ··Ioss" under a contract with that persor or organization CA 04 4410 13 © Insurance Services Office. Inc. 2011 Page 1 of 1 WORKERS COMPENSATION ANO EMPLOYERS LIABILITY INSURANCE POLICY POLICY NUMBER MWC309766 WC 040306 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT a CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We wHI not enforce our right against the person or organization named in the Schedule. (This agreement appfies 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 fhe work described in the Schedule. The additional premium for this endorsement shall be 0 otherwise due on such remuneration. % of the California workers' compensation premium SCHEDULE PERSON OR ORGANIZATION AS REQUIRED BY WRJ:'l"l'EN CONTRACT '1'0 THE EXTENT ALLOWABLE BY LAW. JOB DESCRIPTION © 1998 by thQ Workers' Compensation Insurance Rating BlJreau of California. All rtghl:s reserved. From the WCIRB's California Workers' Compensation Insurance Forms Manual© 1999. INSURED CCRY G/-U\ICELL!-\T!Of\l OR NOf\l-REI\IEW/-\L TO SPECIFIED PERSOI\IS OR ORGAN~ATIONSENDORSEMENT THIS EhlDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING BUSINESS AUTO COVERAGE FORM COMMERCIAL GENERAL LIABILITY COVERAGE FORM PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART If we cancel or non-renew this policy for any reason other than non-payment. we will deliver notice of the cancellation or non-renewal to all Specified Persons or Organizations on file with us THIRTY ( o) days prior to the effective date of cancellation or non-renewal If we cancel this policy for non-payment, we will deliver notice of the cancellation to all Specified Persons or Organizations on file with us TEN ( 1 o) days prior to the effective date of cancellation If notice is mailed. proof of mailing will be sufficient proof of notice. Named Insured I Baker Electric, Inc. NB Bai.er Electric, Inc. Policy Number !MWZY309767 l Endorsement No. 1000 ·---··~------ '03-01-17 to 03-01-18 Endorsement Effective Date. 1 03-01-17 ---·----·--·-J .. ____ ,----·--------------_ _j_____. . ___ _, Policy Period I Alliant Insurance Services, Inc. --·-------· -----i-- Producer's Name: Producer Number: AUTHORIZED REPRESENTATIVE DATE IL EN GN 0004 09 11 Page 1 of 1 Cl\NGELL/-\TIOi\J OR I\JON-HENE\N/-\L TO SPECIFIED PERSOl\lS ORGANIZATIONS ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: BUSINESS AUTO COVERAGE FORM COMMERCIAL GENERAL LIABILITY COVERAGE FORM PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART 11 we cancel or non-renew this policy for any reason other than non-payment we will deliver notice of the cancellation or non-renewal 10 all Specified Persons or Organizations on file with us THIRTY ( 30) days prior to the effective date of cancellation or non-renewal If we cancel this policy for non-payment, we will deliver notice of the cancellation to all Specified Persons or Organizations on file with us TBN ( o) days prior to ttie effective date of cancellation If notice is mailed. proof of mailing will be sufficient proof of notice. Named Insured Baker Electric, Inc. NB B.iker Electic, Inc I Endorsement No. I ---~----·------·---+-------------+----Policy Period t • Endorsement Effective Date. 03-01-17 °03-01-18 Policy Number MWTB309768 000 03-01-17 Producer's Name: ' Alliant Insurance Services Inc ----·----------------~--· Producer Number: AUTHO-R-IZ_E_D_R_E_.P_R_E_S.,...E-=-N--T=-A-T=I-V-E --"·,~,~ IL EN GN 0004 09 11 Page 1 of 1 REPUBLIC WORKERS COMPENSATION t\ND EMPLOYERS LI/.\BILITV 11\!SURAMCE POLICY Cancellation or Non~Renewal to Specified Persons or Organizations Endorsement California THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING WORKERS COMPENSATlON AND EMPLOYERS LIABILITY INSURANCE If we cancel or non-renew this pohcy for any reason other than non-payment. we will deliver notice of the cancellation or non-renewal to all Specified Persons or Organizations on frle with us THIRTY (30) days pnor to the effective date of cancellation or non-renewal If we cancel this policy for non-payment, we will deliver notice of the cancella!lon to all Specified Persons or Organi:rnUons on file with us TEN ( 1 Oi days prior to the effective date of cancellation If notice is mailed. proof ot mailing will be sufficient proof of notice '. Baker Electric, Inc. NB Baker Electric, Inc. I Named Insured ' · ! Endorsement No 1 1 000 · i MWC309766 ---: __ ,.,. __ I -P-o-lic_y_P_e_r-io_d _____ l to ·-+,-E_n_d_or_s_e_m_e_n_t_ E-f-fe-c-ti-ve_D_a-te_• _______ ,I ,-..,..-----__ .,_i _0_3-01-17 03-01-18 L____ ---03-01-17 ----,.·7' Producer's Name I Alliant Insurance Services Inc 1 ;----------,--------------------------------·-i Producer Number- Policy Number Authorized Representative Date WC 99 03 73 (01/11