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HomeMy WebLinkAboutBear Electrical Solutions Inc; 2017-08-04; PWM18-08TRANPWM18-08TRAN CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT #10 AWG THW POWER CONDUCTOR INSTALLATION AT FOURTEEN LOCATIONS This agreement is made on the t./ ~ day of Av&J VS ± . 2017. by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"). and Bear Electrical Solutions. Inc., a California corporation whose principal place of business is 1341 Archer St, Alviso, CA 95002-0924 (hereinafter called ncontractor"). City and Contractor agree as follows: DESCRIPTION OF WORK. Contractor shall perform all work specified in the Contract documents for the project described by these Contract Documents {hereinafter called "Project"). PROVISIONS OF LABOR AND MATERIALS. Contractor shall provide all labor, materials, tools, equipment, and personnel to perform the work specified by the Contract Documents unless excepted elsewhere in this Contract. CONTRACT DOCUMENTS. The Contract Documents consist of this Contract, exhibits to this Contract, Contractor's Proposal, the Plans and Specifications, the General Provisions, 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: Tam Tran (City Project Manager) WAGE RATES. 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 Sections 1770, 1773 and 1773.1 of the Labor Code. Pursuant to Section 1773.2 of the Labor Code, a current copy of the 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 execution of the Contract. Contractor shall be responsible for insuring compliance with provisions of section 1777 .5 of the Labor Code and section 4100 et seq. of the Public Contracts Code, "Subletting and Subcontracting Fair Practices Act." The City Engineer is the City's "duly authorized officer" for the purposes of section 4107 and 4107 .5. The provisions of Part 7. Chapter 1, of the Labor Code commencing with section 1720 shall apply to the Contract for work. A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, unless currently registered and qualified to perform public work pursuant to Section 1725.5. This project is subject to compliance monitoring and enforcement by the Department of Industrial Relations. 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. #10 AWG THW POWER CONDUCTOR INSTALLATION AT FOURTEEN LOCATIONS 1 of8 City Attorney Approved 9/27 /16 PWM18-08TRAN 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 agreement 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 years and that debarment by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor o~!or from participating in contract bidding. Signature: ~ Print Name: /<.P GtrL T /JS. llfvt i 1Jitv 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 nA-:VII"; OR with a surplus line insurer on the State of California's list of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best's Key Rating Guide of at least "A:X"; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report. Commercial General Liability Insurance of Injuries including accidental death, to any one person in an amount not less than ........ $1,000,000 Subject to the same limit for each person on account of one accident in an amount not less than ....... $1,000,000 Property damage insurance in an amount of not less than ........ $1,000,000 Automobile Liability Insurance in the amount of $1,000,000 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 thirty (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. #10 AWG THW POWER CONDUCTOR INSTALLATION AT FOURTEEN LOCATIONS 2 of 8 City Attorney Approved 9/27/16 PWM18-0BTRAN INDEMNITY. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its officers and employees, 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 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. JURISDICTION. 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. Start Work: Contractor agrees to start within seven (7) working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within fourteen (14) working days after receipt of Notice to Proceed. CONTRACTOR'S INFORMATION. BEAR ELECTRICAL SOLUTIONS, INC., a California corporation Ill Ill Ill Ill Ill Ill Ill (name of Contractor) 982079 (Contractor's license number) A,C-10,C-31 3/31/19 (license class. and exp. date) 1000002158 (DIR registration number) 6/30/18 (DIR registration exp. date) #10 AWG THW POWER CONDUCTOR INSTALLATION AT FOURTEEN LOCATIONS 3 of 8 1341 Archer St ( street address) Alviso, CA 95002-0924 (city/state/zip) 408-449-5147 (telephone no.) (fax no.) christina@bear-electrical.com {e-mail address) City Attorney Approved 9/27/16 PWM18-08TRAN AUTHORITY. The individuals executing this Agreement and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Agreement. CONTRACTOR BEAR ELECTRICAL SOLUTIONS, INC., aw?:lifo.rnia corporation B .. -/2221 (sign here) CITY OF CARLSBAD, a municipal corporation of the State of California By: Elaine L~ks Director ,~ge:7<.T /ts.c./NriOI\J ·· i,/!CP (print name/title) P;!.e.t/1,)t:=,S;-· By: ~ y'' I .. 'lb I 'Ii I 4:. \:_,, Dsignh~ l}~,1l)R£1V ~ ·-< r C> (print name/title) If required by City, proper notarial acknowledgment of execution by Contractor must be attached. ~ corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Chairman, President, or Vice-President Group B Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CELIA A. BREWER, City Attorney BY: O/.,,,~ ~cityAttomey #10 AWG THW POWER CONDUCTOR INSTALLATION AT FOURTEEN LOCATIONS 4 of 8 City Attorney Approved 9/27/16 CALIFORNIA ALL-PURPOSE 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 Santa Clara On July 27, 2017 before me, Sandra Hernandez, Notary Public Date Here Insert Name and Title of the Officer personally appeared Robert Asuncion, Andrew Bader 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 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. a SANDRA VANESSA HERNANDEZ .. Notary Public -California ~ Santa Clara County z Commission# 2164358 - ). •~••,Ml S0TT·J•f121.S!2J·J~2~( 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. ---------------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 Signer(s) Signer's Name: ____________ _ Signer's Name: ____________ _ D Corporate Officer -Title(s): ______ _ D Corporate Officer -Title(s): ______ _ D Partner -D Limited D General D Partner -D Limited D General D Individual D Attorney in Fact D Individual D Attorney in Fact D Trustee D Guardian or Conservator D Trustee D Guardian or Conservator D Other: _____________ _ D Other: _____________ _ Signer Is Representing: _________ _ Signer Is Representing: ________ _ ci<.,~~~~ ©2016 National Notary Association• www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 PWM18-08TRAN EXHIBIT A LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR Set forth below is the full name and location of the place of business of each sub-contractor 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 sub-contractor for each subcontract. NOTE: The Contractor understands that if it fails to specify a sub-contractor 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 Portion of Project to Business Name and Address DIR Registration License No., %of be Subcontracted No. Classification & Total Exoiration Date Contract t\.) t>J..J~ Total % Subcontracted: __ ¢ ____ _ The Contractor must perform no less than fifty percent (50%) of the work with its own forces #10 AWG THW POWER CONDUCTOR INSTALLATION AT FOURTEEN LOCATIONS 5 of8 City Attorney Approved 9/27/16 PWM18-08TRAN EXHIBITB #10 AWG THW POWER CONDUCTOR INSTALLATION AT FOURTEEN LOCATIONS JOB QUOTATION ITEM UNIT QTY DESCRIPTION PRICE NO. 1 LUMP 1 Establish traffic control. $39,900.00 SUM Furnish and install #10 AWG THW conductors at 14 locations. All new wire will be installed by slipping new conductors into existing conduit while intersection is "live." Furnish and install approximately 28,000 LF total of #1 0 conductors {Black,White, Green). All labor, materials and equipment included. Location 1: Calle Barcelona and El Camino Real 1. Northbound on El Camino Real -3 Camera System Location 2: Ollvenhaln Road and Camino Alvaro 1. Eastbound on Olivenhain Road -3 Camera System Location 3: Melrose Drive and Alga Road 1. Northbound on Melrose Drive -3 Camera System Location 4: Rancho Santa Fe and San Elljo Road 1. Southbound on Rancho Santa Fe -3 Camera System Location 5: Melrose Drive and Palomar Airport Road 1. Westbound on Palomar Airport -3 Camera System 2. Eastbound on Palomar Airport -3 Camera System 3. Southbound on Melrose -3 Camera System Location 6: Faraday Avenue and Whlptail Loop 1. Westbound on Faraday -2 Camera System Location 7: College Avenue and Tamarack Avenue North 1. Southbound on College -2 Camera System Location 8: El Camino Real and Plaza Drive 1. Northbound on El Camino Real -3 Camera System 2. Southbound on El Camino Real -3 Camera System Location 9: Jefferson Street and Marron Road 1. Southbound on Jefferson -2 Camera System Location 10: Saxony Road and La Costa Avenue 1. Eastbound on La Costa -2 Camera System Location 11: Palomar Airport Road and Paseo Del Norte 1. Eastbound on Palomar Airport -3 Camera System 2. Westbound on Palomar Airport -4 Camera System Location 12: Cannon Road and Paseo Del Norte 1 . Westbound on Cannon - 3 Camera System Location 13: Carlsbad Blvd (North of Laguna, in north Carlsbad) 1. Southbound on Carlsbad Blvd -1 Camera System Location 14: Carlsbad Blvd and Avenida Encinas 1. Eastbound on Avenida Encinas -1 Camera System 2. Northbound on Carlsbad Blvd -2 Camera System 3. Southbound on Carlsbad Blvd -2 Camera System 2 1 Bond $800.00 TOTAL* $40,700.00 *Includes taxes, fees, expenses and all other costs. #10 AWG THW POWER CONDUCTOR INSTALLATION AT FOURTEEN LOCATIONS 6 of 8 City Attorney Approved 9/27/16 EXHIBIT C LABOR AND MATERIALS BOND PWM18-08TRAN Bond No. 0728193 Premium: $377.00 WHEREAS, the City Council of the City of Carlsbad, State of California, has awarded to Bear Electrical Solutions, Inc. (hereinafter designated as the "Principal"), a Contract for: #10 AWG THW POWER CONDUCTOR INSTALLATION AT FOURTEEN LOCATIONS 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, Bear Electrical Solutions, Inc., as Principal, (hereinafter designated as the "Contractor"), and International Fidelity Insurance Company as Surety, are held firmly bound unto the City of Carlsbad in the sum of forty thousand seven hundred dollars and zero cents ($40,700.00), 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. Surety stipulates and agrees that no change, extension of time, 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. #10 AWG THW POWER CONDUCTOR INSTALLATION AT FOURTEEN LOCATIONS 7 ofB City Attorney Approved 9/27 /16 PWM 18-0BTRAN 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. Executed by CONTRACTOR this _____ _ day of ----------· CONTRACTOR: . B~~,.Electrical Solutions, Inc. :\··,. ~ me ~of Contractor) By: -' }/' /7 /!2.-·-·- (sign here) frt~ 64.T f1 S.'ltN( r (;• ,.J (print name here) V/( € FREStDl:Nl , 20 (title and organization of signatory) r, (print name here) __ it'tt' t_ P/i..t_J_JD t_ ~7_,_I_C_r-_c,~ Oce._, --- (title and organization of signatory) Executed by SURETY this __ 2_6t_h ___ day of ___ ~J_u~ly _______ , 2017 . SURETY: International Fidelity Insurance Company (name of Surety) 2999 Oak Road, Suite 820 Walnut Creek CA 94597 (address of Surety) 925-658-9263 By: ml o e...nur::iber of Surety) I , ___.,,.,,,,, (5ignaui; ofAttorney-in-Fact) Vincent M. Scolar.~i _____ _ (printed name of Attorney-in-Fact) (attach corporate resolution showing current power of attorney) (Proper notarial acknowledgment of execution by CONTRACTOR and SURETY must be attached.) (President or vice-president and secretary or assistant secretary must sign for corporations. If only one officer signs, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering that officer to bind the corporation.) APPROVED AS TO FORM: CELIA A. BREWER City Attorney By: __ u(?-.c'~ Deputy City Attorney #10 AWG THW POWER CONDUCTOR INSTALLATION AT FOURTEEN LOCATIONS 8of8 City Attorney Approved 9/27/16 CALIFORNIA ALL-PURPOSE 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 Santa Clara On July 27, 2017 before me, Sandra Hernandez, Notary Public Date Here Insert Name and Title of the Officer personally appeared Robert Asuncion, Andrew Bader 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 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. a SANORA VANHSA HERNANDEZ Notary Public • C1llfornl1 ~ S1nt1 Clara County z z Commission fl 2164358 :!:'. J. +•••,Ml S0TT·;xfi~•.S:eJ,J<§2f Place Notary Sea/ Above I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. and official seal. ---------------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 Signer(s) Signer's Name: ____________ _ Signer's Name: ____________ _ D Corporate Officer -Title(s): ______ _ D Corporate Officer -Title(s): ______ _ D Partner -D Limited D General D Partner -D Limited D General D Individual D Attorney in Fact D Individual D Attorney in Fact D Trustee D Guardian or Conservator D Trustee D Guardian or Conservator D Other: _____________ _ D Other: _____________ _ Signer Is Representing: _________ _ Signer Is Representing: ________ _ ~~~~ ©2016 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 CALIFORNIA ALL-PURPOSE 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 validlty of that document. State of California County of Santa Clara On July 26, 2017 Date before me, P. K. Simicich, Notary Public Here Insert Name and Title of the Officer personally appeared __ V_i_n_ce_n_t_M_._S_c_ol_a_ri _____________________ _ 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 capacityOes), 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 PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. -JJ,,1~~-- Signature_-~'----+--~---------- sigafure of Notary Public Place Notary Seal Above ---------------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 Signer{s) Signer's Name: ___________ _ Signer's Name: ___________ _ D Corporate Officer -Title(s): ______ _ D Corporate Officer -Title(s): ______ _ D Partner - D Limited D General D Partner - D Limited D General D Individual D Attorney in Fact D Individual D Attorney in Fact D Trustee D Guardian or Conservator D Trustee D Guardian or Conservator D Other: _____________ _ D Other: ____________ _ Signer Is Representing: ________ _ Signer Is Representing: ________ _ ©2014 National Notary Association· www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 POWER OF ATTORNEY INTERNATIONAL FIDELITY INSURANCE COMPANY ALLEGHENY CASUAL TY COMPANY ONE NEWARK CENTER, 20TH FLOOR NEWARK, NEW JERSEY 07102-5207 KNOW ALL MEN BY THESE PRESENTS: That INTERNATIONAL FIDELITY INSURANCE COMPANY , a corporation organized and existing under the laws of the State of New Jersey, and ALLEGHENY CASUALTY COMPANY a corporation organized and existing under the laws of the State of Pennsylvania, having their principal office in the City of Newark, New Jersey, do hereby constitute and appoint VINCENT M. SCOLARI, F. R. HUDSON, Ill, DAVID J. BACHAN, CHARLES M. GRISWOLD, DEBORAH L. TABLAK, WENDY R. PASTORA, PATRICIA K. SIMICICH, YESENIA RIVERA Watsonville, CA. their true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation,._contract or otherwise, and the execufion of such instrument(s) in _pursuance of these presents, shall be as binding upon the said INTERNATIONAL r-lDELITY INSURANCE COMPANY and ALLEGHENY CASUAL TY COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices. This Power of Attorney. is executed, and may be revoked, pursuant to and by authority of the By-Laws of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 20th day of July, 2010 and by the Board of Directors of ALLEGHENY CASUAL TY COMPANY at a meeting duly held on the 15th day of August, 2000: "RESOLVED that (1) the President, Vice President, or Secretary of the Corporation shall have the power to appoint, and to revoke the appointments of, Attorneys-in-Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporatton's seal thereto, bonds, undertakings, recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2) any such Officers of the Corporation may appoint and revoke the appointmenfs of joint-control custodians, agents for acceptance of l)rocess, and Attorneys-in-fact with authority to execute waivers and consents on behalf of the Corporation; and (3} the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nafure thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation, to be valid and binding upon the Corporation with the same force and effect as though manually affixed." IN WITNESS WHEREOF, INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY have each executed and attested these presents on this 12th day of March, 2012. STATE OF NEW JERSEY County of Essex ROBERT W. MINSTER Executive Vice President/Chief Operating Officer (International Fidelity Insurance Company) and President (Allegheny Casualty Company) On this 12th day of March 2012, before me came the individual who executed the preceding instrument, to me personally known, and, being by me duly sworn, said he is the therein described and authorized officer of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY; that the seals affixed to said instrument are the Corporate Seals of said Companies; that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the City of Newark, New Jersey the day and year first above written. CERTIFICATION A NOTARY PUBLIC OF NEW JERSEY My Commission Expires Mar. 27, 2014 I, the undersigned officer of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Sections of the By-laws of said Companies as set forth in said Power of Attorney, with the originals on file in the home office of said companies, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand this 26th day of July, 2017 ··~ ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~-03/31/2017 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 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). 0RODUCER LIC #0056172 1-888-845-2248 CONTACT NAME: ~cSherry & Hudson PHONE 408-550-2130 I FAX 408-550-2119 IAJC No Extl: (A/C Nol: l60 West Santa C1ara Street E-MAIL ADDRESS: Suite 715 3an Jose, CA 95113 INSURER/$) AFFORDING COVERAGE NAIC# ·1ince Scolari INSURER A: BERKLEY ASSUR CO 39462 INSURED INSURER B: WEST AMERICAN INS CO 44393 3ear Electrical Solutions, Inc. INSURER c: NAVIGATORS SPECIALTY INS CO 36056 1341 Archer Street INSURER D: THE OHIO CASUALTY INS CO. 24074 Alviso, CA 95002 INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER: 49511008 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. ~SR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS .TR ,.,c,c -.n,n POLICY NUMBER IMM/DD/YYYY\ IMM/DD/YYYY\ A GENERAL LIABILITY X X VUMB0142000 04/01/17 04/01/18 EACH OCCURRENCE $1,000,000 f--DAMAGE: IO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES /Ea occurrence) $100,000 f--~ CLAIMS-MADE 0 OCCUR f--MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 -X Per Project Aggregate GENERAL AGGREGATE $2,000,000 - GEN"L AGGREGATE LIMIT APPLIES PER: PRODUCTS· COMP/OP AGG $2,000,000 n POLICY ixl ~~T nLOC $ B ·AUTOMOBILE LIABILITY X X -BAW57113287 04/01/17 04/01/18 fE~~~~~~n31NGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ -ALL OWNED ~ SCHEDULED BODILY INJURY (Per accident) $ -AUTOS r--AUTOS X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS {Per accident) $ C UMBRELLA LIAB HOCCUR LA17EXC900785IC 04/01/1 04/01/18 EACH OCCURRENCE $5,000,000 -X EXCESS LIAS CLAIMS-MADE AGGREGATE $5,000,000 OED I I RETENTION$ $ WORKERS COMPENSATION I WCSTATU-I (OJt· AND EMPLOYERS" LIABILITY T""'Y LIMIT8 Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 0 N/A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? Y (Mandatory in NH) E.L. DISEASE· EA EMPLOYEE $ If yes, describe under $ DESCRIPTION OF OPERATIONS below E.L. DISEASE. POLICY LIMIT D Rented/Leased Equipment BM057113287 04/01/1 04/01/18 Limit 157,000 D Schedu1ed Equipment BM057113287 04/01/1 04/01/18 Limit 207,000 1ESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required) cE: Traffic Signal Maintenance & Repair Services. ~dditional Insureds: The City of Car1sbad, its officers, agents and emp1oyees. CERTIFICATE HOLDER 'i ty of Carlsbad 635 Faraday Avenue i ·arlsbad, CA 92008 I ACORD 25 (2010/05) <endyl5178 : 9511008 USA 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 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD / / Policy Number: BAW57113287 (2) If the Limits of Insurance of any other insurance policy have been exhausted; or (3) To "bodily injury" or "property damage" that occurred before you acquired or formed the organization. 2. EMPLOYEES AS INSURE.OS SECTION 11 -LIABILITY COVERAGE, paragraph A.1. -WHO IS AN INSURED is amended to include the following as an insured: f... Any "employee" of yours while using a covered "auto" you do. not own, hire or borrow; but ohly for acts within the scope of their employment by you. lnsuranc;e provided by this endorse,- ment is excess over any other insurance available to any "employe.e'\ g. An "employee" of yours while operating an "auto" hired or borrowed under a Written contract or agreement in that "employee's" name, with your permission, while performing duties re- lated to the conduct of your business and within the scope of their employment Insurance provided by this endorsement is excess over any other insurance available to the "employee". 3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT SECTION II -LIABILITY COVERAGE, paragraph A.1. • WHO IS AN INSURED is amended to include the following as an insured: · h. Any person Or organization with respect to the operation, maintenance or use of a covered "auto", provided that you and such person or organization have agreed in a written contract, agreement, or permit issued to you by governmental or public authority, to add such person, or organization, or governmental or public authority to this policy as an "insured,.. However, such person or organization is an "insured": {1) Only with respect to the operatron, maintenance or use of a covered "auto"; {2) Only for "bodily injury" or "property damage" caused by an ".accident" which takes place after you executed the written · contract or agreement, or the permit has been issued to yow; and {3) Only for the duration of that contract, agreement or permit 4. SUPPLEMENT.A.RY PAYMENTS SECTION II -LIABILITY .COVERAGE, Coverage Extensions, 2.a. Supplementary Payments, para- graphs (2) and (4) are replaced by the following: {2) Up to $3,000 for cost of bail bonds (including bonds for related traffic violations ) required because -of ah "accident" we cover. We do not have to furnish these bonds. {4) All reasonable expenses incurred by the insured at our request, including actual loss of earn- ings up to $500 a day because of time off from work. 5. AMENDED FELLOW EMPLOYEE EXCLUSION In those Jurisdictions where, by law, fellow employees arenot entitled to the protection afforded to the employer by the workers compensation exclusivity rule, or similar protection, the following provision is added: SECTION II -LIABILITY, exclusion B:5. FELLOW EMPLOYEE does not apply if the "bodily injury'' results from the use of a covered "auto" you own or hire. SECTION Ill· PHYSICAL DAMAGE COVERAG.E is amended as follows: 6. HIRED AUTO PHYSICAL DAMAGE Paragraph A.4. Coverage Extensions of SECTION Ill -PHYSICAL DAM.A.GE COVERAGE; is amended by adding the following:. If hlred "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified Causes of Loss. or Collision coverage are provided under the Business .Auto Coverage Form for any "auto" you own, then the Physical Damage coverages provided are extended to "autos": a. You hire, rent or borrow; or © 2013 Liberty Mutual lrisu1c1nce CA8810 0113 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 7 Policy Number: BA W57113287 To the extent possible, notice to us should include: (1) How, when. and where the "accident" or "loss" took place; (2) The ''insureds"' name and address; and (3) The names and addresses of any injured persons an.d witnesses. 20. \NAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SECTION JV -BUSINESS AUTO CONDITIONS, paragraph A.5., Transfer of Rights of Recovery Against Others to Us, is amended by the addition of the following: If the person or organization has waived those rights before an "accident" or "loss", our rights are waived also; 21. HIRED AUTO COVERAGE TERRITORY SECTION 1V -BUSINESS AUTO CONDITIONS, paragraph B.7., Policy Period, Coverage Territory, is amended by the addition of the following: f. For "autos" hired 30 days or less, the coverage territory is anywhere . in the world, provided that the insured's responsibflity to pay for damages is determined in a "suit", on the merits, in the United States, the territories and possessions of the United States of America, Puerto Rico or Canada or in a settlement we agree to. This extension of coverage. does not apply to an "auto" hired, leased, rented or borr.owed with a driver. SECTION V -DEFINITIONS is amend~d as follows: 22.. BODILY INJURY REDEFINED Under SECTION V-DEFINTIONS, definition C. is replaced by the following: "Bodily injury" means physical injury, sickness or disease sustained by a person, including mental anguish, mental injury, shock, fright or death resulting from any of these at any time. COMMMON POLICY CONDITIONS 23. EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS, paragraph A. -CANCELLATION condition applies except as fol~ lows: If we cancel for any reason other than nonpayment of premium, we will mail to the first Named Insured written notice of cancellation at least 60 days before the effective date. of cancellation. This provision does not apply in those states which require more than 60 days prior notice of cancella~ tion. © 2013 Liberty Mutual Insurance CA8810 0113 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7 Policy Number: VU1\1B0142000 / COMMERCIAL GENERAL.LIABILITY CG2033c0704 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITl·ONAL INSURED -OWNERS, LESSEES-OR CO:NTRACTORS-AUTOMATIC STATUS WHEN REQUIRED IN CO"NSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II -Who Is An Insured is amended to include as an additional insured any. person or organization for whom you are performing operations when you and such person or orgahization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or orga,riization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; · · in the perfcmnance of your ongoing operations for the additional insured. A person's or organization's status as an additional insured under this endorsement ends when your. operations for that additional insured are completed. B. With respect to the insurance affQrded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: . . . 1. "Bodily injury", "properly damage" or "personal and advertising injury" . arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. 2. "Bodily injury" cir "property damage" occurring after: a. 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 behalfofthe additional insured(s) at the location of the covered operations has been completed; or b. That portion of "your work" out of which the injury o~ 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 20 3307 04 © ISO Properties, Inc,, 2004 Page 1 of1 D 1 Policy Number: VUMB0142000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES. OR CONTRACTORS -COMPLETED OPERATIONS This endorsementmodifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional. Insured Person(s) Or Organization(s): Location And .Descriotion .Of Completed Operations. As required by written contract executed prior to the Construction project ~ites at which you performed work date or occurrence but only to the extent for such additional insured. permitted by law and the insurance afforded to such additional insured will not be brpader than that which you are required by the confract or agreement to provide for such additional insured. 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) or organiza:oon(s) shown in the §chedule, but only with respect .to liability for "bodily injury" or "property damage11 caused, in whqle or in part, by "yourwork" 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 2037 0704 © ISO Properties, Inc., 2004 Page 1 of1 D 1 Policy Number: VUMB0142000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.' PRIMARY AND NONCONTRIBUTORY WORDING This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE With respectto coverage provided to an additional. insured via attachment ofan Additional Insured endorsement to. this policy, such coverage is primary insurance and we will not seek contribution from any other insurance available to that additional insured. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED VCAS2035 11 10 Page 1 of 1 Policy Number: VUMB0142000 / THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies. insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: To any person or organization provided you entered into the contract with that person or organization prior to any claim or loss to which this insurance applies. {If no entry appears above, information required to complete this endorsement will be shown in the Declarations as.·applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV - COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: 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 workn done under a contract with that person or organization and included in the nproducts-completed operations hazard". This waiver applies only to the person or organ12ation shown in the Schedule above. CG 24 041093 Copyright, Insurance Services Office, Inc., 1992 Page 1 of1 D SUPPLEMENT TO CERTIFICATE OF INSURANCE NAME OF INSURED: Bear Electrical solutions, Inc. Additional Description of Operations/Remarks from Page 1: Additional Information: Includes: Additional Insured -ongoing operations per attached CG20330704. Additional Insured -completed operations per attached CG20370704. Primary and Noncontributory Wording per attached VCAS20351110. Waiver of Subrogation per attached form CG24041093. Auto Liability: Additional Insured per attached form CA88100113. Waiver of Subrogation per attached form CA88100113. SUPP (05/04) DATE 03/31/2017 ~® ,.,CORD-CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/2/2017 1 HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE :·OLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE ,~ ~FORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE hSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. i: ':PORT ANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGRA TION IS WAIVED, s :bject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does ,~ )t confer rights to the certificate holder in lieu of such endorsement(s). f --(QDUCER OnPoint Underwriting Inc. CONTACT NAME: Steven McComb 8390 E Crescent Pkwy, Suite 200 Greenwood Village, CO 80111 PHONE (A/C, No Ext): (360) 828-0644 FAX (A/C, ~()):(~~~)828-069~. __ ... -··· EMAIL ADDRESS: INSURER($) AFFORDING COVERAGE NAIC# ------INSURER A: ACE American Insurance Company --------------------------1· 3URED 1 NS URE RB: Barrett Business Services, Inc. UC/F BEAR ELECTRICAL SOLUTIONS, INC. 1341 ARCHER STREET SAN JOSE, CA95131 INSURERC: INSURER D: INSURER E: INSURER F: : •)VERAGES CERTIFICATE NUMBER: REVISION NUMBER: rs IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE' POLICY PERIOD INDICATED. TWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ;UES OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF CH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1· •R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICYEFF POLICY EXP LIMITS ' '{ INSR WVD (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ ,- COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea $ I CLAIMS-MADE D OCCUR occurence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ nPOLICY n~~~J-nLOC PRODUCTS -COMP/OP AGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ -(Ea accident) ANY AUTO ,-BODILY INJURY (Per person) $ ALL OWNED AUTOS B SCHEDULED AUTOS -BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNED AUTOS ,-PROPERTY DAMAGE $ -$ ~ UMBRELLA UAB ~OCCUR EACH OCCURRENCE $ ,- EXCESS LIAB OCCUR AGGREGATE $ -I OED RETENTION$ $ - I A WORKERS COMPENSATION AND EMPLOYERS' RWC 02/01/17 02/01/2018 .,/ IWCSTATU· IOTH-LIABILITY Y/N C64374242 TORY LIMITS ER ANY PROPRIETOR/PARTNER/ EXECUTIVE ~ NIA E.L. EACH ACCIDENT $2,000,000 OFFICER/MEMBER EXCLUDED? Covered states: E.L. DISEASE -EA EMPLOYEE $2,000,000 (Mandatory in NH) If yes, describe under CA DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $2,000,000 c 3CRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) the event of any payment under this policy for a Loss for which the named insured has waived the right of recovery in a written contract entered into prior to , Loss, insurer hereby agrees to also waive our right of recovery but only with respect to such Loss. c ::RTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ty of Carlsbad EXPIRATION DATA THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLIC.Y PROVISIONS. 35 Faraday Avenue AUTHORIZED REPRESENTATIVE ,rlsbad CA 92008 ~~~ Richard Poling c) 1988-2010 ACORD CORPORATION. All rights reserved .. ~ORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD. AGENCY CUSTOMER ID: ____________ _ LOC: #:. _____________ _ ~ .-4.CORD® ~ ADDITIONAL REMARKS SCHEDULE '\GENCY NAMED INSURED . )nPoint Underwriting Inc. Barrett Business Services, Inc . 8100 NE Parkway, Suite 200 : 'OLICY NUMBER Vancouver WA 98662 j :>...WC C6437 4242 • :ARRIER NAIC CODE · \CE American Insurance Company 22667 EFFECTIVE DATE: 02/01/17 ~DDITIONAL REMARKS · HIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ORM NUMBER: 25 FORM TITLE: Certificate of Liability (01/14) CERTIFICATE HOLDER: City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad CA 92008 E: Traffic Signal Maintenance & Repair Services. Page _2_ of _2 _ \CORD 101 (2008/01) c) 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD.