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HomeMy WebLinkAboutBear Electrical Solutions Inc; 2017-09-07; PWL18-34TRANTRACKING #PWL18-34TRAN CITY OF CARLSBAD PUBLIC WORKS LETTER OF AGREEMENT Tamarack M900 Wireless Upgrade This letter will serve as an agreement between Bear Electrical Solutions, Inc., a California corporation (Contractor) and the City of Carlsbad (City). The Contractor will provide all equipment, material and labor necessary to remove two (2) existing radios at the above referenced location; install two (2) City furnished (pre-programmed) 900 MHZ radios; and align radios and test for proper operation, per the Contractor's proposal dated August 4, 2017, and City specifications, for a sum not to exceed one thousand five hundred eighty-eight dollars ($1,588). This work is to be completed within seven (7) working days after issuance of a Purchase Order. 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" (BUSC, 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, Gmient Code sections 12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. ---~--+---"_._,,,. __ init if' init 6. The Contractor hereby acknowledges that debarment by another jurisdicti~rounds to~ City of Carlsbad to disqualify the Contractor from participating in contract biddingRY,L-----init init 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. Tamarack M900 Wireless Upgrade - 1 -City Attorney Approved 2/29/2016 TRACKING #PWL18-34TRAN 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: Tam Tran 760-602-2736 Contractor Contact: Robert Asuncion 408-449-5147 CONTRACTOR Bear Electrical Solutions, Inc., a California corporation 1341 Archer St Alviso, CA 95002-0924 P: 408-449-5147 robert@bear-electrical.com ~ C\ (sign here) hi&nr As .. 1NooN /vtce fRe.!•l)l::!Nl (print name/title) CITY OF CARLSBAD, a municipal corporation of the State of California By: Elaine Lukey, Ptffilic Works Director as authorized by the City Manager By: Dated: \ta~ (print name/title) (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 Tamarack M900 Wireless Upgrade -2 -City Attorney Approved 2/29/2016 BES$\ BEAR ELECTRICAL SOLUTIONS 12520 Khidlam Ct, Sre. 4, Poway, CA 92064 Tel: 619-348-7739 DATE: 8/4/2017 FROM: Jason Hayes PHONE: 916-955-2977 PROPOSAL TO: COMPANY: PHONE: Contractors License No. 982079 A -General Engineering C-10 High Voltage Electrical C-31-Work Zone Traffic Control LBE# CMD121616779/ SBE# 1752478 Tam Tran City of Carlsbad 760-602-2736 FAX: EMAIL: Tam.Tran@carlsbadca.gov BID/PROJECT: Remove existing Radios on Tamarack, Install new City Supplied Radios. JOB Our quote is valid for: 30 Thirty days, expiring on: Location: Tamarack at Jefferson . Tamarack at Carlsbad Background: BES received request to remove existing radios and install new city furnished radios. Work to do: Remove two (2) existing radios at the above referenced location. Install two (2) City furnished (pre-programmed) 900 MHZ Radios. Align Radios and test for proper operation. Labor $ 1,153.00 Bucket Truck $ 435.00 Total -$ __ ~1=.5=8=8=.00= TERMS & CONDITIONS This proposal is an estimate, if unexpected problems arise, we will notify you before we proceed and a change order for the extra work will be provided. Additionally, the price listed above does not include any bond or permit fees. This offer shall expire 30 days from the date hereof and may be withdrawn by us at any time prior thereto with or without notice. The resulting contract shall not be modified except by formal written amendment. This offer shall be accepted by delivery to us or a copy of this offer duly signed by you in the space provided. BES would like to thank you for the opportunity to provide you with this proposal. Please give us a call with any questions or concerns. APPROVED SIGNATURE PRINTED NAME and DATE page 1 of 1 ACORD® CERTIFICATE OF LIABILITY INSURANCE l DATE (MM/DD!YYYY) ~ 03/31./201.7 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). PRODUCER LIC #0056172 1-888-845-2248 CONTACT Mcsherry & Hudson NAME: PHONE I FAX fA/C No Extl: 408-550-21.30 fA/C Nol: 408-550-211.9 1.50 West Santa Cl.ara Street E-MAIL ADDRESS: Suite 715 San Jose, CA 95113 INSURER($) AFFORDING COVERAGE NAIC# Vince ScoJ.ari INSURER A: BERKLEY ASSUR CO 39452 INSURED INSURER B: WEST AMERICAN INS CO 44393 Bear Electrical Solutions, Inc. INSURERC: NAVIGATORS SPECIALTY INS CO 35055 1.34]. Archer Street INSURER D: THE OHIO CASUALTY INS CO. 24074 Alviso, CA 95002 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER· 4951.1008 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 ,MC,D """' POLICY NUMBER fMM/DD/YYYYl fMM/DD/YYYYl LIMITS A GENERAL LIABILITY X X VUMEOl.42000 04/0J./J.7 04/0J./18 EACH OCCURRENCE $1,000,000 -X COMMERCIAL GENERAL LIABILITY DAMAGE. TU Kt:NTED $100,000 -PREMISES (Ea occurrence) ~ CLAIMS-MADE ~ OCCUR 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 7 POLICY iXl .m?i:: n LOC $ B AUTOMOBILE LIABILITY X X BAW571.l.3287 04/0J./J.7 04/01/J.8 COMBINED SINGLE LIMIT $1,000,000 -(Ea accidentl X ANY AUTO BODILY INJURY (Per person) $ --ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ --X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) --$ C UMBRELLA LIAS H OCCUR LA17EXC900785IC 04/0J./J., 04/0J./18 EACH OCCURRENCE $5,000,000 -X EXCESS LIAS CLAIMS-MADE AGGREGATE $5,000,000 OED I I RETENTION$ $ WORKERS COMPENSATION I T~~JT tJ1~<s I IOJ~-AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 0 E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? Y N/A (Mandator-y: in NH) E.L. DISEASE -EA EMPLOYEE $ If yes, describe under E.L. DISEASE· POLICY LIMIT $ DESCRIPTION OF OPERATIONS below D Rented/Leased Equipment BM057113287 04/01/1 04/01/18 Limit , 157,000 D Scheduled Equipment BM057113287 04/01/1 04/01/18 Limit 207,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Add;t;onal Remarks Schedule, ;f more space ;s requ;red) RE: Traffic Signal Maintenance & Repair Services. Additional Insureds: The City of Carlsbad, its officers, agents and employees. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of CarLsbad L535 Faraday Avenue Carlsbad, CA 92008 I ACORD 25 (2010/05) wendyl.5178 49511008 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE USA ~ © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ,/ 0 N 0 Policy Number: BAW57113287 -: {2) If the Limits of Insurance of any other insurance pol.icy have been exhausted; or {3) To "bodily injury" or "property damage" tha.t occurred before yoCi" acquired or formed th'e organization. 2. EMF'LOYEES AS INSUR.EDS SECTION II -LIABILITY COVERAGE, paragraph A.1. -WHO IS AN INSURED is amende.d to include the following as an insured: f.. Any "employee" of yogrs ·yvhile using a covered "auto" you c::!o not own, hire or borrow, but only for acts within the scope oftheir employment by You. lnsui:ance provided by this ehdorse;- ment is excess o:ver any other insurance available to any "employee". g. An "employee" of yours whiie operating an "auto" h'ired .or borrowed uncier a written c::oritract or agreement in .that "employee's" name, with your permission, while perfonnirig duties r.e- lated 1o the conduct of your business and within the scope of their .erriployrnent. Insurance. provided by this endorsement is excess over any other insurance available to thR "employee.". 3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT ORPERMIT SECTION II a LIABILITY CbVERAGE, 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 bf 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 poiicy asan "insured". However, such person or organization is an "insured": {1) Only With respect to the operation, maintenance or use, of acovered: "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 be.en issued to you; and (3) Only'for the duration ofthat contract, agreement or permit 4. SUPPLEMENTARY PAYMENTS SECTJON .II -LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments, para- gr:aphs (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 an "accident" we cover. We do not have fo furnish these bcinds, (4:) All reas,::>nabfe exf}'enses incurred by the insured at our request; iricluding actual lo.ss of earn- ings up to $500 a day because oftime off from work. 5. AMENDED FELLOW EMPLOYEE EXCLUSION In those Jurisdi.cticins vvh~re,. by law,. fellow employees are.,not .entitled to the projection afford.ed to the employer by the. workers compensation exclusivfty' r.ule, or similar pr'otectio.b, the following provision is added: SECTION' II -LIABILITY, exclusio.n B.5.. FELLOW EMPLOYEE dqes not apply if the "ocidTiy 7njury'' results from the use of a covereQ ".a.uto" you own or hire. SEfTDON m -PHYSICAL [)AMA~E COVERAGE is amended as follows: 6. HIRED AUT0 PHYSIC~L DAMAGE Paragraph A.4. Coverage Extensions of SECTION ill -PHYSICAL DAMAGE CO\(ERAGE; is amended by adding. the following: If hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified Causes of Lo.ss or Collision coverage are provided · under the Business Auto Coverage For[Jl for any "auto" yo~ own, then the Physical Damage coverages provided are. extended to' ''autos''.: a. You hire, rent or borrow; or CA 88 10 01 13' © 2013 Liberty Mutual lnsur;:in_ce lncludes,copyrighted material of Insurance Services·Office, Inc., with its permission. Page 2 of7 0 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 Flames and addresses-ofany injured persons and w,itn~ses. 20. WAIVER OFTRA.NSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO lJS: SECTION IV -.BUSINESS AUTO CONDITIONS, paragraph A.5., Transfer of Rights of Recovery Against Others to Us, is amended by the addition ofthe following: lfthe person or:organization has waived those rights before an "accident" or "loss", our ri.ghts are waived also. 21. HIRED AUTO COVERAGE TERRiTORY SECTION IV -BUSINESS AUTO CONDITIONS, paragraph B.7., Policy Period, Covera9e Territory, is .amended by the addition of the following: f. For "autos" hired 3.0 days or less, the coverage territory is anywhere in_ the. world, provided that the insured's responsibility to pay for damages is determined in a "suit", on the rnerits, 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 borrowed witb a driver. SECTION 'y -DEFINITIONS is amended as follows: 22. BOD!l Y INJURY REDEFINED Under SECTION V -DEFINTIONS, definition C. is replaced by the following: "B?dily injury" means physical injury, sickness or diseas.e sustained by a person, including mental anguish, mental injury, -shock, fright or death resulting from any of these at any time. COMM MON POLICY CONDITIONS 23. EXTENDED CANCELLATION CONDITION COMMON POLICY CONDlTIONS, paragraph A. -CANCELLATION condition applie.s except as fol- lows: If we cancel for any reason other than nonpayment of pcemium, w_e will mail to the first Named Insured written notice of cancellation at least 60 da,ys before the effective date of canc.ellation. Thi:s provision does not apply in those states which require more than 60 days prior notice of cancella- tion. © 2013 Liberty Mutual. Insurance CA88 10 01 13 Includes copyrighted material of lnsuranceSeivicesOffice, Inc., with its permission. Page 7 of7 JPolicy Number: VUMB0142000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULI..Y. . . . ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -COMPLETED OPERATJ:ONS This endorsement mo~ifies insur~mce. provided U1Jder the following: CQ~MERC!AL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional. lnsured Person(s) Or Oa:mmization(s): Location .And .. Description<Of1Comt>teted Operations As required by written ccmtract executed date-of occurren~e butonly to the.extent prior to the Constructio_n project,~it~. at which you perfonned work permitted by law and the insurance afforded to such additional insured will not. be broad.er than that which for·such addif:i,onal insured. you are required by the C<>ntract or agreement to provide 1'or such additional insured. Information required to complete tt:iis Schedule; if not shown above,will b.e st:mwn in the Declarations. Section II -Who. Is An Insured is. amended to include as an additional insured the person{s) or orgapization(s}shown in the Schedule; ~ut only with respect to· liability fof ~bodiiy injury" or nproperty damage" caused, in whol~ or in part, by ~your·work" at the" locafion designated. and described in the schedule of this endor:sement perforrried for that additional insured .and induded in the "products- completed operations hazard". CG2037DTO4 © ISO Properties, Inc., 2004. Page 1 of1 0 ·v Policy Number: VUMB0142000 COMMERCIAL GENERAL. LIABILITY CG20330704 THIS END08:SEMENT CHANGES THE POLICY: PLEASE REA:D IT CAREFUL(¥. ADDITl·ONAL INSURED -OWNERS_ LESSEES. OR: . .. . ·. . , ... . CONTRACTORS -AUTOMATIC STATUSWH:EN REQUIRED IN CONSTRUCTION AGREE·MENT WITH YOU 'This endorsement modifies. insurance, provided under the following: COMMERCIALGENERAL LIABIUTY COVERAGE PART A. Section II -Who Is An Insured is amended to include as · an additicmai' insured any person or organizaticm for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an aciditional insured on your policy_ Such person or organization _ is _ an additional insured only with respect to liability for "bodily injury", "property damage" or' "personal and advertising injury" caused, fil whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the perfonnance 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 com1;>leted_ B. With respect to the insurance afford~ .to these additional insureds, the following additionaJ exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and 'advertising inju.y' arising out' of th¢ rendering of, or the failure to render, any professional architectural, engineering or surveying sefVices, including: a. The preparing, approvfng, or failing -to prepare or approve, rriaps, shop drawings, opinions, reports, surveys. fiefd orders, change orders or drawings and specifications; or b. Supervisory, irispection, architectural or engineering activities_ 2. "Bodily inj1.1ry" or "property: damage" occurring after: · ··· a. Ail work, including_ materials, parts or equipment furnished in . connection with such_ work, on the project (other than service, maintenance or repairs) to be perfonned by or on behalfofthe additional insured(s) at the location of. the. covered operafioris has been ,:,ompleted; or b. That portion of "your work" out of which the injury or damage arises has been put fo its intended_ use by any person or organization other tlian another contractor or subcontractor engaged in . perfonning operations for a principal as a part of the same project · · CG 20330704 © ISO Properties, Inc_, 2004 Page 1 of 1 D Policy Number: VUivffi0142000 THiS ENDORSEMENT CHANGES THE POLICY. PLEASE REAO IT CAREFULLY. PRIMARY AND. NONCONTRIBUTORY WORDING This endorsement modifies insuranee providedunderthe following: COMMERCIAL GENERAL LIABILITY COVERAGE PRODUCTS/COMPLETEDOPERATIONS LIABILITY COVERAGE With respect to coverage provided to an additional insured via attachmenfofan Additional.Insured endorsementfo 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 C.ONDITIONS OF THIS POLICY REMA.IN UNCHANGED VCAS2035 11 10 Page 1 :of 1 Policy Number: VUMB0142000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFUL[.¥. WAIVER OF TRANSFER OF RlGHTS OF RECOVERY AGAINST OTHERS TO US ·ntis.e11dors.emerit modifiesinsurance provided under the following: COMMERCIAL GENERAL LIABJLITY COVERAGE PART SCHEDULE Name of l>erson or Organization: To af)y person or organization Rt:Ovided you entered into the contractwith that person ormganizationpriorto any claim or loss to whlchthis insurance applies. (!f no entry appears above, information required to complete tlhis 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- COMMERCIALGENERAL 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 work" don·e under a. contract with that pel'$bn or organization and included in the nproducts-completed operations hazard". Thrs waiver applies only to the person or organization shown in the Schedule above. CG 24041093 Copyright, insurance Services Office, Inc., 1992 Page 1 off 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 fo= CG24041093. Auto Liability: Additional Insured per attached fo= CA88100113. Waiver of Subrogation per attached fo= CA88100113. SUPP (05/04) DATE 03/31/2017 L ·y CERTfFfCATE OF LIABILITY INSURANCE DATt.lWIWIJDD/YYYY) 2/2/2017 - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS CERTIFICATE DOES NOT AFFIRMATIVE!._ Y OR NEGA TIVEl Y 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 SUBROGRA TION IS WANED, 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 OnPoint Underwriting Inc. CONTACT NAME: Steven McComb 8390 E Crescent Pkwy, Suite 200 PHONE (AJC, No Ext): (360) 828-0644 iFAX (AJC, NO): (360) 828-0699 Greenwood Village, CO 801 ii EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE jNAIC# INSURER A: '1ACE American Insurance Company [22667 INSURED ' ' INSURER 8: ! Barrett Business Services, Inc. UC/F INSURERC: BEAR ELECTRICAL SOLUTIONS, INC. INSURER D: ' I I 1341 ARCHER STREET INSURER E: ' SAN JOSE, CA 95131 INSURER F: i "···----· --- 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. NOTWTHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTVVTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUES 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR \/IND (MMIDD/YYYY) (MM/DDIYYYY) GENERAL LIABILITY EACH OCCURRENCE s 0-- DAMAGE TO RENTED PREMISES (Ea COMMERCIAL GENERAL LIABILITY occurence) $ I CLAIMS.MADE D OCCUR MED EXP (Any one person) s I PERSONAL & ADV INJURY s I GENERAL AGGREGATE s GEN'L AGGREGATE LIMIT APPLIES PER: n POLICY n ~~~J-nLOC PRODUCTS -COMP/OP AGG s s AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s I--(Ea accident) ANY AUTO 1--BODILY INJURY (Per person) s ALL OWNED AUTOS B SCHEDULED AUTOS I--BODILY INJURY (Per accident) s HIRED AUTOS NON-OWNED AUTOS I--PROPERTY DAMAGE $ 0-- $ UMBRELLA LI~ OCCUR EACH OCCURRENCE s I--AGGREGATE $ EXCESS LIAS OCCUR OED RETENTIONS s WORKERS COMPENSATION AND EMPLOYERS' RWC 02/01/17 · 02/01/2018 ./ IWCSTATU- I IOTH-A ER LIABILITY YIN C64374242 TORY LIMITS ANY PROPRIETOR/PARTNER/ EXECUTIVE c== E.L EACH ACCIDENT S2,000,000 OFFICER/MEMBER EXCLUDED? N/A Covered states: E.L DISEASE -EA EMPLOYEE S2.000,000 / (Mandatory in NH) If yes, describe under CA E.L DISEASE -POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule. if more space is required) In 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 the Loss, insurer hereby agrees to also waive our right of recovery but only with respect to such Loss. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATA THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE City of Carlsbad POUCV PROVISIONS_ 1635 Faraday Avenue AUTHORIZED REPRESENTATIVE Carlsbad CA 92008 c;-z~~ Richard Poling c) 1988-2010 ACORD CORPORATION. All nghts reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD_ AGENCY CUSTOMER ID: _____________ _ LOC:#:. _____________ _ ADDITIONAL REMARKS SCHEDULE Page_2_ of_2_ AGENCY NAMED INSURED OnPoint Underwriting Inc. Barrett Business Services, Inc. 8100 NE Parkway, Suite 200 POLICY NUMBER -Vancouver WA 98662 RWC C6437 4242 CARRIER NAIC CODE ACE American Insurance Company 22667 EFFECTIVE DA TE: 02/01/17 . ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability (01/14) CERTIFICATE HOLDER: City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad CA 92008 RE: Traffic Signal Maintenance & Repair Services. ACORD 101 (2008/01) c) 1988-2010ACORD CORPORATION .. AII nghts reserved. The ACORD name and logo are registered marks of ACORD-