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HomeMy WebLinkAboutBear Electrical Solutions Inc; 2017-09-11; PWL18-39TRANTRACKING #PWL18-39TRAN CITY OF CARLSBAD PUBLIC WORKS LETTER OF AGREEMENT ECR at Arenal Wireless Radio 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 furnish and install CATS cable from the cabinet to SW corner pole and relocate existing radio to SW corneron city provided POE extender, per the Contractor's proposal dated August 4, 2017, and City specifications, for a sum not to exceed one thousand nine hundred ninety-two dollars ($1,992). 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, ~nt Code sections 12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. ~ init {f init 6. The Contractor hereby acknowledges that debarment by another jurisdicti~unds for the City of Carlsbad to disqualify the Contractor from participating in contract bidding.~ init 4{? 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. ECR at Arena! Wireless Radio -1 -City Attorney Approved 2/29/2016 TRACKING #PWL18-39TRAN 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 ' By: CITY OF CARLSBAD, a municipal corporation of the State of California By: (sign here) , Elaine Lukey, u · Works Director 8lfs'CRT As UNCION . VICt; f7/?t-..... 00i;J;/t as authorized by the City Manager (print name/title) By: 11'1' .. i) ./J (~ Dated: t/1)-11 (sign here) (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 ECR at Arena I Wireless Radio -2 -City Attorney Approved 2/29/2016 ~ " BES~J\ BEAR ElECTRICAl SOlUTIONS 12520 Kirkham Ct, Ste. 4, Poway, CA 92064 Tel: 619-348-7739 PROPOSAL DATE: FROM: PHONE: FAX: Jason Hayes 916-955-2977 BID/PROJECT: JOB Our quote is valid for : 8/4/2017 Location: El Camino Real at Arena/ TO: COMPANY: PHONE: EMAIL: ECR at Arenal Wireless Radio __ 3_0_Thirty days, expiring on: Background: BES received request to furnish and install Cat 5 and relocate existing radio. Work to do: Furnish and install Cat 5. (City to provide Cat 5 extender if needed) Relocate existing radio to pole specified by City Staff. Align Radios and test for proper operation. Labor $ 1,560.00 Material $ 270.00 Equipment $ 162.00 Total ~$ __ ~1~.99=2=.00= TERMS & CONDITIONS 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 Tam.Tran@carlsbadca.gov 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 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). PRODUCER LIC #0056172 1-888-845-2248 CONTACT NAME: Mcsherry & Hudson PHONE 408-550-2130 I FAX 408-550-2119 I AJC No Extl: (AJC Nol: 160 West Santa Clara Street E-MAIL ADDRESS: Suite 715 San Jose, CA 95113 INSURER($) AFFORDING COVERAGE NAIC# Vince Scolari INSURER A: BERKLEY ASSUR CO 39462 INSURED INSURER B: WEST AMERICAN INS CO 44393 Bear Electrical Solutions, Inc. INSURER c: NAVIGATORS SPECIALTY INS CO 36056 1341 Archer Street INS_URER D: THE OHIO CASUALTY INS CO. 24074 Alviso, CA 95002 INSURER E: 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. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE ,.,cc un,n POLICY NUMBER IMM/DD/YYYYl IMM/DD/YYYYl A GENERAL LIABILITY X X VUMB0142000 04/01/17 04/01/18 EACH OCCURRENCE $1,000,000 ~ DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $100,000 ~ ~ CLAIMS-MADE 0 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 I fxl PRO-POLICY JECT nLOC $ B •AUTOMOBILE LIABILITY X X BAW57113287 04/01/17 04/01/18 COMBINED SINGLE LIMIT $1,000,000 {Ea accident\ - X ANY AUTO BODILY INJURY (Per person) $ -ALL OWNED -SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ --NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident\ $ - $ C UMBRELLA LIAS HOCCUR LA17EXC900785IC 04/01/1, 04/01/18 EACH OCCURRENCE $5,000,000 - X EXCESS LIAS CLAIMS-MADE AGGREGATE $5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION I T~~JitJi¥s I IOTH- AND EMPLOYERS' LIABILITY ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ~ E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? Y N/A (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 Scheduled Equipment BM057113287 04/01/1 04/01/18 Limit 207,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, Additional,Remarks Schedule, if more space is required) 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 1635 Faraday Avenue Carlsbad, CA 92008 I ACORD 25 (2010/05) wendyl5178 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 / Policy Number: BA W57113287 --· =· ---· ~-~=· ;2 ,::: ·"' ~ .. (2)· lfthe Limits of Insurance of any other insurance policy have been exhausted; or {3) To "bodily injury" or "property clamage" that 6.ccurred before you acquired or formed the Organization. · i.; EMPLOYEES AS INSURitDS SECTION II -LIABlLITY COVERAGE, paragraph A.1. · WHO IS AN INSURED is amended to include the following as an insured: f. Ariy llempJoyee" of yours while using .a covered "auto" yqq c:J.o. not own, hire or bqrrow, but ohlj· for acts within the scope of their employment qy you. Insurance prm/ided by this endorse, merit is excess over any other insurance available to any "employee'!. g; An "en,plqyeeO' of yours while operating an "auto" hired or borro.wed under a written contract or agreement irt that "emplpyee's" name, with your permission, while performrng duties re- lated to the conduct of your business and within the scope Of their ernplqymenl Insurance provided by this endorsement is excess over any other .insurance available to the "employee'i. .3. ADJ)ITJONAL INSURED BY CONTRACT, A~REEMENT ORPE;RMIT SE.CT10N II"· LIABILITY CbVERAGE, paragraph A.1. • WHO IS AN INSURED is amended to include the following as an insured: · h. Any persbri qr orgarifzation with respect to the operation, maintenant:e or use qf a c:oveled "auto", provided that you and such person or organizatfon have a.greed in awriften contract, agreement, or permit issued to you by governmental or public authority, fo 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 respecf to the. 9peration, maintenance or;iJse of a covered "auto"; {2) Only for 0bodily injury'' or "property damage" caused by an ·"accident" which takes place after you executed the written contract or agreement, or the permit has heen issuec:J to you; and (3) Only for the duration of that contract, agreement or permit 4. ·slJPPLEMENTARY PAYMENTS SE:CTlON ti ~ LIABILITY .COVERAGE, Coverage Exlensions, 2.a. Supplementary Payments, para- graphs (2) and (4) are replaced by the following: {2) Up tq $3,000 for GQSt of bail bonds (including bonds for relafucf tr~ffifJ \riolatiqns ),. r.eql.lired because,of ah "accidehr we. cove't. We do not have to furnish 'these bonds. '{"l All reasonable expenses incurred by the insured at our request, incluqfhg actL1al loss o{ earn- ings up to $500 a day bet:::at1se of time off from work. 5. AMENDED FELLOW EMPLOYEE EXCLUSION ln thosa Jurisdictions where, by law, fellow employees are.not entitled to the ptotectlpn affor:ded to the employer by the workers compensation exclusivity· ride, or similar protectioh, the following . provision is added: . SECTION II -LIABJ!-ITY; exclusiqn 8;5,. FELLOW EMPLOYEE does h9t c;1ppJy if the "b9dfly 1n]i.!fy'' re.suJts from the us~ of a cove~ed "c:iu.to" yqu. own or hire. · SE<;TION IH~ PHYSICAL DAMAGE: COVERAG_E is amended as follows: 6. 'HIRED AUTO PHYSICAL DAMAGE Paragraph AA. Coverage Extensions of SECTION Ill -PHYSiCALDAMAGE COVERAGE; is amended by c1clding the following: lf hired "autos'' are covered "autos" for Liability Coverage; and if Comprehensive, Specified Cau$e_s .of Loss. or. Co1Hsion coverage are provided uncler the Business Auto Cove~c1ge Form for any "auto'' you o.wn1 then fhe Physical Damage coverages provided arE:l extenqed to "autos!': a. You hire, rent or borrow; or © 20 .13 LiQE) rty M utuaJ I riSU ~qce Includes copyrfghted material. of Insurance Services office, Inc., with its permission. Page 2 Qf7 0 Policy Number: BAW57113287 To the extent posstble, notice to us should include: (1) How, :When: 'and \iyhere the "accident" or "loss" took place; (2) The "insureds"' name and address; and (~) The n_~rn~s and addt¢sse$ of any injureo persons and witnesses. 20. WAIVER OF TRANSFER· OF RiGHTS OF RECOVERY AGAINST OTHERS TO 11S SECTION ]V -BUSINESS AUTO CONDITIONS·, paragraph A.S., Transfer of Rights bf Recovery Against Others foJJs, is amended by the addition ofthe following:· · lfth$ person or organization has waived those rights before an "accident" or "loss", our ri~hts are waived also; 21. HIRED AUTO COVERAGE TERRITORY SECTION JV O BUSINESS AUTO CONDITlONS, paragraph a.t., Policy Period, Coverage Territory, is amended by the addition of the following: f. For "autos" h.ired 30 days or less, the coverage territory iS ariyW~ere . in the wptld, provjded that the insured's resp,ohsiptlity to pay for damages is deierrnined in a "sult", on the merits, in Jh!::i United States, the territories ano possessiohs of the United States of America, Puerto Rlco or Canada,or in asettlement we agree to. This extension of coverage. does not app.ly to an "auto" hired, leasecl, reilted or borrowed with a driver. SE(;TION V • DEFINITIONS ls ap,er:,cl~d as follows: 22. BODILY INJURY REDEFINED Under SECTION V-DEFJNTIONS, deflnition C. is replaced by the following: "Bodlly injury'' means physical injury, sickness or disease sustained by a person, including mental anguish, mental injury, ,shock; fright or death resulting from any ofthese at any flme. COMMMON POLICY CONDITIONS 23. EXTENDED CANCELLATION COND1TION COMMON POLICY CONDITIONS, paragraph A. -CANCELLATION condition applies ~xcept as fol~ lows: · If we cancel for any reason. other than nonpayment of pr.emium, we Will mai.1 to the first Named Insured written notice of cancellation at least 60 c!,ays before the effectlve date. of cancellation. thls provision does not apply in those states which require more than 60 days prior notice of cancella~ tion. 'CABS 10 0113 © 2013 LibE?rty Mutual lnsui'i'lnce Includes copyrighted material of Insurance ServicesOffice, Inc,, with. its permisSibn. Page 7 of7 \ Policy Number: VUMBOl42000 THIS: ENQORSEMENT CHANGES THE POLICY. PLEASE READ JT CAREFULLY. ADDITIONAL INSURED -OWNERS, LES.SEES-OR CONTRACTORS -COMPLETED OPERATIONS This em,iorsem~nt,modifies insurance provicled under the following: CQMMERCIAL GENERAL L,IA.BILITY COVERAGE PART 'SCHEDULE Name OfAdditional Insured Person(s) Or Oraanization(s}: Location And Descril>tion.Of,CorriDleted Or>eratio-ns As ~ui~ by written contn:ict exeouteQ prior to the Constructi<>n project ~itt)s. at which you ~rfcmned work: date ofocci.tr~nce bul only to the'extent for such' additional insured.· , , , , , permittecf by iaw and, the insuran~~ afforded to sµch additional insured wlll not be broader than that which you', are ~quired by the , contract' or agreement to provipe fqrsuch additional insured. lnfon,,ation ~quirecHo com,plefa this Sch~ule, ·jfr10t shown above; wilJ be ~hQwn in th!¼ D.ec.mrntions; Section 11 -Who Is Ari Insured is amended to inclu~e ait an ctdditional in~re&t the person(s) or organiiat1p11(s)shown irf the· Schedule; butonty With te$pect: Jo na.bifity for "bodily injµry" or "mt)perty dam~en-caQSed; in whql~ or in pc1rt by "yQurwQrk" -at the location designated and described in the seh.edule of th:i~t endorsement peifotmed fbf that additional insured and included in the "products- q<>mJ>leted operations hazard". · CG 20 '37 07 04 @>' iSO Properties, Inc., 2004 Page·1 of1 a Policy Number: VUMB0142000 I COMMERCIAL GENERAL LIABILITY· CG2033-0704 THI$ ENllQRSEME:~n· CHANCE·$ THE POLICY. PLEASE 'READ 1T CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEE:$. OR CONTRACTORS-AUTOMATIC STAJU,S WHEN REQLJIR·ED IN GONSTRUCTION AGREEMENT WITH YOU 'This endorsement modifies insurance provided under the following: COMMERCIALGENERAL LIABILITY COVERAGE PARi A. Section II -Who is An Insured is amended to · include · as an additional insured any person or organizc:lti<>n for whom you are performing operations when you and such person or orgahizaoon have agreed in writing iri a contract or agreamaht that such person or organization be .added as an additi~nal insured on your policy. $uch person or 9rga,nizciition is an. additional insured. -0nly with respect to liability .for "bodily injuryn ,. "property damage" Or' "personal and advertising injury" caused, ln whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; · ··· · · · in the perfonnanCE3 of your ongoing operations for the additional insured. A pe~on's or organiZ(ltion's status as an additional insured under this endorsement ends wheh your pperatiotis for that additional insured are cornpleted. B. With respect to the insuran;;e affQrt1~ to th~e ac:iditipna! insureds, the· following add.itlonal exclusions apply: This hisurance does not apply to: 1. "Bodily injury"; "property damagen or "personal and advertisJng injury9 ari$ing oµt of the rendering of, or the fi;lilure to ~nder, a.ny professional archirectural; engineering or surveying services, including: · a. The prepari11g, approving, or failing to prepare or approve, rnaps, shop drawings, opinions, reports:, surveys, field ort1ers, change orders or drawings and specifications; or , b. Supervisory, inspection, architec;tural or engineering activities. 2. "Bodily inj!,Jry" or "property damaget occurring after: · · · ·· ·· a. All work, inqliiding rnaterials, parts. or equipment ft,tmished in connecti.on with such work, on the project (other than service, maintenance or repairs) to be perfonned by or on. behaJf ofthe additional insui:ed(s) at the location of the covered operations has been completed; or b. That portion of "your work" out of Which the injury <>~ damage arises llas been put ttj its int'endad .use by any person or organization other than another contractor or subcontractor engc3ged in performing operations for a principal as a part of. the same project. · CG 21J 33 07 04 © ISO Properties, lnQ,, 2004 P.-ge1 oM D \ Policy Number: VUMB0142000 THISENDORSEMENT 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 respect to coverage provided to an additional.insured via attachmentofanAdditionallnsured endorsemantto this policy, such coverage is primary insurance and we will not seek contribution .from any other insurance,available to thatadditionar fnsured. ALL ()THER TERMS AN[) CONDITIONS OF THIS POUCY REMAIN UNCHANGED VCAS2035 11 10 Page 1 of 1 Policy Number: VUMB0142000 / :THIS EN,D08$EMENT CHANGES THE POLICY. PLEASE REAB IT CAJIEFULLY. WA,IVER OF TRANSFER OF RlGHTS OF RECOVE,RY . . . -' . AGAINST OTHERS TO US This endorsement moctifies insurance provid~d under the following: COMMERCIAL GENERAL LIABIUTY COVERAGE PART SCHEDULE Nam,e of: Petson or Organi~tion: To any person or org11nization pr:avided you entered into the cpntractwith that person or organization pnQr to any claim or loss to which this Insurance applies. (If no entry appears above:; information required to complete this endorsement will be shown.in the Declarations as-applicable to this endorsement) The TRANSFER OF RIGHTS Ot= RECOVERY AGAINST OTHERS TO US Condition (Section IV,- COMMERCIALGENERAL LIABJLITYCONDITIONS) is amended by the addition ofthe following: We waive any right of .recovery we may have against the person or organization shown in the Schedule above because of payments we make {or injury or daniage arising out of your ongoing operations or "yout work" done under a. contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the pel"{;on or organization shown in the Schedul'e above. CG 24041093 Copyright, insurance Service$ 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 c' ~ ACORD®. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/2/2017 L ----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 SUBROGRATION 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 OnPoint Undeiwriting Inc. CONTACT NAME: Steven McComb 8390 E Crescent Pkwy, Suite 200 . --,.,-~. ---····· .~.,, .. _.,.,._,,_,-... ·=····--~,----. PHONE (A/C, No Ext): (360) 828-0644 · FAX (A/C, NO): (360) 828-0699 Greenwood Village, CO 80111 .,.-.......... _ .. _____ ,, ... :.·,• ... -.·-· ··------·-····.···------·-······-·-· EMAIL ADDRESS: - ''"'·"'-' ... INSURER(S) AFFORDING COVERAGE ,NAIC# INSURER A: ,ACE American Insurance Company '22667 ··-···-··· _ .... , .. ,.,. ··-·-----·-...... INSURED 'INSURERS: ·····-··· -=----... __ ,_. __ ·-. -~ -·· Barrett Business Services, Inc. UC/F ilNSURERC: ... BEAR ELECTRICAL SOLUTIONS, INC. INSURER D: . ···----·. . -··· --· ------------------------·-·-···-----···· >=--,···-'··· _______ ._._._.,__ ··-·· --··--··· 1341 ARCHER STREET INSURERE: .~......-.. ---.. ,.,,,,,._.,.,_...,,--=-"· SAN JOSE, CA 95131 INSURER F: ----·-· .. ·· COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N01WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 POLICYEFF POLICY EXP LIMITS LTR INSR WVD (MM/OD/YYYY) (MM/DDIYYYY) 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 $ 7 POLICY n ~~~J-nLOC PRODUCTS -COMP/OP AGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ -(Ea accident) ANY AUTO -BODILY INJURY (Per person) $ ALL OWNED AUTOS a SCHEDULED AUTOS -BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNED AUTOS -PROPERTY DAMAGE $ -$ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ -EXCESS LIAB OCCUR AGGREGATE $ -DED I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' RWC 02/01/17 02/01/2018 .,/ Iwc STATU-I IOTH-LIABILITY Y/N C64374242 TORY LIMITS ER ANY PROPRIETOR/PARTNER/ EXECUTIVE ~ NIA E.L. EACH ACCIDENT $2,DDD,DD0 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 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 City of Carlsbad EXPIRATION DATA THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLl(;V PROVISIONS. 1635 Faraday Avenue AUTHORIZED REPRESENTATIVE Carlsbad CA 92008 <;?.~~ Richard Poling c) 1988-2010 ACORD CORPORATION. All rights 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 DATE: 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) 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD.