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HomeMy WebLinkAboutBear Electrical Solutions Inc; 2018-01-09; PWM18-86TRANRECORDED REQUESTED BY CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 DOC# 2018-0442117 111111111111 lllll 111111111111111111111111111111 IIIII IIIII IIIII IIII 1111 Oct 23, 2018 12:42 PM OFFICIAL RECORDS Ernest J. Dronen burg, Jr, SAN DIEGO COUNTY RECORDER FEES $0 00 (SB2 Atkins $0.00) PAGES 1 Space above this line for Recorder's use. PARCEL NO: NOTICE OF COMPLETION Notice is hereby given that: 1. The undersigned is owner of the interest or estate stated below in the property hereinafter described. 2. The full names of the undersigned are City of Carlsbad, a municipal corporation. 3. The full address of the undersigned is 1200 Carlsbad Village Drive, Carlsbad, California 92008. 4. The nature of the title of the undersigned is: In fee. 5. A work or improvement on the property hereinafter described was completed on Sept. 26, 2018. 6. The name of the contractor for such work or improvement is Bear Electrical Solutions, Inc. 7. The property on which said work or improvement was completed is in the City of Carlsbad, County of San Diego, State of California, and is described as follows: Project No.7249, (PWM18-86TRAN), Rancho Santa Fe Road at Camino Junipero Signal Knockdown. 8. The street address of said property is at the intersection of Rancho Santa Fe Rd. and Camino Junipero, in the City of Carlsbad. µ City Manage?/ VERIFICATION OF CITY CLERK I, the undersigned, say: I am the City Clerk of the City ot.;rlsbad, 1200 Carlsbad Village Drive, Carlsbad, California, 92008; the City Manager of said City on · c,_;t, / ol , 20.i_, accepted the above described work as completed and ordered that a Notice of Completion be filed. I declare under penalty of perjury that the foregoing is true and correct. Executed on [) c_j-. I I 20/ ;?, at Carlsbad, California. C \Users\epaiv\Desktop\NOC for Bear Electrical Solutions.doc t Cl"AOF CARLSBAD ;J />/1/1 ~~"--ni-1 f w~v\J ~BARBARA ENGLESON u-City Clerk CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS Bear Electrical Solutions, Inc. has completed the contract work required for Project No. 7249 (PWM18-86TRAN) Rancho Santa Fe Road At Camino Junipero Signal Knockdown. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS City of Carlsbad Remove damaged equipment and install new equipment VALUE $22,272.40 CERTIFICATION OF COMPLETION OF IMPROVEMENTS Engineering Manag~ oaie l CITY MANAGER'S ACCEPTANCE OF PUBLIC IMPROVEMENTS The construction of the above described contract is deemed complete and hereby accepted. The City Clerk is hereby authorized to record the Notice of Completion and release the bonds in accordance with State Law and City Ordinances. The City of Carlsbad is hereby directed to commence maintaining the above described improvements. t,;',1,1~ /OJ}.'1€ Scott Chadwi~ y Manager Date APPROVED AS TO FORM: CELIA BREWER, City Attorney C:\Users\epaiv\Desktop\API -PWM18-86TRAN.doc PWM 18-86TRAN CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT RANCHO SANTA FE ROAD AT CAMINO JUNIPERO SIGNAL KNOCKDOWN This RATIFICATION OF AGREEMENT is entered into as of the q ~ day of 1C.\Y)UC\, ~ , 20J& but effective as of the 27th day of June, by and between the City of Carlsbad, Califofla, 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 "Contractor"). City and Contractor agree as follows: DESCRIPTION OF WORK. Contractor shall perform all work specified in the Contract documents for the project described by these Contract Documents (hereinafter called "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. RSF at Camino Junipero Signal Knockdown Page 1 of 6 City Attorney Approved 9/27/16 PWM18-86TRAN 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 Contra~~=cto~ from participating in contract bidding. Signature: ~--= Print Name: .fl~ r6JNc.,/EJ('J REQUIRED INSURANCE. The successful contractor shall provide to the City of Carlsbad, a Certification of Commercial General Liability and Property Damage Insurance and a Certificate of Workers' Compensation Insurance indicating coverage in a form approved by the California Insurance Commission. The certificates shall indicate coverage during the period of the contract and must be furnished to the City prior to the start of work. The minimum limits of liability insurance are to be placed with California admitted insurers that have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of California's List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best's Key Rating Guide of at least "A:X"; 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. RSF at Camino Junipero Signal Knockdown Page 2 of 6 City Attorney Approved 9/27/16 PWM 18-86TRAN 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 agreed to start work on June 27, 2017. Completion: Contractor agrees to complete work by January 20, 2018. CONTRACTOR'S INFORMATION. BEAR ELECTRICAL SOLUTIONS, INC., a California corporation 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) RSF at Camino Junipero Signal Knockdown Page 3 of 6 1341 Archer St (street address) Alviso, CA 95002-0924 (city/state/zip) 408-449-5147 (telephone no.) N/A (fax no.) robert@bear-electrical.com (e-mail address) City Attorney Approved 9/27/16 PWM 18-86TRAN 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., a Cali rnia corporation By: (sign here) CITY OF CARLSBAD, a municipal corporation of the State of California By: /2tet72.f· 1tsaNc1orJ -v1tk. fRtJ10t1VT- (print name/title) Elaine Lukey / P$c Works Director as authorized by the City Manager By: \~- (sign here) (print name/title) If required by City, proper notarial acknowledgment of execution by Contractor must be attached. If a 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:--'--'fkau.~_' ~-£,-=-?~'---- Deputy City Attorney RSF at Camino Junipero Signal Knockdown Page 4 of6 City Attorney Approved 9/27/16 PWM 18-86TRAN 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 Expiration Date Contract var (tfn,,'cA-6( t;, '--// V / / ./ / / / L Total % Subcontracted: D. 0 /2:: • The Contractor must perform no less than fifty percent (50%) of the work with its own forces RSF at Camino Junipero Signal Knockdown Page 5 of6 City Attorney Approved 9/27/16 PWM 18-86TRAN EXHIBIT B Rancho Santa Fe at Camino Junipero Signal Knockdown Signal and battery cabinets were damaged and knocked down due to a vehicle accident on June 27, 2017. Contractor to remove damaged equipment and install new equipment as needed. JOB QUOTATION ITEM UNIT QTY DESCRIPTION PRICE NO. 1 LS 1 Installed new 332 cabinet from BEAR stock, includes $15,572.40 labor and materials. 2 LS 1 Furnsh and install complete Alpha BBU with Batteries, $6,700 Inverter, cables, bypass switch and cabinet. Make all connections and test for proper operation. TOTAL* $22,272.40 *Includes taxes, fees, expenses and all other costs. RSF at Camino Junipero Signal Knockdown Page 6 of 6 City Attorney Approved 9/27/16 BES. BEAR ELECTRICAL SOLUTIONS 12520 Kirkham Ct., Ste. 4, Poway, CA 92064 Tel: 619-348-7739 DATE: FROM: PHONE: FAX: Jason Hayes 916-955-2977 BID/PROJECT: JOB Our quote is valid for: 12/19/2017 Exhibit "B" PROPOSAL TO: COMPANY: PHONE: EMAIL: Rancho Santa Fe at Camino Junipero BBU Install Vehicle accident 7-27-2017. 30 Thirty days, expiring on: Location:< Rancho Santa Fe at Camino Junipero 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 1/18/2018 Background: BES received request to furnish and install BBU with BBU cabinet at above referenced location. Battery Back up was damaged as a result of the vehicle accident on that occurred on June 27th 2017. Work to do: Furnsh and Install Complete Alpha BBU with Batteries, Inverter, cables, bypass switch and Cabinet. Make all connections and test for proper operation. Labor Material Equipment Total TERMS & CONDITIONS $ $ $ s 700.00 5,778.00 222.00 6,700.00 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. This offer supersedes any prior offers, commitment or orders, contains all terms, conditions and warranties and when accepted, constitutes the entire contract between the parties. 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 BES l't\ 1341 A<che>" Streel • P.O. Box 924 BEAR El£CTRICRl SOlUTNINS Alviso CA 95002 408-449-5178 License: 982079 Billed To: City of Carlsbad 1635 Faraday Ave. Carlsbad CA 92008 Due Date: 09/25/2017 Service Date: 06/27/2017 Description Signals Are Blacked Out/Requesting Service 06/27/2017 07:12 42 8002838166 Urgent Zone C: Pat @ City Of Carlsbad 07:11 AM PH: 760-434-2980 Carlsbad Rancho Sante Fe Camino Junipero Traffic Light Signals Are Blacked Out/Requesting Service Installed new cabinet.332 from BEAR stock Labor RT: 26 hrs@ 86.70/ hr Labor OT & DT: 8 hrs @ 122.40/ hr Bucket Truck: 34 hrs @ 25.50/ hr Material: 332 Cabinet Complete (1) C/O: Tam Tran Notes: Exhibit "B" Contract Invoice Invoice#: 5345 Date: 09/25/2017 Project: CarlsbadTS-lnt Dark Camino Junipero & Ranch Santa Fe Rd Carlsbad CA Terms: Due Upon Receipt PO / Contract #: BES Job #: 1704 7390 Non-Taxable Amount: Taxable Amount: Sales Tax: Amount Due Amount 2,254.20 979.20 867.00 11,472.00 15,572.40 0.00 0.00 15,572.40 ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 11/20/2017 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 IA/C No Ext\: IA/C Nol: 408-550-2119 160 West Santa Clara Street E-MAIL ADDRESS: Suite 715 San Jose, CA 95113 INSURER(S) AFFORDING COVERAGE NAIC# Vince Scolari INSURER A: BERKLEY ASSUR CO 39462 INSURED INSURER B: WEST AMERICAN INS CO 44393 Bear Electrical Solutions, Inc. NAVIGATORS SPECIALTY INS CO 36056 INSURER C: 1341 Archer Street INSURER D: THE OHIO CASUALTY INS co_ 24074 Alviso, CA 95002 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 51400906 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 ···~~ "n,n POLICY NUMBER IMM/DD/YYYYl IMM/DDIYYYYl A GENERAL LIABILITY X X VUMB0142000 04/01/17 04/01/18 EACH OCCURRENCE $1,000,000 X DAMAGE TO RENTED $100,000 COMMERCIAL GENERAL LIABILITY PREMISES /Ea occurrence) 1-----~ CLAIMS-MADE 0 OCCUR MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 1----- X Per Project Aggregate GENERAL AGGREGATE $2,000,000 1----- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2,000,000 n fxlPRO-POLICY .IEi"'T nLOC $ B AUTOMOBILE LIABILITY X X BAW57113287 04/01/17 04/01/18 COMBINED SINGLE LIMIT $1,000,000 /Ea accidentl - X ANY AUTO BODILY INJURY (Per person) $ --ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ -AUTOS 1-----AUTOS X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS IPer accidentl -1----- $ C UMBRELLA LIAB M OCCUR LA17EXC900785IC 04/01/1, 04/01/18 EACH OCCURRENCE $5,000,000 - X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 OED I I RETENTION$ $ WORKERS COMPENSATION 1 Tvx,gJrnri~~ 1 10:~-AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 0 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 I LOCATIONS I 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. 30 Day Notice of Cancellation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad/CMWD c/o EXIGIS Insurance Compliance P.O. Box 4668 -ECM New York, NY 10163 I ACORD 25 (2010/05) sarahsj 51400906 #35050 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Services 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) 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. EMPLOYEES AS INSUREDS SECTION II -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 only for acts within the scope of their employment by you. Insurance provided by this endorse- ment is excess over any other insurance available to any "employee". 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 operation, 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 you; and (3) Only for the duration of that contract, agreement or permit 4. SUPPLEMENTARY PAYMENTS 5. 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 an "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. AMENDED FELLOW EMPLOYEE EXCLUSION In those jurisdictions where, by law, fellow employees are not 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 8.5. 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 COVERAGE is amended as follows: 6. HIRED AUTO PHYSICAL DAMAGE Paragraph A.4. Coverage Extensions of SECTION Ill -PHYSICAL DAMAGE COVERAGE, is amended by adding the following: If hired "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 Insurance CA88100113 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 7 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 names and addresses of any injured persons and witnesses. 20. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SECTION IV -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 IV -BUSINESS AUTO CONDITIONS, paragraph 8.7., 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 responsibility 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 borrowed with a driver. SECTION V -DEFINITIONS Is amended 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 POLICYCONDIT~NS 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 CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7 j Policy Number: VUMB0l42000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Oraanizatlon(s): Location And Description Of Completed ODeratlons As required by written contract executed prior to the Construction project sites at which you performed work date of occurrence but only to the extent for such additional insured. permitted by law and the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 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 organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage• caused, in whole or in part, by -Your work• at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 a Policy Number: VUMB0142000 ..,.-- COMMERCIAL GENERAL LIABILITY CG 20 3307 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION 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 organization 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 organization is an additional insured only with respect to liability for "bodily inju~, "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. 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. Wrth respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising inju~ 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 inju~ or "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 behalf of the 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 or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 33 07 04 @ ISO Properties, Inc., 2004 Page 1 of 1 a J 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 respect to coverage provided to an additional insured via attachment of an 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: VUMB0l42000 · .i/ 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 Ryour workR done under a contract with that person or organization and included in the Rproducts-completed operations hazardR. This waiver applies only to the person or organization shown in the Schedule above. CG 24 041093 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 Cl 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 11/20/2017