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HomeMy WebLinkAboutBear Electrical Solutions Inc; 2018-02-14; PWM18-105UTILRECORDED REQUESTED BY CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 DOC# 2019-0066175 111111111111 lllll 11111111111111111111111111111111111 IIIII IIIII IIII IIII Feb 25, 2019 11 :10 AM OFFICIAL RECORDS Ernest"' Dronen burg, Jr, SAN DIEGO COUNTY RECORDER FEES $0 00 (S82 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 name of the undersigned is Carlsbad Municipal Water District (CMWD), 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 August 29, 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 Name: Advanced Metering Infrastructure Installation Services, Contract No. PWM18-105UTIL. 8. Locations of said property is varied in the City of Carlsbad. VERIFICATION OF SECRETARY I, the undersigned, say: I am the Secretary of Carlsbad Municipal Water District, 1200 Carlsbad Village Drive, Carlsbad, California, 92008; the Executive Manager of said Board on V.t b-M&,~ ti/ , 2019, accepted the above described work as completed and ordered that a Noti~Completion be filed. I declare under penalty of perjury that the foregoing is true and correct. Executed on c:l. / I 'f , 2019, at Carlsbad, California. Q:\Public Works\Utilities\ADMINISTRATIONIAGREEMENTS & CONTRACTSIAGREEMENTS & CONTRACTS\Bear Electrical Solutions -AMI Installations (Water Meter Collector Devices)\NOC Docs\NOC (Public and Private)-revised 2019-02-07.doc CARLSBAD MUNICIPAL WATER DISTRICT ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS Bear Electrical Solutions, Inc. has completed the contract work required for PWM18-105UTIL, Advanced Metering Infrastructure Installation Services. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS CMWD) Installation of CMWD furnished water meter collector devices (advanced metering infrastructure units) at various locations. VALUE ~~~ CERTIFICATION OF COMPLETION OF IMPROVEMENTS Eric Sane~ tilities Manager EXECUTIVE MANAGER'S ACCEPTANCE OF PUBLIC IMPROVEMENTS $7,500 The construction of the above described contract is deemed complete and hereby accepted. The Secretary to the Board of Directors is hereby authorized to record the Notice of Completion and release the bonds in accordance with State Law and City Ordinances. The Carlsbad Municipal Water District is hereby directed to commence maintaining the above described improvements. Date APPROVED AS TO FORM: CELIA BREWER, City Attorney Q:\Public Works\Utilities\ADMINISTRATION\AGREEMENTS & CONTRACTSIAGREEMENTS & CONTRACTS\Bear Electrical Solutions -AMI Installations (Water Meter Collector Devices)\NOC Docs\API (Public Works) -revised 2019-02-07.doc Tracking#: PWM18-105UTIL CARLSBAD MUNICIPAL WATER DISTRICT MINOR PUBLIC WORKS CONTRACT ADVANCED METERING INFRASTRUCTURE INSTALLATION SERVICES This agreement is made on the )J.-/ ffi day of r-, 2018, by the Carlsbad Municipal Water District, a Public Agency organized under the Municip Water Act of 1911, and a Subsidiary District of the City of Carlsbad, hereinafter referred to as "CM D", and Bear Electrical Solutions, Inc., a California corporation, whose principal place of business is 12520 Kirkham Court, Suite 4, Poway, CA 92064 (hereinafter called "Contractor"). CMWD 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: Mario Remillard (CMWD 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 CMWD'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. ADVANCED METERING INFRASTRUCTURE INSTALLATION SERVICES Page 1 of 7 General Counsel Approved 9/27/16 Tracking#: PWM18-105UTIL FALSE CLAIMS. Contractor hereby agrees that any contract claim submitted to CMWD 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 CMWD to disqualify the Contractor or subcon~ participating in contract bidding. Signature: ~ Print Name: l'fb.£ e7ZT· r.-.:s ,,, NUD"-.) REQUIRED INSURANCE. The successful contractor shall provide to CMWD, 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 CMWD 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 CMWD prior to such cancellation. The policies shall name CMWD as additional insured. The full limits available to the named insured shall also be available and applicable to CMWD as an additional insured. WORKERS COMPENSATION AND EMPLOYER'S LIABILITY. Worker's 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. ADVANCED METERING INFRASTRUCTURE INSTALLATION SERVICES Page 2 of 7 General Counsel Approved 9/27/16 Tracking#: PWM18-105UTIL 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. INDEMNITY. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless CMWD and the City of Carlsbad, and its 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 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 CMWD or City of Carlsbad. 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 forty-five (45) working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within forty-five (45) working days after receipt of Notice to Proceed. CONTRACTOR'S INFORMATION. Ill Ill Ill Ill Ill Ill Ill BEAR ELECTRICAL SOLUTIONS, INC. (name of Contractor) 982079 (Contractor's license number) C10-Electrical; A-General Engineering Contractor; C31-Construction Zone Traffic Control; C-61 / O31-Pole Installation & Maintenance 3/31/19 (license class. and exp. date) 1000002158 (DIR registration number) 6/30/18 (DIR registration exp. date) ADVANCED METERING INFRASTRUCTURE INSTALLATION SERVICES Page 3 of 7 12520 Kirkham Court, Suite 4 (street address) Poway, CA 92064 (city/state/zip) 916-955-2977 (telephone no.) None (fax no.) jason@bear-electrical.com (e-mail address) General Counsel Approved 9/27/16 Tracking#: PWM18-105UTIL 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 Calit°;j3corporation By: -. ~ (sign here) /?tge-KT AruNC-10 A.)·-Vtce- CARLSBAD MUNICIPAL WATER DISTRICT By: Wendy Ch bars/General Manager as authorized by the Executive Manager By ~ ~:nt ?I;) --P/lEJtO~ ~- (print name/title) If required by CMWD, proper notarial acknowledgment of execution by Contractor must be attached. !f_g_ 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, General Counsel BY: ___,Ciia._~=-=-=-='------='--.-- Deputy General Counsel ADVANCED METERING INFRASTRUCTURE INSTALLATION SERVICES Page 4 of 7 General Counsel Approved 9/27/16 Tracking#: PWM18-105UTIL 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 NPNr' Total % Subcontracted: ___ 1J1-' ___ _ The Contractor must perform no less than fifty percent (50%) of the work with its own forces. ADVANCED METERING INFRASTRUCTURE INSTALLATION SERVICES Page 5 of 7 General Counsel Approved 9/27/16 Tracking#: PWM18-105UTIL EXHIBIT B ADVANCED METERING INFRASTRUCTURE INSTALLATION SERVICES JOB QUOTATION ITEM UNIT QTY DESCRIPTION PRICE NO. Install city furnished water meter collector devices 1 Job 1 (Advanced Metering Infrastructure units) at 31 city specified locations (list is attached as Exhibit B), making all connections and tests for proper operation. $7,500 TOTAL* $7,500 *Includes taxes, fees, expenses and all other costs. ADVANCED METERING INFRASTRUCTURE INSTALLATION SERVICES Page 6 of 7 General Counsel Approved 9/27/16 COLLECTOR INSTALLATION SITES # Address 1 1415 Chesnut Ave 2 1835 Buena Vista Wy 3 2637 Davis Ave 4 226 Tamarack Ave 5 4130 Park Dr 6 4416 Horizon Dr 7 5050 Los Robles Dr 8 6441 Goldenbush Dr 9 5050 Avenida Encinas 10 1020 Beacon Bay Ct 11 973 Whimbrel Ct 12 1365 Cassins St 13 1150 Aviara Pky 14 1635 Aviara Pky 15 6440 Melrose Dr 16 6685 Melrose Dr 17 6873 Corintia St 18 2700 Alga Rd 19 7059 Alicante Rd 20 6910 Alicante Rd 21 2600 Gateway Rd 22 1911 Palomar Point Wy 23 2045 Corte Del Nogal 24 2539 Wellspring St 25 3637 Wilshire St 26 6400 El Fuerte St 27 TBD 28 TBD 29 TBD 30 TBD 31 TBD ADVANCED METERING INFRASTRUCTURE INSTALLATION SERVICES Page 7 of 7 EXHIBIT B General Counsel Approved 9/27/16 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 408-550-2119 IAJC No Extl: IA/C No): 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 INSURERC: 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF '~~M%~, LTR ,,.,~~ l,An,n POLICY NUMBER IMM/DD/YYYY) LIMITS 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 I- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2,000,000 n POLICY iXl ~f2-r nLOC $ B AUTOMOBILE LIABILITY X X BAW57113287 04/01/17 04/01/18 COMBINED SINGLE LIMIT $1,000,000 /Ea accident\ I- X ANY AUTO BODILY INJURY (Per person) $ I-~ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ I-AUTOS r---AUTOS X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS /Per accident\ I-r--- $ 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 DED I I RETENTION $ $ WORKERS COMPENSATION I WCSTATU-I IOJ~-AND EMPLOYERS' LIABILITY TORY' '"'TS Y/N 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 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, 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 / ./ 0 ... "' ... "' 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 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 CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 7 Policy Number: BAW57113287 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 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 CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7 Policy Number: VUMB0142000 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 Addltlonal Insured Person(&) Or Organization(&): Location And Description Of Completed Oaeratlons 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. pennitted 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 reauired to comDlete 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 Rbodily inju~ or Rproperty damage• caused, in whole or in part, by 8your work• at the location designated and described in the schedule of this endorsement perfonned for that additional insured and included in the •pmducts- completed operations hazard•. CG 20 37 0704 @ ISO Properties, Inc., 2004 Page 1 of 1 a Policy Number: VUMB0142000 COMMERCIAL GENERAL LIABILITY CG 20 33 07 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 injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. 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 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" or "property damage" occurring after: a. All work, including materials, parts or equipment fumished 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 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 Wrth respect to coverage provided to an additional insured via attachment of an Additional Insured endorsement to this poUcy, 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 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 24041093 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 ~ ACORDe ... ---- CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/2/2018 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 Willis Towers Watson CONTACT NAME: San Jose 12980 Metcalf Ave Suite 500 PHONE (A/C, No Ext): (408) 321-9901 FAX (A/C, NO): (360) 828-0699 Overland Park KS 66213 EMAIL ADDRESS: Jerry.Sparks@bbsihq.com INSURER($) AFFORDING COVERAGE NAIC# INSURER A: ACE American Insurance Company 22667 INSURED INSURER B: Barrett Business Services, Inc. UC/F INSURERC: BEAR ELECTRICAL SOLUTIONS, INC. INSURER D: 1341 ARCHER STREET INSURERE: SAN JOSE, CA 95131 INSURERF: 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. NOT\NITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IMTH 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/0O/YYYY) (MM/0O/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 $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: nPOLICY n~~~J-nLOC PRODUCTS • COMP/OP AGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ -(Ea accident) ANY AUTO -BOOIL Y INJURY (Per person) $ ALL OINNED AUTOS B SCHEDULED AUTOS i--BOOIL Y INJURY (Per accident) $ HIRED AUTOS NON-OINNED AUTOS i--PROPERTY DAMAGE $ -$ UMBRELLA UAB --iOCCUR EACH OCCURRENCE $ -EXCESS UAB OCCUR AGGREGATE $ -OED I RETENTION$ $ A W)RKERS COMPENSATION AND EMPLOYERS' RWC 02/01/18 02/01/2019 ,, 1wc STATU- I IOTH-LIABILITY Y/N C65176920 TORY LIMITS ER ANY PROPRIETOR/PARTNER/ EXECUTIVE ~ N/A X 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 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remar1<s 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 City of Carlsbad -CMWD c-o EXIGIS Insurance Compliance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATA THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE Services POLICY PROVISIONS. P.O. Box 4668 -ECM # 35050 AUTHORIZED REPRESENTATIVE New York NY 10163 Authorized ~ l/4fzrt_ Rep c) 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD. I AGENCY CUSTOMER ID: ____________ _ LOC:#: ____________ _ ~ ACORD® .... AGENCY ADDITIONAL REMARKS SCHEDULE NAMED INSURED: Barrett Business Services, Inc. UC/F Arrowhead General Insurance Agency BEAR ELECTRICAL SOLUTIONS, INC. POLICY NUMBER 1341 ARCHER STREET SAN JOSE, CA 95131 RWC C65176920 CARRIER NAICCODE ACE American Insurance Company 22667 EFFECTIVE DATE: 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 -CMVVD c-o EXIGIS Insurance Compliance Services ADDRESS: P.O. Box 4668 -ECM # 35050 New York NY 10163 RE: Traffic Signal Maintenance & Repair Services. 02/01/18 Page ACORD 101 (2008/01) c) 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD. 2 of 2