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Bear Electrical Solutions Inc; 2018-04-12; PWM18-129TRAN
RECORDED REQUESTED BY CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 DOC# 2018-0442113 11111111111111111111111111111111 lllll 111111111111111111111111111111111 Oct 23, 2018 12:42 PM OFFICIAL RECORDS Ernest J. Dronenburg, 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 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 May 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 No.7249, (PWM18-129TRAN), ECR & Town Garden Road Knockdown Ratification. 8. The street address of said property is at the intersection of El Camino Real and Town Garden Road, in the City of Carlsbad. VERIFICATION OF CITY CLERK I, the undersigned, say: I am the City Clerk of the City of(jctd, 1200 Carlsbad Village Drive, Carlsbad, California, 92008; the City Manager of said City on ' . / LP , 20IR_, 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 bJc,±. J J , 20/i, at Carlsbad, California. C.\Userslepaiv\Desktop\NOC-ECR & Town Garden Road.doc a OF CARLSBAD I! , 0/rrleuw-~111-d~ j-<: BARBARA ENGLESON l)~ityClerk 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 (PWM18-129TRAN) ECR & Town Garden Road Knockdown Ratification. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS City of Carlsbad Repair damaged traffic signal foundation. VALUE $8,050.00 CERTIFICATION OF COMPLETION OF IMPROVEMENTS Engineering Manager~ Data 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 improvements. Scott Chaff!:: ~anager APPROVED AS TO FORM: CELIA BREWER, City Attorney C \Userslepaiv\Desktop\API -ECR and Town Garden Rd.doc directed to commence maintaining the above described Date PWM 18-129TRAN CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT ECR & TOWN GARDEN ROAD KNOCKDOWN RATIFICATION This RAT,CATION OF AGREEMENT is entered into as of the / a7f.h_ day of ~ ,,, , 2018, but effective as of the 31st day of January, 2018, by and between theityof Carlsbad, California, a municipal corporation, (hereinafter called "City"), and Bear Electrical Solutions, Inc., a California corporation whose principal place of business is 1341 Archer St, Alviso, CA 95002-0924 {hereinafter called "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. ECR & Town Garden Rd. Knockdown Ratification Page 1 of 6 City Attorney Approved 9/27/16 PWM 18-129TRAN 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 Contr contractor from participating in contract bidding. Signature: Print Name: Af t.ttJC I t·0 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. ECR & Town Garden Rd. Knockdown Ratification Page 2 of 6 City Attorney Approved 9/27/16 PWM 18-129TRAN 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 January 31, 2018. Completion: Contractor agrees to complete work within fifty-five (55) working days after receipt of Notice to Proceed. CONTRACTOR'S INFORMATION. BEAR ELECTRICAL SOLUTIONS,INC., a California corporation Ill Ill /JI /JI Ill Ill /JI (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) ECR & Town Garden Rd. Knockdown Ratification Page 3 of6 1341 Archer St (street address) Alviso, CA 95002-0924 (city/state/zip) 408-449-5147 (telephone no.) 408-449-514 7 (fax no.) robert@bear-electrical.com (e-mail address) City Attorney Approved 9/27/16 PWM18-129TRAN 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 "fornia corporation ) CITY OF CARLSBAD, a municipal corporation of the State of California By: Elaine Lukey / P r arks Director as authorized by the City Manager _K;_j~~-cR-_._-i_._ft'--f-=--t. ~_;.1,_1.,-'-' IC'_· 1-· _·-____cV_l__cc F"---'P'-Re-s· ;oL~ (print name/title By(~------ <> (sign here) (print name/title) If required by City, proper notarial acknowledgment of execution by Contractor must be attached. 1f_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, City Attorney BY:~ Deputy City Attorney ECR & Town Garden Rd. Knockdown Ratification Page 4 of 6 City Attorney Approved 9/27/16 PWM 18-129TRAN 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 Total% Subcontracted: ______ _ The Contractor must perform no less than fifty percent (50%) of the work with its own forces ECR & Town Garden Rd. Knockdown Ratification Page 5 of 6 City Attorney Approved 9/27/16 ITEM UNIT QTY NO. 1 LS 1 EXHIBIT B ECR & Town Garden Road Knockdown Ratification Contractor to repair damage foundation for signal pole. JOB QUOTATION DESCRIPTION • Mobilize to Site, Demo damaged foundation and repour new foundation, furnish and install anchor bolts. • Remove and dispose of damged foundation . • Once foundation has cured, return to re-install pole and framework that was installed on 1/31/2018. • Make all connections and test for proper operation. • Quote dated 3/2/18-WO#61220 TOTAL* PWM18-129TRAN PRICE $8,050 $8,050 *Includes taxes, fees, expenses and all other costs. ECR & Town Garden Rd. Knockdown Ratification Page 6 of 6 City Attorney Approved 9/27/16 BES. BEAR ElECTRICfll SOLUTIONS 1341 Archer Street, PO Box 924, Alviso, C4 95002-0924 Tel: 408-449-SJ 78 Fax 408-449-.i/47 QUOTE {REVISED) DATE: Friday, March 2, 2018 TO: FROM: Jason Hayes COMPANY: PHONE: 916-955-2977 PHONE: FAX: 408-449-5147 EMAIL: BID/PROJECT: TS Knockdown at El Camino Real and Town Garden Rd. JOB# Our quote is valid for : ___ 3_0 ___ Thirty days, expiring on: We are pleased to offer our quotation for the above referenced project as follows: BACKGROUND: BES tech responded to a request from Tam with City of Carlsbad to investigate a TS KD. BES tech found TS Pole on NEC pole and foundation damaged. Set up temp pole with gear on W0#61220 1/31/2018 Work to do: Mobilize to Site Exhibit "A" Contractors License No. 982079 A -General Engineering C-10 High Voltage Electrical C-31 -Work Zone Traffic Control LBE# CMD121616779/ SBE# 1752478 Tam Tran Ciry of Carlsbad 760-602-2736 Tam.Tran@carlsbadca.gov Demo damaged foundation and repour new foundation, furnish and install anchor bolts. Remove and dispose of damged foundation. Once foundation has cured, return to re-install pole and framework that was installed on 1/31/2018. Make all connections and test for proper operation. * BELOW PRICE INCLUDES ALL CHARGES FOR INITIAL RESPONSE FROM 1/31/2018* b Inclusions: • Traffic Control Labor Material Equipment Mobilization • Product Manufacturers' Warranty Drug Testing EXCLUSIONS (to be billed time and material basis, if applicable): Licenses/Permits/Fees Parking Costs • Overtime Bonds • Containment • Hazardous Material Removal Engineering Lead compliance $ $ $ $ 4,736.00 1,250.00 2,064.00 8,050.00 12-Month Labor Warranty CCIP/OCIP Costs Material Hoisting Overhead Protection Safety Training/ Badging TERMS & CONDITIONS -City of Carlsbad Traffic Signal Agreement & BES Standard Terms and Condition. Please give us a call with any questions or concerns. APPROVED SIGNATURE PRINTED NAME and DATE page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/2/2018 I,. THIS CERTIFICATE 15 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 SUBROGRA TION 15 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 INSURER C: BEAR ELECTRICAL SOLUTIONS, INC. INSURER D: 1341 ARCHER STREET INSURER E: 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. NOTWITHSTANDING 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 POLICY EFF POLICY EXP LIMITS LTR INSR WVD (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ -COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea $ IcLA1Ms-MADE OoccuR occurence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: n POLICY n ~~~J-n LOC PRODUCTS -COMP/OP AGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ,_ (Ea accident) ANY AUTO ,_ BODILY INJURY (Per person) $ ALL OWNED AUTOS B SCHEDULED AUTOS ,_ BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNED AUTOS -PROPERTY DAMAGE $ -$ UMBRELLA LIAB ---10CCUR EACH OCCURRENCE $ -EXCESS LIAB OCCUR AGGREGATE $ -I DED RETENTION$ $ A V'vORKERS COMPENSATION AND EMPLOYERS' RWC 02/01/18 02/01/2019 ,/ Iwc STATU- I IOTH-LIABILITY Y/N C65176920 TORY LIMITS ER ANY PROPRIETOR/PARTNER/ EXECUTIVE ~ N/A 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, descrbe under CA DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $2.000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Carlsbad EXPIRATION DATA THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1635 Faraday Ave AUTHORIZED REPRESENTATIVE Carlsbad Ca 92008 Authorized ~ lk~ Rep I c) 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD. AGENCY CUSTOMER ID: ____________ _ LOC:#: ____________ _ ~ ACORD® l ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED: Barrett Business Services, Inc. UC/F Arrowhead General Insurance Agency BEAR ELECTRICAL SOLUTIONS, INC. POLICY NUMBER 1341 ARCHER STREET SAN JOSE, CA 95131 RWC C65176920 CARRIER NAIC CODE ACE American Insurance Company 22667 EFFECTIVE DA TE: 02/01/18 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability (01/14) CERTIFICATE HOLDER: City of Carlsbad ADDRESS: 1635 Faraday Ave Carlsbad Ca 92008 Page 2 RE -Carlsbad Police Department License Plate Recognition (LPR) Fix Camera Installation, PWS17-126PD ACORD 101 (2008/01) c) 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD. of 2 BID No. ACORD• CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 11/20/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), 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 IAIC No Extl: IA/C Nol: 160 West Santa Clara Street E-MAIL ADDRESS: Suite 715 INSURER($) AFFORDING COVERAGE NAIC# San Jose, CA 95113 Vince Scolari INSURER A: BERKLEY ASSUR CO 39462 INSURED INSURER B: WEST AMERICAN INS CO 44393 Bear Electrical Solutions, Inc. INSURERC: NAVIGATORS SPECIALTY INS CO 36056 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 /OLICYEFF ,~~rJ%~1 LTR TYPE OF INSURANCE '""" un,~ POLICY NUMBER MM/DD/YYYYl 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 >-----D 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 n POLICY rx1 ~r2-r 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 BODILY INJURY (Per accident) $ >-----AUTOS >-----AUTOS X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS /Per accident\ >------ $ 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 I T~gJitJNs I 10;~-AND EMPLOYERS' LIABILITY 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 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 / I Policy Number: BAW57113287 ---== = ~ !!!!!!!!!!!!!!! ~ -=a= --= !!!!!!!!!!!!!!! ~ --==== !!!!!!!!!!!!!!! = -=== ;;;;;;;;;;;;;;; iiiiiiiiii 2. 3. (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". 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 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. 5. 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: BA W57l 13287 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 B.7., Policy Period, Coverage Territory, is amended by the addition of the following: f. For "autos" hired 30 days or less, the coverage territory is anywhere in the world, provided that the insured's 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 8810 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 lnaured Penson(•) Or Oraanlzatlon(a): Location And Deacrtptlon Of Completed Oaeratlona 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 comolete 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(&) 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 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 perfonnance of your ongoing operations for the additional insured. A person's or organization's status as an additional insured under this endorsement ands 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 furnished in connection with such work, on the project (other than service, maintenance or repairs) to be perfonned by or on behalf of the additional insured(&) 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 parson or organization other than another contractor or subcontractor engaged in perfonning operations for a principal as a part of the same project CG 20 33 0704 @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 policy, such coverage is primary insurance and we will not seek contribution from any other insurance available to that additional insured. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED VCAS2035 11 10 Page 1 of 1 Policy Number: VUMB0142000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: To any person or organization provided you entered into the contract with that person or organization prior to any claim or loss to which this Insurance applies. (If no entry appears above, Information required to complete this endorsement will be shown In the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV - COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your workR done under a contract with that person or organization and included in the Rproducts-completed operations hazaroR. 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 CJ 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