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HomeMy WebLinkAboutBread and Cheese Catering; 2019-06-18;1.0 PARTIES AGREEMENT BETWEEN THE CITY OF CARLSBAD AND BREAD AND CHEESE CATERING REGARDING FOOD SERVICES AT TGIF CONCERTS IN THE PARKS THIS AGREEMENT ("AGREEMENT"), dated 0"t11vL.I ~1 -;)DI 9 ("Effective Date") is made and entered into between the City of Carlsbad, a California l\'llunicipal Corporation, hereinafter referred to as the "CITY" and BREAD AND CHEESE CATERING hereinafter referred to as the "VENDOR." 2.0 RECITALS WHEREAS, the CITY is the presenter of TGIF Concerts in the Parks, a series of nine concert events, and holds fee title to portions of real property on which the concerts are performed; and WHEREAS, the CITY provides TGIF Concerts in the Parks, a special event series, and all related activities and services to MORE THAN 30,000 patrons annually; and WHEREAS, the site of TGIF Concerts in the Parks includes approximately 1,000 square feet of space (the "Premises") located adjacent to patrons attending the events and the CITY exercises control over the same Premises designed to be utilized for purposes compatible with, and supportive of, the mission of special events offered for the enjoyment of the public; and WHEREAS, subject to certain terms and conditions, the CITY desires to allow the use of the Premises by VENDOR for the sale of food items and beverages; NOW, THEREFORE, for good and valuable consideration, the CITY and VENDOR enter into this Agreement for use of the Premises subject to the following terms and conditions. 3.0 TERMS 3.1 Authorization for Use. Subject to the terms and conditions set forth below, CITY authorizes VENDOR non-exclusive use of the Premises during hours of operation, as defined in Section 3.3 below. A site plan of the Premises is shown in Exhibit "A" attached hereto and hereby incorporated by this reference. 3.2. Term. The term of this AGREEMENT shall be for the duration of the TGIF Concerts in the Parks 2019 season, commencing on June 21, 2019 and ending on August 16, 2019. The parties may renew this AGREEMENT by mutual consent and in writing for two (2) additional TGIF Concerts in the Parks concert seasons, as those dates may be defined (i.e. 2020 season and 2021 season), by giving written notice of such renewal to the other party no sooner than one hundred eighty (180) days following the end date of the current AGREEMENT, requesting an additional season term period. 3.3 Hours of Operation. The CITY shall allow the VENDOR use of the Premises for a period of six (6) hours, from 3:00 p.m. until 9:00 p.m., on the dates of 2019 TGIF Concerts in the Parks events. These dates are the nine (9) consecutive Fridays from June 21, 2019 through August 16, 2019. The Page 1 of 13 VENDOR shall remove all related equipment, materials and vehicles belonging to VENDOR by 9:00 p.m. on these dates. 4.0 AGREEMENT CONSIDERATION 4.1 Consideration Subject to the Provisions of Section 11.0. VENDOR shall pay the CITY a flat fee of $85 per concert for each of the nine concerts comprising the 2019 TGIF Concerts in the Parks season, amounting to a total of $765. Payment shall be in one installment, receivable and in accordance with the following payment schedule: Payment in full will be due on Friday, June 14 by 5 p.m. by check, either mailed or hand delivered to: Library & Cultural Arts Administration 1775 Dove Lane Carlsbad, CA 92011 City reserves the right to not renew or enter into future contracts with vendors who do not adhere to the above annual payment schedule. 5.0 OBLIGATIONS 5.1 Obligations of the CITY 5.1.1 The CITY shall maintain the Premises, including grounds, parking lots and access ways to the VENDOR's site of operation. 5.1.2 The CITY shall provide access to the onsite trash receptacles and recycle receptacles. The CITY shall provide removal service of trash and recycle materials. 5.2 Obligations of the VENDOR 5.2.1 The VENDOR shall provide mobile food services to the general public as submitted in its proposal of food and beverage menu and prices for the 2019 TGIF Concerts in the Parks. A copy of Vendor's proposal is attached hereto as Exhibit Band incorporated herein. 5.2.2 VENDOR agrees to maintain the hours as set forth in Section 3.3. that best serve the community at TGIF Concerts in the Parks events during the period of use of the Premises set forth in this AGREEMENT. 5.2.3 VENDOR shall provide CITY with a copy of the Articles of Incorporation if vendor is a corporation, or any other document deemed by CITY to be valid proof the signatory(s) of the AGREEMENT have the legal authority to contractually bind VENDOR. 6.0 COMPLIANCE 6.1 VENDOR shall comply with all federal, state, county and local laws, statues, ordinances, rules, and regulations and the orders and decrees of any courts or administrative bodies in any manner affecting performances of activities conducted on the Premises. VENDOR shall display in a prominent location of his/her food truck or booth all required permits and licenses. Page 2 of 13 7.0 ASSIGNMENT OF CONTRACT/NON-POSSESSORY INTEREST 7.1 Assignment of Agreement. VENDOR shall not assign this AGREEMENT or any pa rt thereof without the prior written consent of the CITY. 7.2 Non-Possessory Interest. VENDOR shall have no permanent or possessory interest in the Premises based upon this AGREEMENT or any activities that VENDOR may conduct on the Premises. 8.0 ASSUMPTION OF RISKS 8.1 VENDOR assumes all loss or damage to VENDOR's property within the Premises, except damage or loss through the sole negligence or intentional misconduct of the CITY. The CITY shall not be liable to VENDOR, or those claiming through the CITY, for injury, death, or property damage occurring at the Premises and arising out of the conduct of VENDOR. 9.0 INDEMNIFICATION 9.1 VENDOR agrees to indemnify, defend, and hold the CITY and CITY's elected officials, officers, employees and agents harmless from and against any and all claims, demands, causes of action, losses, damages, and costs, including all costs of arising out of, or in any manner connected directly or indirectly with any actions or omissions or operations of VENDOR or the VENDOR's agents, employees, contractors, officials, officers, patrons, invitees or representatives on the Premises. With respect to the indemnity and hold harmless provisions of this section, VENDOR shall, upon demand and at its own expense, defend the CITY and its officials, officers, employees and agents, with legal counsel acceptable to the CITY, from and against any and all claims, demands, causes of action, losses, damages, and costs. 10.0 INSURANCE 10.1 VENDOR shall obtain, and during the term of this AGREEMENT shall maintain policies of general liability and property damage insurance (for structure and contents) from an insurance company authorized to do business in the State of California, in an amount not less than two million dollars ($2,000,000), for each occurrence in a form satisfactory to the CITY's Risk Manager. The insurance policy shall provide that the policies shall not be cancelled, terminated, or allowed to expire without thirty {30) day prior written notice to the CITY from the insurance company. VENDOR shall provide certificate of insurance and additional insured endorsement for insurance required pursuant to this section to the satisfaction of the CITY no later than the Effective Date of this AGREEMENT. The CITY shall be named as additionally insured by endorsement on these policies and provided proof of insurance by way of a certificate of insurance with additional insurance endorsement. 10.2 VENDOR shall procure a policy of Worker's Compensation Insurance as required by Labor Code of the State of California, if VENDOR has employees. 11.0 TERMINATION 11.1 If VENDOR is in default in the performance of this AGREEMENT or materially breaches any of its provisions, the CITY at its sole option may terminate this AGREEMENT by giving written Page 3 of 13 notice to VENDOR. On receipt of said notice, VENDOR shall cease immediately all sale operations taking place on the Premises under the Terms of this AGREEMENT. 11.2 If the CITY defaults in the performance of the AGREEMENT, or materially breaches any of its provisions, VENDOR at its sole option may terminate this AGREEMENT by giving written notice to the City of Carlsbad. 11.3 Either party may terminate this AGREEMENT, for convenience, without cause, upon sixty (60) days prior written notice to the other party. 12.0 ENTIRE AGREEMENT 12.1 This writing constitutes the entire AGREEMENT between the parties relating to the terms and conditions hereunder. No modification of this AGREEMENT shall be effective unless and until such modification is evidenced by writing signed by all parties. 13.0 GOVERNING LAW; VENUE 13.1 The existence, validity, construction, operation and effect of this AGREEMENT shall be determined in accordance with laws of the State of California. Venue shall be established in the County of San Diego in the event of a dispute between parties. 14.0 NOTICES 14.1 Notices and requests to CITY or VENDOR shall be delivered at the following address served upon CITY or VENDOR or any person hereafter authorized to either in writing and may be delivered personally or by U.S. Postal Service or other delivery services. CITY: CITY Contact: VENDOR: VENDOR Contact: City of Carlsbad 1775 Dove Lane Carlsbad CA 92011 Megan E. Gilby Community Arts Coordinator Phone:760-602-2081 Email: megan.gilby@carlsbadca.gov Bread and Cheese Catering Justin Frank 811 Sandbar Way Carlsbad, CA 92011 619-709-6016 J ustin@breada ndcheesecateri ng.com Page 4of 13 15.0 AUTHORITY The individual on his/her own behalf or the representative for each party signing on behalf of a corporation, partnership, joint venture or governmental entity hereby declares that authority has been obtained to sign on behalf of the corporation, partnership, joint venture, or entity and agrees to hold the other party or parties hereto harmless if it is later determined that such authority does not exist. Name printed: Justin Frank Address: 811 Sandbar Way Carlsbad, CA 92011 Date Email: Justin@breadandcheesecatering.com Phone: (w): 619-709-6016 Fax: N/A Cell: Approved as to Form: CELIA A. BREWER, City Attorney By:_~-~- Assistant City Attorney City: Library & Cultural Arts Director Signature Date HEATHER PIZZUTO City of Carlsbad, 1200 Carlsbad Village Dr. Carlsbad CA 92008 Email: heather.pizzuto@carlsbadca.gov Phone (w) 760-602-2011 Fax: 760-602-7941 Cell: N/A ATTEST: r..ARBARA ENGLESON City Clerk Page 5 of 13 EXHIBIT A Food Vendor locations as determined by City for all TGIF Concerts in the Parks 2019 events. Maps subject to change. Stagecoach Community Park June 21, 28 & July 5, 2019 LEGEND: WAS1E IWi,&CCll£Hr CARS CAR NO I. 2 It J -:=~~~~ -PORTAL£7S -STACC -SllJR>I DRAINS [!) FOOO 1,£Nl)()RS r.J fll1IJIDS OF 1HC ,&RTS tJ 11£RCH~S£ 0 FAW Y a>£N SlWIOS (!] CLECrRIQTY [I} f"flST loJO. INFO It SCCURJTY [!I SOON() ENGINEER [!] ~ SPCCCH Zalf [!I OTY BOOTH TGIF CONCERTS IN THE PARKS STAGECOACH PARK 2019 CAMINO Page 6 of 13 EXHIBIT A (cont.) Poinsettia Park July 12 & 19, 2019 TGIF CONCERTS IN THE PARKS POINSETTIA PARK2019 LEGEND: WAST!: MANACtijfJIT CAAS CARS 1. 2 .t J -~=~~~~s -POIITAWS -STAa: -Sill/Ill IJRA/.'IS [D FOCO >!}l()ORS [1] ~ARJS 0 FWilY a>£N STUDIOS (il D.£C7RIOTY [IJ ~ A/0, INFO .t SECtJR/TY (!] S()JND EJIClh'fEJI CZ) ~ TOR SH£D [!) FR!L SPflCH ZCJHI: [l) OTY 900TH Calavera Hills Community Park July 26 & Aug. 2, 2019 Page 7 of 13 EXHIBIT A (cont.) LEGEND: KASlc ,\lt"/Ar£/1£1<T CARS CARS I, 2 .t J - A -J Tr<~SH OV.YPSTtRS B -2 REC l'C'..£ OOilPSJtRS -PORTALE1S -mCE -SWRM DRAIN m FO()() "9>'00RS 0 FRIENDS OF r..£ I.HTS f •) F AA'•l r OP£h' ST!JDIOS \..:'. lffRCHA.'IDISf: [TI !lfCTR)CJTY [!] Flf/ST ~.ID, INFO & S£CIJR!TY rn SOOIIO f 'IWiffR II] fR!E ST'ff.CH Z~':: [I] CITY 0001?, Alga Norte Community Park Aug. 9 & 16, 2019 TGIF CONCERTS IN THE PARKS CALAVERA HILLS PARK 2019 Page 8 of 13 EXHIBIT A (cont.) LEGEND: WASIE I.IANAGfMF:NT CARS CAR NO. 1, 2. 4c J -A -J TRASH DUMPSTE"RS B -2 RfCYCI.£ DW.IPSTF:RS -PORTALHS -SWJE: -STORM ORA/NS [D FOOD Vf.NDORS rn FRIENDS OF 1H£ ARTS MERCHANDIS£ Q] FAMILY OPEN SllJDIOS GJ E"LECTRraTY [I) F/RSf AID, INF'O &c SECURITY [I) SOUND ENG/N££R III FR££ SP£ECH ZONE [ID CITY BOOTH DOG PARK CLOSES AT J P.M. o,~s~ \' TGIF CONCERTS IN THE PARKS ALGA NORTE PARK 2019 Page 9 of 13 EXHIBIT B BREAD1CHEESE catering Proposal for Carlsbad Concerts in the Park A. Summary of Qualifications -Bread and Cheese has been around for over two years and have participated in almost all of the biggest event s in San Diego including: Ka a boo, Pride, Comic-Con and December Nights. We have also done a lot of beer and music festivals. We keep our environmental impact as low as possible by only using recyclable plates for our sandwiches. B. Vendor Information • Vendor Name and Legal Business Name -Bread and Cheese Catering for both • Proposed type of food sale -Grilled Cheese Sandwiches, Tomato Soup, Pineapple Smoothies, Canned Soda, Bottled Water • Lega l Status of Business -Co rporation • Business Address -811 Sandbar Way, Carlsbad CA 92011 • Website -www.breadandcheesecatering.com • Number of years providing food service: 2+ • Owner Nam e, Phone, Address and email contact information -Justin Frank, 619- 709-6016, 811 Sandbar Way, Carlsbad CA 92011, Just in@breadandcheesecatering.com C. This is half of our set up Page 10 of 13 It is 10x10. The other half is our Pineapple Crush tent. It looks exactly the sam e. So our total space required is 10x20. Our health permit number is DEH2017-FETV-010296, it expires on 1/31/20 20. Our fire extinguisher is up t o date until M arch 2020 (picture attached). D. M enu • • • • The Classic -Cheddar, Provolone, Garlic Grilled Sourdough $9 Cal i Gold -Cheddar, Pepper Jack, Arugula, Roasted Red Peppers, Pesto Grilled Sourdough $10 Burn-A-Nator -Pepper Jack, Sa lami, Enchilada Grilled Jalapeno Cheddar Sourdough $11 Reuben -Swiss, Pastrami, Sauerkraut, 1000 Grilled Sourdough $11 Pizza-Grill-Zoni -Provolone, Pepperoni, Parmesan Marinara Grilled Sourdough $11 Coconut Curry Tomato Soup -$2 small/$4 large Drinks $2 (water/soda) Pineapple Crush $8 in a cup/$12 in a pinea pple E. Client References • Sa rah Grossman -619-890-8846 -sgrossman@SDMART.org -Sarah is t he Event Coordinator of the Museum of Art at Balboa Park, we have done a couple big catering events with her Derek Freese -619-788-8318 -derekfreese@moderntimesbeer.com -Derek puts on a lot of beer festivals for Modern Times and we have worked w ith him on a lot of them. Laura Pierce -858-864-2127 -Laura@sa ndiegoaviators.com -Laura hired us to be the food vendor for the San Diego Aviators in 2018. They had 8 home games and we were the food vendor for all of them. Page 11 of 13 EXHIBITC TGIF FOOD VENDOR SCOPE OF WORK CITY shall provide food service access restricted to five (5) or less selected food vendors at nine (9) TGIF Concerts in the Parks 2019 for the purpose of providing concertgoers with onsite commercial food services; dates of services are presented in Exhibit D, TGIF Concerts in the Parks Schedule. • Bread and Cheese Catering , VENDOR shall conduct commercial food service business at all nine (9) TGIF Concerts in the Parks at each concert's specific locations, with dates from June 21 through August 16, 2019 as presented in Exhibit D. • VENDOR shall use the site specifically designated for VENDOR at each concert location. • Food service will consist of a menu of grilled cheese sandwiches, tomato soup, pineapple smoothies, canned soda, bottle water , menu and price as negotiated with the CITY and presented in Exhibit E. • VENDOR will arrive on-site by 3:15 p.m. on each event date. VENDOR may commence sales at 4 p.m., and must begin sales by 5 p.m. and must conclude all operations by 8 p.m. VENDOR shall vacate concert premises by 9 p.m. • If VENDOR is conducting service from vehicle (i.e. food truck), VENDOR must be on site and placed by event staff by 3:00 p.m. • VENDOR shall operate the commercial food service business from a self-contained truck, trailer, cart or mobile booth provided by the VENDOR. VENDOR is responsible for all food service staffing needs to support sales and distribution. • VENDOR is responsible for all operational costs, including, but not limited to, inventory costs, sale/delivery of products, labor, paper products, cleaning supplies, permits and additional miscellaneous expenses. • VENDOR shall have self-sufficient means of power and water adequate to any on-site food preparation requirements. VENDOR shall not dispose of any grease, oil or other materials related to food service on any city property. • VENDOR shall maintain and conduct all requirements with regard to taxes, licenses, insurance and fees applicable for food service operations in the City of Carlsbad. • VENDOR shall obtain and display all health permits and certifications applicable to food service operations as required by the San Diego County Department of Environmental Health. VENDOR shall adhere to all additional regulations regarding mobile food service operations required by the San Diego County Department of Environmental Health. • CITY shall provide VENDOR with trash and recycling receptacles and services during each TGIF event. • CITY shall provide VENDOR on-site parking permit for one (1) vehicle per VENDOR for transportation of equipment. Parking permits are for business purposes only and cannot be transferred to non-vendor staff. Page 12 of 13 EXHIBIT D TGIF CONCERTS IN THE PARKS SCHEDULE 2019 STAGECOACH COMMUNITY PARK 3420 Camino de los Coches, Carlsbad CA 92009 June 21 June 28 July 5 POINSETTIA COMMUNITY PARK 6600 Hidden Valley Road, Carlsbad CA 92011 July 12 July 19 CALAVERA HILLS COMMUNITY PARK 2997 Glasgow Drive, Carlsbad CA 92010 July 26 August 2 ALGA NORTE COMMUNITY PARK 6565 Alicante Road, Carlsbad CA 92009 August 9 August 16 Page 13 of 13 ACORD• CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY) ~ 06/04/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE Cl:RTIFICATE 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 have ADDITIONAL INSURED provisions or 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 CONTACT Peggy Bishop NAME: Bishopbend Insurance Services P.~9NJ_ c .... (936) 755-6010 I r..e~ Nol: (936) 755-4047 1217 Avenue M E-MAIL peggy@bishopbend.com ADDRESS: Suite 107 INSURER($) AFFORDING COVERAGE NAIC# HUNTSVILLE TX 77340 INSURER A: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED INSURERS: PROGRESSIVE INSURANCE CO 155 Bread and Cheese Catering dba Bread and Cheest Eatery INSURERC: Markel Insurance Company 811 Sandbar Way INSURERD: INSURERE: CARLSBAD CA 92011 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. NOT\NITHSTANDING 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 POLICYEFF POLICY EXP LTR TYPE OF INSURANCE •••~n lun,n POLICY NUMBER IMMIDD/YYYYI IMMIDD/YYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ~ CLAIMS-MADE ~ OCCUR DAMAGE TO RENTED 300,000 PREMISES /Ea occurrence\ $ -MED EXP (Any one person) $ 5,000 A y y 680-001 N039730 01/10/2019 01/10/2020 PERSONAL & ADV INJURY $ 1,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000 xi □PRO-□LOC PRODUCTS -COMP/OP AGG $ 2,000,000 POLICY JECT OTHER: $ / AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 rEa accident\ - ANY AUTO BODILY INJURY (Per person) $ -OWNED X SCHEDULED B AUTOS ONLY _ AUTOS y y 04091941 0 08/25/2018 08/25/2019 BODILY INJURY (Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOSONLY {Per accident\ $ X UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE y y CUP-001 N039730 01/10/2019 01/10/2020 AGGREGATE $ 1,000,000 OED I I RETENTION$ $ WORKERS COMPENSATION I PER I I OTH- AND EMPLOYERS' LIABILITY STATUTE ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE □ MWC0149610-01 05/21/2019 E.L. EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? NIA 05/21/2020 (Mandatory In NH) E L DISEASE -EA EMPLOYEE $ 1,000,000 / ~~S~~(tfr8~ ~f'6PERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) certificate holder is additional insured including following named insureds The City of Carlsbad, its officials, employees and volunteers with respect to liability arising out of activities performed by or on behalf of the Named Insured Coverage under this policy shall be primary insurance as respects the City, its officials, employees and volunteers. This policy will not be canceled, materially changed nor the amount of coverage reduced until thirty (30) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Carlsbad ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Library & Cultural Arts Department AUTHORIZED REPRESENTATIVE 1635 Faraday Avenue -/~ ~~ Carlsbad CA 92008 -.... ~__.____ ·- © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 003160 POLICY NUMBER: 680-1N039730-19-42 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 01/17/2019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of person or organization: CITY OF CARLSBAD CA 1200 CARLSBAD VILLAGE DRIVE CARLSBAD CA 92008 WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your acts or omissions. CG T4 9111 88 Copyright. Insurance Services Office, Inc., 1984 Page 1 of 1 ----= 003151 TRAVELERs'f PRODUCER One Tower Square, Hartford, Connecticut 06183 CHANGE ENDORSEMENT INSURING COMPANY: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Named Insured: Policy Number: Policy Effective Date: Policy Expiration Date: Issue Date: Premium$ BREAD AND CHEESE catering Oba Bread and Cheese EATERY 680-1N039730-19-42 01/10/2019 01/10/2020 01/17/2019 NIL Effective from 01/17 /19 at the time of day the policy becomes effective. THIS INSURANCE IS AMENDED AS FOLLOWS: Additional Insureds are added to the policy as provided under the attached endorsement(s): CG T4 91 The following forms and/or endorsements is/are included with this change. These forms are added to the policy or replace forms already existing on the policy: IL TO 07 09 87 CG T4 91 11 88 NAME AND ADDRESS OF AGENT OR BROKER BISHOPBEND INS SRVCS 1217 AVE M STE 107 HUNTSVILLE TX 77340 IL TO 07 09 87 (Page 1 of 1 ) Countersigned by Authorized Representative DATE: 01/17/2019 Office: HOUSTON TX CHANGE OVERPRINT /CHANGE SLIP INSURED'S NAME: BREAD AND CHEESE catering New/Renewal: N Solicitor Code: SAi: 2684H0222 MSI: I Rating Mode: Special Code: Program Code: R02 Paymode: L Audit Frequency: AN Responsibility: I POLICY NUMBER: 680-1N039730-19-42 ISSUE DATE: 01/17/2019 RATER: AG CHANGE EFFECTIVE DATE: 01-17-19 EFFECTIVE DATE: 01/10/2019 EXPIRATION DATE: 01/10/2020 Watch File: Survey Code: Reinsurance: f DOWNSTREAM Pro Rata Fador: o. 981 PREMIUM SUMMARY S.B. ACCT. EFF. MO. DATE ..,iiiiiiii i!iiiiiiiiiii ·== Type Code PREMIUM .1500 Type Code Description OFFICE: HOUSTON TX 086 PRODUCER NAME: BISHOPBEND INS SRVCS 003153 Page 1 of 1 DLR84 GENERAL LIABILITY 003154 -,..-. 003155 POLICY NUMBER: 680-1N039730-19-42 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 0111,no19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of person or organization: CITY OP' CARLSBAD CA 1200 CARLSBAD VILLAGE DRIVE .CARLSBAD CA 9 2 0 0 8 WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your acts or omissions. CGT4911188 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 003152 POLICY NUMBER: 680-1N039730-19-42 EFFECTIVE DATE: 01/10/2019 ISSUE DATE: 01/17/2019 LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS BY LINE OF BUSINESS * * IL TO 07 09 87 IL TO 19 02 05 MP TO 01 02 05 IL TS 01 01 01 IL T3 15 09 07 BUSINESSOWNERS MP Tl 30 02 05 MP Tl 02 02 05 MP T3 07 03 97 MP T3 25 01 15 MP T3 49 10 06 MP T3 50 11 06 MP T3 56 02 08 MP T9 73 02 05 MP T4 90 05 10 MP TS 08 01 06 CHANGE ENDORSEMENT COMMON POLICY DECLARATIONS BUSINESSOWNERS COVERAGE PART DECLARATIONS FORMS ENDORSEMENTS AND SCHEDULE NUMBERS COMMON POLICY CONDITIONS TABLE OF CONTENTS -BUSINESSOWNERS COVERAGE PART - DELUXE PLAN BOSINESSOWNERS PROPERTY COVERAGE SPECIAL FORM PROTECTIVE SAP'JCGUARDS BNDORSEMBNT FOR SPRI:NKLERED LOCATIONS AND RESTAURANTS FEDERAL TERRORISM RISK INSURANCE ACT DISCLOSURE BUSINESS INCOME AND EXTRA EXPENSE -POLICY LEVEL DOLLAR LIMIT ENDORSEMENT EQUIPMENT BREADX>WN -SERVICE INTERRUPTION LIMITATION AMENDATORY PROVISIONS -GREEN BUILDING AND BUSINESS PERSONAL PROP COV ENHANCEMENTS SPOILAGE COVERAGE LIMIT OF INS/OCCURRENCE ENDT -CALIFORNIA CALIFORNIA CHANGES -REPLACEMENT COST COMMERCIAL GENERAL LIABILITY * CG TO 07 04 09 CG TO 08 07 86 CG TO 34 11 03 CG 00 01 10 01 CG D2 55 11 03 CG D3 09 11 03 CG D4 71 01 15 CG DO 37 04 05 CG D2 03 12 97 CG M3 01 02 05 CG T4 91 11 88 CG D4 13 04 08 CG D2 56 11 03 CG D2 88 11 03 DECLARATIONS PREMIUM SCHEDULE KEY TO DECLARATIONS PREMJ:OM SCHEDULE TABLE OF CONTENTS -COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG 00 01 10 01 COMMERCIAL GENERAL LIABILITY COVERAGE FORM AMENDMENT OF COVERAGE -POLLUTION AMENDATORY ENDR-PRODUCTS-COMPLETED OPERATIONS HAZARD AMENDMENT OF COVERAGE B -PERSONAL AND ADVERTISING INJURY LIABILITY OTHER INSURANCE -ADDITIONAL INSUREDS AMEND -NON CUMULATION OF EACH OCC PRODUCTS/COMPLETED OPERATIONS HAZARDS REDEFINED - CHANGES ADDITIONAL INSURED -DESIGNATED PERSON OR ORGANIZATION AMEND COVG -POLLUTION-EQUIP EXCEPTION AMENDMENT OF COVERAGE -PROPERTY DAMAGE EMPLOYMENT-RELATED PRACTICES EXCLUSION * TEXT IN THIS FORM HAS CHANGED, OR THE FORM WAS NOT ON POLICY BEFORE. IL T8 01 01 01 PAGE1 1 OF 2