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Commercial and Industrial Roofing Co Inc; 2019-10-29; PWL20-911GS
RECORDED REQUESTED BY CITY OF CARLSBAD DOC# 2019-0586246 111111111111 lllll 111111111111111111111111111111 IIIII IIIII IIIII IIII IIII Dec 16, 2019 01 :46 PM OFFICIAL RECORDS Ernest ,I Dronen burg, Jr., AND WHEN RECORDED PLEASE MAIL TO: SAN DIEGO COUNTY RECORDER FEES $0.00 (SB2 Atkins. $0 00) PAGES 1 City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 Space above this line for Recorder's use. PARCEL NO: NOTICE OF COMPLETION Notice is hereby given that: 205-111-27-00 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 November 18, 2019. 6. The name of the contractor for such work or improvement is Commercial & Industrial Roofing Co., 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. PWL -11GS, Project Name: Scout House Roofing Repair. 8. The street address of said property is 3225 Eureka Place, Carls ad, C 92008, in the City of Carlsbad. VERIFICATION OF CITY CLERK I, the undersigned, say: I am the City Clerk of the City of Carlsbad, 1200 Carlsbad Village Drive, Carlsbad, California, 92008; the City Manager of said City on December G/l)d ___ _, 20Jj_, 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 December tlM 20J.j_, at Carlsbad, California. c•=~ ~ , Hec1o, ~ez 1 #(BARBARA ENGLESON ' City Clerk Q:\Public Works\General Services\Agreements & Contracts\Commercial & Industrial Roofing Co, lnc\Scout House Roofing Repair -PWL20-911 GS\4. NOC\2. NOC -Scout House Roofing Repair -PWL20-911 GS.docx Dt!111J Crt) CJe,J{ CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS Commercial & Industrial Roofing Co., Inc. has completed the contract work required for PWL20- 911 GS -Scout House Roofing Repair. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS Repair roof edge and install edge flashing. VALUE $4,252 CERTIFICATION OF COMPLETION OF IMPROVEMENTS John M~anager 1/·-ZZ-·t~ Date 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 accorda~nith State Law and City Ordinances. The Cit of a. rlsbad is hereby directed to commence maintaining the above described improve ent . Scott Chad~½dianager Date APPROVED AS TO FORM: CELIA BREWER, City Attorney Q \Public Works\General Services\Agreements & Contracts\Commercial & Industrial Roofing Co, lnc\Scout House Roofing Repair -PWL20-911 GS\4. NOC\3.API -Scout House Roofing Repair -PWL20-911 GS.docx CITY OF CARLSBAD PUBLIC WORKS LETTER OF AGREEMENT SCOUT HOUSE ROOFING REPAIR: CONTRACT 4709 PWL20-911GS This letter will serve as an agreement between Commercial & Industrial Roofing Co., Inc., a California corporation (Contractor) and the City of Carlsbad (City). The Contractor will provide all equipment, material and labor necessary to Roofing repair at Scout House located at 3225 Eureka Place, Carlsbad, CA, per Exhibit "A" and City specifications, for a sum not to exceed four thousand two hundred fifty-two dollars ($4,252). This work is to be completed within twenty (20) working days after issuance of a Purchase Order. ADDITIONAL REQUIREMENTS 1. City of Carlsbad Business License 2. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its agents, officers, officials, employees, and volunteers from all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the performance of this Contract or work; or from any failure or alleged failure of the contractor to comply with any applicable law, rules or regulations including those relating to safety and health; except for loss or damage which was caused solely by the active negligence of the City; and from any and all claims, loss, damage, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by this Contract, unless the loss or damage was caused solely by the active negligence of the City. The expenses of defense include all costs and expenses, including attorney's fees for litigation, arbitration, or other dispute resolution method. 3. Contractor shall furnish policies of general liability insurance, automobile liability insurance and a combined policy of workers compensation and Employers' Liability in an insurable amount of not less than one million dollars ($1,000,000) each, unless a lower amount is approved by the Risk Manager or the City Manager. Said policies shall name the City of Carlsbad as an additional insured. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. Insurance is to be placed with California admitted insurers that have a current Best's Key Rating of not less than "A-:VII",; OR with a surplus line insurer on the State of California's List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best's Key Rating Guide of at least "A:X"; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report. Proof of all such insurance shall be given by filing certificates of insurance with contracting department prior to the signing of the contract by the City. 4. The Contractor shall be aware of and comply with all Federal, State, County and City Statues, Ordinances and Regulations, including Workers Compensation laws (Division 4 California Labor Code) and the "Immigration Reform and Control Act of 1986" (8USC, Sections 1101 through 1525), to include but not limited to, verifying the eligibility for employment of all agents, employees, subcontractors and consultants that are included in this Contract. 5. The Contractor may be subject to civil penalties for the filing of false claims as set forth in the California False Claims Act, G~ Code s~c~2650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. I~ init / ~ init 6. The Contractor hereby acknowledges that debarment by another jurisdiction ~~nds for ~ity of Carlsbad to disqualify the Contractor from participating in contract bidding. t....!i!J__ init &J_ init 7. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this agreement is San Diego County, California. Scout House Roofing Repair; Contract No. 4709 - 1 -City Attorney Approved 2/29/2016 PWL20-911GS 8. The general prevailing rate of wages, for each craft or type of worker needed to execute the contract, shall be those as determined by the Director of Industrial Relations pursuant to the Section 1770, 1773 and 1773.1 of the California Labor Code. Pursuant to Section 1773.2 of the California Labor code, a current copy of applicable wage rates is on file in the office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all workers employed by him or her in the execution of the work covered by this Letter of Agreement. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. 9. City Contact: Ron Haugland, 760-975-7410 Contractor Contact: Dean Adams 619-465-3737 CONTRACTOR Commercial & Industrial Roofing Co., Inc., a California corporation 9239 Olive Drive Spring Valley, CA 91977 P: 619-465-3737 F: 619-465-8578 d~an iroofing.com By: I (sign here) Barry Tumour/ President, CFO (print name/title) CITY OF CARLSBAD, a municipal corporation of the State of California By: r, Public Works, anager By: . Dated: di_w, ~~ (Proper notarial acknowledgment of execution by Contractor must be attached. Chairman, president or vice-president and secretary, assistant secretary, CFO or assistant treasurer must sign for corporations. Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation.) APPROVED AS TO FORM: CELIA A. BREWER, City Attorney BY: Deputy City Atti),ey Scout House Roofing Repair; Contract No. 4709 - 2 -City Attorney Approved 2/29/2016 PWL20-911GS EXHIBIT A Scout House Roofing Repair Contractor to provide all tools, materials and labor to repair edge of low slope roof at the Scout House located at 3225 Eureka Place, Carlsbad CA, 92008. Scope of Work shall consist of all items mentioned in the contractor's proposal dated August 29, 2019 and is attached to this document as Exhibit "B." SCOPE OF WORK AND FEE DESCRIPTION Repair roof edge with three layers of 1 ply roofing material and install roof edge flashing. *Includes taxes, fees, expenses and all other costs. Scout House Roofing Repair; Cont. No. 4709 TOTAL* - 3 - PRICE $4,252 $4,252 City Attorney Approved 9/27/16 EXHIBIT B t2.)t OL.tVE. DRIVE , 9PAllf0 VALLEV. CA 111111 PU (JIIJ -41:S J73? , rAx 81$1,46~.AS71 • 11:,'l'. LIOSM< ••• ,., ... To: City of Carlsbad Attn: Ron Haugland Re: Scout House 3225 Eureka Place Carlsbad, CA 920011 Augusc 29th 2019 We Are Bidding: Per Plans & Specs: Roofing repeir at edge of low slope roof (NTE 40 In. ft.). As limd herein Addendas Noted: Tax Included: f>rc,,,ailin& Wage: No Addendums Roccived Yes Yes PWL20-911GS Excluded: Demo, Carpentry, Painting. Asbestos or lead removal, Interior prolCCtion, Testing or Inspection. Pennits. Included: Repair the roof along the roof edge using 1 ply PP2B base sheet nailed, I ply Apex 4.0 smooth APP and I ply Apex 4.S Mineral surface cap sheet. Install new roof edge tlashina. I year contractors w111T11nty. Price Quote: $4,252.00 If bonding required add SSS.00 SIIHIII B111l11a.s Cmflld #$lfJO Dllt RegistNtlon # JOIHJOtJJIJJ Scout House Roofing Repair; Cont. No. 4709 -4- Accepld by: _____ _ Da1e1 __________ _ Title: __________ _ ACORD® CERTIFICATE OF LIABILITY INSURANCE I DA TE (MM/DD/YYYY) ~-10/03/2019 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 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 Kiki Velasquez NAME: Webster Insurance Agency, Inc. rA~9N,ti=v<I: 619 433-3801 I FAX 8315 La Mesa Blvd. CA/C Nol: 619 741-1047 E-MAIL kiki®websterinsur.com La Mesa, CA 91942 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# License #: OM08728 CM Vantaae Saecialtv Insurance Comoanv 15872 INSURER A: INSURED INSURERS: FIRST MERCURY INSURANCE CO. 10657 COMMERCIAL & INDUSTRIAL ROOFING CO., INC Barry Turnou INSURERC: CALIFORNIA INSURANCE COMPANY 38865 9239 Olive Drive INSURERD: WESTCHESTER SURPLUS LINES INS CO 10172 Spring Valley, CA 91977 INSURER E: HARTFORD FIRE INSURANCE 19682 INSURER F: COVERAGES CERTIFICATE NUMBER: 00000000-0 REVISION NUMBER: 1238 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. 1~f: TYPE OF INSURANCE A X COMMERCIAL GENERAL LIABILITY -□ CLAIMS-MADE [x] OCCUR ------------ GEN'LAGGREGATE LIMIT APPLIES PER: 7 POLICY_ txJ ff& n LOC OTHER AUTOMOBILE LIABILITY ANY AUTO ~ OWNED >-----~~lifDS ONLY - ~ AUTOSONLY SCHEDULED AUTOS NON-OWNED AUTOS ONLY B ~ UMBRELLA LIAB I )(_j OCCUR X EXCESS LIAB n CLAIMS-MADE X DED I , RETENTION$ 0.00 Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ~ OFFICER/MEMBER EXCLUDED? t..YJ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below D POLLU/MOLD $15,000DE E Equipment Floater I NIAi I I POLICY NUMBER CMV-PLl-0008043-02 CA-EX-0000083126-01 82-882276-01-06 G71519405 001 72MSZD5781 05/01/2019 • 05/01/2020 EACH OCCURRENCE $ 1 000 000 esD=A~M~A=G~E =To~R=E=N=T=ED~----+---~-~-----< PREMISES /Ea occurrence\ $ 300 000 MEll EXP (Any o_ne person) $ ~X_g@e_Q PERSONAL & ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 2 000 000 PRODUCTS -COMP_IOP !,GG $ io_qo,C>OQ \,OMBINED SINGLE LIMIT ,Ea accidenn $ BODILY INJURY (Per person) $ --------- BODILY INJURY (Per accident) $ 05/01/2019 1 05/01/2020 f---EA_CH_OC_C_U_R_RE_N_C_E __ +-$ ___ 5_,o_o_o~,~o_o_o___, 1 f---A_G_G_R_EG_A_T_E ____ --+-$ ___ 5_,_o_o_o_,o_o_o-----, $ X PER I I OTH-01/01/2019 I 01/01/2020 1--~'~S=TA~T=U~TE~_~ER~-+-----------1 E.L. EACH ACCIDENT E ~ Dl§_EA§_E -~ Er..1PL_()YE_E $ E.L. DISEASE -POLICY LIMIT $ 05/01/2019 I 05/01/2020 EACH CLAIM/POLCY JG 05/01/2019 I 05/01/2020 1,000,000 1,000,000 1,000,000 2,000,000 700,000 DESCRIPTION OF OPERA TlONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 30 Day Notice of Cancellation/ 10 Day Non Pay to Certificate Holder RE: CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABLITY PER THE ATTACHED FORMS Workers Comp: 0 deductible CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad/CMWD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN c/o EXIGIS Insurance Compliance Services ACCORDANCE WITH THE POLICY PROVISIONS. P .0. Box 4668 -ECM #35050 New York, NY 10163-4668 AUTHORI? REPRESENTATIVE I /?i ,£,c[e_, A~ (KMV) © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by KMVon October 03, 2019 at 04:26PM CMV-PLl-0008043-02 POLICY NUMBER: CMV-PLl-0008043-02 COMMERCIAL GENERAL LIABILITY CG 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Addltlonal Insured Person(s) Or Oraanlzatlon{s) Locatlon(s) Of Covered Operations As required by Written Contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to indude as an additional insured the person(s) or organization(s) shown in the Schedule, but 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(s) at the location(s) designated above. However: 1. The Insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, 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. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily Injury• or "property damage" occurring after: 1. All work, including materials. parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. 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. CG20100413 © Insurance Services Office, Inc., 2012 Page 1 of2 C. With respect to the Insurance afforded to these additional insureds, the following Is added to Section Ill -Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of Insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever Is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of2 © Insurance Services Office, Inc., 2012 CG 2010 0413 Policy Numbsr: CMV-PLl-0008043-02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT -ADDITIONAL INSURED - DESIGNATED OPERATIONS AND COMPLETED OPERATIONS WITH A WORKERS COMPENSATION EXCLUSION SCHEDULE Additional lneuNd: AS REQUIRED BY WRITTEN CONTRACT Operetione: A. Information to complete the Schedule, if not shown above, will be shown in the Declarations. The following is added to the Who Is An Insured Section of the Coverage Form: B. The person(•} or organization(s) shown in the Schedule above is (are) an insured but only as respects clajms or ·1u1ta• for damages cauaecl, in whole or in part, by: 1. Your acbl or omillions; or 2. The acts or omialons of those acting on your behalf. C. The ads or omiaaions must: 1. Occur aw8'f from premisel you own or rent; and 2. Arise out of "your work" described as Operations in the Schedule above, and includes act, or omissions that occur after the earlier of: a. All work to be performed by or on behalf of lhe Additional Insured(•) has been completed, other than MIVlce, maintenan<:41 or repairs unlesa auch wor1< is only comprised of service, maintenance or repairs; or PU 51350618 Page 1 of2 Copyright 2018, CM Vantage Specialty Insurance Company b. That portion of "your work" out of which the damages arise has been put to its Intended use by any pel'IOn or o,vaniutlon other than another contractor or suboontractor engaged in performing operation• for a principal as a part of the same pro;ect. D. The insurance afforded to such Additional Insured only applies to the extent permitted by law. E. If insurance provided to the Additional Insured la required by a contract or agreement, the Insurance afforded to them will not be broader than, nor the limits of insurance greater than, that which you are required by the contract or agreement to provide for such Additional Insured. F. However, the person(a) or organization(s) shown in the Schedule above is not an insured for any claim or "suit" seeking damages for injury to your employee or a leased or temporary worker who has insurance available by your or your su~tractor'a workers compensation insurance. All other terms and conditions of the policy remain unchanged. PU 5135 0818 Page2 of2 Copyright 2018, CM Vantage Specialty Insurance Company POLICY NUMBER: CMV-PLl-0008043-02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULL V. AMENDMENT -ADDITIONAL INSURED - PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION SCHEDULE Addltfonal Insured: AS REQUIRED BYWRlmN CONTRACT A. lnfonnatlon to complete the Schedule, if not ahown above, will be shown in the Declarations. The following is added to the Other Insurance Condition and supersedes any provision to the cootrary: Primary and Noncontributory lnaurance As retpeds the Additional Insured shown in the Schedule above, thia insurance 18 primary to and will not seek contribution from any other insurance available to the Additional Insured, provided that: B. The Additional Insured is a Named Insured under such other insurance; and C. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. All other lenns and conditions of the policy remain unchanged. PU 52400816 Page 1 of 1 Copyright 2016, CM Vantage Specialty Insurance Company POLICY NUMBER: CMV-PLl-0008043-02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT -WAIVER OF SUBROGATION SCHEDULE Person or organization(•): AS REQUIRED BY WRITTEN CONTRACT Information to complete the Schedule, if not ahown above, wiU be shown in the Declarations. Anything to the contrary in the policy notwithstanding, we waive any right of recovery for payments made under this insurance (commonly known as right of subrogation) against any party designated in the Schedule to whom the Insured has given a written release of liability prior to a claim or "suit". but only to the extent of such written release. All other terms and conditions of the policy remain unchanged. PEL 57 00 06 16 Page 1 of 1 Copyright 2016, CM Vantage Specialty Insurance Company POLICY NUMBER: CMV-PLl-0008043-02 COMMERCIAL GENERAL LIABILITY CG 25030I09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULL V. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insuranO!! provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Conatruction Project(•): AS REQUIRED BY WRlffiN CONTRACT Information reouired to comolete this Schedule, If net shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally obfigated to pay as damages caused by "occurrences" under Section I -Coverage A, and for all medical expenses caused by accidents under Section I -Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Project General Aggregate llmlt applies to each designated construction project, and !hat limit is equal to the amount of the General Aggregate llmit shown in the Declarations. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of 'bodily injury" or "property damage" Included in the "products- a:,mpleted operations hazard". and for medical expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits'' brought; or c. Persons or orQanizations making claims or bringing ··suits . 3. Ally payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Construction Project General Aggregate Limit for that del!ignated construction project. Such payment.a shall not reduce the General Aggregate Limit shown in the Declaration• nor shall they reduce any other Designated Construction Project General Aggregate Limit for any other dealgnated construction project shown in the Schedule above. <4. The Hmita ahown in the Declarations for Each Occum9nce, Damage To Premiees Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Linit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit. CG2503 05 09 C Insurance Services Office, Inc., 2008 Page 1 of2 D 8. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I -Coverage A, and for all medlcal expenses caused by accidents under Section I -Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any paym.,,ta mach, under Coverage A for damages or under Coverage C for medical expenaes shall reduce the amount available under the General Aggregate Limit or the Products-completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. C. Vllhen coverage for liability arising out of the "products-completed operations hazard" is provided, any payments fOf' damages because of "bodily injury" or •property damage" included in the "products-<:cmpleted operations hazard" will reduce the Productl-Completed Operations Aggregate Limit, and not reduce the General Aggregate Umlt nor the Delignated Construction Project General AggNgabt Limit. D. If the appicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authonzed contracting parties deviate from plans, blueprints, designs, specfficationa or timetables, the project will still be deemed to be the same construction project. E. The provisions of Section HI -Limits Of Insurance not otherwiN modified by this endorHment shall continue to apply •• stipulated. Page 2 of 2 C Insurance Servicel Office, Inc., 2008 CG25030509 a WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 01 03 03 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. The premium for this endorsement is shown in the Schedule. Schedule 1 . ( ) Specific Waiver Name of person or organization: (x) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: 3. Premium 2 so o The premium charge for this endorsement shall be of the premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Minimum Premium 5. Advance Premium This endorsement changes the policy to which it is attached and is ettective on the date issued unless otherwise stated. Endorsement Ettective 01/01/19 Policy No. 82-88227 6 -01-0 6 Endorsement No. 8 Insured Commercial & Industrial Roofing Co., Inc. Premium$ 2,500.00 Insurance Company California Insurance Company Countersigned by __ ---_.,.!-"'/=--~-----------'