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HomeMy WebLinkAboutChris R. Sperbeck Inc dba Doorworkx; 2018-07-27; PWM19-490GSRECORDED REQUESTED BY CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 DOC# 2019-0003767 1111111111111111111111111111111111111111111111111111111111111111111111 Jan 04, 2019 11 :27 AM OFFICIAL RECO~DS Ernest J Dronenburg, Jr , SAN DIEGO COUNTY RECORDER FEES $0 00 (SB2 Atkins $0.00) PAGES 1 Space above this line for Recorder's use. PARCEL NO: NOTICE OF COMPLETION Notice is hereby given that: 205-112-37-00 1. The undersigned is owner of the interest or estate stated below in the property hereinafter described. 2. The full name of the undersigned is 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 Oct. 29, 2018. 6. The name of the contractor for such work or improvement is Chris R. Sperbeck, Inc. dba DoorWorkX. 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. PWM19-490GS -Library Learning Center Sliding Glass Doors. 8. The street address of said property is 3368 Eureka Pl, Carlsbad, CA 92008. VERIFICATION OF CITY CLERK I, the undersigned, say: I am the City Clerk of the City o:a;lsbad, 1200 Carlsbad Village Drive, Carlsbad, California, 92008; the City Manager of said City on · Q_~ ,9} , 2o_l2_, 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 £.br: . ,9 J , 20/'8', at Carlsbad, California. CIC . \', Krr1c~ k1-rt_ ~ARBARA ENGLESON U~ ~ity Clerk O:\Public Works\General Services\DoorWorkXINOC\2.NOC -PWM19-490GS -Library Learning Center Sliding Glass Doors.doc CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS Chris R. Sperbeck, Inc. dba DoorWorkX has completed the contract work required for PWM19- 490GS -Library Learning Center Sliding Glass Doors. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS VALUE Install DCSlide Glass Door $7,869 CERTIFICATION OF COMPLETION OF IMPROVEMENTS Engineerin~ 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 accordance with State Law and City Ordinances. The City of Carlsbad is hereby directed to commence maintaining the above described improvements. Date APPROVED AS TO FORM: CELIA BREWER, City Attorney Q:\Public Works\General Services\DoorWorkX\3.API -PWM19-490GS -Library Learning Center Sliding Glass Doors 1.doc PWM19-490GS Library Learning Center Sliding Doors Page 1 of 6 City Attorney Approved 9/27/16 CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT LIBRARY LEARNING CENTER SLIDING DOORS This agreement is made on the ______________ day of _________________________, 2018, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and Chris R. Sperbeck, Inc. dba Doorworkz, a California corporation whose principal place of business is 1046 Commerce Street Ste G, San Marcos, CA 92078 (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: Ron Haugland (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. DocuSign Envelope ID: A5FC797B-6251-4F1D-A8FD-F8C40FD79B11 July27th PWM19-490GS Library Learning Center Sliding Doors Page 2 of 6 City Attorney Approved 9/27/16 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 Contractor or subcontractor from participating in contract bidding. Signature: ___________________________________ Print Name: _____________Chris R. Sperbeck_______ 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. DocuSign Envelope ID: A5FC797B-6251-4F1D-A8FD-F8C40FD79B11 PWM19-490GS Library Learning Center Sliding Doors Page 3 of 6 City Attorney Approved 9/27/16 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 agrees to start within ten (10) working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within sixty (60) working days after receipt of Notice to Proceed. CONTRACTOR’S INFORMATION. CHRIS R. SPERBECK, INC. dba DOORWORKZ, a California corporation 1046 Commerce Street Ste G (name of Contractor) 783544 (street address) San Marcos, CA 92078 (Contractor’s license number) C-61 / D-28 Gates and Activating Devices 5/31/20 (city/state/zip) 760-510-1043 (license class. and exp. date) 1000041522 (telephone no.) N/A (DIR registration number) 6/30/19 (fax no.) doorsfixed@yahoo.com (DIR registration exp. date) (e-mail address) /// /// /// /// /// DocuSign Envelope ID: A5FC797B-6251-4F1D-A8FD-F8C40FD79B11 PWM19-490GS Library Learning Center Sliding Doors Page 4 of 6 City Attorney Approved 9/27/16 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 CHRIS R. SPERBECK, INC. dba DOORWORKZ, a California corporation CITY OF CARLSBAD, a municipal corporation of the State of California By: By: (sign here) Chris R. Sperbeck / President Elaine Lukey / Public Works Director as authorized by the City Manager (print name/title) By: (sign here) Chris R. Sperbeck / CFO / Secretary (print name/title) If required by City, proper notarial acknowledgment of execution by Contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Group B Chairman, President, or Vice-President 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 DocuSign Envelope ID: A5FC797B-6251-4F1D-A8FD-F8C40FD79B11 PWM19-490GS Library Learning Center Sliding Doors Page 5 of 6 City Attorney Approved 9/27/16 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 be Subcontracted Business Name and Address DIR Registration No. License No., Classification & Expiration Date % of Total Contract Total % Subcontracted: _______________ The Contractor must perform no less than fifty percent (50%) of the work with its own forces DocuSign Envelope ID: A5FC797B-6251-4F1D-A8FD-F8C40FD79B11 none nonenonenone 0 0 PWM19-490GS Library Learning Center Sliding Doors Page 6 of 6 City Attorney Approved 9/27/16 EXHIBIT B Library Learning Center Sliding Doors Contractor to provide all tools, materials and labor to remove two existing auto swinging doors and replace with auto sliding door system at the Carlsbad Learning Library Center located at 3368 Eureka Place, Carlsbad, CA 92008. Scope of work to include disposal of removed doors. JOB QUOTATION ITEM NO. UNIT QTY DESCRIPTION PRICE 1 LS 1 Remove auto pair of swinging doors and install auto sliding door system at main entrance to Library Learning Center. $7,868.54 TOTAL* $7,868.54 *Includes taxes, fees, expenses and all other costs. DocuSign Envelope ID: A5FC797B-6251-4F1D-A8FD-F8C40FD79B11 Date 3/12/2018 Estimate # 3184 Name / Address City of Carlsbad 405 Oak Avenue Carlsbad, CA 92008 Ship To Carlsbad Library Learning Center 1635 Eureka Place Carlsbad, CA 92008 Terms Net 30 Project Signature _____________________________________ Please return and fax back for scheduling. Prices valid for 30 days. Price excludes Waiver of Subrogation. Past due accounts accrue at a rate of 1.5% per month 18% per annum. Subcontractor reserves the right to file a Mechanics Lien against contractrd property. If litigation or mediation is required to procure payment, reasonable attorney fees incured by Subcontractor shall be paid by the Contractor or Owner. Issuance of a subcontract acceptance of terms and conditions herein. Total DOORWORKX 1046 Commerce Street, Suite G San Marcos, CA 92078 760-510-1043 Fax 760-471-7710 DOORSFIXED@YAHOO.COM Description Total THE FOLLOWING PRICING IS TO HAVE DOORWORKX PERFORM THE FOLLOWING- MAIN LIBRARY ENTRANCE- REMOVE EXISTING AUTO PAIR OF SWINGING DOORS. FURNISH AND INSTALL 1EA DCSLIDE AUTO SLIDING DOOR SYSTEM. DUE TO SIDE ROOM ON OPENING, WHEN DOORS ARE IN THE FULLY OPENED POSITION CLEAR OPENING WOULD BE 4'8" TO ACTIVATE DOOR SYSTEM THERE WOULD BE 1EA MOTION DETECOR ON EACH SIDE OF THE OPENING. SYSTEM WOULD ALSO HAVE CYLINDRICAL LOCKSET TO SECURE AFTER HOURS. FOR SAFETY THERE WOULD BE 2EA SETS OF PHOTO EYES SYSTEM WOULD BE DARK BRONZE TO MATCH EXISTING TOTAL FOR NEW SYSTEM INSTALLED INCLUDING ALL MATERIAL, TAXES AND LABOR (PREVAILING)- 7,868.54 NOTES- MATERIAL SPECIAL ORDER TAKING ABOUT 2-3 WEEKS TO GET AND COULD BE INSTALLED AS SOON AS READY $7,868.54 Exhibit "B" DocuSign Envelope ID: A5FC797B-6251-4F1D-A8FD-F8C40FD79B11 800-437-3667 doorcontrolsUSA.com FAX 800-356-8858 Features: See Below For Specifications All models available in bi-part (double sliding) or single slide configurations. BREAKOUT: (System is disabled when panels breakout) •Reinforced Timing Belt •Maximum Panel Weight - Up to 220 lb per leaf •Door Panels: Aluminum Color •Speed Range: (based on size & weight of the door) •Clear Door Opening Typical Width: 3' - 6' Door packages are custom built to fit your job requirements. SPECIFICATIONS: HEADER SIZE: TYPICAL HEIGHT: TYPICAL WIDTH: TYPICAL DOORPANEL WEIGHT: DRIVE TRAIN: CONTROL: SENSORS: BREAKOUT: POWER INPUT: POWER CONSUMPTION: CODE COMPLIANCE: OPERATING ENVIRONMENT: 8" (203mm) high x 6" (152mm) deep 7'-8" (2.3m) Single Slide: 7' to 9' (2.1m to 2.7m) Bi-Part: 10' to 14' (3m to 4.2m) Up to 220 pounds each (100kg) Molded brushed DC One Motor with gear reduction assembly Microprocessor controller Microwave doppler radar for motion; and active infrared with background analysis for presence SX panel on the fixed sidelite, SX and SO panels on the full breakout 120 VAC, Single Phase 150W Max. ANSI A156.10 -4F to 158F (-20C to +70C) 30% to 85%relative humidity AUTOMATIC SLIDING DOOR SYSTEM MANUFACTURED BY DOOR OPENING PACKAGE WIDTH EXTERIOR INTERIOR BIPART O OSXSX NOTE: Emergency breakout on sliding door panels only. Fixed Sidelite DOOR OPENING PACKAGE WIDTH EXTERIOR INTERIOR BIPART SO SOSXSX NOTE: Emergency breakout on sliding door panels and swing out panels. Full Breakout Bi-Part Slide End View DOOR OPENING PACKAGE WIDTH EXTERIOR INTERIOR BIPART SO SOSXSX NOTE: Emergency breakout on sliding door panels and swing out panels. Full BreakoutSingle Slide DOOR OPENING PACKAGE WIDTH EXTERIOR INTERIOR BIPART O OSXSX NOTE: Emergency breakout on sliding door panels only. Fixed SideliteSingle Slide Exhibit "C" DocuSign Envelope ID: A5FC797B-6251-4F1D-A8FD-F8C40FD79B11 DCSlide_09.21.17 DC Slide Automatic Sliding Door System merges advanced technology with cutting-edge engineering to provide the safest, most reliable and highest performing door-systems in the industry. The DC Slide fits in every application from high- traffic retail locations to upscale professional and institutional settings. These automatic sliding doors will accomodate your patrons in any industry, such as healthcare, retail, hospitality, municipal and distribution warehouse. 800-437-3667 doorcontrolsUSA.com FAX 800-356-8858 FEATURES: • Characters on the screen. NEW! • Fully compliant for speed, force, and time delay requirements of ANSI A156.10. • Quick and easy setup and troubleshooting with on- board diagnostics. NEW! • LED's to indicate input state WARRANTY: One year from date of purchase from Door Controls USA, Inc. AUTOMATIC SLIDING DOOR SYSTEM MANUFACTURED BY Single Slide Bi-Part Slide AVAILABLE - RELIABLE - ECONOMICAL Exhibit "C" DocuSign Envelope ID: A5FC797B-6251-4F1D-A8FD-F8C40FD79B11 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDA'YYY) 06/21/18 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 pollcy(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 BOB WILEY INSURANCE AGENCY INC PO Box 966 Escondido, CA 92033-0966 0626539 NAME'^'^'ROBERT R. WILEY II PRODUCER BOB WILEY INSURANCE AGENCY INC PO Box 966 Escondido, CA 92033-0966 0626539 K.Exn: (760)735-9890 f^,No):(760) 735-2460 PRODUCER BOB WILEY INSURANCE AGENCY INC PO Box 966 Escondido, CA 92033-0966 0626539 ADDRESS:rrw5620gaol. com PRODUCER BOB WILEY INSURANCE AGENCY INC PO Box 966 Escondido, CA 92033-0966 0626539 INSURERIS) AFFORDJNG COVERAGE NAIC« PRODUCER BOB WILEY INSURANCE AGENCY INC PO Box 966 Escondido, CA 92033-0966 0626539 INSURER A COLONY INSURANCE COMPANY INSURED Chris R. Sperbeck INC. DBA: DOORWORKX 197 Woodland Parkway, #104 PMB471 SAN MARCOS, CA 92069 INSURER B INSURED Chris R. Sperbeck INC. DBA: DOORWORKX 197 Woodland Parkway, #104 PMB471 SAN MARCOS, CA 92069 INSURER C INSURED Chris R. Sperbeck INC. DBA: DOORWORKX 197 Woodland Parkway, #104 PMB471 SAN MARCOS, CA 92069 INSURER D INSURED Chris R. Sperbeck INC. DBA: DOORWORKX 197 Woodland Parkway, #104 PMB471 SAN MARCOS, CA 92069 INSURER E INSURED Chris R. Sperbeck INC. DBA: DOORWORKX 197 Woodland Parkway, #104 PMB471 SAN MARCOS, CA 92069 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 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. ADDL INSD SUBR WVD POLICY epp (MM/DDATYY) POLICY EXP (MM/DDA'YYY) INSR LTR TYPE OF INSURANCE POLICY NUMBER LIMITS X COMMERCIAL GENERAL LfABILlTY CLAIMS-MADE X OCCUR EACH OCCURRENCE DAMAGb 10 RtNItU PREMISES (Ea occurrence) 101 GL 0100783-00 6/27/2018 6/27/2019 MED EXP (Any one person) PERSONAL S ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: POLICY GENERAL AGGREGATE V PRO- JECT LOC PRODUCTS - COMP/OP AGG OTHER: COMBINED 5IN5LE LIMIT (Ea accident) $ 1,000,000 $ 100,000 5,000 $ 1,000,000 $ 2,000,000 $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY (Per person) OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON-OWNED AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB DED OCCUR CLAIMS-MADE EACH OCCURRENCE AGGREGATE RETENTION $ •PER 1 rCTH- STATUTE ER WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below EL. EACH ACCIDENT EL. DISEASE - EA EMPLOYEE EL DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THE CITY OF CARLSBAD/CMWD IS NAMED AS ADDITIONAL INSURED. INSURANCE IS PRIMARY AND NON- CONTRIBUTORY. WAIVER OF SUBROGATION ENDORSEMENT. CERTIFICATE HOLDER CANCELLATION CITY OF CARLSBAD/CMWD c/o EXIGIS INSURANCE COMPLIANCE SERVICES P.O. BOX 4668 - ECM#35050 NEW YOURK, NY 10163-4668 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF CARLSBAD/CMWD c/o EXIGIS INSURANCE COMPLIANCE SERVICES P.O. BOX 4668 - ECM#35050 NEW YOURK, NY 10163-4668 1 ACORD 25 (2016/03) -#'1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 101 GL 0100783-00 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 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 Additional Insured Person(s) OrOrganization(s) Location(s) Of Covered Operations AS DESIGNATED IN WRITTEN CONTRACT WITH THE NAMED INSURED All Commercial and/or Residential-Remodel/Repair work as required by written contract with the insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The insurance afforded by this Coverage Part for the additional insured shown in the Schedule is primary insurance and we will not seek contribution from any other insurance available to that additional insured. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "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. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 101 GL 0100783-00 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - 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 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 101 GL 0100783-00 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 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 PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations AS DESIGNATED IN WRITTEN CONTRACT WITH THE NAMED INSURED All Commercial and/or Residential-Remodel/Repair work as required by written contract with the insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The insurance afforded by this Coverage Part for the additional insured shown in the Schedule is primary insurance and we will not seek contribution from any other insurance available to that additional insured. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". 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 is added to Section III - 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. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1