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HomeMy WebLinkAboutCosco Fire Protection Inc; 2018-09-10; PWM19-515GSRECORDED REQUESTED BY CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 DOC# 2019-0076764 111111111111 lllll 11111111111111111111111111111111111 IIIII IIIII IIII IIII Mar 04, 2019 11 :54 AM OFFICIAL RECORDS Ernest J. Oronenburg, Jr., SAN DIEGO COUNTY RECORDER FEES $0.00 (SB2 Atkins $0 00) PAGES 1 Space above this line for Recorder's use. PARCEL NO: 212-062-12-00 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 Feb. 11, 2019. 6. The name of the contractor for such work or improvement is Cosco Fire Protection. 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. PWM19-515GS and Project Name: Farmers Backflow Replacement. 8. The street address of said property is 5815 El Camino Real, Carlsbad, CA 92008, in the City of Carlsbad. CITY OF CAR~BAD _;1~1-_·,1,_1_/:._-c?._' ~-rr _____ EL_a.1'1 ~ Lu K~ Scott Chadwick, City Manager 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 ~LP-:U< ~ o2 I , 20 t 9, accepted the above described work as completed and ordered that a Notice o Completion be filed. I declare under penalty of perjury that the foregoing is true and correct. Executed on c:2-cf) & , 20JJ_, at Carlsbad, California. Q:\Public Works\General Services\Agreements & Contracts\Cosco Fire Protection\Farmers Backflow Replacement -PWM19-515GS\NOC\2.NOC -Farmers Backflow Replacement.docx CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS Cosco Fire Protection has completed the contract work required for PWM19-515GS -Farmers Backflow Replacement. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS Replace Fire Sprinkler Backflow Assembly $20,704 CERTIFICATION OF COMPLETION OF IMPROVEMENTS VALUE 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. . /11!.ct . ?J...t,/1 ~ Scott Cha~k. City Manager Date APPROVED AS TO FORM: CELIA BREWER, City Attorney By (I £ ¥ DeputyC1ty Attorne Q:\Public Works\General Services\Agreements & Contracts\Cosco Fire Protection\Farmers Back/low Replacement -PWM19-515GS\NOC\3.API -Farmers Backfiow Replacement.docx CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT FARMERS BACKFLOW REPLACEMENT Tracking#". PWM19-515GS This agreement is made on the 10 i!l day of ~</2.ea... , 2018, by the City of Carlsbad, California, a municipal 6orporation, (hereina rcaieai:Citi), and Cosco Fire Protection Inc., a California corporation whose principal place of business is 4990 Greencraig Lane, San Diego, CA 92123 (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: Robert Ferris (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. FARMERS BACKFLOW REPLACEMENT Page 1 of 6 City Attorney ~pproved 9/27/16 Tracking#: PWM19-515GS 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 anoth jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor or or from parti · ating in contract bidding. Signature: Print Name: 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. FARMERS BACKFLOW REPLACEMENT Page 2 of 6 City Attorney Approved 9/27/16 Tracking 'It. PWM19-515GS 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 twenty (20) working days after receipt of Notice to Proceed. CONTRACTOR'S INFORMATION. Ill Ill Ill Ill Ill Ill Ill Cosco Fire Protection (name of Contractor) 577621 (Contractor's license number) C-10, C-16 9/30/19 (license class. and exp. date) 1000002305 (DIR registration number) 6/30/19 (DIR registration exp. date) FARMERS BACKFLOW REPLACEMENT Page 3 of 6 4990 Greencraig Lane (street address) San Diego, CA 92123 (city/state/zip) 858-444-2052 (telephone no.) 858-444-2056 (fax no.) mkent@coscofire.com (e-mail address) City Attorney Approved 9/27/16 Tracking#'. PWM19-515GS 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 COSCO FIRE PR,OTECTl~N, a California corpor~ion ' By: -(sig CITY OF CARLSBAD, a municipal corporation of the State of California By: A/ei. Hltha.cd1z YJcg fus (print nameiti~) :~~ fZO~r )Um~ Y((!SUrr rj 31f_ rcm./}A (printn me/title) ~ ' . :J If required by City, proper notarial acknowledgment of execution by Contractor must be attached. !f.A corporation, Agreement must be signed by one corporate officer from each of the fo !lowing 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: FARMERS BACKFLOW REPLACEMENT Page 4 of 6 City Attorney Approved 9/27/16 Tracking#: PWM19-515GS 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 be Subcontracted t-...lc:::->µe Oo/c. Total% Subcontracted: ---+----, DIR Registration No. License No., Classification & Expiration Date The Contractor must perform no less than fifty percent (50%) of the work with its own forces %of Total Contract FARMERS BACKFLOW REPLACEMENT Page 5 of 6 City Attorney Approved 9/27 /16 Tracking#'. PWM19-515GS EXHIBIT B Farmers Backflow Replacement Contractor to provide all materials, design, tools and labor to remove and replace existing single detector check valve and install new4" (DCDA). New backflow shall be provided with new underground spool and concrete pad. Notes: Exclusions: All work will be performed during normal working hours as one phase. Installation will conform to the most current NFPA guidelines/ specificatons, or all other applicable city, county, state, and federal agency requirements. Plans and calculations shall be submitted to Carlsbad Fire Department for approval. Hydraulic calculations shall be based on utilizing the existing hydraulic calculation card information for system demand. Fire department permit fees included. Providing/installing new tamper switch. Working in areas with hazardous material, as defined by OSHA. Cut and patch, bond, or fire watch. Overtime, off-hours work & working during holidays. Painting, preparation for painting, pipe tags, etc. Any work associated with fire hose cabinets, or extinguishers, fire alarms and monitoring. Upgrades or modifications to the existing overhead fire sprinkler system for the installation of ,,./ ~ new DCDA. 1{/JI" -Draining fire sprinkler system by any other means than what existing conditions allow. Disinfection of fire sprinkler system. ITEM NO. Repair or replacing landscape. Water department permits and fees. Underground excavation or repairs. Survey of existing overhead fire sprinkler system. Troubleshooting or upgrades to existing fire alarm system. JOB QUOTATION UNIT QTY DESCRIPTION PRICE 1 LS 1 Remove and replace existing fire sprinkler backflow. $20,704 TOTAL* $20,704 *Includes taxes, fees, expenses and all other costs. FARMERS BACKFLOW REPLACEMENT Page 6 of6 City Attorney Approved 9/27/16 A~RD8 CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY) 01/10/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ~V"'"~ MARSH USA INC. NAME: 125 OTTAWA AVENUE NW r .. ~~N_jn ~~,. I r..e~ Nol: SUITE 400 E-MAIL GRAND RAPIDS, Ml 49503 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# 5181-MX-GAW-1$-19 INSURER A: HD! Global Insurance Company 41343 INSURED INSURER B: Old Republic General Insurance Corp. 24139 Cosco Fire Protection, Inc. N/A 4990 Greencraig Lane INSURER C : N/A San Diego, CA 92123 INSURERD: INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER· CHl-008586638-09 REVISION NUMBER· 7 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 VVIHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL ISUBR POLICYEFF POLICY EXP LIMITS LTR ,.,.,n L<n,n POLICY NUMBER IMMIDDIYYYYl IMMIDDIYYYYl A X COMMERCIAL GENERAL LIABILITY GLD1447201 01/01/2018 01/01/2019 EACH OCCURRENCE $ 2,000,000 -==i CLAIMS-MADE 0 OCCUR DAMAGE TO REN I t:u PREMISES !Ea occurrence\ $ 1,000,000 -MED EXP (Any one person) $ 10,000 - PERSONAL & ADV INJURY $ 2,000,000 -GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 =i 0PRO-DLOC PRODUCTS -COMP/OP AGG $ 2,000,000 POLICY JECT OTHER: $ B AUTOMOBILE LIABILITY A-5CA-923218-09 01/01/2018 01/01/2019 C_uMBINED SINGLE LIMIT /Ea accident\ $ 1,000,000 -X ANY AUTO BODILY INJURY (Per person) $ -OWNED -SCHEDULED BODILY INJURY (Per accident) $ -AUTOS ONLY r--AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ -AUTOS ONLY -AUTOS ONLY /Per accidentl $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ r-- EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION A-5DW-92321810 Ul/Ul!LU I~ 01/01/2019 X I ~ffruTE I I OTH-ER AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE 0 E L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L. DISEASE -EA EMPLOYEE $ 1,000,000 ~~it~~tii~ OnFd~PERATIONS below EL DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: PWM18-18GS, Stagecoach Backflow Replacement, 2430 Camino De Los Coches, Cartsbad CA, COSCO Job No 10CD5779 The City of Carlsbad, its officials, employees and volunteers is/are included as additional insured where required by written contract with respect to General Liability. This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured subject to policy terms and conditions. See attached for Notice of Cancellation endorsement. CERTIFICATE HOLDER CANCELLATION City of Cartsbad SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Contract Adminstration THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1635 Faraday Ave ACCORDANCE WITH THE POLICY PROVISIONS. Cartsbad, CA 92008 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. I Scott Pell ~~ ~ © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD OLD REPUBLIC GENERAL INSURANCE CORPORATION EARLY NOTICE OF CANCELLATION PROVIDED BY US THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: BUSINESS AUTO COVERAGE FORM Common Policy Conditions, A. Cancellation, 2. is replaced by the following: 2. We may cancel this policy by mailing to the first Named Insured written notice of cancellation at least: a. TEN ( 10) days before the effective date of cancellation if we cancel for nonpayment of premium: or b. SIXTY (60) days before the effective date of cancellation if we cancel for any other reason. Named Insured MX HOLDINGS US, INC. Policy Number A-SCA-923218-09 Endorsement No. 0:)0 Policy Period 01/01/2018 to 01/01/2019 Endorsement Effective Date: 01/0:/2018 Producer's Name: OLD REPUS~IC CONTRACTORS INSURANCE AGENCY, INC. Producer Number: 7005 AUTHORIZED REPRESENTATIVE DATE CA EN GN 0D17 10 06 PoJicy Number GLD1447201 ENDORSEMENT HDI Global Insurance Company Named Insured MX HOLDINGS US, INC. Agent No. PO 2 9 9 9 8 9 2 This Endorse~rt Changes The Palley. Pllms Read Jt CBlfJfu/ly. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS-COMPLEll:D OPERATIONS Effective Date: 01-01-18 12:01 A.M., Standard Time THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NArvE OF ADDITIONAL INSURED PERSON(S) OR ORGAN IZATION(S): ONLY THOSE ENTlifES REQUESTING THIS FORM BY ~ITTEN CONTRACT LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS: THOSE LOCATIONS SPECIFIED IN WRITTEN CONTRACTS INFORMATION REQUIRED TO COMPLEfE THIS SCHEDULE, IF NOT SHOWN ABOVE. WILL BE SHOWN IN THE DECLAAATJONS. SECTION II -WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN ADDITIONAL INSURED THE PERSON(S) OR ORGANIZATION($) SHOVi..N IN THE SCHEDULE, BUT ONLY WITH RESPECT TO LIABILITY FOR "BODILY INJURY" OR "PROPERTY DAMAGE'' CAUSED, IN 'NHOLE 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- COMPLEfEO OPERATIONS HAZARD". MAN-GL (01/02) -Z..o ~I. Clo Y ENDORSEMENT Polley Number GLD1447201 HDI Global Insurance Company Named Insured MX HOLDINGS us, INC. Agent Name MARSH USA INC. OF MI (GRAP) Agent No. P02082030 This Endorsement Changes The Polley. Please Rsad It Carefully. Effective Date: 0 1 -0 1 -1 8 12:01 A.M., Standard Time ADDITIONAL INSURED ? OMERS, LESSEES OR CONTRACTORS? AUTOMATIC STATUS-ONGOING OPERATIONS THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COrvl\AERCIAL GENERAL LIABILITY COVERAGE PART A. SECTION II ? WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN ADDITIONAL INSURED ANY PERSON OR ORGANIZATION FOR VVHOM YOU ARE PERFORMING OPERATIONS WHEN YOU AND SUCH PERSON OR ORGANIZATION HAVE AGREED IN VvRITING IN A CONTRACT OR AGREEMENT THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY. SUCH PERSON OR ORGANIZATION IS AN ADDITIONAL INSURED ONLY WITH RESPECT TO LIABILITY FOR "BODILY INJURY", "PROPERTY DAMAGE" OR "PERSONAL AND ADVERTISING INJURY'' CAUSED, IN WHOLE OR IN PART, BY: 1. YOUR ACTS OR OMISSIONS: OR 2. THE ACTS OR OMISSIONS OF THOSE ACTING ON YOUR BEHALF; IN THE PERFORMANCE OF YOUR ONGOING OPERATIONS FOR THE ADDITIONAL INSURED. A PERSON'S OR ORGANIZATION'S STATUS AS AN ADDITIONAL INSURED UNDER THIS ENDORSEMENT ENDS WHEN YOUR OPERATIONS FOR THAT ADDITIONAL INSURED ARE COMPLETED. B. WITH 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, APPROVJNG, OR FAILING TO PREPARE OR APPROVE, MAPS, SHOP DRAWINGS, OPINIONS, REPORTS, SURVEYS, F.IELD 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 PERFORMED BY OR ON BEHALF OF THE ADDITIONAL INSURED( S) AT THE LOCATION OF THE COVERED OPERATIONS HAS BEEN COMPLETED; OR B. THAT PORTION OF "YOUR WORK" OUT OF WHICH THE MAN-GL (01/02) 1..~lO o, OL.f ENDORSEMENT Policy Number GLD1447201 HDI Global Insurance Company Named Insured MX HOLDINGS us, INC. Agent Name Agent No. MARSH USA INC. OF MI {GRAP) P02082030 . This Endorsemert Changes The Policy. Please Read It Carefully. 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. MAN-GL (01102) Effective Date: D 1-0 1 -1 8 12:01 A.M., Standard Time POLICY NUMBER: GLD 14 4 7 2 0 1 COMMERCIAL GENERAL LIABILITV CG02241093 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ rr CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Number ot Days' Notice .;;..9 .;..o __ (If no entry appears above, information required to complete this Schedule will be shown In the Declarations a-s applicable to this endorsement.} For any statutorily permitted reason other than nonpayment of premium, the number of days required tor notice of cancellation, as provided In paragraph 2. of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation endorsement, is increased to the number of days shown in the Schedule above. CG 02241093 Copyright, Insurance Services Office, Inc., 1992 Page1of1 D COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies Insurance provl~ed under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other Insurance available to an additional insured under your policy provided that: (2) 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. (1) The additional insured is a Named Insured under such other insurance; and CG20010413 © Insurance Services Office, Inc., 2012 Page 1 of 1