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HomeMy WebLinkAboutCOSCO Fire Protection Inc; 2020-05-06; PWL20-1117FACRECORDED REQUESTED BY CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: DOC# 2020-0473808 1111111 11111 Hill IIIII 111111111111111 1111111111 11111111111111111111111 Aug 21, 2020 09:46 AM OFFICIAL RECORDS Ernest J. Dronenburg, Jr., 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: 215-050-70-00 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 June 16, 2020. 6. The name of the contractor for such work or improvement is COSCO Fire Protection, 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. PWL20-1117FAC, Project Name: Carlsbad City Library Ansul Inergen Fire Suppression System Repairs. 8. The street address of said property is 1775 Dove Lane, Carlsbad CA, 92011, in the City of Carlsbad. CITY OF CARLSBAD Geoff Patnoe, Assistant 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 701 1St- , 20 a 6, accepted the above described work as completed and ordered that a Notice oTCompletion be filed. I declare under penalty of perjury that the foregoing is true and correct. Executed on , 20)4 , at Carlsbad, California. CITY OF CARLSBAD BARBARA ENGLESON City Clerk QAPublic Works\ General Services\Agreements & Contracts \Casco Fire Protection \Carlsbad City Library Ansul Inergen Fire Suppression System Repairs - PWL20-1117FAC\4. NOCQ.NOC - Dove Library Ansul Inergen Fire Suppression System Repairs.docx CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS COSCO Fire Protection, Inc. has completed the contract work required for PWL20-1117FAC - Carlsbad City Library Ansul lnergen Fire Suppression System Repairs. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS VALUE Fire suppression system repair. $1,638 CERTIFICATION OF COMPLETION OF IMPROVEMENTS June 22, 2022 John maashoft Owl 22.202302:13 John Maashoff, Public Works Manager 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. Geoff Patnoe, Assistant City Manager Date APPROVED AS TO FORM: CELIA BREWER, City Attorney By: Ac istant City Attorney Q:\Public Works\ General Services\Agreements & Contracts\Cosco Fire Protection \Carlsbad City Library Ansul lnergen Fire Suppression System Repairs - PWL20-1117FAC \ 4. NOC\ 3.API - Carlsbad City Library Ansul Inergen Fire Suppression System Repairs.docx PWL20-1117FAC City Library Ansul Inergen Fire Suppression System Repairs - 1 - City Attorney Approved 2/29/2016 CITY OF CARLSBAD PUBLIC WORKS LETTER OF AGREEMENT Carlsbad City Library Ansul Inergen Fire Suppression System Repairs This letter will serve as an agreement between COSCO Fire Protection, Inc., a California corporation (Contractor) and the City of Carlsbad (City). The Contractor will provide all equipment, material and labor necessary to remove and replace seven (7) discharge hoses with new Original Equipment Manufacturer (OEM) Ansul hoses (or equivalent), and to install hardware necessary to properly secure one (1) 200 cubic feet Ansul cylinder (or equivalent) at the Carlsbad City Library located at 1775 Dove Lane, Carlsbad, CA 92011, per Exhibit “A, B” and City specifications, for a sum not to exceed one thousand six hundred thirty- eight dollars ($1,638). This work is to be completed within thirty (30) 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, Government Code sections 12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. __________ init __________ init 6. The Contractor hereby acknowledges that debarment by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor from participating in contract bidding. _______ init _______ init DocuSign Envelope ID: 365D5D0A-247F-4B84-BA50-10170FD88754 PWL20-1117FAC City Library Ansul Inergen Fire Suppression System Repairs - 2 - City Attorney Approved 2/29/2016 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. 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: Charles Balteria, 760-434-2949 Contractor Contact: Casey Pritchett, 858-444-2048 CONTRACTOR COSCO Fire Protection, Inc., a California corporation CITY OF CARLSBAD, a municipal corporation of the State of California 4990 Greencraig Lane San Diego, CA 92123 P: 858-444-2048 F: 858-444-2056 cpritchett@coscofire.com By: By: (sign here) Alex Hernandez / Vice-President Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager (print name/title) By: Dated: (sign here) Roger Jump / Secretary & Treasurer (print name/title) (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: Assistant City Attorney DocuSign Envelope ID: 365D5D0A-247F-4B84-BA50-10170FD88754 May 6, 2020 PWL20-1117FAC City Library Ansul Inergen Fire Suppression System Repairs - 3 - City Attorney Approved 2/29/2016 EXHIBIT A Carlsbad City Library Ansul Inergen Fire Suppression System Repairs The Contractor will provide all equipment, material and labor necessary to remove and replace seven (7) discharge hoses with new OEM Ansul hoses (or equivalent), and to install hardware necessary to properly secure one (1) 200 cubic feet Ansul cylinder at the Carlsbad City Library located at 1775 Dove Lane, Carlsbad CA, 92011. Scope of work shall consist of all items mentioned in the contractor’s proposal dated April 14, 2020 and is attached to this document as Exhibit “B”. SCOPE OF WORK AND FEE DESCRIPTION PRICE Carlsbad City Library Ansul Inergen Fire Suppression System Repairs $1,638 TOTAL* $1,638 *Includes taxes, fees, expenses and all other costs. \\\ \\\ \\\ \\\ \\\ \\\ \\\ \\\ DocuSign Envelope ID: 365D5D0A-247F-4B84-BA50-10170FD88754 PWL20-1117FAC City Library Ansul Inergen Fire Suppression System Repairs - 4 - Exhibit B DocuSign Envelope ID: 365D5D0A-247F-4B84-BA50-10170FD88754 -@ DATE (MM/DD/YYYY:ACORD CERTIFICATE OF LIABILITY INSURANCE ‘a8 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),AUTHORIZEDREPRESENTATIVEORPRODUCER,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 CONTACTMarshUSAInc.NA FAXg“6 Ottawa Avenue NW {ACNo,Ext):i (AIC,No): uleGrand Rapids,Ml 49503 ADDRESS:Attn:grandrapids.certrequest@marsh.com INSURER(S)AFFORDING COVERAGE NAIC # CN108159189-MX-GAW-20-21 SDiego INSURERA :HDI Global insurance Company 41343INSURED0FireProtection,Inc INSURER :ACE American Insurance Company 22667 4990 Greencraig Lane INSURER C :N/A NIASanDiego,CA 92123 INSURER D: INSURER : ,INSURER :COVERAGES CERTIFICATE NUMBER:CHI-009209689-03 REVISION NUMBER:3 THIS iS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATEMAYBEISSUEDORMAYPERTAIN,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 REDUCEDBYPAID CLAIMS. INSR ADDL|SUBR|POLICY EFF POLICY EXPLTRTYPEOFINSURANCEINSDwvpPOLICYNUMBER(MM/DDIYYYY)|(MM/DDIYYYY)LIMITSAXCOMMERGIALGENERALLIABILITYX'GLD1447203 01/01/2020 01/01/2021 EACH.OCCURRENCE $2,000,000DAMAGETORENTEDCLAIMS-MADE OCCUR PREMISES(Ea occurrence)$1,000,000 MED EXP (Any one person)$10,000 PERSONAL&ADVINJURY $2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER:GENERALAGGREGATE $2,000,000 POLICY [x 58aESr [|vLoc PRODUCTS -COMP/OP AGG|$2,000,000 OTHER:$COMBINED SINGLE LIMITBAUTOMOBILELIABILITYISAH2528956001/01/2020 |01/01/2021 FONMent)$1,000,000 X ANY AUTO BODILY INJURY (Per person)$OWNED SCHEDULED 5ONDONLY|ScHeD BODILY INJURY(Peraccident)$ X HIRED X NON-OWNED PROPERTY DAMAGE $“|AUTOS ONLY AUTOS ONLY (Per accident)$ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED ||RETENTION $$B [WORKERSCOMPENSATION X |WLRC66042492 01/01/2020 101/01/2027 x |PERTE ||grANDEMPLOYERS'LIABILITY YIN Includes Stop GANYPROPRIETOR/PARTNER/EXECUTIVE cludes stop Gap E.L.EACHACCIDENT $1,000,000OFFICER/MEMBER EXCLUDED?NIA(Mandatory in NH)E.L.DISEASE -EA EMPLOYEE|$1,000,000ifyes,describe under 1,000,000DESGRIPTIONOFOPERATIONSbelowE.L.DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS /VEHICLES (ACORD101,Additional Remarks Schedule,may be attached if more spaceis required) Re:All Operations City of Carlsbadis/are included as additional insuredwhere required by written contract with respect to GeneralLiability.This insurance is primary and non-contributoryoverany existing insurance andlimited to liability arising out of the operations ofthe namedinsured subjectto policy terms and conditions.Waiver ofsubrogation is applicable where required by written contractand subjectto policyterms and conditions. CERTIFICATE HOLDER CANCELLATION City of Carisbad/CMWD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOREcloEXIGISInsuranceComplianceServicesTHEEXPIRATIONDATETHEREOF,NOTICE WILL BE DELIVERED INPOBox4668-ECM#35050 ACCORDANCEWITH THEPOLICY PROVISIONS.New York,NY 10163-4468 AUTHORIZEDREPRESENTATIVEofMarshUSAInc. Scott Pell oeOe ©1988-2016 ACORD CORPORATION.All rights reserved. ACORD25(2016/03)The ACORD nameand logoare registered marks of ACORD POLICY NUMBER GLD 1447203 HDI GLOBAL INSURANCE COMPANY IL At 4001 (06 11) THIS ENDORSEMENT CHANGESTHE POLICY.PLEASE READ IT CAREFULLY. NAMED INSURED ENDORSEMENT The Named Insured is amended to read as follows: MX HOLDINGS,US INC.MINIMAX FIRE SOLUTIONS,INC.COSCO FIRE PROTECTION,INC.FLAMEX,INC.CEP,INC..MINIMAX CHINA FIRE PROTECTION SYSTEM,INC.LIMITEDFIRETROLPROTECTIONSYSTEMSCO.,CFP FIRE PROTECTION SYSTEMS,INC.DBA ARIZONA FIRE AND SECURITYKLISTER,LLC.FIRE CALL,INC.FIRETROL PROTECTION SYSTEMS,INC.FIRETROL PROTECTION SYSTEMS,INC D/B/A ARIZONA FIRE &SECURITYPREDOMONTSOUND&SIGNAL,INC.CFP FIRE PROTECTION,INC. All other terms and conditions remain the same. THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. Page 1 of 1 IL Al 4004 (06 11) Neer Agent NameAgentNo. HDI Global Insurance Company Named Insured MX HOLDINGS US, ENDORSEMENT INC. MARSH USA INC.OF MI (GRAP)POQ2082030 | “Policy Number GLD1447203 Effective Date:01-01-20 12:01 A.M.,Standard Time This Endorsement Changes The Policy.Please ReadIt Carefully. BLANKET ADDITIONAL INSURED -OWNERS,LESSEES ORCONTRACTORS-SCHEDULED PERSON OR ORGANIZATIONCG20101001VERSION AS PER THE WRITTEN CONTRACT (IF NO ENTRY APPEARS ABOVE,INFORMATION REQUIRED TO COMPLETE THISENDORSEMENTWILLBESHOWNINTHEDECLARATIONSASAPPLICABLETOTHISENDORSEMENT.) A.SECTION ll —WHO IS AN INSURED [S AMENDED TO INCLUDEASANINSUREDTHEPERSONORORGANIZATIONSHOWNINTHE SCHEDULE,BUTONLYWITHRESPECTTOLIABILITYARISINGOUTOFYOURONGOINGOPERATIONSPERFORMEDFORTHATINSURED.B.WITH RESPECT TO THE INSURANCE AFFORDED TO THESEADDITIONALINSUREDS,THE FOLLOWING EXCLUSION IS ADDED:2.EXCLUSIONSTHISINSURANCE DOES NOT APPLY TO “BODILY INJURY"OR "PROPERTY DAMAGE”OCCURRING AFTER: (1)ALL WORK,INCLUDING MATERIALS,PARTS OR EQUIPMENTFURNISHEDINCONNECTIONWITHSUCHWORK,ON THE PROJECT (OTHER THANSERVICE,MAINTENANCE OR REPAIRS)TO BE PERFORMED BY OR ON BEHALF OFTHEADDITIONALINSURED(S)AT THE SITE OF THE COVERED OPERATIONS HASBEENCOMPLETED;OR(2)THAT PORTION OF "YOUR WORK”OUT OF WHICH THE INJURYORDAMAGEARISESHASBEENPUTTOITSINTENDEDUSEBYANY PERSON ORORGANIZATIONOTHERTHANANOTHERCONTRACTORORSUBCONTRACTORENGAGEDINCERECRMINGOPERATIONSFORAPRINCIPALASAPARTOFTHESAME MAN-GL (01/02) eee Policy Number GLD1447203 ENDORSEMENT ,HDI Global Insurance Company Named insured MX HOLDINGS US,INC.Effective Date:01-01-20 12:01 A.M.,Standard Time Agent Name MARSH USA INC.OF MI (GRAP)Agent No.P02082030 This Endorsement Changes The Policy.Please Read it Carefully. BLANKET ADDITIONAL INSURED -OWNERS,LESSEES,ORCONTRACTORS-COMPLETED OPERATIONSCG20371001 AS PER THE WRITTEN CONTRACT (IF NO ENTRY APPEARS ABOVE,INFORMATION REQUIRED TO COMPLETETHISENDORSEMENTWILLBESHOWNINTHEDECLARATIONSASAPPLICABLETOTHISENDORSEMENT.) SECTION Ii —WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSUREDTHEPERSONORORGANIZATIONSHOWNINTHESCHEDULE,BUT ONLY WITHRESPECTTOLIABILITYARISINGOUTOF"YOUR WORK"AT THE LOCATIONDESIGNATEDANDDESCRIBEDINTHESCHEDULEOFTHISENDORSEMENTPERFORMEDFORTHATINSUREDANDINCLUDEDINTHE"PRODUCTS-COMPLETEDOPERATIONSHAZ-ARD". MAN-GL(01/02) Le ———————— Workers’Compensation and Employers’Liability Policy Named insured Endorsement NumberMXHOLDINGSUS,INC. 153 TECHNOLOGY DRIVE SUITE 200 Policy Number IRVINE CA = 92618 Symbol:WLR Number:C66042492 Policy Period Effective Date of Endorsement01-01-2020 TO 01-01-2021 01-01-2020 Issued By (Name of Insurance Company)ACE AMERICAN INSURANCE COMPANY Insert the policy number.The remainder of the information is to be completed onlywhen this endorsementis issued subsequent to the preparation of the policy. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSENENT 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.This agreement applies only to theextentthatyouperformworkunderawrittencontractthatrequiresyoutoobtainthisagreementfromus. This agreement shail not operate directly or indirectly to benefit any one not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION AGAINST WHOM YOU HAVE AGREED TO WAIVE YOUR RIGHT OF RECOVERYINAWRITTENCONTRACT,PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO THE DATE OF LOSS. For the states of CA,UT,TX,refer to state specific endorsements. This endorsementis not applicable in KY,NH,and NJ. The endorsement does not apply to policies in Missouri where the employeris in the construction group of code classifications.According to Section 287.150(6)of the Missouri statutes,a contractual provision purporting to waive subrogation rights against public policy and void where one party to the contract is an employerin the construction group of codeclassifications. For Kansas,use of this endorsementis limited by the Kansas Fairness in Private Construction Contract Act(K.S.A.. 16-1801 through 16-1807 and any amendments thereto)and the Kansas Fairness in Public Construction Contract Act(K.S.A 16-1901 through 16-1908 and any amendments thereto).According to the Acts a provision in a contract for private or public construction purporting to waive subrogation rights for losses or claims covered or paid by liability or workers compensation insurance shall be against public policy and shall be void and unenforceable except that,subject to the Acts,a contract may require waiver of subrogation for losses or claims paid by a consolidated or wrap-up insurance program. Authorized Representative WC 00 03 13 (11/05)Ptd.U.S.A.Copyright 1982-83,National Council on Compensation Workers’Compensation and Employers’Liability Policy Named Insured Endorsement Number MX HOLDINGS US,INC.153 TECHNOLOGY DRIVE SUITE 200 Policy Number Policy Period Effective Date of Endorsement01-01-2020 TO 01-01-2021 01-01-2020 Issued By (Nameof Insurance Company)|ACE AMERICAN INSURANCE COMPANYInsertthepolicynumber.The remainderof the informationis to be completed only whenthis endorsementis issuedsubsequent to the preparation ofthe policy. CALIFORNIA WAIVER OF.OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A.of the Information Page. Wehave 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. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the , work described in the Schedule. Schedule 1.()Specific Waiver Nameof person or organization: (X )Blanket WaiverAnypersonor organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2.Operations: ALL OPERATIONS CONDUCTED BY AN INSURED PURSUANT TO SUCH WRITTEN CONTRACT 3.Premium: The premium chargefor this endorsement shall be 1.0 percentof the California 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:$9 Authorized Representative WC90 03 75 (05/18)