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HomeMy WebLinkAboutEden and Mark Enterprises dba Servpro of Carlsbad; 2018-08-21; PWL19-504GSPWL19-504GS CITY OF CARLSBAD PUBLIC WORKS LETTER OF AGREEMENT Pine Park Community Center Emergency Water Damage Restoration This RATIFICATION OF LETTER OF AGREEMENT between Eden & Mark Enterprises dba Servpro of Carlsbad, a Califor · corporation, (Contractor) and the City of Carlsbad (City) is entered into as of the c<) I &-day of -----'--'-"-""'-¥~~--\"'------==--.,......,=----' 2018, but effective as of the 22nd day of June, 2018, ratifying the work performed fort me Park Community Canter Emergency Water Damage Restoration Project. The Contractor provided all equipment, material and labor necessary, per Exhibit "A" and City specifications, for a sum not to exceed four thousand five hundred ninety eight dollars fifty cents ($4,598.50). This work was completed within six (6) working days after the Notice to Proceed was issued. Upon full execution, the Letter of Agreement is ratified. 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 Claim~i\ r~vern_~ent 9~ sec~on~ _12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. ~1rnt ~L 1rnt 6. The Contractor hereby acknowledges that debarment by another juri~itf r groung-for ).he City of Carlsbad to disqualify the Contractor from participating in contract biddin,,. r init V 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. Pine Park CC Emergency Water Damage Restoration - 1 -City Attorney Approved 2/29/2016 PWL19-504GS 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: Robert Ferris 760-434-5756 Contractor Contact: Mark Weinberger, 760-729-7505 CONTRACTOR Eden & Mark Enterprises dba Servpro of Carlsbad, a California corporation CITY OF CARLSBAD, a municipal corporation of the State of California 2540 Pioneer Ave. Vista, Ca. 92081 P: 760-729-7505 F: 760-599-6956 servpro8724@roadrunner.com By· By: 'f_· __ a---+-~-~---fl----r;F=:-- 14?d !!~,, 4=/k'd/re&t1/Lf- (print na~) By: £__ Dated: (sign here) -~are-· Paz Gor/Jz I Public Wo~~ector as authorized by the City Manager (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 Attorney Pine Park CC Emergency Water Damage Restoration - 2 -City Attorney Approved 2/29/2016 PWL19-504GS EXHIBIT A Pine Park Community Center Emergency Water Damage Restoration SCOPE OF WORK AND FEE Contractor provided all material, tools and labor to respond to an emergency flooding incident. Contractor installed dehumidifiers, fans, and plastic containment to extract all moisture as a result of the flood. Contractor also performed required test to ensure mitigation efforts were successful. DESCRIPTION Water damage restoration and clearance testing. *Includes taxes, fees, expenses and all other costs. Pine Park CC Emergency Water Damage Restoration -3 - PRICE $4,598.50 TOTAL $4,598.50 City Attorney Approved 2/29/2016 cQsroMEB City of Carlsbad-Pine Park Community Center 3209 Harding Carlsbad, CA 92008 BILL TO City of Carlsbad-Pine Park Community Center 3209 Harding Carlsbad, CA 92008 gerald.bjork@carlsbadca.gov REP EW 1 SOURCE I JOB DATE rCREW CHlf1F I WIMA:LQR I DUE DATE JH MW 7/2/2018 OESCRI PTION Commercial water damage restoration Sales Tax I !7/2/2018 Exhibit "A" INVOICE# 527 Servnro of Carlsbad 2540 Pioneer A venue Vista, CA 9208! (760) 729.7505 FEIN 33-0953832 Payments/Credits AMOUNT 4,598.50 0,00 $0.oo 1 $4,598.50 ACORD• CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 8/2/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), 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 Affinlo/i Insurance Services, Inc. CONTACT SERVPRO Franchisee Insurance Center NAME: SER PRO Franchisee Insurance Center PHONE 866-231-2006 I FAX 800-567-4028 1100 Vir~nia Drive, Suite 250 •11.1r Nn c.,,-\. fA/C No\: E-MAIL RRRGlnsurance(@aon.com Fort Was ington, PA 19034 ADDRESS: INSURER($) AFFORDING COVERAGE NAIC# LIC#: CA 0795465 -PA 14210 INSURER A: Restoration Risk Retention GrouD 12209 INSURED INSURERS: National Union Fire Insurance ComDanv 19445 Eden & Mark Enterprises INSURERC: Nationwide Mutual Fire Insurance Comoanv 23779 2540 Pioneer Ave Vista CA 92081 INSURER D: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER· 43464929 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ,.,~n ,.vun POLICY NUMBER fMM/DD/YYYY\ fMM/DD/YYYY\ LIMITS A _,!_ COMMERCIAL GENERAL LIABILITY I RGL050036 3/30/2018 3/30/2019 EACH OCCURRENCE $$2 000 000 D CLAIMS-MADE c:J OCCUR DAMAGE TO RENTED -PREMISES fEa occurrence\ $$100,000 MED EXP (Any one person) $$5 000 - PERSONAL & ADV INJURY -$$2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ $3,000,000 ~ DPRO-DLOC PRODUCTS -COMP/OP AGG $$3 000,000 POLICY JECT OTHER: Deductible $$1 000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ fEa accident\ -ANY AUTO BODILY INJURY (Per person) $ --OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ --HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY I Per accident\ $ --$ B UMBRELLA LIAB HOCCUR EBU 014229457 3/30/2018 3/30/2019 EACH OCCURRENCE $2 000 000 I EXCESS LIAB CLAIMS-MADE AGGREGATE $2 000 000 OED I I RETENTION$ $ WORKERS COMPENSATION I ~ffTUTE I I OTH- AND EMPLOYERS' LIABILITY ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE D N/A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ If yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A CPL (Deductible: $1,500) RPU050209 8/17/2017 8/17/2018 PER OCC: $2,000,000 AGG: $3,000,000 A Limited Service & Repair Liability RLS050689 1/1/2018 1/1/2019 PER OCC: $250,000 AGG: $250,000 C Bailees CIM 3027660328 3/31/2018 3/31/2019 $250,000 ($2,500 Ded} DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) dba Servpro of Carlsbad City of Carlsbad/CMWD is an additional insured. Additional insured where required by written contract for General Liability and Pollution Liability. This includes ongoing and completed operations and waiver of subrogation. This coverage is primary and non-contributory CERTIFICATE HOLDER CANCELLATION City of Carlsbad/CMWD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN c/o EXIGIS Insurance Compliance Services ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 4668-ECM #35050 New York NY 10163-4668 AUTHORIZED REPRESENTATIVE !1/)t/)'.L t~cr I Anne Cassidy © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 43464929 \ 8724 I 17/18 GL POLL MPL LSRL I George Tol1.s I 8/2/2018 7:54:10 AM (EDT) I Page 1 of 9 This certificate cancels and supersedes ALL previously issued certificates. v RGL050036 8/2/2018 COMMERCIAL GENERAL LIABILITY RGL 2018 01/16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS-AUTOMATIC STATUS WHEN REQUIRED IN DISASTER, WATER OR FIRE REMEDIATION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) Or Organizations(s): Location And Description of Ongoing Operations: Where required by contract including but not limited Any site where work is performed by the named to entities identified on certificate of insurance insured or on behalf of the named insured 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 include as an additional insured any person or organization for whom you are performing disaster, water or fire remediation operations when you and such person or organization have agreed in writing 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. 8. 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, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. RGL 2018 01/16 Page 1 of 2 43464929 I 8724 I 17/18 GL POLL MPL LSRL I George Tolis I 8/2/2018 7:54:10 AM (EDT) I Page 2 of 9 This certi:"icate cancels and supersedes ALL previously issued certificates. COMMERCIAL GENERAL LIABILITY RGL 2018 01/16 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 injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged I performing operations for a principal as a part of the same project. C. COMMERCIAL GENERAL LIABILITY CONDITIONS -Duties In The Event of Occurrence, Offense, Claim or Suit (Section IV.2) is amended to add the following: e. An additional insured under this endorsement will as soon as practicable: (1) Give written notice of an occurrence or an offense to us which may result in a claim or "suit" under this insurance; (2) Tender the defense and indemnity of any claim or "suit" to us for a loss we cover under this Coverage Part; (3) Tender the defense and indemnity of any claim or "suit" to any other insurer which also has insurance for a loss we cover under this Coverage Part; and (4) Agree to make available any other insurance, which the additional insured has for a loss we cover under this Coverage Part. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a claim or "suit" from the additional insured. D. COMMERCIAL GENERAL LIABILITY CONDITIONS -Other Insurance (Section IV.4) are deleted and replaced with the following: a. This insurance is excess over any other insurance naming the additional insured as an insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance be either primary or primary and noncontributing to the additional insured's own coverage. This insurance is excess over any other insurance to which the additional insured has been added as an additional insured by endorsement. b. When this insurance is excess, we will have no duty under Coverages A or B to defend the additional insured against any "suit" if any other insurer has a duty to defend the additional insured against that "suit" If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured's rights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self-insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. RGL 2018 01/16 43464929 I 8724 I 17/18 GL POLL MPL LSRL I George Tolis I 8/2/2018 7,54,10 AM (EDT) I Page 3 of 9 This certificate cancels and supersedes ALL previously issued certificates. Page 2 of 2 RGL050036 COMMERCIAL GENERAL LIABILITY CG20370413 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 Organizations(s): Location And Description of Completed Operations: Where required by contract including but not limited Any site where work is performed by the named to entities identified on certificate of insurance insured or on behalf of the named insured 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 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 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. CG 20 37 0413 © Insurance Services Office, Inc., 2012 43464929 I 8724 I 17/18 GL POLL MPL LSRL I Georg':' Tolis I 8/2/2018,7;54:10 AM (EDT) I Page 4 of 9 This certificate cancels and supersedes ALL previously issued certificates. Page 1 of 1 RGL050036 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY INSURANCE PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Where required by contract including but not limited to entities identified on certificate of insurance Information required to complete this Schedule, if not shown above, will be shown in Declarations The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 43464929 I 8724 I 17/18 GL POLL MPL LSRL I George Tolis I 8/2/2018 7:54:10 AM (EDT) I Page 5 of 9 This certificate cancels and supersedes A.!...L previously issued certificates. Page 1 of 1 RPU050209 POLLUTION LIABILITY RPU 3011 01/16 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: POLLUTION LIABILITY COVERAGE SCHEDULE Name Of Additional Insured Person(s) Or OrQanization(s): Location(s) Of Covered Operations Where required by contract including but not limited to Any site where work is performed by the named entities identified on certificate of insurance insured or on behalf of the named insured 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 include as an additional insured the person(s) or organiza- tion(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" 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. RPU 3011 0116 Includes copyrighted material of Insurance Services Office, Inc., with permission 43464929 I 8724 I 17/18 GL POLL MPL LSRL I Geo:::-ge Tol1s I 8/2/2018 7:54:10 AM (EDT) I Page 6 of 9 This ce:ctificate cancels and supersedes A~L previously issued certificates. Page 1 of 2 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. POLLUTION LIABILITY CONDITIONS -Other Insurance (Section IV.4) are deleted and replaced with the following: a. This insurance is excess over any other insurance naming the additional insured as an insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance be either primary or primary and noncontributing to the additional insured's own coverage. This insurance is excess over any other insurance to which the additional insured has been added as an additional insured by endorse- ment. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provi- sion and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Cov- erage Part. RPU 3011 01 16 Includes copyrighted material of Insurance Services Office, Inc., with permission 43464929 I 8724 I 17/18 GL POLL MPL LSRL I George Tolis I 8/2/2018 7:54:10 AM (EDT) I Page 7 of 9 This certificate cancels and supersedes ALL previously issued certificates. Page 2 of 2 RPU050209 POLLUTION LIABILITY RPU 3012 08 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: POLLUTION LIABILITY COVERAGE FORM SCHEDULE Name of Additional Insured Person(s) Or Organizations(s): Location And Description of Completed Operations: Where required by contract including but not limited to Any site where work is performed by the named in- entities identified on certificate of insurance sured or on behalf of the named insured 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 include as an additional insured the person(s) or organiza- tion(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 endorse- ment 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 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. RPU 3012 0813 Includes copyrighted material of Insurance Services Office, Inc., with permission 43464929 I 8724 I 17/18 GL POLL MPL LSRL I George Tolis I 8/2/2018 7:54:10 AM (E:)T) I Page 8 of 9 This certificate cancels and supersedes ALL previously issued certificates. Page 1 of 1 RPU050209 POLLUTION LIABILITY RPU 3016 01 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: POLLUTION LIABILITY COVERAGE FORM SCHEDULE Name of Person or Organization: Where required by contract including but not limited to entities identified on certificate of insurance Information required to complete this Schedule, if not shown above, will be shown in Declarations The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization. This waiver applies only to the person or organization shown in the Schedule above. RPU 3016 0116 Includes copyrighted material of © Insurance Services Office, Inc., 2008 43164929 I 8724 I 17/18 GL PO:T...L MPL LSRL I Geo!'."ge Tolis I 8/2/2018 7:54:10 AM (EDT) I Page 9 of 9 This certificate cancels and supersedes ALL previously issued certificates. Page 1 of 1 ACORD• CERTIFICATE OF LIABILITY INSURANCE I DA TE (MMIDD/YYYY) ~ 08/02/2018 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 CONSTfTUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDmONAL.INSURED, the pollcy(ies) must 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(&). PRooucER Andre Padilla -State Farm Agent ~x;,e7'°' Andre Padilla 777 W Vista Way rl'~ ~~,. 7M-726.??R? If~ .,_,, 7fin_,--" StateFann Building B i=ss, ANDRE®ANDREPAOILLACOM A, Vista, CA 92083 IN8URERISI AFFORDING COVERAGI! NAICI INSURER A: State Farm Mutual Automobile Insurance Com=nv ......... INSURED Eden & Mark Enterprises INSURERS: DBA-Servpro of Carlsbad INSURERC: 2540 Pioneer Avenue INSURERD: Vista, CA 92081 INSURERE: INSURERF: 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. 1~: TYPE OF INSURANCE ··--·--POLICYEFF POlJCYEXP UMrrS POLICY NUMBER ,. GENERAL LIABILITY EACH OCCURRENCE s ,__ PREMISeJ'i'~ce' COMMERCIAL GENERAL LIABILITY s ,___ D CLAIMS-MADE D OCCUR MED EXP (Arrv one person) s ,___ ..__ PERSONAL & ADV INJURY $ ,__ GENERAL AGGREGATE s GEN'l AGGREGATE LIMIT APPLIES PER: PROOUCTS. COMP/OP AGG $ n POLICY r1 ~ n LOC $ A AUTOMOBILE LIABILITY y ~=~tf"NGLE LIM11 $ ~ AHYAUTO 444 6793-A05-55 06/0512018 01/05/2019 BODILY INJURY (Per person) s 1,000,000 ,___ X =ULED ALL OWNED BOOIL Y INJURY (Per accident) $ 1,000,000 AUTOS 444 6794-A0S-55 06/0512018 01/05/2019 ,___ >--NON-OWNED j;,R~1~GE HIRED AUTOS AUTOS $ 1,000,000 ,___ ,__ Medical Payments $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ ,___ EXCESS LIAS CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ s WORKERS COMf'EMSATION IT~I~'Wsl jOJ~ AND EMPLOYERS' LIABIUTY y / N ANY PROPRIETOR/PARTNER/EXECUTIVE D -E.L. EACH ACCIDENT $ OFFICE/MEMBER EXCLUDED? N/A E.L. DISEASE· EA EMPLOYEE $ (Mandn,,y In NH) ,___ If yes, desatbe ~~ E.L. DISEASE -POLICY LIMIT s A COMPREHENSIVE DEDUCTIBLE S250 COLLISION DEDUCITBLE $500 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, Additlonal Remarb -., If more._ Is required) This general Auto Policy covers Pol.# 444 6793-AOS-55, 2014 Ford E250 Econoline Van, VIN# 1FTNE2EW2EDA63780; Pol.# 444 6794-AOS-55, 2012 Ford E250 Econoline Van, VIN# 1FTNE3EW1CDA84553: CERTIFICATE HOLDER City of Carlsbad c/o EXIGIS Risk Management Services P.O.Box 4668 -ECM #35050 New York, NY 10163-4668 CANCELLATION ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.8 01-23-2013 ACORD• CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY) ~ 08/02/2018 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 pollcy(ies) must 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 endorsemant(s). PRODucER Andre Padilla -State Farm Agent !:;~~CT Andre Padilla 777 W Vista Way r.H,9N,.t ~-••· 760. ---IF~ NA•· 7c,n_,----- Starenrm Building B ~~~ ..... ANDRE®ANDREPADILLA.COM A Vista, CA 92083 INSU'"'•'Sl AFFORDING COVERAGE NAICII INSURER A: State Farm Mutual Automobile Insurance Com=nv ,517A INSURED Eden & Mark Enterprises INSURER B: OBA-Servpro of Carlsbad INSURERC: 2540 Pioneer Avenue INSURERD: Vista, CA 92081 INSURER E: INSURERF: 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. ~ TYPE OF INSURANCE POLICYEFF POLICYEXP ..... ......., POLICY NUMBER GENl!:RAL LIABILITY 1-- 1--COMMERCIAL GENERAL LIABILITY D CLAIMS-MADE D OCCUR 1-- I-- n'L AGGREnE LIMIT A~t PER: POLICY P,fRi LOC A AUTOMOBILE LIABILllY y ENOL 426 8372-003-55 04/03/2017 10/03/2018 '--ANY AUTO 1--ALL OWNED -SCHEDULED '"-AUTOS >--AUTOS 15.. Ji NON-OWNED HIRED AUTOS AUTOS UMBRELLA LIAS HOCCUR . 1-- EXCESSUAB CLAJMs-MAOE DED I I RETENTION s WORKERS COMPENSATION AND EMPLOYERS" LIABILITY y / N -ANY PROPRIETOR/PARTNER/EXECUTNE D OFFICE/MEMBER EXCLUDED? N/A (Mandatory In NH) ...__ ff yes, deaalbe ~i!1• 'L •••• A COMPREHENSIVE DEDUCTIBLE $250 COLLISION OEOUCITBLE $500 DESCRIPTION OF 01'£RATIONS /LOCATIONS/ VEtflCLl:S (Altac:11 ACORD 101, Addition11I R-S~le. If more ap-la required) Employers Non-Owned Liability Policy# 426 8372-003-55 which provides $1,000,000 Liability coverage. CERTIFICATE HOLDER City of Carlsbad c/o EXIGIS Risk Management Services P.O.Box 4668 -ECM #35050 New York, NY 10163-4668 CANCELLATION LIIIITS EACH OCCURRENCE s PREMaseJ'tE~' $ MED EXP (Any one penian) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS • COMP/OP AGG s $ fi:~=l~IM>LE uMIT $ 1,000,000 BOOIL Y INJURY (Per per$00) $ B00U. Y INJURY (Per accident) $ . i~~~t?AMAGE $ Medical Payments $ EACH OCCURRENCE $ AGGREGATE $ $ I WC STAT\J·. I I Tn<>v , , .. ,T,, jOJb'- E.L. EACH ACCIDENT s E.L. DISEASE . EA EMPLOYE• $ E.L. DISEASE· POLICY LIMIT $ f-2-// © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.8 01-23-2013 --------------· .. ·---··. SERVOFC-02 JZHANG ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 08/07/2018 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($), 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 License # 0757776 22ij!~cT Jennifer Domaoal HUB International Insurance Services Inc. rt8.Ntt Ext): (442) 244-6924 I FAX 1525 FaradaA Avenue, Suite 200 (A/C, No): Carlsbad, C 92008 i6'1D~~ss,jen.domaoal@hubinternational.com INSURERISl AFFORDING COVERAGE NAIC# INSURER A: ComoWest Insurance Comoanv 12177 INSURED INSURER B: Eden & Mark Enterprises INSURERC: dba Servpro of Carlsbad 2540 Pioneer Ave INSURER D: Vista, CA 92081-8410 INSURER E: 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. -~ 'rJ: TYPE OF INSURANCE ~.\'.P} ~f POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ~ D CLAIMS-MADE D OCCUR DAMAGE TO RENTED PREMISES /Ea occurrence\ $ ~· MED EXP (Anv one person) $ ~ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ Fl POLICY. D j'rg: D LOG PRODUCTS -COMP/OP AGG $ $ OTHER AUTOMOBILE LIABILITY YE~~~~~~~llNGLE LIMIT $ f--- ANY AUTO BODILY INJURY /Per oerson\ $ f----OWNED ~ SCHEDULED f----AUTOS ONLY ~ AUTOS BODIL y INJURY /Per accident\ $ HIRED ~8¥0~~1.~ f Ff..?~J'c\'ci~WAMAGE $ f---AUTOS ONLY f--- $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ ~ -~ EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION$ $ A WORKERS COMPENSATION XI ~ffTUTE I I OTH-AND EMPLOYERS' LIABILITY ER YIN X WCV-5501649-01 08/04/2018 08/04/2019 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE [Y] EL. EACH ACCIDENT $ al'FICER/MEMBER EXCLUDED? NIA 1,000,000 ( andatory In NH) E L. DISEASE -EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below EL. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Waiver of subrogation applies for Workers Compensation. All forms valid where required by written contract. 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 ACCORDANCE WITH THE POLICY PROVISIONS. c/o EXIGIS Insurance Compliance Services P.O. Box 4668 -ECM #35050 New York, NY 10163-4668 AUTHORIZED REPRESENTATIVE I ~ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 03 13 C (Ed. 7-09) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA We hove the right to recover our payments from onyonc lioblc for on 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 the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be $ 500 Schedule Any person or organization that you perform work for that is liable for an injury, covered by this policy, that prior to the injury has written contract requiring a waiver of our right to recover from them. Person or Organization Job Description This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 08/U/2018 Insured EDEN & MARK ENTERPRISES Insurance Company COMPWEST INSURANCE COMPANY WC 99 03 13 C (Ed. 7-09) Policy No wcv 5501 6"9-01 Endorsement No. 001 Countersigned by ___________ _