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HomeMy WebLinkAboutEngineering Partners Inc; 2018-12-17; PSA19-655TRANDocuSign Envelope ID: FD60B9E5-46B0-4EB6-945B-A8FCDD5E1E91 December 17th PSA 19-655TRAN AMENDMENT NO. 1 TO EXTEND THE AGREEMENT FOR ELECTRICAL SERVICE DESIGN FOR TEMPORARY FIRE STATION 2 ENGINEERING PARTNERS, INC. This Amendment No. 1 is entered into and effective as of the ___ day of ____________ , 2019, extending the agreement dated December 17, 2018 (the "Agreement") by and between the City of Carlsbad, a municipal corporation, ("City"), and Engineering Partners, Inc., ("Contractor") (collectively, the "Parties") for the provision of electrical service design for the temporary fire station 2 location. RECITALS A. The Parties desire to extend the Agreement for a period of 6 months. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contractor agree as follows: 1. The Agreement, as may have been amended from time to time, is hereby extended for a period of 6 months ending on June 23, 2020. 2. All other provisions of the Agreement, as may have been amended from time to time, shall remain in full force and effect. 3. All requisite insurance policies to be maintained by the Contractor pursuant to the Agreement, as may have been amended from time to time, shall include coverage for this Amendment. Ill Ill Ill Ill Ill I of2 City Attorney Approved Version 1/30/13 DocuSign Envelope ID: FD60B9E5-46B0-4EB6-945B-A8FCDD5E1E91 PSA 19-655TRAN 4. The individuals executing this Amendment and the instruments referenced 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 hereof of this Amendment. CONTRACTOR ENGINEERING PARTNERS, INC., A California corporation By ~ Matt Long, Vice President (print name/title) By: Romeo Flores, Secretary (print name/title) CITY OF CARLSBAD, a municipal corporation of the State of California By: Paz Gomez, Deputy City Manager, Public Works 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 Chairman, President, or Vice-President Group B Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation !llYfil 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: CELIAA. BREWER, City Attorney BY: ___ B_l\\~-~-~~-- Deputy City Attorney City Attorney Approved Version 1/30/13 2 of2 DocuSign Envelope ID: FD60B9E5-46B0-4EB6-945B-A8FCDD5E1E91 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed \he document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Diego On December 6, 2019 Date before me, Jacquelynne A. Davis, Notary Public Here lnserl Name and Title of the Officer personally appeared ___ M_att_Lo_n~g:__ ______________________ _ Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(sr whose name('S}-is/are-- subscribed to the within instrument and acknowledged to me that hefsAeA~~ey executed the same in hisA:ierftheir authorized capacity(tes), and that by his/1:ierftheir signature(st on the instrument the person(~. or the entity upon behalf of which the person(s) acted, executed the instrument. Place Notary Seal Above I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signatur,-.Jora ;.&Ll-vrJ&U lltu l.,u.,./' r ~re of Notary Public ----------------OPTIONAL---------------- Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to a.n unintended document. Description of Attached Document Title or Type of Document: _________ Document Date: _______ _ Number of Pages: ___ Signer(s) Other Than Named Above: ____________ _ Capacity(ies} Claimed by Signer(s) Signer's Name: ___________ _ Signer's Name: ___________ _ i · Corporate Officer -Title(s): ______ _ -Corporate Officer -Title(s): ______ _ l Partner -; Limited i General Partner -, . Limited , General · ·. Individual · ; Attorney in Fact Individual :-·: Attorney in Fact . Trustee : ! Guardian or Conservator Trustee '. 'Guardian or Conservator : : Other: ________ _ Other: _____________ _ Signer Is Representing: ________ _ Signer Is Representing: ________ _ 'C'Z(,~~,(;,Y~'C(.:<.:(,~~..(,Vi(,"C(,'<'..(,"'C(,'"C(,"g,"C(,'C(,"=C (,;<.:<,•<.:.(;<;,<;<;;<,"',:(,"C(,'<,Cf.X,"C(,~'<;(,".;.(;"<;(,,'C(,'(.:(..='<;,<;,"i-l<,~~~'(,"G,C< ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-BD0-876-6827) Item #5907 DocuSign Envelope ID: FD60B9E5-46B0-4EB6-945B-A8FCDD5E1E91 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Diego on December 6, 2019 Date before me, Jacquelynne A. Davis, Notary Public Here Insert Name and Title of the Officer personally appeared __ R_o_m_e_o_F_lo_r_es _______________________ _ Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person~ whose name{s)-is/are- subscribed to the within instrument and acknowledged to me that he/s~ executed the same in hisitlertthelr authorized capacity(iea), and that by his/~r signature($) on the instrument the person(sr, or the entity upon behalf of which the person(s) acted, executed the instrument. Place Notary Seal Above I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. SignaturLlCAP.aktP ... ~~l {l~CV-v· --v Signalureof Notary Public ---------------oPTIONAi --------------- 1hough this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: __________ Document Date: _______ _ Number of Pages: ___ Signer(s) Other Than Named Above: ___________ _ Capacity(ies) Claimed by Signer(s) Signer's Name: ___________ _ Signer's Name: ___________ _ ::; Corporate Officer -Title(s): ______ _ Corporate Officer -Title(s): ______ _ Partner -· Limited I General Partner -I I Limited I ! General Individual .• Attorney in Fact Individual r.· ; Attorney in Fact Trustee f i Guardian or Conservator Trustee i l Guardian or Conservator Other: ________ _ . Other: _____________ _ Signer Is Representing: ________ _ Signer Is Representing: ________ _ ------------- l(,~~~'C(,~~~,(,'<!>(,'<·,0:,"9<:,~"<.:c<;,;(;C(,"<:<.,-o<,~-c(,~-C,,,'<.'.'(,~~"<=<,~-<;<,'C(,.'C;(;C(,V:,(,'<;,(,"9<,'<"-(,~~'<X,= ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS PERSTATUTE OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe underDESCRIPTION OF OPERATIONS below (Mandatory in NH)OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNEDAUTOSAUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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 THISCERTIFICATE 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. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: 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 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3/28/2019 Cavignac &Associates450BStreet,Suite 1800SanDiegoCA92101 Certificate Department 619-744-0574 619-234-8601 certificates@cavignac.com Travelers Property Casualty Company of America 25674 ENGIPAR-01 Berkley Insurance Company 32603TheEngineeringPartners,Inc.9565 Waples St.Suite 100SanDiegoCA92121 Trumbull Insurance Company 610708021 A X 1,000,000 X 1,000,000 X Contractual Liab 10,000 X Cross Liab 1,000,000 2,000,000 X X Y 6809H389803 4/1/2019 4/1/2020 2,000,000 A 1,000,000 X XX X NoOwnedAutos BA4E25379A 4/1/2019 4/1/2020 A X X 3,000,000 0 CUP4E617195 X 3,000,000 4/1/2019 4/1/2020 C Y 72WEGVK8966 4/1/2019 4/1/2020 X 1,000,000 1,000,000 1,000,000 B ProfessionalLiability AEC902853502 4/1/2019 4/1/2020 Ea ClaimAggregate $3,000,000$5,000,000 Re:Agreement Number :PSA19-655TRAN,Electrical Service Design for Temporary Fire Station 2 Location at Dove Library.Additional Insured coverageappliestoGeneralLiabilityforCityofCarlsbad/CMWD per policy form.Waiver of subrogation applies to Workers Compensation per policy form.Excess/Umbrella policy follows form over underlying policies:General Liability,Auto Liability &Employers Liability (additional insured and waiver of subrogationapply).Professional Liability -Claims made form,defense costs included within limit.If the insurance company elects to cancel or non-renew coverage for anyreasonotherthannonpaymentofpremiumCavignac&Associates will provide 30 days notice of such cancellation or nonrenewal. City of Carlsbad/CMWDc/o EXIGIS Insurance Compliance ServicesP.O.Box 4668 -ECM #35050NewYorkNY10163-4668                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. Countersigned by Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date:02/20/19 Policy Expiration Date:04/01/20 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number:72 WEG VK8966 Endorsement Number: Effective Date:04/01/19 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address:THE ENGINEERING PARTNERS, INC 9565 WAPLES ST SAN DIEGO CA 92121 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 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 2 %of the California workers'compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights from us PSA 19-655TRAN AGREEMENT FOR ELECTRICAL SERVICE DESIGN FOR TEMPORARY FIRE STATION 2 LOCATION AT DOVE LIBRARY ENGINEERING PARTNERS, INC. THIS AGREEMENT is made and entered into as of the { 7 fn day of Deccm be C , 2018, by and between the CITY OF CARLSBAD, a municipal corporation, ("City"}, and ENGINEERING PARTNERS, INC., a California corporation, ("Contractor"). RECITALS City requires the professional services of an electrical engineering design consultant that is experienced in electrical engineering design for temporary services. Contractor has the necessary experience in providing these professional services, has submitted a proposal to City and has affirmed its willingness and ability to perform such work. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contractor agree as follows: 1. SCOPE OF WORK City retains Contractor to perform, and Contractor agrees to render, those services (the "Services") that are defined in Exhibit "A", attached and incorporated by this reference in accordance with the terms and conditions set forth in this Agreement. 2. TERM This Agreement will be effective for a period of one (1) year from the date first above written. 3. COMPENSATION The total fee payable for the Services to be performed will be five thousand three hundred dollars ($5,300). No other compensation for the Services will be allowed except for items covered by subsequent amendments to this Agreement. 4. STATUS OF CONTRACTOR Contractor will perform the Services as an independent contractor and in pursuit of Contractor's independent calling, and not as an employee of City. Contractor will be under the control of City only as to the results to be accomplished. 5. INDEMNIFICATION Contractor agrees to indemnify and hold harmless the City and its officers, officials, employees and volunteers from and against all claims, damages, losses and expenses including attorneys fees arising out of the performance of the work described herein caused by any negligence, recklessness, or willful misconduct of the Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. The parties expressly agree that any payment, attorney's fee, costs or expense City incurs or makes to or on behalf of an injured employee under the City's self-administered workers' City Attorney Approved Version 6/12/18 PSA 19-655TRAN compensation is included as a loss, expense or cost for the purposes of this section, and that this section will survive the expiration or early termination of this Agreement. 6. INSURANCE Contractor will obtain and maintain policies of commercial general liability insurance, automobile liability insurance, a combined policy of workers' compensation, employers liability insurance, and professional liability insurance from an insurance company authorized to transact the business of insurance in the State of California which has 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, in an amount of not less than one million dollars ($1,000,000) each, unless otherwise authorized and approved by the Risk Manager or the City Manager. Contractor will obtain occurrence coverage, excluding Professional Liability, which will be written as claims- made coverage. The insurance will be in force during the life of this Agreement and will not be canceled without thirty (30) days prior written notice to the City by certified mail. City will be named as an additional insured on General Liability which shall provide primary coverage to the City. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. Contractor will furnish certificates of insurance to the Contract Department, with endorsements to City prior to City's execution of this Agreement. 7. NOTICES The name of the persons who are authorized to give written notice or to receive written notice on behalf of City and on behalf of Contractor under this Agreement. For City Name Steven Stewart Title Municipal Projects Manager Department Public Works City of Carlsbad Address 1635 Faraday Av Carlsbad, CA 92008 Phone No. 760-602-7543 For Contractor Name Bobby Eugenio Title Project Manager Address 9565 Waples Street, Ste 100 San Diego, California 92121 Phone No. 858-824-1761 Email bobby@engi neering partners. com Each party will notify the other immediately of any changes of address that would require any notice or delivery to be directed to another address. 8. CONFLICT OF INTEREST Contractor shall file a Conflict of Interest Statement with the City Clerk in accordance with the requirements of the City of Carlsbad Conflict of Interest Code. The Contractor shall report investments or interests in all categories. Yes • No[i] 9. COMPLIANCE WITH LAWS Contractor will comply with all applicable local, state and federal laws and regulations prohibiting City Attorney Approved Version 6/12/18 2 PSA 19-655TRAN discrimination and harassment and will obtain and maintain a City of Carlsbad Business License for the term of this Agreement. 10. TERMINATION City or Contractor may terminate this Agreement at any time after a discussion, and written notice to the other party. City will pay Contractor's costs for services delivered up to the time of termination, if the services have been delivered in accordance with the Agreement. 11. CLAIMS AND LAWSUITS By signing this Agreement, Contractor agrees it 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. Contractor further acknowledges that debarment by another jurisdiction is grounds for the City of Carlsbad to terminate this Agreement. 12. JURISDICTIONS AND VENUE Contractor agrees and stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this Agreement is the State Superior Court, San Diego County, California. 13. ASSIGNMENT Contractor may assign neither this Agreement nor any part of it, nor any monies due or to become due under it, without the prior written consent of City. 14. AMENDMENTS This Agreement may be amended by mutual consent of City and Contractor. Any amendment will be in writing, signed by both parties, with a statement of estimated changes in charges or time schedule. II II II II II II II II II II II 3 City Attorney Approved Version 6112118 PSA 19-655TRAN 15. 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 ENGINEERING PARTNERS, INC., a California corporati By: By: Matt Long -Vice-President (print name/title) (sign here) Flores -Secretary (print name/title) CITY OF CARLSBAD, a municipal corporation of the State of California 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. 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: CELIA A. BREWER, City Attorney City Attorney Approved Version 6112118 4 PSA 19-655TRAN EXHIBIT "A" SCOPE OF SERVICES I. SCOPE OF WORK Provide electrical drawings for the following: 1. Provide drawings for temporary service for Fire Station #2, includes single line and site plan. 2. Coordinate with SDG&E, Cox, AT&T service points. 3. Provide calculations and prepare single line diagram and coordinate service requirements with SDG&E. 4. Coordinate with portable trailer manufacturer for electrical, tel/data, and fire alarm requirements. EPI will provide pathways for power, tel/data, and fire alarm to portable trailers. 5. Provide emergency backup power (diesel generator) for trailers/site design. II. FEES Description of Work: Total: Coordinate with SDG&E, Cox, and AT&T $1,500 Plan Check Drawings $3,000 Final Design $500 Construction Administration $300 Total $5,300 City Attorney Approved Version 6/12/18 5 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 • A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of _s_a_n_D_i_eg_o _________ _ 0 November 5, 2018 Jacquelynne A. Davis, Notary Public n ___________ before me, _____________________ _ Date Here Insert Name and Title of the Officer personally appeared ___ M_a_tt_L_o_n_g ________________________ _ Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the per~n~ whose name(.s{ is/a,PE( subscribed to the within instrumel)t and acknowledged to me that he/speltt)iy executed the same in his!~¢1'tp6 authorized capacity(i~), and that b,Y his/t),e'f/tl:ie1r signature(4 on the instrument the person~. or the entity upon behalf of which the person\.¢) acted, executed the instrument. JACOUELYNNE A. DAVIS Commission II 2127003 Notary Pubhc -C111torni1 San Diego Countr M Comm. E lrn Oct 15 201t Place Notary Seal Above . I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signatur (75'v.._,,, ----------------OPTIONAL---------------- Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: _____________ Document Date: _______ _ Number of Pages: ___ Signer(s) Other Than Named Above: ____________ _ Capacity(ies) Claimed by Signer(s) Signer's Name: ____________ _ Signer's Name: ____________ _ Corporate Officer -Title(s): ______ _ Corporate Officer -Title(s): _____ _ Partner -Limited General Partner -Limited General Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other: ______________ _ Other: ______________ _ Signer Is Representing: _________ _ Signer Is Representing: _________ _ .l(;)Gl· ~~~~~~~~~~~~~~~~~~~~~~~~!W'!~~~§l'ill'!i~~~~~~~ ©2014 National Notary Association• www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 • A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of _s_a_n_D_i_eg_o _________ _ On ___ N_o_v_e_m_b_e_r _5,_2_0_1_8 __ before me, __ J_a_cq_u_e_ly_n_n_e_A_._D_a_v_is_, N_o_t_a_ry_P_u_b_lic ________ _ Date Here Insert Name and Title of the Officer Romeo Flores personally appeared ------------------------------- Name(s) of Signer(s) ---------------------------------------' who proved to me on the basis of satisfactory evidence to be the person~ whose name(~s/a✓ subscr!bed to the within instrument and acknowledgep to me that he/she/they executed the same in his/l)er/t')e'tr authorized capacity(i~). and that by his/h,er/the] r signature~ on the instrument the person(!), or the entity upon behalf of which the person(,ii) acted, executed the instrument. Com1ni,sion II 2127003 !MIi i Pubht . Calltornla san Diego County Mv comm. £1111111 Oct 15. 2011 Place Notary Seal Above I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ----------------oPTIONAL---------------- Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: _____________ Document Date: _______ _ Number of Pages: ___ Signer(s) Other Than Named Above: ____________ _ Capacity(ies) Claimed by Signer(s) Signer's Name: ____________ _ Corporate Officer - Title(s): ______ _ Partner -Limited General Individual Trustee Attorney in Fact Guardian or Conservator Other: _____________ _ Signer Is Representing: _________ _ Signer's Name: ____________ _ Corporate Officer -Title(s): ______ _ Partner -Limited General Individual Attorney in Fact Trustee Guardian or Conservator Other: ______________ _ Signer Is Representing: _________ _ ©2014 National Notary Association• www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 A~RD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) 11/7/2018 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 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 ~2:I~cr Certificate Department Cavignac & Associates rlJgN~o Extl: 619-744-0574 I FAX 450 B Street, Suite 1800 IA/C Nol: 619-234-8601 San Diego CA 92101 i~lJ~ss: certificates@cavignac.com INSURER(Sl AFFORDING COVERAGE NAIC# INSURER A : Travelers Property & Casualty Company of America 25674 INSURED ENGIPAR-01 INSURER B: Hartford Ins Co of the Midwest 37478 The Engineering Partners, Inc. INSURERC: Berkley Insurance Company 32603 9565 Waples St. Suite 100 INSURER D : Travelers Indemnity Co of Conn San Diego CA 92121 25682 INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER: 9467658 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 TYPE OF INSURANCE ADDL SUBR ,;gl55~l l~gl55~l LIMITS LTR •••~n ,,.n,n POLICY NUMBER A X COMMERCIAL GENERAL LIABILITY y 6809H389803 4/1/2018 4/1/2019 EACH OCCURRENCE $1,000,000 f---------0 CLAIMS-MADE 0 OCCUR ~~~~~iJYE~~~~ncel f---------$1,000,000 X f---------Contractual Liab MED EXP (Any one person) $10,000 ~ Crossliab PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 Fl [8_JPRO-[8]Loc PRODUCTS -COMP/OP AGG $2,000,000 POLICY JECT OTHER: $ D AUTOMOBILE LIABILITY BA4E25379A 4/1/2018 4/1/2019 COMBINED SINGLE LIMIT $ 1000000 /Ea accident\ f--------- ANY AUTO BODILY INJURY (Per person) $ f---------ALL OWNED ~ SCHEDULED BODILY INJURY (Per accident) $ f---------AUTOS ~ AUTOS X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS /Per accident\ f--------- X NoOWnedAutos $ A X UMBRELLA LIAB M OCCUR CUP4E617195 4/1/2018 4/1/2019 EACH OCCURRENCE $3,000,000 -- EXCESSLIAB CLAIMS-MADE AGGREGATE $3,000,000 / DED I X I RETENTION$ n $ B WORKERS COMPENSATION y 72WEGVK8966 4/1/2018 4/1/2019 X I ~f:ruTE I I OTH- AND EMPLOYERS" LIABILITY ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ~ NIA E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE -EA EMPLOYEE $1,000,000 ~~ii~r~~ i~'6PERATIONS below E L. DISEASE -POLICY LIMIT $1,000,000 C Professional Liability AEC901988001 4/1/2018 4/1/2019 Ea Claim $2,000,000 Aggregate $4,000,000 I DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached If more space Is required) Re: Agreement Number: PSA 19-655TRAN, Electrical Service Design for Temporary Fire Station 2 Location at Dove library. Additional Insured coverage applies to General liability for City of Carlsbad/CMWD per policy form. Waiver of subrogation applies to Workers Compensation per policy form. Excess/Umbrella policy follows form over underlying policies: General liability, Auto liability & Employers liability (additional insured and waiver of subrogation apply). Professional liability -Claims made form, defense costs included within limit. If the insurance company elects to cancel or non-renew coverage for any reason other than nonpayment of premium Cavignac & Associates will provide 30 days notice of such cancellation or nonrenewal. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Carlsbad/CMWD ACCORDANCE WITH THE POLICY PROVISIONS. c/o EXIGIS Insurance Compliance Services P.O. Box 4668 -ECM #35050 AUTHORIZED REPRESENTATIVE New York NY 10163-4668 ~ I © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD • Policy: 6809H389803 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED {ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II -WHO IS AN INSURED: Any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Coverage Part, but: a. Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies, or in connection with premises owned by or rented to you. The person or organization does not qualify as an additional insured: c. With respect to the independent acts or omissions of such person or organization; or d. For "bodily injury", "property damage" or "personal injury" for which such person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: e. This insurance does not apply on any basis to any person or organization for which coverage as an additional insured specifically is added by another endorsement to this Coverage Part. f. This insurance does not apply to the rendering of or failure to render any "professional services". g. In the event that the Limits of Insurance of the Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the insurance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance". This endorsement does not increase the limits of insurance described in Section Ill - Limits Of Insurance. h. This insurance does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products- completed operations hazard" unless the "written contract requinng insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that occurs before the end of the period of time for which the "written contract requiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following is added to Paragraph 4.a. of SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover. However, if you specifically agree in the "written contract requiring insurance" that this insurance provided to the additional insured under this Coverage Part must apply on a primary basis or a primary and non-contributory basis, this insurance is primary to other insurance available to the additional insured which covers that person or organizations as a named insured for such loss, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have signed that "written contract requiring insurance". But this insurance provided to the additional insured still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under any other insurance. CG D3 81 0915 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its permission Policy: 6809H389803 COMMERCIAL GENERAL LIABILITY 3. The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS: We waive any right of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, done under a "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as part of the "written contract requiring insurance" with such person or organization signed by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. 4. The following definition is added to the DEFINITIONS Section: "Written contract requiring insurance" means that part of any written contract under which you are required to include a person or organization as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs and the "personal injury" is caused by an offense committed: a. After you have signed that written contract; b. While that part of the written contract is in effect; and c. Before the end of the policy period. Page 2 of 2 © 2015 The Travelers Indemnity Company. All rights reserved. CG DJ 81 0915 Includes the copyrighted material of Insurance Services Office, Inc., with its permission THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA Policy Number: 72 WEG VK8966 Endorsement Number: Effective Date: 04/01/18 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: THE ENGINEERING PARTNERS, INC 9565 WAPLES ST SAN DIEGO CA 92121 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 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 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by -----------,--,----,-----,-=------Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 02/20/18 Policy Expiration Date: 04/01 /19