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HomeMy WebLinkAboutFerandell Tennis Courts Inc; 2019-03-08; PKRC692Tracking#: CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT TENNIS COURT RESURFACE AT CARLSBAD HIGH SCHOOL; CONT. NO. PKRC692 This agreement is made on the il:fu..-1 day of ~~ , 20..lS_, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and Ferandell Tennis Courts, Inc. whose principal place of business is 2120 Jimmy Durante Blvd #102, Del Mar, CA 92014 (hereinafter called "Contractor"). City and Contractor agree as follows: DESCRIPTION OF WORK. Contractor shall perform all work specified in the Contract documents for the project described by these Contract Documents (hereinafter called "Project"). PROVISIONS OF LABOR AND MATERIALS. Contractor shall provide all labor, materials, tools, equipment, and personnel to perform the work specified by the Contract Documents unless excepted elsewhere in this Contract. CONTRACT DOCUMENTS. The Contract Documents consist of this Contract, exhibits to this Contract, Contractor's Proposal, the Plans and Specifications, the General Provisions, addendum(s) to said Plans and Specifications, and all proper amendments and changes made thereto in accordance with this Contract or the Plans and Specifications, all of which are incorporated herein by this reference. When in conflict, this Contract will supersede terms and conditions in the Contractor's proposal. LABOR. Contractor will employ only skilled workers and abide by all State laws and City of Carlsbad Ordinances governing labor. GUARANTEE. Contractor guarantees all labor and materials furnished and agrees to complete the Project in accordance with directions and subject to inspection approval and acceptance by: Temujin Matsubara (City Project Manager) WAGE RATES. The general prevailing rate of wages for each craft or type of worker needed to execute the Contract shall be those as determined by the Director of Industrial Relations pursuant to Sections 1770, 1773 and 1773.1 of the Labor Code. Pursuant to Section 1773.2 of the Labor Code, a current copy of the applicable wage rates is on file in the Office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all workers employed by him or her in execution of the Contract. Contractor shall be responsible for insuring compliance with provisions of section 1777.5 of the Labor Code and section 4100 et seq. of the Public Contracts Code, "Subletting and Subcontracting Fair Practices Act." The City Engineer is the City's "duly authorized officer" for the purposes of section 4107 and 4107.5. The provisions of Part 7, Chapter 1, of the Labor Code commencing with section 1720 shall apply to the Contract for work. A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, unless currently registered and qualified to perform public work pursuant to Section 1725.5. This project is subject to compliance monitoring and enforcement by the Department of Industrial Relations. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. TENNIS COURT RESURFACE AT CARLSBAD HIGH SCHOOL CONT. NO. PKRC692 Page 1 of 8 City Attorney Approved 9/27/2016 Tracking#: FALSE CLAIMS. Contractor hereby agrees that any contract claim submitted to the City must be asserted as part of the contract process as set forth in this agreement and not in anticipation of litigation or in conjunction with litigation. Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act, provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of the information. The provisions of Carlsbad Municipal Code sections 3.32.025, 3.32.026, 3.32.027 and 3.32.028 pertaining to false claims are incorporated herein by reference. Contractor hereby acknowledges that the filing of a false claim may subject the Contractor to an administrative debarment proceeding wherein the ractor may be prevented from further bidding on public contracts for a period of up to five years al,)d th t d nt by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor s co from partic· , /)~ bidding. Signature: //f Print Name: _Paul Ferandell, VPres ______ _ REQUIRED INSURANCE. The successful contractor shall provide to the City of Carlsbad, a Certification of Commercial General Liability and Property Damage Insurance and a Certificate of Workers' Compensation Insurance indicating coverage in a form approved by the California Insurance Commission. The certificates shall indicate coverage during the period of the contract and must be furnished to the City prior to the start of work. The minimum limits of liability insurance are to be placed with California admitted insurers that have a current Best's Key Rating of not less than "A-:VI I"; OR with a surplus line insurer on the State of California's List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best's Key Rating Guide of at least "A:X"; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report. Commercial General Liability Insurance of Injuries including accidental death, to any one person in an amount not less than ........ $1,000,000 Subject to the same limit for each person on account of one accident in an amount not less than ·······$1,000,000 Property damage insurance in an amount of not less than ........ $1,000,000 Automobile Liability Insurance in the amount of $1,000,000 combined single limit per accident for bodily injury and property damage. In addition, the auto policy must cover any vehicle used in the performance of the contract, used onsite or offsite, whether owned, non-owned or hired, and whether scheduled or non- scheduled. The automobile insurance certificate must state the coverage is for "any auto" and cannot be limited in any manner. The above policies shall have non-cancellation clauses providing that thirty (30) days written notice shall be given to the City prior to such cancellation. The policies shall name the City of Carlsbad as an additional insured. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY. Workers' Compensation limits as required by the California Labor Code. Workers' Compensation will not be required if Contractor has no employees and provides, to City's satisfaction, a declaration stating this. BUSINESS LICENSE. The Contractor and all subcontractors are required to have and maintain a valid City of Carlsbad Business License for the duration of the contract. TENNIS COURT RESURFACE AT CARLSBAD HIGH SCHOOL CONT. NO. PKRC692 Page 2 of 8 City Attorney Approved 9/27/2016 Tracking#: INDEMNITY. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its officers and employees, from all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the performance of the Contract or work; or from any failure or alleged failure of Contractor to comply with any applicable law, rules or regulations including those related to safety and health; and from any and all claims, loss, damages, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by the Contract, except for loss or damage caused by the sole or active negligence or willful misconduct of the City. The expenses of defense include all costs and expenses including attorneys' fees for litigation, arbitration, or other dispute resolution method. JURISDICTION. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this agreement is San Diego County, California. Start Work: Contractor agrees to start within 15 working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within 45 working days after receipt of Notice to Proceed. CONTRACTOR'S INFORMATION. II II II II II II Ferandell Tennis Courts, Inc. (name of Contractor) 603945 (Contractor's license number) A & B, 10/31/2020 (license class. and exp. date) 1000004786 (DIR registration number) 6/30/2019 (DIR registration exp. date) TENNIS COURT RESURFACE AT CARLSBAD HIGH SCHOOL CONT. NO. PKRC692 Page 3 of 8 2120 Jimmy Durante Blvd #102 (street address) Del Mar, CA 92014 (city/state/zip) 858-350-3444 (telephone no.) 858-350-3488 (fax no.) manager@ferandelltenniscourts.com (e-mail address) City Attorney Approved 9/27/2016 Tracking#: 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. CITY OF CARLSBAD, a municipal corporation of the State of Ca · By: (print name/title) By: AytfT: (} ~ ~~, dt'.ffQ.i ·~-Mt~:il~_•_u~-w~~--___,__.,,,,__l'-c=_ ' (sign here) 7 BARBARA ENGLESON / Elaine Ferandell, Secty/Treas City Clerk (print name/title) If required by City, proper notarial acknowledgment of execution by Contractor must be attached. ~ 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 . ) ( BY: ___ _____.......__""--_ __.~.....+-- .l\esistant City Attorney C'-(/f'-' ·:i TENNIS COURT RESURFACE AT CARLSBAD HIGH SCHOOL CONT. NO. PKRC692 Page 4 of 8 City Attorney Approved 9/27/2016 Tracking#: EXHIBIT A LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR Set forth below is the full name and location of the place of business of each sub-contractor whom the Contractor proposes to subcontract portions of the Project in excess of one-half of one percent of the total bid, and the portion of the Project which will be done by each sub-contractor for each subcontract. NOTE: The Contractor understands that if it fails to specify a sub-contractor for any portion of the Project to be performed under the contract in excess of one-half of one percent of the bid, the contractor shall be deemed to have agreed to perform such portion, and that the Contractor shall not be permitted to sublet or subcontract that portion of the work, except in cases of public emergency or necessity, and then only after a finding, reduced in writing as a public record of the Awarding Authority, setting forth the facts constituting the emergency or necessity in accordance with the provisions of the Subletting and Subcontracting Fair Practices Act (Section 4100 et seq. of the California Public Contract Code). If no subcontractors are to be employed on the project, enter the word "NONE." SUBCONTRACTORS Portion of Project to Business Name and Address DIR Registration License No., % of be Subcontracted No. Classification & Total Expiration Date Contract court repair Baseline Tennis Court Surfacing & Supplies 1000032940 821263 (c32) 10% 3218 Azahar Pl. Carlsbad CA 92009 xn 6/30/19 Total% Subcontracted: 10% ------- The Contractor must perform no less than fifty percent (50%) of the work with its own forces. TENNIS COURT RESURFACE AT CARLSBAD HIGH SCHOOL CONT. NO. PKRC692 Page 5 of 8 City Attorney Approved 9/27/2016 EXHIBIT B SCOPE OF WORK Tracking#: Ferandell Tennis Courts, Inc. will furnish all materials, labor, equipment and services necessary to repair, resurface, and stripe nine (9) tennis courts at Carlsbad High School located at Basswood Avenue and Valley Street. The repair and resurfacing work will include play area as well as perimeter surfacing. Resurface • Waterblast, using a 3500 to 5000 PSI hydroblaster, or diamond grind existing surface to expose all surface spalls and pop-outs, clean out existing cracks, and remove any bubbling or peeling of existing surface • • • • • • • • • Patch all cracks, visible pop-outs and spalls, using court patch binder and grind or sand flush with slab Surface playing area with SportMaster Sport Surfaces acrylic system for true ball bounce Clean and prepare existing surface Apply acrylic concrete primer to all exposed concrete Apply one (1) coat of acrylic resurfacer, giving surface a smooth, even, and uniform finish Apply two (2) coats of sand filled acrylic color for court speed. Match existing color with SportMaster Sport Surfaces; light green (inside) and red (outside) Stripe court, utilizing white line primer for sharper edges per current USTA specifications No materials shall be applied if the surface temperature is below 50 degrees Fahrenheit, more than 140 degrees Fahrenheit, or when rain or high humidity is imminent Net posts will remain galvanized, not to be painted Agreement amount shall not exceed $59,950. TENNIS COURT RESURFACE AT CARLSBAD HIGH SCHOOL CONT. NO. PKRC692 Page 6 of 8 City Attorney Approved 9/27/2016 J, EXHIBIT C LABOR AND MATERIALS BOND Premium will be adjusted based on final contract price Tracking#: Bond No.: 10087351 Premium: $1,799.00 WHEREAS, the City Council of the City of Carlsbad, State of California, has awarded to Ferandell Tennis Courts, Inc. (hereinafter designated as the "Principal"), a Contract for: TENNIS COURT RESURFACE AT CARLSBAD HIGH SCHOOL CONTRACT NO. PKRC692 in the City of Carlsbad, in strict conformity with the drawings and specifications, and other Contract Documents now on file In the Office of the City Clerk of the City of Carlsbad and all of which are Incorporated herein by this reference. WHEREAS, Principal has executed or is about to execute said Contract and the terms thereof require the furnishing of a bond, providing that if Principal or any of its subcontractors shall fail to pay for any materials, provisions, provender or other supplies or teams used in, upon or about the performance of the work agreed to be done, or for any work or labor done thereon of any kind, the Surety on this bond will pay the same to the extent hereinafter set forth. NOW, THEREFORE, WE, Ferandell Tennis Courts, Inc., as Principal, (hereinafter designated as the "Contractor''), and Hudson Insurance Company as Surety, are held firmly bound unto the City of Carlsbad in the sum of fifty-nine thousand nine hundred fifty dollars ($59,950.00), said sum being an amount equal to: One hundred percent (100%) of the total amount payable under the terms of the Contract by the City of Carlsbad, and for which payment well and truly to be made we bind ourselves, our heirs, executors and administrators, successors, or assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if the Contractor or his/her subcontractors fail to pay for any materials, provisions, provender, supplies, or teams used in, upon, for, or about the performance of the work contracted to be done, or for any other work or labor thereon of any kind, consistent with California Civil Code section 9100, or for amounts due under the Unemployment Insurance Code with respect to the work or labor performed under this Contract, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of the contractor and subcontractors pursuant to section 13020 of the Unemployment Insurance Code with respect to the work and labor, that the Surety will pay for the same, and, also, in case suit is brought upon the bond, reasonable attorney's fees, to be fixed by the court consistent with California Civil Code section 9554. This bond shall inure to the benefit of any of the persons named in California Civil Code section 9100, so as to give a right of action to those persons or their assigns in any suit brought upon the bond. Surety stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract, or to the work to be performed hereunder or the specifications accompanying the same shall affect its obligations on this bond, and it does hereby waive notice of any change, extension of time, alterations or addition to the terms of the contract or to the work or to the specifications. TENNIS COURT RESURFACE AT CARLSBAD HIGH SCHOOL CONT. NO. PKRC692 Page 7 of8 City Attorney Approved 9/27/2016 Tracking#: In the event that Contractor is an individual, ii is agreed that the death of any such Contractor shall not exonerate the Surety from its obligations under this bond. By: {/j) fiuL, /:J"littJDEL L (title and organization of signatory) By: <e ~ dPAAWlde..Lf (sign here) ~-E~1r/,U£ F~t:t~J/ (print name here) fu,~a1f (title and organization of signatory) Executed by SURETY this __ 1_4t_h ___ day of February I 20...!2_, SURETY: Hudson Insurance Company (name of Surety) 23901 Calabasas Road, Ste. 1085, Calabasas, CA 91302 (address of Surety) 818-449-3116 (telephone number of Surety) By:½<~ (signature of Attorney-in-Fact) Cyndi Beilman, Attorney-in-Fact (printed name of Attorney-in-Fact) (attach corporate resolution showing current power of attorney) (Proper notarial acknowledgment of execution by CONTRACTOR and SURETY must be attached.) (President or vice-president and secretary or assistant secretary must sign for corporations. If only one officer signs, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering that officer to bind the corporation.) APPROVED AS TO FORM: CELIA A. BREWER City Attorney -1 By: (''L . ., Deputy City Attorney~ TENNIS COURT RESURFACE AT CARLSBAD HIGH SCHOOL CONT. NO. PKRC692 Page 8 of8 City Attorney Approved 9/27/2016 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT 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 __ F_e_b_ru_a_ry..._1_4'""", 2_0_1_9 __ before me, Dana L. Michaelis , Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared _C_y~n_d_i_B_e_il_m_a_n ________ ---,-,--.,....,....-=-=-.,....,...--------------Name(s) of Signer(s) < z z @ " , M DANA L. MICHAELIS Notary Public -California San Diego County ~ Comm1ss1on # 2155476 ~ Comm. Expires Jun 27_ 2020 Place Notary Seal Above who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/a,e: subscribed to the within instrument and acknowledged to me that Re/she/~ executed the same in hWher/thn-authorized capacity(~. and that by bti6/her/ttletr signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness n~ offic95•{\/J " A" • r \" Signature · -~ , H f u_e,b\..£l.i U,<.,]) Signature of Notary Pu~Dana L. Michaelis OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another 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: _____________ _ D Individual D Corporate Officer -Title(s): ________ _ D Partner D Limited D General ~ Attorney in Fact □ Trustee D Guardian or Conservator D Other: _______ _ Signer is Representing: RIGHT THUMBPRINT OF SIGNER Top of thumb here Signer's Name: _____________ _ D Individual D Corporate Officer -Title(s): ________ _ D Partner D Limited D General D Attorney in Fact D Trustee D Guardian or Conservator □ Other: ______ _ Signer is Representing: RIGHT THUMBPRINT OF SIGNER Top of thumb here Bond Number: 10087351 I-I l I [ )S()\j I \ ~', < i ') : ' POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That HUDSON INSURANCE COMPANY, a corporation of the State of Delaware, with offices at 100 William Street, New York, New York, 10038, has made, constituted and appointed, and by these presents, does make, constitute and appoint Cyndi Beilman of the State of CA its true and lawful Attomey(s)-in-Fact, at New York, New York, each of them alone to have full power to act without the other or others, to make, execute and deliver on its behalf, as Surety, bonds and undertakings given for any and all purposes, also to execute and deliver on its behalf as aforesaid renewals, extensions, agreements, waivers, consents or stipulations relating to such bonds or undertakings provided, however, that no single bond or undertaking shall obligate said Company for any portion of the penal sum thereof in excess of the sum of Fifty Nine Thousand Nine Hundred Fifty Dollars ($59,950.00) Such bonds and undertakings when duly executed by said Attomey(s)-in-Fact, shall be binding upon said Company as fully and to the same extent as if signed by the President of said Company under its corporate seal attested by its Secretary. In Witness Whereof, HUDSON INSURANCE COMPANY has caused these presents to be of its Senior Vice President thereunto duly authorized, on this .J.§.!!!__ day of November 20 _12__ at New York, New York. (Corporate seal) 1·· ( ';. I) . Attest. .. JV. !1K:':-:.(,a1.l'.'-::-'\, ........ . Dina Daskalakis Corporate Secretary STATE OF NEW YORK COUNTY OF NEW YORK. SS. HUDSON INSURANCE COMPANY I D / /}1;,~ .. --·, \ l._ /i By ........................... \ ......................... i . ..._ Michael P. Cifone Senior Vice President \j On the -1.§l!:!_ day of November , 20 ~ before me personally came Michael P. ifone to me known, who being by me duly sworn did depose and say that he is a Senior Vice President of HUDSON INSURANCE COMP ANY, the corporatio escribed herein and which executed the above instrument, that he knows the seal of said Corporation, that the seal affixed to said instrument is such corporate seal, th ffi d by order of the Board of Directors of said Corporation, and that he signed his name thereto by like order. (Notarial Seal) ,,,, .. , .. ,,,,,, ,,,,, ,,,,, ,,, "--~ N rv, ,,,, ,,' r~ . A ... ,~ ~ ······· ·"?'v ", ~ .·· 0 ··. ~-==-~ .· N ,-·. ~-:. : : . -1,<\ ·. :t:. = (/) : '-. ,-, : _/ : : -I : ~. .., ,._ : ---= -~ • V -\:.>. \ 8 uc --~ . . ;;: STA TE OF NEW YORK -::., 0.IC' ... · · · · .•. ~ ,,::: COUNTY OF NEW YORK ,,,,,,, 'Vs.vv yo-<f. ,,,----, ,,,,,,.,,, .. ,,\,,,,1,,\ Qualifie m u County Commission Expires December 10, 2021 CERTIFICATION The undersigned Dina Daskalakis hereby certifies: That the original resolution, of which the following is a true and correct copy, was duly adopted by unanimous written consent of the Board of Directors of Hudson Insurance Company dated July 27"', 2007, and has not since been revoked, amended or modified: "RESOL VEO, that the President, the Executive Vice Presidents, the Senior Vice Presidents and the Vice Presidents shall have the authority and discretion, to appoint such agent or agents, or attorney or attorneys-in-fact, for the purpose of carrying on this Company's surety business, and to empower such agent or agents, or attorney or attorneys-in-fact, to execute and deliver, under this Company's seal or otherwise, bonds obligations, and recognizances, whether made by this Company as surety thereon or otherwise, indemnity contracts, contracts and certificates, and any and all other contracts and undertakings made in the course of this Company's surety business, and renewals, extensions, agreements, waivers, consents or stipulations regarding undertakings so made; and FURTIIER RESOVLED, that the signature of any such Officer of the Company and the Company's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seal when so used whether heretofore or hereafter, being hereby adopted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed." THAT the above and foregoing is a full, true and correct copy of Power of Attorney issued by said Company, and of the whole of the original and that the said Power of Attorney is still in full force and effect and has not been revoked, and furthermore that the Resolution of the Board of Directors, set forth in the said Power of Attorney is now in force. 14th F b Witness the hand of the undersigned and the seal of said Corporation this _____ dayl e~ruary (Corporate seal) fJi·' It • ,"Ii ,,, ·• . ,, r· i''b .n·\:,<.,( -' ] .V ..... _\ By ................ , ..... ~ ................ , ......................... . ,20~. Dina Daskalakis, Corporate Secretary 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. ALL PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA } COUNTY OF SAN DIEGO} On F'eD ("u. p. et.':( L~ 20_!_j__before me, KERRY JAY WITKIN, Notary Public, personally appeared PAL\.\ A. ~ R Pt-N l)f \ \ A-~~ ~ . E, t ~"' -e t=" e r"Q.."'-O..Q.,\, { .... who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) jg/are subscribed to the within instrument and acknowledged to me that.he/she/they executed the same in b.Wher/their authorized capacity, and that by histhef/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ----------- WITNESS my hand and official seal. •, • KERRY JAY V..001.f S, i COMM. t 2234587 I I NOTARY IIUa&JC • CALWOIUM ' · SAN DIEGO COUNTY .. ' _ Comm. Exp. AP~IL 5, 2022 . ~ ~ ~~,,~~~y,~~~~,~y Signature: l~j uJ ,.//c.,._., (Seal) OPTIONAL Description of Attached Document Title or Type of Document: l...A-t)t)C e, 'yv'\,p..-u\ G..is '"&,,,.,o( Number of Pages: 2- Document Date: 02/J 9 L2.c19 Notary Contact: 858-756-3350 FERATEN-01 SROTH ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 01/11/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License# OG19762 ~Rij!~CT Momentous Insurance Brokerage Inc PHONE . FAX -(AIC, No, Ext): (818) 933-2700 i (A/C, No):_{818) 933-2701 5990 Sepulveda Blvd., #550 E-MAIL -Van Nuys, CA 91411 ADCl_RESS: INSURER(S) AFFORDING COVERAGE I NAIC# , INSURER A: Jc1mes River Insurance Company ' 12203 INSURED INSURER B: West American Insurance Company ~44393 Ferandell Tennis Courts, Inc. Paul Ferandell ' INSURER c: Markel Insurance Company-MAIN 38970 2120 Jimmy Durante Blvd. #102 INSURER D: Del Mar, CA 92014 , 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 SHOWIN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'rt: TYPE OF INSURANCE 1f~s°J-i~."-~t: POLICY NUMBER ! ,i8M%MYY1 . ,r.P.M'f>M-Vv, LIMITS A X COMMERCIAL GENERAL LIABILITY : : I ' CLAIMS-MADE i X OCCUR X 1000835620 05/26/2018: 05/26/2019 EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) B A GEN'L AGGREGATE LIMIT APPLIES PER --POLICY! Xj ~[8,= ; --LOG ' X OTHER Deductible ~ $2,500 : AUTOMOBILE LIABILITY X ANY AUTO O'MIIED SCHEDULED AUTOS ONLY ! AUTOS ' . ~L\'Ws ONLY , ~8rai~1~ i ' ' I i X i UMBRELLA LIAB ' I OCCUR EXCESS LIAB I i CLAIMS-MADE ' ' i DED I ' RETENTION $ I C . WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ' YIN · ANY PROPRIETOR/PARTNER/EXECUTIVE 1 1 ir~~ill:~1~~~~ EXCLUDED? ~m~~rtfr3~ o10PERATIONS below I BAW56602048 ]000835630 i ! I :MWC0003795-08 NIA i I i ! ' ' ; 06/05/2018 06/05/2019 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE i$ PRODUCTS -COMPIOPAGG $ $ . COMBINED SINGLE LIMIT (Ea accidenl) '$ ' BODILY INJURY (Per person) j$ BODILY INJURY _(Per accident) $ PRO_PERTY DAMAGE (Per accident) $ 1$ II l EACH OCCURRENCE 05/26/2018 i 05/26/2019 AGGREGATE I , I i X ~f f TUTE ~~H- i 05/26/2018 05/26/2019 E L EACH ACCIDENT I :s E L DISEASE -EA EMPLOYEE. $ E.L. DISEASE -POLICY LIMIT $ I i i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Tennis Court Resurface at Carlsbad Highschool Contract #PKRC692 City of Carlsbad is named as additional insured. CERTIFICATE HOLDER CANCELLATION 1,000,000 100,000 5,000 1,000,000 2,000,000 2,000,000 1,000,000 2,000,000 2,000,000 1,000,000 1,000,000 1,000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Parks and Recreation Administration 799 Pine Ave., #200 Carlsbad, CA 92008 AUTHORIZED REPRESENTATIVE ~ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 00083562-0 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations Where required by written contract or written agreement All operations of the Named Insureds 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", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 in- tended use by any person or organization oth- er than another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same project. CG 201007 04 © ISO Properties, Inc., 2004 Page 1 of 1 D POLICY NUMBER: 00083562-0 COMMERCIAL GENERAL LIABILITY CG 2037 07 04 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 SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Opera- Or Ornanization(s): tions Where required by written contract or written All operations of the Named Insureds agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 2037 07 04 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 desig- nated and described in the schedule of this endorse- ment performed for that additional insured and included in the "products-completed operations hazard". © ISO Properties, Inc., 2004 Page 1 of 1 □