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HomeMy WebLinkAboutHawthorne Machinery Co; 2019-10-07; PSA19-811UTILPSA19-811UTIL General Counsel Approved Version 9/27/16 1 AMENDMENT NO. 1 TO AGREEMENT FOR GENERATOR MAINTENANCE SERVICES HAWTHORNE MACHINERY CO. This Amendment No. 1 is entered into and effective as of the _______ day of ______________________________, 2020, amending the agreement dated October 7, 2019, (the “Agreement”) by and between the Carlsbad Municipal Water District, , a Public Agency organized under the Municipal Water Act of 1911, and a Subsidiary District of the City of Carlsbad, ("CMWD"), and Hawthorne Machinery Co., a California corporation, (“Contractor") (collectively, the “Parties”) for generator maintenance services. RECITALS A. The Parties desire to alter the Agreement’s scope of work to encumber additional funds; and B. The Parties have negotiated and agreed to a supplemental scope of work and fee schedule, which is attached to and incorporated by this reference as Exhibit "A", Scope of Services and Fee. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, CMWD and Contractor agree as follows: 1. In addition to those services contained in the Agreement, as may have been amended from time to time, Contractor will provide those services described in Exhibit "A". With this Amendment, the total annual Agreement amount shall not exceed nine thousand nine hundred ninety-nine dollars ($9,999). 2. CMWD will pay Contractor for all work associated with those services described in Exhibit “A” on a time and materials basis not-to-exceed three thousand four hundred ninety-nine dollars ($3,499). Contractor will provide CMWD, on a monthly basis, copies of invoices sufficiently detailed to include hours performed, hourly rates, and related activities and costs for approval by CMWD. 3. Contractor will complete all work described in Exhibit “A” by October 6, 2020. 4. All other provisions of the Agreement, as may have been amended from time to time, will remain in full force and effect. 5. All requisite insurance policies to be maintained by Contractor pursuant to the Agreement, as may have been amended from time to time, will include coverage for this Amendment. /// /// /// /// DocuSign Envelope ID: 41D0EC4E-D1AD-4E8F-BFF2-053FBC5C0882 6th July PSA19-811UTIL General Counsel Approved Version 9/27/16 2 6. The individuals executing this Amendment 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 Amendment. CONTRACTOR CARLSBAD MUNICIPAL WATER DISTRICT, a Public Agency organized under the Municipal Water Act of 1911, and a Subsidiary District of the City of Carlsbad HAWTHORNE MACHINERY CO., a California corporation By: By: (sign here) Vicki V. Quiram, General Manager Jeffrey Boman/General Counsel (print name/title) By: (sign here) (print name/title) If required by CMWD, 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 Group B Chairman, Secretary, President, or Assistant Secretary, Vice-President 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, General Counsel By: _____________________________ Assistant General Counsel DocuSign Envelope ID: 41D0EC4E-D1AD-4E8F-BFF2-053FBC5C0882 PSA19-811UTIL General Counsel Approved Version 9/27/16 3 EXHIBIT “A” SCOPE OF SERVICES AND FEE This amendment is to alter the Agreement’s scope of work to encumber additional funds to cover work through the term of the agreement ending on October 6, 2020. The remaining work is not- to-exceed three thousand four hundred ninety-nine dollars ($3,499). Contractor to provide generator maintenance services for two Carlsbad Municipal Water District generators as stated in Exhibit A of the original agreement. Contractor will adhere to all specifications, and hereby proposes to furnish all labor, materials, equipment, transportation and services required to perform these services. Contractor to provide a copy of the documents used to record the work being performed upon completion of the work and before leaving the site. Extra Work – All extra work for each of the two generators, noted by their locations, requires prior approval from the CMWD project manager before proceeding. ALL WORK APPROVED AND PERFORMED OUTSIDE THE CONTRACT MUST BE INVOICED SEPARATELY AND INCLUDE PROPER IDENTIFICATION OF THE GENERATOR. All services include taxes, fees, expenses and all other costs. DocuSign Envelope ID: 41D0EC4E-D1AD-4E8F-BFF2-053FBC5C0882 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$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. 1/31/2020 J Smith Lanier &Co of OpelikaP.O.BOX 828OpelikaAL36803 Erica Sweatt 334-749-3401 334-745-8785 esweatt@jsmithlanier.com Great American Insurance Company 16691 Zurich American Insurance Company 16535HawthorneMachineryCo.Attn:Steve Hollingsworth16945CaminoSanBernardoSanDiegoCA92127 1610200445 B X 1,000,000 X 500,000 10,000 1,000,000 2,000,000 X Y Y GLO292517013 2/1/2020 2/1/2021 2,000,000 B 2,000,000 X XX Y Y BAP292517113 2/1/2020 2/1/2021 A X X 5,000,000 10,000 Y Y TUU777952314 X 5,000,000 2/1/2020 2/1/2021 B N Y WC292516913 2/1/2020 2/1/2021 X 1,000,000 1,000,000 1,000,000 B Garagekeepers Liability BAP292517113 2/1/2020 2/1/2021 $1,000,000PerLoc.Direct/Primary General Liability (for ongoing and completed operations via forms CG20100413 and CG20370413)and Auto Liability (per CA20481013)Additional InsuredStatusisgrantedtotheCityofCarlsbadifrequiredbyawritten,signed,and dated contract,agreement,or permit.All coverage is subject to the terms,conditions and exclusions contained in the policy form and endorsements. The City of Carlsbad as required by written contract are named additional insured on a primary and non contributory basis on the General Liability andCommercialAutopoliciesperformsUCA424FCWandUGL1477BCW0413.Waiver of Subrogation is granted to the City of Carlsbad pursuant to writtencontractperformsWC000313,UGL1477BCW0413,and CA04441013. See Attached... City of Carlsbad/CMWDc/o EXIGIS Insurance Compliance ServicesP.O.Box 4668 -ECM #35050NewYork,NY 10163-4668 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: 1 1 J Smith Lanier &Co of Opelika Hawthorne Machinery Co.Attn:Steve Hollingsworth16945CaminoSanBernardoSanDiegoCA92127 25 CERTIFICATE OF LIABILITY INSURANCE In the event of a cancellation (for any reason other than nonpayment of premium),30 days notice will be sent to the City of Carlsbad per forms UGL1521ACW,UCA832ACW,and WC990643.Cancellation provision shown is subject to shorter or longer time periods depending on the jurisdiction of,and the reason for,thecancellation.Garage Liability is included under the Zurich Commercial Auto policy with a $1,000,000 limit per location.Umbrella recognizes additional insuredstatuseswhicharerequiredbywrittencontractandaffordedbyunderlyingpolicies(including but not limited to the General Liability,Commercial Auto,andWorkersCompensationpolicies)and endorsements,for no broader coverage than is provided by the underlying insurance and limiting coverage to the lesser ofthefollowinglimits:limit specified in form GAI60010697 or limit specified by written contract less the applicable underlying insurance limits.(provides AdditionalInsuredperformGAI60791098andWaiverofSubrogationperformGAI61130697).“Stop Gap”Employers Liability is included under Workers CompensationpolicyperformWC000303CforthestatesofND,OH,WA,WY. GLO 2925170 12 GLO 292517013 GLO 2925170 12 GLO 292517013 GLO 2925170 12 GLO 292517013 GLO 2925170 12 02/01/2019 02/01/2020 GLO 292517013 02/01/2020 02/01/2021 GLO 2925170 12 02/01/2019 02/01/2020GLO292517013 02/01/2020 02/01/2021 GLO 2925170 12 02/01/2019 02/01/2020 GLO 292517013 02/01/2020 02/01/2021 GLO 2925170 12 GLO 292517013 BAP 2925171 12 02/01/2019 02/01/2020BAP 292517113 02/01/2020 02/01/2021 BAP 2925171 12 02/01/2019 BAP 292517113 02/01/2020 BAP 2925171 12 02/01/2019 BAP 292517113 02/01/2020 BAP 2925171 12 02/01/2019 02/01/2020BAP 292517113 02/01/2020 02/01/2021 WC 2925169 1202/01/2019 02/01/2020 WC 292516913 PSA19-811UTIL General Counsel Approved Version 6/12/18 1 AGREEMENT FOR GENERATOR MAINTENANCE SERVICES HAWTHORNE MACHINERY CO. THIS AGREEMENT is made and entered into as of the _____________________ day of _________________________________, 2019, by and between the CARLSBAD MUNICIPAL WATER DISTRICT, a Public Agency organized under the Municipal Water Act of 1911, and a Subsidiary District of the City of Carlsbad, ("CMWD"), and HAWTHORNE MACHINERY CO., a California corporation, ("Contractor”). RECITALS CMWD requires the professional services of a Contractor that is experienced in generator maintenance services. Contractor has the necessary experience in providing these professional services, has submitted a proposal to CMWD and has affirmed its willingness and ability to perform such work. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, CMWD and Contractor agree as follows: 1. SCOPE OF WORK CMWD 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 shall not exceed six thousand five-hundred dollars ($6,500). No other compensation for the Services will be allowed except for items covered by subsequent amendments to this Agreement. CMWD reserves the right to withhold a ten percent (10%) retention until CMWD has accepted the work and/or the Services specified in Exhibit “A.” All invoices shall be paid within thirty (30) days of receipt. 4. PREVAILING WAGE RATES Any construction, alteration, demolition, repair, and maintenance work, including work performed during design and preconstruction such as inspection and land surveying work, cumulatively exceeding $1,000 and performed under this Agreement are subject to state prevailing wage laws. 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 such workers employed by him or her in the execution of the 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. DocuSign Envelope ID: 706CD584-4735-41D6-A56D-C6B14357B574 October 7th PSA19-811UTIL General Counsel Approved Version 6/12/18 2 5. 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 CMWD. Contractor will be under the control of CMWD only as to the results to be accomplished. 6. INDEMNIFICATION Contractor agrees to indemnify and hold harmless CMWD and its officers, officials, employees and volunteers from and against all claims, damages, losses and expenses including attorney’s 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 CMWD incurs or makes to or on behalf of an injured employee under the CMWD’s self-administered workers’ 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. 7. 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 CMWD by certified mail. CMWD will be named as additional insured on General Liability which shall provide primary coverage to CMWD. The full limits available to the named insured shall also be available and applicable to CMWD as an additional insured. Contractor will furnish certificates of insurance to CMWD with endorsements to CMWD, prior to CMWD’s execution of this Agreement. 8. NOTICES The name of the persons who are authorized to give written notices or to receive written notice on behalf of CMWD and on behalf of Contractor under this Agreement. For CMWD For Contractor Name Eric Sanders Name Elizabeth Abeyta Title Utilities Manager Title Product Support Sales Representative Carlsbad Municipal Water District Address 16945 Camino San Bernardo Address 5950 El Camino Real San Diego, CA 92127 Carlsbad, CA 92008 Phone 858-376-6857 Phone 760-603-7361 E-mail efabeyta@hawthornecat.com DocuSign Envelope ID: 706CD584-4735-41D6-A56D-C6B14357B574 PSA19-811UTIL General Counsel Approved Version 6/12/18 3 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. 9. 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 10. COMPLIANCE WITH LAWS Contractor will comply with all applicable local, state and federal laws and regulations prohibiting discrimination and harassment and will obtain and maintain a City of Carlsbad Business License for the term of this Agreement. 11. TERMINATION CMWD or Contractor may terminate this Agreement at any time after a discussion, and written notice to the other party. CMWD 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. 12. 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 CMWD to terminate this Agreement. 13. 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. Any dispute or controversy arising under or in connection with this Agreement shall be settled by binding arbitration in San Diego, California, in accordance with the rules of the American Arbitration Association. 14. 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 CMWD. 15. AMENDMENTS This Agreement may be amended by mutual consent of CMWD and Contractor. Any amendment will be in writing, signed by both parties, with a statement of estimated changes in charges or time schedule. /// /// /// /// /// DocuSign Envelope ID: 706CD584-4735-41D6-A56D-C6B14357B574 PSA19-811UTIL General Counsel Approved Version 6/12/18 4 16. 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. This Agreement may be executed in counterparts, each of which shall be deemed an original, and all of which together shall constitute one and the same instrument. Copies and "pdfs” shall be considered the equivalent of original signatures. CONTRACTOR CARLSBAD MUNICIPAL WATER DISTRICT, a Public Agency organized under the Municipal Water Act of 1911, and a Subsidiary District of the City of Carlsbad HAWTHORNE MACHINERY CO., a California corporation By: By: (sign here) Vicki V. Quiram, General Manager Jeffrey Boman, General Counsel (print name/title) By: (sign here) (print name/title) If required by CMWD, 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 Group B Chairman, Secretary, President, or Assistant Secretary, Vice-President 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, General Counsel By: _____________________________ Deputy General Counsel DocuSign Envelope ID: 706CD584-4735-41D6-A56D-C6B14357B574 PSA19-811UTIL 5 EXHIBIT “A” SCOPE OF SERVICES Contractor to provide generator maintenance services for two Carlsbad Municipal Water District generators. Contractor will adhere to all specifications, and hereby proposes to furnish all labor, materials, equipment, transportation and services required to perform these services. All services include taxes, fees, expenses and all other costs. SEGMENT 1 District personnel will accompany Contractor’s techs to site to preform services for: Generator Model: Cummins/Onan, Model: 450DFEC, S/N C930502032, Spec: 62033A, 450kW, 277/480V Radiator mounted load bank: Loadtec, Model: IDL2-0270.1, S/N 920077, 270kW Automatic Transfer Switch: Cummins/Onan, Model: OTCU1600G, S/N C930504336, Spec: 1046H, 277/480V, 1600 Amps Site Address: 5200 Sunny Creek Road, Carlsbad, CA MULTI-POINT INSPECTIONS: (3) Multi-point inspections will be conducted during the term of the agreement. A Hawthorne CAT technician will start and operate the emergency generator for approximately 15-30 minutes depending on the conditions to verify proper operation and for recording of engine cooling temperature, oil pressure, and all other generator outputs. Three (3) oil samples will be taken and analyzed by a Caterpillar Laboratory. CUMMINS GENERATOR ONLY – USE RADIATOR MOUNTED LOAD BANK DURING SERVICE LUBRICATION SYSTEM SERVICE (1) Service will be conducted during the term of the agreement. Engine Oil, Oil Filters, Fuel Filters and Coolant Filter (Cummins) will be replaced. Air Filters will be inspected and if needing replacement, a quote will be provided. (1) Fuel Sample, (1) Oil Sample, and (1) Coolant Sample will be taken and analyzed by a Caterpillar Laboratory. Please note that the generator will be made unavailable for emergency source power during the duration of service. All Hazardous waste will be disposed of in accordance with California State Laws. LOAD TESTING: (1) Resistive test 2 Hour in duration will be conducted during the term of the Agreement. The Load Bank Test will be performed in incremental steps approved by both parties based upon the generators rated output and load requirements. Please note that the generator will be made unavailable for emergency source power during the duration of the test and onsite personnel and Hawthorne Technicians must have a "MOP" in place for the timely return of the emergency generator to emergency source power in the event of an unplanned outage of utility power. During the load bank test, the generator may fail. Hawthorne CAT will not be held responsible for the generator failure and/or defects that may be found. DE-ENERGIZED AUTOMATIC TRANSFER SWITCH MAINTENANCE CUMMINS GENERATOR ONLY - (1) Automatic transfer switch maintenance service during the term of the agreement. This DocuSign Envelope ID: 706CD584-4735-41D6-A56D-C6B14357B574 PSA19-811UTIL 6 service will be completed on (1) transfer switch on site in a de-energized state. The utility power to the ATS will be turned off at the disconnecting point and the ATS will be serviced per manufacturer's recommendations. The generator will be disabled to prevent a back feed to the ATS while we are working on it. Service includes: torque electrical power connections, clean contacts and lubricate mechanism. Power will be restored and ATS function will be tested after service. BATTERY REPLACEMENT SERVICE (2019 CUMMINS GENERATOR ONLY) - Replace 2 batteries. DocuSign Envelope ID: 706CD584-4735-41D6-A56D-C6B14357B574 PSA19-811UTIL 7 SEGMENT 2 District personnel will accompany Contractor’s techs to site to preform services for: Portable generator (W182) model: MQ Whisperwatt, model: DCA45SSIU4 Site Address: 5960 El Camino Real, Carlsbad, CA Extra Work – The added amount is to cover unanticipated maintenance costs as this is the first annual service provider for both generators. $1,307.97 Parts Qty Item No Description Discount% Ext Price 1 8980188580 CARTRIDGE, OIL FILTER $25.48 1 8980714010 FILTER, FUEL $26.01 1 8980742881 ELEMENT, FUEL FILTER $127.63 1 8981430411 FUEL FILTER ELEMENT $92.49 2 DEO DIESEL ENGINE OIL $25.34 1 FMT-1 FUEL TEST KIT $141.33 5 SHOPKIT SAMPLE KIT 4 OIL/1COOLANT $63.35 Labor Total Parts $501.63 Total Labor $1,419.50 Miscellaneous Qty Item No Description Ext Price 2 MLF DAILY TRUCK CHG $300.00 1 SLS SALES TAX, CARLSBAD, CA 7.75% $38.88 1 EV2 ENVIRONMENTAL $90.05 Segment 02 - Total $2,350.06 TOTAL ANNUAL AMOUNT: $6,500 Total Miscellaneous $428.93 Qty Item No Description Ext Price 4.5 PSM P/M SERVICE - MULTI POINT INSPECTIONS / PREVAILING WAGE $751.50 4 PSM P/M SERVICE - ANNUAL, LOAD TEST / PREVAILING WAGE $668.00 Total Labor $1419.50 DocuSign Envelope ID: 706CD584-4735-41D6-A56D-C6B14357B574 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$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. 1/15/2019 J Smith Lanier &Co of OpelikaP.O.BOX 828OpelikaAL36803 Erica Sweatt 334-749-3401 334-745-8785 esweatt@jsmithlanier.com Great American Insurance Company 16691 Colony Specialty Insurance Co.36927HawthorneMachineryCo.Attn:Steve Hollingsworth16945CaminoSanBernardoSanDiegoCA92127 Hiscox-Lloyd's Syndicate 0033 Arch Insurance Company 11150 Zurich American Insurance Company 16535 1722346377 E X 1,000,000 X 500,000 10,000 1,000,000 2,000,000 X Y Y GLO292517012 2/1/2019 2/1/2020 2,000,000 E 1,000,000 X XX Y Y BAP292517112 2/1/2019 2/1/2020 A X X 5,000,000 10,000 Y Y TUU777952313 X 5,000,000 2/1/2019 2/1/2020 E N Y WC292516912 2/1/2019 2/1/2020 X 1,000,000 1,000,000 1,000,000 CDB ContractorsProfessional Liab.Crime-Customer PropPollutionLiability ANE139826719PCD930057905CSP306559 2/1/20192/1/20192/1/2019 2/1/20202/1/20202/1/2021 $2,000,000Agg.$1,000,000Limit$5,000,000Limit $15,000 Ret.$25,000 Ret.$10,000 Ret. General Liability and Auto Liability Additional Insured Status is granted to the City of Carlsbad if required by a written,signed,and dated contract,agreement orpermit.All coverage is subject to the terms,conditions and exclusions contained in the policy form and endorsements. Additional Insured:City of Carlsbad City of Carlsbad as required by contract are named additional insured on a primary and non contributory basis.Waiver of Subrogation is granted by the NamedInsuredtotheCityofCarlsbadpursuanttowrittencontract. In the event of a cancellation (for any reason other than nonpayment of premium),30 days notice will be sent to the City of Carlsbad. City of Carlsbad/CMWDc/o EXIGIS Insurance Compliance ServicesP.O.Box 4668 -ECM #35050NewYork,NY 10163-4668 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$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. 1/15/2019 J Smith Lanier &Co of OpelikaP.O.BOX 828OpelikaAL36803 Erica Sweatt 334-749-3401 esweatt@jsmithlanier.com Great American Insurance Company 16691 Colony Specialty Insurance Co.36927HawthornePowerSystemsAttn:Steve Hollingsworth16945CaminoSanBernardoSanDiegoCA92127 Hiscox-Lloyd's Syndicate 0033 Zurich American Insurance Company 16535 1111116218 D X 1,000,000 X 500,000 10,000 1,000,000 2,000,000 X X Y Y GLO292517012 2/1/2019 2/1/2020 2,000,000 D 1,000,000 X X XX Y Y BAP292517112 2/1/2019 2/1/2020 A X 5,000,000 10,000 Y Y TUU777952313 X 5,000,000 2/1/2019 2/1/2020 D N Y WC292516912 2/1/2019 2/1/2020 X 1,000,000 1,000,000 1,000,000 BC PollutionLiabilityCont.ProfessionalLiability Y CSP306559ANE139826719 2/1/20192/1/2019 2/1/20212/1/2020 Agg.$5,000,000EachOcc.$2,000,000 Ded.$10,000Ret.$15,000 General Liability and Auto Liability Additional Insured Status is granted to City of Carlsbad if required by a written,signed,and dated contract,agreement orpermit.All coverage is subject to the terms,conditions and exclusions contained in the policy form and endorsements. Additional Insured:City of Carlsbad City of Carlsbad as required by contract are named additional insured on a primary and non contributory basis.Waiver of Subrogation is granted by the NamedInsuredtoCityofCarlsbadpursuanttowrittencontract. City of Carlsbad5950ElCamino RealCarlsbadCA92008 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$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. 1/15/2019 J Smith Lanier &Co of OpelikaP.O.BOX 828OpelikaAL36803 Erica Sweatt 334-749-3401 334-745-8785 esweatt@jsmithlanier.com Great American Insurance Company 16691 Zurich American Insurance Company 16535HawthorneMachineryCo.Attn:Steve Hollingsworth16945CaminoSanBernardoSanDiegoCA92127 1547881493 B X 1,000,000 X 500,000 10,000 1,000,000 2,000,000 X Y Y GLO292517012 2/1/2019 2/1/2020 2,000,000 B 1,000,000 X XX Y Y BAP292517112 2/1/2019 2/1/2020 A X X 5,000,000 10,000 Y Y TUU777952313 X 5,000,000 2/1/2019 2/1/2020 B N Y WC292516912 2/1/2019 2/1/2020 X 1,000,000 1,000,000 1,000,000 B Garagekeepers Liability BAP292517112 2/1/2019 2/1/2020 $1,000,000PerLoc.Direct/Primary General Liability and Auto Liability Additional Insured Status is granted to City of Carlsbad if required by a written,signed,and dated contract,agreement orpermit.All coverage is subject to the terms,conditions and exclusions contained in the policy form and endorsements. Additional Insured:City of Carlsbad City of Carlsbad as required by contract are named additional insured on a primary and non contributory basis.Waiver of Subrogation is granted by the NamedInsuredtoCityofCarlsbadpursuanttowrittencontract. City of Carlsbad1635FaradayAvenueCarlsbad,CA 92008-0000 GLO 2925170 12 GLO 2925170 12 GLO 2925170 12 GLO 2925170 12 02/01/2019 02/01/2020 GLO 2925170 12 02/01/2019 02/01/2020 GLO 2925170 12 02/01/2019 02/01/2020 GLO 2925170 12 BAP 2925171 12 02/01/2019 02/01/2020 BAP 2925171 12 02/01/2019 BAP 2925171 12 02/01/2019 BAP 2925171 12 02/01/2019 02/01/2020 WC 2925169 1202/01/2019