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HomeMy WebLinkAboutJohnson Controls Fire Protection LP; 2018-07-23; PWL19-477GSPWL19-477GS CITY OF CARLSBAD PUBLIC WORKS LETTER OF AGREEMENT COLE LIBRARY FIRE PANEL MOTHERBOARD REPLACEMENT This RATIFICATION OF LETTER OF AGREEMENT between Johnson Controls Fire Protecti LP, a Delaware corporation, (Contractor) and the City of Carlsbad (City) is entered into as of the~day of _ap,,..:::>..A.<¥--' 2018, but effective as of the 21st day of June, 2018, ratifying the work performed for the Cole IY rary ire Panel Motherboard Replacement. The Contractor provided all equipment, material and labor necessary to perform the work specified in Exhibit "A" and City specifications, for a sum not to exceed three thousand six hundred forty-six dollars and twenty cents ($3,646.20). This work was completed within five (5) working days after the Notice to Proceed was issued. Upon full execution, the Letter of Agreement is ratified. ADDITIONAL REQUIREMENTS 1. City of Carlsbad Business License 2. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its agents, officers, officials, employees, and volunteers from all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the performance of this Contract or work; or from any failure or alleged failure of the contractor to comply with any applicable law, rules or regulations including those relating to safety and health; except for loss or damage which was caused solely by the active negligence of the City; and from any and all claims, loss, damage, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by this Contract, unless the loss or damage was caused solely by the active negligence of the City. The expenses of defense include all costs and expenses, including attorney's fees for litigation, arbitration, or other dispute resolution method. 3. Contractor shall furnish policies of general liability insurance, automobile liability insurance and a combined policy of workers compensation and Employers' Liability in an insurable amount of not less than one million dollars ($1,000,000) each, unless a lower amount is approved by the Risk Manager or the City Manager. Said policies shall name the City of Carlsbad as an additional insured. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. Insurance is to be placed with California admitted insurers that have a current Best's Key Rating of not less than "A-:VII",; OR with a surplus line insurer on the State of California's List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best's Key Rating Guide of at least "A:X"; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report. Proof of all such insu ranee shall be given by filing certificates of insurance with contracting department prior to the signing of the contract by the City. 4. The Contractor shall be aware of and comply with all Federal, State, County and City Statues, Ordinances and Regulations, including Workers Compensation laws (Division 4 California Labor Code) and the "Immigration Reform and Control Act of 1986" (8USC, Sections 1101 through 1525), to include but not limited to, verifying the eligibility for employment of all agents, employees, subcontractors and consultants that are included in this Contract. 5. The Contractor may be subject to civil penalties for the filing of false claims as set forth in the California False Claims Act, Government Co~ns 12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. fl ~1-init __ ::!:)___, __ init 6. The Contractor hereby acknowledges that debarment by another jurisdiction is ground~ the City of Carlsbad to disqualify the Contractor from participating in contract bidding. £:14. init __n_ init 7. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this agreement is San Diego County, California. Cole Library Fire Panel Motherboard Replacement -1-City Attorney Approved 2/29/2016 ... PWL19-477GS 8. The general prevailing rate of wages, for each craft or type of worker needed to execute the contract, shall be those as determined by the Director of Industrial Relations pursuant to the Section 1770, 1773 and 1773.1 of the California Labor Code. Pursuant to Section 1773.2 of the California Labor code, a current copy of applicable wage rates is on file in the office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all workers employed by him or her in the execution of the work covered by this Letter of Agreement. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. 9. City Contact: Michael O'Brien 760-421-9158 Contractor Contact: Sean W. Perez 858-633-9199 CONTRACTOR Johnson Controls Fire Protection LP, a Delaware corporation CITY OF CARLSBAD, a municipal corporation of the State of California 3568 Ruffin Road South San Diego, CA 92123 P: 858-633-9199 sean.william.perez@jci.com By: .:J>~~~ By: (sign here) Elaine Lukey / P ____ ,..., () ...-----, as authorized by e ks Director ity Manager Kll.MGY\ · I o \.D--11.....-t\ no , b ( £--Su: -.JI u.. ("V\a 1.-~/ (print name/title) J By: Dated: v7/4~/y I 7 (sign here) J\cch,hJ! o\ruca-!-, 01 I {\\lLl l) l (~ekt (print name/title) (Proper notarial acknowledgment of execution by Contractor must be attached. Chairman, president or vice-president and secretary, assistant secretary, CFO or assistant treasurer must sign for corporations. Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation.) APPROVED AS TO FORM: CELIA A. BREWER, City Attorney BY: Deputy City Attorney Cole Library Fire Panel Motherboard Replacement -2 -City Attorney Approved 2/29/2016 .. Johnson ~j Controls DELEGATION OF AUTHORITY CERTIFICATE The undersigned, Vice President and President, Building Solutions, North America, pursuant to the authority vested in him by: (i) a Sub-Delegation of Authority from Johnson Controls, Inc., a Wisconsin corporation ("JCI"), dated June 6, 2017, (ii) an Incumbency Certificate and Delegation of Authority from the general partner of Johnson Controls Fire Protection LP (formerly known as SimplexGrinnell LP), a Delaware limited partnership ("JCFP"), dated June 8, 2017, and (iii) a Written Consent in Lieu of Special Meeting of the Management Board from Johnson Controls Security Solutions LLC (formerly known as Tyco Integrated Security LLC), a Delaware limited liability company ("JCSS"), dated June 8, 2017, hereby authorizes: Archibald F. Makatini Market Director/ HV AC Sales Manager (the "Delegate") to perform, on behalf of each of JCI, JCFP and JCSS, the acts described below: To execute and deliver any and all contracts for the performance of work, sale of goods, and furnishing of services, and any other instruments in connection therewith and in the ordinary course of business and in accordance with the current Global Approval Authority Matrix. This authority does not extend to: a. further sub-delegation of the above acts absent necessary approvals in writing; b. the execution of surety, performance or bid bonds; c. the signing of any notes, contracts, or any other agreement to borrow money in the name of JCI, JCFP and JCSS, or any form of guaranty for the payment or performance of obligations of any subsidiary, affiliate, or joint venture of JCI, JCFP and JCSS; or d. the signing, on behalf of JCI, JCFP and JCSS, of any deeds, abstracts, offers to purchase or any other instruments pertaining to the purchase or sale of real property. Any actions taken by such Delegate within the scope of acts authorized herein taken between the date of expiration of any prior delegation of authority and the date hereof are hereby ratified, confirmed and approved as the acts and deeds of JC!, JCFP and JCSS. This authority shall remain in full force and effect through June 3, 2019. Signed at Milwaukee, Wisconsin, this 4111 day of June, 2018. Johnson Controls, Inc., Johnson Controls Fire Protection LP, and Johnson Controls Security Solutions LLC Vice President and President Building Solutions, North America ATTESTS: ~~~ Steven W. Keane Vice President and Assistant Secreta,y Johnson Controls, Inc. J ife L. Leong Vice President and ecreta,y Johnson Controls Fire Protection LP ~'fn~ Lee M. Finney Vice President and Secreta,y Johnson Controls Security Solutions LLC Johnson fj Controls DELEGATION OF AUTHORITY CERTIFICATE The undersigned, Vice President and President, Building Solutions, North America, pursuant to the authority vested in him by: (i) a Sub-Delegation of Authority from Johnson Controls, Inc., a Wisconsin corporation ("JCI"), dated June 6, 2017, (ii) an Incumbency Certificate and Delegation of Authority from the general partner of Johnson Controls Fire Protection LP (formerly known as SimplexGrinnell LP), a Delaware limited partnership ("JCFP"), dated June 8, 2017, and (iii) a Written Consent in Lieu of Special Meeting of the Management Board from Johnson Controls Security Solutions LLC (formerly known as Tyco Integrated Security LLC), a Delaware limited liability company ("JCSS"), dated June 8, 2017, hereby authorizes: Ramon Ryan Canta) Tolentino Fire Service Manager (the "Delegate") to perform, on behalf of each of JCI, JCFP and JCSS, the acts described below: To execute and deliver any and all contracts for the pe1formance of work, sale of goods, and furnishing of services, and any other instruments in connection therewith and in the ordinary course of business and in accordance with the current Global Approval Authority Matrix. This authority does not extend to: a. further sub-delegation of the above acts absent necessary approvals in writing; b. the execution of surety, performance or bid bonds; c. the signing of any notes, contracts, or any other agreement to borrow money in the name of JCI, JCFP and JCSS, or any form of guaranty for the payment or performance of obligations of any subsidiary, affiliate, or joint venture of JCI, JCFP and JCSS; or d. the signing, on behalf of JCI, JCFP and JCSS, of any deeds, abstracts, offers to purchase or any other instruments pertaining to the purchase or sale of real property. Any actions taken by such Delegate within the scope of acts authorized herein taken between the date of expiration of any prior delegation of authority and the date hereof are hereby ratified, confirmed and approved as the acts and deeds of JCI, JCFP and JCSS. This authority shall remain in full force and effect through June 3, 2019. Signed at Milwaukee, Wisconsin, this 4th day of June, 2018. Johnson Controls, Inc., Johnson Controls Fire Protection LP, and Johnson Controls Security Solutions LLC Vice President and President Building Solutions, North America ATTESTS: ~;t:-~ Steven W. Keane Vice President and Assistant Secreta,y Johnson Controls, Inc. J nnife L. Leong Vice President and ecreta,y Johnson Controls Fire Protection LP ~ 'JD ti~ Lee M. Finney Vice President and Secreta,y Johnson Controls Security Solutions LLC .. PWL19-477GS EXHIBIT A Cole Library Fire Panel Motherboard Replacement SCOPE OF WORK AND FEE DESCRIPTION Contractor replaced the CPU/motherboard of the Simplex 4010 Fire Alarm Panel at the Georgian Cole Library located at 1250 Carlsbad Village Dr., with a new/comparable CPU/motherboard, and restore the Fire system to working condition. *Includes taxes, fees, expenses and all other costs. Cole Library Fire Panel Motherboard Replacement 3 of 3 TOTAL* PRICE $3,646.20 $3,646.20 City Attorney Approved 9/27 /16 ACORD9 CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 03/12/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Marsh USA Inc. PHONE I FAX 411 E. Wisconsin Avenue Air'" l,J,.. C .. 6\• IA/C Nol: Suite 1300 E-MAIL Milwaukee, WI 53202 ADDRESS: Attn: JCI.Certrequest@marsh.com INSURER($) AFFORDING COVERAGE NAIC# CN101230596--5-17-18• INSURER A: Old Reoublic Insurance Comoanv 24147 INSURED Johnson Controls, Inc. INSURER B : ACE Property and Casualtv Insurance Comoanv 20699 Tyco International Holding S.a.rJ INSURERC: SimplexGrinnell LP INSURERD: (see attached Acord 101) 5757 North Green Bay Avenue INSURERE: Milwaukee, WI 53209 INSURER F: COVERAGES CERTIFICATE NUMBER" CHl-008905822-02 REVISION NUMBER· 4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ,.,.,n ••n.~ POLICY NUMBER (MM/DD/YYYYl IMM/DD/YYYYl LIMITS A X COMMERCIAL GENERAL LIABILITY MWZY 310897 10/01/2017 10/01/2018 EACH OCCURRENCE $ 10,000,000 -D CLAIMS-MADE 0 OCCUR DAMAGE TO RENTED PREMISES /Ea occurrence\ $ 10,000,000 X Contractual Liability MED EXP (Any one person) $ 50,000 X XCU Included PERSONAL & ADV INJURY $ 10,000,000 / - GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 30,000,000 Pl POLICY D j~ DLOC PRODUCTS -COMP/OP AGG $ INC IN GEN AGG OTHER: $ A AUTOMOBILE LIABILITY MWTB310896 (Excludes New Hamp) 10/01/2017 10/01/2018 COMBINED SINGLE LIMIT $ 7,500,000 /Ea accident\ A f--MWTB310898 (Primary NH $250k) 10/01/2017 10/01/2018 X ANY AUTO BODILY INJURY (Per person) $ --OWNED SCHEDULED MWTB310899 (Excess NH $7.25mm) 10/01/2017 10/01/2018 A BODILY INJURY (Per accident) $ -AUTOS ONLY -AUTOS HIRED NON-OWNED Excess NH Auto is Follow Fonm PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) --to Primary NH Auto $ tl X UMBRELLA LIAB M OCCUR G28162509 002 10/01/2017 10/01/2018 EACH OCCURRENCE $ 5,000,000 f-- X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 / DED I I RETENTION $ $ A WORKERS COMPENSATION MWC 310893 00 (AOS -see page 2) IUIU 1/lU I I 10/01/2018 X I ~ftuTE I I OTH- AND EMPLOYERS' LIABILITY ER A Y/N MWXS 310894 (OH & WA) 10/01/2017 10/01/2018 ANYPROPRIETORIPARTNER/EXECUTIVE 0 E.L. EACH ACCIDENT $ 5,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L. DISEASE -EA EMPLOYEE $ 5,000,000 / If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project Name of: Fire Protection Sys Inspection & Maint Svcs Project Number of: PEM1031 The City of Carlsbad is included as additional insured per the attached. See attached Acord 101 for additional information including Additional Insured, Primary/Non-contributory, Waiver of Subrogation and Notice of Cancellation provisions. CERTIFICATE HOLDER CANCELLATION City of Carlsbad/CMWD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P O Box 4668 -ECM #35050 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN New York, NY 10163-4668 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. I Manashi Mukherjee J,tto.--. ..... ~ © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: _C_N_10_1_2_3_0_59_6 ____________ _ LOC #: Milwaukee ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Marsh USA Inc. Johnson Controls, Inc. Tyco International Holding S.a.r.l. POLICY NUMBER SimplexGrinnell LP ( see attached Acord 1 01) 5757 North Green Bay Avenue CARRIER I NAICCOOE Milwaukee, WI 53209 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance WORKERS COMPENSATION: Workers Compensation "AOS" Policy includes coverage for employees from the following States WHILE WORKING IN ANY STATE:AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, Ml, MN, MO, MS, MT, NC, NE, NH, NJ, NM, NV, NY, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, & WV. PRIMARY COVERAGE: The General Liability and Automobile Liability policies are primary and not excess of or contributing with other insurance or self-insurance, where required by written lease or written contract. For General Liability, this applies to both ongoing and completed operations. WAIVER OF SUBROGATION: The General Liability, Automobile Liability, Workers' Compensation and Employers Liability policies include a Waiver of Subrogation in favor of the certholder and any other person or organization, BUT ONLY to the extent required by written contract. ADDITIONAL INSURED -AUTOMOBILE LIABILITY: The Automobile Liability policy, if required by written contract, includes coverage for Additional Insureds as required by such written contract. ADDITIONAL INSURED -GENERAL LIABILITY: For General Liability, if required by written contract, the following are included as additional insureds, as required pursuant to a written contract with a named insured, per attached Policy Endorsements A2 and A2A: THE CERTIFICATE HOLDER LISTED ON THIS CERTIFICATE OF LIABILITY INSURANCE, AND EACH OTHER PERSON OR ORGANIZATION REQUIRED TO BE INCLUDED AS AN ADDITIONAL INSURED PURSUANT TO A WRITTEN CONTRACT WITH THE NAMED INSURED. ONGOING OPERATIONS AND COMPLETED OPERATIONS INSURANCE: The General Liability Insurance includes insurance for ongoing operations and completed operations. LIMIT OF LIABILITY: The Liability Limit that applies is the amount indicated on the face of this Certificate of Liability Insurance, or the minimum Liability limit that is required by the written contract, whichever is less. If there is no contract then the Liability Limit is limited to $1,000,000. UMBRELLA/EXCESS LIABILITY: If the primary insurance policies noted on the face of this Certificate of Liability Insurance satisfy the combination of minimum primary limits and minimum Umbrella/Excess Liability limits required by the written contract, the Umbrella/Excess Liability limits shown on the face of this Certificate of Liability Insurance do not apply. NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS: Should any of the above described policies be cancelled, other than for non-payment, before the expiration date thereof, 30 days advice of cancellation will be delivered to certificate holders in accordance with the policy endorsements. NAMED INSURED: Insureds include: Air Distribution Technologies IP, LLC: Air System Components, Inc.: Carter Brothers, LLC: GEM Access Systems, Inc.: Central CPVC Corporation: Central Sprinkler LLC: Chagrin H.Q. Venture Ltd; Chemguard, Inc.; Connect 24 Wireless Communications Inc.; Digital Security Controls, Inc.; Eastern Sheet Metal, Inc.; Elpas, Inc.; Exacq Technologies, Inc.; FBN Transportation, Inc.; Grinnell LLC, Hart & Cooley Trucking Company; Hart & Cooley, Inc.; Haz-Tank Fabricators, Inc.; IMECO LLC; Integrated Systems and Power, Inc.; Interstate Battery System International, Inc.; Johnson Controls (Suisse) SA; Johnson Controls Advanced Power Solutions, LLC; Johnson Controls Air Conditioning and Refrigeration, Inc.; Johnson Controls APS Production, Inc.; Johnson Controls Battery Group, Inc.; Johnson Controls Building Automation Systems, LLC; Johnson Controls Engineering, LLC; Johnson Controls Federal Systems, Inc.; Johnson Controls Federal SystemsNersar, LLC; Johnson Controls Fire Protection LP; Johnson Controls Foundation, Inc.; Johnson Controls Government Systems LLC; Johnson Controls Navy Systems, LLC; Johnson Controls Security Solutions LLC; Koch Filter Corporation; Master Protection LP d/b/a FireMaster: Qolsys, Inc.; Retail Expert, Inc.; Ruskin Company; Ruskin Rooftop Systems, Inc.; Ruskin Service Company; Selkirk Corporation; Senelco Iberia, Inc.; Sensonmatic Asia/Pacific, Inc.; Sensonmatic Electronics (Puerto Rico) LLC; Sensormatic Electronics, LLC; Sensormatic International, Inc.; ShopperTrak International Investment LLC; ShopperTrak RCT Corporation; Shu~oint America, Inc.; Tyco Cares Foundation; Tyco Fire & Security LLC; Tyco Fire Products LP; Tyco Integrated Security LLC; Tyco International Management Company, LLC; Visonic Inc.; WillFire HC, LLC; York International (SA), Inc.; and York International Corporation Page 2 of 2 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION -ENDORSEMENT A2 Named Insured Endorsement Number Johnson Controls Inc., Tyco International Holdiruz S.a.r.l. Policy Prefix I Policy Number I Policy Period Effective Date of Endorsement MWZY 310897 10/0l/17to 10/01/18 10/01/2017 Issued By Old Republic Insurance Comoanv THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): If required by contract, the person or organization listed on the certificate of insurance as addition al insured, and each other person or organization required to be included as an additional insured pursuant to a contract with a named insured. Location(s) Of Covered Operations: As required by contract. 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 solely by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work'' out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. GL 289 001 1012 MW2Y310897 Johnson Controls, Inc. Tyco International Holding 10/01/2017-10/01/2018 IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -COMPLETED OPERATIONS -ENDORSEMENT A2A Na med Insured Endorsement Number Johnson Controls Inc. Tvco International Holdin12: S.a.r.l. Policy Prefix I Policy Number I Policy Period Effective Date of Endorsement MWZY 310897 10/01/17-to 10/01/18 10/01/2017 Issued By Old Republic Insurance Comoanv THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): If required by coo tract, the persoo or organizatioo listed a, the certificate of insurance as additional insured, and each other persoo or organizatioo required to be included as an additional insured pursuant to a cootract with a named insured. Location And Description Of Completed Operations: As required by cootract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused solely by ''your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". GL 289 002 1012 MW2Y310897 Johnson Controls, Inc. Tyco International Holding 10/01/2017-10/01/2018 VVORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 0403 06 {Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA 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 0 otherwise due on such remuneration. % of the Galifornia workers' compensation premium SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION AGAINST WHOM YOU HAVE AGREED TO WAIVE YOUR RIGHT OF RECOVERY IN A CONTRACT PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO THE DATE OF LOSS. ON FILE WITH COMPANY Endorsement Effective 10-01-1 7 Policy No. MWC 310893 00 Insured JOHNSON CONTROLS, INC. Insurance Company OLD REPUBLIC INSURANCE COMPANY © 1998 by 1he Workers' Compe11111tlon lnsunirce Rating Bureau ofCallfomla. All rights rearved. From the WCIRB's Calfornia Workers' Compensation Insurance Forms Manual © 1999. Endorsement No. Premium .$ INCL .