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HomeMy WebLinkAboutKL Painting Inc; 2018-04-19; PWM18-133GSCITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT MONROE STREET POOL LOCKER ROOMS PWM18-133GS This agreement is made on the 6, .-\l. day of _____ ..;.___,_ _____ , 2018, by the City of Carlsbad, California, a municipal corporation, (hereinafter called' ity"), and KL Painting Inc., a California corporation whose principal place of business is 3809 Carnegie Drive, Oceanside, CA. 92056 (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: Robert Ferris (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. Monroe Street Pool Locker Rooms Page 1 of6 City Attorney Approved 9/27/16 PWM 18-133GS 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 contractor may be prevented from further bidding on public contracts for a period of up to five years and that debarment by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor or subc ntractor fr articipating in contract bidding. Signature: Print Name: 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-: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. 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. Monroe Street Pool Locker Rooms Page 2 of6 City Attorney Approved 9/27/16 PWM18-133GS 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 work after receipt of Notice to Proceed and by no later than April 26, 2018. Completion: Contractor agrees to complete work by May 13, 2018. CONTRACTOR'S INFORMATION. KL PAINTING, INC., a California corporation (name of Contractor) Ill Ill Ill Ill 899963 (Contractor's license number) C-33 1/31/2020 (license class. and exp. date) 1000042076 (DIR registration number) 6/30/18 (DIR registration exp. date) Monroe Street Pool Locker Rooms Page 3 of6 3809 Carnegie Drive (street address) Oceanside, CA. 92056 (city/state/zip) 760-613-9891 (telephone no.) 760-683-3332 (fax no.) klpainting@gmail.com (e-mail address) City Attorney Approved 9/27 /16 PWM 18-133GS AUTHORITY. The individuals executing this Agreement and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Agreement. CONTRACTOR KL PAINTING INC., a California corporation By ~ By: (print name e) (s"her ~ l1M\~ (KO (print nam"tle) CITY OF CARLSBAD, a municipal corporation of the State of California By: Elaine C.:~Works Director as authorized by the City Manager If required by City, proper notarial acknowledgment of execution by Contractor must be attached . .!f....g 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: w~~ Deputy City Attorney Monroe Street Pool Locker Rooms Page 4 of6 City Attorney Approved 9/27/16 PWM 18-133GS 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 Exoiration Date Contract ~OtJ~ Total % Subcontracted: ______ _ The Contractor must perform no less than fifty percent (50%) of the work with its own forces Monroe Street Pool Locker Rooms Page 5 of6 City Attorney Approved 9/27116 PWM18-133GS EXHIBIT B Monroe Street Pool Locker Rooms Repair, patch and paint men's and women's locker rooms. Treat rusted metal, prime with red iron oxide and paint with epoxy paint: • Remove all cracking and chipping paint from walls and ceilings • Patch all holes and cracks in walls and ceiling and retexture to match existing texture before finish paint • Prime all patches before finish paint • Bondo holes in metal work and prime rust spots with rust blocker before finish paint • Paint all walls, ceilings, doors, jambs and gates to match existing color, two coats epoxy finish • Mask all floors, windows, walkways, tile, counters and lockers before prep and paint • All finish paint colors to match existing • Work to be done and completed according to locker room closing schedule • All paint, material and labor included in estimate JOB QUOTATION ITEM UNIT QTY DESCRIPTION PRICE NO. Repair, patch and paint men's and women's locker 1 LS 1 rooms. Treat rusted metal, prime with red iron oxide and $9,600 paint with epoxy paint. All work is to be completed by May 13, 2018. TOTAL* $9,600 *Includes taxes, fees, expenses and all other costs. Monroe Street Pool Locker Rooms Page 6 of6 City Attorney Approved 9/27 /16 Exhibit "B" Estimate KL PAINTING License # 899963 Kody Kinney March 20, 2018 3809 Carnegie Dr Oceanside, Ca 92056 Phone: 760-613-9891 Fax: 760-683-3332 Email: klpainting@gmail.com ~ TTN: Robert Ferris Phone: 760-802-5765 Email: robe rt. ferris@carlsbadca.gov Men's and Women's Locker Rooms: IJOB SITE ~onroe St Pool ~401 Monroe St Carlsbad, CA 92008 Job Description 1. Remove all cracking and chipping paint from walls and ceilings 2. Patch all holes and cracks in walls and ceiling and retexture to match existing texture before finish paint 3. Prime all patches before finish paint 4. Bondo holes in metal work and prime rust spots with rust blocker before finish paint 5. Paint all walls, ceilings, doors, jambs and gates to match existing color, two coats epoxy finish Notes: 1. Mask all floors, windows, walkways, tile, counters and lockers before prep and paint 2. All finish paint colors to match existing 3. Work to be done and completed according to locker room closing schedule 4. All paint, material and labor included in estimate Estimate Total Men's and Women's locker Rooms: $9,600.00 Total: $9,600.00 Authorized Signer Date ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY) ~ 08/31/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: (858) 642-0200 Fax: (858) 642.0205 CONTACT ALL COMMERCIAL INSURANCE SERVICES, LLC. NAME: ALL COMMERCIAL INSURANCE SERVICES, LLC. PHONE /858) 642-0200 l;AX (858) 642-0205 6790 TOP GUN STREET #3 ' t NC No Ext:\: NC No': E-MAIL www.2insure.biz SAN DIEGO CA 92121 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# Agency Lie#: OC64552 INSURER A : NATIONWIDE MUTUAL INSURANCE CO 23787 INSURED INSURERS : INFINITY SELECT INSURANCE COMPANY 20260 KINNEY, KODY DBA KL PAINTING INSURERC 765 AVOCADO LN INSURER D: CARLSBAD CA 92008-5058 INSURERE : INSURER F : COVERAGES CERTIFICATE NUMBER· 3336557 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 VVITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICYEFF POLICY EXP LIMITS LTR INSD W/D POLICY NUMBER IMMIDDNYYYl IMMIODNYYYl A X COMMERCIAL GENERAL LIABILITY ACP7855050387 05/27/17 05/27/18 EACH OCCURRENCE $ 1,000,000 f--0 CLAIMS-MADE 0 OCCUR DAMAGE TO RENTED $ 100,000 f--PREMISES (Ea occurence) f--MED. EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY f--$ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 =i [!]PR~ D POLICY X JECT LOC PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY 504590622685001 06/27/17 06/27/18 COMBINED SINGLE LIMIT 1,000,000 B -(Ea accident) $ ANY AUTO -BODILY INJURY (Per person) $ -ALL OWNED SCHEDULED AUTOS X AUTOS BODILY INJURY (Per accident) $ -- HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ -f--AUTOS (per accident) $ A UMBRELLA LIAB MOCCUR ACP7845050387 05/27/17 05/27/18 EACH OCCURRENCE $ 2,000,000 - X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 / OED I I RETENTION$ $ WORKERS COMPENSATION I PER I I OTH- AND EMPLOYERS" LIABILITY STATUTE ER YIN E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE D OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE-EA EMPLOYEE $ If yes, describe under E.L. DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: All Operations City of Carlsbad is included as Additional Insured with respect to general liability as per the attached endorsement. •1 O Day Notice of Cancellation for Non-Payment/30 Day Notice of Cancellation for all other causes CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad/CMWD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN c/o EXIGIS Insurance Compliance Services ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 4668 -ECM #35050 AUTHORIZED REPRESENTATIVE New York, NY 10163-4668 ~~£-.~ Attention: Mark Rubin ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 2010 0413 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) CITY OF CARLSBAD 1635 FARADAY AVE. CARLSBAD, CA 92008 Location(s) Of Covered Operations ALL LOCATIONS AT WHICH ONGOING OPERATIONS ARE BEING PERFORMED FOR THE ADDITIONAL PERSON(S) OR ORGANIZATION(S) 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) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are . required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 2010 0413 ACP GLO 7865050387 517J 17088 © Insurance Services Office, Inc., 2012 INSURED COPY Page 1 of 2 47 0004069 CG 2010 0413 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. C. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill -Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All terms and conditions apply unless modified by this endorsement. Page 2 of 2 ACP GLO 7865050387 5I7J 17088 © Insurance Services Office, Inc., 2012 INSURED COPY CG 2010 0413 47 0004070 STATE COMPENSATION INSURANCE FUND ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS 1907534-17 RENEWAL HOME OFFICE SAN FRANCISCO EFFECTIVE OCTOBER 1, 2017 AT 12. 01 A.M. SP 5-41-90-72 PAGE 1 OF ALL EFFECTIVE DA TES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME AND EXPIRING OCTOBER 1, 2018 AT 12.01 A.M. KL PAINTING 765 AVOCADO LN CARLSBAD, CA 92008 WE HAVE IBE RIGHI TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN IN.nJRY COVERED BY IBIS POLICY. WE WILL NOT ENFORCE OUR RIGHI AGAINST IBE PERSON OR ORGANIZATION NAMED IN IBE SCHEDULE. IBIS AGREEMENT APPLIES ONLY TO IBE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN IBIS AGREEMENT FROM US. IBE ADDITIONAL PREMIUM FOR IBIS ENDORSEMENT SHALL BE 2.00% OF IBE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHOM IBE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH IBIS WAIVER JOB DESCRIPTION BLANKET WAIVER OF SUBROGATION NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: SEPTEMBER 27, 2017 k!~~ .dl-L~~ 1 ~!.-5{ PRESIDENT AND CEO 2572 SCIF FORM 10217 (REV.7·2014) OLD DP 217 STATE COMPENSATION INSU~ANCE FUNO ISSUE DATE: 03-28-2018 CITY OF CARLSBAD 1635 FARADAY AVE CARLSBAD CA 92008-7314 POLICYHOLDER COPY P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE GROUP: POLICY NUMBER: 1907534-2017 CERTIFICATE ID: 57 CERTIFICATE EXPIRES: 10-01-2018 10-01-2017/10-01-2018 THIS CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE# 56 DATED 02-12-2018 SP This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy aescribed herein is subject to all the terms, exclusions, and conditions, of such policy. ~tlq Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 2017-11-14 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. NAME OF ADDITIONAL INSURED: CITY OF CARLSBAD ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 02-05-2018 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ENDORSEMENT #2570 ENTITLED WAIVER OF SUBROGATION EFFECTIVE 2018-02-12 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. THIRD PARTY NAME: CITY OF CARLSBAD ENDORSEMENT #2572 ENTITLED BLANKET WAIVER OF SUBROGATION EFFECTIVE 2017-10-01 IS ATTACHED TO AND FORMS A PART OF THIS POLICY EMPLOYER KL Painting, Inc 765 AVOCADO LN CARLSBAD CA 92008 (REV.7-2014) SP PRINTED [P1R,HO] 03-28-2018 SP