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HomeMy WebLinkAboutKL Painting Inc; 2020-04-20; PKRC20-0414Tracking#: CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT OCEAN STREET BEACH ACCESS REPAIRS; CONT. NO. PKRC20-0414 This agreement is made on the 'l-Q day of :k:9X)j . 201d}_, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and KL Painting, Inc. whose principal place of business is 2440 Lorna Lane, Carlsbad, CA 92008 (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: Tim Selke (City Project Manager) PAYMENT. The City shall withhold retention as required by Public Contract Code Section 9203. 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. OCEAN STREET BEACH ACCESS REPAIRS; CONT. NO. PKRC20-0414 Page 1 of8 City Attorney Approved 1/22/2020 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 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~r sub ntractor from participating in contract bidding. 7 Signature: ~ Print Name: ½0£\ ___ 'J 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. OCEAN STREET BEACH ACCESS REPAIRS; CONT. NO. PKRC20-0414 Page 2 of 8 City Attorney Approved 1/2212020 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 KL Painting, Inc. ( name of Contractor) 899963 (Contractor's license number) C-33 I 1/31/2022 (license class. and exp. date) PW-LR-1000432715 (DIR registration number) 6/30/2020 (DIR registration exp. date) OCEAN STREET BEACH ACCESS REPAIRS; CONT. NO. PKRC20-0414 Page 3of 8 2440 Lorna Lane (street address) Carlsbad, CA 92008 (city/state/zip) 760-613-9891 (telephone no.) 760-683-3332 (fax no.) klpainting@gmail.com (e-mail address) City Attorney Approved 1 /2212020 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. CONTRACTOR By: By: (signhere) \-< <~ \uorw~ l £<~kM (printna e'/tite) CITY OF CARLSBAD, a municipal corporation of the State of California By: Manager, Deputy City Manager, ~ri-nt Director as Authorized by the City Manager AIST: LN'{\D.l>O.Rm 11lw ~ARBARA ENGLESON u-vity Clerk If required by City, proper notarial acknowledgment of execution by Contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Chairman, President, or Vice-President Group B Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: OCEAN STREET BEACH ACCESS REPAIRS; CONT. NO. PKRC20-0414 Page 4 of 8 City Attorney Approved 1/22/2020 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 be Subcontracted \.)~ ~\ o\-)G Total% Subcontracted:<£f ,_....,.,. ____ _ OCEAN STREET BEACH ACCESS REPAIRS; CONT. NO. PKRC20-0414 Page 5 of8 DIR Registration No. License No., %of Classification & Total Exoiration Date Contract City Attorney Approved 112.2/2020 EXHIBITB SCOPE OF WORK KL Painting will provide the following services at the Ocean Street Beach Accesses Carlsbad Village Drive: Tracking#: 1. Sand Teak wood cap on top of railings at top of stairs and apply two clear protective coats 2. Repaint black safety stripes on all stairs after cleaning all sand and grime off Total Cost: $5,456.00 Beech Ave: 1. Repair all damage to retaining walls and curb holding handrail, prime patches before finish paint 2. Paint retaining walls on both sides, brown wall and white wall to match existing color, two coats finish paint 3. Repaint black safety stripes on all stairs after cleaning all sand and grime off Total Cost $5,056.00 Grand Ave: 1. Repaint retaining walls at bottom of stairs, all sides to match existing color, two coats finish (remove wax graffiti before paint) 2. Sand teak wood cap on top of railings at top of stairs and apply two clear protective coats 3. Repaint black safety stripes on all stairs after cleaning all sand and grime off Total Cost $6,356.00 Christiansen Ave: 1. Paint brown retaining walls on both sides of stairs to match existing color, two coats finish paint Total Cost $3,956.00 Rue Des Chateaux: 1. Repaint black safety stripes on all stairs after cleaning all sand and grime off Total Cost $4,156.00 Oak Ave: 1. Paint retaining walls on both sides, white wall and green wall to match existing (no shower enclosure to be painted) 2. Repaint black safety stripes on all stairs after cleaning all sand and grime off Total Cost 4,756.00 Total Project Cost: $29,736.00 Notes: 1. KL Painting to remove all sand and grime from all areas being painted 2. All material to Sherwin Williams Industrial grade paints 3. All equipment to be provided by KL Painting 4. Beach access to be closed at top and bottom before work will be performed 5. Mask off and protect all areas not to be painted 6. All paint, material and labor included in estimate 7. Start date to be determined OCEAN STREET BEACH ACCESS REPAIRS; CONT. NO. PKRC20-0414 Page 6 of 8 City Attorney Approved 1/22/2020 Bond Number: UCSX372X2748 Premium: $966.00 EXHIBIT C LABOR AND MATERIALS BOND Tracking#: WHEREAS, the City Council of the City of Carlsbad, State of California, has awarded to KL Painting, Inc. (hereinafter designated as the "Principal"), a Contract for: OCEAN STREET BEACH ACCESS REPAIRS CONTRACT NO. PKRC20-0414 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, KL Painting, Inc., as Principal, (hereinafter designated as the "Contractor''), and United Surety Insurance Company as Surety, are held firmly bound unto the City of Carlsbad in the sum of Twenty-Nine Thousand, Seven Hundred Thirty-Six and 00/100 Dollars ($29,736.00 ), 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. OCEAN STREET BEACH ACCESS REPAIRS; CONT. NO. PKRC20-0414 Page 7 of 8 City Attorney Approved 1/22/2020 Tracking#: In the event that Contractor is an individual, it is agreed that the death of any such Contractor shall not exonerate the Surety from its obligations under this bond. Executed by CONTRACTOR this ______ day of _________ ~20 __ . CONTRACTOR: KL Painting, Inc. (name of Contractor) By: ______________ _ (sign here) (print name here) (title and organization of signatory) By: ______________ _ (sign here) (print name here) (title and organization of signatory) Executed by SURETY this --=2~1'""s'""t ___ day of _~A___,p=r~il~-----~· 20 20 . SURETY: United Surety Insurance Company (name of Surety) 292 Newbury Street, Ste 105 Boston, MA 02115 (address of Surety) 617-471-1112 i#e n'("!er J; S:l.ety) By: ____ ~--~-~---------- (signature of Attorney-in-Fact) Kelly A. Specht (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 OCEAN STREET BEACH ACCESS REPAIRS; CONT. NO. PKRC20-0414 Page 8 of 8 City Attorney Approved 1/22/2020 Callfomla All-Purpose Certificate of Acknowledgment 1 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. I State of California County of __ o_r_a~ng._e ___________ _ S.S. On April 21, 2020 before me, _______ B_e_th_a_ny,.._M_e_rce_r,_N_o_ta_ry,.._P_ub_l_ic ____ _ personally appeared ____________ K_e:..._11.L_y_A_. S.:...,p_e_ch_t __________ _ who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/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 PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ············1 .,.-;;:,,, , BE~HA~Y MERCER ~ ij~'t •"'I~'; Notary Pub. lie -California ~ ; • • • .• • Orange County > l ~~ . ·-Commission II 2207129 -lr I +----------1--..,..:..i::ou...:=~--41c..._----1=-wu- i_~ ... ,• ,.,.., ~~---Expi·es J~'. 27. 2021 TIO 'AL INFORMATION ------------ tion of Attach is attached to a ' document titled/for the purpose of _________ _ Payment Bond#UCSX372X2748 containing _2_ pages, and dated April 21, 2020 The signer(s) capacity or authority is/are as: □ lndividual(s) IX] Attorney-in-fact □ Corporate 0fficer(s) _____________ _ 0 Guardian/Conservator 0 Partner -Limited/General 0 Trustee(s) □ Other: _________________ _ representing: _______________ _ Method of Signer Identification Proved to me on the basis of satisfactory evidence: 0 form(s) of identification D credible witness(es) Notarial event is detailed in notary journal on: Page#__ Entry# __ Notary contact: _________ _ Other 0 Additional Signer O Signer(s) Thumbprints(s) □------------ D UNITED CASUALTY AND SURETY INSURANCE COMPANY US Casualty and Surety Insurance Company United Surety Insurance Company POWER OF ATTORNEY Asency No.171372 KNOW ALL MEN BY THESE PRESENTS: That United casualty and Surety Insurance Company, a corporation of the State of Nebraska, and US Casualty and Surety Insurance Company and United Surety Insurance Company, assumed names of United Casualty and Surety Insurance Company (collectively, the Companies), do by these presents make, constitute and appoint: Kelly A. Specht, Kandis Gre1ory, Richard P. Ford, Thomas C. Buckner, Michael Herranen, Bethany Mercer Its true and lawful Attorney(s)-ln-Fact, each In their separate capacity if more than one Is named above, with full power and authority hereby conferred In its name, place and stead, to execute, acknowledge and deliver any and all bonds, recOf!nizances, undertakings or other Instruments or contracts of suretyshlp to include riders, amendments, and consents of surety. This Power of Attorney shall expire without further action on December 31", 2023. This Power of Attorney is 11ranted under and by authority of the followin11 resolutions adopted by the Board of Directors of the Companies at a meeting duly called and held on the 111 day of July, 1993: Resolved that the Pre<ident, Treasurer, or Secretary be and they are hereby authoriied and empowered to appoint Attornevs-in-Fact of the Company, In Its name and as Its acts to execute and acknowledge for and on iU behalf as Surety any and all bonds, recognliances, contracts of Indemnity, waivers of citation and all other writings obligatory in the nature thereof, with power to attach thereto the seal of the Companv. Any such writings so executed bv such Attorneys-In-Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected Officers of the Company in their own proper persons. That the signature of any officer authorized by Resolutions of this Board and the Company seal may be affhced by facsimile to any power of attorney or special power of attorney or certification of either given for the execution of any bond, undertaking, recogniiance or other written obliptlon In the nature thereof; such signatun, and seal, when so used 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 affilced. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereunto affixed, this 1st day of August, 2019. Corporate Seals Commonwealth of Massachusetts County of Suffolk ss: UNITED CASUALTY AND SURETY INSURANCE COMPANY US Casualty and Surety Insurance Company United Surety Insurance Company Joel R. Chachkes, Treasurer On this 1st day of August, 2019, before me, Thomas P. Carrigan, Jr., a notary public, personally appeared Joel R. Chachkes, Treasurer of United Casualty and Surety Insurance Company, US Casualty and Surety Insurance Company and United Surety Insurance Company, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within Instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the Instrument the person(s), or the entity on behalf of which the person(s) acted, executed the Instrument. I certify under PENALTY OF PERJURY under the laws of the Commonwealth of Massachusetts that the foregoing paragraph is true ,md correct. WITNESS my hand and seal. ~ < ./ ~ ~ THOMASP.CARRIGAN,JR. <( /:.. ~ (Seal) ~ NotsyPublic, Commonweath ofMas$achusells Thomas P. Carrigan, Jr., Notary Pliic Com mission Expires: 10/31/2025 • · My Commission Expires October 31, 2025 I, Robert F. Thomas, Chief Operating Officer of United Casualty and Surety Insurance Company, US Casualty and Surety Insurance Company and United Surety Insurance Company do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which Is still in full force and effect; furthermore, the resolutions of the Board of Directors, set out in the Power of Attorney are in full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Boston, Massachusetts this _,.,.k~~ ___ day of .;• ~,;.4 I; , .. ,.'";. _ .... ~·~ f, ,•.:. Si:AI-.. ·. ~~~-!fl. .. .... -ti Robert F. Thomas, Chief Operating Officer TO CONFIRlfVt AUTHENTICITY OF THIS BOND OR DOCUMENT EMAIL: CONFIRN'IBONDIIIPUNITEDCASUALTY.CC>M AE~v· CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) 06/05/2019 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 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 I;~ Nol (858) 642-0205 6790 TOP GUN STREET #3 INC No Extl: E-MAIL www.2insure.biz SAN DIEGO CA 92121 ADDRESS: INSURER($) AFFORDING COVERAGE NAIC# Agency Uc#: 0C64552 INSURER A : NATIONWIDE MUTUAL INSURANCE CO 23787 INSURED KL PAINTING, INC. INSURER B • INFINITY SELECT INSURANCE COMPANY 20260 2440 LORNA LANE INSURER C : NAT'L UNION FIRE INS CO OF PITTSBURGH PA CARLSBAD CA 92008 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER· 3346749 REVISION NUMBER· THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICYEFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER IMM/DDIYYYYl IMM/DDIYYYYl A X COMMERCIAL GENERAL LIABILITY ACP7885050387 05/27/19 05/27/20 EACH OCCURRENCE $ 1,000,000 -□CLAIMS-MADE l~occuR DAMAGE TO RENTED $ 100,000 PREMISES (Ea occurence) MED. EXP (Any one person) -$ 5,000 -PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 Fl [!] PR~ □ POLICY X JECT LOC PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: $ ✓ B AUTOMOBILE LlABILITY 504590622685001 06/27/19 06/27/20 COMBINED SINGLE LIMIT 1,000,000 ~ (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ --ALL OWNED SCHEDULED X AUTOS BODILY INJURY (Per accident) $ -AUTOS ~ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ --AUTOS (per accident) $ C UMBRELLA LIAB MOCCUR EBU011211885 05/27/19 05/27/20 EACH OCCURRENCE $ 2,000,000 - X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED I I RETENTION $ $ WORKERS COMPENSATION I PER I I OTH-STATUTE ER AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE □ OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE-EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: Agreement Number: PWL 19-733GS / Agreement Name: Safety Center Gate Painting The City of Carlsbad is included as Additional Insured with respect to general liability as per the attached endorsement. *10 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: ACP 7885050387 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) THE 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 Page 1 of 2 / CG 2010 0413 ACP GLO 7885050387 5IEX 19088 © Insurance Services Office, Inc., 2012 INSURED COPY 47 0003449 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 7885050387 5IEX 19088 © Insurance Services Office, Inc., 2012 INSURED COPY CG 2010 0413 47 0003450 I STATE ...,QMF~ ~ ~A-IVN INS U l=I il,, "JC: E FUND ISSUE DATE: 10-01-2019 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: 1907534-2019 CERTIFICATE ID: 57 CERTIFICATE EXPIRES: 10-01-2020 10-01-2019/10-01-2020 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 described herein is subject to all the terms, exclusions, and conditions, of such policy. ~ti£:/ IL-.-JI~ Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 2018-10-01 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. NAME OF ADDITIONAL INSURED: CITY OF CARLSBAD ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-01-2018 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ENDORSEMENT #2570 ENTITLED WAIVER OF SUBROGATION EFFECTIVE 2019-10-01 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. THIRD PARTY NAME: CITY OF CARLSBAD EMPLOYER KL Painting, Inc 2440 LORNA LN CARLSBAD CA 92008 (REV.7-2014) SP PRINTED [P1R,HO] 10-04-2019 SP