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HomeMy WebLinkAboutKnorr Systems Inc; 2017-11-02; PKRC641CITY OF CARLSBAD CONTRACT CHANGE ORDER TRAN SM ITT AL -C/0 # 1 Project: PKRC641 -Alga Norte Aquatic Center Spa and Splash Pad Repairs Date Routed: Executive Summary: Reasons for changes: Project Manager Recreation Services Manager Parks & Recreation Director Item 1: Additional parts are needed to complete the spa and splash pad repair at Alga Norte Aquatic Center. Two signet iron pipe saddles were not included in the original proposal. The contractor discovered this oversight during the scheduled repair. COST ACCOUNTING SUMMARY: Original contract amount $2,371.95 Total amount this C/0 $519.36 Total amount of pre\nous C/O's $0.00 Total C/O's to date $519.36 New Contract Amount $2,891.31 Total C/O's as % of original contract 21.90% Contingency amount encumbered $0.00 Contingency increase/ decrease $0.00 Contingency Subtotal $0.00 Total C/O's to date $519.36 Contingency balance -$519.36 Note: this CCO will be encumbered to the PO once fully executed. Project: PKRC641 -Alga Norte Aquatic Center Spa and Splash Pad Repairs Change Order No. 1 CITY OF CARLSBAD CONTRACT CHANGE ORDER NO. 1 PROJECT: PKRC641 -Alga Norte Aquatic Center Spa and Splash Pad Repairs CONTRACT NO. PKRC641 ACCOUNT NO. 0014547-7550 CONTRACTOR: Knorr Systems, Inc. ADDRESS: 2221 Standard Avenue Santa Ana, CA 92707 P.O. NO. P134964 The Contractor is directed to make the following changes as described herein. Changes shall include all labor, materials, equipment, contract time extension, and all other goods and services required to implement this change. Payment stated on this change order includes all charges, direct or indirect, arising out of this additional work including charges for field overhead, extended home office overhead, delays, disruptions, cumulative impacts, loss of efficiency, extended equipment costs and overtime premium costs and is expressly agreed between the City and the Contractor to be the complete and final costs hereof. The requirements of the specifications, where pertinent and not in conflict with this change order, shall apply to these changes. Pursuant to the Standard Specifications for Public Works Construction, perform the following: Item 1: Increase to contract cost. ........................................................... $519.36 TOTAL INCREASE TO CONTRACT COST .............................................. $519.36 TIME FOR COMPLETION OF ALL WORK UNDER THIS CONTRACT SHALL BE INCREASED BY THIRTY DAYS (30) WORKING DAYS AS A RESULT OF THIS CHANGE ORDER. Project: PKRC641 -Alga Norte Aquatic Center Spa and Splash Pad Repairs Change Order No. 1 RECOMMENDED BY: APPROVED BY: .... l....---?: -~ 12-1-17 -~------"~------CONT RAC TOR (DATE) 2-0~, t.::J-- ON DIRECTOR (DATE) Page 1 SALES QUOTE KS; Knorr Systems, Inc. S044379 lllllllfll 2221 Standard Ave. Santa Ana, CA 92707 Phone: 800-676-SWIM Fax: 714-754-1405 SP:19 11/28/'17 Sell To: C2017 Ship To: CITY OF CARLSBAD CITY OF CARLSBAD TIMOTHY KANE ALGA NORTE PARK ATTN: JEANETTE GRANT 6565 ALICANTE ROAD 6565 ALICANTE ROAD CARLSBAD, CA 92009 CARLSBAD, CA 92009 nero No. Qescr;ot;on Unit auant;ty Yoil Price Total Price CP-018-00340 CP-018-00345 3" SIGNET IRON PIPE SADDLE 4" SIGNET IRON PIPE SADDLE ATTN: JENNIFER THE CHANGE ORDER REQUEST IS DUE TO THE NEED EA EA OF THE PARTS LISTED ABOVE. THESE WERE ERRANTLY LEFT OUT OF THE ORIGINAL QUOTE AND WILL BE NEEDED FOR THE PURPOSE OF HOUSING THE FLOW SENSORS BEING INSTALLED ON THE SPA AND WET PLAY SYSTEMS THANKS,STEVE Visit us on the web at www.knorrsystems.com! 241.00 241.00 241.00 241.00 Terms & Conditions Terms: NET 30 --Subject to approval of credit Interest: 18% A.P.R. is charged on all past due invoices. Shipping: f.o.b. Ship Point. (Unless otherwise specified.) Expiration: Subtotal: Sales Tax: Total: $ 482.00 37.36 ---- 519.36 Custom Items: Prices good for 30 days from the date of this quotation. 50% deposit required on all custom orders. Fees: Pricing excludes permits/fees. Please review the quote for accuracy. If acceptable, please sign and provide a purchase order number, if applicable, and return via fax, 714-754-1405, or email, stevef@knorrsystems.com. Thanks, Steve Fish PRINT NAME DATE APPROVED BY PO# Tracking #: PKRC641 CITY OF CARLSBAD PUBLIC WORKS LETTER OF AGREEMENT ALGA NORTE AQUATIC CENTER SPA AND SPLASH PAD REPAIRS: CONTRACT PKRC641 This letter will serve as an agreement between Knorr Systems, Inc., a California corporation (Contractor) and the City of Carlsbad (City). The Contractor will provide all equipment, material and labor necessary to repair filters for the spa and splash pad at Alga Norte Aquatic Center, per the Contractor's proposal dated October 16, 2017 and City specifications, for a sum not to exceed two thousand three hundred seventy- one dollars and ninety-five cents ($2,371.95). This work is to be completed within thirty calendar days after issuance of a Purchase Order. 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 insurance 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 Code sections 12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. /Y init -:f:/L init 6. The Contractor hereby acknowledges that debarment by another jurisdiction ~ounds for the City of Carlsbad to disqualify the Contractor from participating in,contract bidding. ,, init z,.,_ 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. ALGA NORTE AQUATIC CENTER SPA AND SPLASH PAD REPAIRS; CONTRACT PKRC641 --1 --City Attorney Approved 2/29/2016 Tracking #:PKRC641 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: Jeanette Gant 760-268-4776 Contractor Contact: Steve Fish 714-754-4044 ext. 108 CONTRACTOR Knorr Systems, Inc. 2221 Standard Avenue Santa Ana, CA 92707 714-754-4044 Office 714-754-1405 Fax stevef@knorrsystems.com By: By: Roger Posacki / President (print name/title) 6-1 (sign here) Rick Ruegger / Secretmy (print name/title) CITY OF CARLSBAD, a municipal corporation of the State of California By: Assistant ty Ma , e uty City Manager or Department Director as authorized by the City Manager Dated: l{,02, 11- (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 ALGA NORTE AQUATIC CENTER SPA AND SPLASH PAD REPAIRS; CONTRACT PKRC641 -2 --City Attorney Approved 2/29/2016 KNORR SYSTEMS UNANIMOUS WRITTEN CONSENT IN LIEU OF MEETING OF THE BOARD OF DIRECTORS September 29, 2017 THE UNDERSIGNED, being all of the members of the board of directors (the "Board") of Knorr Systems, Inc., a California corporation (the "Company"), hereby unanimously consent in writing to the taking of the following actions and the adoption of the following resolutions without a meeting in accordance with the procedures established in Section 307 of the California Corporations Code, such actions and resolutions to have the same force and effect as though duly taken and adopted at a meeting of the Board of the Company duly called and legally held. APPOINTMENT OF NEW OFFICERS RESOLVED, that each of the following persons is elected to the office of the Company set forth opposite his name below, to serve in accordance with the bylaws of the Company and at the discretion of the Board until his removal by the Board or until a successor shall have been duly elected and shall have qualified: Roger Posacki -President RESOLVED, that after giving effect to the foregoing, the following persons are confirmed as being the officers of the Company elected to the office of the Company set forth opposite his name below: Roger Posacki Chief Executive Officer and President Rick Rue er Chief Financial Officer and Secretar GENERAL AUTHORITY RESOLVED, that the officers of the Company be, and each of them hereby is, authorized and empowered, in the name and on behalf of the Company, to take any action (including, without limitation, the payment of expenses) and to execute (by manual or facsimile signature) and deliver all such further documents, contracts, letters, agreements, instruments, drafts, receipts or other writings that such officer or officers may in their sole discretion deem necessary, appropriate or desirable to carry out, comply with and effectuate the purposes of the foregoing resolutions and the transactions contemplated thereby and that the authority of such officers to execute and deliver any of such documents and instruments, including without limitation any modification, extension or expansion, and to take any such other action, shall be conclusively evidenced by their execution and delivery thereof or their taking thereof; and it is further 23842427.1.BUSINESS RESOLVED, that in connection with the transactions contemplated in the foregoing resolutions, the officers of the Company and counsel for the Company be, and each of them hereby is, authorized in the name and on behalf of the Company, to make any filings with any governmental agency necessary, appropriate or desirable in order to carry out fully the intent and accomplish the purposes of the foregoing resolutions, and such filings shall be conclusive evidence that the same are authorized hereby, and that any and all such filings heretofore or hereafter made by such officer or counsel for the Company within the terms of these resolutions be, and they hereby are, adopted, affirmed, approved and ratified in all respects as the official filing of the Company; and it is further RESOLVED, that all actions previously taken by any officer, employee or agent of the Company in connection with or related to the matters set forth in or reasonably contemplated or implied by the foregoing resolutions be, and each of them hereby is, adopted, ratified, confirmed and approved in all respects as the acts and deeds of the Company; and it is further RESOLVED, that in connection with the transactions contemplated by the preceding resolutions, the officers of the Company are, and each of them hereby is, authorized in the name and on behalf of the Company, to certify any more formal or detailed resolutions as such officer may deem necessary, appropriate or desirable to effectuate the intent of the foregoing resolutions; and that thereupon such resolutions shall be deemed adopted as and for the resolutions of the Board as if set forth at length herein. [Remainder of Page Left Intentionally Blank] 2 23842427.1.BUSINESS IN WITNESS WHEREOF, the undersigned have executed this Unanimous Written Consent of the Board of Directors, in one or more counterparts, as of the date first written above. Roge,6 ILL Rick Ruegger Mark Burgess [Written Consent of the Board of Knorr Systems, Inc. (Appointing Officers)} IN WITNESS WHEREOF, the undersigned have executed this Unanimous Written Consent of the Board of Directors, in one or more counterparts, as of the date first written above. Roger Posacki L / /- Ric!&.uegger Mark Burgess [Written Consent of the Board of Knorr Systems, Inc. (Appointing Officers)] IN WITNESS WHEREOF, the undersigned have executed this Unanimous Written Consent of the Board of Directors, in one or more counterparts, as of the date first written above. Roger Posacki Rick Ruegger [Written Consent of the Board of Knorr Systems, Inc. (Appointing Officers)] Page 1 SALES QUOTE Knorr Systems, Inc. SQ43929 --2221 Standard Ave. Santa Ana, CA 92707 Phone: 800-676-SWIM Fax: 714-754-1405 SP: 19 10/16/17 Sell To: C2017 Ship To: CITY OF CARLSBAD CITY OF CARLSBAD TIMOTHY KANE ALGA NORTE PARK ATTN: JEANETTE GRANT 6565 ALICANTE ROAD 6565 ALICANTE ROAD CARLSBAD, CA 92009 CARLSBAD, CA 92009 11;m Ng. D;;u,riglign Uni! gyen!il3' !.!1Ji1 eriS;!i! T!;!li!I PriS;~ CP-007-01940 0 RING C-18 EA 1 9.57 9.57 CP-007-05640 RING-SQUARE 8.5" CLOSURE EA 4 4.02 16.08 TRITON FILTERS. H P-039-14895 AIR PRESSURE SWITCH FOR EA 34.65 34.65 ER 152 -ER 402 CS-018-00220 LOW FLOW, POL YPRO, 1 /2" TO 4" EA 2 445.00 890.00 PIPES LOW FLOW PADDLEWHEEL SENSOR BLUE COLLAR 195 FURNISH LABOR TO REPLACE THE O-RING HOUR 1,328.00 1,328.00 ON THE SPA BOOSTER PUMP STRAINER POT, REPLACE O-RINGS ON ALL SPA & WET PLAY FILTER LIDS, REPLACE THE AIR PRESSURE SWITCH ON THE WET PLAY HEATER AND INSTALL PADDLEWHEEL FLOW SENSORS ON THE SPA AND WET PLAY SYSTEMS ESTIMATED FREIGHT CHARGES EA 1 20.00 20.00 This proposal includes labor, materials, testing equipment, travel and standard parts necessary to perform stated work. It does not include additional parts or labor beyond this listed scope. Additional materials and Work will be quoted as applicable. ATTN: JEANETTE THANKS,STEVE Page 2 SALES QUOTE Knorr Systems, Inc. S043929 --2221 Standard Ave. Santa Ana, CA 92707 Phone: 800-676-SWIM Fax: 714-754-1405 SP: 19 10/16/17 Sell To: C2017 Ship To: CITY OF CARLSBAD CITY OF CARLSBAD TIMOTHY KANE ALGA NORTE PARK ATTN: JEANETTE GRANT 6565 ALICANTE ROAD 6565 ALICANTE ROAD CARLSBAD, CA 92009 CARLSBAD, CA 92009 Item No. Description Unit Quantity Unit Price Total Price Visit us on the web at www.knorrsystems.com! Terms & Conditions Terms: NET 30 --Subject to approval of credit Interest: 18% A.P.R. is charged on all past due invoices. Subtotal: 2,298.30 S~esTax: 73.65 Shipping: f.o.b. Ship Point. (Unless otherwise specified.) Expiration: Prices good for 30 days from the date of this quotation. Total: $ 2,371.95 Custom Items: 50% deposit required on all custom orders. Fees: Pricing excludes permits/fees. Please review the quote for accuracy. If acceptable, please sign and provide a purchase order number, if applicable, and return via fax, 714-754-1405, or email, stevef@knorrsystems.com. Thanks, Steve Fish PRINT NAME DATE APPROVED BY PO# ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNYYY) ~ 07/12/2017 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 pollcy(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 CONTACT NAME: Marsh USA, Inc. f.~~N,t c.n. I FAX Two Alliance Center IA/C Nol: 3560 Lenox Road, Suite 2400 E-MAIL Atlanta, GA 30326 ADDRESS: Attn: Atlanta.CertRequest@marsh.com I Fax: 212-948-4321 INSURERISI AFFORDING COVERAGE NAIC# 457102-CAS.-GAUWX-16-17. INSURER A : Westchester Surplus Lines Insurance Co 10172 ·-- INSURED INSURER B : National Union Fire Ins Co, of Pittsburgh PA 19445 Knorr Systems, Inc. INSURER c : AIG 40258 2221 S. Standard Ave. Santa Ana, CA 92707 INSURER D: Travelers Property Casualty Company Of America 25674 INSURER E : Liberty Insurance Underwriters Inc. 19917 INSURER F: COVERAGES CERTIFICATE NUMBER· ATL-004187007-01 REVISION NUMBER: 1 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 ,&~rJ5YJ~, ,~g~J<t,~, LIMITS LTR ,.,~n un,n POLICY NUMBER A X COMMERCIAL GENERAL LIABILITY G2821800A 001 02/01/2017 08/01/2018 EACH OCCURRENCE $ 2,000,000 -D CLAIMS-MADE ~ OCCUR DAMAGE TO RENTED -PREMISES /Ea occurrence\ $ 100,000 X SIR $50,000 Per 0cc. MED EXP (Any one person) $ EXCLUDED PERSONAL & ADV INJURY $ 2,000,000 f-- GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 Fl POLICY 0 ~f8,: D LOC PRODUCTS -COMP/OP AGG $ 4,000,000 OTHER: POLICY AGGREGATE $ 10,000,000 / D AUTOMOBILE LIABILITY T J-CAP-9D897065TIL-16 10/03/2016 08/01/2017 fE~~~~~~tflNGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ f--ALL OWNED ~ SCHEDULED BODILY INJURY (Per accident) $ f--AUTOS f--AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS /Per •c•idAnll f--,__ Comp./Coll. Ded.: $1,000 $ B X UMBRELLA LIAB ~ OCCUR BE036027482 10/03/2016 08/01/2017 EACH OCCURRENCE $ 25,000,000 f-- EXCESS LIAB CLAIMS-MADE AGGREGATE $ 25,000,000 ,/ OED I X I RETENTION$ 10 000 $ C WORKERS COMPENSATION WC 012-85-1958 {AOS) 10/03/2016 08/01/2017 X I ~frTUTE I I OTH-ER C AND EMPLOYERS' LIABILITY Y/N WC 012-85-1959 {CA) 10/03/2016 08/01/2017 ANY PROPRIETOR/PARTNER/EXECUTIVE ~ E.L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.l. DISEASE · EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE · POLICY LIMIT $ 1,000,000 E Excess Umbrella 100005445606 08/01/2016 08/01/2017 Each Occurrence 25,000,000 ./ Aggregate 25,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/ VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached If more space Is required) RE: bimonthly ongoing pool service City of Carlsbad is listed as addiUonal insured in regards to services performed by the Insured, during the completion of the referenced project, on a primary and non-contributory basis on the General Liability (via CG 2010 & CG 2037) and Automobile Liability (via CA T 4 37 08 08) policies, when required by written contract. A Waiver of Subrogation applies in favor of the additional insured on the Workers Compensation policy, when required by written contract. CERTIFICATE HOLDER CANCELLATION Cily of Carlsbad SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE c/o Parks & Recreation Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 6565 Alicante Road ACCORDANCE WITH THE POLICY PROVISIONS. Carlsbad, CA 92009 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. I Manashi Mukherjee ..J',,u,_'VU>Oi,....;. ~ © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INSURED: RECESS HOLDINGS, INC. POLICY EFFECTIVE DATES: 02-01-2017 -08-01-2018 ./ POLICY NUMBER: G2821800A 001 INSURER AFFORDING COVERAGE: Westchester Surplus Lines Insurance Co. COMMERCIAL GENERAL LIABILITY CG 20 10 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 Or~anization(s) Location(s) Of Covered Ooerations Blanket as required by written contract Information reauired to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -\/\,ho 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. Wth 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. CG 2010 0413 © Insurance Services Office, Inc., 2012 Page 1 of2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section 111-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 Deel arations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 2010 0413 ./ INSURED: POLICY EFFECTIVE DATES: RECESS HOLDINGS, INC. 02-01-2017 -08-01-2018 POLICY NUMBER: G2821800A 001 INSURER AFFORDING COVERAGE: Westchester Surplus Lines Insurance Co. COMMERCIAL GENERAL LIABILITY CG 20370413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Blanket as required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -V\lho 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, in whole or in part, 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". 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 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. CG 20 370413 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: TJ-CAP-9D897065-TIL-16 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorse- ment, the provisions of the Coverage Form apply unless modified by the endorsement. The following is added to the Section II -Liability Coverage, Paragraph A.1. W,o Is An Insured Pro- vision: Any person or organization that you are required to include as additional insured on the Coverage Form in EFFECTIVE DATES: NAMED INSURED: AUGUST 1, 2016TOAUGUST 1, 2017 PLA YCORE HOLDINGS, INC. a written contract or agreement that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. INSURER: TRAVELERS INSURANCE COJ\1PANY OF AMERJCA CA T4 37 08 08 © 2008 The Travelers Companies, Inc. Page 1 of1