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HomeMy WebLinkAboutKnorr Systems Inc; 2018-09-04; PKRC672Tracking #:PKRC672 CITY OF CARLSBAD PUBLIC WORKS LETTER OF AGREEMENT ALGA NORTE COMPETITIVE POOL BOOST PUMP INSTALLATION: CONTRACT PKRC672 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 remove and install a new boost pump for the Venturi chlorine feed system, per the Contractor's proposal dated August 7, 2018 and City specifications, for a sum not to exceed one thousand two hundred seventy- two dollars and three cents ($1,272.03). This work is to be completed within five 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 "AX"; 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, GovRn{<nt Code sections 12650, et seq .. and Carlsbad Municipal Code Sections 3.32.025, et seq. init -r7J 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. -+\f--init rJI: 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 COMPETITIVE POOL BOOST PUMP INSTALLATION; CONTRACT PKRC672 --1 --City Attorney Approved 2/29/2016 Tracking #:PKRC672 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 Timothy Kane, 760-268-4780 Contractor Contact Tim Ackerman 714-754-1405 CONTRACTOR Knorr Systems, Inc. 2221 Standard Avenue Santa Ana, CA 92707 714-754-4044 Office 714-754-1405 Fax tima2@knorrsystems.com By: 7"? 12:k- (sign here) Rd11M'(j L~t v( f1~,c2-J (print name/title) By: (sign here) CITY OF CARLSBAD, a municipal corporation of the State of California By: i na , eputy City Manager or Department Director as authorized by the City Manager Dated: .,,._ • ~-Te.cbni--J ~.r'6'U AvLi:,..:st-,J...r (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 ALGA NORTE COMPETITIVE POOL BOOST PUMP INSTALLATION; CONTRACT PKRC672 --2 --City Attorney Approved 2/29/2016 KNORR SYSTEMS, INC. QUOTE NUMBER PWSVQ-1258 2221 Standard Ave., Santa Ana, CA 92707 * (714)754-4044 * FAX (714)754-1405 Date: 08/07/18 To: TIMOTHY KANE CITY OF CARLSBAD ALGA NORTE PARK 6565 ALICANTE ROAD CARLSBAD, CA 92009 From: TIM ACKERMAN Subject: COMP POOL BOOST PUMP SECTION DESCRIPTION TOTAL Labor and REMOVE FAILED 1/2HP BOOST PUMP FROM COMP POOL VENTURI CHLORINE FEED SYSTEM, Materials INSTALL NEW 1/2HP BOOST PUMP, RESTART SYSTEM, AND VERIFY OPERATION. Subtotal Sales Tax' Estimate This proposal includes labor, testing equipment, and travel to perform stated work. It does not include additional parts or labor if additional work beyond this scope is required. Additional materials and labor will be quoted as applicable. OEM PARTS: Payment Terms: Interest: Freight: Sales Tax: Notes: Terms and Conditions KSI utilizes OEM parts for required repairs / maintenance Net 30 days from date of invoice, subject to approval of credit. 18% APR is charged on all past due invoices. FOB equipment ship point, see above for for estimated freight charges. 'Subject to sales tax on materials only as noted above. Quote represents current pricing and valid untll 9/6/2018 $1226.50 $1226.50 $45.53 $1,272.03 Please review this quote for accuracy. If acceptable, please sign and provide a purchase order number, if available, and return via tax at 714-754-1405 or by email at tlma2@knorrsystems.com Print Name Date Approved By Purchase Order # DATE:08/07/2018 DEPARTMENT: Parks & Recreation PURCHASE REQUISITION CITY OF CARLSBAD RECOMMENDED VENDOR: Knorr Systems, Inc. DATE NEEDED:-=== CONTACT ..... I .... irn .... K .... a .... oe----------ADDRESS 2221 Sfaodacd Ave --------ADDRESS 6565 Aljcante Rd CITY/STATE/ZIP Saota Ana CA 927QZ VENDOR NO./ NEW VENDOR EMAIL: Item Quantity CARLSBAD CA 92009 tima2@knorrsystems.com Unit of Measure Description Remove and replace failed boost pump Taxes Total NOTES PHONE 714-754-4044 Account Unit Number Price 0014547-7550 1226.50 0014547-7550 Amount 1226.50 45.53 1272.03 This request is for the replacement of a failed 1/2HP boost pump for our Venturi chlorine feed system, including the removal of thE failed pump and installation of a new one. Requisitioned B · Tim Kane Approved By: • KNORR SYSTEMS, INC. Service Supported Distribution" A P LA Y CORE" Company October 31, 2017 ELECTRONIC MAIL AND FEDERAL EXPRESS City of Carlsbad Parks & Recreation Management Analyst 799 Pine Avenue, Suite 200 Carlsbad, CA 92008 RE: COMPANY SIGNATURE AUTHORIZATION To Whom It May Concern: Effective October 3, 2016, PlayCore Wisconsin, Inc. ("PlayCore") acquired Knorr Systems, Inc. ("KSI "). PlayCore delegates signing authority up to $250,000.00 (Two Hundred Fifty Thousand Dollars and Zero Cents) to the Vice President -General Manager of the local entity. The individual below is authorized to sign for all matters relating to the City of Carlsbad deemed necessary for compliance. Rich Robert, Vice President -General Manager, Knorr Systems, Inc. We appreciate your attention to this matter. Sincere7 7 ./ ~// Rick Ruegger Senior Vice President and CFO PlayCore Aquatic Equipment, Mochanical Room & WatocTreatmoot Specialists Soutn~n caiifOrria: 2221 Stamlard A\JEOUe Santa Ana. CA 92707 Pnone: (714) 76-W~ Fax: (714) 764-1406 Nortnern Carlfo~: lllxa.&I01<1anoma: 2021 ua Poo.':81 Cot.rt. SU!".11 4320 Eu1oelt Dnve 143 Addoon. 1X76001 U,'iml0r8, CA ~1 Pnone: (972) 73:2-0306 Rlor.e: (1126} 273-0722 Fax: (972) 732-0306 Fax (926} 273--0726 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: Chief Executive Officer and President 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. I.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. 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 counterpa1ts, as of the date first written above. Roger Posacki Lr 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)] ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~-07/31/2018 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 Marsh USA, Inc. NAME: PHONE I FAX Two Alliance Center /Air. Nn l=ri\• IA/C Nol: 3560 Lenox Road, Suite 2400 E-MAIL ADDRESS: Atlanta, GA 30326 Attn: Atlanta.CertRequest@rnarsh.com / Fax: 212-948-4321 INSURER(Sl AFFORDING COVERAGE NAIC# CN10232638S-CAS.-GAUWX-18-19 INSURER A : Westchester Fire Insurance Comoanv 10030 INSURED INSURER B : National Union Fire Ins Co. of Pittsburah PA 19445 Knorr Systems, Inc. 25623 2221 S. Standard Ave. INSURER c : Phoenix Insurance Comoanv Santa Ana, CA 92707 INSURER D: Travelers Prorv,rtv Casualtv Comoanv Of America 25674 INSURER E : Libertv Surolus Insurance Com 10725 INSURERF: COVERAGES CERTIFICATE NUMBER: A TL-004733402-09 REVISION NUMBER: 3 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 ISUBR POLICY EFF POLICY EXP LTR 1,.,.,n lw11n POLICY NUMBER IMM/DD/YYYYl IMM/DD/YYYYl LIMITS A X COMMERCIAL GENERAL LIABILITY G2821800A 002 08/01/2018 08/01/2019 EACH OCCURRENCE $ 2,000,000 f--D CLAIMS-MADE 0 OCCUR TO RENTED PREMISES /Ea occurrence) $ 100,000 f--v' X SIR $50,000 Per 0cc. ' MED EXP (Any one person) $ EXCLUDED f--PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 ~ 0PRO-DLOC PRODUCTS -COMP/OP AGG $ 4,000,000 POLICY JECT OTHER. POLICY AGGREGATE $ 10,000,000 v D AUTOMOBILE LIABILITY T J-CAP-9D897065TIL-18 08/01/2018 08/01/2019 fE~~~~d~~tflNGLE LIMIT $ 1,000,000 -X ANY AUTO BODILY INJURY (Per person) $ f---OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ f--HIRED -NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY /Per accident) $ f---Comp./Coll. Ded.: $1,000 $ ti X UMBRELLA UAB M OCCUR BE 014788208 08/01/2018 08/01/2019 EACH OCCURRENCE $ 25,000,000 f-- EXCESSLIAB CLAIMS-MADE AGGREGATE $ 25,000,000 OED I X I RETENTION $10 000 $ D WORKERS COMPENSATION TROUB-9D90032-6-18 U!l/Ul/LU18 08/01/2019 X I ~¥fruTE I I OTH- AND EMPLOYERS' LIABILITY ER C Y/N TC2NUB-9D90031-4-18 08/01/2018 08/01/2019 ANYPROPRIETOR/PARTNER/EXECUTIVE 0 E.L EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBER EXCLUDED? N/A 08/01/2018 08/01/2019 (Mandatory In NH) UB-7 J602089-18-14-G E.L DISEASE -EA EMPLOYEE $ 1,000,000 ~~SC:~;fr~ ~1~PERATIONS below (See Additional Page.) E. L DISEASE -POLICY LIMIT $ 1,000,000 E Excess Umbrella 1000054456-08 08/01/2018 08/01/2019 Each Occurrence 25,000,000 Aggregate 25,000,000 C' DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached If more space Is required) RE All Jobs City of Carlsbad is listed as additional insured in regards to services during each project performed by the Insured, on a primary and non-contributory basis via CG 201 O & CG 2037 . where required by written contract. . A Waiver of Subrogation applies in favor of the additional insured on the Workers Compensation policy where required by wrillen contract . ..,/ CERTIFICATE HOLDER CANCELLATION City of Carlsbad SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE rlo 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-lo..-.-...,;.~ © 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_1_0_2_32_6_3_8_9 ___________ _ LOC #: Atlanta ~-ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Marsh USA, Inc. Knorr Systems, Inc. 2221 S. Standard Ave. POLICY NUMBER Santa Ana, CA 92707 CARRIER I NAICCODE 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 (Continued): TROUB-9090032-6-18 (AZ., FL, OR, WI, MA) TC2NUB-9D90031-4-18 (AL CO GA IA IL IN KS KY MD Ml MO MT NC NE NV NY OK PA SC TN TX UT) UB-7J602089-18-14-G (AZ. CA CO CT FL GA ID IL IN KS MD MN MO MT NC NH NV NY OK OR PA TN TX WV) Page 2 of 2 ---- ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INSURED: POLICY EFFECTIVE DATES: PLAYCORE GROUP, INC. 08-01-2018 -08-01-2019 POLICY NUMBER: G2821800A 002 V IN::iUKt:K AJ-J-UKUINlj t;UVt:KAljt:: Westchester Surplus Lines Insurance Co. COMMERCIAL GENERAL LIABILITY CG 20 37 0413 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 All locations 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" 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 37 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 INSURED: PLAYCORE GROUP, INC. POLICY EFFECTIVE DATES: 08-01-2018 -08-01-2019 POLICY NUMBER: G2821800A 002 INSURER AFFORDING COVERAGE: Westchester Surplus Lines Insurance Co. 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) Location(s) Of Covered Operations Blanket as required by written contract As per written 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, 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 ~ontract 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 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 20 10 0413 © Insurance Services Office, Inc., 2012 Page 1 of 2 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. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 2010 0413 ll.._~UK.tU NAJVlt: EFFECTIVE DATE: POLICY NUMBER: t'LA Y LUK.t IJKUUt', 11.._L, 08/01/2018 TO 08/01/2019 TJ-CAP-9D897065-TIL-I 8 / / 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 The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II -COVERED AUTOS LIABILITY COVERAGE in the BUSINESS AUTO COVERAGE FORM and Paragraph e. in A.1., Who Is An Insured, of SECTION II -COVERED AUTOS LIABILITY COVERAGE in the MOTOR CARRIER COVERAGE FORM, whichever Coverage Form is part of your policy: This includes any person or organization who you are required under a written contract or agreement between you and that person or organization, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to name as an additional insured for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent of that person's or organization's liability for the conduct of another "insured". CA T4 37 0216 © 2016 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.