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HomeMy WebLinkAboutMC Painting Inc; 2020-02-06; PWM20-986GSRECORDED REQUESTED BY CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 DOC# 2020-0195222 111111111111 lllll 111111111111111111111111111111 IIIII IIIII IIIII IIII IIII Apr 17, 2020 08:52 AM OFFICIAL RECORDS Ernest J. Dronenburg, Jr, SAN DIEGO COUNTY RECORDER FEES $0.00 (SB2 Atkins $0.00) PAGES 2 Space above this line for Recorder's use. PARCEL NO: NOTICE OF COMPLETION Notice is hereby given that: 209-050-26-00 l. The undersigned is owner of the interest or estate stated below in the property hereinafter described. 2. The full names of the undersigned are City of Carlsbad, a municipal corporation. 3. The full address of the undersigned is 1200 Carlsbad Village Drive, Carlsbad, California 92008. 4. The nature of the title of the undersigned is: In fee. 5. A work or improvement on the property hereinafter described was completed on March 17, 2020. 6. The name of the contractor for such work or improvement is MC Painting, Inc. 7. The property on which said work or improvement was completed is in the City of Carlsbad, County of San Diego, State of California, and is described as follows: Contract No. PWM20-986GS. Project Name is PriSim Room Floor Repairs at the Safety Training Center. 8. The street address of said property is 5750 Orion Street, in the City of Carlsbad. CITYOFCARU ~f:J2_Q __ ·_\~S_c.../_\ __ , ....... 6 ...... ~e~vft Pafme1 A~sJ. Scott Chadwick, City Manager-' (1 tj VERIFICATION OF CITY CLERK I, the undersigned, say: I am the City Clerk of the City of Carlsbad, /.200 Carlsbad Village Drive, Carlsbad, California, 92008; the City Manager of said City on 3 Q() , 2020, accepted the above described work as completed and ordered that a Notfce of Completion be filed. I declare under penalty of perjury that the foregoing is true and correct. Executed on L/ } ~ I , 20~, at Carlsbad, California. CITY OF CA;=~~ ~ r:;:::: ~ City Clerk /Vluflo.~({ CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS MC Painting, Inc. has completed the contract work required for Contract No. PWM20-986GS, Project Name, PriSim Room Floor Repairs at the Safety Training Center. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS .{Q!Yl PriSim Room Floor Repair at the Safety Training Center VALUE $15,196.00 ~~ ¼NION OF COMPLETION OF IMPROVEM~~:J' r2,<J7..o John M ~ff. Public Works M~ager Date CITY MANAGER'S ACCEPTANCE OF PUBLIC IMPROVEMENTS The construction of the above described contract is deemed complete and hereby accepted. The City Clerk is hereby authorized to record the Notice of Completion and release the bonds in accordance with State Law and City Ordinances. The City of Carlsbad is hereby improvements. directed to commence maintaining the above described ~Q_J:: ? '~---6eoff Palnde. /k5J. --s / '2--v / --zv Scott Chadwick, City Manager I I · Date C1+j /"la..nD~t( APPROVED AS TO FORM: CELIA BREWER, City Attorney By~j ~ AssistWy Attorney PWM20-986GS PriSim Room Floor Repairs at the STC Page 1 of 6 City Attorney Approved 1/25/2019 CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT PRISIM ROOM FLOOR REPAIRS AT THE SAFETY TRAINING CENTER This agreement is made on the ______________ day of _________________________, 2020, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and MC Painting, Inc., a California corporation whose principal place of business is 504 Jones Road, Oceanside, CA 92058 (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: Jason Kennedy (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. DocuSign Envelope ID: FADA8F18-F086-472B-ADC2-9178F606CCB1 February6th PWM20-986GS PriSim Room Floor Repairs at the STC Page 2 of 6 City Attorney Approved 1/25/2019 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 subcontractor from participating in contract bidding. Signature: ___________________________________ Print Name: ______Kerry Lynn Lewis_______________ 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. DocuSign Envelope ID: FADA8F18-F086-472B-ADC2-9178F606CCB1 PWM20-986GS PriSim Room Floor Repairs at the STC Page 3 of 6 City Attorney Approved 1/25/2019 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 ten (10) working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within twenty (20) working days after receipt of Notice to Proceed. CONTRACTOR’S INFORMATION. MC Painting, Inc. 504 Jones Road (name of Contractor) 69478 (street address) Oceanside, CA 92058 (Contractor’s license number) C33 3/31/2020 (city/state/zip) 760-599-8000, Ext. 103 (license class. and exp. date) 1000026859 (telephone no.) N/A (DIR registration number) 6/30/2020 (fax no.) shane@mc-painting.com (DIR registration exp. date) (e-mail address) /// /// /// /// /// /// /// DocuSign Envelope ID: FADA8F18-F086-472B-ADC2-9178F606CCB1 PWM20-986GS PriSim Room Floor Repairs at the STC Page 4 of 6 City Attorney Approved 1/25/2019 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 MC PAINTING, INC., a California corporation CITY OF CARLSBAD, a municipal corporation of the State of California By: By: (sign here) Kerry Lynn Lewis/President & Secretary Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager (print name/title) By: (sign here) Michael Christian Lewis/CFO (print name/title) 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 Group B Chairman, President, or Vice-President 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: _____________________________ Deputy City Attorney DocuSign Envelope ID: FADA8F18-F086-472B-ADC2-9178F606CCB1 PWM20-986GS PriSim Room Floor Repairs at the STC Page 5 of 6 City Attorney Approved 1/25/2019 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 be Subcontracted Business Name and Address DIR Registration No. License No., Classification & Expiration Date % of Total Contract Total % Subcontracted: _______________ The Contractor must perform no less than fifty percent (50%) of the work with its own forces. DocuSign Envelope ID: FADA8F18-F086-472B-ADC2-9178F606CCB1 1000026859MC Painting 504 Jones Road,. Oceanside, CA 92058 100 695478 03/31/2020 Paint 1000026859Floor Polishing 100 MC Painting 504 Jones Road,. Oceanside, CA 92058 100 695478 03/31/2020 PWM20-986GS PriSim Room Floor Repairs at the STC Page 6 of 6 City Attorney Approved 1/25/2019 EXHIBIT B PRISIM ROOM FLOOR REPAIRS AT THE SAFETY TRAINING CENTER JOB QUOTATION ITEM NO. UNIT QTY DESCRIPTION PRICE 1 LS 1 Remove rubber matting and adhesive from mat room floor. Remove any moisture, patch necessary cracks. Grind, seal and polish floor surface to match existing floors in adjacent hallway. (See Exhibits C, D, and E for details). 2 LS 1 Prime and paint using eggshell enamel paint, all gypsum board walls in mat room. Color to match existing wall color in adjacent conference room (Room 114). Paint match required before painting. TOTAL* $15,196.00 *Includes taxes, fees, expenses and all other costs. DocuSign Envelope ID: FADA8F18-F086-472B-ADC2-9178F606CCB1 504 Jones Rd, Oceanside CA 92058 (760) 599-8000 phone (760) 599-8775 fax www.mc-painting.com CA Lic# 695478/AZ Lic# 130186/ NV Lic # 50770 MC Painting is a certified WBE and SBE. Certification # 1041199 Proposal #8513 PROPOSAL SUBMITTED TO: Jason Kennedy EMAIL; Jason.Kennedy@carlsbadca.gov WORK TO BE PERFORMED AT: Training Mat Room (PriSim Room) CONTRACTOR: City Of Carlsbad (Safety Training Center) DATE: 10/23/19 JOB SITE ADDRESS: 5750 Orion Street, Carlsbad, CA 92010 WE HEREBY PROPOSE THE FOLLOWING: 1)Remove existing mats and adhesive from concrete floor. 2)Seal small cracks if required. 3)Polish concrete floor to match corridor flooring (existing hallway floors), color to be natural. -Perform 1st pass with diamond blades on grinder to exposed aggregate to match existing polished floors. -Perform 2nd pass with diamond blades on grinder to achieve level of polish on existing polished floors. -Perform 3rd pass with resin diamonds to smooth finish. -Apply densifier. -Perform 1st pass with burnisher to harden and smooth densifier. -Apply sealer. -Perform 2nd pass with burnisher for gloss to match existing floors in corridor. Notes: Cover all electronic equipment and ensure precautions are in place to capture concrete dust. 4)Prime as needed and apply eggshell enamel paint to gypsum board walls throughout the room. Color will be matched with existing walls is STC Conference Room 114, next door to the PriSim Room. Color: Light Grey, requires match. Qualifications 1)Proposal includes prevailing wages. 2)Work to be performed in 1 move on. Exclusions: 1)Any work not shown above. Proposal Price: $15,196.00 EXHIBIT C PWM20-986GS DocuSign Envelope ID: FADA8F18-F086-472B-ADC2-9178F606CCB1 CONCRETE FLOORING PRODUCTS Consolideck® LS® Consolideck® LS® is the premium hardener, densifier and sealer for concrete surfaces. This penetrating lithium silicate treatment reacts with the concrete to produce insoluble calcium silicate hydrate within the concrete pores. Treated surfaces resist damage from water and surface abrasion. The increased surface hardness reduces dusting and simplifies maintenance, producing a cleaner, healthier environment. Safer, faster and easier to apply than conventional sodium or potassium silicate hardeners, Consolideck® LS® will not trigger or contribute to surface ASR (Alkali Silicate Reaction). ADVANTAGES • Easy, one step application. No scrubbing. No flushing. No caustic wastewater. • May be applied to broom finished, steel troweled, power troweled or burnished concrete finishes. • Penetrates and reacts quickly to produce better initial and ultimate hardness. • Tested and conforms to California Collaborative for High Performance School Indoor Air Quality standards. Use can contribute to LEED® for Schools points (EQ Credit 4). • Provides better abrasion resistance than conventional hardeners. • Produces a fast surface gloss which improves with traffic and maintenance. • Improves performance, appearance and light reflectance of new or old concrete. • Reduces application time and costs of diamond polishing operations. • Will not contribute to surface crazing. High lithium content combats surface ASR. • Lithium will not absorb water or contribute to floor sweating. • Gloss and hardness do not reduce slip resistance. •Breathable and UV stable. Will not yellow, discolor, peel or flake. • Non-flammable. Non-toxic. Low odor. • Cures quickly. Most floors can be opened to traffic within one hour of treatment. • Treated surfaces are easy to maintain and require no waxing. TYPICAL TECHNICAL DATA FORM Clear, colorless, odorless liquid SPECIFIC GRAVITY 1.10 pH 11.0 WT/GAL 9.2 lbs ACTIVE CONTENT 14.5% TOTAL SOLIDS 14.5% VOC CONTENT 0 g/L FLASH POINT not applicable FREEZE POINT 32° F (0° C) SHELF LIFE 2 years in tightly sealed, unopened container REGULATORY COMPLIANCE VOC Compliance Consolideck® LS® is compliant with the US Environmental Protection Agency’s AIM VOC regulations. Visit www.prosoco.com/voccompliance to confirm compliance with individual district or state regulations. SAFETY INFORMATION Always read full label and SDS for precautionary instructions before use. Use appropriate safety equipment and job site controls during application and handling. 24-Hour Emergency Information: INFOTRAC at 800-535-5053 Product Data Sheet • Page 1 of 4 • Item #46068 – 011717 • ©2017 PROSOCO, Inc. • www.prosoco.com Nonfood CompoundsProgram Listed R2Registration #142259 EXHIBIT DPWM20-986GSDocuSign Envelope ID: FADA8F18-F086-472B-ADC2-9178F606CCB1 PREPARATION Protect people, vehicles, property, plants and all surfaces not designated to receive LS® from the product, splash and wind drift. Use polyethylene or other proven protective material. New Concrete: Though LS® may be applied to freshly placed concrete after final finishing and installation of the control joints, Consolideck® LS/ CS® may be a better choice. Contact PROSOCO for recommendations. When applying to new concrete, remove soft cut saw debris before application. Existing Concrete: LS® is ideal for application to existing, cured concrete of any age. Surfaces must be clean and structurally sound. Remove all foreign materials including bond breakers, curing agents, surface grease and oil, and construction debris using the appropriate Consolideck® surface prep cleaner. Do not apply to surfaces which are frozen, dirty or have standing water. Surfaces must be clean, dry and absorbent. Test surface absorbency with a light water spray; surfaces designated for treatment should wet uniformly. If the surface does not wet uniformly, use the appropriate Consolideck® or PROSOCO surface preparation cleaner or mechanical process to remove remaining surface contaminants. Follow the appropriate cleaner with thorough water rinsing. If a d-limonene based cleaner/stripper is used, clean treated surfaces with PROSOCO Cleaner/Degreaser and rinse thoroughly. Acid-stained concrete must be thoroughly neutralized and rinsed prior to application. Application may begin as soon as prepared surfaces are dry and free of ponded water. Surface and Air Temperatures Temperatures for application should be 40–100°F (4–38°C). Equipment Apply with low pressure sprayer or microfiber pad. Fit sprayers with a 0.5 gpm (gallon per minute) spray tip. Storage and Handling Store in a cool, dry place. Always seal container after dispensing. Do not alter or mix with other chemicals. Published shelf life assumes upright storage of factory-sealed containers in a dry place. Maintain temperatures of 40–100°F (4–38°C). If product freezes, allow to thaw and mix well. Do not double stack pallets. Dispose of in accordance with local, state and federal regulations. APPLICATION Read “Preparation” and the Safety Data Sheet before use. ALWAYS TEST a small area of each surface to confirm suitability, coverage rate and desired results before beginning overall application. Test with the same equipment, recommended surface preparation and application procedures planned for general application. Let surface dry thoroughly before inspection. Pre-testing will confirm suitability of surface preparation and application procedures proposed for general application, and will also determine the average coverage rates to be maintained over the entire project. Dilution & Mixing Do not dilute or alter. Use as supplied. Typical Coverage Rates Variations in concrete quality, porosity, job site conditions, temperature and relative humidity will affect coverage rates and drying times. Calculate the target coverage rate by testing a representative section of the prepared surface using the published application instructions. Estimated Coverage Rates The following coverage rates are offered for estimating only. See below for instructions on calculating project-specific target coverage rates. Freshly Placed, Uncured, Steel Troweled Concrete • 800–1000 sq.ft.(74–93 sq.m.) per US gal Steel Troweled; Ground/Honed; and Polished Concrete • 500–800 sq.ft. (46–74 sq.m.) per US gal Calculating Project-Specific Target Coverage Rate 1. Prepare the test section in accordance with “Preparation” information above. Surfaces must be clean, dry and absorbent. Surfaces should wet uniformly. 2. Add 1-gallon of LS ® to a clean, pump-up sprayer. Apply according to Application Instructions steps #1–3 for the appropriate floor type. Repeat as necessary to determine correct rate of application. 3. Measure the test area to establish the target coverage rate per gallon. Product Data SheetConsolideck® LS® Product Data Sheet • Page 2 of 4 • Item #46068 – 011717 • ©2017 PROSOCO, Inc. • www.prosoco.com PWM20-986GS Exhibit D (continued) DocuSign Envelope ID: FADA8F18-F086-472B-ADC2-9178F606CCB1 Application Instructions NOTE: Allowing excess material to puddle on the floor will extend dry times and create white residues which must be removed immediately. Call 800-255-4255 for removal instructions. Freshly Placed, Uncured Steel-Troweled Concrete 1. After final finishing, soft cut control joints. Clean concrete of any dirt, residue or debris. 2. Using a low pressure sprayer, apply a single coat sufficient to wet the surface without producing puddles. Use a clean microfiber pad to spread product evenly and ensure uniform wetting. Avoid spreading once drying begins. Scrubbing is not necessary. If surfaces dry immediately, apply more product. Surface should remain wet for 5–10 minutes. Adjust rate of application to eliminate puddles. 3. Allow treated surfaces to dry. 4. Immediately apply the specified curing compound or initiate the specified curing procedure. 5. When curing is complete, use an automatic floor scrubber equipped with cleaning pads or brushes appropriate for removal of accumulated construction soiling and surface residues. Avoid pads or brushes which may damage the finished floor. This will further enhance the sheen produced by LS®. Cured, Steel Troweled Concrete 1. Surface must be clean, dry and absorbent, and must wet uniformly. Test surface absorbency with a light water spray. To slow dry times in hot, dry weather conditions, lightly pre-wet the concrete with fresh water and allow any standing water to evaporate. 2. Using a low pressure sprayer, apply a single coat sufficient to wet the surface without producing puddles. Use a clean microfiber pad to spread product evenly and ensure uniform wetting. Avoid spreading once drying begins. Scrubbing is not necessary. If surfaces dry immediately, apply more product. Surface should remain wet for 5–10 minutes. Adjust rate of application to eliminate puddles. 3. Allow treated surfaces to dry. 4. Remove dried powder residue using stiff broom, power sweeper or floor scrubbing machine. 5. For immediate, enhanced shine, buff or burnish the dry concrete surface in both directions using an orbital floor machine or burnisher equipped with an appropriate polishing pad. This is a dry buffing operation. Cured, Ground/Honed Concrete 1. Sand, level or grind the surface with a floor sander, orbital floor machine or diamond grinder, as needed, to achieve desired exposure. Remove all dust and debris with a floor scrubbing machine and fresh water. Allow wet surfaces to dry. Surfaces must be clean and dry. 2. Using a low pressure sprayer, apply a single coat sufficient to wet the surface without producing puddles. Use a clean microfiber pad to spread product evenly and ensure uniform wetting. Avoid spreading once drying begins. Scrubbing is not necessary. If surfaces dry immediately, apply more product. Surface should remain wet for 5–10 minutes. Adjust rate of application to eliminate puddles. 4. Allow treated surfaces to dry. BEST PRACTICES Surfaces to be treated must be clean, dry and absorbent. Test surface absorbency with a light water spray. If surfaces designated for treatment do not wet uniformly, use the appropriate Consolideck® surface prep cleaner or mechanical process to remove remaining surface contaminants. If the desired surface finish requires mechanical removal of the top layer of cement paste, best results are achieved by sanding or grinding the cured concrete surface to achieve a 50–200 grit finish before applying LS®. The increased surface density which LS® provides will make further sanding, grinding or diamond polishing proceed faster. Spray applicators equipped with 0.5 gpm (gallon per minute) fan spray tip have proven effective for application of this product. Consolideck® LS® is suitable for use with wet or dry grinding and polishing procedures. Wastewater generated by wet grinding or polishing procedures should be collected and disposed of properly. Use Consolideck® DailyKlean as part of a comprehensive maintenance program that includes deep cleaning with Consolideck® LSKlean. For concrete floors regularly maintained with auto scrubbers, see Consolideck® DailyKlean ULTRA 15 or DailyKlean ULTRA 30 for easy dilution. The same ease of dilution is available for deep cleaning with Consolideck® LSKlean ULTRA 15 and LSKlean ULTRA 30. Never go it alone. If you have problems or questions, contact your local PROSOCO distributor or field representative. Or call PROSOCO technical Customer Care, toll-free, at 800-255-4255. Product Data SheetConsolideck® LS® Product Data Sheet • Page 3 of 4 • Item #46068 – 011717 • ©2017 PROSOCO, Inc. • www.prosoco.com PWM20-986GSExhibit D (continued) DocuSign Envelope ID: FADA8F18-F086-472B-ADC2-9178F606CCB1 5. Remove any dried powder residue using stiff broom, power sweeper or floor scrubbing machine. 6. If additional surface sheen is desired, buff or burnish the surface in both directions with an orbital floor machine or burnisher equipped with an appropriate polishing pad. This is a dry buffing operation. Cured and Polished Concrete Follow steps 1–4 listed above for Ground/Honed Concrete. Using progressively finer abrasives, continue diamond polishing in consecutive steps to achieve the desired finish. Remove all polishing dust and debris. Protective Treatment To achieve additional shine and protection, apply Consolideck® LSGuard® or PolishGuard. For improved resistance to water or oily stains with no change to surface appearance, apply Consolideck® SLX100® Water & Oil Repellent or Concrete Protector. Call Customer Care at 800-255-4255 for assistance with proper product recommendation. Always obtain the Product Data for full limitations, application and safety instructions before applying any PROSOCO Consolideck® product. Cleanup Before product dries, clean tools and equipment with fresh water. Immediately wash off over spray from glass, aluminum, polished or other surfaces with fresh water. Final Results The floor is ready to use when dry. Surfaces exhibit reduced water absorption upon drying and maximum water resistance will develop over 7 days. Surface hardness and sheen often increase over time and with proper maintenance. Maintenance Remove surface dust and debris daily using a microfiber pad or dry dust mop. Dry buff with a high-speed burnisher to refresh gloss. Regular maintenance cleaning will improve surface shine. Maintain the floor with Consolideck® DailyKlean or LSKlean. Do not use acidic cleaners. Though LS® will improve the resistance of concrete surfaces to staining, acid concentrates and acidic foods may etch the floor and leave a residual stain. Clean up spills quickly to minimize any potential for damage. Though protective treatments simplify maintenance of concrete floors, all spills must be cleaned up in a timely manner. WARRANTY The information and recommendations made are based on our own research and the research of others, and are believed to be accurate. However, no guarantee of their accuracy is made because we cannot cover every possible application of our products, nor anticipate every variation encountered in masonry surfaces, job conditions and methods used. The purchasers shall make their own tests to determine the suitability of such products for a particular purpose. PROSOCO, Inc. warrants this product to be free from defects. Where permitted by law, PROSOCO makes no other warranties with respect to this product, express or implied, including without limitation the implied warranties of merchantability or fitness for particular purpose. The purchaser shall be responsible to make his own tests to determine the suitability of this product for his particular purpose. PROSOCO’s liability shall be limited in all events to supplying sufficient product to re-treat the specific areas to which defective product has been applied. Acceptance and use of this product absolves PROSOCO from any other liability, from whatever source, including liability for incidental, consequential or resultant damages whether due to breach of warranty, negligence or strict liability. This warranty may not be modified or extended by representatives of PROSOCO, its distributors or dealers. CUSTOMER CARE Factory personnel are available for product, environment and job-safety assistance with no obligation. Call 800-255-4255 and ask for Customer Care – technical support. Factory-trained representatives are established in principal cities throughout the continental United States. Call Customer Care at 800-255-4255, or visit our web site at www.prosoco.com, for the name of the PROSOCO representative in your area. Product Data SheetConsolideck® LS® Product Data Sheet • Page 4 of 4 • Item #46068 – 011717 • ©2017 PROSOCO, Inc. • www.prosoco.com PWM20-986GSExhibit D (continued) DocuSign Envelope ID: FADA8F18-F086-472B-ADC2-9178F606CCB1 Typical Technical daTa pROdUcT daTa SheeT REGULATORY COMPLIANCE VOC Compliance Consolideck® PolishGuard is compliant with the following national, state and district AIM VOC regulations: X US Environmental Protection Agency X California Air Resources Board SCM Districts X South Coast Air Quality Management District X Maricopa County, AZ X Northeast Ozone Transport Commission PolishGuard glossy protective sealer for interior horizontal concrete Product Data Sheet • Page 1 of 4 • Item #46063 • CDPG - 093013 • ©2013 PROSOCO • www.consolideck.com OVERVIEW Consolideck® PolishGuard is a durable, chemical-resistant, high-gloss, protective coating that dramatically increases the stain resistance of interior concrete floors. PolishGuard is ideal for steel-troweled, burnished, polished or decorative concrete and cement terrazzo floors that are exposed to accidental spills of food products, household cleaners and industrial solutions. This chemical-resistant, non-yellowing formulation enhances the appearance of standard gray, integrally colored, dyed, stained or color-hardened concrete floors. ADVANTAGES • Produces a long-lasting, tough protectiveshine on any interior concrete flatwork. • Perfect for floors hardened/densified withConsolideck® LS® and LS/CS®. • Adds depth and luster to coloredconcrete, including surfaces decoratedwith Consolideck® GemTone Stain andColorHard. • Keeps soiling and contaminants frompenetrating, making maintenancecleaning faster, more effective and moreeconomical. • Treated floors maintain slip resistance. • Low odor. Easy to apply. Fast drying. • UV stable. Will not yellow, discolor, peel orflake. • VOC Compliant. Non-flammable. Non-toxic.Water-based. Limitations • Only for use on indoor horizontal concretesurfaces. • Will not compensate for structural defects.Surfaces must be clean and in good repair before application. 03 30 00 Cast-In-Place Concrete 03 35 00 Concrete Finishing09 60 00 Flooring 09 61 00 Flooring Treatments FORM Milky white liquid SPECIFIC GRAVITY 1.01 pH 8.4 WT/GAL 8.50 lbs ACTIVE CONTENT 15% TOTAL SOLIDS 15% VOC CONTENT 100 g/L maximum FLASH POINT >200°F (>93°C) FREEZE POINT 32°F (0°C) SHELF LIFE 1 year in tightly-sealed, unopened container EXHIBIT E PWM20-986GSDocuSign Envelope ID: FADA8F18-F086-472B-ADC2-9178F606CCB1 alWayS TeST pROdUcT daTa SheeT Follow the appropriate cleaner with thorough water rinsing. If a d-limonene based cleaner/ stripper is used, clean treated surfaces with Consolideck® Cleaner/Degreaser and rinse thoroughly. Acid-stained concrete must be thoroughly neutralized and rinsed prior to application. Application may begin as soon as prepared surfaces are dry. Surface and Air Temperatures Temperatures for application should be 40–100°F (4–38°C). Equipment Apply with low pressure sprayer and a microfiber mop. Do not atomize. Storage and Handling Keep from freezing. Store in a cool, dry place. Always seal container after dispensing. Do not alter or mix with other chemicals. Published shelf life assumes upright storage of factory-sealed containers in a dry place. Maintain temperatures of 40–100°F (4–38°C). Do not double stack pallets. Dispose of in accordance with local, state and federal regulations. APPLICATION Before use, read “Preparation” and “Safety Information.” ALWAYS TEST each surface for suitability and results before overall application. Use the following application instructions. Let surface dry thoroughly before inspection. Dilution & Mixing Apply as packaged. Do not dilute or alter, or use other than as specified. Mix well before use. Product Data Sheet • Page 2 of 4 • Item #46063 • CDPG - 093013 • ©2013 PROSOCO • www.consolideck.com PREPARATION Protect people, vehicles, property, plants and all surfaces not set to receive PolishGuard from product, splash and wind drift. Use polyethylene or other proven protective material. PolishGuard may be applied to existing, cured concrete of any age. Surfaces must be clean and structurally sound. Remove all foreign materials including bond breakers, curing agents, surface grease and oil, and construction debris using the appropriate Consolideck® surface prep cleaner listed below: Consolideck® SafStrip • cure & seals•paint• high strength coatings Consolideck® SafEtch®*• concrete laitance•construction soiling*Not for use on concrete previously treated withConsolideck® LS®, LS/CS® or lsGuard®. Consolideck® Wax & Cure Remover • waxes, sealers & coatings•low-solids cure & seals Consolideck® Cure & Seal Remover• high-solids cure & seals Consolideck® Concrete Floor Restorer• general soiling•rust and other metallic staining• light wax coatings Consolideck® PreKlean• laitance•residual surface salts Consolideck® Cleaner/Degreaser• general soiling•grease and oil Consolideck® Oil & Grease Stain Remover• deep-seated oil & grease staining Typical Coverage Rates Variations in surface texture, concrete quality, porosity, job-site conditions, temperature and relative humidity affect coverage rates and drying times. Calculate coverage rate by testing a representative section of the finished concrete surface using the following instructions. The following figures are for estimating only. Estimated Coverage Rates • 400–800 square feet per US gal •10–20 square meters per Liter Calculating Project-Specific Target Coverage Rate 1. Prepare the test area using the information in the “Preparation” section. Surfaces must be clean, dry and absorbent. 2. Add 1-gallon of PolishGuard to a clean, pump- up sprayer fitted with a 0.5 gpm conical orfan spray tip. Apply according to the followingApplication Instructions. Repeat as needed forthe desired level of finish. 3.Measure the test area and the amount ofPolishGuard applied to establish the TargetCoverage Rate per gallon. Protect thecompleted test area from moisture for at least4 hours. ALWAYS TEST a small area of each surface to confirm suitability and desired results before starting overall application. Test with the same equipment, recommended surface preparation and application procedures planned for general application. PolishGuard PWM20-986GS Exhibit E (continued) DocuSign Envelope ID: FADA8F18-F086-472B-ADC2-9178F606CCB1 BeST pRacTiceS pROdUcT daTa SheeT Product Data Sheet • Page 3 of 4 • Item #46063 • CDPG - 093013 • ©2013 PROSOCO • www.consolideck.com Application Instructions PolishGuard may be applied to broomed, steel troweled, honed, polished or highly polished interior concrete surfaces. For best results, treat floors with Consolideck® LS® or LS/CS® before application. 1. Lightly wet a clean microfiber pad with PolishGuard, leaving the pad damp. 2. Spray-apply PolishGuard using a clean, pump-up sprayer fitted with a 0.5 gpm conical or fan spray tip. Work from one control joint to another. 3. Spread with the damp microfiber pad. Maintain a thin, even coating and wet edge. Stop spreading once drying begins. Do not overlap. Use two people – one spraying and one spreading – for best results. 4. Allow to dry tack free, typically 20–60 minutes. 5. Repeat steps 1–4. Two coats are recommended for maximum protection and shine. 6. To increase gloss, wait at least 60 minutes after the final coat is applied, then use a high-speed burnisher fitted with a white polishing pad. Burnish at a fast walking pace. Drying Time Protect from water for 4 hours. At 72°F [22°C] and 40% relative humidity, product dry times are: • To Touch: 30–60 minutes • Light Foot Traffic: 4 hours • Normal traffic: overnight Consolideck® PolishGuard gains its full stain repellency properties in 7 days. Cleanup Before the product dries, clean tools and equipment with fresh water. Immediately wash over spray off glass, aluminum, polished or other surfaces with fresh water. Maintenance Sweep the floor daily with a microfiber pad or dry dust mop. When needed, dry buff with a high-speed burnisher and a white pad to refresh the gloss. PolishGuard improves the resistance of concrete floors to staining. However, acidic substances, including foods, may etch and stain. Clean ALL spills as quickly as possible. Use Consolideck® lsKlean ULTRA or Consolideck® DailyKlean for maintenance cleaning. lsKlean ULTRA contains lithium-silicate for improving surface density and preserving the surface sheen of Consolideck® floors. Do not use other cleaners, including off-the-shelf and common household cleaners, which may contain acidic or alkaline ingredients that can dull the finish of Consolideck® floors. To restore maximum shine to high traffic areas, repeat Application Instructions steps 1–7 in affected areas. Only apply PolishGuard to clean, dry and absorbent concrete. Confirm absorbency with a light water spray – surfaces to be treated should wet uniformly. Thoroughly neutralize and rinse acid-stained concrete before applying PolishGuard. For best results, harden/densify floors with Consolideck® LS® or LS/CS® before applying PolishGuard. For best durability and stain resistance, wait at least 60 minutes after the final coat of PolishGuard is applied, then burnish with a high-speed burnisher using a white polishing pad. Burnish at a fast walking pace. Always use Consolideck® lsKlean ULTRA or Consolideck® DailyKlean for maintenance cleaning of concrete floors. Conventional floor cleaners may dull high-gloss finishes. Consolideck® lsKlean ULTRA and Consolideck® DailyKlean contain no harsh acids, alkalines, solvents or abrasives. Never go it alone. If you have problems or questions, contact your local PROSOCO distributor or field representative. Or call PROSOCO technical Customer Care, toll-free, at 800-255-4255. PolishGuard PWM20-986GSExhibit E (continued) DocuSign Envelope ID: FADA8F18-F086-472B-ADC2-9178F606CCB1 Product Data Sheet • Page 4 of 4 • Item #46063 • CDPG - 093013 • ©2013 PROSOCO • www.consolideck.com WARRANTY The information and recommendations made are based on our own research and the research of others, and are believed to be accurate. However, no guarantee of their accuracy is made because we cannot cover every possible application of our products, nor anticipate every variation encountered in masonry surfaces, job conditions and methods used. The purchasers shall make their own tests to determine the suitability of such products for a particular purpose. PROSOCO, Inc. warrants this product to be free from defects. Where permitted by law, PROSOCO makes no other warranties with respect to this product, express or implied, including without limitation the implied warranties of merchantability or fitness for particular purpose. The purchaser shall be responsible to make his own tests to determine the suitability of this product for his particular purpose. PROSOCO’s liability shall be limited in all events to supplying sufficient product to re-treat the specific areas to which defective product has been applied. Acceptance and use of this product absolves PROSOCO from any other liability, from whatever source, including liability for incidental, consequential or resultant damages whether due to breach of warranty, negligence or strict liability. This warranty may not be modified or extended by representatives of PROSOCO, its distributors or dealers. CUSTOMER CARE Factory personnel are available for product, environment and job-safety assistance with no obligation. Call 800-255-4255 and ask for Customer Care – technical support. Factory-trained representatives are established in principal cities throughout the continental United States. Call Customer Care at 800-255-4255, or visit our web site at www.prosoco.com, for the name of the Consolideck® representative in your area. SAFETY INFORMATION Consolideck® PolishGuard is a water-reduced polymer solution. Use appropriate safety equipment and job site controls during application and handling. Read full label and MSDS for precautionary instructions before use. First Aid Eye Contact: Remove contact lenses. Immediately flush eyes for 15 minutes in clear running water while holding eyelids open. Seek medical attention immediately. Skin Contact: Wash contacted area with soap and water. DO NOT attempt to neutralize with chemical agents. If irritation persists, seek medical attention. Ingestion: Drink large quantities of water or milk. DO NOT induce vomiting. Seek medical attention immediately. Inhalation: Remove affected person to fresh air. If breathing difficulties persist, seek medical attention. 24-Hour Emergency Information:INFOTRAC at 800-535-5053 pROdUcT daTa SheeT PolishGuard PWM20-986GSExhibit E (continued) DocuSign Envelope ID: FADA8F18-F086-472B-ADC2-9178F606CCB1 01/29/2020 CMR Risk & Insurance Services License #0E59760 110 W A Street, Ste. 725 San Diego CA 92101 Kim Acevedo (619) 297-3160 (619) 297-3111 kim@cmrris.com MC Painting 504 Jones Road Oceanside CA 92058 Mesa Underwriters Specialty Insurance Company 36838 Zurich American Insurance Company 16535 Travelers Prop Caslty Co Amer 25674 Axis Surplus Insurance Company 26620 19-20 A Deductible: $7,500 MP0082001001112 06/01/2019 06/01/2020 1,000,000 100,000 10,000 1,000,000 2,000,000 2,000,000 B BAP7561135 06/01/2019 06/01/2020 1,000,000 C 10,000 ZUP15T85893 06/01/2019 06/01/2020 10,000,000 10,000,000 B Y WC7604705 06/01/2019 06/01/2020 1,000,000 1,000,000 1,000,000 D Pollution Liability CP002510032019 06/01/2019 06/01/2020 Each Claim:$2,000,000 Aggregate:$2,000,000 Job - Prisim Training Center 8513 2560 Orion Way, Carlsbad, CA 92010 - The City of Carlsbad/CMWD Additional Insured status is provided per the terms & conditions of General Liability form #CG2033/CG2037 (General Liability) and CA2048 (Auto). Waiver of subrogation is provided per the terms and conditions of form # WC000313. Should any of the above described policies be canceled prior to the expiration date thereof, not will be delivered in accordance with the policy provisions. **THIS CERTIFICATE REPLACES THE PREVIOUSLY ISSUED CERTIFICATE ON 01/20/20, WHICH IS CONSIDERED NULL & VOID** City of Carlsbad/CMWD 1200 Carlsbad Village Drive Carlsbad CA 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY POLICY NUMBER: MP0082001001112 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1  ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Any person or organization to which you are obligated by virtue of a written contract to provide insurance such as is afforded by this policy, but only with respect to (1) occurrences taking place after such written contract has been executed and (2) occurrences resulting from work performed by you during the policy period, or occurrences resulting from the conduct of your business during the policy period. A person or organization that qualifies as an “insured” under the above paragraph of this Endorsement shall be an additional insured solely with respect to such additional insured’s liability for “bodily injury,” property damage” or “personal and advertising injury” caused in whole or in part by your acts or omissions in the performance of “your work” for the additional insured on or at “commercial construction projects.” For the purposes of this Endorsement, “commercial construction projects” are defined as buildings or structures constructed for commercial use and also include apartments, hotels, homes for the aged, dormitories or barracks. However, “commercial construction projects” shall not include any building or structure which, in whole or in part, contains individual owner occupied units or dwellings. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, 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". COMMERCIAL GENERAL LIABILITY CG 20 33 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 33 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II – Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured 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. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. Copyright, Hawaii Insurance Bureau, Inc., 1999 Includes copyrighted material of the Insurance Services Office, Inc., with its permission CA 1028 (2-99) CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1999 Page 1 of 1 POLICY NUMBER:COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: Countersigned By: Named Insured: (Authorized Representative) SCHEDULE Name of Person(s) or Organization(s):ANY PERSON OR ORGANIZATION TO WHOM OR WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS OR ADDITIONAL INSURED STATUS ON A PRIMARY, NON-CONTRIBUTORY BASIS, IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO LOSS, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. 06/01/2019 MC Painting Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 33 04 13 2. "Bodily injury" or "property damage" occurring after: a. 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 b. 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 III – Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured; 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. WC124 (4-84)Page 1 of 1 WC 00 03 13 Copyright 1983 National Council on Compensation Insurance, Inc. Uniform Forms TM WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium $ Insurance Company Countersigned by WC7604705 MC Painting; MC Contracting, Inc. dba M C C; MC Contracting Incorporated; MCC Zurich American Insurance Company Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of a loss.