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Nissho of California Inc; 2018-11-16; PKRC679
Tracking#: CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT LANDSCAPE REFURBISHMENT AT LEO CARRILLO RANCH HISTORIC PARK CONT. NO. PKRC679 This agreement is made on the l5t.b day of (Jou !.21'Y) ~ '20./Ji., by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and Nissho of California, Inc. whose principal place of business is 1902 South Santa Fe Avenue, Vista, CA 92083 (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: Kasia Trojanowska (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. LANDSCAPE REFURBISHMENT FOR LEO CARRILLO RANCH HISTORIC PARK CONT. NO. PKRC679 Page 1 of 8 City Attorney Approved 9/27/2016 Tracking#: FALSE CLAIMS. Contractor hereby agrees that any contract claim submitted to the City must be asserted as part of the contract process as set forth in this agreement and not in anticipation of litigation or in conjunction with litigation. Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act, provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of the information. The provisions of Carlsbad Municipal Code sections 3.32.025, 3.32.026, 3.32.027 and 3.32.028 pertaining to false claims are incorporated herein by reference. Contractor hereby acknowledges that the filing of a false claim may subject the Contractor to an administrative debarment proceeding wherein the contractor may be prevented from further bidding on public contracts for a period of up to five years and that debarment by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor or subc actor from participating in contract bidding. Signature: Print Name: o 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. LANDSCAPE REFURBISHMENT FOR LEO CARRILLO RANCH HISTORIC PARK CONT. NO. PKRC679 Page 2 of 8 City Attorney Approved 9/27/2016 Tracking#: INDEMNITY. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its officers and employees, from all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the performance of the Contract or work; or from any failure or alleged failure of Contractor to comply with any applicable law, rules or regulations including those related to safety and health; and from any and all claims, loss, damages, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by the Contract, except for loss or damage caused by the sole or active negligence or willful misconduct of the City. The expenses of defense include all costs and expenses including attorneys' fees for litigation, arbitration, or other dispute resolution method. JURISDICTION. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this agreement is San Diego County, California. Start Work: Contractor agrees to start within 15 working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within 30 working days after receipt of Notice to Proceed. CONTRACTOR'S INFORMATION. II II II II II II Nissho of California, Inc. (name of Contractor) 598372 (Contractor's license number) C27, 7/31/2020 (license class. and exp. date) 1000018744 (DIR registration number) 6/30/2019 (DIR registration exp. date) LANDSCAPE REFURBISHMENT FOR LEO CARRILLO RANCH HISTORIC PARK CONT. NO. PKRC679 Page 3 of 8 1902 South Santa Fe Avenue (street address) Vista, CA 92083 (city/state/zip) 760-727 -9719 (telephone no.) 760-727-8706 (fax no.) tbaird@nisshoca.com (e-mail address) City Attorney Approved 9/27/2016 Tracking#: AUTHORITY. The individuals executing this Agreement and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Agreement. CONTRACTOR (sign here) ~) •v--~,A\ r..9. L) 1.' ( Q '?ce<C, I ,£vi'.\+ (print name/title) By: ~£ei'Ab · (sign here) &c11ta (print name/title) . CITY OF CARLSBAD, a municipal corporation of the State of C fornia By: A~TJisf. ,1 () I _,--- -----'--rJ-~A_/_-_F./,__,_!(,__1--=--W"'----'M'-"'---V.~----N-~ BARBARA ENGLESON T City Clerk If required by City, proper notarial acknowledgment of execution by Contractor must be attached . .If_§ corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Chairman, President, or Vice-President Group B Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CELIA A.1 ~~E~R~rney BY: __ Vl/l}X~~-------- Assistant City Attorney Seo altached Califmnia Ali-Purpose Al.'lmowledgment LANDSCAPE REFURBISHMENT FOR LEO CARRILLO RANCH HISTORIC PARK CONT NO. PKRC679 Page 4 of 8 City Attorney Approved 9/27/2016 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacityOes), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and o' icial seal. · Signature of Notary"Pubtlc -------------------OPTIONAL--------------- Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Do ~ d (\ \ _ \ · , /I ~ I • f c'• ·1,1 1~, ,1 , ne-J.l'.'.J, ( Ll1cJ(,l~ l Q,,'-q_c1 Title or Type o Document: __,__.....,._-"-+-~,__.,._-~_,__.___-J_1c__o·\.~__._~~--'-w.-v-----=----- b f (( . ~ \,_,,--Document Date: __________________ Num er o Pages: _____ _ Signer(s) other Than Named Above: _____________________ _ Capacity(ies) Claimed by Signer(s) Signer's Name: ___________ _ Signer's Name: ___________ _ D Corporate Officer -Title(s): ______ _ D Corporate Officer -Title(s): ______ _ D Partner -D Limited D General D Partner -D Limited D General D Individual D Attorney in Fact D Individual D Attorney in Fact D Trustee D Guardian or Conservator • Trustee • Guardian or Conservator D Other: _____________ _ • Other: _____________ _ Signer Is Representing: ________ _ Signer Is Representing: ________ _ Tracking#: EXHIBIT A LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR Set forth below is the full name and location of the place of business of each sub-contractor whom the Contractor proposes to subcontract portions of the Project in excess of one-half of one percent of the total bid, and the portion of the Project which will be done by each sub-contractor for each subcontract. NOTE: The Contractor understands that if it fails to specify a sub-contractor for any portion of the Project to be performed under the contract in excess of one-half of one percent of the bid, the contractor shall be deemed to have agreed to perform such portion, and that the Contractor shall not be permitted to sublet or subcontract that portion of the work, except in cases of public emergency or necessity, and then only after a finding, reduced in writing as a public record of the Awarding Authority, setting forth the facts constituting the emergency or necessity in accordance with the provisions of the Subletting and Subcontracting Fair Practices Act (Section 4100 et seq. of the California Public Contract Code). If no subcontractors are to be employed on the project, enter the word "NONE." SUBCONTRACTORS Portion of Project to Business Name and Address DIR Registration License No., % of be Subcontracted No. Classification & Total Expiration Date Contract Total% Subcontracted: !:1J A: -~--=-t+~ ~--- The Contractor must perform no less than fifty percent (50%) of the work with its own forces. LANDSCAPE REFURBISHMENT FOR LEO CARRILLO RANCH HISTORIC PARK CONT. NO. PKRC679 Page 5 of 8 City Attorney Approved 9/27/2016 EXHIBIT B SCOPE OF SERVICES Tracking#: Nissho of California, Inc. will perform landscape refurbishment at Leo Carrillo Ranch Historic Park. All work shall be performed in accordance with the attached proposal, clearing plan and planting plan. Work includes: • Remove selected plants and replant according to attached plans • Haul all green waste materials and all planting amendments • Install wood stump mulch in designated areas Work excludes irrigation repairs and installation. FEES ITEM DESCRIPTION PRICE NO. 1 Planting materials $15,613.62 2 Boulders with crane to set boulders $1,288.23 3 Dump fees $1,449.78 4 Mini-excavator $990.68 5 Gypsum/compost/planting tabs $297.06 6 Wood stump mulch with delivery $3,663.84 7 Skip loaders with delivery and pick up $1,209.49 8 Labor $20,480.00 TOTAL $44,992.70 Agreement shall not exceed $44,992.70. LANDSCAPE REFURBISHMENT FOR LEO CARRILLO RANCH HISTORIC PARK CONT NO. PKRC679 Page 6 of 8 City Attorney Approved 9/27/2016 Tracking#: EXHIBITC LABOR AND MATERIALS BOND WHEREAS, the City Council of the City of Carlsbad, State of California, has awarded to Nissho of California, Inc. (hereinafter designated as the "Principal"), a Contract for: LANDSCAPE REFURBISHMENT AT LEO CARRILLO RANCH HISTORIC PARK CONTRACT NO. PKRC679 in the City of Carlsbad, in strict conformity with the drawings and specifications, and other Contract Documents now on file in the Office of the City Clerk of the City of Carlsbad and all of which are incorporated herein by this reference. WHEREAS, Principal has executed or is about to execute said Contract and the terms thereof require the furnishing of a bond, providing that if Principal or any of its subcontractors shall fail to pay for any materials, provisions, provender or other supplies or teams used in, upon or about the performance of the work agreed to be done, or for any work or labor done thereon of any kind, the Surety on this bond will pay the same to the extent hereinafter set forth. NOW, THEREFORE, WE, Nissho of California, Inc., as Principal, (hereinafter designated as the "Contractor"), and Argonaut Insurance Company as Surety, are held firmly bound unto the City of Carlsbad in the sum of forty-four thousand nine hundred ninety-two dollars and seventy cents ($44,992.70), said sum being an amount equal to: One hundred percent (100%) of the total amount payable under the terms of the Contract by the City of Carlsbad, and for which payment well and truly to be made we bind ourselves, our heirs, executors and administrators, successors, or assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if the Contractor or his/her subcontractors fail to pay for any materials, provisions, provender, supplies, or teams used in, upon, for, or about the performance of the work contracted to be done, or for any other work or labor thereon of any kind, consistent with California Civil Code section 9100, or for amounts due under the Unemployment Insurance Code with respect to the work or labor performed under this Contract, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of the contractor and subcontractors pursuant to section 13020 of the Unemployment Insurance Code with respect to the work and labor, that the Surety will pay for the same, and, also, in case suit is brought upon the bond, reasonable attorney's fees, to be fixed by the court consistent with California Civil Code section 9554. This bond shall inure to the benefit of any of the persons named in California Civil Code section 9100, so as to give a right of action to those persons or their assigns in any suit brought upon the bond. Surety stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract, or to the work to be performed hereunder or the specifications accompanying the same shall affect its obligations on this bond, and it does hereby waive notice of any change, extension of time, alterations or addition to the terms of the contract or to the work or to the specifications. LANDSCAPE REFURBISHMENT FOR LEO CARRILLO RANCH HISTORIC PARK CONT. NO. PKRC679 Page 7 of 8 City Attorney Approved 9/27/2016 Tracking#: In the event that Contractor is an individual, it is agreed that the death of any such Contractor shall not exonerate the Surety from its obligations under this bond. Executed by CONTRACTOR this 5 l <; f---Executed by SURETY this ---=2=n=d __ day day of ____,(""'"')_,_J~o----"be.c-~---· 20.J..a... CONTRACTOR: Nissho of California, Inc. By: ~• of Contractor) (sign here) ·-rc,:VV' 3\A,~J (print name here) UtLQ__ ],e_<;, ~ IU'\SS~ er+ uP,, (title and organization of signatory) By: <"/(£45~/l4i-- (s1gn h~ Li2,c,l L/fJ ]JQ {(effr; (print name here) of _____ O_c_to_b_e_r ____ , 20~. SURETY: Argonaut Insurance Company (name of Surety) c/o CMG IA-20335 Ventura Blvd. Suite 426 Woodland Hills, CA 91364 (address of Surety) 866-363-2642 (telephone number of Surety) (signature of Attorney-in-Fact} Stephanie Hope Shear (printed name of Attorncy-in .. Fact) (attach corporate resolution showing current power of attorney) (Proper notarial acknowledgment of execution by CONTRACTOR and SURETY must be attached.) (President or vice-president and secretary or assistant secretary must sign for corporations. If only one officer signs, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering that officer to bind the corporation.) APPROVED AS TO FORM: CELIA A. BREWER City Attorney LANDSCAPE REFURBISHMENT FOR LEO CARRILLO RANCH HISTORIC PARK CONT. NO. PKRC679 Page 8 of 8 City Attorney Approved 9/27/2016 CMGP0001705 Argonaut Insurance Company Deliveries Only: 225 W. Washington, 24th Floor Chicago, IL 60606 $1,125.00 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the Argonaut Insurance Company, a Corporation duly organized and existirt under the laws of the State of Illinois and having its principal office in the County of Cook, Illinois does hereby nominate, constitute and appoint: ',· · Gabriella Grady. Shilo Lee Losino. Stephanie Hope Shear •: \ Their true and lawful agent(s) and attorney(s)-in-fact, each in their separate capacity if more than one is na~fllty;;·m:rnake, execute, seal and deliver for and on its behalf as surety, and as its act and deed any and all bonds, contracts, agreements of indemnity and oth4"unilertafilpgs in suretyship provided, however, that the penal sum of any one such instrument executed hereunder shall not exceed the sum of: .. ,,\. · 'i·" · · "'· $10,000,000.00 .. . • This Power of Attorney is granted and is signed and sealed under and by the authority of the (l!lfo~~ R_~lution adopted by the Board of Directors of Argonaut Insurance Company: ·· ,,, •.·" "RESOLVED, That the President, Senior Vice President, Vice President, Assistant ).'.i.ce Preijdent, Secretary, Treasurer and each of them hereby is authorized to execute powers of ~tt~rney, and such authority can be exe~uted b~ use of facsimile ~re, which _may be attested or acknowledged by any officer or attorney, of the Company, quahfymg the attorney or attorneys named m the given power of attori\e1; to execute m behalf of, and acknowledge as the act and deed of the Argonaut Insurance Company, all bond undertakings and contracts of surety#hip, and\> affix the corporate seal thereto." IN WITNESS WHEREOF, Argonaut Insurance Company has causelfits official seal to be hereunto affixed and these presents to be signed by its duly authorized officer on the 8th day of May, 2017. """"• Argonaut Insurance Company .... ,,•'su~•,,.,,_ ST A TE OF TEXAS COUNTY OF HARRIS SS: l••~,~~---.f~•••-:. f f/<; 1!4,;.•••,;1\ : cit SEALlJ= l~--114a /~f \ ••./l(IN~•••• ~~• .,. ········· ,. .. ""••-·····::. ... , .... .,. ( /~JLt!~s . by:--------- Joshua C. Betz , Senior Vice President On this 8th day of May, 2017 A.O., before me, a Notary Public of the State of Texas, in and for the County of Harris, duly commissioned and qualified, came THE ABOVE OFFICER OF TI:re OOMPANY, to me personally known to be the individual and officer described in, and who executed the preceding instrument, and he acknowledged the execution of same, and being by me duly sworn, deposed and said that he is the officer of the said Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument bythesauthority and direction of the said corporation, and that Resolution adopted by the Board of Directors of said Company, referred to in the preceding instrumet1t is now in force. IN TESTIMONY WfffiREOF, I have hereunto set my hand, and affixed my Official Seal at the County of Harris, the day and year first above written. (Notary Public) I, the undersigned Officer of the Argonaut Insurance Company, lllinois Corporation, do hereby certify that the original POWER OF ATTORNEY of which the foregoing is a full, true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF, I have hereunto set my hand, and affixed the Seal of said Company, on the 2nd day of_O_c_to_b_e_r ____ _ 2018 Sarah Heineman , VP-Underwriting Surety THIS DOCUMENT IS NOT VALID UNLESS THE WORDS ARGO POWEIR. OF ATl'ORNEY ARE IN BLUE. IF YOU HAVE QUESTIONS ON AUTHENTICITY OF THIS DOCUMENT CALL (210) 321 -8400. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS ANGELES On __ O_C_T_C_2---"'2--'-0_1B __ before me, SHIRLEY GIGGLES, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared _______ S_T_E_P_H_A_N_IE_H_O_P_E_S_H_E_A_R ____________ _ Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. SHIRLEY GIGGLES Notary Public • California z .,· . . Los Angeles County ~ ,, ; .•• ,'. · Cc,mmiss1on # 2163817 I 1 ~ My Comm Expires Sep 7. 2020 )'<? • • • 0 • e o o o o o O O O C O C 0 Place Notary Seal Above I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ---------------oPTIONAL--------------- Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: _____________ Document Date: _______ _ Number of Pages: ___ Signer(s) Other Than Named Above: ____________ _ Capacity(ies) Claimed by Signer(s) Signer's Name: ___________ _ Signer's Name: ___________ _ • Corporate Officer -Title{s): ______ _ 1-1 Corporate Officer -Title(s): ______ _ • Partner -• Limited • General IJ Partner -• Limited 1-1 General • Individual • Attorney in Fact l:J Individual • Attorney in Fact • Trustee • Guardian or Conservator l] Trustee • Guardian or Conservator [l Other: _____________ _ 1 ·J Other: ______________ _ Signer Is Representing: ________ _ Signer Is Representing: ________ _ ©2014 National Notary Association• www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 NISSHO OF CALIFORNIA, INC. 1902 Sou<h Son,. F. Av.nu•, v, .... c."'°'"'" 92083 Phono 760.727.9719 F •• 760.727.8706 Loc •n .. #598372 WORK ORDER City of Carlsbad -LCR City of Carlsbad Project Name 760-434-2922 Client Name Kyle Lancaster Client Phone # Authorized by (Print) Authorized by (Sign) Date DETAILED DESCRIPTION OF WORK TO BE PERFORMED Nissho of California to remove selected lants and re lant lantin amendments. Includes installation of Wood Stum MATERIALS 36" Box Cercidium 'Desert Museum' 01 Gal Aeonium 'Zwartko ' 01 Gal Aeonium urbicum 'Rubrum' 01 Gal A ave attenuata 05 Gal A ave desmittiana 'Varie ated' 01 Gal Santolina virens 01 Gal Senecio vitalis Labor for the above work GRAND TOTAL Nlssho Internal Only (Maintenance Department) Tom Baird Project Manager (Print) Sales Rep Approval (Sign) QTY PRICE $ $ 9 $ $ 10 $ $ 20 $ $ 32 $ $ 140 $ $ 62 $ $ 29 $ $ 17 $ $ 19 $ $ 27 $ $ 49 $ $ 45 $ $ 18 $ $ 50 $ $ 250 $ $ 50 $ $ 220 $ $ 24 $ $ 0 $ $ 0 $ $ 0 $ $ 0 $ $ 0 $ $ 0 $ $ QTY PRICE 0 $ $ 0 $ $ $ $ TOTAL 676.56 65.24 75.89 152.71 1 048.48 1 575.00 449.43 3,699.83 162.66 137.73 495.82 1,416.05 1 043.84 381.00 265.79 1 328.96 362.44 1 488.44 787.75 1 288.23 1 449.78 990.68 297.06 3,663.84 1,209.49 TOTAL 20,480.00 44,992.70 THESE SIGNATURES BELOW CERTIFY THAT THE AREAS HAVE BEEN THOROUGHLY INSPECTED BY THE UNDE SIGNED REPRESENTATIVE. IT HAS BEEN DETERMINED THAT THE INSTALLATION IS IN ACCORDANCE WITH THE PLANS OR THE AGREED UPON SPECIFICATIONS BY THE DEVELOPER/CLIENT AND NISSHO OF CALIFORNIA, INC. Nlssho of California Representative Client Representative Print Print Sign Date Sign Date ·, .SHEET 1 .;'. .----;--+--REMOVE (1) AGAVE ATTENUATA .--,,-=--,---REMOVE ROSMA_RINUS SP_ ~--+-REMOVE LANTANA SP PROTECT ALL PLANTS IN Pl.ACE UNLESS MARKED FOR . REMOVAL ON ABOVE PLAN. LEO CARRILLO RANCH PARKWAY.Pl.ANTING.Pl.AN A.YING LEO CARRILLO WAY a.EARING AND GR!JBBING -LID -\ . ' ;-. \' ' ' ;,_ SHEIT2 I \ \ I l \, I -- I \ ·.;,_ .\ .. -..... \,,_) / -\.. __ I < >j......., \ I ' !/ -:-J I i I i .J i I ' ' r I f I I ' ' i t i I i . ·r- I . 1 \ -/ . . -{ f i . /. J I .I. I i I" \ c- l . i . \ -/ r j I i I . I /: I I .J' I . I \ . ,, . I } . I I I . / ; .' I ; ' I ~f..-r:__-----r--REMOVE BOUGAINVILLEA SP Jl-t--,---:--------1 -REMOVE LANTANA SP ----+-REMOVE ROSMARINUS SP - ----+--'"REMOVE LANTANA SP-· I . l F{ __.---;---REMOVE BOUGAINVILLEA SP - __.---;--~-REMOVE LANT.A.NA SP I ~ __.---;---REMOVE(~) AGAVE AMERICANAVARIEGATA . f -: .---+--REMOVE AGAVE ATTENUATA \ 10· 0_) ~=--.,..-----,...~--:_.":..-:...~--_)_-REMOVE ALOE SP p . REMOVE BOUGAINVILLEA -PROTECT AU. PlANTS IN Pl.ACE UNLESS MARKED FOR -REMOVAL ON ABOVE Pl.AN • LEO CARRILLO RANQ-1 PARKWAY ,Pl.ANTING PLAN -CARRILLO WAY Q.EARING AND GRUBBING : ... , I \ \ 1 \ .\ \ ' . I \· \ ! MATO-I LlNE -SHEET 2 . ,,~ \ ------,~-\. \._-- - 1111111\7: - -kU---....:·.:.-· -;---·+-1--t. -:-··_:-_7.\--:.:-·~--~-\~-....,;~r· REMOVE BOUGAINVILLEA SP \ . lL-!~~~r~f~1~--~---~·-·~L=·=J:_REMOVE (2) AGAVE AMERICANA VARIEGATA \ ·. \ \ \ \ ' \. \ \ ~ . \ . _ REMOVE BOUGAINVILLEA SP . \ --.,..-----t-REMOVE BOUGAINVILLEA SP \ --+-t--REMOVE LANTANA SP: \ \. ., ' \ \ ' ---':---t--REMOVE (2) AGAVE AMERICANA VARI EGA TA .---1r--REMOVE BOUGAINVILLEA SP ---.,...., --t--REfy1OVE (3).AGAVEAMERICANA VARIEGATA \ . ,_---,,--REMOVE BOUGAINVILLEA SP ~----1r-REMOVE LANTANA SP ~------1-RE:MOVE BOUGAINVILLEA SP ,_----:-1~REMOVE AGAPHANTUS SP .. __ ,::.,--•, ' /., ' • '· ., • , .......... 1_ ,// I ' -------.-.... ----,......-•- ._i·. SHEET3 PROTECT All PLANTS IN Pl.ACE UNl£SS MARKED FOR REMOVAL ON ABOVE PlAN. · LEO CARRil.LO RANOi PARKWAY Pl.ANTING PLAN CARRILLO WAY GEARING AND -GRUBBING _,.,. .1 I .. I I I I SHEET4 . I I I I .,l· LOT@. NO REMOVAL ,----PRUNE ALOE SP . ADD GROUNDCOVERS LOT 0- ~ ' \ \ ,,-I ,I . / \\ '. , - -""-a, --. ,....;._ -~ PROTECT ALL Pl.ANTS IN PLACE UNLESS MARKED FOR .. REMOVAL ON ABOVE Pl.AN: LEO CARRILLO RANCH PARKWAY PlANTING PLAN RANOIOCABALLO a.EARING AND GRUBBING -= , i I ··-, .... SHEETS /• / . ' I I I I I . / : r ' J I / .. .OFU ~06 · IS GAL. J I _-; I I I I I I t I / . / I / i. -I .I -;I / .:. I . . ! I I, / I . I PROTE~ ALL etANTS "' ~ uNLESS MARKEii "'" I REMOVAL ON ABOVE Pl.AN. ' ' ' . . . ' " . . . ' LEO CARRILLO RANOi PARKWAY PLANTING Pl.AN VIA CONQUISTADOR Q£ARING AND GRUBBING SHEETG PRUNE ALOE AND AGAVE ---REMOVE STUMPS AND DEAD PL.ANTS ADD GROUNDCOVERS PROTECT ALL Pl.ANTS IN PLACE UNLESS MARKED FOR REMOVAL ON /\BOVE Pl.AN. LEO CARRILLO RANQ-1 PARKWAY Pl.ANTING .PLAN VIA CONQUISTADOR CLEARING AND GRUBBING ---{ ( r--, ' r . SHEET? ----REMOVE (3) Ba°UGAINVILLEA·SP , •. PROTECT ALL PLANTS IN PL.ACE UNLESS MARKED FOR REMOVAL ON _ABOVE Pl.AN; LEO CARRIU.O RAN0-1 PARKWAY PlANTING Pl.AN VIA CONQUISfAOOR Q.EARING AND GRUBBING -= // VfEW 1 VJEW2 SHEETS PROTECT ALl.. Pl.ANTS IN PLACE UNLESS MARKED FOR REMOVAL ON ABOVE PLAN. LEO CARRILLO RANOi PARKWAY Pl.ANTING Pl.AN FLYING LEO CARRILLO WAY-lRAil. a.EARING AND GRUBBING Pl.AN -- REMOVE (16) BOUGAINVILLEA SP-------.. 0~ SHEIT9 PROTECT ALL Pl.ANTS IN Pl.ACE UNLESS MARKED FOR REMOVAL ON ABOVE PL.AN. LEO CARRil..1..O RANQ-1 PARKWAY Pl.ANTING PLAN FLYING LEO CARRil..1..O WAY-TRAIL 0£ARING AND GRUBBING PLAN _,,.., SHEET 1 ENTRY MONUMENT ~LARGEMENT . SCALE 1:10 LEO CARRilLO RANQ-1 PARKWAY PlANTING Pl.AN R.YING LEO CARRilLO WAY Pl.ANTING PLAN SHEET2 LEO CARRILLO RAND-I PARKWAY PLANTING Pl.AN CARRILLO WAY Pl.ANTING PLAN SHEET3 ARKWAY PLANTING PLAN LEO CARRILLO RANOi p CARRILLO WAY Pl.ANTING PLAN -= I SHEET4 I I I I I I~ I ~ I LEO CARRILLO RAN0-1 PARKWAY Pl.ANTING PLAN VIA CONQUISTADOR Pl.ANTING PLAN -1.lO SHEET 5 LEO CARRil.LO RAND-I PARKWAY PLANTING Pl.AN VIA CDNQUISTADOR PLANTING Pl.AN SHEET6 LEO CARRILLO RANOI PARKWAY PL.ANTING Pl.AN VIA CONQUISTADOR PLANTING Pl.AN -= SHEET7 LEO CARRILLO RANCH PARKWAY PLANTING PLAN VIA CONQUISTADOR PLANTING PLAN scaAel:20 VIEW 1 VIEW2 SHEETS LEO CARRILLO RANCH PARKWAY PLANTING PLAN FLYING LEO CARRILLO WAY -TRAIL PLANTING PLAN ION 1:50 SHEET9 LEO CARRILLO RANCH PARKWAY PLANTING PLAN FLYING LEO CARRILLO WAY -TRAIL PLANTING PLAN ~1:50 PLANTING LEGEND SHRUB & GRASS LEGEND -WUCOLS REGION 3; WESTERN GARDEN ZONE-19 SYMBOL BOTANICNAle COIIIION NAME EVERGRaN/ HEIOHTI SIZE DECIDUOlJS QTY W1D1H (-) CERCIDIUM 'DESERT WSEUM' PALO VERDE 36" box Declduoua 1 2(Jl2fl WI.TI-TRUNK 0 AEONIUM AROBOREUM 'ZWARTKOP'° AEONllR.I 1g,il Evmv-, 8 3't:r 0 AEONIUM URBICUM RUBRUM° REDAEONIUM 1 gal E-w-, 10 Z/4' 0 AGAVE ATTENUATA FOX TAJLAGAVE 1 gal ~ 20 ,f/,; 0 AGAVE DESMETllANA 'VARIEOATA~ UYVAKJ-rtv'Uc.ut-\l t:::JJ .,..__.VE 5 gel EYO<g-.i 32 'Si,; 8 ALOE 'ALWAYS RED" ALWAYS RED ALOE 1 gal ~ 104 1'12' 0 ALOE STR!ATA CORAL ALOE 1 gal --215 1'13' ( .. ") CEREUS PERUVIANUS PERUVIAN APPLE 6gal E-20 10'115' 8 ECHEVERJA 'AFTERGLOW'" ECHEVERIA 1 gal Bugreoo 17 1'/2' 8 HESPERALOE PARVIR.ORA' RED YUCCA 1 gal Evergreoo 18 Tfr ( M) HETEROMEI..ES ARIIUTIFOUA TOYON 5 gal Evergr-, 12 10'11!' r-) Y\X;CAWHIPPIB SPANISH DAGGER 6 gal Evergr-, 3e 'Sl.f BOUGAJIMLLEA 'SAN DIEOO RED' BOI.JGAINV1LLEA 6gal ~ ,46 10'H DISTICTIB BUCClNATORA RBJ TRUMPET VINE 5 gal Evergi:-, 6 10'1-I LANTANA MONTEVIDelSJS 1'/,4' R08MAR1M.J8 'PROSTRA TIJS' XJ,4' BANTOIJNA VIRENS Z/2' SENECIO VITAL.IS 16"/3' HARDSCAPE SCHEDULE SYMBOL MA~ QTY • I== I 5 I 0 5 LEO CARRILLO RAN0-1 PARKWAY PLANTING PlAN SHEET 10 PLANTING LEGEND .. ,.,,., SHRUB & GRASS LEGEND -1/v\JCOLS REGION 3; \l\'ESTERN GARDEN ZONE -19 SYMBOL BOTANIC NAME COIIIIOH NAME EVERGREEN/ HBG!fl7 SIZE DECIXJOUS QTY WIDTH 8 ALOE 'ALWAYS RED' ALWAYS RED ALOE 1 gel ~ 311 1'/2' e ALOESTRIATA CORALAL.OE 1 g,el -..-, :rr 1'1:3' ~') CEREUS PER\MAHUS PERlMAN APPLE 6 gal Evwgreoo 8 10'16' ~1 HETEROMELES ARBUTIFOI.IA TOYON e gal Evert,-, 1e 10'/B' ~) OPUNTIA FICUS INDIAN FIG 6 go) --24 10'm' 0 YUCCA v.1-llPPl.8 SPANISH DAGGER 6 gal Eve,grew, 13 ~~ • DISTICTIS BUCClNA TORA RED TRUMPET VINE 6 gal ~ 12 10'H SHEET 11 A_ o V ,-1""1-.wJ ____ _, ________ _ SCALE: 1-=,w 10 20 60 EXACT LOCATION OF '----VINES TO BE VERIFIED IN FIELD WITH CITY STAFF LEO CARRILLO RANOI DEEDIE'S HOUSE SLOPE PLANTING PLAN September 21, 2018 Client#· 436527 NISSHCALIF1 ACORD™ CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) 10/23/2018 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($), 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER ~~l~c1 Barbara Smith Marsh & Mclennan Agency LLC ritJgN:o Ext): 858-457-3414 I (.VC. Nol: 858-452-7530 Marsh & Mclennan Ins. Agency LLC lt'D~~ss: barbara.smith@marshmma.com PO Box 85638 INSURER(S) AFFORDING COVERAGE NAIC# San Diego, CA 92186 INSURER A : Sta.r Indemnity & Liability Company 38318 INSURED INSURERB: Nissho of California, Inc. 1902 S. Santa Fe Avenue INSURERC: Vista, CA 92083 INSURERD: INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER CMM/DD/YYYYl CMM/DD/YYYYl A X COMMERCIAL GENERAL LIABILITY X X 1000025611181 ~6/01/2018 06/01/201!l EACH OCCURRENCE $1,000 000 -• CLAIMS-MADE [!] OCCUR DAMA~H9E RENTED PREMI Ea occurrence) $300 000 MED EXP (Any one person) $5,000 -PERSONAL & ADV INJURY $1,000,000 -GEN"L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 ~ [!] PR~ •LOC $2,000,000 POLICY X JECT PRODUCTS · COMP/OP AGG OTHER: $ A AUTOMOBILE LIABILITY X X 100198575181 06/01/2018 06/01/201!l COMBINED SINGLE LIMIT ~1,000,000 /Ea accident\ t--X ANYAUTO BODILY INJURY (Per person) $ t--OWNED ~ SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ t--HIRED >-------NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY CPer accident) $ t--~ $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ t-- EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ A WORKERS COMPENSATION X 1000003246 06/01/2018 06/01 /201!l X l~~fT1m= I l~JH-AND EMPLOYERS" LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE~ E.L. EACH ACCIDENT $1.000 000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L. DISEASE· EA EMPLOYEE $1,000,000 If yes. describe under E.L. DISEASE · POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached If more space Is required) RE: Landscape Refurbishment at Leo Carrillo Ranch Historic Park. All operations performed by the named insured on behalf of the certificate holder. The City of Carlsbad, its Officials, employees and volunteers are named as additional insured with respect to General and Auto Liability, per attached endorsements. Coverage is Primary and Non-Contributory. Waiver of Subrogation applies to General Liability, Auto Liability and Workers Compensation. CERTIFICATE HOLDER CANCELLATION City of Carlsbad SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 799 Pine Avenue, Suite 200 ACCORDANCE WITH THE POLICY PROVISIONS. Carlsbad, CA 92008-2428 AUTHORIZED REPRESENTATIVE I ,e!J~~' © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3753929/M3590206 WSADH INSURED: Nissho of California, Inc. POLICY#: 100198575181 POLICY PERIOD: 0610112018 TO 0610112019 COMMERCIAL AUTO CA 04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM 1/Vith respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Nissho of California, Inc. Endorsement Effective Date: 06/01/2018 Name(s) Of Person(s) Or Organization(s): SCHEDULE WHERE REQUIRED BY WRITTEN CONTRACT. Information reciuired to complete this Schedule if not shown above will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04441013 © Insurance 5e1Vices Office, Inc., 2011 Page 1 of1 POLICY NUMBER: 100198575181 COMMERCIAL AUTO CA20011013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR -ADDITIONAL INSURED AND LOSS PA YEE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Nissho of California, Inc. Endorsement Effective Date: SCHEDULE Insurance Company: Policy Number: 100198575181 I Effective Date: 06/01/2018 Expiration Date: 0610112019 Named Insured: Nissho of California, Inc. Address: Additional Insured (Lessor): ALL LESSORS WHERE REQUIRED BY WRITTEN CONTRACT Address: Designation Or Description Of "Leased Autos": CA 20011013 © Insurance Services Office, Inc., 2011 Page 1 of 2 Coverages Limit Of Insurance Covered Autos Liability $ Each "Accident" Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Comprehensive $ Deductible For Each Covered "Leased Auto" Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Collision $ Deductible For Each Covered "Leased Auto" Specified Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Causes Of Loss $ Deductible For Each Covered "Leased Auto" Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Coverage 1. Any "leased auto" designated or described in the Schedule will be considered a covered "auto" you own and not a covered "auto" you hire or borrow. 2. For a "leased auto" designated or described in the Schedule, the Who Is An Insured provision under Covered Autos Liability Coverage is changed to include as an "insured" the lessor named in the Schedule. However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: a. You; b. Any of your "employees" or agents; or c. Any person, except the lessor or any "employee" or agent of the lessor, operating a "leased auto" with the permission of any of the above. 3. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takes possession of the "leased auto", whichever occurs first. B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto". 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation 1. If we cancel the policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition. 2. If you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement. D. The lessor is not liable for payment of your premiums. E. Additional Definition As used in this endorsement: "Leased auto" means an "auto" leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. Page 2 of 2 © Insurance Services Office, Inc., 2011 CA20011013 INSURED: NisshoofCalifornia, Inc. POLICY#: 100198575181 POLICY PERIOD: 06/01/2018 TO 0610112019 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insura1ce provided under 1he following: AUTO DEALERS COVERAGE FORlvl BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply uness modified by the endorsement. This endorsement identifies perso1(s) or organization(s) who are "insureds'' for Covered Autos Liability Coverage urder the Who Is An Insured provision of the Coverage Form. This e1dorsement does not alter coverage provided In the Coverage Form. SCHEDULE Name Of Person{s) Or Organization{s): Whf!rH req,.irad hy wrilh,n >l(Jrf!Hmenl signf<d [Yior ln ;ci loss lnfonnation required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown In the Schedule Is an "insured" for covered Autos Liability coverage, but only to the extant that person or organization qualifies as an •insured" under the Who lsAn Insured provision contained In Paragraph A.1. of Section II • Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I • Covered Autos Coverages of the Auto Dealers Coverage Form. CA20481013 © Insurance Services Office, Inc., 2011 Page 1 of 1 INSURED: Nissho of California, Inc. PO LI CY #: 1000025611181 POLICY PERIOD: 06/01/2018 TO: 0610112019 COMMERCIAL GENERAL LIABILITY CG 20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULL V. 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 Addltlonal Insured Person(s) Or Locatlon(s) Of Covered Operations Organizatlon(s): Where Required By Written Contract Where Required By 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 contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury• or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of ·your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill -Limits Of Insurance: If coverage provided to the additional insured is required by a contracl 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. CG2010 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 INSURED:Nissho of California, Inc. POLICY#: 1000025611181 POLICY PERIOD: 06/01/2018 TO: 06/01/2019 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 All persons or organizations as required by written As designated in written contract with the Named Insured contract with the Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11-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: NisshoofCalifornia, Inc. POLICY#: 1000025511181 POLICY PERIOD: 0610112018 TO: 0610112019 COMMERCIAL GENERAL LIABILITY CG 24040509 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket as required by written contract. Information reouired to comolete this Schedule, it not shown above. will be shown in lhe Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV -Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operalions hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 040509 © Insurance Services Office, Inc., 2008 Page 1 of 1 INSURED: Nissho of California, Inc. POLICY#: 1000025611181 POLICY PERIOD: 0510112018 TO 0610112019 ~~ Starr Indemnity & Uability Company Dal:as TX 1-866-51~25:?,' Primary and Non-Contributory Condition Ttirs eooorsement modifies 1rn;1,,rance provn:led under the Commercial General Liability Coverage Part A. SECTION IV -CONDITIONS, condit10n 4. Other Insurance 1s c!rn~ndec:1 es folkWS 1. l hO following 1s aoded to paragral)tl 4.a. of the OthK lnsuranc• corv.litlOI'\. This insurance ts pnmary ,llf,urance as r~pects O\.lr ccJ11erat,e to ttie ao<ht.or,al rriwre11. whe<e the w~itten contract or wntter, agreement 1oau1r@S that this 11t'SL1tat'lcc-be p:;mary ~~1'd non-contntnJtory. In that event. we will not seek conlribu!ion from i!l'ly other msu1anc@ pohc~• .!lv.!ltili!lbll!!! !o the acd,t1ona1 msurl!!d on 'lkt-eh tr..e ao<l,ilonal insured IS a Named Insured ALL OTHER TERMS AND COND'TIONS R:M,W·S UNCHANGED 0G 107 (04/11) Page 1 al 1 Copy1111ht s c. V Starr & COmpany aoo Starr fnMmnlfY & IJ.ablMty COmpllffl. All rtghts re!>lfw-d. lnctud1111 copyrti,tlild mal•tal of l-$0 f"ropwtt•s, Ir,,;., UStKt v,1U1 Its p•ml-sU011 INSURED: Nissho of California, Inc. POLICY#: 1000025611181 POLICY PERIOD: 06/01/2018 /!!/:;,;\ '~~y Starr Indemnity & liability Company Dallas, TX 1-866-519-2522 TO: 0610112019 Amendment of Limits of Insurance (Per Project or Per Location Aggregate Limit) Policy Number: Effective Date: Named Insured: This endorsement modifies Insurarce provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM I. Your policy is amended to include either a Per Project General Aggregate Limit, a Per Location General Aggregate Limit or a Per ProJect and Per Location General Aggregate Limit. Please select only one of the following: 1. 2. Per Project General Aggregate Limit Per Location General Aggregate Limit Per Project and Per Location General Aggregate Limit [ J overall PoHcy Aggregate Limit IF NEITI-ER OF TI-lESE BOXES ARE CHECKED, THIS ENDORSEMENT IS VOID. IF MORE THAN 01'-E OF THE THESE BOXES ARE CHECKED, THIS ENOORSEMENT IS VOID. IL SECTION Ill -LIMITS OF INSURANCE, is amended to include the following: 1. The Limits of Insurance and the rules belC1N fix the most we will pay regardless of the nurnberof- a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "slits". 2. The General Aggregate Limit is the rrost we will pay for the sum of: a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily inJury" or "property damage" included in the products-completed operations hazard"; and c. Damages under coverage B. 3. Persons or organizations making claims or bringing "st.its". 4. The Products-Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of 'bodily injiiy'' and "property damage" included in the "products-completed operations hazard". 00139 (07-11) Page 1 of3 Copyright e> C. V. Stsr & Company and Slsr lndem,ity & Liability Comp.ny. All rii;t,ts ••-d. Includes oopyrighled m.iterial d ISO Properties, lno., used with its permission INSURED: Nissho of California, Inc. POLICY#: 1000025611181 POLICY PERIOD: 06/01/2018 TO: 0610112019 /~~ ~ Starr Indemnity & l.iability Company Dallas, TX 1-866-519-2522 5. SUbject to 2 above, the Personal and Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all "personal and advertising mJury'' sustained t::,y any one person or organization 6. Subject to 2 or 3 above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of: a. Damages under Coverage A; and b. Medical expenses under Coverage C because of all "bodily injury'' and "property damage" arising out of any one "occurrence". 7. Subject to 6 above, the Damage to Premises Rented to You Limit is the most we will pay under Coverage A because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by yoo with permission by the CM1ner. 8. Subject lo 5 above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses becaU6e of "bodily injury" sustained by any one person. 9. Subject to 2, 4, 6, 8, and/or 7 above, the Per Project Aggregate Limit Is the most we will pay under Coverages A, B, and C combined for the sum of· a. Damages under Coverage A; b. Damages under Coverage B; and c. Medical expenses under Coverage C ariSing out or the 81"1)' single Location de$cribed above. 10. Subject to 2, 4, 5, 6, and/or 7 above, the Per Location Aggregate Lmit is the most we will pay under Coverages A, B, and C combined for the sum of d. Damages under Coverage A; e. Damages under Coverage B; and f. Medical expenses 1.11der Coverage C arising out of the al"1)' single Location de$cribed above. 11 The Overall Policy Aggregate is the most we will pay in al"1)' policy period regardless of number of projects or locations. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to al"1)' remaining period of less than 12 rronths, starting with the beginning of the policy period Shown in the Declarations, unless the policy period is e><tended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. 111. The Limits of Insurance shown in the Declarations are deleted in their entirety and replaced by the Limits of Insurance set forth below. Limits or Insurance General Aggregate Limit $2,000,000 Each Occurrence Limit $1,000,000 Products-Completed Operations Aggregate Limit $ 2,000,000 06139(07-11) Page2of3 Copyrighl © C. V. Starr & Company ...t St..-r lndennty & Liability Company. All rigJ,ts 111Serwd. Include,; copyri!lhlad malerial of ISO Prcperti•s, Inc., UWdWilh itll jMnllisSion. INSURED: Nissho of California, Inc. POLICY#: 1000025611181 POLICY PERIOD: 06/01/2018 r:~o·: :, ?"'" . >;! ,~.;: :;/ Slarr Indemnity & LiabiJily Company Dallas. TX 1-866-519-2522 Persons! & Advertising lriury Limit Damage to Premises Rented to You Medical Expense Limit IV. SECTION V -DEFINITIONS: is amended to include the following: $1,000,000 $ 100,000 $ 5,000 TO: 0510112019 23. "Location" means premises involving the same or comecting lots, or i:x-emtses whose connection Is interrupted only by a stree~ roadway, waterwW'f, or right-of-way railroad. ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. Signed for STARR INDEMNITY & LIABILITY COMPANY Nehemiah E. Ginsburg, Genera,counsel OG 139 (07-11) Page 3 of3 Copyrigl-. 0 C. V. Starr & Company and SIIIIT Indemnity & Liability Compeny. All ri(llls resarwd. Includes copyrighted mllllerllll <:A ISO Proper11es, Inc., U98d with its permission. INSURED: Nissho of California, Inc. POLICY#: 100198575181 Dallas, TX 1-866-519-.:!522 POLICY PERIOD: 06/01/2018 TO: 06/01/2019 Additional Insured -Where Required Under Written Contract or Written Agreement Endorsement This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the declarations page. Please read the endorsement and respective policy(ies) carefully. Business Auto Coverage Form THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. tt is hereby agreed that SECTION II -COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, is amended to include the following: d. Any person or organization whom you become obligated to include as an additional insured under this policy, as a result of any written contract or written agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceedthelesserot (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said written contract or written agreement. All other terms and conditions of this Policy remain unchanged. Signed for STARR INDEMNITY & LIABILITY COMPANY SICA 1016 (0411-1) Nehemiah E. Ginsburg, General Capyrigllt © Sw-r ~ & Liability CGmpuy. All ripts resuwd. bclaus copyripted iutmal of ISO Properties. be., IISed 1lida ifs peniissioa. Pagel ofl INSURED: Nissho of California, Inc. POLICY#: 1000003246 POLICY PERIOD: 0610112018 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY TO: 0610112019 WC 0403 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be_*_% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description WHERE YOU ARE REQUIRED BY WRITTEN CONTRACT TO OBTAIN THIS AGREEMENT FROM US, PROVIDED THE CONTRACT IS SIGNED AND DATED PRIOR TO THE DATE OF LOSS TO WHICH THIS WAIVER APPLIES. IN NO INSTANCE SHALL THE PROVISIONS AFFORDED BY THIS ENDORSEMENT BENEFIT ANY COMPANY OPERATING AIRCRAFT FOR HIRE. "The premium charge for this endorsement shall be 2% of the premium developed in the State of California, but not less than $500 policy minimum premium. 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 endorHment la iaaued subsequent to preparation of the policy.) we 0403 06 (Ed. 4-84) t1 . .. ·,'.~~L---Countersigned By _ _,_· _. · ___._ ___ . ____ . __ _,._,. __ .1 01198 by the Worlall9' Compensation lntuninct Rating 8UN8U of Callfomll. AR right• reeerwd.