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HomeMy WebLinkAboutPipes Plumbing Inc; 2019-11-21; PWM20-943GS• } RECORDED REQUESTED BY CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 DOC# 2020-0004505 I llllll lllll lllll lllll 111111111111111111111111111111111111111111111111 Jan 06, 2020 11 :22 AM OFFICIAL RECORDS Ernest J. Dronenburg, Jr, SAN DIEGO COUNTY RECORDER FEES. $0.00 (SB2 Atkins $0 00) PAGES 1 Space above this line for Recorder's use. PARCEL NO: NOTICE OF COMPLETION Notice is hereby given that: 222-601-04-00 1. 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 12/13/2019. 6. The name of the contractor for such work or improvement is Pipes Plumbing, 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: Project No. PWM20-943GS, Project Name: Carrillo Ranch Caretaker's Residence Re-Pipe. 8. The street address of said property is 6200 Flying Leo Carrillo Lane, Carlsbad, CA 92009, in the City of Carlsbad. VERIFICATION OF CITY CLERK I, the undersigned, say: I am the City Clerk of the City of Carlsbad, 1200 Carlsbad Village Drive, Carlsbad, California, 92008; the City Manager of said City on Oecerohec 3/sf , 20...!!_, accepted the above described work as completed and ordered that a Notice of Completion be filed. I declare under penalty of perjury that the foregoing is true and correct. Executed on Decepil:,er 3/S-f, 20 / 9, at Carlsbad, California. City Clerk Q:\Public Works\General Services\Agreements & Contracts\Pipes Plumbing, lnc\Carrillo Ranch Caretaker's Residence Re-Pipe -PWM20-943GS\4. NOC\2.NOC -Carrillo Ranch Caretaker's Residence Re-Pipe -PWM20-943GS.docx I .. \' ... ( /'\J' "\ CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS Pipes Plumbing, Inc. has completed the contract work required for PWM20-943GS -Carrillo Ranch Caretaker's Residence Re-Pipe. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS Re-pipe all potable water lines from water service entrance of house to water heater and all existing plumbing fixtures through subfloor. VALUE $20,160 CERTIFICATION OF COMPLETION OF IMPROVEMENTS John Maaoff, Public Works anager 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. cJ. .715/L s,;xfuC~ick, City Manager APPROVED AS TO FORM: CELIA BREWER, City Attorney By r 1-it; Deputy City" Attorney directed to commence maintaining the above described Date Q:\Public Works\General Services\Agreements & Contracts\Pipes Plumbing, lnc\Carrillo Ranch Caretakers Residence Re-Pipe -PWM20-943GS\4. NOC\3.API -Carrillo Ranch Caretakers Residence Re-Pipe -PWM20-943GS.docx CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT CARRILLO RANCH CARETAKER'S RESIDENCE RE-PIPE PWM20-943GS This agreement is made on the :J/ f}-day of Lf1 QLte/Yl J Ka... , 20J1, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and Pipes Plumbing, Inc., a California corporation whose principal place of business is 328 Via Del Norte, 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: Charles Balteria (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. Carrillo Ranch Caretaker's Residence Repipe Page 1 of 6 City Attorney Approved 1/25/2019 PWM20-943GS 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: .:.:~}?E~=~h~~======---===-- ~,©1 }k~ Print Name: 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. Carrillo Ranch Caretaker's Residence Repipe Page 2 of 6 City Attorney Approved 1/25/2019 PWM20-943GS 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 five (5) working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within fifteen (15) working days after receipt of Notice to Proceed. CONTRACTOR'S INFORMATION. Ill Ill Ill Ill PIPES PLUMBING, INC. (name of Contractor) 804641 (Contractor's license number) C36 -Plumbing 02/29/2020 (license class. and exp. date) N/A (DIR registration number) N/A (DIR registration exp. date) Carrillo Ranch Caretaker's Residence Repipe Page 3 of 6 328 Via Del Norte (street address) Oceanside, CA 92058 (city/state/zip) \14<) 760497~ (telephone no.) (fax no.) vrbentley@juno.com (e-mail address) City Attorney Approved 1/25/2019 PWM20-943GS 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 PIPES PLUMBING, INC., a California corporation By:£~ (sign here) v~o &7-irt.L-"f /;'tc:s (print name/title) By:£ ----=r-5 A (sign here) &Pi:~nam~~~ CITY OF CARLSBAD, a municipal corporation of the State of California By: PazGom Works, a authorized by t If required by City, proper notarial acknowledgment of execution by Contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Chairman, President, or Vice-President Group B Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CELIA A. BREWER, City Attorney Carrillo Ranch Caretaker's Residence Repipe Page 4 of 6 City Attorney Approved 1/25/2019 PWM20-943GS 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 _)\[0'()-e.J Total% Subcontracted: The Contractor must perform no less than fifty percent (50%) of the work with its own forces Carrillo Ranch Caretaker's Residence Repipe Page 5 of 6 City Attorney Approved 1/25/2019 PWM20-943GS EXHIBIT B Carrillo Ranch Caretaker's Residence Re-Pipe Contractor to provide all tools, materials and labor to re-pipe all potable water lines with new Type L rigid copper piping from water service entrance of house to water heater and all existing plumbing fixtures through subfloor at the Carrillo Ranch Caretaker's Residence located at 6200 Flying Leo Carrillo Lane, Carlsbad CA, 92009. Scope of Work shall include: 1. Abandon existing potable water lines (Hot & Cold) under residence subfloor. Removal of wood siding at back end of residence for easier access to work under residence. 2. Install new Type L rigid copper piping from entrance of water service at underside of house and to water heater and on to service existing plumbing fixtures under subfloor. All copper pipes and fittings to be solder together. All interior water lines to be concealed in walls and attic space. All pipes will be strapped and insulated for sound deadening. There will be no pipes touching wood. All piping that comes in contact with wood will have insulators around the pipe at the contact points to prevent rattling. Some type "L" soft copper may be used in certain areas if accessibility is extremely difficult. 3. All new piping to fixtures will be stubbed up out of subfloor to service each fixture with new brass angle stops installed and ready for fixture installation. New washing machine valves will be installed at laundry piping stub outs. New water heater flex connectors and shut off valve to be installed at water heater. 4. New chrome Smitty Plate to be installed at master bathroom shower if needed. Notes: • All work shall comply with the Uniform Plumbing Code and be within the standards of the trade. • Contractor shall protect all areas that are not being worked in to mitigate dust. • Contractor shall remove all job-related trash and debris from the jobsite. • Contractor shall test and verify the new system is ready for inspection. • Any building permits to be obtained and completed by the City. • All drywall patch/texture, access panel, wood siding and painting of all opened areas to be completed by the City. • All fixture installations to be completed by the City. • Contractor shall warranty all workmanship and materials for a period of 1 0 years. JOB QUOTATION ITEM UNIT QTY DESCRIPTION PRICE NO. 1 LS 1 Carrillo Ranch Caretaker's Residence Repipe $20,160.00 TOTAL* $20,160.00 *Includes taxes, fees, expenses and all other costs. Carrillo Ranch Caretaker's Residence Repipe Page 6 of 6 City Attorney Approved 1/25/2019 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 l..;tJ-1 Dfl%(:.) ) On 3,a~"2AVt beforeme, ~~~c ~~ 7 . Date Here Insert Name and Title of the Offtcer personally appeared ---~-=---~-~ __ W( __ A,!o _ ___,_h,t_r-t __ ~~-t!j'--_______ _ Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) ¼fare subscribed to the within instrument and acknowledged to me that l)e/~e/they executed the same in h~/t)6r/their authorized capacity(ies), and that by ~/t¢r/their signature(s) on the instrument the person(s), 6r the entity upon behalf of which the person(s) acted, executed the instrument. 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. ignature of Notary Public ---------------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.,. .• .,.. ~.,,f' ,,-1 ~ Title or Type of Document: M\f1'1>(V ~rl~S ~o~ument Date: __,t_~_~-'-1'1_0 ___ _ Number of Pages: t.. Signer(s) Other Than Named Above: ____________ _ Capacity(ies) Claimed by Signer(s} Signer's Name: ___________ _ D Corporate Officer -Title(s}: ______ _ □ Partner -D Limited D General Signer's Name: ___________ _ □ Corporate Officer -Title(s): ______ _ □ Partner -D Limited □ General □ Individual □ Attorney in Fact □ Trustee □ Guardian or Conservator □ Individual □ Attorney in Fact □ Trustee D Guardian or Conservator D Other: _____________ _ □ Other: _____________ _ Signer Is Representing: ________ _ Signer Is Representing: ________ _ ©2014 National Notary Association· www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 AE!?!lD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) 11/08/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Valeri Orsini NAME: Fusco & Orsini Insurance Services Inc. r:,gN:0 Extl: (858) 384-1506 I FAX (A/C, Nol: (800) 209-9298 5095 Murphy Canyon Road E-MAIL valeri@foagency.com ADDRESS: Suite 200 INSURER(S) AFFORDING COVERAGE NAIC# San Diego CA 92123 INSURER A: Allied World Surplus Lines Ins. Co 24319 INSURED INSURER B: State Comp. Insurance Fund 04028 Pipes Plumbing, Inc., OBA: Bentley Builders INSURER C: 328 Via Del Norte INSURERD: INSURERE: Oceanside CA 92058 lNSURERF: COVERAGES CERTIFICATE NUMBER: 19-20 GLAI PL/WC voe 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. IN:sR lYPE OF INSURANCE PuLl1,;YEFF 1;~T&,~1 LIMITS LTR INSD WVD POLICY NUMBER IMM/DD/YYYYl X COMMERCIAL GENERAL LIABILllY EACH OCCURRENCE $ 1,000,000 >--~ CLAIMS-MADE [81 OCCUR u~,v,~c,c I U Kt=N I t=U PREMISES /Ea occurrence\ $ 50,000 >-- MED EXP (Any one person) $ 5,000 >--A y 50573848 07/01/2019 >--07/01/2020 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ~ POLICY □ ftc?-r □ LOC PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILllY COMBINED SINGLE LIMIT $ tEa accidentl 0-- ANY AUTO BODILY INJURY (Per person) $ --OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ --HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY I Per accident) $ -~ $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ -EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION $ $ WORKERS COMPENSATION XI mTUTE I I OTH-AND EMPLOYERS" LIABILllY ER YIN 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE ~ y 92026572019 01/07/2019 01/07/2020 E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ Each Occurrence $1,000,000 A Pollution Liability 50573848 07/01/2019 07/01/2020 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Carlsbad/CMWIDis named as additional insured per endorsement CG 201 o 0413 on general liability only. Work comp waiver applies per SCIF FORM 10217. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Carlsbad/CMWD c/o EXIGIS Insurance Compliance Services ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 4668 -ECM #35050 AUTHORIZED REPRESENTATIVE Newyork NY 10163-4668 .,,--/ // __,..------.. I © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD OMMER IAL GENERAL LIABILIT 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART S HEDU E ame Of Additional Insured Person(s) Or Organization(s) ocation(s) Of overed Operations Any person or organization to whom the Named Insured Where specified by fully executed written contract. has agreed by a fully executed written contract that such person or organization be added as an Additional Insured, but only with respect to operations performed by or on behalf of the Named Insured and only with respect to occurrences subsequent to the making of such fully executed written contract otherwise covered by this insurance. 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 20 10 0413 © Insurance Services Office, Inc., 2012 Page 1 of 2 POLICY NUMBER: 5057-1232 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill -Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 10 0413 © Insurance Services Office, Inc., 2012 Page 2 of 2 STATE ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BROKER COPY COMPENSATION INSURANCE FUNO 9202657-19 RENEWAL SP HOME OFFICE SAN FRANCISCO 8-31-17-7 PAGE 1 OF 2 ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME EFFECTIVE NOVEMBER AND EXPIRING JANUARY 7, 2019 AT 12.01 A.M. 7, 2020 AT 12.01 A.M. PIPES PLUMBING INC 328 VIA DEL NORTE OCEANSIDE, CA 92058 ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS AGREED THAT THE STATE COMPENSATION INSURANCE FUND WAIVES ANY RIGHT OF SUBROGATION AGAINST, CITY OF CARLSBAD WHICH MIGHT ARISE BY REASON OF ANY PAYMENT UNDER THIS POLICY IN CONNECTION WITH WORK PERFORMED BY, PIPES PLUMBING INC IT IS FURTHER AGREED THAT THE INSURED SHALL MAINTAIN PAYROLL RECORDS ACCURATELY SEGREGATING THE REMUNERATION OF EMPLOYEES WHILE ENGAGED IN WORK FOR THE ABOVE EMPLOYER. IT IS FURTHER AGREED THAT PREMIUM ON THE EARNINGS OF SUCH EMPLOYEES SHALL BE INCREASED BY 03%. NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, AL TEA, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: ~~!{-5{ NOVEMBER 13, 2019 PRESIDENT AND CEO SCIF FORM 10217 (REV.7·2014) 2570 OLD DP 217 STATE ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BROKER COPY COMPENSATION INSURANCE FUNO 9202657-19 RENEWAL SP HOME OFFICE SAN FRANCISCO 8-31-17-7 PAGE 2 OF 2 ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME EFFECTIVE NOVEMBER AND EXPIRING JANUARY 7, 2019 AT 12.01 A.M. 7, 2020 AT 12.01 A.M. PIPES PLUMBING INC 328 VIA DEL NORTE OCEANSIDE, CA 92058 ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS AGREED THAT THE STATE COMPENSATION INSURANCE FUND WAIVES ANY RIGHT OF SUBROGATION AGAINST, CMWD WHICH MIGHT ARISE BY REASON OF ANY PAYMENT UNDER THIS POLICY IN CONNECTION WITH WORK PERFORMED BY, PIPES PLUMBING INC IT IS FURTHER AGREED THAT THE INSURED SHALL MAINTAIN PAYROLL RECORDS ACCURATELY SEGREGATING THE REMUNERATION OF EMPLOYEES WHILE ENGAGED IN WORK FOR THE ABOVE EMPLOYER. IT IS FURTHER AGREED THAT PREMIUM ON THE EARNINGS OF SUCH EMPLOYEES SHALL BE INCREASED BY 03%. NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: ~~!,-5( NOVEMBER 13, 2019 Ii~~-.J/-L<:~ PRESIDENT AND CEO SCIF FORM 10217 (REV.7·2014) 2570 OLD DP 217