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HomeMy WebLinkAboutReinhart Corporation dba Aair Purification Systems; 2018-02-14; PWM18-109GSPWM18-109GS CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT FIRE STATION NO. 2 PLYMOVENT EXHAUST FAN REPLACEMENT This agreement is made on the / LJ t/l-day of _-1-__.__"-"-....... .........,'--"--'~---' 2018, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), a The Reinhart Corporation dba Aair Purification Systems, a California corporation whose principal place business is 9040 Kenamar Dr. Suite 402, San Diego, CA 92121 (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: Brian Bacardi (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. FS2 Plymovent Exhaust Fan Replacement Page 1 of 6 City Attorney Approved 9/27/16 PWM18-109GS 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 tha eb rment by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor or su c tr · · ating in contract bidding. Signature: Print Name: REQUIRED INSURANCE. The successful contrac hall provide to the City of Carlsbad, a Certification of Commercial General Liability and Property mage 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. FS2 Plymovent Exhaust Fan Replacement Page 2 of 6 City Attorney Approved 9/27/16 PWM 18-109GS 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 thirty (30) working days after receipt of Notice to Proceed. CONTRACTOR'S INFORMATION. Ill Ill Ill Ill Ill Ill Ill THE REINHART CORPORATION dba AAIR PURIFICATION SYSTEMS (name of Contractor) 621360 (Contractor's license number) C-43 6/30/19 (license class. and exp. date) 1000030031 (DIR registration number) 6/30/2018 (DIR registration exp. date) FS2 Plymovent Exhaust Fan Replacement Page 3 of6 9040 Kenamar Dr. Suite 402 (street address) San Diego, CA 92121 (city/state/zip) 858-578-2825 (telephone no.) 858-578-3762 (fax no.) airpurisys@aol.com (e-mail address) City Attorney Approved 9/27/16 PWM 18-109GS 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 THE REINHART CORPORATION dba MIR PURIFI AJION YSTEMS, a California (sign here) CITY OF CARLSBAD, a municipal corporation of the State of California By: Elaine Lukey / P lie arks Director as authorized by e City Manager fa. '-L\ $ (Y') e_tQueen JlL ""1:i~ ¾rvi (print name/title) 1 J If required by City, proper notarial acknowledgment of execution by Contractor must be attached. !f..g 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: FS2 Plymovent Exhaust Fan Replacement Page 4 of 6 City Attorney Approved 9/27 /16 PWM18-109GS 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 A.) O~f L Total% Subcontracted: __ -@ ____ -__ The Contractor must perform no less than fifty percent (50%) of the work with its own forces. FS2 Plymovent Exhaust Fan Replacement Page 5 of 6 City Attorney Approved 9/27/16 PWM 18-1O9GS EXHIBIT B Fire Station No. 2 Plymovent Exhaust Fan Replacement Contractor to provide all tools, materials and labor to remove existing failing blower motor, and replace with new. Contractor to also replace blower support with new pressure treated wood, and replace upblast stack at Fire Station No. 2 located at 1906 Arenal Rd., Carlsbad, CA 92009. JOB QUOTATION ITEM UNIT QTY DESCRIPTION PRICE NO. 1 LS 1 New TEV 559 5hp, 208v 1 ph fan motor, support, and $5,915 upblast stack. Parts and installation. TOTAL* $5,915 *Includes taxes, fees, expenses and all other costs. FS2 Plymovent Exhaust Fan Replacement Page 6 of 6 City Attorney Approved 9/27/16 Exhibit "B" 7 H '', AAIR PUR/FICA TION SYSTEMS Proposal TO: Carlsbad Fire Department LOCATION OF WORK: 2540 Orion Way Fire Station No. 2 Carlsbad CA 92010 1906 Arenal Rd. Carlsbad, CA 92009 APPLICATION ATTN: Dennis Strawhun Vehicle Exhaust PHONE NO. FAX NO. PROPOSAL DATE EXPIRATION DATE PROPOSAL NO. 760-931-214 January 3, 2018 February 2, 2018 20882 QTY ITEM NO DESCRIPTION PRICE AMOUNT 1 TEV 559 5hp, 208V 1 ph Fan $2,965.00 $2,965.00 102933 1 $400.00 $400.00 FREIGHT 1 Installation using scissor lift, including replacing blower $2,550.00 $2,550.00 INSTALL support with pressure treated wood and new upblast stack for blower Submitted By: Sam McQueen Plus applicable taxes TOTAL $5,915.00 and freiaht charaes. DELIVERY TIME F.O.B. POINT PAYMENT TERMS 2 - 3 weeks ARO Cranbury, NJ Net 15 days Acceptance of Proposal -The above pricing, specifications and attached Appendix "A" Terms and Conditi.ons are satisfactory Signature and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date 9040 Kenamar Drive STE 402 • San Diego, CA 92121 • Tel (858) 578-2825 • Fax (858) 578-3762 DATE (MM/DDNYYY) AE~RD® CERTIFICATE OF LIABILITY INSURANCE I 02/08/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 Phone: (858) 642-0200 Fax: (858) 642-0205 CONTACT ALL COMMERCIAL INSURANCE SERVICES, LLC. '""" ALL COMMERCIAL INSURANCE SERVICES, LLC. ~~~~~ C,"· (858)642-0200 I~;; Nnl 6790 TOP GUN STREET #3 E-MAIL debra.dehart@2insure.biz SAN DIEGO CA 92121 ,nnccoo, INSURER(S) AFFORDING COVERAGE NAIC# Agency Lie#: OC64552 INSURER A : SENTINEL INSURANCE COMPANY, LTD 11000 INSURED • TWIN CITY FIRE INS CO 29459 THE REINHART CORPORATION INSURER B DBA A AIR PURIFICATION SYSTEMS INSURER C 9040 KENAMAR DR STE 402 SAN DIEGO CA 92121-2433 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 3339143 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, i=·,r1 1 1c:1r,~1c: ANn "'""" 1c: r,i= s11r,_, orn 1r.1i=c: 1 "41TS c:,_,r,w~1 •Ally ,_,"VF A<=<=~I RFnl 1ri=n BY PAID r1 "I""'· INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICYEFF POLICY EXP LIMITS ,TC ,,,oo "" '"'"""-· A X COMMERCIAL GENERAL LIABILITY 72SBAKH5045 02/20/18 02/20/19 EACH OCCURRENCE $ 2,000,000 f----D CLAIMS-MADE [K]occuR DAMAGE TO RENTED $ 1,000,000 PREMISES /Ea occurence) ~ MED. EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 ,_ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 Fl 0PRO-D POLICY X JECT LOC PRODUCTS -COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY 72SBAKH5045 02/20/18 02/20/19 COMBINED SINGLE LIMIT 2,000,000 ~ (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ --- -ALL OWNED SCHEDULED -----------______ ., __ --------- AUTOS BODILY INJURY (Per accident) $ -AUTOS - X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ --AUTOS (oer accident} $ A X UMBRELLA LIAS fl OCCUR 72SBAKH5045 02/20/18 02/20/19 EACH OCCURRENCE $ 1,000,000 -- EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED I X I RETENTION$ 10,000 $ WORKERS COMPENSATION 72WBCNT7556 01/26/18 01/26/19 X I PER I I 0TH B STATUTE ER AND EMPLOYERS' LIABILITY Y/N E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE [I] OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below -··--·-·-----------~----------·------·---------·--------·--- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THE CITY OF CARLSBAD IS INCLUDED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY PER ATTACHED. WAIVER OF SUBROGATION APPLIES WITH RESPECT TO GENERAL LIABILITY AND WORKERS' COMPENSATION. *30 Day Notice of Cancellation applies as per the attached endorsement and certificate from the carrier. CERTIFICATE HOLDER CANCELLATION CITY OF CARLSBAD/CMWD c/o EXIGIS Insurance Compliance Services PO BOX 4668 -ECM#35050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. r---------·-------·------~--------AUTHORIZED REPRESENTATIVE New York, NY 10163 Attention: certificates-carlsbad@riskworks.com Mark Rubin ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA Policy Number: 72 WBC NT7556 Endorsement Number: Effective Date: 01/26/18 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: THE REINHART CORPORATION 9040 KENMAR DRIVE STE #402 SAN DIEGO, CA 92121 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 premium otherwise due on such remuneration. 5 % of the California workers' compensation SCHEDULE Person or Organization CITY OF SAN DIEGO PURCHASING AND CONTRACTING DEPT. 1200 THIRD AVE STE 200 SAN DIEGO, CA 92101-4195 CITY OF CARLSBAD, ITS OFFICIAL EMPLOYEES AND VOLUNTEERS 1200 CARLSBAD VILLAGE DR. CARLSBAD CA 92008 EC CONSTRUCTORS INC 9834 RIVER ST LAKESIDE, CA 92040 Countersigned by Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 12/09/17 Job Description INSPECTION AND REPAIRS TO EXHAUST REMOVAL SYSTEMS INSTALLATION OF EXHAUST REMOVAL SYSTEM INSTALL VEHICLE EXHAUST SYSTEM --------------------Authorized Representative Policy Expiration Date: 01/26/19 AC:~.,. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 2/7/2018 THIS CERTIFICATEIS 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 riQhts to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: ALL COMMERCIAL SERVICES LLC/PHS PHONE (AJC, No, Ext): (866) 467-8730 rAX (AJC, No) ( 8 8 8 ) 443-6112 166007 P: (866) 467-8730 F: (888) 443-6112 E-MAIL AODRESSc PO BOX 33015 INSURER(S) AFFORDING COVERAGE NAIC# SAN ANTONIO TX 78265 INSURER A: Twin City Fire Ins Co 29459 INSURED INSURERS: THE REINHART CORPORATION OBA: AAIR INSURERC: PURIFICATION SYSTEMS INSURERD: 9040 KENAMAR DR STE 402 INSURER E: SAN DIEGO CA 92121 INSURERF: 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 NUMBER POLICYEFF POLICY EXP I.IM/1'S TD nwn """' IMMIDD/YYYYJ 'V1 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ I CLAIMS-MADE OoccuR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ -PERSONAL & ADV INJURY $ -GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ R POLICY D PRO-D LOG PRODUCTS. COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ -ANY AUTO BODILY INJURY (Per person) $ -OWNED -SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ -HIRED -NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ --$ UMBRELLA LIAB ~ OCCUR EACH OCCURRENCE ~ -EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEJ !RETENTION$ $ WORKERS COMPENSATIUlV IPER I IOTH- AIVD EMPLOYERS' LIABILITY X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E. L. EACH ACCIDENT s1,ooo,ooo OFFICER/MEMBER EXCLUDED? D NIA ,__ s1,ooo,ooo A (Mandatory in NH) 72 WBC NT7556 01/26/2018 01/26/2019 E.L. DISEASE· EA EMPLOYEE -lf yes, describe under E.L. DISEASE· POLICY LIMIT "l, 000, 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION CITY OF CARLSBAD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED CARE OF EXIGIS INSURANCE BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. COMPLIANCE SERVICES ECM#35050 AUTHORJZED REPRESENTATIVE PO BOX 4668 a ~or Cao~ NEW YORK, NY 10163 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: __________________ _ LOC#: -------- ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED ALL COMMERCIAL SERVICES LLC/PHS THE REINHART CORPORATION OBA: AAIR POLICY NUMBER PURIFICATION SYSTEMS SEE ACORD 25 9040 KENAMAR DR STE 402 CARRIER I NAIC CODE SAN DIEGO CA 92121 SEE ACORD 25 EFFECTIVE DATE: SEE ACORD 2 5 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Waiver of Subrogation applies in favor of the Certificate Holder per Waiver of Subrogation Form SS1215, attached to this policy. ACORD 101 (2014/01) © 2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) Policy Number: 7 2 WBC NT7 5 5 6 Endorsement Number: 02 Effective Date: 02 I 2 0 /18 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: THE REINHART CORPORATION 9040 KENMAR DRIVE STE #402 SAN DIEGO, CA 92121 This policy is subject to the following additional Conditions: A. If this policy is cancelled by the Company, other than for non-payment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. B. If this policy is cancelled by the Company for non-payment of premium, or by the insured, notice of such cancellation will be provided within ten (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. Form WC 99 03 94 Printed in U.S.A. Process Date: 02/07 /18 If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. Policy Expiration Date: 01/26/19 © 2011, The Hartford THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional Conditions: A. If this policy is cancelled by the Company, other than for non-payment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. B. If this policy is cancelled by the company for non- payment of premium, or by the insured, notice of such cancellation will be provided within ten (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. Form 55 12 23 0611 If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. Page 1 of 1 © 2011, The Hartford AC:DRh· CERTIFICATE OF LIABILITY INSURANCE I ;7; 7~;;;\Y) ~ THIS CERTIFICATEIS 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 riahts to the certificate holder in lieu of such endorsement(s). PROuU<-ER CONTACT NAME: ALL COMMERCIAL SERVICES LLC/PHS PHONE IFAX 443-6112 (AJC, No, Ext): ( 866) 467-8730 (AJC, No): ( 8 8 8 ) 166007 P: (866) 467-8730 F: (888) 443-6112 E-MAIL ADDRESS: PO BOX 33015 INSURER(S) AFFORDING COVERAGE NAIC# SAN ANTONIO TX 78265 INSURER A: Sentinel Ins Co LTD 11000 INSURED INSURER B: THE REINHART CORPORATION DBA: AAIR INSURERC: PURIFICATION SYSTEMS INSURERD: 9040 KENAMAR DR STE 402 INSURER E SAN DIEGO CA 92121 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 SUHR POL/Cl' NUMBER POL/Cl'EFF POLJCl'EXP L/MffS ,ro n,en """' IMMl1JD/ITI'}1 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 I CLAIMS-MADE ~ OCCUR DAMAGE TO RENTED d, 000, 000 PREMISES (Ea occurrence) A X General Liab X 72 SBA KH5045 02/20/2018 02/20/2019 MED EXP (Any one person) $10,000 '-- PERSONAL & ADV INJURY $2,000,000 -RN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s4, 000, 000 POLICY 0 r;;g.;. D LOG PRODUCTS -COMP/OP AGG s4, 000, 000 OTHER $ AUTOMOBILE LIABILITY COMBINEO SINGLE LIMIT s2, 000, 000 (Ea accident) .__ ANY AUTO BODILY INJURY (Per person) $ .__ OWNED -SCHEDULED A 72 SBA KH5045 02/20/2018 02/20/2019 BODILY INJURY (Per accident) $ .__ AUTOS ONLY ,__ AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ .__ ,__ $ X UMBRELLA LIAB ~ OCCUR EACH OCCURRENCE sl, 000, 000 .__ A EXCESS LIAB CLAIMS-MADE 72 SBA KH5045 02/20/2018 02/20/2019 AGGREGATE $1,000,000 ornl X !RETENTION• 10 , 0 0 0 $ WORKERS COMPENSATION IPER I IOTH-AND EMPLOYERS' LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? D NIA -$ /Mandatory in NH) E.L. DISEASE-EA EMPLOYEE -If yes, describe under E.L. DISEASE-POLICY LIMIT ' DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION CITY OF CARLSBAD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED CARE OF EXIGIS INSURANCE BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. COMPLIANCE SERVICES ECM#35050 AUTHORIZED REPRESENTATIVE PO BOX 4668 a~£ cad~ NEW YORK, NY 10163 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: -------------------LO C #: -------- ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED ALL COMMERCIAL SERVICES LLC/PHS THE REINHART CORPORATION DBA: AAIR POLICY NUMBER PURIFICATION SYSTEMS SEE ACORD 25 9040 KENAMAR DR STE 402 CARRIER I NAICCODE SAN DIEGO CA 92121 SEE ACORD 25 EFFECTIVE DATE: SEE ACORD 2 5 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM FORM NUMBER: ACORD 2 5 FORM TITLE: CERT I FI CATE OF LIABILITY INSURANCE Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. ACORD 101 (2014/01) © 2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD