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HomeMy WebLinkAboutRoofing Services International Inc dba RSI Roofing and Solar; 2018-05-18; GS1695GS1695 City Attorney Approved Version 1/30/13 1 AMENDMENT NO. 2 TO EXTEND THE AGREEMENT FOR GAF ROOF SYSTEM PREVENTATIVE MAINTENANCE SERVICES ROOFING SERVICES INTERNATIONAL, INC., DBA RSI ROOFING AND SOLAR This Amendment No. 2 is entered into and effective as of the _______ day of ___________________________, 2020, extending the agreement dated May 18, 2018 (the “Agreement”) by and between the City of Carlsbad, a municipal corporation, ("City"), and Roofing Services International, Inc. dba RSI Roofing & Solar, a California corporation (“Contractor") (collectively, the “Parties”) to provide inspections and preventative maintenance services for GAF Materials Corporation roof systems. Contractor is a certified GAF Master Select™ service provider. RECITALS A. On May 7, 2019, the Parties executed Amendment No. 1 to the Agreement to extend and fund the Agreement for a period of one (1) year; and B. The Parties desire to extend the Agreement for a period of one (1) year. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contractor agree as follows: 1. The Agreement, as may have been amended from time to time, is hereby extended for a period of one (1) year ending on May 16, 2021 on a time and materials basis not-to-exceed five thousand ($5,000) dollars. 2. All other provisions of the Agreement, as may have been amended from time to time, shall remain in full force and effect. 3. All requisite insurance policies to be maintained by the Contractor pursuant to the Agreement, as may have been amended from time to time, shall include coverage for this Amendment. /// /// /// /// /// /// /// /// DocuSign Envelope ID: 7AC800C0-F260-4449-A354-179AE5EE4AFE 18th March GS1695 City Attorney Approved Version 1/30/13 2 4. The individuals executing this Amendment and the instruments referenced 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 hereof of this Amendment. CONTRACTOR, ROOFING SERVICES INTERNATIONAL, INC. dba RSI ROOFING & SOLAR, a California corporation CITY OF CARLSBAD, a municipal corporation of the State of California By: By: (sign here) Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager John Sawaya, President & Secretary (print name/title) By: (sign here) (print name/title) If required by City, proper notarial acknowledgment of execution by Contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Group B Chairman, President, or Vice-President Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CELIA A. BREWER, City Attorney BY: _____________________________ Assistant City Attorney DocuSign Envelope ID: 7AC800C0-F260-4449-A354-179AE5EE4AFE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 3/1/2020 Arthur J.Gallagher &Co.Insurance Brokers of CA Inc LIC#072629310505SorrentoValleyRd,Suite 200SanDiegoCA92121 Teri Tran 858-523-7534 858-481-7953 Teri_Tran@ajg.com American Fire and Casualty Company 24066 RSIROOF-01 Redwood Fire and Casualty Insurance Co 11673MJJRoofing,Inc.;Roofing Services International,Inc.dba RSI Roofing8285BuckhornStreetSanDiegoCA92111 Navigators Specialty Insurance Company 36056 Tokio Marine Specialty Ins Co 23850 Ohio Security Insurance Company 24082 Underwriters at Lloyd's London 15792 1940322838 C X 1,000,000 X 50,000 5,000 PerClaim 1,000,000 2,000,000 X Y SF19CGL170630IC 11/1/2019 11/1/2020 2,000,000 A 1,000,000 X X X BAA56296576 11/1/2019 11/1/2020 D X 3,000,000 X PUB699029 11/1/2019 11/1/2020 3,000,000 X 0 B XYROWC1215743/1/2020 3/1/2021 1,000,000 1,000,000 1,000,000 EF PropertyProfessionalLiability BKS56296576PRMS192043 11/1/201911/1/2019 11/1/202011/1/2020 Property LimitLimit $265,225$1,000,000 The attached endorsements apply only as required by written contract. $3,000,000 Excess Liability over GL &WC onlyRE:GAF Roof System Preventative Services;agreement #GS1540.The City of Carlsbad is included as Additional Insured as respects to General Liability policy,pursuant to and subject to the policy's terms,definitions,conditionsandexclusions.Waiver of Subrogation applies to Additional Insured’s as respects Workers Compensation policy pursuant to and subject to the policy's terms,definitions,conditions and exclusions. City of Carlsbad/CMWDc/o EXIGIS Insurance Compliance ServicesP.O.Box 4668 –ECM #35050NewYorkNY10163-4668 CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: SF19CGL170630IC COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s):Location(s) Of Covered Operations Any person or organization for whom you are performing operations during the policy period when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy . 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) desig- nated above. B.With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1.All work, including materials, parts or equip- ment 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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. Various Locations CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: SF19CGL170630IC COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s):Location And Description Of Completed Operations Any person or organization for whom you are performing “commercial construction” during the period of this policy and have agreed in a written contract to add as an additional insured for products-completed operations. “Commercial construction” does not include any habitational or residential construction other than hotels or apartments. . Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization (s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". Various Locations CG 20 34 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 34 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT - AUTOMATIC STATUS WHEN REQUIRED IN LEASE AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II - Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) from whom you lease equipment when you and such person(s) or organization(s) have agreed in writing in a contract or agreement that such person(s) or organization(s) be added as an additional insured on your policy. Such person (s) or organization(s) is an insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). However, the insurance afforded to such additional insured: 1.Only applies to the extent permitted by law; and 2.Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. B.With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. C.With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement you have entered into with the additional insured; or 2.Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. POLICY NUMBER: SF19CGL170630IC CG 20 18 04 13 Page 1 of 1© Insurance Services Office, Inc., 2012 POLICY NUMBER:SF19CGL170630IC COMMERCIAL GENERAL LIABILITY CG 20 18 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – MORTGAGEE, ASSIGNEE OR RECEIVER This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Person(s) Or Organization(s)Designation Of Premises Any person or organization when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. . 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 toinclude as an additional insured the person(s) ororganization(s) shown in the Schedule, but onlywith respect to their liability as mortgagee,assignee, or receiver and arising out of theownership, maintenance, or use of the premisesby you and shown in the Schedule. However: 1.The insurance afforded to such additionalinsured only applies to the extent permitted bylaw; and 2.If coverage provided to the additional insured isrequired by a contract or agreement, theinsurance afforded to such additional insuredwill not be broader than that which you arerequired by the contract or agreement toprovide for such additional insured. B.This insurance does not apply to structuralalterations, new construction and demolitionoperations performed by or for that person ororganization. C.With respect to the insurance afforded to theseadditional insureds, the following is added toSection III - Limits Of Insurance: If coverage provided to the additional insured isrequired by a contract or agreement, the most wewill pay on behalf of the additional insured is theamount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable Limits ofInsurance shown in the Declarations; whichever is less This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 01 04 13 Page 1 of 1© Insurance Services Office, Inc., 2012 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY – OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1)The additional insured is a Named Insured under such other insurance; and (2)You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. POLICY NUMBER: SF19CGL170630IC CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 POLICY NUMBER: SF19CGL170630IC COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 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: Any person or organization when you and such person or organization have agreed in writing in a contract or agreement that you will waive any right of recovery against such person or organization. Information required to complete this Schedule, if not shown above, will be shown in the 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 operations hazard". This waiver applies only to the person or organization shown in the Schedule above. COMMERCIAL GENERAL LIABILITY NPC 711 08 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NPC 711 08 11 Page 1 of 2 GENERAL AGGREGATE LIMIT PER PROJECT WITH AN OVERALL GENERAL AGGREGATE CAP This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: Overall General Aggregate Cap:$5,000,000 All Projects (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A.For all sums which the insured becomes legally obligated to pay as damages caused by “occur- rences” under COVERAGE A (SECTION I), and for all medical expenses caused by accidents under COVERAGE C (SECTION I), which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1.A separate Designated Construction Project General Aggregate Limit applies to each des- ignated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. Subject to the application of the General Aggregate Limit to each of your projects, the maximum amount we will pay under the General Aggre- gate Limit for all claims arising from all projects is the Overall General Aggregate Cap shown in the Schedule above. 2.The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under COVERAGE A, except damages because of “bodily injury” or “property damage” included in the “products- completed operations hazard”, and for medi- cal expenses under COVERAGE C regard- less of the number of: a.Insureds; b.Claims made or “suits” brought; or c.Persons or organizations making claims or bringing “suits”. 3.Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the Designated Con- struction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Ag- gregate Limit shown in the Declarations nor shall they reduce any other Designated Con- struction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 4.The limits shown in the Declarations for Each Occurrence, Fire Damage and Medical Ex- pense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Con- struction Project General Aggregate Limit. POLICY NUMBER: SF19CGL170630IC Page 2 of 2 NPC 711 08 11 B.For all sums which the insured becomes legally obligated to pay as damages caused by “occur- rences” under COVERAGE A (SECTION I), and for all medical expenses caused by accidents under COVERAGE C (SECTION I), which cannot be attributed only to ongoing operations at a sin- gle designated construction project shown in the Schedule above: 1.Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-Completed Operations Aggregate Limit, whichever is applicable; and 2.Such payments shall not reduce any Desig- nated Construction Project General Aggre- gate Limit. C.When coverage for liability arising out of the “products-completed operations hazard” is pro- vided, any payments for damages because of “bodily injury” or “property damage” included in the “products-completed operations hazard” will reduce the Products-Completed Operations Ag- gregate Limit, and not reduce the General Aggre- gate Limit nor the Designated Construction Project General Aggregate Limit. D.If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contract- ing parties deviate from plans, blueprints, de- signs, specifications or timetables, the project will still be deemed to be the same construction project. E.The provisions of Limits Of Insurance (SECTION III) not otherwise modified by this endorsement shall continue to apply as stipulated. COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions: A. CANCELLATION 1.The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2.We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least a.10 days before the effective date of cancellation if we cancel for nonpayment of premium; or b.30 days before the effective date of cancellation if we cancel for any other reason. 3.We will mail or deliver our notice to the first Named Insured-s last mailing address known to us. 4.Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5.If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 6.If notice is mailed, proof of mailing will be sufficient proof of notice. B. CHANGES This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy-s terms can be amended or waived only by endorsement issued by us and made a part of this policy. C.EXAMINATION OF YOUR BOOKS AND RECORDS We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. D. INSPECTIONS AND SURVEYS We have the right but are not obliged to: 1.Make inspections and surveys at any time;2.Give you reports on the conditions we find; and 3.Recommend changes. Any inspections, surveys, reports or recommendations relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not undertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: 1.Are safe or healthful: or 2.Comply with laws, regulations, codes or standards. This condition applies not only to us, but also to any rating, advisory, rate service or similar organization which makes insurance inspections, surveys, reports or recommendations. E. PREMIUMS The first Named Insured shown in the Declarations: 1.Is responsible for the payment of all premiums, and 2.Will be payee for any return premiums we pay. F.TRANSFER OF YOUR RIGHTS AND DUTIES UNDER THIS POLICY Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual Named Insured. If you die, your rights and duties will be transferred to your legal representative but only while acting within the scope of duties as your legal representative. Until your legal representative is appointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. Includes copyrighted material of Insurance Services Office, Inc., with its premission. Copyright, Insurance Services Office, Inc., 1982, 1983 NIC GL PJ (01-07) In Witness Whereof, we have caused this policy to be executed and attested, and, if required by state law, this policyshall not be valid unless countersigned by our authorized representative. ________________________________ ______________________________ Emily B. Miner, Secretary Stanley A. Galanski, President Roofing Services International, Inc. dba RSI Roofing & Solar Policy #SF19CGL170630IC 3234ofANY PERSON OR ORG. WHEN YOU AND SUCH PERSON OR ORG. HAVE AGREED IN WRITING IN A CONTRACT, AGREEMENT OR PERMIT THAT SUCH PERSON OR ORG. BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY TO PROVIDE INS. SUCH AS IS AFFORDED UNDER THIS COV. THIS ENDORSEMENT CHANGES THE POLICY. PLEASEREAD IT CAREFULLY. CA 20 48 02 99 DESIGNATED INSURED ENDORSEMENT CA 20 48 02 99 Copyright, Insurance Services Office,Inc., 1998 Page 1 of 1 The endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGEFORM GARAGE COVERAGEFORM MOTOR CARRIERCOVERAGEFORM TRUCKERS COVERAGEFORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the WHO IS AN IN- SURED provision of the Coverage Form. This endorsement does not alter coverage provided in the Cov- erage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective Policy Number Named Insured Countersigned by (Authorized Representative) SCHEDULE Name of Person(s)or Organization(s) (If no entry appears above, information required to complete this endorsement will be shown in the Declara- tions as applicable to this endorsement.) Each person or organization shown in the Schedule is an "insured" for LIABILITY COVERAGE, but only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision contained in SECTION II of the Coverage Form. 11/01/2019 BAA56296576 Roofing Services International, Inc. dba RSI Roofing 3434ofANY PERSON OR ORGANIZATION WHEN YOU AND SUCH PERSON OR ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT, AGREEMENT OR PERMIT THAT WE NAME SUCH PERSON OR ORGANIZATION ON THIS ENDORSEMENT VARIOUS PROJECTS COMMERCIAL AUTO CA 88 66 05 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASEREAD IT CAREFULLY. DESIGNATED INSURED - NONCONTRIBUTING 2013Liberty Mutual Insurance.All rights reserved. CA 88 66 05 13 Page 1 of 1Includes copyrighted material of Insurance Services Office, Inc.,with its permission. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGEFORM GARAGE COVERAGEFORM MOTOR CARRIERCOVERAGEFORM TRUCKERS COVERAGEFORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. Schedule Name of Person(s) or Organization(s): Regarding Designated Contract or Project: Each person or organization shown in the Schedule of this endorsement is an "insured" for Liability Cov- erage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. The following is added to the Other Insurance Condition: If you have agreed in a written agreement that this policy will be primary and without right of contribu- tion from any insurance in force for an Additional Insured for liability arising out of your operations, and the agreement was executed prior to the "bodily injury" or "property damage", then this insurance will be primary and we will not seek contribution from such insurance. Policy Number: BAA56296576 3334of56296576002135270ANY PERSON OR ORG. WHEN YOU AND SUCH PERSON OR ORG HAVE AGREED IN WRITING IN A CONTRACT, AGREEMENT OR PERMIT PRIOR TO LOSS THAT WE WAIVE ANY RIGHT OF RECOVERY WE MAY HAVE AGAINST SUCH PERSON OR ORG. COMMERCIAL AUTO CA 88 62 01 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASEREAD IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGEFORM GARAGE COVERAGEFORM 2013Liberty Mutual Insurance CA 88 62 01 13 Page 1 of 1Includes copyrighted material of Insurance Services Office, Inc.,with its permission. 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. SCHEDULE Name(s) of Person(s) or Organization(s): (If no name appears above, the information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement). Policy Number: BAA56296576 8390of56296576001586270IL 00 17 11 98 COMMON POLICY CONDITIONS IL 00 17 11 98 Copyright, Insurance Services Office, Inc.,1998 Page 1 of 2 All Coverage Parts included in this policy are subject to the following conditions. A. CANCELLATION 1.The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance writ- ten notice of cancellation. 2.We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least: a.10 days before the effective date of cancellation if we cancel for nonpay- ment of premium; or b.30 days before the effective date of cancellation if we cancel for any oth- er reason. 3.We will mail or deliver our notice to the first Named Insured’s last mailing ad- dress known to us. 4.Notice of cancellation will state the effec- tive date of cancellation. The policy pe- riod will end on that date. 5.If this policy is cancelled, we will send the first Named Insured any premium re- fund due. If we cancel, the refund will be pro rata. If the first Named Insured can- cels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 6.If notice is mailed, proof of mailing will be sufficient proof of notice. B. CHANGES This policy contains all the agreements be- tween you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy’s terms can be amended or waived only by endorsement issued by us and made a part of this policy. C. EXAMINATION OF YOUR BOOKS AND RECORDS We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. D. INSPECTIONS AND SURVEYS 1.We have the right to: a.Make inspections and surveys at any time; b.Give you reports on the conditions we find; and c.Recommend changes. 2.We are not obligated to make any inspec- tions, surveys, reports or recommenda- tions and any such actions we do under- take relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not un- dertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: a.Are safe or healthful; or b.Comply with laws, regulations, codes or standards. 3.Paragraphs 1.and 2.of this condition ap- ply not only to us, but also to any rating, advisory, rate service or similar organiza- tion which makes insurance inspections, surveys, reports or recommendations. 4.Paragraph 2.of this condition does not apply to any inspections, surveys, reports or recommendations we may make rela- tive to certification, under state or mu- nicipal statutes, ordinances or regula- tions, of boilers, pressure vessels or elevators. E. PREMIUMS The first Named Insured shown in the Dec- larations: 1.Is responsible for the payment of all pre- miums; and 2.Will be the payee for any return premi- ums we pay. F. TRANSFER OF YOUR RIGHTS AND DUTIES UNDER THIS POLICY Your rights and duties under this policy may not be transferred without our written con- sent except in the case of death of an individ- ual named insured. Roofing Services International, Inc. dba RSI Roofing & Solar Policy #BAA56296576 5HGZRRG)LUH$QG&DVXDOW\,QVXUDQFH 3/1/2020 ROWC121574 California Cancellation Endorsement / Short Rate Table - WC 99 06 07C WC 99 06 07 D WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY (Ed 10-17) CALIFORNIA CANCELLATION ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. The cancellation condition in Part Six (Conditions) of the policy is replaced by these conditions: Cancellation: 1. You may cancel this policy. You must mail or deliver advance written notice to us stating when the cancellation is to take effect. 2. We may cancel this Policy for one or more of the following reasons: a. Non-payment of premium; b. Failure to report payroll; c. Non-payment of deductible billing; d. Failure to permit us to audit payroll as required by the terms of this policy or of a previous policy issued by us; e. Failure to pay any additional premium resulting from an audit of payroll required by the terms of this policy or any previous policy issued by us; f. Material misrepresentation made by you or your agent; g. Failure to cooperate with us in the investigation of a claim; h. Failure to comply with Federal or State safety orders; i. Failure to comply with written recommendations of our designated loss control representatives; j. The occurrence of a material change in the ownership of your business; k. The occurrence of any change in your business or operations that materially increases the hazard for frequency or severity of loss; l. The occurrence of any change in your business or operation that requires additional or different classification for premium calculation; m. The occurrence of any change in your business or operation which contemplates an activity excluded by our reinsurance treaties. 3. If we cancel your policy for any of the reasons listed in (a) through (g), we will give you 10 days advance written notice, stating when the cancellation is to take effect. Mailing that notice to you at your mailing address shown in Item 1 of the Information Page will be sufficient to provide notice. If we cancel your policy for any of the reasons listed in Items (h) through (m), we will give you 30 days advance written notice; however, we agree that in the event of cancellation and reissuance of a policy effective upon a material change in ownership or operations, notice will not be provided. 4. The policy period will end on the day and hour stated in the cancellation notice. 5. A short rate penalty applies if you cancel this policy or if we cancel due to non-payment of premium, failure to report payroll, or non-payment of deductible billing. First, the standard premium, defined as the base premium (computed in accordance with Part 1, Section 2, Subsection 3 of the WCIRB’s California Basic Underwriting Manual) adjusted for the experience modification factor and all other pricing factors except for premium discount and expense constant, will be multiplied by the quotient of the number of days for which the policy was written divided by the number of days the policy remained in force to produce the full standard premium. Second, the extended number of days will be determined by dividing the number of days the policy was in force by the number of days for which the policy was written and multiplying the quotient by 365 days. When the policy is written for a one-year period, the extended number of days will equal the number of days the policy remained in force. Third, the short rate percentage corresponding to the extended number of days will be obtained from the short rate cancellation table. Fourth, the short rate premium will be equal to the product of the full standard premium times the short rate percentage. The WC 99 06 07D (Ed 10-17) Page 1 of 2 ENV-3100 (08-04) Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 1 Named Insured Roofing Services International, Inc. Endorsement Number Policy Symbol CPY Policy NumberCPYG71754455001 Policy Period 11/01/2019 to 11/01/2020 Effective Date of Endorsement 11/01/2019 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT OWNERS, LESSEES OR CONTRACTORS – SCHEDULED PERSON OR ORGANIZATION OWNERS, LESSEES OR CONTRACTORS – SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE CONTRACTOR’S POLLUTION LIABILITY COVERAGE SCHEDULE: Name of Person or Organization: Any person or organization that is an owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of such person or organization to you, wherein such request is made prior to commencement of operations. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A.SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B.With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2.Exclusions 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 site 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. ENV-3225 (10-08)Copyright © 2008 Page 1 of 1 ADDITIONAL INSURED ENDORSEMENT – PRODUCTS-COMPLETED OPERATIONS HAZARD ADDITIONAL INSURED ENDORSEMENT – PRODUCTS-COMPLETED OPERATIONS HAZARD Named Insured Roofing Services International, Inc. Endorsement Number Policy Symbol CPY Policy NumberCPYG71754455001 Policy Period 11/01/2019 to 11/01/2020 Effective Date of Endorsement 11/01/2019 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTOR’S POLLUTION LIABILITY COVERAGE PART SCHEDULE Any person or organization that is an owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of such person or organization to you, wherein such request is made prior to commencement of operations. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for bodily injury or property damage caused, in whole or in part, by your work performed for that additional insured and included in the products-completed operations hazard. All other terms and conditions remain the same. ENV-3101 (08-04) Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 1 ADDITIONAL INSURED ENDORSEMENT - OWNERS, LESSEES OR CONTRACTORS (PRIMARY AND NON-CONTRIBUTORY) Named Insured Roofing Services International, Inc. Endorsement Number Policy Symbol CPY Policy NumberCPYG71754455001 Policy Period 11/01/2019 to 11/01/2020 Effective Date of Endorsement 11/01/2019 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT - OWNERS, LESSEES OR CONTRACTORS (PRIMARY AND NON-CONTRIBUTORY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE CONTRACTOR’S POLLUTION LIABILITY COVERAGE SCHEDULE: Name of Person or Organization: Any person or organization that is an owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of such person or organization to you, wherein such request is made prior to commencement of operations. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) SECTION II - WHO IS AN INSURED is amended to include: A. SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B.With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions 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 site 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.The coverage provided hereunder shall be primary and not contributing with any other insurance available to those designated above under any other third party liability policy. ENV-3226 (10-08)Copyright © 2008 Page 1 of 1 ADDITIONAL INSURED ENDORSEMENT – PRODUCTS-COMPLETED OPERATIONS HAZARD PRIMARY & NON-CONTRIBUTORY Named Insured Roofing Services International, Inc. Endorsement Number Policy Symbol CPY Policy Number CPYG71754455001 Policy Period 11/01/2019 to 11/01/2020 Effective Date of Endorsement 11/01/2019 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTOR’S POLLUTION LIABILITY COVERAGE PART SCHEDULE Any person or organization that is an owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of such person or organization to you, wherein such request is made prior to commencement of operations. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for bodily injury or property damage caused, in whole or in part, by your work performed for that additional insured and included in the products-completed operations hazard. Furthermore, the coverage provided hereunder shall be primary and not contributing with any other insurance available to those designated above under any other third party liability policy. All other terms and conditions remain the same. ENV-3143 (03-05)Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Named Insured Roofing Services International, Inc. Endorsement Number Policy Symbol CPY Policy NumberCPYG71754455001 Policy Period 11/01/2019 to 11/01/2020 Effective Date of Endorsement 11/01/2019 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization that is an owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of such person or organization to you, wherein such request is made prior to commencement of operations. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition is amended by the addition of the following: 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 operations hazard. This waiver applies only to the person or organization shown in the Schedule above. All other terms and conditions remain the same. ENV-1200 (03-10)©Chubb. 2016. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 9 of 15 2. Premium shown in the Declarations page of this policy as Premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period. Audit premiums are due and payable on notice to the Named Insured. 3. The Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request. 4. We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. 5. Premium adjustments as a result of premium audits will be done after the policy expires or is terminated, but may be done by us while the policy is in effect. 6. Premium Audit adjustment calculations will be made to determine additional premium only. You have agreed with us that there will be no downward adjustments of the Premium. F. Representations By accepting this policy, you agree: 1. The statements in the Declarations, application for insurance, any other underwriting, loss control or claims related information, and any other information submitted to us are accurate and complete at the time you reported that information; and 2. Those statements are based upon representations you made to us; and 3. We have issued this policy in reliance upon your representations. G. Separation of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this policy to the Named Insured, this insurance applies: 1. As if each Named Insured were the only Named Insured; and 2. Separately to each insured against whom claim is made or suit is brought. H. Transfer of Rights of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this policy, those rights are transferred to us. The insured must do nothing to impair these rights once a loss is known by a responsible insured. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. I. Cancellation or Non-renewal This policy may be cancelled by you by surrender thereof to us or any of our authorized representatives or by mailing to us written notice stating when thereafter the cancellation shall be effective. If we decide to cancel or not to renew this policy on or before the expiration date of the policy, we will mail or deliver to the first Named Insured shown in the Declarations, written notice of cancellation or non-renewal not less than sixty (60) days or ten (10) days for non-payment of premium prior to cancellation. If notice is mailed, proof of mailing will be sufficient proof of notice. Roofing Services International, Inc. dba RSI Roofing & Solar Pollution Policy #CPYG71754455001 GS1695 City Attorney Approved Version 1/30/13 1 AMENDMENT NO. 1 TO EXTEND AND AMEND AGREEMENT FOR GAF ROOF SYSTEM PREVENTIVE MAINTENANCE SERVICES ROOFING SERVICES INTERNATIONAL, INC., DBA RSI ROOFING & SOLAR This Amendment No. 1 is entered into and effective as of the _______ day of ___________________________, 2019, extending and amending the agreement dated May 18, 2018 (the “Agreement”) by and between the City of Carlsbad, a municipal corporation, ("City"), and, Roofing Services International, Inc., dba RSI Roofing & Solar, a California corporation (“Contractor") (collectively, the “Parties”), to provide inspections and preventative maintenance Services for GAF Materials Corporation roof systems. Contractor is a certified GAF Master Select™ service provider. RECITALS A. The Parties desire to alter the Agreement’s scope of work to extend and fund the Agreement for a period of one (1) year. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contractor agree as follows: 1. That the Agreement, as may have been amended from time to time, is hereby extended for a period of one (1) year ending on May 16, 2020 on a time and materials basis not- to-exceed five thousand dollars ($5,000). 2. All other provisions of the Agreement, as may have been amended from time to time, will remain in full force and effect. 3. All requisite insurance policies to be maintained by the Contractor pursuant to the Agreement, as may have been amended from time to time, will include coverage for this Amendment. /// /// /// /// /// /// /// /// /// DocuSign Envelope ID: E3576CCC-6F30-4EDD-8640-16A25FD6F776 May 7th GS1695 City Attorney Approved Version 1/30/13 2 4. The individuals executing this Amendment 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 Amendment. CONTRACTOR, Roofing Services International, Inc., dba RSI Roofing & Solar, a California corporation CITY OF CARLSBAD, a municipal corporation of the State of California By: By: (sign here) Paz Gomez, Deputy City Manager, Public Works as authorized by the City Manager David Susi / President, CFO, Secretary (print name/title) By: (sign here) (print name/title) If required by City, proper notarial acknowledgment of execution by Contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Group B Chairman, President, or Vice-President Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CELIA A. BREWER, City Attorney BY: _____________________________ Deputy City Attorney DocuSign Envelope ID: E3576CCC-6F30-4EDD-8640-16A25FD6F776 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 3/1/2019 Arthur J.Gallagher &Co.Insurance Brokers of CA.10505 Sorrento Valley Rd,Suite 200SanDiegoCA92121 Teri Tran 858-523-7534 858-481-7953 Teri_Tran@ajg.com Navigators Insurance Company 42307 RSIROOF-01 American Fire and Casualty Company 24066RoofingServicesInternational,Inc.dba RSI Roofing &Solar8285BuckhornStreetSanDiegoCA92111 Redwood Fire and Casualty Insurance Co 11673 Ohio Casualty Insurance Company 24074 Westchester Surplus Lines Insurance Co 10172 National Union Fire Insurance Company of Pittsburg 19445 1286324764 A X 1,000,000 X 50,000 X $5,000Deductible 5,000 PerClaim 1,000,000 2,000,000 X Y SF18CGL170630IC 11/1/2018 11/1/2019 2,000,000 B 1,000,000 X X X BAA56296576 11/1/2018 11/1/2019 F X 3,000,000 X EBU01527785 11/1/2018 X 11/1/2019 3,000,000 X N/A C XYROWC0172773/1/2019 3/1/2020 1,000,000 1,000,000 1,000,000 DE PropertyPollution BKS56296576G27086482006 11/1/201811/1/2018 11/1/201911/1/2019 Property LimitPollutionLimit $265,225$1,000,000 The attached endorsements apply only as required by written contract.RE:GAF Roof System Preventative Maintenance Services,Contract #GS1695TheCityofCarlsbadisanAdditionalInsuredasrespectsGeneralLiabilitypolicy,pursuant to and subject to the policy's terms,definitions,conditions andexclusions.Waiver of Subrogation applies to Additional Insureds,as respects Workers Compensation policy,pursuant to and subject to the policy's terms,definitions,conditions and exclusions. City of Carlsbad/CMWDc/o EXIGIS Insurance Compliance ServicesP.O.Box 4668 -ECM #35050NewYorkNY10163-4668 Page 1 of 2NPC-903 08 07 POLICY NUMBER:SF18CGL170630IC SCHEDULE OF FORMS AND ENDORSEMENTS The following are the forms attached to and forming a part of the policy at inception: OPUS Cover Sheet (01/18)OPUS Cover Sheet NIC GL PJ 01 07 Policy Jacket and Common Policy Conditions with Validation Signatures NPC-901 03 09 Common Policy Declarations - Navigators Specialty Insurance Company NPC-903 08 07 Schedule of Forms and Endorsements NPC-400 05 06 Schedule of Named Insured(s) IL 00 21 05 04 Nuclear Energy Liability Exclusion Endorsement (Broad Form) NPC-909 11 08 Service of Suit NAV-PHN-200 04 17 Claim Reporting Procedures CG 21 73 01 15 Exclusion of Certified Acts of Terrorism NPC 904 01 15 Disclosure Notice Terrorism Risk Insurance Program Reauthorization Act of 2015 Rejection NAV-ML-002 11 12 OFAC ENDORSEMENT NPC-905 03 09 Commercial General Liability Coverage Part Declarations CG 00 01 04 13 Commercial General Liability Coverage Form NPC-611 11 08 Cross Suits Exclusion NPC-605 11 08 Asbestos Exclusion NPC-827 04 13 Exclusion - Designated Operations Covered by a Consolidated (Wrap-Up) Insurance Program NPC-642 11 08 Intellectual Property Amendment NPC-900 07 10 Minimum Earned Premium and Premium Audit Endorsement NPC-711 08 11 General Aggregate Limit per Project with an Overall General Aggregate Cap NPC-624 11 08 Lead Exclusion NPC-713 11 08 Definition of Employee Amendment CG 21 86 12 04 Exclusion - Exterior Insulation & Finish Systems CG 21 47 12 07 Employment-Related Practices Exclusion CG 21 96 03 05 Silica or Silica Related Dust Exclusion CG 21 55 09 99 Total Pollution Exclusion With A Hostile Fire Exception CG 21 67 12 04 Fungi Or Bacteria (Mold) Exclusion CG 20 10 07 04 Additional Insured - Owners, Lessees Or Contractors - Scheduled Person or Organization CG 04 35 12 07 Employee Benefits Liability Coverage - Claims Made ANF-ES 158 08 15 Exclusion - Condominiums, Townhouses, Timeshares and Tracts CG 22 34 04 13 Exclusion - Construction Management Errors And Omissions CG 23 01 04 13 Exclusion - Real Estate Agents or Brokers Errors Or Omissions CG 20 18 04 13 Additional Insured - Mortgagee, Assignee Or Receiver CG 20 12 04 13 Additional Insured - Political Subdivisions Permits or Authorizations CG 20 01 04 13 Primary And Noncontributory - Other Insurance Condition CG 20 11 04 13 Additional Insured - Managers or Lessors of Premises Page 2 of 2NPC-903 08 07 CG 20 34 04 13 Additional Insured - Lessor Of Leased Equipment - Automatic Status When Required In Lease Agreement With You CG 20 37 04 13 Additional Insured - Owners, Lessees Or Contractors - Completed Operations CG 21 53 01 96 Exclusion - Designated Ongoing Operations CG 21 34 01 87 Exclusion - Designated Work NPC-635 05 14 Punitive And Exemplary Damages, Fines, Penalties And Multiplication Of Damages Exclusion NPC-706 04 14 Subcontractors Independent Contractors Conditional Coverage - Deductible Applies if Conditions Not Met NPC-806 01 13 Non-Pyramiding of Limits Endorsement CG 24 04 05 09 Waiver of Transfer of Rights of Recovery Against Others to Us NPC-670 06 09 Continuous or Progressive Injury and Damage Exclusion NPC-847 05 15 Hazardous Materials Exclusion CG 22 79 04 13 Exclusion - Contractors Professional Liability MANUSCRIPT ANF-ES 158 08 15 - AMENDMENT NPC-834 12 14 Exclusion - Cyber Injury NPC-500 06 17 Deductible Liability Insurance NSIC CA NOTICE 09 16 CALIFORNIA COMPLAINT NOTICE ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: SF18CGL170630IC COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. . 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) desig- nated above. B.With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1.All work, including materials, parts or equip- ment 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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 POLICY NUMBER:SF18CGL170630IC COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 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 Any person or organization to whom the Named Insured has agreed by a written contract that such person or organization be added as an Additional Insured for Completed Operations Coverage, but only as respects “Commercial Construction”, and only as respects occurrences subsequent to the making of such written contract. As used in this endorsement, “Commercial Construction” means construction other than 1) new home construction and 2) condominium or townhouse related work other than remodel of a single unit. Where specified by written contract, but only as respects “Commercial Construction”. .. .. 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 B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2 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. 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 01 04 13 Page 1 of 1© Insurance Services Office, Inc., 2012 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY – OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 POLICY NUMBER: SF18CGL170630IC COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 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: Any person or organization when you and such person or organization have agreed in writing in a contract or agreement that you will waive any right of recovery against such person or organization. Information required to complete this Schedule, if not shown above, will be shown in the 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 operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 20 18 04 13 Page 1 of 1© Insurance Services Office, Inc., 2012 POLICY NUMBER:SF18CGL170630IC COMMERCIAL GENERAL LIABILITY CG 20 18 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – MORTGAGEE, ASSIGNEE OR RECEIVER This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Person(s) Or Organization(s)Designation Of Premises Any person or organization when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. . 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 their liability as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of the premises by you and shown in the Schedule. 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. This insurance does not apply to structural alterations, new construction and demolition operations performed by or for that person or organization. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - 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 11 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER:SF18CGL170630IC COMMERCIAL GENERAL LIABILITY CG 20 11 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): . Name Of Person(s) Or Organization(s)(Additional Insured): Any person or organization when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Additional Premium: $Included 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 arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. 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 III - 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 12 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER:SF18CGL170630IC COMMERCIAL GENERAL LIABILITY CG 20 12 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: Any State Or Governmental Agency Or Subdivision Or Political Subdivision for whom during the policy period you and such State Or Governmental Agency Or Subdivision Or Political Subdivision have agreed in writing in a contract or agreement that such State Or Governmental Agency Or Subdivision Or Political Subdivision be added as an additional insured on your policy. 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 any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. 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. 2. This insurance does not apply to: a. "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products-completed operations hazard". B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - 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 34 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 34 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT - AUTOMATIC STATUS WHEN REQUIRED IN LEASE AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II - Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) from whom you lease equipment when you and such person(s) or organization(s) have agreed in writing in a contract or agreement that such person(s) or organization(s) be added as an additional insured on your policy. Such person(s) or organization(s) is an insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. B. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. COMMERCIAL GENERAL LIABILITY NPC 711 08 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NPC 711 08 11 Page 1 of 2 GENERAL AGGREGATE LIMIT PER PROJECT WITH AN OVERALL GENERAL AGGREGATE CAP This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: Overall General Aggregate Cap:$5,000,000 All Projects (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A.For all sums which the insured becomes legally obligated to pay as damages caused by “occur- rences” under COVERAGE A (SECTION I), and for all medical expenses caused by accidents under COVERAGE C (SECTION I), which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1.A separate Designated Construction Project General Aggregate Limit applies to each des- ignated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. Subject to the application of the General Aggregate Limit to each of your projects, the maximum amount we will pay under the General Aggre- gate Limit for all claims arising from all projects is the Overall General Aggregate Cap shown in the Schedule above. 2.The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under COVERAGE A, except damages because of “bodily injury” or “property damage” included in the “products- completed operations hazard”, and for medi- cal expenses under COVERAGE C regard- less of the number of: a.Insureds; b.Claims made or “suits” brought; or c.Persons or organizations making claims or bringing “suits”. 3.Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the Designated Con- struction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Ag- gregate Limit shown in the Declarations nor shall they reduce any other Designated Con- struction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 4.The limits shown in the Declarations for Each Occurrence, Fire Damage and Medical Ex- pense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Con- struction Project General Aggregate Limit. POLICY NUMBER: SF18CGL170630IC Page 2 of 2 NPC 711 08 11 B.For all sums which the insured becomes legally obligated to pay as damages caused by “occur- rences” under COVERAGE A (SECTION I), and for all medical expenses caused by accidents under COVERAGE C (SECTION I), which cannot be attributed only to ongoing operations at a sin- gle designated construction project shown in the Schedule above: 1.Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-Completed Operations Aggregate Limit, whichever is applicable; and 2.Such payments shall not reduce any Desig- nated Construction Project General Aggre- gate Limit. C.When coverage for liability arising out of the “products-completed operations hazard” is pro- vided, any payments for damages because of “bodily injury” or “property damage” included in the “products-completed operations hazard” will reduce the Products-Completed Operations Ag- gregate Limit, and not reduce the General Aggre- gate Limit nor the Designated Construction Project General Aggregate Limit. D.If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contract- ing parties deviate from plans, blueprints, de- signs, specifications or timetables, the project will still be deemed to be the same construction project. E.The provisions of Limits Of Insurance (SECTION III) not otherwise modified by this endorsement shall continue to apply as stipulated. COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions: A. CANCELLATION 1.The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2.We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least a.10 days before the effective date of cancellation if we cancel for nonpayment of premium; or b.30 days before the effective date of cancellation if we cancel for any other reason. 3.We will mail or deliver our notice to the first Named Insured-s last mailing address known to us. 4.Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5.If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 6.If notice is mailed, proof of mailing will be sufficient proof of notice. B. CHANGES This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy-s terms can be amended or waived only by endorsement issued by us and made a part of this policy. C.EXAMINATION OF YOUR BOOKS AND RECORDS We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. D. INSPECTIONS AND SURVEYS We have the right but are not obliged to: 1.Make inspections and surveys at any time;2.Give you reports on the conditions we find; and 3.Recommend changes. Any inspections, surveys, reports or recommendations relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not undertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: 1.Are safe or healthful: or 2.Comply with laws, regulations, codes or standards. This condition applies not only to us, but also to any rating, advisory, rate service or similar organization which makes insurance inspections, surveys, reports or recommendations. E. PREMIUMS The first Named Insured shown in the Declarations: 1.Is responsible for the payment of all premiums, and 2.Will be payee for any return premiums we pay. F.TRANSFER OF YOUR RIGHTS AND DUTIES UNDER THIS POLICY Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual Named Insured. If you die, your rights and duties will be transferred to your legal representative but only while acting within the scope of duties as your legal representative. Until your legal representative is appointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. Includes copyrighted material of Insurance Services Office, Inc., with its premission. Copyright, Insurance Services Office, Inc., 1982, 1983 NIC GL PJ (01-07) In Witness Whereof, we have caused this policy to be executed and attested, and, if required by state law, this policyshall not be valid unless countersigned by our authorized representative. ________________________________ ______________________________ Emily B. Miner, Secretary Stanley A. Galanski, President Roofing Services International, Inc. dba RSI Roofing & Solar Policy #SF18CGL170630IC 3234ofANY PERSON OR ORG. WHEN YOU AND SUCH PERSON OR ORG. HAVE AGREED IN WRITING IN A CONTRACT, AGREEMENT OR PERMIT THAT SUCH PERSON OR ORG. BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY TO PROVIDE INS. SUCH AS IS AFFORDED UNDER THIS COV. THIS ENDORSEMENT CHANGES THE POLICY. PLEASEREAD IT CAREFULLY. CA 20 48 02 99 DESIGNATED INSURED ENDORSEMENT CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 The endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGEFORM GARAGE COVERAGEFORM MOTOR CARRIERCOVERAGEFORM TRUCKERS COVERAGEFORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the WHO IS AN IN- SURED provision of the Coverage Form. This endorsement does not alter coverage provided in the Cov- erage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective Policy Number Named Insured Countersigned by (Authorized Representative) SCHEDULE Name of Person(s)or Organization(s) (If no entry appears above, information required to complete this endorsement will be shown in the Declara- tions as applicable to this endorsement.) Each person or organization shown in the Schedule is an "insured" for LIABILITY COVERAGE, but only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision contained in SECTION II of the Coverage Form. 11/01/2018 BAA56296576 Roofing Services International, Inc. dba RSI Roofing 8390of56296576001586270IL 00 17 11 98 COMMON POLICY CONDITIONS IL 00 17 11 98 Copyright, Insurance Services Office, Inc.,1998 Page 1 of 2 All Coverage Parts included in this policy are subject to the following conditions. A. CANCELLATION 1.The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance writ- ten notice of cancellation. 2.We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least: a.10 days before the effective date of cancellation if we cancel for nonpay- ment of premium; or b.30 days before the effective date of cancellation if we cancel for any oth- er reason. 3.We will mail or deliver our notice to the first Named Insured’s last mailing ad- dress known to us. 4.Notice of cancellation will state the effec- tive date of cancellation. The policy pe- riod will end on that date. 5.If this policy is cancelled, we will send the first Named Insured any premium re- fund due. If we cancel, the refund will be pro rata. If the first Named Insured can- cels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 6.If notice is mailed, proof of mailing will be sufficient proof of notice. B. CHANGES This policy contains all the agreements be- tween you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy’s terms can be amended or waived only by endorsement issued by us and made a part of this policy. C. EXAMINATION OF YOUR BOOKS AND RECORDS We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. D. INSPECTIONS AND SURVEYS 1.We have the right to: a.Make inspections and surveys at any time; b.Give you reports on the conditions we find; and c.Recommend changes. 2.We are not obligated to make any inspec- tions, surveys, reports or recommenda- tions and any such actions we do under- take relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not un- dertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: a.Are safe or healthful; or b.Comply with laws, regulations, codes or standards. 3.Paragraphs 1.and 2.of this condition ap- ply not only to us, but also to any rating, advisory, rate service or similar organiza- tion which makes insurance inspections, surveys, reports or recommendations. 4.Paragraph 2.of this condition does not apply to any inspections, surveys, reports or recommendations we may make rela- tive to certification, under state or mu- nicipal statutes, ordinances or regula- tions, of boilers, pressure vessels or elevators. E. PREMIUMS The first Named Insured shown in the Dec- larations: 1.Is responsible for the payment of all pre- miums; and 2.Will be the payee for any return premi- ums we pay. F. TRANSFER OF YOUR RIGHTS AND DUTIES UNDER THIS POLICY Your rights and duties under this policy may not be transferred without our written con- sent except in the case of death of an individ- ual named insured. Roofing Services International, Inc. dba RSI Roofing & Solar Policy #BAA56296576 3434ofANY PERSON OR ORGANIZATION WHEN YOU AND SUCH PERSON OR ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT, AGREEMENT OR PERMIT THAT WE NAME SUCH PERSON OR ORGANIZATION ON THIS ENDORSEMENT VARIOUS PROJECTS COMMERCIAL AUTO CA 88 66 05 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASEREAD IT CAREFULLY. DESIGNATED INSURED - NONCONTRIBUTING 2013Liberty Mutual Insurance.All rights reserved. CA 88 66 05 13 Page 1 of 1Includes copyrighted material of Insurance Services Office, Inc.,with its permission. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGEFORM GARAGE COVERAGEFORM MOTOR CARRIERCOVERAGEFORM TRUCKERS COVERAGEFORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. Schedule Name of Person(s) or Organization(s): Regarding Designated Contract or Project: Each person or organization shown in the Schedule of this endorsement is an "insured" for Liability Cov- erage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. The following is added to the Other Insurance Condition: If you have agreed in a written agreement that this policy will be primary and without right of contribu- tion from any insurance in force for an Additional Insured for liability arising out of your operations, and the agreement was executed prior to the "bodily injury" or "property damage", then this insurance will be primary and we will not seek contribution from such insurance. Policy Number: BAA56296576 3334of56296576002135270ANY PERSON OR ORG. WHEN YOU AND SUCH PERSON OR ORG HAVE AGREED IN WRITING IN A CONTRACT, AGREEMENT OR PERMIT PRIOR TO LOSS THAT WE WAIVE ANY RIGHT OF RECOVERY WE MAY HAVE AGAINST SUCH PERSON OR ORG. COMMERCIAL AUTO CA 88 62 01 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASEREAD IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGEFORM GARAGE COVERAGEFORM 2013Liberty Mutual Insurance CA 88 62 01 13 Page 1 of 1Includes copyrighted material of Insurance Services Office, Inc.,with its permission. 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. SCHEDULE Name(s) of Person(s) or Organization(s): (If no name appears above, the information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement). Policy Number: BAA56296576  5HGZRRG)LUH$QG&DVXDOW\,QVXUDQFH ROWC9130173/1/2019 ROWC017277 California Cancellation Endorsement / Short Rate Table - WC 99 06 07C WC 99 06 07 D WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY (Ed 10-17) CALIFORNIA CANCELLATION ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. The cancellation condition in Part Six (Conditions) of the policy is replaced by these conditions: Cancellation: 1. You may cancel this policy. You must mail or deliver advance written notice to us stating when the cancellation is to take effect. 2. We may cancel this Policy for one or more of the following reasons: a. Non-payment of premium; b. Failure to report payroll; c. Non-payment of deductible billing; d. Failure to permit us to audit payroll as required by the terms of this policy or of a previous policy issued by us; e. Failure to pay any additional premium resulting from an audit of payroll required by the terms of this policy or any previous policy issued by us; f. Material misrepresentation made by you or your agent; g. Failure to cooperate with us in the investigation of a claim; h. Failure to comply with Federal or State safety orders; i. Failure to comply with written recommendations of our designated loss control representatives; j. The occurrence of a material change in the ownership of your business; k. The occurrence of any change in your business or operations that materially increases the hazard for frequency or severity of loss; l. The occurrence of any change in your business or operation that requires additional or different classification for premium calculation; m. The occurrence of any change in your business or operation which contemplates an activity excluded by our reinsurance treaties. 3. If we cancel your policy for any of the reasons listed in (a) through (g), we will give you 10 days advance written notice, stating when the cancellation is to take effect. Mailing that notice to you at your mailing address shown in Item 1 of the Information Page will be sufficient to provide notice. If we cancel your policy for any of the reasons listed in Items (h) through (m), we will give you 30 days advance written notice; however, we agree that in the event of cancellation and reissuance of a policy effective upon a material change in ownership or operations, notice will not be provided. 4. The policy period will end on the day and hour stated in the cancellation notice. 5. A short rate penalty applies if you cancel this policy or if we cancel due to non-payment of premium, failure to report payroll, or non-payment of deductible billing. First, the standard premium, defined as the base premium (computed in accordance with Part 1, Section 2, Subsection 3 of the WCIRB’s California Basic Underwriting Manual) adjusted for the experience modification factor and all other pricing factors except for premium discount and expense constant, will be multiplied by the quotient of the number of days for which the policy was written divided by the number of days the policy remained in force to produce the full standard premium. Second, the extended number of days will be determined by dividing the number of days the policy was in force by the number of days for which the policy was written and multiplying the quotient by 365 days. When the policy is written for a one-year period, the extended number of days will equal the number of days the policy remained in force. Third, the short rate percentage corresponding to the extended number of days will be obtained from the short rate cancellation table. Fourth, the short rate premium will be equal to the product of the full standard premium times the short rate percentage. The WC 99 06 07D (Ed 10-17) Page 1 of 2 GS1695 AGREEMENT FOR GAF ROOF SYSTEM PREVENTATIVE MAINTENANCE SERVICES ROOFING SERVICES INTERNATIONAL, INC., dba RSI ROOFING & SOLAR '-fr/ THIS AGREEMENT is made and entered into as of the / g-/1J day of ~ , 2018, by and between the C ITY OF CARLSBAD, a municipal corporatio,('City"), and ROOFING SERVICES ll'NTERNATIONAL, INC., dba RSI ROOFING & SOLAR, a California corporation, ("Contractor"). RECITALS City requires the professional services of a roofing contractor that is experience with providing inspections and preventative maintenance services for GAF Materials Corporation roof systems. Contractor is a certified GAF Master Select™ service provider and has the necessary experience in providing these professional services for GAF Materials Corporation roof systems. Contractor has the necessary experience in providing these professional services, has submitted a proposal to City and has affirmed its willingness and ability to perform such work. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contractor agree as follows: 1. SCOPE OF WORK City retains Contractor to perform, and Contractor agrees to render, those services ("Services") that are defined in Exhibit "A", attached and incorporated by this reference in accordance with the terms and conditions set forth in this Agreement. 2. TERM This Agreement will be effective for a period of one (1) year from the date first above written. The City Manager may amend the Agreement to extend four (4) additional one (1) year periods or parts thereof in an amount not to exceed five thousand dollars ($5,000) per Agreement year. Extensions will be based upon a satisfactory review of Contractor's performance, City needs, and appropriation of funds by the City Council. The parties will prepare a written amendment indicting the effective date and length of the extended Agreement. 3. COMPENSATION The total fee payable for the Services to be performed during the initial Agreement term will be five thousand dollars ($5,000). No other compensation for the Services will be allowed except for items covered by subsequent amendments to this Agreement. If the City elects to extend the Agreement, the amount shall not exceed five thousand dollars ($5,000) per Agreement year. The City reserves the right to withhold a ten percent (10%) retention until City has accepted the work and/or Services specified in Exhibit "A". 4. PREVAILING WAGE RATES Any construction, alteration , demolition, repair, and maintenance work, including work performed during design and preconstruction such as inspection and land surveying work, cumulatively exceeding $1 ,000 and performed under this Agreement are subject to state prevailing wage laws. The general prevailing rate of wages, for each craft or type of worker needed to execute the contract, shall be those as determined by the Director of Industrial Relations pursuant to the Section 1770, 1773 and 1773.1 of the California Labor Code. Pursuant to Section 1773.2 of the California Labor code, a current copy of applicable wage rates is on file in the office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all such workers employed by him or her in the execution of the Agreement. Contractor and any GAF Roof Systems Preventative Maint. Svcs. City Attorney Approved Version 9/27/17 GS1695 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. 5. STATUS OF CONTRACTOR Contractor will perform the Services as an independent contractor and in pursuit of Contractor's independent calling, and not as an employee of City. Contractor will be under the control of City only as to the results to be accomplished. 6. INDEMNIFICATION Contractor agrees to indemnify and hold harmless the City and its officers, officials, employees and volunteers from and against all claims, damages, losses and expenses including attorney's fees arising out of the performance of the work described herein caused by any negligence, recklessness, or willful misconduct of the Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. The parties expressly agree that any payment, attorney's fee, costs or expense City incurs or makes to or on behalf of an injured employee under the City's self-administered workers' compensation is included as a loss, expense or cost for the purposes of this section, and that this section will survive the expiration or early termination of this Agreement. 7. INSURANCE Contractor will obtain and maintain policies of commercial general liability insurance, automobile liability insurance, a combined policy of workers' compensation, employers liability insurance, and professional liability insurance from an insurance company authorized to transact the business of insurance in the State of California which has 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, in an amount of not less than one million dollars ($1 ,000,000) each, unless otherwise authorized and approved by the Risk Manager or the City Manager. Contractor will obtain occurrence coverage, excluding Professional Liability, which will be written as claims- made coverage. The insurance will be in force during the life of this Agreement and will not be canceled without thirty (30) days prior written notice to the City by certified mail. City will be named as an additional insured on General Liability which shall provide primary coverage to the City. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. Contractor will furnish certificates of insurance to the Contract Department, with endorsements to City prior to City's execution of this Agreement. 8. CONFLICT OF INTEREST Contractor shall file a Conflict of Interest Statement with the City Clerk in accordance with the requirements of the City of Carlsbad Conflict of Interest Code. The Contractor shall report investments or interests in all four categories. Yes D No ~ 9. COMPLIANCE WITH LAWS Contractor will comply with all applicable local, state and federal laws and regulations prohibiting discrimination and harassment and will obtain and maintain a City of Carlsbad Business License for the term of this Agreement. GAF Roof Systems Preventative Main!. Svcs. City Attorney Approved Version 9/27/17 2 GS1695 10. TERMINATION City or Contractor may terminate this Agreement at any time after a discussion, and written notice to the other party. City will pay Contractor's costs for services delivered up to the time of termination, If the services have been delivered in accordance with the Agreement. 11. CLAIMS AND LAWSUITS By signing this Agreement, Contractor agrees it may be subject to civil penalties for the filing of false claims as set forth In the California False Claims Act, Government Code sections 12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. Contractor further acknowledges that debarment by another jurisdiction is grounds for the City of Carlsbad to terminate this Agreement. 12. JURISDICTIONS AND VENUE Contractor agrees and stipulates that the proper venue and jurisdiction for resolutlon of any disputes between the parties arising out of this Agreement is the State Superior Court, San Diego County, California. 13. ASSIGNMENT Contractor may assign neither this Agreement nor any part of it, nor any monies due or to become due under it, without the prior written consent of City. 14. AMENDMENTS This Agreement may be amended by mutual consent of City and Contractor. Any amendment will be In writing, signed by both parties, with a statement of estimated changes in charges or time · schedule. Ill Ill Ill Ill Ill Ill Ill Ill Ill Ill Ill Ill Ill GAF Roof Systems Preventative Malnt. Svcs. City Attorney Approved Version 9/27/17 3 GS1695 15. 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 ROOFING SERVICES INTERNATIONAL, INC., dba RSI ROOFING & SOLAR, a Californi poration By: ) A t:,//£ ~$ 7 . (print name/title) CITY OF CARLSBAD, a municipal corporation of the State of California By: 1 orks Director as he City Manager By: 2 <;LJ>S c~~~ JJ~,)_ ~I /J~~f (print name/title) If required by City, proper notarial acknowledgment of execution by contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A. 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 By:----+--'~~~-------- Deputy City Attorney GAF Roof Systems Preventative Maint. Svcs. City Attorney Approved Version 9/27/17 4 GS1695 EXHIBIT "A" SCOPE OF SERVICES PURPOSE: To establish services for the annual Inspection and preventative maintenance of the GAF Materials Corporation roof system located on the main training building of the Carlsbad Safety Training Center, 5750 Orlon Street, Carlsbad, California 92010. Inspection and preventative maintenance will be completed by a Certified Master Select™ GAF Roof contractor using GAF inspection checklists as attached in Exhibit B. TASK #1-ANNUAL INSPECTION AND REPORT: Provide necessary equipment, tools and labor for the complete inspection of all components of the GAF roof system. Provide detailed report outlining discrepancies to the City Project Manager. Outline discrepancies that are warranty related issues and report these discrepancies to GAF Materials Corporation in accordance with Exhibit B. Task #1 Lump Sum Total: .......................................................................................................... $~ TASK #2-ROOF SYSTEM PREVENTATIVE MAINTENANCE PLAN: Provide necessary equipment, tools and labor to complete the below preventative maintenance checks and services: • Install temporary personal fall protection and safety equipment • Clean roof, drain basins, scuppers, gutters and downspouts of debris and sediment Haul away debrls to local waste facility for disposal. If any downspouts are clogged, City Project Manager will be notified for further directions. • Check and reseal drains and rain basin comers. • Check and reseal the inside (drain outlet pipes and outside where accessible) of scupper drains. • Check and reseal HVAC ductwork and seals. • Check and reseal pipe and vent penetrations including but not limited to plumbing, electrical, turbine vents, gas lines and restroom vents. • Check and reseal pitch pan penetrations. • Check and reseal curb comers. This includes but is not limited to skylights, HVAC units, fan units and equipment platforms. • Check and reseal field seams or laps. • Check and reseal coping on metal joints, counter flashing metal or termination bars. • Check and reseal inside/outside wall comers and base flashing seams. • Check for open blisters and reseal as necessary. • Check and reseal tilt-up joints. • Check for sheathing nails backing out through roof system and repair as necessary. • Remove temporary personal fall protection and safety equipment • Check, clean and dispose of any roofing debris on the ground at the perimeter of the building. • Notify management of any additional repairs needed outside of the scope of work or exceeds the not to exceed amount of this contract Contact City Project Manager prlor to conducting any additional work outside the scope of services. • Repairs to correct the above discrepancies will be made with one of the following methods {dependent on-site conditions): • Thre~urse method using white, all-weather elastic cement, white silicon mastic or asphalt base black mastic and reinforcing fabric with ultraviolet protectant paint. • Caulking to match existing appllcatlons. · · • Duct sealant for HVAC seals and seams. • Heat welding on single ply roofs {torch-down), as applicable. Task #2 Lump Sum Total: ....................................................................................................... $4.233.00 GAF Roof Systems Preventative Malnt. Svcs. City Attorney Approved Version 9/27/17 5 GS1695 TASK #3-CONTINGENCY FUNDING: Contingency funding for emergency service calls and site assessments. Task #3 Lump Sum Total: ........................................................................................................ $440.00 ***Contractor Notes: 1. Contractor responsible all site safety requirements. 2. Work sites shall be kept free of all waste and trash accumulated during the project. 3. Contractor responsible for cleanup and disposal of hazardous materials. 4. All work will require scheduling with the Facility Manager to ensure no conflicts with scheduled training events. 5. Pricing includes prevailing wages. 6. Contractor will provide Safety Data Sheets on all materials applied during this project (if applicable). 7. Provide detailed inspection and repair report to the City Project Manager at project completion. 8. Any major repairs outside the scope of preventative maintenance and services will require separate repair contract with the City. City Project Manager will be notified prior to any major repairs being completed. JOB QUOTATION ITEM UNIT QTY DESCRIPTION PRICE NO. 1 LS 1 Task #1: Annual GAF roof system inspection and report. $327.00 2 LS 1 Task #2: Annual GAF roof system preventative $4,233.00 maintenance checks and services. 3 LS 1 Contingency funding for emergency service calls. $440.00 TOTAL $5,000.00 GAF Roof Systems Preventative Maint. Svcs. City Attorney Approved Version 9/27/17 6 EXHIBIT B CONTENTS: Welcon,e to the GAF Fan,1/y! What Types or Things Can Cause Pren,ature Roar Failure? Protecting YourRoor lnvestn,ent What"s Not Covered By Roar Warranties Quality Care- Inspection & Maintenance Logs Maintenance Checklists Quality ~ct> You Can Tn1s t Sinc e .,B8 6 .t. :I .. .frorn h 1 a Norlh A rner/ca 's • I • a L aroest Roof/no oAF I.\ATERlAl.s M anu facturer CORPORAT1on Welcome to the GAF _Family! You've made a wise investment- and you're not alone! More North American property owners have chosen GAF Materials Corporation than any other roofing system. Choosing the right roofing system not only helps to protect your property, but may also reduce the chances of construction-related litigation. Did you know that roofing represents just 4% of the construction cost of a building-but as much as 75% of the litigation cost! Much of this litigation might have been avoided with a properly-selected and maintained roofing system installed by a professional roofing contractor. GAPs promise to property owners is to be your "best and safest choice• in roofing. We deliver on that promise by providing you not only with -quality products • installed by certified roofing contractors, but with the information you need to help maintain your new roof (and guarantee your coverage) for many years to come. Please read through this booklet carefully. If you have any questions about how to best maintain your new roof, please contact us at: 1-800-ROOF-411 {1-800-766-3411) What Can Cause Premature Roof Failure? Before you can team how to mmn!Ein a new root. you should begin with a quick review of the types of things that can shorten the life of your roofing investment (and can spell trouble tor your facilitv and its occuoants,). What "wea,s out" roofs? • Exposure ... Either long-term exposure to the elements (sun, water, freeze-thaw) or shorter-term exposure to damaging air pollutants and chemicals • Structural Movement .•. Such as building settlement or expansion/contraction not accommodated by the roofing system • Biological Growth ..• Such as vegetation in areas of standing water or algae • Not Fixing Problems Promptly. .• These can add up to a much shorter roof life - e.g., if a small problem is not repaired, then a large amount of insulation can be damaged • Forgetting About Maintenance ... This is perhaps the single biggest cause ot premature roof failure • Change In The Use Of The Building ... e.g, an increase in the interior relative humidity of a building can cause severe condensation problems within the roofing system Whatt;;J1Jcause immelliatl!, problems. • Extreme Weather ... Lightning, high winds, hail, drenching rains that overflow the flashing heights • Equipment Additions ... Improperly added equipment or other items improperly added on the roof (items added by tenants are a very common source of roofing problems) • Trade Damage ••. Punctures, holes, etc. caused by trades other than your roofing contractor • Unintended Abuse ... Vandalism or accidental damage ... even a small hole can let a large amount of water into the roofing system What Can You Do To Protect Your Roofing System? An analogy ... if a roof were like a new car, in order to keep it running smoothly, you would have it periodically inspected! Keep the oil changed! Rorate the tires! Here is a comprehensive list of steps that should be performed periodicallv to protect your roofing svstem. What How Why 1.Maintain v Keep a file of all records • Tbese records can be Records relating to this roof very helpful if you including ..• need ID have repairs • GAF guarantee made or have addi- • inspection reports tional equipment • repair and added to the roof. maintenance bills • Also helpful when it's • original construction time ID re-roof -since drawings, specifications you know what's up on and invoices the roof and what's been done 2.Conduct ti At least once per year • It's simple really •.• in Routine (twice per year ls optimal, the spring, you want to Inspections typically in the spring check for aay mainte- and fall) nance items that can be scheduled for the ti Inspection maintenance roofing system -and checklists are provided in in the fall, you're this Guide checking ID make sure the roof is ready ID go through the winter months 3.lnspect ti Always inspect the roof • Just because water is After for damage after severe not coming in doesn't Severe weather such as hail-mean the roof hasn't Weather storms, heavy rains, high been damaged winds,etc. • The sooner you repair any damage, the smaller the repair cost What How Why 4.Repair v All roofing repairs must be per-• Remember, improper Correctly formed by a GAF Authorized, repai,s are a common Master, or Master Select Roofing cause of roof problems ... Contractor, including repairs for and are easy to avoid! non-guaranteed conditions v Make repairs with GAF materials, following our current repair guidelines for the type and quality of roof installed 5.Keep Roof v Always remove debris from roof •.. • Trash and debris can cause Clean & free such as: not only harm (such as Of Debris • Leaves, branches, dirt, rocks, punctures) to the roofing bottles, system, but can also be a • Debris and trash from other safety hazard; this can trades, etc. range from simple "trip " v Keep gutters, downspouts, drains, hazards to potentially over- scuppers, and the surrounding loading the structure with roof areas clean to ensure proper extensive ponding water drainage from clogged drains &.Keep v Examine all metal flashings, • Metal components on Metal counter flashings, expansion joints, a roof are a common In Good and pitch pockets for ... point of water entry Condition • Rust • It doesn't matter how • Detachment or damage good your roofing system • Deteriorated sealant is if the adjacent metal v Reattach loose metalwor1<, replace is letting water into the sealant as necessary; repair metal building as necessary; and prepare and paint any rusted metal What How 7. K~ ti Examine masonry walls and Mason~ copings for ..• In Good • Cracks and bad moc1ar joints Condition • Deteriorated sealant • Loose masonry/coping stones • Indications of water absorption ti Repair all such conditions to pment water infiltration 8. Maintain ti Examine rooftop equipment for Rooftop any problems that may allow Equipment water infiltration -inclu<fmg: • Air cond.itioners, vents, and duct work • Equipment stands or screens • Skylights • SateDite dishes, antennas 9. Maintain ti Biminate any spillage of coolant, Roof 01ls, grease, etc. and repair roof Coating membrane if affected. ff Present t' Examine protective coatings and recoat any cracked, flaked, blistered or worn areas with a compataile GAF roof coating 10. Minimiz.e ti Minimize rooftop traffic by Roonot, limiting access to necessary Traffic pet'SO!lnel only ti Maintain a roof access log so that you can ascertain who has been on the roof in the event of damage to the roof from other trades Why (cont'd) • Water leaks from masonry is often incorrectly attri/1- uted to the roofing system ••• so keeping any walls, copings, etc. watertight also goes a long way to keeping the building leak-tree • Jll5t as the roof needs maintenance, so does the equipment that's on the roof • Be sure to follow the manu· facturer's maintenance recommendations provided and a/w.rys check the roof after any service calls to make sure the roof hasn't been accidentally damaged • Roof coatings protect the membrane from long term exPOSllre to the elements •.• and, if reflective, also pro- llide great cooling beaefrts for the bailding. Recoating of these materials protects the membrane and allows it to keep doing its Job • Roofs are meant to keep water out •.. and, if properly designed, can even act as another work area. But most roofs are not designed for this, and repeated, long·term traffic can wear out a roof • The easiest way to prevent this type of damage is to keep people off the roof who don't belong there! What's Typically Not Covered by Roof Guarantees? Whrare certain things not coveretf by the manufacturer's guarantee? ITEMS TYPICAi.LY NOT COVERED BYTHE MANUFACTURER'S GIJARAN'IEE Generally, because they are out of the mznu- facturer's control. Certainly there are things that you can diJ to protect against damage from these causes. ff you would like to knuw more about a specific issue, just call us! • Lack of routine maintenance or improper repairs by non-authoru.etl contractors • StructIJTal problems. •. building 1T1Dvement • Mother Mature ••• hail, wind stonns, heavy snow loads, et&. • Contamination of the membrane by hannful chemicals, such as oil or grease. • Damage caused b_y other trades ... e.g., ,mproperty installed new equipment • Excessive traffic on the roof • Vandalism, impact from falling objects Providing Quality Care For Your Roof WHO ... WHY. .. We've taken the guesswork out of how to keep up-to-date on the inspection and maintenance work for your roof! The following pages provide a structured guide for maintain- ing your root But before you jump in, lers consider WHO should do this work-and WHY. GAF recommends Ifs simple -they are that all inspections properly trained and and maintenance can be a critical part be perfonned of your team to pro- by properly tect your investment trained roofing instead of inadver- professfonals tently causing hann. (such as the GAF They know from certified contrac-experience how to tor who installed pertonn these duties your roofing and may have a much system) better understanding of how to "cause ao harm'' to the roofing membrane! After 6 months, inspect the following ... _,,_I __ Exterior Walls tor lealcs, S12ini1g, missilg mortar lmerior Rool Deck l:lr S91S of le!ls 0( deterioralion Ceiting l:lr si!,ls of leaks tmerior Walls for s:gns of leal<s Roof Edge f0( delerioralion Fascia/Coping tor de!eriora:ion Expans,on Joints klr S91S of exces$l'lt rro;emer4, leaks, deterioration HVAC PenetratJOnS • ched( wc:1 woo. hol.'Si',gs. condensate Ines, pipes ' • insped. shee1 meial caooetsard gaslo?ts • inspect equipnenl base/t:,e,ln • fill al pitch pans. roped pipe bools Drainage System • dear al~ dOwnSpOW, saq,ers • dean outclra.!,s F"'ld Of Root • ched< straners and clamping Mg$ ·-11,ybelast aaossbar•SIIC"' • note ry delicienae$ °' damage and conl3a GAF • inspect coaling ~ 1ffi811l and N!COal as necessary Base Flashings • chedi: a:ladvnenl ard repair as necessary • chedi: oountef llast,r,gs Metal • l1Spect '°' S91S ot lllOY8melll • died< alladmeft and repair as~ , pan al'ly n.sted rnea Notes And Comments ---------+------ Other • rKaUlk as nec:essa,y ched<klroideposits'surfacC001atMal',on,sottareas._l wndaism, pondng wa:er, etc. NOT'ES,;__· ________________________ _ 5,gnature:. ________________ Date,~· ______ _ After 12 months, inspect the following ... Ceiting Interior Walls Mamtenance/Chedc Required tor lealcs, stmng, nissing mortar tor S91S cl leaks 0( deleriora!lon '°' si!J)sot leaks torsi!J)sotleaks Roof Edge lor detenoralion Fascia/Coping for deieimlion Expansion Joints lor signs ot excessioJe moYelll8!'lt, lealcs, deteooralion HVAC • chedi: duct WOO. hOuSilgs. condensate lines. pipes • inspect sheet metal cat.leis aoo gaske!S • I\Sped equipment baseolie-il Penetrations Drainage System • dear aD gutters,~ SCl()pffl • dean out drains • mal(e sure chils are WOll:ilg properly • remove arr, debns Notes And Comments Field Of Roof -~.,,,ballast IICI05Soai.'l)OIS ___ +---------- • note arr, de!iciencies °' damage and CXIOlaCI GAF ----• inspect coai1g I present ard recoa1 as necessasy Base Flashings • checit attadrnent and repair as necessary 1-------- Molal Other • cnec.~ counter nashings •inspeafO(signsoftnOYemenl • ched\ all:ac!rT,enl ard repa,r as nectsSa1'/ •pan-atrtrus:sci metll • re,cai.dlc as necessary ------+----------- check lor oi deposiWsU!face aintanmtion, soft areas, vandalsm!....pondng wale!:_, ete_. _____ __.. SPECIAL CONSIDERATIONS: The roof has been through its first full year. Pay close attention to anything that should have been fastened but may have been missed Also check tor any move- ment of ballast or surfacing that may be caused by wind so that you can reposition 1f necessary or consider additional steps to prevent wind scour Signature:: ________________ Date:. ______ _ N;:un•· After 2 years, inspect the following ... Whal To Inspect! Maintenance/Check Required Exterior Walls for leaks, S13nl'9, rm,g monar Interior Roof Oeci< for sigts of lea!cs 01 detel'IJralion Ceiling fer sigts of lealcs lntenoc Walls for signs of lea!cs Roof Edge a deterioration Fascia/Copmg b deteriora6on Expansion Joints b signs of excessive rno,emeru, leaks, delerilrallon HVAC • nspeCI sheel metal cabilels and gaskels ·inspeCI~~ Penetrations • Iii al pilch pans, inspeCI ~ boolS Notes And Comments Drainage System • clear al glOls. downspouts, sa,weis --------+--•cleanout(hils • make Sift drains are fflllm:l properly • check strainers and~ rings Reid Of Roof • re<islliue air/ bal'.ast across bare spoCs • note atrf deficiencies or damage and contact GAF -- • inspeCI ooatirg I ptesen1 and reccat as necessary Base Flashings •cter:k anamnent and l!pal as necessary _____ ! ___ _ Metal 01her • ched< counre, flashings I :==of= .. ~ F~ •panatrfrusledmetal , rMaUlkas necessary ------ clleck b oi dtpos,IS/surface C0fllamlnallOO, soft areas. ""1dalsm, ponding water, ell:. SPECIAL CONSIDERATIONS: If this 1s a white roof, is 1t still white or does 1t need clean· Ing? Do you need to clean on a regular basis to keep the benefits of a white roof? Signature: ________________ Date: ______ _ Name: Comoanv: After 3 years, inspect the following ... Wllat To lnspectj Maintenance/Check Required Exterior Walls for leaks, S13nr9, IIIIS5ilg mooar Interior Roof for sigts of lea!cs 01 detetioranon Ceiling fer Slg1S of leaks Interior Walls lor s!g1s of lea!cs Roof Edge lor deteriora1ion Fascia/Coping lordeteriora1ion Expansion Joints for si!JIS of excessiYe movement, leaks, deWiora!ion HVAC • inspeCI sheet metal callinels and gaskets •nspecteqt14)11lentbaseilie-fl Penetrations • Iii al pad, pans, inspeCI ~ boolS Drainage System • c!eat al gutlels, down!potrts, ~ •clean0tltdsa:1S • make sure liains ase working propef11 • check suaileJs and dampi1g ~s Field Of Roof • raistriUe air/ balast actOSS bare spoCs • note ant deficiencies 01 damage and contact GAF • inspeCI ooatirg I ptesenl and recoat as nea=ry Base Flashings • check atlachmenl and repair as necessa,y •c:tteckcmnerllashings • nspect 101 sig1s of l!IOl'efflel\l Metal • c:tted< allachment and repair as necessary • pairt 3/lf rJSled metal • re-cauf!I a.s necessary Other r:liedt for oi deposils/slJrfa coolamilaoon, soft areas, ----- t Notes And C-Omments 1 I vandalism, l)Oldng water, etc. ___ _ SPECIAL CONSIDERATIONS. Check pitch pans carefully, after three years or even before they may need maintenance and filling. Signature:. ________________ Date; ______ _ After 4 years, inspect the following .•. What To Inspect Maintenance/Check Required Exterior Walls for leaks, miq. missilg ITl0l1ar Interior Roof Deck bsg,sclleaks«detericra:Jon Cejling for sqis cl leaks Interior waJls br sg,s cl lea,\s Roof Edge b delerioration Fascia/Coping bdelericmon Expansion Joints b sg,s al exom,oe mMmelll, leaks, deleriorallon HVAC • check cfua Y«ll1<, housings, ccrdensate liles, ~ Penetraoons • nsped she« metal catriets and gaskets •ilspecteq,.ipmentbaseM-fl Drainage System • dea' al gutte,s. dOwnspouls, SCUppe,$ • dean aA drains • check straineis and cm,ping iv-gs Field Of Roof • red'islriiule any balast across bare Sl)0ls • noee any deficiencies °' damage and CXlntad GAF • nspect coating i present and recoat as n~ Notes And Comments Base Flashings • chedc allaChmem and repa.r asnecessary ------+--___ _ Metal Other t i·=~-=---~·- rKalJl'las necessaiy check b oi deposis/S!Jllace con12lm3tion, soil areas, Yandafi:sm, pondr'fg Wa!el, etc. SPECIAL CONSIDERATIONS; If this is a white roof, Is it still white or does it need clean- ing? Do you need to clean on a regular basis to keep tne benefrts of a white roof? Sig,allJre-· ________________ Date: ______ _ After 5 years, inspect the following ... What Tc 0 lnspeci Exterio Interior Ce!ing Interior Roof Edg Fascia/Cop Expans HVAC r Walls Roof DeQ Walls e "'9 ion Joints tJons Drainage System Field Of Root Base Fla shings Metal Other MainlenancelChedc Required Notes And Comments --- bleaks, 1Uini1g, missilg mor1al for signs cl leaks or delerilration ftv signs of leaks for • of leaks lordeterioration 1or de!ericraoon 1or sqis or excessiYe movement, leaks, de!eriora:ion • ched< ciJ:t Wffl. housir;,js, ardensale Ines, pipes • nspect ~ metal catriets and gaske\s 'nspect equipmffl ~ • Iii al pilci, pans, I\SpeCI pipe bools •dear al~ dcv,nspans.scuppe,s • dean ot4 drails ----- • make sure <iai1s aie WOlti,g propet1y • check Slraineis and clarnpi1g rings • red'lsttilule I/ff ba.'lasl across bare spots • note any deficiencies°' damage and coow:t GAF • nspect coa!ilg i present and recoat as necessa,y • ched< attadvnenl and !!pair as necessary ------• ehedc COUnlef llashilgs • r,spect for signs cl movemen1 • check atladvnerll and rep8I' as necessaiy •painlanyNSted metal ------• 1!-Quff< as necessar/ ched< for Iii deposits/surtace contanmiln, soft aieas, varda:ism, poncfing water, etc. ---- -- --- -- - SPECIAL CONSIDERATIONS: Are there any signs of traffic patterns on the roof? Do you need walkways or other protection-wearing surfaces inS1alled to protect the membrane? Signature,·~ ________________ Date: ______ _ Name· ComMnv: After 6 years, inspect the following ... W11at To lnspectl MaJnte~ Required Extenor Walls for leaks, siamg, llissing roortat Interior Roof Deck for signs of teaks or deteooralion Ceiling for signs ol leakS Interior Walls for signs of leaks Roof Edge for deUriolalion Fascia/Coping i)r delenOra!IOn Expansion Joints i)r signs of messM! ~ leal<s, delellDralion HVAC • cned< m.ict ~'Dtlt, holJsr9S, CClldensale Ines, pipes • inspecl sheet fflf:al cablne1s and gasl<Els ·inspecl~ntbaSMie-in Penetralions • Iii al pitx:h pans. inspect pipe boots Drainage System • deal al ~. doNnspot!s. scuppers • dean out drails • make sure chins are IWl1iing prope!ly • elm straroers and dampn,j rirgs Field Of Roof • recislribtn ¥If baJasl across bare spots • nots 'Ill/ dei:iencies or canage and conlacl GAF • inspect coa,ng r present and reooat as necessa,y Base FlaShings • cmck ana:tuneni and repair as necessa,y Metal Other • check CCUl1le< !lashings • inspect lo< signs cl ma,,ement • cl,ecfc at!adlmenl and "l)alr as necessa,y • paint any IUSled mel3f •~as necessary cned< fat oi depos.1SislJrfa COOla/llll\a:ion, soft areas, vandaism, pcnfng water, etc. Notes Am Comments SPECIAL CONSIDERATIONS. If you haven't replaced any caulks or sealants, be sure to check and make sure they are still providing a seal against the weather. Signature_· ________________ Date: ______ _ Name: Comoanv: After 7 years, inspect the following ... What To I Maintenance/Check Reqv1red Exterior Walls for leaks, stamg, nmng IIIOf1af Interior Roof Deck for sigls cl leaks« deterioraicn Ceir.ng 1or signs cl leaks Interior Walls foniglS cl leaks Roof Edge for deterioralion Fascia/Coping for deterioralion Expansion Joints for sigls cl excessiYe l!IOYefflenl, leai<s, deienora:ion HVAC • clied< duel wort, housings, cxn!ensa!e lilies, pipes • inspect sheet melll C2bilets and gasl<Els • insped ecµpnenl bas&liH, Penetrations • Iii al pitch pans, inspecl pipe boots Drainage System • deN all g,Ale!S, downspouts. scuppers •dmoutdrails • make sure drains are wo.1ling propeffy • ctled< strailffl and dampilg rirgs Field Of Roof • redstribtlte any bGsl aaoss bare spots • nole arrt deficiencies at~ and cor11ac1 GAF • rnspect coatilg r present and recoat as necessa,y Base Flashings • chec.l( allaclmenl and repar as necessa,y •ched<ccun:erflasllngs • inspecl for si:Jts cl movement Metal • clied< ar.actvnern and repu as necessary • paint any rusted metal • re-Qak as necessa,y Other chedc for oil deposils/solfac oon:amina!Xln, soft areas. vandalsm, poncing wa:er, etc. Notes And Comments ------ SPECIAL CONSIDERATIONS. If this 1s a smooth surfaced roof with a coating. consider re-coating with an ENERGYSTAR" rated coating both to protect the membrane and get the ben- efits of an energy efficient coating. Signature: ________________ Date: ______ _ Name. __ _ Comoanv: After 8 years, inspect the following ... Vlhst To Inspect Ma,ntenancelCheck Required Extenor WaDs for leaks, !12iing, mim,g mo<1ar Interior Roof lo( signs ol /eau or deteriorallon Ceiling b signs ol leaks Interior Walls for S9lS ol leaks Roof Edge for delerioralion Fascia/Coping for delerioralion Expansion Jornts for signs ol excessi'le movemenl, leaks, deterintion HVAC • dieck CllCt wort, ~ C0lldensale ll1e,, ~ ---• inspect sheet mecal cabmelS and gaskets •inspect~baseilie-i, Penetrations • fl al pi'.cll pans, Inspect pipe bools Drainage System • clear al l,'Jlters, downspouts. scuppe,s • dean cu drains • make SI.lie chros are wor1<ing property • died< ~ and damping ~ Field Of Roof • redistribute all'{ balast ac:oss bare spots • note at1Y deflClencies or damaat and contad GAF ------• i,sped coa~ I ptesent and recoa1 as necessary Base Flashings • ched< attachment and repair as necessary Metal Other • ched< C0llr.!f lashings •npectfors,gnsolrnoYemeril • ched< attachment and repair as necessa,y •paintatl'{rUSl!dmela 1----------------1--------.~as necessary c:hed( for oil deposil!Jsurface contamiialion. soft are.s. vandaism, pondilg water. etc. After 9 years, inspect the following ... What To Ins~ Maintenance/Check Required Extenor Walls for leaks, Slanng. llissi>g '1IOf1al Interior Roof Deck for sqis ol leaks or deterioralion Notes And Comments ' Ceiling 1or signs ol leal:s or Walls lnten Roo f Edge 'a/Coping Fasci Expansion HV Joints AC netrations Pe Drai nage System Fie Id Of Roof Base Flashings Me taJ 0th er for signs ol leaks for deteno11110n for deterioration for s,gns ol = movement, leaks, deteriora!iorl • died< OJct wo,t, oousilgs, C00densale Ines, pipes • inspect sheet metal cabilets and gaslcels •inspect~ bas&'.ie,in • fil al j:ilch pans. inspect pipe boots • clear all guners. downspouls. SCUppe1S •clealloutdrains ----------• mai! sura lin are wotu,g ixq>el1'f • clleck mi1els anddampilg ri,gs • lldislrhJte all'{ balasl across bate spots ------• nole acr, deflaencies or damage and ainlad GAF • flSP8Cl coating d presert and reaiat as necessa,y • check aaadllnent ood repair as necessa,y --- ,.: check counter fl2slirgs • inspect for s,gns ol movell'ent • ched< attachment and repa:r as necessary • paw acr, rusted melal --• re-caulk as necessary c:l\eck for oo dl!!)OSits/surlace cx>nlamr'2li'ln soft areas. I vandafism, poncfng water, elc. ---- --- ------ --SPECIAL CONSIDERATIONS: Be sure to check for any deter!oration of metal: better to NOTES:. _______________________ _ clean, prime and protect now than have to replace later Signature~· _________________ Date.: _______ _ Stgnature.: __________________ Date:. ______ _ Name. Comoanv: Name: Comoanv: After 1 O years, inspect the following ... What To Inspect Mamtenance/Chedc Required Extenor Walls lot teaks, stamg, missing mortar Interior Roof Ceiling Interior Walls 1cc sicJ1S rJ leaks Roof Edge 1cc deleriotalion FasclaJCoping 1cc deteroralion Expansion Joints 1cc sicJlS ol excessil'! mMmenl, leaks, deterioration HVAC • check dud wort. hoosngs, coodetlSale ines, piJ,es Penetrations • inspect sheet metal cabinets and gaskels •inspectequ:pmen!basei1ie-'Jl • rt al pit!, pans, r,spect ppe boots Drainage System • clear al IJ.llelS, downspou:s, SCl-l)peB • dean out draris Notes And Comments Field Of Root • make sure diallS are ~ propelty ----• chedt stra!ners and clamping mgs • re6sttbAe any ballast across bale spots i • note any defiaencies or damage and contacl GAF • inspect coaling I prasent and recoat as necessary Base Flashings • check alladlment llld repait as necessary • check ........ ftashings •inspectlorsicJ15ol/TIOYell\eN Metal • c:hed< attadWnen! and repai' as necessa,y • pail! ltrf rusted mew •re-aulkasnecessa,y Olher check fol oil deposits/surla:e aintmnafoo. soft areas, vandalsm,_ponding wa!ef, etc. __ SPECIAL CONSIDERATIONS: 10 years is a long time; consider restoring your roof with an elastomeric coating to protect your investment and extend the life of the roof. Signature: ________________ Date: ______ _ Name: Comoanv: After 11 years, inspect the following ... What To Inspect! MamtenanceiCheclc Required Exterior Walls lor leaks, stlining, missing m011ar tmenor Root Deck 1cc sicJ1S rJ leaks or deteriolalion !Ceiling l«S91Sdleaks r nterior Walls for sicJ1S rJ leaks Roof Edge fot deterioration Fasoa/Coping for deterloraf.on Expansion Joints for sq,s rJ eassive mo,ement, teaks. deteriora!ion HVAC • checi< duct~ hoosilgs. oondensale liN!s, popes Notes And Comments --------,f------• inspect shee( rretal cab<nets and gaskets • inspect~ baseft.iHI Penetrations • Iii al pitcil pans, inspect IXP8 boots Oraonage System • cleat al gtllleti, do\tlnspoulS, SOJpperS • clean out drains • make sure drails are wort<ing ~ll'f • check S!rainers and clamping ~ Field Of Roof • redistrhr.e any balast across bare spots • note any delicienaes or damage and contact GAF • inspect coating a prasen1 and recoat as nec:essa,y Base Flashings • check auacllment and rep.Lr as necessa,y I • check cooo:er ftashings • inspect for signs cl moYement / Metal • chedt at!adlme!lt and repa;r as necessa,y • pain any rusled metal • re-cault as necessary Other I I check for oi deposi1slsuface con:amination, son areas, vanda5sm, poroog water, eu:. _ _ SPECIAL CONSIDERATIONS: If you haven't replaced any caulks or sealants. be sure to check and make sure they are still providing a seal against the weather. Signature: ________________ Date_· ______ _ Name: Comoanv: After 12 years, inspect the following ... What To Inspect! Maintenznce/Chedc Required Exterior Walls for leal<s. stamg, lllSSll9 moftal ln1elior Rool Oed( lor Signs al lea.ls Of de'.erloralion Cethng I lor 5916 al leaks Interior Walls il< signs ol leal<s Roof Edge for deletioralion Fascia/Copo,g lor deleriolalion Expansion Joints lor si!raS ot e=ive lllO'll!menf, leaks, deterioralJon HVAC • check c1Jct WOO. hous,ngs, condensate lines. pipes • r,spea sheet melal calinels and gaskets • insped equipment bas&1ie-in Penetrations • fl al pich pans, insped pipe boots Drainage System • clear all gutteJs_ downspo,Js. scuppers •dean cu mails • chedl mi,er, and clan'l)lll9 rilgs Field Of Roof • t!Cistlbt.e atr/ bawl aaoss bate spots Notes And Comments ___ ..__ • note atrt deficiencies Of damage and C0l1laCI GAF • inspect coati,g i present and recoat as necessary Base Flashings • chedt ~ and repair as necessary • check ax.mer llastW1gs Metal Other • check allachnent and repair as necessa,y • pai,t atr/ rustld metal , ~ as necessa,y c:hed< 1or oi deposh'St.rface contammbcn, soil areas._l YMdaism, pondirg water, ett. After 13 years, inspect the following ... What1i o Inspect Extenor Interior Ceiing Interior Roof Ed Fascia/Copi Expansion HVAC Walls Roof Deck Walls ge ng JoinlS tions Penetra Drainage System Field Of Roof Base Flash ings Metal Other Maintenance/Check Required Notes And Comments for leaks, S1amg. rrissilg moftal forsignsollealcsOfdeterioratJon for S9lS al leaks for signsofleal<s fordeteriora:ion lor deleooration for signs of excessiw movement, leaks. deteriora1ion • check c1Jct woo. ~ an1ensale Ines, pipes • inspect slleet metal calli1els end gaskets • inspedequ'pmentbame-il • fl al pich pn, insped W8 boots • de¥ al gull~ downspou1S, 5Clqll!I$ • dean otA mails • mala! St.re <tains are wo,tcr,g prope,tf • check strainer, and dampi1g nogs • redstrbJte arri ballast aaoss bate spots • note atr/ deficiencies Of damage and oontaa GAF -• insped coating W present a-xi recoat as necessary • check att.mnent and repair as necessaiy I -----• chedc counter t:ashings • insped for signs ol movement [ • check altaclvnenl and repair as necessary I • pan all'( rusted metal • re-caulk as necessary check for Di deposits/slJtac crotamina1ion, soft areas, vanda.'ism, ponoog water, etc. I ----- - ----- SPECIAL CONSIDERATIONS: If this is a white roof, is It still white or does rt need NOTES·;_ _______________________ _ cleaning? Do you need to clean on a regular basis to keep the benefits of a white roof? Signalure: _________________ Dale: ______ _ Signawro: _________________ Date: ______ _ Comoanv: Name: ________________ Companv·-------- After 14 years, inspect the following ... What To I~ Mairt:enance'aie: Required Ex!erio< Walls lor leaks, SWling. ~ monar lnlenOC' Roof b s,g,s ol leaks« det2riora:ion Ceiling lorsqisofleaks I Notes And Comments lntenor Walls b s,g,s of leaks Roof Edge lordetelioralion Fascia/Coping b delenorabon Expansion Joints for s,gtlS of exi:essi',e l!l0YeJ!le/'I. leal<S, deleoor.lllon HVAC • ched( 00(2 woc1c. lloumgs, condensale Ines, pipes • f\Sl)eCI $heel met!I cabine:s and gaskets • inspect e<M)ment basellie-il i f>enetrallOnS . fl al pildl pans. inspect pipe boots Drainage System • dear al gutte,s, d0wnspOOtS, SOJP!)ffl •deanwnns • make sure chins are wocm, piqlel1y --------+---• cl\ed< snainefs and danl)ing mgs Field Of Roof • l'eQSlrtJule any ballast across bare spolS ----• note any defic:iencies « damage and aXllacl GAF • inspect c:omg i piesent and reaiat as necessary Base Flashings • chedt allildvnent and repa:r as necessary •ched<coooter~ •inspectforsir}lsolmowment Metal •chedtallaelvrentandrepairasnecessary • pailt any rusted metal • re-cauk as necessary Other cl\ed( for oil deposiWsrrface C0lt1almalion, soft araas, J vandabm. pordngwaier, etc _ SPECIAL CONSIDERATIONS: Are there any signs of traffic patterns on the roof? Do you need wa'kways or other protection-wearing surfaces installed to protect the membrane? Signature,;· _________________ Date.: .. _____ _ After 15 years, inspect the following ... What To I~ MamtenancelCheck Required Exterior Walls I for leal<s, slairmg, missilg mortar Interior Roof lorsir}lsofleaksordeleriora!ion Celling lor591Sofleaks lntenor Walls Roof Edge tor dererioralion Fascia/Coping for detericra!JOO Expansion Joints for sir}1s of exteSSil'e ~ leaks, deleriora!Jon HVAC • chedt 00d worli. housilgs, anlensa!e fines, Pll!S Notes And Comments --+---------------• inspect sheet metal caooe1S and gasf<elS I . inspect eq.ipmenl ~HI P011etrations I · 61 all pi:d1 pans. Inspect pipe boots Drainage System • cleat al gutl2rS, downspouts, scuppelS • clean out drains • make sure draiis are wormg prope,1y -----• d1ed< slranell and~ ri1gs Field Of Roof • l!dislribllte any ba!ast across bare spolS • note any de6ciencies o, divnagt and ccmad GAF • Inspect coatilg i present and recoat as necessary Base Flashings • check attachment and repair as necessary • check counter~ • inspea f« signs of roovemen1 Metal • died! at:achmelt and repair as necessary ·~lany!USU!dmetal Other • re-cauk as necessary check lor cil deposils'surface contal1ina!ion, soft areas, vandaism. ponci-,g water, e'.c. SPECIAL CONSIDERATIONS· Fifteen years of service! Be sure to pay attention to any area that may be seeing the most abuse -from other trades, Mother Nature, etc and check all flashings and pipe boots to make sure they are performing. Signature,· _________________ Date,_· ______ _ Name: Comoanv: After 16 years, inspect the following ... What To Inspect Maintenance/Check_R_eq_w_rea __ -fNotes And C-Omments Exterior Walls for lealcs, Slai1rg, missing mortar Interior Roof Deck klr signs of lealcs Ol delerioralion Interior Walls Roof Edge tor delem<a1ion Fascia/Coping k)r deleriOlaJion Expansion Joints lor signs of messtie moYel!'.ent, leaJcs, deletlOlalion HVAC • chedt liJct woct, housiigs. oondens3le ns, pipes • i,spea sheet meta callinets and gaskets • i,spea equipment ~Ht Penetrations Drainage System • cfear al gu1ters, downspolts, SOJppers • dean out <hins • died< strainers nl clampng rings Field Of Roof • ndsllilute any balasl aaoss bare Sl)0IS • note atrt deficiencies Ol damage and arrtac:t GAF I __ _... ___ _ • ilspect aia:ilg I present ard reccatas necessary Base Flashings • diedtanactment and repai as necessary ·chedt~llashilgs Metal Other • chedt alladvnenl and repair as necessary • paill any rusted metal • re-ca.I< as necessary diedt for oi deposits/mice contamilalion. soft areas. vandalism, ponding water, etc. SPECIAL CONSIDERATIONS· If you haven't replaced any caulks or sealants. be sure to check and make sure they are still providing a seal against the weather. Signature:. ________________ Date:. ______ _ After 17 years, inspect the following ... What To In lspecl ExteriorWa Interior Roo eea,ng !ls fDed< Interior Walls Roof Edge Fascia/Coping Expansion Join HVAC . ts Penetrations Drainage S ystem f Field Of Roo Base Flash ings Metal Other Maintenance,Ct,eck Requued - for leaks, Slamg, llissing mortar for signs of leaks Oldelerioralion bS91Sofleab forS9JSofleal<s lor de'.enoralion tor delerioraoon k)r signs of excessive rnoYemef\1, lealcs, deleibalicn • died< liJct woct, housrlgs, coodensa:e Ines, pipes • insped sheet metal cabinets and gaskets • mped ~ basMiH1 . fhl pa:h pans. in.sped pipe boots • dear all gutters, downspouts. 5a.l)peB •deanoutaans • make swe dr.WIS are wotldng prope!ly • ched< strainers and~ rir9s •,~UT/ balast aaoss bare Sl)0IS • note any delicienaes Ol damage aid arrtac:t GAF • ilSpeC! coaq i presen1 ard ll!COal as necessary • chedt attachment ard repair as necessary ------ • check coon!er ftasl'i.'1gs -- • ilS!)eCI for signs of movement • check atlatlvnent and repair as necessary ---• pai,t any ruSled metal • ,..aunc as necessar, check for oil deposils/swface co'llaminaoon, soft areas, vandalism, ~ water, etc. I Notes And Comments ; I ---------- I --- -- -- '----- -- -- SPECIAL CONSIDERATIONS: II this IS a white roof. IS tt still white or does It need cleaning? Do you need to clean on a regular basis to keep the benefits of a white roof? Signature: ________________ Date:. ______ _ After 18 years, inspect the foUowing ... Ex!enor Wa!ls for lulls, Slanng. llissllg mor1at Interior Roof Deck br signs of 19:s a deteriomlon Ceiing br signs of leeb Interior wans Roof Edge Fascia/Coping br de'.emnilioo Expansion Joots I b signs 01--. leab. de'.eri:nllon HVAC • chedl duct WD!1I. housings. ooodensale ines, pipes • r,spiaslieel metal calnls and gasl<e!s •mpecteq.,;rne,tbasbM Penetrations • ii al pilch pans. inspect pipe bools Drainage Sys:em 1 ·dee, .. guUels. doo"'1Sp0W, ~ • dean Oil dmls -- • mab SlJtf dtails are worl<ing p,ope,1y • chect straiie!s and clam;ing lings Foeld Of Roof ·~N'fbalasl aaosabartspo4S • note q defic:iencies a damage and cootad GAF • rlll)ld coali1g if p,eserl and rea>at as necessary Base Flashings • cl1e0< a:adrnenl in! ,epai as necessary • check countlf flashings •IISl)<ClbrS915ai""""'*11 Metal Other • chedc mchment and repair as necessa,y •painll!ftlUSledm!t!I • !KllJl as neceswt l c:tiea for Di~ caar.w5on. ffl llllS, malisn,pordngwa:er,etc. -- Notes And Comments S0ECIAL CONSIDERATIONS Be sure to check for any deterioration of metal clean pnme and protect now than have to replace later better to Signatur.: ________________ Date:. ______ _ After 19 years, inspect the foDowing ... What To Inspect Maintenance/Check Required Exterior Walls for lea.u, stanng. l1'ISSing mar1ar lrnenor Roof Deck for signs of leaks °' de1erioralion • Ceiling br signs of lws Interior Walls for signs of leaks Rool Edge lor deterioration Fascia/Coping forde:!J10ral0n Expansion Joints for. of l!XalSSl'f ffllW!fflffl, • de'.enotm I HVAC • chedc <b:I wotl<, housings, coodensa1e lines, popes _J • nl!)eCl s!let!I metal C2binets and gasi(e:s ----- • rlll)ld ~ base,'IIHI Penetrations • fil al pildl pans, inspect pope bools Drainage System •dNr algu:lffl, downs;,outs, SCIJppffl •cuiOlldlails Field Of Roof Olher • make sure draint are waking prope,ty •checksualleflaidc!ampnglings I . ltCis:Jhn wr, balast across bait spoCs • note '1111 deficienc,es °' damage and cootact GAF I · insped ooalilg I present and recoat as necessary •chect..iachnerilandreparasnec:essa,y • check CCU'lef flashings • IISpea 10.-s;,IS o1 -I ::=~repuas-r ~ • !'Kaid< as nec:tSSarY i I check la Di deposls/swface CO'WW1aJDn. soA a,!35. vandaism,pordng~etc. I Notes And Comments NOTES:. _________________________ _ Signature:. ________________ Date: ______ _ Name: Comoanv: After 20 years, inspect the following ... What To Inspect MarntenancelCheck Requ,red Ex!erio< Walls for leal<s, s:aining, riissitlg nmar Interior Roof bf signs ol lea.lcs or de'.erioration Ceiling bf S9'S ol leaks Interior Walls for signs ol leaks Roof Edge for deleooralion Fascia/Coping for delerioralion Expansion Joints for S9'S ol excessive movement, lws, de!erioralion HVAC Penetrations • dledc clic:t WCI'~ hoomgs, COlldef\Sile Ines. pipes •inspectlheet metalcaooetsand gaske1s • inspetl equipmer.t basellie-il • II al pile!, pans. inspect ~ boolS Drainage System • clear al i1Jllffl, downspou1s, SCl.l)llelS • clean out drails I Notes And Comments -----------1-• make sure dralns are WQtting properly • med( strainers and clarrq);ng rings Field Of Roof • !l!CisttM any balast across bate spolS ---• nae anv def1ciendes or damage and C0f1lad GAf ----• inspect coali1g l present and re<:0a1 as necessary Base Rastungs • dledc auachment and repair as necessary • dledc cruuer 11ashilgs T MetaJ :==:=asneet~ -t-' • pai1 any rusted metal • ~ as nec:essa,y Other clledl for oi ~ C0111arrinalion, soft areas, vandaism, pordng water, e!C. ___ I SPECIAL CONSIDERATIONS: 20 years 1s a long time; consider restoring your root with an elastomenc coating to protect your investment and extend the life of the roof Signature.: _________________ Date._· ______ _ Comoarrv· - Atter 21 years, inspect the following ... What To /nspecl MaJ/ltenance/Chedc Required · Notes And Comments ------- Exterior Walls lorleaks, SQmg, l!mlg morlil! Interior Roof Deel ror S9'S ol leaks or delerioralicn Ceilng klr S91Solleaks Interior Walls for S9'S ol leaks Roof Edge for deteooration Fascia/Coping klrdetenora11011 Expansion Joints lor S9'S d exoessive fflCNtfflenl, leaks, dderioralion HVAC , dledc cju,j m housilgs. COlldensaie m. pipes , inspect sheel me1a1 caooets ard ¢.elS 1 · inspect equi:lnent basellie-il Penetrations • Iii al pill:h PiJ1S. inspect pipe boots Drainage System • clear al gutters. downspou1s, SC1,WefS • clean out drains -• ma.le sure draiis are wormg properly • ct,ed( straine<S and damping rings F,eld Of Roof • rustn'btr.e anv balaSI across bare Spo1S • nae any deficiencies or cm,age and cutact GAf ---• inspect coali1g a preseni and recoat as necessaiy Base Flashings •dledc anadlment and "12r asnec:essa,y -----• clleck CO\Jl1er ftaslungs -- ---- • inspect for signs of mo,emero MetaJ • cl1ed< alladlmenl and reparr as nec:essa,y --------• pain! any rusted metal -• re-auk as nec:essa,y Other chedc for oi depositslsurlace conlalT'ina!ion soft areas, vandalism, poroog water, etc. I --NOTES: _________________________ _ Signawre:. _________________ Date:. ______ _ Name:. _______________ Company:. _______ _ After 22 years, inspect the following ... Exlerio< Walls for 1eab, stamg. IMSilg mcnat Interior Roof Deel for signs cl leaks°' delericraticn Ceiling for signs cl leaks Interior WaDs Roof Edge Fascia/Coping for signs of leaks fordelerioralion lordeleriorallOO Expansion Joints foe sig,sol mmvtmcwemenl, INks, deCeriaralion HVAC • c:toeckcla lm. OOIJSings, conder$ale fries, Jipes • ilspect sheel metal caooets and~ •ilspecteq,.ipmentbasli1ie-il Penetrations Druiage System • dear al gutlM, ~ sa.we,s • dean out drains Notes And Comments - ----- Field Of Roof Base Flashings Metal Other • ched: strailers and datnMj nngs • redslribute aJ1f balast aaoss bate spotS • note aJlf def.denaes °' damage and C0f1lad GAF - - - -• ilspect coaling i present and recoat as necessaiy • check a:tldlment ;rd repair as necessary • inspect for 5.91\5 of - • ched: al!achment and repair as necessay --------------!•--• pm i!rf rusted rne1al • rKaU!I. as necessa,y ched: for oi depcsas/sut1ace contami21ion, sal areas, vandaism, pondi',g waler, etc. SPECIAL CONSIDERATIONS Are there any signs of traffic patterns on the roof? Do you need walkways or other protectJon-wearing surfaces installed to protect the membrane? Signature:. ________________ Date.: ______ _ Name: Companv.: _______ _ Atter 23 years, inspect the following ... I Notes And Comments What To 14 MamtenancelCheck Required Exterior Walls I foe INks, staring, missi,g mo/t!l ----i---- 1 Interior Roel for signs cl leaks or deienorallOO Ceiling for signs ol lealls Interior Walls for signs cl leaks Roof Edge fordeteriomcn Fascia/Coping fordelerioralion Expansion Joints for sips cl excess.'Ye movemerl, leaks, deteriora!ion HVAC • ched: (la wo,i, ~ CXll1densal2 Ines,~ • i,spedsheel melalc.llile:S and gaskets • i,sped ~ baS&lie-il Penetrations • fil all pitch pans, nsped pipe boots Drainage System • dear al gutlerS. downsl)ou:s, SQJl)PefS Field Of Roof Base Flashings Metal Other • dean out drams • make SIJ!e drains are 1101mg prope,ly • Ched( straine<s and damping nngs • redis11i>ute i!rf balast aaoss bare spolS -----• note i!rf deficiencies or damage and contlCt GAF • inspect coa1it,J tt present and reccat as necessary • check allaclvnent and repa,r as necessa,y I • check CMler llashilgs • inspecl kl, sigls of mrmment • checf< a':laelment and repair as necessa,y • paint arry rusted metal 'r&<alA< as necessa,y Ched( kl, oil deposi1s'soltac contaminanon, soft areas. Yll'daflsm, pordng waler, eu:. SPECIAL CONSIDERATIONS: If this Is a white roof, is it still white or does it need cleaning? Do you need to clean on a regular basis to keep the benefits of a white roof? Signature:: _________________ Date:. ______ _ Name:. _______________ Company:. _______ _ After 24 years, inspect the following ... What To Inspect MaintenancelChedc Requ,red Exterior Walls IOI leaks. staining. l!MSsi',g mortar lnterio<Roof Ceiling Interior Walls Roof Edge to, signs ol leaks Ol deletioralion to, signs ol leaks tor signs ol leaks lordeterora5on Fascia/Coping to, cleterioraoon Expansion Joints tor signs ol ellteSS."9 fl'Olll!llleOI. leaks, de1erioralion HVAC • check duel wo.11, housings. txllldensate Ines. ~ Notes And Ccmments ---• inspea sheet metal QDlelS and gasl<.e!s •,nspecte(JliprnentbaselliHl Penetrations • fil al pile!, pans, inspea I'll' boots Drainage System • clear al gul1ers, downsims, SOW!'S • clean out drains • male Sift drams .re wor1tirg properly • died< suainetS and clamping ri\g5 Field Of Roof • n!CistrbJ1e any babst across bate spots • no1e any de5ciellcies 0t damage and coolad GAF • inspecl ooalirg i present and racoat as necessary Base Flashings • ched< alladvnenl and repair as necess.ry • ched< COU1tef ftasMgs Metal 0-Jier ::::::":'-=-=f-----• re-cault as necessary checx for oi depoSttS/surtace contal!Wla!fon, soft areas. vandalism. pondng water, e!c. SPECIAL CONSIDERATIONS: If you haven't replaced any caulks or sealants, be sure to check and make sure they are still providing a seal against the weather Signature,~· ________________ Date:. ______ _ Name: Comoanv: After 25 years, inspect the following ... What Toi Ceiling Interior Walls Roof Edge '°' lws, staining. ms,g mortar fer signs ol leas Ol deterioralion fer sig,s al leaks fer signs ol lealcs fer deteriOlation Fascia/Coping lot deteriora!ion Expansion Joints I fer signs ol excessive __ leaks, de'.erioralion HVAC . • ched< ducl W!rt, housirgs, ccndensale ioes, pipes • inspea sheet me13f C800elS and gasiets -----• insped ~ baselliHI Penetrations I · Iii al pilcll pons, inspect I'll' boots Drainage System • cleat al guttffl. downspou!s. scuppe,s • clean out cnins • make sure drans are YIIJl1!ilg properly Notes And Comments --________ ...,j_ ________ _ • check strailels and~ ri\g5 Foeld Of Roof •IICistlibulean,balasl __ ac,oss __ bart_...:,spots ___ -+------------ • no<e any delioencie1 0t damage and contacl GAF • insped ooalirg l presen1 and r8CCal as necessary Base Flashings • checlt ar.achment and rapair as nec:essary •checkOOOOU:f llashings Metal Olher • insped to, signs ol 111CM!nte!1t • c:l\edt attr::trnent and repair as nec:essary • p!inl any rusted melal • ~ as nectSSalY check f0t oi deposils/sur1ac contaminahon. soft areas, vandaism, pordng water, etc. SPECIAL CONSIDERATIONS: Twenty-five years of service! Be sure to pay attention to any areas that may be seeing the most abuse -from other trades, mother nature, etc. and check all flashings and pipe boots to make sure they are performing. If you would like additional maintenance checklists, please contact us 1 Signatune: ________________ Date:. ______ _ Some Specifics About This Roof: Building Name: ________________ _ Location:. __________________ _ Owner: __________________ _ Contact: __________________ _ ArchltecVConsullant: ______________ _ General Contractor: _______________ _ Roofing Contractor: _______________ _ Roof Area: sq. fl. ______ _ Dale Installed : _______ _ Construction: Type: ONew OTear-011 ORe -Co11er Insulation: _________________ _ Roof Deck: _________________ _ Drainage: _________________ _ Slope: ________ Inches/foot ________ _ GAF Spec No .: _______ _ -· Quality You Can Trust Since 1886 ... ~ From North Americas Largest Roofing Manufacturer o~r.wuuu ........... l!'J2003 GAF Materials Corporation 11/03 COMGN119 ~R CERTIFICATE OF LIABll:..ITY INSURANCE I DATE (MIIIIIDDIYYYY) 3/12/2018 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. THlS CERTIFICATE OF WSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. NPORTANT: If the certlfJcate holder Is an ADDJTIONAL fiSURED, the polfcy(les) must have ADDITIONAL INSURED provisions or be 1111dorsed. If SUBROGATION IS WAIVED, sul:!fect to Jl18 terms and conditions of the pollcy, certain polk:ies may require an endorsemer'1-A statement on this certificate does not coder rlahts lo the certJflcate holder In Deu of such endorsementls). · PRODUCER ~· Diane Bell Arthur J. GaBagher & Co. Insurance Brokers of CA. ~ ....,,. 858-481-8892 Ir~ ~A •• 858-481-7953 10505 Sorrento VaUey Rd, Suite 200 llmlli-. dlane_beU@aJg.com San Diego CA 92121 AFFORDING COVERAGE NAICI IKSURER A: Navtoators lnstllUlC8 Company 42307 DISURl!D RSIROOF-01 INSURER B :American Fb"a and Casualty Comoanv 24066 ~ Services International, Inc. liStJRER o ,National Union Flre Insurance Comnanv of 19445 d R Roofln~lar li&URERo,Redwood Fi"e and Casuaftv Insurance Co 11673 8285 Buckhorn INSURER E ,Ohio Casualty lnSlB"8nce Comoanv 24074 Sarr Diego CA 92111 1111llJRl'R. F. Westchester-SlJl)lus Unes Insurance Co 10172 :-~-· --A GF_c; "LtcKln~"'TE ID••.,,.,..,· 1147467663 REVISION Ml IUD C'CI. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMtJJ ABOVE FOR THE POLICY PERIOD INDICATED. N01WITHSTANDING ~y REQUIREMENT, TERM OR CONDITION OF NlY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLJC1ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID Cl.AIMS. rm TYPI! 01' 1111IIURAIICE 1.-1-,n l>tll lr.Y P,11-,;'D r\_N.lll&'l'l$rT l""'\-.IL..IL.'I' r..&I"" ur.tT9 A X COMMERaAI. Ol!NERAL LIABIUTY y SF17CGL 170630IC 11/1/2017 11/1/201B EACH OCCURRENCE S1.000.000 -=1 ClAJMS.MAOE W OCCUR '' =~ Ye~~~--s50.000 ~ ~~Dedudtie MEDEXPIArwaneDQr9011) $5,000 -PerQl!!U]. ./ PERSCWAL I Af1V I\IJURY $1,000.000 GEN'\. AGGREGATE I.MIT APPLIES PER: GENERAL AGGREGATE $2,000.000 =j:;::0m _DLDC PRODUCTS -COMP/OP AGG $2,000.000 s B AUTOIIOBII.£ LIABILITY BAA6629S676 11/1/2017 11/1/2018 tEa~i'-t:l.lfflll s,.000.000 -X /W'f ALITO BOOfl Y INJURY (Per ponon) $ -,.-~LEO .ONLY BOOIL Y OOURY (Per accldc1) S -x~ ~T.~ X ONLY s --s C UIIBRELLA LIAB M ocroR C EB U025881391 11/1/2017 11/1/20'18 'EACH OCCURRENCE 95,000,000 -X EXCEBSUAB Cl.AIMS-MADE AGGREGATE ss.ooo.oco ./ OED IX I KC en $0 I s D WORICERS COGIPENSATIOla V ROWC913017 3/1/2018 3/1/2019 XI !if~ni= I I~,.. MD ilFLOYERB' I..IMIILIIY Y/N AHY PROPRJETOR/PARTNER/ElCECUTI D NIA E..L. EACH ACCIDENT $1;000.000 OFFK:ER/MEMBER EXCLUDED? (Mandatory In NH) 'E..L. DIS!i/lSE -.EA EIIPLOYEE $1 .000.000 ~-desabl 'b~=u11~ below E..L. DISEASE -POLICY LIMIT S1 000.000 E ~ BKS5829667B 11/112017 11/1/201B ~artyllmll $260,000 F G27086482006 11/1/2017 11/1/201B onUml $1,000.,000 ./ ' DESCRIPl10II OP OPERATlONII / LOCATICINB IVEHICU!S (ACORD 101. Addllkmal Rmwla Sohedule, 1111)' be allaGhld I IIIDN ll!J"CII la req'*9d) The attached endorsements ~ o'We as required by written contract. . · RE: GAF ~m Preventa ve ervlces; a~nt #GS1540. - The City of · d Is Included as AddlHonal Insured as rospects to General LlabUlty pollcy, pursuant to and subject to the pollcy's terms, definitions, conditions and exclusions. Waiver of Subrogatloncn8tfcplles to Additional lnS1Z8d's as respects Workers Compensation policy pursuant to and subject to the policy's terms, detlnltlons, con ons and exclusions. . CERTIFICATE HOLDER CANCELLATION SHOlUl AifY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CJl;y of Ct!rtsbed/CMWD THE £XPIRATION DATE THEREOF, NOllCE Will BE DELIVERED IN ck, EXIGIS lmurance ~ Services ACCORDANCE WITH TI-IE POLICY PROVISIONS. P.O. Box 4668-ECM New York NV 10163-4668 " AUTifORIZED Rl!PRllSHIITATll/l! I WJ(!£- C 1988-2015 ACORD CORPORATION. ,All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Arthur J. Gallagher & Co. Insurance Brokers of CA., Inc. 10505 Sorrento VBiley Rd, Sulte 200 san Diego, CA 82121 55 SP 1.840 , •h1ll'1•1l11l1l1l1fl11j1lll1jlll111•'•l1·'·1llllll,ll111jl1ll11; CITY OF CARLSBADICMWD C/O EXIGIS INSURANCE COMPLIANCE SERVICES. PO BbX 4668 # 35050 01-6 NEW YORK, NY 10163-4668 POLICY NUMBER: SF17CGL170630IC COMMERCIAL GENERAL UABILITY CG2010 07 04 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 followmg: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organlzatlon(s): Locatlon(s) Of Covered Operations Any person or orgar:ilzatlon for whom you are perfonnlng operations during the policy period when you Various Locations and such person or organization have agreed In writing In a contract or agreement that such person or organization be added as an additional Insured on your policy ' lnfoonetlon requlred 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 addltlonal Insured the person(s) or aganlzatlon(s) shown In the Schedule, but only with respect to liability for 'b>dlly Injury'\ "property damage" or "personal and advert! stng Injury" caused, In whole or In parti 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 lnsured(s) at. the locatlon(s) deslg- . nated above. ) B. With respect lo the Insurance afforded to these additional insureds, the foDowlng additional exclu- sions apply: This lnBllrance does not apply to "bodUy Injury" or "property damage" occurrl~ after. · 1. All work, Including materials, pans or equip- ment furnished In connection with such. work, on the project (other than service, maintenance or repak"s) to be performed by or on behalf of · the addltlooal lnsured(s) at the location of .the covered operations has been comJ)leted; or 2. Thar portion of "'your work" out of which the lnjluy or damage arises has been put to Its In- tended use by any person or organization other than another contractor or subcontractor en- gaged In performing operations for a principal as a part of the same project. CG201007 04 01S0 Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER; SF17CGL1706301C COMMERCIAL GENERAL LIABILITY CG 203707 04 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 SCHEDULE Name Of Additional Insured Person(s) Or Organfzatlon(s): Location And De&cripClon Of Completed Operations My person a-organization for whom you are performing ucornmercfal constr:uctlon" during the period Various Locations of this policy and have agreed In a 'Nritten contract to add as an additional Insured for products-completed operations. "Commercia~ construction" does not Include any habltational or residential construction other than · ' hotels or apartments. Information required to complete this Schedule, If not shown above, wlll be shown In the Declaratlons. Section II -Who Is An Insured is amended to Include as an. additlorial Insured the person(s) or organization (s) ~own In the Schedule, but only with respect to iablftty for , "bodily Injury-or "property damage" caused,· In whole or In part, by "your work" !:rt the location designated ·and descrtbed In the schedule of flls endorsement perfonned for that addltlomi insured aid Included In the "products-completed operations ~rd". CG20!3707 04· @ ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: SFl 7CGL17Q630IC COMMERCIAL GENERAL LIABILITY CG 20 34 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ' IT CAREFUll Y. ADDITIONAL INSURED· LESSOR O.F LEASED· EQUIPMENT -AUTOMATIC STATUS WHEN REQUIRED IN LEASE AGREEMENT WITH YOU Thls endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL. LIABILITY COVERAGE PART A. Section II • Who la An ln•ured Is amended to lnciucle as an additional ~nsured any person(s) or organlzatlon(s) fi"om whom you lease equipment when you and such person(s) or organlzation(s) have agreed In writlAQ In a contract or agreement that such person(s) or orgenlzatlon(s) be added as an addltloneflnsured on your pollcy. Such person (s) or organlzatlon(s) Is an Insured only with respect to llabllty for ixxtlly Injury", "property · demagea or •personal and advertising Injury" caused, In whole or In part, by your maintenance, operation or use of equipment leased to YoU by such person(s) or organlzatlon(s). However, the Insurance afforded to such addltlonal Insured: 1. Only appDes to the extent permitted by law; and 2. WIU not be broader .than that which you ere required by the contract or agreement to provide for such additional Insured. A person's or organization's status as an addltlonal Insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. · B. With respect to the Insurance afforded to these addltiooal Insureds, this Insurance dees not apply to any •occurrence• which takes place after the equipment lease expires. . . c. With respect to the Insurance afforded to these addltlonal Insureds, the following Is added to Section Ill • Umlta Of Insurance~ The most we will pay on behalf of the addltlonel Insured Is the amount of Insurance: 1. Raqul red by the contract or agreement you have entered Into With the additional Insured; or 2. Avallable under the applicable Limits of Insurance · shown In the Declarations; whichever is less. This endorsement shalf not Increase the applicable Limits of lns:urance shown In the Declarations. CG 20 340413 @Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER:SF17CGL 170630IC COMMERCIAL GENERAL LIABILITY CG 20 18 04 13 THI$ ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MORTGAGEE, AS.SIGNEE,,OR RECEIVER This endorsement modifies Insurance provided l.!lder the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Person(s) Or Organization(&) Designation Of Premises Any person or organization when you and such person ororganlzatlon have agreed In wrltilg In a contract or agreement that such person or organization be added as an addltlonal_lnsured on yoLD' policy. Information required to complete this Schedule, If not shown above, will be shown In the Declarations. A. Section II -Who Is An Insured is amerxied to lnclude as an addltlonal Insured the person(s) or organlzatlon(s) shown In the Schedule, but only with respect to their Uablftty as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of the premises by you and shown in the Schedule. However: 1. The lr,surance afforded to such additlonal nsured only appllesto the extent pemiltted by law; and 2. If coverage provided to the addltlonal Insured Is required by a contract or agreement, the insurance afforded to such additional Insured J wlD not be broad.er than that which you are required by the contract or agreement to provide for such additional Insured. B. This lnsurance,does not apply to s1ructural alterations, new construction and demolltlon . q:>eratlons performed by or for that pe~ or crganlzatlon. C. With respect to the Insurance afforded to these addltlonal lnsured5i !he folowlng Is add~ to SectlQn Ill -Limits Of Insurance: If coverage provided to the additional Insured Is required by a contract or agreement, the most we v.;n pay on behalf of the additional ln"SUmd Is the amount of [nsurance: 1. Requi'ecl by the contract or agreement~ or 2. Available und~r the applicable Limits of l_nsuranca shown In the ~aratlons: whlche~r Is less This endorsement shati not Increase the appllcable Limits of Insurance shown In the Declarations-. CG 2018 0413 @ Insurance Services Office, Inc.; 2012 Page 1 of 1 POLICY NUMBER: SF17CGL170630IC COMMERCIAl GENERAL LIABILITY CG 20 010413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL l;IABIUTY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to th.a Other fnsurance (2) Condltlon end supersedes any provision to th.e contrary: · Primary And Noncontributory Insurance This Insurance Is-primary to and will not seek contribution from any other lnsll"Snce available b an adcltlonal ilsured under your policy provided that You have agreed in writing in a contract or agreement that this Insurance would be primary and would not seek contribution from any other insurance available to the additional Insured. (1) Theaddltlonel Insured Is a Named Insured Lnder such other tnsurance;/and CG 20010413 C Insurance Services Office, Inc., 2012 Page 1 of1 POLICY NUMBER: SF17CGL1706301C COMMERCIAL GENERAL LIABILITY CG240405 09 WA_IVER 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 Qrganlzatlon: MY person or organization when you and such person or organization have agreed In writing In a contract or agreement that you WO! waive any right of recovery against such person or orgMlzation. , Information required to complete this Schedule If not shown above, wlll be ·shown In the Declarations. The following Is added to Paragraph B. Transfer Of Rights Of Recovery Against Others To Us of Section rv -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 uyour work" done under a contract with that person or organization and Included In the •products- completed operations hazard"\ Thie waiver applies only to the person or organization shown In the Schedule above. CG240405 09 @ Insurance Services Office, Inc., 2008 / Page 1 of 1 POLICY NUMBER: SF!"7CGL170630IC 1 COMMERCIAL GENERAL LIABILITY . NPC 7110811 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. G.ENERAL AGGREGATE· LIMIT PER PROJECT WITH.AN OVERALL GENERAL AGGREGATE CAP This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE : Designated Construction P~ects: All Projects OVeraU General Aggregate Cap: $6,000,000 (If no entry 1;1ppears above, lnfonnatlon required to complete this endorsement will be shown In the Declarations · as appllcable to this endorsement) A. For all sums which the Insured becomes legally obfigated to pay es damages caused by "occur- rences" under COVERAGE A (SECTION t), and for .all medical expenses caused-by accidents under COVERAGE C (SECTION I), which can be . attributed only to ongoing operations at a single designated construction project shown In the Schedule above: 1. A S:8J)81"8te Designated Construction Project General Aggregate Limit applies to each des- ignated construction project, and that II mlt Is equal to the amount of the General Aggregate Limit shown In the Declarations. Subject to the. applcatlon of the General Aggregate Limit to each · of your projects, the maximum emou,-it we will pay under the General Aggre- gate Limit for all claims arising from all projects Is the OVeraII General Aggregate Cap shcmn In the Schedule above. 2. The Designated Construction Project General "'117egate Limit Is the most we wlll pay for the sum of all damages under COVERAGE A. · except damages because of "bddUy Injury" or "property damage• Included In the "products-- completed operations hazard", and for medl~ .cal expenses under COVERAGE C regard" less of the number of: NPC 711 0811 a. Insureds; b. Oalms made or "suits~ brought; or c. Persons or organizations making claims or bringing "suits·. 3. My payments made under COVERAGE A for damages or under COVERAGE C for medical expanses shall reduce the Designated Con- struction Project General Aggregate Limit for 1hat designated -construction project. Such payments shall not reduce the General Ag~ gregate Limit shown In the Dijclaratlons nor shall they reduce any other Deslgr:iated Con· structlon Project General Agaragate Limit for any other' designated ca,structlon project shown 11 the Schedule above. 4. The llmlts shown In the Declarations for Each Occurrence, Fire Damage and Medical Ex- pense continue to apply. However, Instead of being subject to the General Aggregate Limit shown In the Declarations, such limits will be subject to the appllcable Designated · Con" struotlon Project General Aggregate Limit Page1 of2 B. For all sums which the Insured becomes legally obllgated to pay as damages caused by "occur- rences" under COVERAGE A (SECTION I), and 1 for all medical expenses caused by accidents under COVERAGE C {SECTION I~ which cannot be attributed only to ongoing operations at a sin- gle designated construction project shown 1n the Schedule above: · 1. My payments made under COVERAGE A for damages or i.mder COVERAGE C i:>r medical expenses shall reduce the amount avalable under the General Aggregate Limit or the Products-Completed Operations Aggregate Limit, whichever Is applicable; and 2. Such payments shall not reduce any Desig- nated Construcllon Project General Aggre- gate Limit. C. When coverage for liabUlty arising out of the "products-completed operations hazaro-Is pro- vided, any payments for damages because of "bodily lriury" or "property damage" lnduded In 1he "products-completed operations hazard" will reduce the Products-Completed Operations Ag- gega_te Limit, and not reduce the General Aggre- gate UfT)lt nor the Designated Construction Project General Aggregate Limit. ~ge2 of2 D. If the. applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contract- ing parties deviate from plans, blueprints, de- signs, specifications or timetables, the project will stlll be deemed to be the same construction project. E. Toe provisions of Limits Of Insurance (SECTION Ill) not otherwise modified by this endorsement shall continue to apply as stipulated. NPC 7110811 Roofing Services International, Inc. dba RSI ~ & Solar Polley #SF17CGL 170630IC COMMON POLICY CONDITIONS AD Coverage Parts Included In this pollcy are subject to the following conditions: . A. CANCELLATION D. INSPECTIONS AND SURVEYS 1. The first Nemed Insured · shown h1 the We have the right but are. not obiged to: Decfaretlals may cailcel this policy by mellng 1. Make Inspections and surveys at any time; or deDverlng to us advance wrftten notice of 2. Gl\le you reports on the conditions we find; cencellatlon. and 2. We may cancel this policy by maHJng or 3. Recommend changes. · deUverlng to the first Named Insured written fl.rrt mspectloos, surveys, reports or notice of cancellation at least _ recommendations relate only to lnsurabllty and a. . 10 days before the effective date of the premiums to be charged. We do not make canceaatlon If we cancel for nonpayment safety Inspections, We do not undertake to of premium; or perfam the duty of any person or orgenlza6on to .b. 30 day8 before the effective date of provide for the ~Ith or safety d workers· or the canceletlon. If we canoe! for BAY other pubRo. And we do not warrant that conditions: . reason. 1. Are safe or heaithfut: or 3. We win man or deliver our notice to the first 2. Comply with laws, regulations, codes or Named Insured-a last melTing address known standards. ·to us. This condition app~ not only· to· us, but also to 4. Notice of cancellation wril state the effective any . rafing, advisory, rate service or similar date of cait::ellatlon. The policy period will end ' organization wblch mekes Insurance Inspections, on that date. surveys, reports or recommendations. 5. If this policy Is cancelled, we wlD send the first E. PREMIUI\IIS Named Insured any premium reftmd due. If, we The first Named Insured shown In tt,e ca~, the refl.vid will be P'"9 rata. If the first Declarations: Named Insured cancels, the refund may be 1. Is responsible for the payment of all less then pro rate. The cancellation wll · be premiums, and ~e even If we have not made or offered a 2. Will be payee for any return premiums we pay. refund. F. lRANSFER OF YOUR RIGHTII AND DUTES 6. If notice Is meled. proof or mating. wll be UNDER nus POLICY sufficient proof of notice. Your rights and duties under this poffcy may not be B. CHANGES transferred without Oll' written consent except In This policy contains al the agreements between the oase of death r:A-an lndMduaf Named Insured. you ax! us concerning the Insurance afforded. The If you die, your rights and duties wlD be transferred first Named Insured shown In the Declarations Is to yolB' legal represantatlve but only while eclk!g authortzad to make chang88 In the terms of this within the · scope of duties as yolJ" legal policy with our consent.· This poBcy--s terms oan be representative. Unffl your legal repre&entatlve Is amendecf or waived only-by endorsement IBSUed by appointed, anyone · having proper temporary us and made a part of this policy, custody of your property win have your rfghts end C. EXAMINATION OF YOUR BOOKS AND RECORDS dl.rtles but only with respect to that property. We may examine and aucBt your books and records 8!! they relate to this pol(cy et any time during the policy period end up to three years afterward. In Witness Whereof, we have caused this policy to be exeouted and atteated, end. If requ Ired by state law, this polloy shall not be vaDa unless countersigned by our authorized representative. · . Emlly B. Miner, Secretary Stanley A. Galanskl, President NI C GL P J (O 1-07) Ind udes copyrlghted matertal of Insurance Services Office, Inc., v.tth Its premllijl!On. - Copyright, I nsu-ance Sl!MC88 Office, Inc., 1982, 1983 POLICY NUMBER: SF17CGL 170630IC SCHEDULE OF FORMS AND ENDORSEMENTS The following are the fonns ajtached k> and fanning a part of the policy at Inception: NIC GL PJ 01 07 Policy Jacket and Common PoOcy Coodltlons with Validation Signatures NPC-901 03 09 Common Polley Declaratlons -Navigators Specialty Insurance Company NPC-903 08 07 Schedule of Forms and Endorsements IL 00 210504 Nuclear Energy LlablliJy Exclusl011 Endorsement (Broad Form) NPC-909 11 08 Service of Sult NAV-PHN-200 10 13 aaim Reporting Procedures CG21730115 Exclusion of Certified Acts of Terrorism NPC 904 0115 Disclosure Notice Terrorism Risk Insurance Program Reauthaization Ad. of 2015 Rejection NAV-ML-002 1112 OFAC ENDORSEMENT NPC-905 03 09 Commercial GeneraJ Liability Coverage Part Declarations ' CG 00 01 0413 Commercial General Liability Coverage Fann NPC-611 11 08 Cross SUlts Exclusion NPC-605 11 08 Asbestos Exclusion NPC-827 04 13 Exciuslon -Designated Operations Covered by a Consolidated (Wrap-Up) Insurance Program NPC-642 11 08 htellectual Property Amendment NPC-900 07 10 Minimum Earned Premium and Premium Audit Endorsement NPC-711 08 11 General Aggregate Limit per Project with an OveraD General Aggregate·Cap NPC-624 11 08 Lead Exclusion NPC-713 11 08 Definition of Employee Amendment CG 218612 04 Exclusion -Exterior lnsulatlon & Finish Systems CG 2147 12 07 Employment-Related Practices Exclusion CG219603 05 sn1ca or Slllca Relate(j Dust Exclusion CG21550999 Total Pollution Exclusion With A Hostile Fire Exception CG'216712 04 Fungi Or Bacteria (Mold) Excluslon CG20 37 07 04 Additional Insured -Owner, Lessees Or Contractors .:. Completed Operations CG2010 07 04 AddlUonal lnsureq -OWners, Lessees Or Contractas -Sch~uled Person or Organization- CG20 380413 Addftlonal Insured -OWners, Lessees or.Contractors -Automatic Status For Other Parties When Reauired in Written Construction Agreement CG2010 07 04 AdditlQ11al Insured -OWnarsr Lessees Or Contracta-s -Scheduled Parson or Organization CG2037 07 04 Additional Insured -owner, Lessees Or Contractors -Completed Operations CG2010 07 04 Additional Insured -OWners, Lessees Or Contractors -Scheduled Person or Organization CG2037 07 04 Additional Insured -OWner, Lessees Or Contractors -Completed. Operations CG043512 07 Employee Benefits Uablllty Coverage -Clalms Made NPC-903 08 07 Page 1 of 2 ANF-ES 158 08 15 Exclusion -Condominiums, Townhouses, Timeshares and Tracts CG22 34 0413 Exclusion -Construction Management Errors And Omissions CG23010413 Exclusion -Real Estate Agents or Brokers Errors Or Omissions CG2018 041~ Additional Insured -Mortgagee, Assignee Or Receiver CG 20 12 04 13 · J\ddltlonal Insured -Political Subdivisions Permits or Authorizations CG 20 010413 Primary And Noncontributory -other Insurance Condition CG 20110413 AddlUonal Insured -Managers or Lessors of Premises CG 20 340413 Addltlonal Insured -Lessor Of Leased Equipment -Automatic Status When Requred In Lease Agreement With You CG 215301 96 Exqluslon -Designated Ongoing Operations CG213401 87 Exclusion -Designated Work / NPC-635 05 14 Punitive And Exemplary Damages, Fin~. Penalties And MultlpRcatlon Of Damages Exclusion NPC-706 04 14 Subcontractors Independent Contractors Condltlonal Coverage -Deductible AppRes If Conditions Not Met NPC-806 01 13 Non-Pyramlcing of Limits Endorsement CG240405 09 Waiver of Transfer of Rights of Recovery Against others to Us NPC-670 06 09 Continuous or Progressive Injury and Damage Exclusion NPC-847 0515 Hazardous Materials Exclusion NPC-834 12 14 Exclusion -Cyber ~jury CG22 790413 Exclusion -Contractors Professional Uablllty MANUSCRIPT ANF-ES 158 08 15 -AMENDMENT MANUSCRIPT Location· Schedule NPC-500 03 15 Oeducilble Llablllty Insurance ALL OTHER TERMS AND CONDITIONS OF-THIS POLICY REMAIN UNCHANGED. NPC-903 08 07 Page2of2 A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CA 20 48 02 99 DESIGNATED INSURED ENDORSEMENT The endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM WRh respect to coverage provided by th{s endorsement, the provisions of the COV8f8Q8 Form apply unless modified by the endorsement. This endorsement ldentlfles person(s) or orger,lzatlon(s) who are nlnsureds• under the WHO IS AN IN- SURED provision of the Coverage Form. This endorsement does not alter coverage. provided In the Cov- erage Form. This endorsement changes the poficy effective on the inception date of the policy unless another date Is Indicated below. Endorsement Effective 11/01/2017 Policy N1:1mber Named Insured Roofing Services International, Inc. dba RSI Roofing lr.n, SCHEDULE Name of Person(s) or Organlzatlon(s) ANY PERSON OR ORG. WHEN YOU AND SUCH PERSON OR ORG. HAVE AGREED IN WRITING IN A CONTRACT, AGREEMENT OR PERMIT THAT SUCH PERSON OR ORG. BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY TO PROVID}:l INS. SUCH AS IS AFFORDED UNDER THIS COV. BAA56296576 hv (Authorized Representative) (If no entry app®rs above, lnfomiatlon requlred to complete this endorsement wlH be shown In the Declara- tions as applicable to this endorsement) Eaah person or organization shown In the Schedule is an "tnsurecf• for LIABILITY COVERAGE, but only to the extent that person or organization qualifies as an "insured" · ·under the WHO IS AN INSURED provision contained in SECTION II of the Coverage Fann. CA2048 02 99 Copyright, trauranoe Services Office, Inc., 1998 Page 1 of 1 Polley Number: BAA56296576 COMMERCIAL AUTO CA 88 66 05 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ' ' DESIGNATED INSURED • NONCONTRIBUTING This endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGECOVERAGEFORM MOTOR CARRIER COVERAGE FORM "TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless moc;llfled by this endorsement. This· endorsement Identifies person(s) or o,:ganlzatJon{s) Wh9 are "insureds" 1:mder the Who Is An lns1,1red. Provision of the Coverage Form. This endorsement does not after coverage provided In the Coverage Fonn. j Schedule Name of Person(&) or Organization(&): , / ANY PERSON OR ORGANIZATION WHEN YOU ANb SUCH PERSON OR ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT, AGREEMENT OR PERMIT THAT WE NAME SUCH P];:RSON OR ORGANIZATION ON THIS ENDORSEMENT Regarding Designated Contract or Project: VARIOUS PROJECTS· / Each person or organization shown i'l the Schedoo of this endorsement Is an "insured" for UablRty Cov- erage, but orfy to the extent that parson or organization quaHfles as an insurecr under . the Who Is An Insured Provision oontalnad in Section II of the COverage Form. The following Is added to the Other Insurance Condition: If you have agreed In a written agreement that this policy will' be primary and without right of contribu- tion from any Insurance In force for an Additional Insured for labBlty arising out of yO\.lr operations, and the agreement was executed prior to the "bodily Injury" or "property damage", then this Insurance wlll be primary and we will not seek contribution from sooh lnsuraRGe. @ 2013 Liberty Mutual Insurance. All rights reserved. CA 88 66 0513 lncbies coP','J1ghted meter1el of Insurance Services Office, Inc., with Its permJsslon. Page 1 of 1 ii 'B R Policy Number: BAA56296576 COMMERCIAL AUTO CA 88 62 0113 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM The Transfer Of Rights of Recovery Against Others To Us Condition does not apply to the person(s), or organtzatlon(s) shown In the Schedule, but only to the extent that subrogation Is waived prior to the •acoldent'' or the n1oss• under a contract with that person or organization. SCHED.ULE Name(s) of Person(s) or Organizatlon(s): ANY PER.SON OR ORG. WHEN YOO AND SUCH PERSON OR ORG HAVE AGREED IN WRITING IN A CONTRACT, AGREEMENT OR PERMIT PRIOR TO LOSS THAT WE l'lAIVE ANY RIGHT OF RECOVERY WE MAY HAVE AClAINST SUCH PERSON OR .ORG. Of no name appears above, the rnormation required to complete this endorsement wUI be shown In the Declarations as applicable to this endorsement). J I\' @ 2013 Uberty Mutual Insurance CA88 62 0113 lnc!Udas coP','liglted materlal of 11'16Urance Services Office, Inc., with Its permission. Page 1 of 1 Roofing Services lnterriaffonal, Inc. clJa RSI Roof)ng & Solar Policy #BAA66296576 IL 00 ·17 11 98 COMMON POLICY CONDITIONS An Coverage Parts Included In this policy are subject to the foHowlng conditions. A. CANCELLATION 1. The first Named Insured shown In the Declarations may cancel this policy by mamng or delivering. to us advance writ- ten notice of cancellation. 2. We may cancel ~his polloy by malUng or delivering to the first Named rnsured written notice of canceUatfoo at least: a. 1 O days before the effectlve date of cancellation If we cancel for nonpay- ment of premium: or b. 30 days before the effective date of cancelletton If we cancel for any oth- er reason. 3. We will man or deliver our notice to the fti:st Named Insured's last malHng ad- dress known to us. 4. Notice of canceflatlon wfll state the effec- tive date of cancellation. The poicy pe- riod will end on that date. 5. If this policy Is cancelled, we wm s~ the first Named Insured any premium re- fund due. If we cancel, the refund w!U be pro rata. If the first Named Insured can- cels, the refund may be less tha1 pro rata. The canceDatlon will be effectfve even If we have not made or offered a refund. 6. If nottce 18 malled, proof .of maiDng wfll be sufficient proof of notkie. B. CHANGES This PoRoY contains as the agreements-be- tween . you and us concerning the insurance afforded. Toe first Named Insured shown in the Declarations is authorized to make changes In the tenns of this polcy with our consent. This policy's 'terms cian be amended or waived only by endorsement Issued by us and made a part of this policy. C. EXAMINATION OF YOUR BOOKS ANO RECORDS We may examine. and audit your books and · reoords as they relate to this policy at any time during the policy period and , up to three years afterward. D. INSPECTIONS AND SURVEYS 1. We have the right to: a. Make Inspections and surveys at any time; b. Give you reports on the conditions we find; and c. Recommend changes., 2. We are not obligated to make any lnspec- lions, surveys, repprts or recommenda- Hons and any such actions we do under- take relate only to lnsurabUlty and the i:remluins to be charged. We do not make safety Inspections. we do not un- : dertake to perform the duty of any person or organization to provide' for the health or safety of workers pr the public. And we do not warrant that conditions: a. Ara safe or healthful; or b. C<;>mply with laws, regulatlons, codes or standards. 3. Paragraphs 1. and 2. of this condition ap- ply not only to us, but also to any rating, advisory, rate service or similar organiza- tion which makes lnsural)C8 Inspections, surveys, reports or recommendations. 4. Paragraph 2. of this condition does not apply to any Inspections, surveys, reports or recommendations we may make rela- tive to certification, under state or mu- nicipal statutes, ordinances or regula- tions, of boilers, pressure vessels or elevators. E. PREMIUMS The first Named Insured shown -in the Dec- larations: 1. Is responsible for the payment of all pre- miwns; and 2. WII be the payee for any return premi- ums we pay. F. TRANSFER OF YOUR RIGHTS AND DUTIES UNDER THIS POLICY Your rights and duties under this policy may not be transferred without our written con- sent except In the case of death of an lndMd- ual named Insured. IL 00 17 11 98 Copyright. Insurance Servlce8 Office, Inc., 1898 Page 1 of 2 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC99 0410B (Ed. 9-14) ~ WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT• CALIFORNIA BLANKET BASIS 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 organlzaUon named In the Schedule. (Thie agreement applies only to the extent that you perform work under a written contraot that requll'88 you to obtain this agreement from us.) The additional premium for this endorsement shall be 2% of the total manual premium otherwise due on such remuneration. The minimum premium for this endorsement Is $350. Thie agreement shall not operate directly or l11dlrectly to benefit anyone not named In the Schedule. BLANKET WAIVER Person/Orga nlzatlo n Job Description SCHEDULE Blanket Waiver -Ally person or qrganlzatlon for whom the Named Insured has agl'88d by written contract to furnish this waiver. Waiver Premium This endorsement changes the policy to which It le attached and Is effecffve on the date Issued unless otheJw!sa stated. (The Information below Is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Insured 3/1/2018 Polley No. ROWC913017 Endorsement No. Premfum $ Insurance Company Redwood Fire Alld Casualty Insurance WC99 04108 (Ed. 9-14) Countersigned by ____________ _ WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 07C (Ed 9-14) CALIFORNIA CANCB..LATION ENDORSEMENT This endorsement appUes only to the Insurance provided by the policy because Gallfornla le shown In Item 3A of the Information Page. The cancellation condition In Pert Six (Conditions) of the poDcy 18 replaced by these conditions: cancellation: 1. You may cancel this policy. You must man or deliver advance written notice to us stating when the cancellation ls to take effect . 2. We may cancel this Polley for one or r:nore of the folowlng reasons: a. Non-payment of premfum; b. Fell.re to report payroll; c. Non-payment of deductible biang; d. FaJkJre to permit us to audit payroll es required by tf'l8 temis ofthls pollcy or of a previous polJcy Issued byus; e. Fabe to pay any additional premlum resuttng from an aucit of payroll raqui"ed by the terms of this policy er any previous pollcy Issued by us; f. Material mlsrepresentatlon made by you or your agent; g. Falhl"e to cooperate with us In the Investigation of a dalm; h. Failure to comply with Federal or S~te eefety orders; I. FaDure to comply with written recommendations of cu designated loss control representatives; J. The occurrence of a material change ln,Jhe own era hip of your buetness; k. The occurrence of any change in your business or operations that materially ri creases the hazard fer frequency or eeventy of loss; · I. The occurrence of any change In your business or operation that requires ·additional or different classification for premium calculaHon; m. The occurrence d any change In your business or operaUon wtich contemplates an activity excluded by our reinsurance treaties. 3. If we cancel your pollcy for any of the reasons listed In (a) through (g). we will give you 1 o days advance \Witten notice, stating When the cancellatton Is to take effect Malllng that notice to you at Y0lJ' ma"'1g address shown In Item 1 of the Information Page wiD be eufflcfant to provide nmlce. If we cancel your policy for .any of the reasons listed In ·Items · (h) through (m}, we wm give you 30 days advance written notice; however, we agree that In the event of cancellation and reissue need a policy effective upon a material change In o'M'!ershlp or operations, notice will not be pro'l!ded. 4. llle policy period will end on the day and hour stated In the CSl'.lcellatlon notice. . . 5. If you cancel this poRcy or If we cancel due to n~t of premium, failure to report payroll. or non-payment of deductible bUllng. First, the premium computed In accordance with Section 1, Rule 2, wll be multlplied by the quotient 'of the number of days for which the poUcy was written dMded by the number of days the poDc:y remained In force to produce the fun pollcy premium. Second, the extended number of days wm be detemm&d by dMdlng the number of days the policy was In force by the number of days for which the policy was written and muttlplylng the quotient by 365 clays. (When the Pelley was 'Mitten for a one -year period; the extended number of days wm equal the runber of days the policy remained In force}. Third, the short rate percentage correepondlng to the extended number of days wlll be obtained from the ~hart rate cancellJJtfo1flable. Fourth, the short rate premium· wB be equal to the product of the tuB pollcy premium times the short rate percentage. The Short Rate Teble below will be used In computing the Short Rate Premium. In no event wlU the final earned premium be leas thah the pol)cy minimum premium. WC 990607C Page 1 of 2 Roofing Services International, Inc. dba RSI Roofing & Sok 81' 11/01/2018 EffeCl!ve Date of Endorlernen l 11/01/2017 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARERJU Y. · ADDITIONAL I ... SURED ENDORSE~ENT . OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE CONTRACTOR'S POLLUTION LIABILITY COVEAAGE SCHl:DULE: Name of Peraoo or Oman!zatlon; My person or organization that Is an owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the spaclfic wrftt~ request of such person or organization to you, wherein such request Is made prior. to commericement of operations. (If no entry appears above, lnfonnatlon required to complete this endorsement will be shown In the Declarations as applicable to this endorsement.) A. SECTION II -WHO 18 AN INSURED is amended to Include as an Insured the person or organization shown in the Schedule, but only with respect to l!ablllty arising out of your ongoing operations performed for that Insured. B. Wrth respect to the insurance afforded to these additional Insureds, the following exclusion Is added: 2: Exclustona This Insurance does not apply to bodily Injury or property damage occurring after: (1} All work, lncludlr:1g 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 lnsured(s) at the. site 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 organlzatl.on other than another contractor or subcontractor engaged tn performing operations for a principal as a part of the same project. ENV-31 00 (08-04) Includes copyrighted material of Insurance Services Office, Inc. with Its pem,lsslon Page 1 of 1 ADDITIONAL INSURED ENDORSEMENT-PRODUCTS-COMPLETED OPERATIONS HAZARD Named11'16'S8 '. nt Number Roofing Services lntematlonal, Inc. 11/01/2018, Issued By ( eme ranee Company) . Westchester Surplus Lines Insurance Company nus ENDORSEMENT CijANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEME.NT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE PART . CONTRACTOR'S POLLUTION LIABILITY COVERAGE PART SCHEDULE Any person or organization that Is an owner of real property .or personal property on which you are performing operations, or El contractor on whose behatf you are performing operations, and only at the specific written request of such person or organization to you, wherein such request Is made prior to commencement of operations. I Of no entry appears above, Information required t> complete this endorsement will be shown In the Declarations as applicable b this endorsement.) Section II -Who 111 An Insured Is amended to Include as an additional Insured the person(s) or organlzatlon(s) shown In the Schedule, but only with respect to llabllty tor bodily Injury or property damage caused, In whole or In part, by your work performed for that additional Insured and Included In the products-completed operations hazard. All other terms and conditions remain the same. ENV-3225 (10-08) CopyrfghtO ~ Page 1 of 1 Namedl Roofing Services International, Inc. CPW 11/01/2018 hllued By (Name d Insurance ampany) Westchester Surplus Lines Insurance Co~ny THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ ITCARERJLLY. ADDITIONAL INSURED ENDORSEMENT • OWNERS. LESSEES OR CONTRACTORS , (PRIMARY AND NON-CONTRIBUTORY) This endorsement modlfles nsurance provided under the followtng: COMMERCIAL GENERAL LIABILITY COVERAGE CONTRACTOR'S POLWTION LIABILITY COVERAGE SCHEDULE: Name of Person or Organlzatfon: /Viy person or organization that Is an owner of real property or pef89nal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only a~ the specific written reqU8St of such person or organization to you, wherein such request Is made prior to commencement of operations. (If no entry appears above, Information required to complete this endorsement will be shown In the Declarations as applicable b this endorsement.) SECTION II • WHO IS AN INSURED Is amended to Include: A. SECTION II -WHO IS AN INSURED Is amended to Include as an Insured the person or organization shown In the Schedule, but only with respect to llablDty arising out of your ongoing operations performed for that Insured. B. With respect to the Insurance affa"ded to these additional Insureds, the following exclusion Is added: 2. Exclusions ) This lmnzance does·not apply to bodily Injury or property damage occurring after: (1) AJ.I work, lncludlng materials, parts or equipment fUmlshed In connectlon with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional lnsured(s) at the site of the covered operatlons has been completed; or (2) That portion of your wc,rk out of which the Injury or damage arises has been put to Its Intended use by any person or organization other ,ien another contractor or subcontractor engaged In performing operations for a principal as a part of the same project. C. The coverage provided hereunder shell be primary and not contrlbutlng with any other Insurance available to those destgnated above under any other third party Uabillty policy. ENV-3101 (08-04) Includes ropyrighted materlal of Insurance Services Office, Inc. with Its permission Page 1 of1 lnllured ADDITIONAL INSURED ENDORSEMENT-PRODUCTS-COMPLETED OPERATIONS HAZARD PRIMARY & NON-CONTRIBUTORY Roofing Services International, Inc. ~ Nl.lTlbor G27086482 005 Poley P<rlld 11/01/2017 to 11/01/2018 Elrecftye Date of Endoraement 11/01/2017 Westchester Surplus Lines Insurance Company nus ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT .MODIFIES INSURANCE PROVIDED-UNDER THE FOLLOWING: · COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTOR'S POLLUTION LIABILITY COVERAGE PART SCHEDULE Any person or organization that Is an owner of real property or personal property on which you are performing operations, or a contractor pn whose· behalf you are performing operations, end only at the specific.written request of such person or organization to YoU, wherein such request Is made prior to commencement of operations. (ff no entry appears above, Information required to complete this endorsement will be shown In the Declarat1ons ~ appllcable t> this endorsement) ' . Section II -Who la An Insured Is amended to Include as an additional Insured the person(s) Cl' organlzatlon(s) shown In the Schedule, but only with respect to llabHlty for bodlly Injury or property damage caused, In whole or In part, by yout work performed for that additional Insured and Included 1n the producta-completed operations hazard. Furthermore, the ,coverage provided hereunder shall be primary and not contributing with any other Insurance avaDable tQ those designated above under any other third party llablllty policy. All other tertns and conditions remain the same. ENV-3226 (10-08) Page 1 of 1 '/ Roofing Services International, Inc: Symbol CPW "9ued By (Narno of Insurance Comp811y) Westchester Surplus Lines Insurance Company 11/01/2018 11/01/2017 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies Insurance provfded under the following: COMMERCIAL GENERAL LIABILITY COVERAGE P~T CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Person or 0roanrzet1on: Any person or organization that is en owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of such person or organization to you, wherein such request Is made prior to commencement of operations. (If no entry appears above, lnfonnatlon required to complete this endorsement wlB be shown In the Declaratlons as applk:able to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition Is amended by the ~dclltlon of the followlng: We waive any right r:A recovery we may have against the person or organization shown In the Schedule above because of payments we make for lriury or damage arising out of your ongoing operations or your work done lllder a contract with that person -or orgarizatlon and lnduded In the· producJB-completed operations hazard. This waiver applies only to the person or organization shown In the Schedule above. All other terms and conctltfons remain the same. ENV-3143 (03--06) Includes copyrighted materta of lnsoomce Services Office, Inc. wlh Its permission Page 1 of 1 Roofing Services International, Inc. dba RSI Roofing & Sol8:f Pollution Policy #G27086482 005 1 I 2. Premium shown in the Declarations page of this policy as Premium Is a deposit premium only. At the close of each audit period we will compute the earned premium ,for that period, Audit premiums ere due end payable on notice to the Named Insured. 3. The Named Insured must keep records of the Information we need for premium computation, and send us copies at such times as we may request. 4. We may examine end audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward . . 5. Premium adjustments as a result of premium audits will be done after the policy expires or Is terminated, but may be done by us while the policy Is In effect 6. Premium Audit adjustment calculations will be made to detennlne additional premium only, You have agreed with us that there will be no downward adjustments of the Premium. F. Representations By accepting this policy, you agree: 1. The statements in the Declarations, appllcatlon for insurance, any other underwriting,' loss control or claims related Information, and any other Information submitted to us are accurate and complete at the time you reported that Information; and 2. Those statements are based upon representations you made to us; and . 3. We have Issued this pollcy in reliance upon your representations. G. Separation of Insureds / Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this policy to the Named Insured, this Insurance applies: 1. AB if each Named Insured were the only Named Insured; and 2. Separately to each insured against whom claim Is made or suit is brought. H. Transfer of Rights. of Recovery Against Others To Us If the Insured has rights to recover all or part of any payment we have made under this policy, those rights are transferred to us. Toe Insured must do nothing to impair these rights once a loss Is known by a responsible insured. At our request, the Insured will bring suit or transfer those rights to us and he! p us enforce them. I. Cancelletlon or Non-nmewaJ ( This policy may be cancelled by you by surrender thereof to us or any of our authorlzec;I representatives or by mailing to us written notice stating when thereafter the cancellation shall be effective. If we decide to cancel or not to renew 'this policy on or before the expiration date of the policy, we will mall or deliver to the first Named .Insured shown In the Oeclaretlons, written notl~ of cancellation or non-renewal not Jess than sixty (60) days or ten (10) days for non-payment of premium prior to cancellation. If notice Is malled, proof of mailing will be sufficient proof of notice. ENV-1200 (03-10) i:cttibb. 2016. All rights resarved, Page 9 of 15 lnoludes copylighted mllterlel ol lllSUralCe Servloes Office, Inc. with b permJBlllon