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Statewide Traffic Safety and Signs Inc; 2019-12-04; PKRC722
DOC# 2020-0473823 11111011101111101111111111111M111111111111111111 Aug 21, 2020 09:46 AM OFFICIAL RECORDS Ernest J. Dronenburg, Jr., SAN DIEGO COUNTY RECORDER FEES: $0.00 (SB2 Atkins: $0.00) PAGES 1 RECORDED REQUESTED BY CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 Space above this line for Recorder's use. PARCEL NO: n/a NOTICE OF COMPLETION Notice is hereby given that: 1. The undersigned is owner of the interest or estate stated below in the property hereinafter described. 2. The full names of the undersigned are City of Carlsbad, a municipal corporation. 3. The full address of the undersigned is 1200 Carlsbad Village Drive, Carlsbad, California 92008. 4. The nature of the title of the undersigned is: In fee. 5. A work or improvement on the property hereinafter described was completed on March 18, 2020. 6. The name of the contractor for such work or improvement is Statewide Traffic Safety and Signs, Inc. 7. The property on which said work or improvement was completed is in the City of Carlsbad, County of San Diego, State of California, and is described as follows: Project No. PKRC722, Trail Wayfinding Signage. 8. The street address of said property is at various locations in the City of Carlsbad. CITY OF CARLSBAD A Geoff Patnoe, Assistant City Manager VERIFICATION OF CITY CLERK I, the undersigned, say: I am the City Clerk of the City of Carlsbad, 1290 Carlsbad Village Drive, Carlsbad, California, 92008; the City Manager of said City on -5 5 , 20 ao, accepted the above described work as completed and ordered that a Notice of Completion be filed. I declare under penalty of perjury that the foregoing is true and correct. , 20 a at Carlsbad, California. CITY OF CARLSBAD d 5 P664-/LAA.4(- Executed on ) RBARA ENGLES° City Clerk C:\Users\mfry\AppDatalocal\Microsoft\VVindows\INetCache\Content.OutlookU2WAI9F3\NOC_revised.doc CELIA BREWER, City Attorney RECIII`v, E.) CITY IV14-11 A. .J CM? DIVISION By: Dep ty City Attorney CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS Statewide Traffic Safety and Signs, Inc. has completed the contract work required for Project No. PKRC722, Trail Wayfinding Signage. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS VALUE Wayfinding sign installations $14,610 CERTIFICATION OF COMPLETION OF IMPROVEMENTS 5/1/2020 abaq Taj ginee anager Date CITY MANAGER'S ACCEPTANCE OF PUBLIC IMPROVEMENTS The construction of the above described contract is deemed complete and hereby accepted. The City Clerk is hereby authorized to record the Notice of Completion and release the bonds in accordance with State Law and City Ordinances. The City of Carlsbad is hereby directed to commence maintaining the above described improvements. toff Pow A ss>-, Scott Chadwick,' City Manager . Cr .itij M cerojel APPROVED AS TO FORM: Date Q: 1 Public Works \ PW Common \CAPITAL-ACTIVE \PKRC722 Trail Waylinding Signs API.doc Tracking#: CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT TRAIL WAYFINDING SIGNAGE; CONT. NO. PKRC722 This agreement is made on the l.t-\-\1'-,,,, day of D¢..<..~pg C: , 2011, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and Statewide Traffic Safety and Signs, Inc. whose principal place of business is 13755 Blaisdell Place, Poway, CA 92064-6837 (hereinafter called "Contractor"). City and Contractor agree as follows: DESCRIPTION OF WORK. Contractor shall perform all work specified in the Contract documents for the project described by these Contract Documents (hereinafter called "Project"). PROVISIONS OF LABOR AND MATERIALS. Contractor shall provide all labor, materials, tools, equipment, and personnel to perform the work specified by the Contract Documents unless excepted elsewhere in this Contract. CONTRACT DOCUMENTS. The Contract Documents consist of this Contract, exhibits to this Contract, Contractor's Proposal, the Plans and Specifications, the General Provisions, addendum(s) to said Plans and Specifications, and all proper amendments and changes made thereto in accordance with this Contract or the Plans and Specifications, all of which are incorporated herein by this reference. When in conflict, this Contract will supersede terms and conditions in the Contractor's proposal. LABOR. Contractor will employ only skilled workers and abide by all State laws and City of Carlsbad Ordinances governing labor. GUARANTEE. Contractor guarantees all labor and materials furnished and agrees to complete the Project in accordance with directions and subject to inspection approval and acceptance by: Michael Tully (City Project Manager) WAGE RATES. The general prevailing rate of wages for each craft or type of worker needed to execute the Contract shall be those as determined by the Director of Industrial Relations pursuant to Sections 1770, 1773 and 1773.1 of the Labor Code. Pursuant to Section 1773.2 of the Labor Code, a current copy of the applicable wage rates is on file in the Office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all workers employed by him or her in execution of the Contract. Contractor shall be responsible for insuring compliance with provisions of section 1777.5 of the Labor Code and section 4100 et seq. of the Public Contracts Code, "Subletting and Subcontracting Fair Practices Act." The City Engineer is the City's "duly authorized officer" for the purposes of section 4107 and 4107.5. The provisions of Part 7, Chapter 1, of the Labor Code commencing with section 1720 shall apply to the Contract for work. A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, unless currently registered and qualified to perform public work pursuant to Section 1725.5. This project is subject to compliance monitoring and enforcement by the Department of Industrial Relations. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. TRAIL WAYFINDING SIGNAGE CONT. NO. PKRC722 Page 1 of7 City Attorney Approved 1/25/2019 Tracking#: FALSE CLAIMS. Contractor hereby agrees that any contract claim submitted to the City must be asserted as part of the contract process as set forth in this agreement and not in anticipation of litigation or in conjunction with litigation. Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act, provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of the information. The provisions of Carlsbad Municipal Code sections 3.32.025, 3.32.026, 3.32.027 and 3.32.028 pertaining to false claims are incorporated herein by reference. Contractor hereby acknowledges that the filing of a false claim may subject the Contractor to an administrative debarment proceeding wherein the contractor mav. be prevented from further bidding on public contracts for a period of up to five years and that debann by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor ~'f t\ tor participating in contract bidding. Signature: '\ 0 Print Name: DON NICHOLAS, CEO REQUIRED INSURANCE. The successful contractor shall provide to the City of Car1sbad, a Certification of Commercial General Liability and Property Damage Insurance and a Certificate of Workers' Compensation Insurance indicating coverage in a form approved by the California Insurance Commission. The certificates shall indicate coverage during the period of the contract and must be furnished to the City prior to the start of work. The minimum limits of liability insurance are to be placed with California admitted insurers that have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of California's List of Approved Surplus Line Insurers (LASLI} with a rating in the latest Best's Key Rating Guide of at least "AX"; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarter1y listings report. Commercial General Liability Insurance of Injuries including accidental death, to any one person in an amount not less than ........ $1,000,000 Subject to the same limit for each person on account of one accident in an amount not less than ....... $1,000,000 Property damage insurance in an amount of not less than ........ $1,000,000 Automobile Liability Insurance in the amount of $1,000,000 combined single limit per accident for bodily injury and property damage. In addition, the auto policy must cover any vehicle used in the performance of the contract, used onsite or offsite, whether owned, non-owned or hired, and whether scheduled or non- scheduled. The automobile insurance certificate must state the coverage is for Aany auto· and cannot be limited in any manner. The above policies shall have non-cancellation clauses providing that thirty (30) days written notice shall be given to the City prior to such cancellation. The policies shall name the City of Carlsbad as an additional insured. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY. Workers' Compensation limits as required by the California Labor Code. Workers' Compensation will not be required if Contractor has no employees and provides, to City's satisfaction. a declaration stating this. INDEMNITY. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its officers and employees, from all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the perfonnance TRAIL WAYFINDING SIGNAGE CONT. NO. PKRC722 Page 2 of 7 City Attorney Approved 1/25/2019 Tracking#: of the Contract or work; or from any failure or alleged failure of Contractor to comply with any applicable law, rules or regulations including those related to safety and health; and from any and all claims, loss, damages, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by the Contract, except for loss or damage caused by the sole or active negligence or willful misconduct of the City. The expenses of defense include all costs and expenses including attorneys' fees for litigation, arbitration, or other dispute resolution method. JURISDICTION. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this agreement is San Diego County, California. Start Work: Contractor agrees to start within 30 working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within 50 working days after receipt of Notice to Proceed. CONTRACTOR'S INFORMATION. Statewide Traffic Safety and Signs, Inc. II II II II II II II II (Name of Contractor) 975518 (Contractor's license number) C-61/D-42, expires 8/31/2020 (license class. and exp. date) 1000001109 (DIR registration number) 6/30/2020 (DIR registration exp. date) TRAIL WAYFINDING SIGNAGE CONT. NO. PKRC722 Page 3 of7 13755 Blaisdell Place (street address) Poway, CA 92064-6837 (city/state/zip) (858) 679-7292 (telephone no.) (858) 679-7117 (fax no.) ogonzalez@stssi.com (e-mail address) City Attorney Approved 1/25/2019 Tracking#: AUTHORITY. The individuals executing this Agreement and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Agreement By: (sign here)- DON NICHOLAS, CEO (print name/title) /Ut'\ f2------ {sign here) MARTY BREEN, CFO (print name/title) CITY OF CARLSBAD, a municipal corporation of the State of California By: Cltylf&:4 '1/JST: (.) l1 _;__L-Ml It;-;:__ ~ BARBARA ENGLESON City Clerk If required by City, proper notarial acknowledgment of execution by Contractor must be attached. ~ 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 Attorn TRAIL WAYFINDING SIGNAGE CONT. NO. PKRC722 Page4of7 City Attorney Approved 1/25/2019 Tracking#: EXHIBIT A LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR Set forth below is the full name and location of the place of business of each sub-contractor whom the Contractor proposes to subcontract portions of the Project in excess of one-half of one percent of the total bid, and the portion of the Project which will be done by each sub-contractor for each subcontract. NOTE: The Contractor understands that if it fails to specify a sub-contractor for any portion of the Project to be performed under the contract in excess of one-half of one percent of the bid, the contractor shall be deemed to have agreed to perform such portion, and that the Contractor shall not be permitted to sublet or subcontract that portion of the wor1<, except in cases of public emergency or necessity, and then only after a finding, reduced in writing as a public record of the Awarding Authority, setting forth the facts constituting the emergency or necessity in accordance with the provisions of the Subletting and Subcontracting Fair Practices Act (Section 4100 et seq. of the California Public Contract Code). If no subcontractors are to be employed on the project, enter the word "NONE." SUBCONTRACTORS Portion of Project to Business Name and Address be Subcontracted NONE Total % Subcontracted: 0 ------ TRAIL WAYFINDING SIGNAGE CONT. NO. PKRC722 Page 5of 7 DIR Registration No. License No., %of Classification & Total Exoiration Date Contract City Attorney Approved 1/25/2019 EXHIBIT 8 SCOPE OF WORK Tracking#: Statewide Traffic Safety & Signs, Inc. (Contractor) will fabricate and install wayfinding signs in the City of Carlsbad right of ways. The signs' specifications, design, location, and size are indicated below and in the attached map (Exhibit C) and table (Exhibit D). The proposed services shall be performed in accordance with this document and the latest version of the California Manual on Uniform Traffic Control Devices (MUTCD). Standard and Specification 1. All signage shall conform to the latest version of the California MUTCD, and the Caltrans Standard Specifications (latest version), except where expressly specified in these documents. 2. Signs shall be fabricated and installed using the latest version of the California MUTCD and the requirements in this document. Any substandard, compromised, or broken post, anchor, or street light shall be reported immediately to the City inspector. Any sign that will affect the safety of the public e.g. a larger sign that would conflict with the vehicle travel lane, or pedestrian right of way, shall not be installed and reported immediately to the City inspector. Any sign that would block from view a regulatory or warning sign shall not be installed and reported immediately to the City inspector. Any sign that when installed will be blocked from view shall be reported to the City inspector. The City inspector shall determine what action, if any, will be taken to resolve any issues pertaining to the signs. 3. Sign dimensions shall meet standard specifications per the latest version of the California MUTCD and as shown in these documents. 4. All signs shall be fabricated with Type IV prismatic sheeting (High Intensity Prismatic or equivalent) in accordance to ASTM Designation D4956 and conforming to the requirements of these provisions. 5. Anti-graffiti coating shall be applied to all signs. 6. Posts shall be constructed and furnished fully as shown on San Diego Regional Standard drawing M-45. Posts shall be 10-gauge or 12-gauge cold-rolled steel perforated tubing. 7. Contractor shall furnish and install signs and posts fully with all necessary hardware to mount signs to posts, street light poles, and traffic signal poles. 8. All signs and hardware removed shall be done so without any modification to the post, street light, and/or signal pole. Said hardware and signs are the property of the City and shall be returned to the Maintenance Yard at 405 Oak Avenue, Carlsbad, CA, and placed in a predesignated area. 9. All signage is subject to the approval of the City Engineer or designee prior to installation. Any deviation from signage plans shall be approved by the City Engineer or designee prior to any change in the field. TRAIL WAYFINDING SIGNAGE CONT. NO. PKRC722 Page 6 of? City Attorney Approved 1/25/2019 Tracking#: FEE SCHEDULE ITEM UNIT QTY DESCRIPTION PRICE NO. 1 $56.00 55 Sign Fabrication $3,080.00 • 24 x 28 Trail Wayfinding Signs • 0.063 Aluminum HIP 1160A Overlay • White/Blue/Orange/Green • 27 Right Arrow • 25 Left Arrow • 3 Straight Arrow 2 $395.00 14 Roadside Sign (Metal Post) $5,530.00 3 $200.00 30 Sign Installation (Strap and Saddle Bracket Method) $6,000.00 TOTAL* $14,610.00 Agreement amount shall not exceed $14,610.00 TRAIL WAYFINDING SIGNAGE CONT. NO. PKRC722 Page 7 of7 City Attorney Approved 1/25/2019 ·I .4 I ,- 53 I 12- 51 I I I I ·-r---t 1 ' I ! I ' t ©·------·--·+· " :::::::..--~- EXHIBITC __ I_ Wayfinding Signage Sign ID WS-40 WS-41 WS-42 WS-43 Ws-44 WS-45 WS-45.1 WS-46 WS47 WS-48 WS-49 WS-50 WS-51 WS-52 WS-53 WS-54 WS-55 WS-56 WS-57 WS-59 WS-60.1 WS-60.2 WS-61 WS-62 WS-63 W5-64 W5-65 W5-66 WS-67 WS-70 WS-70.1 WS-70.2 WS-70.4 WS-71 WS-72 WS-73 WS-74 WS-75 WS-75.1 WS-75.2 WS-75.4 WS-75.6 WS-79 WS-81 Right Directional Left Directional EXHIBITD *All signs must be installed on the public right of way Straight Directional Pole needed/Type Notes No No Yes Yes No No No Yes No No No Yes No Yes No No No No Yes Yes No Yes No Yes No No No No No No No No Yes No Yes No Yes No No No No No No No Attach on existing streetlight pole don't obstruct no parking sign Attach on existing streetlight pole Needs a pole before left hand tum Needs a pole before right hand turn Attach on existing streetlight pole Attach on existing streetlight pole Attach on Right lane Must Tum Right Pole on bottom leave 7' clearance Needs new pole Attach on existing streetlight pole Attach on existing streetlight pole Attach on existing streetlight pole New pole needed Attach on existing streetlight pole Needs new pole Attach on exi~ting streetlight pole Attach on existing streetlight pole Attach on existing streetlight pole Attach on existing streetlight pole New pole needed New pole needed Extend post put above No Parking Sign Attach on new pole at comer of fence approximately 701 frm Stop Sign Attach on existing streetlight pole and remove no parking sign Needs a new pole before right hand turn Attach on existing The Crossings Golf Course sign (heading east} Attach on existing The Crossings Golf Course sign (heading west} Attach on existing No Parking Bike Lane Sign pole extend pole and put above Attach on existing streetlight pole put above traffic signal sign Attach on existing streetlight pole above mph sign Attach on No Parking Bike Lane Sign extend pole and put above Attach on streetlight pole above no parking sign Attach on streetlight pole above mph sign Needs new pole Attach on existing streetlight pole New pole needed near bushes Attach on streetlight pole above no parking sign Attach on new pole needed Attach on streetlight pole with no signs on it Attach on streetlight pole Attach on streetlight pole above 55 mph sign Attach on streetli11ht pole Attach on streetlight pole Attach on streetlight pole after school zone warning sign Attach on streetlight pole above Leo Carrillo Ranch Sign Location at Cross St. SW comer of carlsbad VIiiage Dr. and State St. NW comer of cansbad Village Dr. and Roosevelt St. SW comer of earls bad Village Dr. and Monroe St. NE comer of Carlsbad Village Dr. and Monroe St. NW comer of El camlno Real and Marron Rd SE corner of El camino Real and Marron Rd. NW comer of Marron Rd. amd Jefferson St. NE comer of Marron Rd. and Monroe St. SW comer of Marron Rd. and Monroe St. SW comer of Marron Rd. and Monroe St. NE comer of Monroe St. and Wickham Way SW comer of carlsbad Village Dr. and College Blvd NE comer of College Blvd and Tamarack North SE comer of College Blvd and Tamarack South NW comer of College Blvd and Tamarack North NW comer of College Blvd and Tamarack South NW comer of El camino Real and Kelly Dr. SE corner El camino Real and Kelly Dr. NW comer Kelly Dr. and Park Dr. (next to tennis courts) SW corner of Kelly Dr. and Pari< Dr. NE corner of Tamarack Ave. and Garfield SW corner of Tamarack Ave and Garfield NW corner of cannon and Faraday Ave. SE comer of cannon and Faraday Ave. SW comer of Palomar and Hidden Valley Rd NE comer of Palomar and The Crossings Dr. SW comer of Faraday and El Fuerte St. NE corner of Faraday and El Fuerte St. SW comer of Faraday and El Fuerte St. SE corner of Avenida Encinas and Windrose NW corner of Wlndrose and Navigator Circle SE corner of Windrose and Navigator SE comer of Wind rose and Navigator NW corner of Avenlda Encinas and Wind rose NE comer of Poinsettia Lane and Avenlda Encinas NW corner of El Camino arld Calle Barcelona SE corner of El camino and calle Barcelona SE corner of Rancho Santa Fe and camino Junipero NW comer of Rancho Santa Fe and Paseo Lupino SE corner of Rancho Santa Fe and camino Lupino SE Corner of Rancho Santa Fe and camino Junipero NW comer of Rancho Santa Fe Rd and Camino Junipero SE comer of Melrose Dr. and Poinsettia NW corner of Melrose Dr. and Leo carrillo .. N 2' 24''x28" 287 CP 370 CP 1495 CP .5" Corner radius 1 Trails Wayfinding Signs v7 7-2018 2' 24"x28" 287 CP 370 CP 1495 CP .5" Corner radius 2 Trails Wayfind_ing Signs v7 7-2018 .. N 2' 24"x28" 287 CP 370 CP 1495 CP .5" Corner radius 3 Trails Wayfinding Signs v7 7-2018 ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/00/YYYY) ~ 817/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ~2:I~cT John Kilgarriff/Meghan Sokolowski The Graham Company r.~)?N,t ~-••· 215-701-5325 I FAX The Graham Building (A/C Nol: 215-569-3025 1 Penn Square West lt1o~~ss: Kilqarriff Unit®arahamco.com Philadelphia PA 19102-INSURER(S) AFFORDING COVERAGE NAIC# INSURER A : Starr Indemnity & Liability Company ~-38318 INSURED TRAFSOL--01 INSURER B: American Guarantee & Liabilitv Ins. Co. 26247 Statewide Traffic Safety and Signs, Inc. INSURER c : Zurich-American Insurance Company 16535 522 Lindon Lane Nipomo, CA 93444 INSURER o : Navigators Specialty Insurance Company 36056 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER· 1645676447 REVISION NUMBER· THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICYEFF POLICY EXP LIMITS LTR TYPE OF INSURANCE loucn ,..,,,,, POLICY NUMBER IMM/00/YYYYI IMM/00/YYYY) A X COMMERCIAL GENERAL LIABILITY y y 1000025627191 8/11/2019 8/11/2020 EACH OCCURRENCE $1,000,000 1---0 CLAIMS-MADE 0 OCCUR uAMAut: I u KENTED I--PREMISES (Ea occurrence) $100,000 I--MED EXP (Any one person) $5,000 1---PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 R POLICY 0 ~~ □LOC PRODUCTS • COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY y y 1000198589191 8/11/2019 8/11/2020 COMBINED SINGLE LIMIT $2,000,000 !Ea accidentl -X ANY AUTO BODILY INJURY (Per person) $ -OWNED -SCHEDULED BODIL y INJURY (Per accident) $ >--AUTOS ONLY I--AUTOS X HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY /Per accidentl -I-- $ B UMBRELLA LIAB M OCCUR y y AUC685608701 8/11/2019 8/11/2020 EACH OCCURRENCE $10,000,000 >--X EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 ./ OED I I RETENTION$ $ A WORKERS COMPENSATION y 1000003810 8/11/2019 8/11/2020 X I ~-\%uTE I I OTH-ER A AND EMPLOYERS' LIABILITY Y/N 1000003811 -AZ 8/11/2019 8/11/2020 ANYPROPRIETOR/PARTNER/EXECUTIVE ~ N/A E.l. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE · EA EMPLOYEE $1,000,000 ~~it~~tfio~ o1~PERATIONS below E.L. DISEASE· POLICY LIMIT $1,000,000 C Property~nstallation Floater CPP557177907 8/11/2019 8/11/2020 Per 0cc Installation $500,000 D Contractors Pollution NY19ECPX00086NC 8/11/2019 8/11/2020 Pollution Limits See Below ./ DESCRIPTION QF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if moro space is required) Project#/ Reference: . Contractors Pollution -Per Occurrence: $1 ,000,000 I $2,000,000 Agwegate -Deductible: $10,000 per occurrence Certificate holder is an additional insured on the above General Liabi ity, Auto Liability and Umbrella Liability Policies if required by written contract. Coverage provided to the additional insureds shall apply on a Primary / Non-Contributory Basis on the above General Liability, Auto Liability and Umbrella policies if required by written contract. Prior to loss, and if required by written contract, Waiver of Subrogation is provided on General Liability, Auto Liability, Umbrella Liability and Workers Compensation Policies for work performed under contract if permissible by state law. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Carlsbad 1635 Faraday Avenue AUTHORIZED REPRESENTATIVE Carlsbad, CA 92008-7314 ~1~ I © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD • Starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 Additional Insured -Where Required Under Written Contract or Written Agreement Endorsement Policy Number: 1000198589191 Effective Date: 8/11/2019 at 12:01 AM. Named Insured: Statewide Traffic Safety & Signs, Inc. This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the declarations page. Please read the endorsement and respective policy(ies) carefully. Business Auto Coverage Form THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. It is hereby agreed that SECTION II -COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, is amended to include the following: d. Any person or organization whom you become obligated to include as an additional insured under this policy, as a result of any written contract or written agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said written contract or written agreement. All other terms and conditions of this Policy remain unchanged. Signed for STARR INDEMNITY & LIABILITY COMPANY .\~ SICA 1016 (04/14) Page I of I Copyright© Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. POLICY NUMBER: 1000198589191 COMMERCIAL AUTO CA20011013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR -ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Statewide Traffic Safety and Signs, Inc. Endorsement Effective Date: 8/11/2019 SCHEDULE Insurance Company: Starr Indemnity & Liability Co. Inc. Policy Number: 1000198589191 I Effective Date: Expiration Date: 8/11/2020 Named Insured: Statewide Traffic Safety and Signs, Inc. Address: 522 Lindon Lane, Nipomo CA 93444 Additional Insured (Lessor): Where required by written contract Address: Where required by written contract 8/11/2019 Designation Or Description Of "Leased Autos": Where required by written contract CA 20011013 © Insurance Services Office, Inc., 2011 Page 1 of 2 Coverages Limit Of Insurance Covered Autos Liability $ 2,000,000 Each "Accident" Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Comprehensive $ See SICA 1047 Deductible For Each Covered "Leased Auto" Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Collision $ See SICA 1047 Deductible For Each Covered "Leased Auto" Specified Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Causes Of Loss $ Deductible For Each Covered "Leased Auto" Information reauired to comolete this Schedule, if not shown above, will be shown in the Declarations. A. Coverage 1. Any "leased auto" designated or described in the Schedule will be considered a covered "auto" you own and not a covered "auto" you hire or borrow. 2. For a "leased auto" designated or described in the Schedule, the Who Is An Insured provision under Covered Autos Liability Coverage is changed to include as an "insured" the lessor named in the Schedule. However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: a. You; b. Any of your "employees" or agents; or c. Any person, except the lessor or any "employee" or agent of the lessor, operating a "leased auto" with the permission of any of the above. 3. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takes possession of the "leased auto", whichever occurs first. B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto". 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation 1. If we cancel the policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition. 2. If you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement. D. The lessor is not liable for payment of your premiums. E. Additional Definition As used in this endorsement: "Leased auto" means an "auto" leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. Page 2 of 2 © Insurance Services Office, Inc., 2011 CA20011013 • Starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 Primary and Non-Contributory Amendatory Endorsement Policy Number: 1000198589191 Effective Date: 8/11/2019 at 12:01 A.M. Named Insured: Statewide Traffic Safety & Signs, Inc. This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully. MOTOR CARRIER COVERAGE FORM It is hereby agreed that SECTION V -MOTOR CARRIER CONDITIONS, B. General Conditions, 5. Other Insurance -Primary and Excess Insurance Provisions is deleted in its entirety and replaced by the following: 5. Other Insurance -Primary And Excess Insurance Provisions a. While any covered "auto" is hired or borrowed from you by another "motor carrier", this Coverage Form's Covered Autos Liability Coverage is: (1) Primary and noncontributory if a written agreement between you as the lessor and the other "motor carrier" as the lessee requires you to hold the lessee harmless. (2) Excess over any other collectible insurance if a written agreement between you as the lessor and the other "motor carrier" as the lessee does not require you to hold the lessee harmless. b. While any covered "auto" is hired or borrowed by you from another "motor carrier", this Coverage Form's Covered Autos Liability Coverage is: (1) Primary and noncontributory if a written agreement between the other "motor carrier" as the lessor and you as the lessee does not require the lessor to hold you harmless, and then only while the covered "auto" is used exclusively in your business as a "motor carrier" for hire. (2) Excess over any other collectible insurance if a written agreement between the other "motor carrier" as the lessor and you as the lessee requires the lessor to hold you harmless. c. While a covered "auto" which is a "trailer" is connected to a power unit, this Coverage Form's Covered Autos Liability Coverage is: (1) Provided on the same basis, either primary or excess, as the Covered Autos Liability Coverage provided for the power unit if the power unit is a covered "auto". (2) Excess if the power unit is not a covered "auto". d. Any Trailer Interchange Coverage provided by this Coverage Form is primary for any covered "auto". e. Except as provided in Paragraphs a., b., c. and d. above, this Coverage Form provides primary insurance for any covered "auto" you own and excess insurance for any covered "auto" you don't own. SICA 1037 (11/15) Page 1 of 2 Copyright © Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. f. For Hired Auto Physical Damage Coverage, any covered "auto" you lease, hire, rent or borrow is deemed to be a covered "auto" you own. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". g. Regardless of the provisions of Paragraphs a., b., c., d. and e. above, this Coverage Form's Covered Autos Liability Coverage is primary and noncontributory for any liability assumed under an "insured contract". h. When this Coverage Form and any other Coverage Form or policy covers on the same basis, either excess or primary, we will pay only our share. Our share is the proportion that the Limit of Insurance of our Coverage Form bears to the total of the limits of all the Coverage Forms and policies covering on the same basis. All other terms and conditions of this Policy remain unchanged. SICA 1037 (11/15) Page 2 of 2 Copyright© Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. POLICY NUMBER: 1000198589191 COMMERCIAL AUTO CA 04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Statewide Traffic Safety and Signs, Inc. Endorsement Effective Date: 8/11/2019 SCHEDULE Name(s) Of Person(s) Or Organization(s): Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA04 4410 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 • Starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 Amendment of Limits of Insurance (Per Project, Per Location or Per Project and Per Location Limit) Policy Number: 1000025627191 Effective Date: 8/11/2019 at 12:01 A.M. Namedlnsured:statewide Traffic Safety and Signs, Inc. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM It is hereby agreed as follows: I. The Limits of Insurance shown in the Declarations are deleted in their entirety and replaced by the following: 1. Your policy includes either i) a Per Project Limit, ii) a Per Location Limit or iii) a Per Project and Per Location Limit. Please select only one of the following: [ X] Per Project Limit [ ] Per Location Limit [ ) Per Project and Per Location Limit THIS ENDORSEMENT IS VOID IF: NONE OF THE BOXES LISTED ABOVE ARE CHECKED; OR $2,000,000 $ $ MORE THAN ONE OF THE BOXES LISTED ABOVE ARE CHECKED; OR ONLY ONE OF THE BOXES LISTED ABOVE IS CHECKED BUT IS UNACCOMPANIED BY AN ASSOCIATED DOLLAR AMOUNT. Copyright© C. V. Starr & Company and Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. Manuscript Page I of 4 2. General Aggregate Limit Each Occurrence Limit Products-Completed Operations Aggregate Limit Personal & Advertising Injury Limit Damage to Premises Rented to You Medical Expense Limit $ 20,000,000 $ 1,000,000 $ 2,000,000 $ 1,000,000 $ 100,000 $ 5,000 11. SECTION Ill -LIMITS OF INSURANCE is deleted in its entirety and replaced by the following: 1. The Limits of Insurance and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 2. The General Aggregate Limit is the most we will pay under Coverages A, B, and C combined for the sum of: a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the products-completed operations hazard"; and c. Damages under Coverage B. regardless of the number of projects or "locations." 3. The Products-Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of "bodily injury" and "property damage" included in the "products-completed operations hazard". 4. Subject to Paragraph 2 above, the Personal and Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all "personal and advertising injury" sustained by any one person or organization. 5. Subject to Paragraph 2 or 3 above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of: a. Damages under Coverage A; and b. Medical expenses under Coverage C because of all "bodily injury" and "property damage" arising out of any one "occurrence". 6. Subject to Paragraph 5 above, the Damage to Premises Rented to You Limit is the most Manuscript Page 2 of 4 Copyright© C. V. Starr & Company and Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. 7. Subject to Paragraph 5 above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person. 8. Subject to Paragraphs 2, 4, 5, 6, and 7 above, the Per Project Limit is the most we will pay under Coverages A, B, and C combined for the sum of: a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the products-completed operations hazard"; and c. Damages under Coverage B. arising out of any single Project. 9. Subject to Paragraphs 2, 4, 5, 6, and 7 above, the Per Location Limit is the most we will pay under Coverages A, B, and C combined for the sum of: a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the products-completed operations hazard"; and c. Damages under Coverage B. arising out of any single "location." 10. Subject to Paragraphs 2, 4, 5, 6, and 7 above, the Per Project and Per Location Limit is the most we will pay under Coverages A, B, and C combined for the sum of: a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the products-completed operations hazard"; and c. Damages under Coverage B. arising out of any single Project or "location," as applicable. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. Ill. SECTION V-DEFINITIONS is amended to include the following: "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway, or right-of-way railroad. Manuscript Page 3 of 4 Copyright© C. V. Starr & Company and Starr lndemnit)· & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. All other terms and conditions of this policy remain the same. Signed for STARR INDEMNITY & LIABILITY COMPANY Steve Blakey, President Nehemiah E. Ginsburg, General Counsel Copyright© C. V. Starr & Company and Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material ofISO Properties, Inc., used with its permission. Manuscript Page 4 of 4 (/!'1:ti Starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY Omnibus Additional Insured -Owners, Lessees or Contractors -Scheduled Person or Organization Endorsement Policy Number: 1000025627191 Effective Date: 8/11/2019at 12:01 AM Named Insured: Statewide Traffic Safety & Signs, Inc. This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully. COMMERCIAL GENERAL LIABILITY COVERAGE PART It is hereby agreed as follows: 1. The following applies to construction contracts requiring: a. ISO Additional Insured endorsement CG 20 10 10 01; or b. ISO Additional Insured -Owners, Lessees or Contractors-(Form B) endorsement CG 20 10 11 85 or its equivalent on the insurance policy: SCHEDULE Name of Person or Organization: Where required by written contract (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 OG 242 (07-17) 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 Page 1 of 4 Copyright© Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. {Ii Starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 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. 2. Subject to paragraph 1. above, the following applies to construction contracts requiring ISO Additional Insured endorsement CG 20 10 07 04 on the insurance policy: SCHEDULE Name Of Additional Insured Location(s) Of Covered Operations Person(s) Or Organization(s): Where required by written contract. Where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. OG 242 (07-17) B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been Page 2 of4 Copyright© Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. (~l Starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 put to its intended use by any person or organization other than another contractor or subcontractor engaged in perfonning operations for a principal as a part of the same project. 3. Subject to paragraphs 1. and 2. above, the following applies to all other construction contracts, including specifically those contracts requiring ISO Additional Insured endorsement CG 20 10 04 13 on the insurance policy: SCHEDULE Name Of Additional Insured Location(s) Of Covered Operations Person(s) Or Organization(s): Where required by written contract. Where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: OG 242 (07-17) 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: Page 3 of4 Copyright© Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. (ii starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in perfonning operations for a principal as a part of the same project. All other terms and conditions of this Policy remain unchanged. Signed for STARR INDEMNITY & LIABILITY COMPANY C. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill -Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Neheh11ah~nstiurd:eneaf1ounsel OG 242 (07-17) Page 4 of4 Copyright© Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. (~ Starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY Omnibus Additional Insured -Owners, Lessees or Contractors -Completed Operations Endorsement Policy Number: 1000025627191 Effective Date:8/11/2019 at 12:01 AM Named Insured: Statewide Traffic Safety & Signs, Inc. This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully. COMMERCIAL GENERAL LIABILITY COVERAGE PART It is hereby agreed as follows: 1. The following applies to construction contracts requiring: a. ISO Additional Insured endorsement CG 20 37 10 01; or b. ISO Additional Insured -Owners, Lessees or Contractors-(Form B) endorsement CG 20 10 11 85 or its equivalent on the insurance policy: SCHEDULE Name of Person or Organization: Where required by written contract Location and Description of Completed Operations: Any location where required by written contract Additional Premium: Included (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 insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products- completed operations hazard". OG 243 (07-17) Page 1 of 3 Copyright © Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of 150 Properties, Inc., used with its permission. r(:i!b·i <ffi} Starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 2. Subject to paragraph 1. above, the following applies to construction contracts requiring ISO Additional Insured endorsement CG 20 37 07 04 on the insurance policy: SCHEDULE Name Of Additional Insured Location And Description Of Completed Person(s) Or Organization(s): Operations Where required by written contract. Where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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". 3. Subject to paragraphs 1. and 2. above, the following applies to all other construction contracts, including specifically those contracts requiring ISO Additional Insured endorsement CG 20 37 04 13 on the insurance policy: SCHEDULE Name Of Additional Insured Location And Description Of Completed Person(s) Or Organization(s): Operations Where required by written contract. Where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the OG 243 (07-17) Page 2 of3 Copyright© Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. ~ (~~ Starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 I 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" 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 All other terms and conditions of this Policy remain unchanged. Signed for STARR INDEMNITY & LIABILITY COMPANY OG 243 (07-17) required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill -Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of tbe 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. Page 3 of 3 Copyright© Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. • Starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 Primary and Non-Contributory Condition Policy Number: 1000025627191 Effective Date:8/11/2019 at 12:01 AM Named Insured: Statewide Traffic Safety and Signs, Inc. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. SECTION IV -CONDITIONS, condition 4. Other Insurance is amended as follows: 1. The following is added to paragraph 4.a. of the Other Insurance condition: This insurance is primary insurance as respects our coverage to the additional insured, where the written contract or written agreement requires that this insurance be primary and non-contributory. In that event, we will not seek contribution from any other insurance policy available to the additional insured on which the additional insured is a Named Insured. 2. The following is added to paragraph 4.b. of the Other Insurance condition: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same "occurrence", claim or "suit". All other terms and conditions of this Policy remain unchanged. Signed for ST ARR INDEMNITY & LIABILITY COMPANY PC -115 (02/09) Page 1 of 1 Copyright© C. V. Starr & Company and Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. POLICY NUMBER: 1000025627191 COMMERCIAL GENERAL LIABILITY CG 24 0405 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 to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss. 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 24 0405 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 Policy #AUC685608701 American Guarantee & Liability Ins. Co. 2. Electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software, including systems and applications software, hard or floppy disks, CD-ROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. 3. Loss means those sums actually paid that the insured is legally obligated to pay as damages for the settlement or satisfaction of a claim because of injury or offense, after making proper deductions for all recoveries and salvage. However: a. Under Coverage A: (1) Loss also includes defense expenses and supplementary payments if underlying insurance includes defense expenses and supplementary payments in the Limits of Insurance; and (2) Loss does not include defense expenses and supplementary payments if underlying insurance does not include defense expenses and supplementary payments in the Limits of Insurance. b. Under Coverage B., loss does not include defense expenses and supplementary payments. 4. Other insurance means a policy of insurance providing coverage that this policy also provides. Other insurance includes any type of self-insurance or other mechanisms by which an insured arranges for funding of legal liabilities. Other insurance does not include underlying insurance or a policy of insurance specifically purchased to be excess of this policy providing coverage that this policy also provides. 5. Pollutants mean any man-made or naturally occurring solid, liquid, gaseous or thermal irritant or contaminant, including but not limited to: smoke; vapor; soot; fumes; acids; alkalis; chemicals and waste. Waste includes materials to be recycled, reconditioned or reclaimed. 6. Suit means a civil proceeding in which injuries or damages to which this insurance applies are alleged. Suit includes: a. An arbitration proceeding in which such damages are claimed and to which the insured must submit pursuant to law or contract or does submit with our consent; or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the insured submits with our consent. 7. Underlying insurance means the policy or policies of insu rance listed in the Schedule of Underlying Insurance forming a part of this policy. We will only be liable for amounts in excess of the Limits of Insurance shown in the Schedule of Underlying Insurance for any underlying insurance. B. The following definitions are applicable to Coverage A only: 1. Hostile fire means one which becomes uncontrollable or breaks out from where it was intended to be. 2. Insured means: a. You; b. Any person or organization included as an insured in underlying insurance; and c. Any person or organization qualifying as an additional insured in underlying insurance but only to the same extent that such person or organization is an additional insured under such underlying insurance. 3. Non-Admitted Jurisdiction means: a. Any country or political subdivision in which we are not licensed or permitted to insure risks and where doing so would violate the insurance laws and regulations of such jurisdiction; or b. Any country or political subdivision where we are prevented by law from investigating, defending or settling an occurrence or suit. 4. Occurrence means a covered event as defined in underlying insurance. 5. Qualified Entity means any entity, person or organization that is not an insured under this policy and would qualify as an insured under this policy, but for the fact that the entity is registered, domiciled or has ongoing operations in a non-admitted jurisdiction. 22 U-UMB-103-C CW (03/10) Page 10 of 19 Policy #AUC685608701 American Guarantee & Liability Ins. Co. c. The duties and requirements imposed upon any insured under this policy will not apply to any non-admitted jurisdiction. However, with respect to any claims made or suits brought in a non-admitted jurisdiction, it will be the duty of the first Named Insured to do or cause the applicable qualified entity to do such things as would be required of such qualified entity if Coverage A applied directly to such claim or suit, including: (1) Make such investigation, defense or settlement as we deem reasonable; (2) Obtain our approval for any payment; and (3) Effect approved payments to others, in accordance with the terms and conditions of this insurance. d. Under Coverage B, this policy does not apply to any liability, damage, loss, cost or expense arising out of any operations or activities of a qualified entity. e. We will promptly pay the first Named Insured at the mailing address listed in Item 2. of the Declarations the amount of damages covered under the terms of this policy. If the first Named Insured or any qualified entity recovers from any third party all or part of any amount that we have paid pursuant to this insurance, the first Named Insured will promptly reimburse the amount of any such recovery to us. 10. Legal Action Against Us There will be no right of action against us under this insurance unless: a. You have complied with all the terms of this policy; and b. The amount you owe has been determined by settlement with our consent or by actual trial and final judgment. This insurance does not give anyone the right to add us as a party in an action against you to determine your liability. 11. Maintenance of Underlying Insurance During the period of this policy, you agree: a. To keep the policies listed in the Schedule of Underlying Insurance in full force and effect; b. That the Limits of Insurance of the policies listed in the Schedule of Underlying Insurance will be maintained except for any reduction or exhaustion of limits by payment of claims or suits for damages covered by underlying insurance; c. The policies listed in the Schedule of Underlying Insurance may not be canceled or not renewed by you without notifying us, and you ag ree to notify us in the event an insurance company cancels or declines to renew any policy listed in the Schedule of Underlying Insurance; and d. Renewals or replacements of the policies listed in the Schedule of Underlying Insurance will not be materially changed without our agreement. If you fail to comply with these requirements, we will only be liable to the same extent that we would have been had you fully complied with these requirements. 12. Miscellaneous Unintentional Errors and Omissions Any unintentional error or omission in the description of, or failure to describe completely, any premises or operations intended to be covered by this policy, shall not invalidate or affect the coverage for those operations or premises. However, the insured must report such error or omission to the company as soon as practicable after its discovery. 13. Other Insurance If other insurance applies to damages that are also covered by this policy, this policy will apply excess of the other insurance. However, this provision will not apply: a. If the other insurance is written to be excess of this policy; or b. With respect to Coverage A only, if the named insured has agreed in a written contract to carry insurance to apply prior to and be non-contributory with that of another person or organization's insurance, but only as respects damages arising out of insured operations or work on behalf of the named insured performed under such written contract. The limits available to the other person or organization will be the lesser of the policy limits or the minimum limits required by such written contract. In that case, other insurance of that person or organization will apply as excess and not contribute prior to the insurance afforded by this policy. 29 U-UMB-103-C CW (03/10) Page 17 of 19 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be _____ of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss. Job Description Where required by contract This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 8/ 11/2019 Insured: Statewide Traffic Safety and Signs, Inc. Insurance Company: Starr Indemnity & Liability Co WC 0403 06 (Ed. 04-84) Policy No.: 1000003810 Premium: Endorsement No.: 121 Page 1 of 1