HomeMy WebLinkAboutSeaside Heating & Air Conditioning Inc; 2001-11-26;City of Carlsbad
MINOR PUBLIC WORKS PROJECT
REQUEST FOR BID
This is not an order.
Project Manager : Bob Richardson Date Issued: November 2.2001
(760) 434-2991 Request For Bid No. FAC 02-l 1
Mail To: CLOSING DATE: N/A
Public Works - Facilities
City of Carlsbad
405 Oak Avenue
Carlsbad, CA 92008
Please use typewriter or black ink.
Envelope MUST include Request For Bid
No. FAC 02-l 1.
DESCRIPTION
Labor, materials and equipment to: remove and replace corroded condenser coils for the 30 ton
Carrier unit at the Senior Center. The iob includes recovers of refrigerant, removal and disposal
of old coils. installation of 2 coils 27.5” x 102.25” with cooper tubinq and aluminum fins, new filter
driers, and recharae of refriaerant at the Carlsbad Senior Center located in the City of Carlsbad
for a sum not to exceed $6,958.00 as per proposal dated October 17, 2001.
No job walk-through scheduled. Contractors to arrange site visit by contacting.
Project Manager: Bob Richardson
Phone No. (760) 434-2994
Submission of bid implies knowledge of all job terms and conditions.
Contractor acknowledges receipt of Addendum No. 1 ( ), 2 ( ), 3 ( ), 4 ( ), 5 ( ).
SUBJECT TO ACCEPTANCE WITHIN (90) DAYS
Name and Address of Contractor Name and Title of Person Authorized to sign
Address
&wmf~, Pii? . %w$
City/State/Zip
lp~3593dO
Fax
-l-
/iPed/nt p! A/il car _ co
Seature ”
Name
CQQ.
Title
/‘/7/b 1
Date ’ I
5/l o/o0
ITEM NO. UNIT QTY DESCRIPTION
1 1 JOB
JOB QUOTATION
Remove and replace corroded condenser
coils for the 30 ton Carrier unit at the
Senior Center. The job includes recovery
of refrigerant, removal and disposal of old
coils, installation of 2 coils 27.5” x 102.25”
with copper tubing and aluminum fins,
new filter driers, and recharge of
refrigerant at the Carlsbad Senior Center
located in the City of Carlsbad for a sum
not to exceed $6,958.00 as per proposal
dated October 17,200l.
Quote Lump Sum, including all applicable taxes. Award is by total price.
TOTAL
PRICE
Not to exceed
$6,958.00
Evaluation and Award. Bids are binding subject to acceptance at any time within 90 days after
opening, unless otherwise stipulated by the City of Carlsbad. Award will be made by the
Purchasing Officer to the lowest, responsive, responsible contractor. The City reserves the right
to reject any or all bids and to accept or reject any item(s) therein or waive any informality in the
bid. In the event of a conflict between unit price and extended price, the unit price will prevail
unless price is so obviously unreasonable as to indicate an error. In that event, the bid will be
rejected as non-responsive for the reason of the inability to determine the intended bid. The City
reserves the right to conduct a pre-award inquiry to determine the contractor’s ability to perform,
including but not limited to facilities, financial responsibility, materials/supplies and past
performance. The determination of the City as to the Contractor’s ability to perform the contract
shall be conclusive.
SUBMITTED BY: . tmld+ A&a 4 /-nt q
Company/Business Name J
417, zne ^
Contractor’s License Number
Autt&zed S@i%ture * / P &bf/ ‘n4, &-0.
Printed Name and Title
/)/7/n,
Date’ /
2&. Classification(s)
C3f
‘Am 3
Expiration Date
TAX IDENTIFICATION NUMBER
(Corporations) Federal Tax I.D.#:
(Individuals) Social Security #:
9/ - rmm50
OR
-2- 511 o/o0
DESIGNATION OF SUBCONTRACTORS
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 work in excess of one-half of one
percent of the total bid, and the portion of the work which will be done by each sub-contractor for
each subcontract.
NOTE: The contractor understands that if he fails to specify a sub-contractor for any portion of
the work to be performed under the contract in excess of one-half of one percent of the
bid, the contractor shall be deemed to have agreed to perform such portion, and that the
contractor shall not be permitted to sublet or subcontract that portion of the work, except
in cases of the 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.”
PORTION OF WORK
TO BE
SUBCONTRACTED
SUBCONTRACTOR* I MBE
% of
Total
Contract
Business Name and Address
I
Total % Subcontracted:
* Indicate Minority Business Enterprise (MBE) of subcontractor.
-3- 511 o/o0
CITY OF CARLSBAD
MINOR PUBLIC WORKS CONTRACT
(Less than $25,000)
Labor:
I propose to employ only skilled workers and to abide by all State and City of Carlsbad
Ordinances governing labor, including paying the general prevailing rate of wages for each craft
or type of worker needed to execute the contract.
Guarantee:
I guarantee all labor and materials furnished and agree to complete work in accordance with
directions and subject to inspection approval and acceptance by: Bob Richardson. Proiect
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 in on file in the Office of the City Engineer. The
contractor to whom the contract is awarded 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.
False Claims
Contract 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 be subject to the contractor to
an administrative debarment proceeding wherein the contractor may be prevented from further
bidding on public contracts for a period of up to five years and that debarment by another
jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor or subcontractor from
participating in contract bidding.
Signature:
Print Name:
Commercial General Liability, Automobile Liability and Workers’ Compensation Insurance:
The successful contractor shall provide to the City of Carlsbad, a Certification of Commercial
General Liability and Property Damage Insurance and a Certificate of Workers’ Compensation
Insurance indicating coverage in a form approved by the California Insurance Commission. The
certificates shall indicate coverage during the period of the contract and must be furnished to the
City prior to the start of work. The minimum limits of liability Insurance are to be placed with
insurers that have: (1) a rating in the most recent Best’s Key Rating Guide of at least A-:V and (2)
are admitted and authorized to transact the business of insurance in the State of California by the
Insurance Commissioner.
Commercial General Liability Insurance of Injuries including accidental death, to any one person
in an amount not less than . . . . . . . . $500,000
Subject to the same limit for each person on account of one accident in an amount not less than
. . . . . . . $500,000
Property damage insurance in an amount of not less than.. . . . . ..$l 00,000
Automobile Liability Insurance in the amount of $100,000 combined single limit per accident for
bodily injury and property damage. In addition, the auto policy must cover any vehicle used in the
performance of the contract, used onsite or offsite, whether owned, non-owned or hired, and
whether scheduled or non-scheduled. The automobile insurance certificate must state the
coverage is for “any auto” and cannot be limited in any manner.
The above policies shall have non-cancellation clause 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 additional insured.
Indemnity:
The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and
hold harmless the City, and its officers and employees, from all claims, loss, damage, injury and
liability of every kind, nature and description, directly or indirectly arising from or in connection
with the performance of the Contract or work; or from any failure or alleged failure of Contractor to
comply with any applicable law, rules or regulations including those related to safety and health;
and from any and all claims, loss, damages, injury and liability, howsoever the same may be
caused, resulting directly or indirectly from the nature of the work covered by the Contract, except
for loss or damage caused by the sole or active negligence or willful misconduct of the City. The
expenses of defense include all costs and expenses including attorneys’ fees for litigation,
arbitration, or other dispute resolution method.
Jurisdiction:
The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution
of any disputes between the parties arising out of this agreement is San Diego County, California.
Start Work:
Completion:
I agree to start work within 14 working days after receipt of Notice to Proceed.
I agree to complete work within 30 working days after receipt of Notice to
Proceed.
-5- 5/l 0100
CONTRACTOR: CITY OF CARLSBAD a municipal
corporation of the State of California
/I- fbu? J/l
(%ign her&j-’
By:
-Xmm I* e
(print name and title)
By: e &----.
(sign here)
(address)
(telephone no.) cz-!h&r/YJ daw%wJ~~~
(print name and title)
4L)3@wmidF A/M A
(address)
(city/state/zip) ’
7&l - &/J -//dyl
(telephone no.)
7b@yb t/3- 13 30
(fax no.)
ovember 26, 2001
(Proper notarial acknowledgment of execution by Contractor must be attached.
Chairman, president or vice-president and secretary, assistant secretary, CFO or assistant
treasurer must sign for corporations. 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.)
APPROVE
P
AS TO FORM:
-6- 511 0100
State of California
n lo , ’ j&v >
ss. County of
On ///7/o/ , before me,
Date 1,
personally appeared 4 / f)3/??/‘9 C
(e.g., “Jane Doe, Notaj Pubk“)
personally known to me
0 proved to me on the basis of satisfactory
evidence
to be the person(s) whose name(s) is/are
subscribed to the within instrument and
acknowledged to me that he/she/they executed
the same in his/her/their authorized
capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or
the entity upon behalf of which the person(s)
acted, executed the instrument.
Place NOMY Seal Above
WITNESS my hand and official seal.
/kT$Am /4kA!&
Signature of Notary Publlc
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached D
Title or Type of Document:
Document Date: Number of Pages: 7
Signer(s) Other Than Named Above: ChhI,S !l3h&bu
Capacity(ies) Claimed by Signer
Signer’s Name: . l/-/y)/?91 ‘I!? JP6 f /-fl4
it
Individual
Corporate Officer - Title(s): c-65 -
Partner - 0 Limited 0 General
0 Attorney in Fact
q Trustee
0 Guardian or Conservator
0 Other:
Signer Is Representing: &Lhw?!~ f&o 4, s&!+ &a( a Ol
m-
aR!Emla Top of thumb here
0 1999 National Notary As50~1at1on - 9350 De Sato Ave., P.0 Box 2402 ~Chatswodh CA 91313-2402 * w.nationalnolary.org Prod. No. 5907 Reorder: Call Toll-Free I-800-876-6827
A Quotation Fmm 4035 Oceanside Blvd A-4
Oceanside, CA 92056
Lit. # 790514
Customer
City of Carlsbad
Job Location
Senior Center
799 Pine
Carlsbad. CA
Phone # 760-643-l 100
Fax # 760-643-1330
Work To Be Performed:
Replace corroded condenser coils in 30 ton Carrier unit for main building.
Price includes two copper tubes with aluminum fin coils 27.5” x 102.25”, new refrigerant
filter-driers, recovery of refrigerant, evacuation of system and charging with refrigerant.
Total Price: $6,958.00
1 %% per month will bc charged on overdue accounts.
All service rccluired by itclns furnished under this contract \vill hc provided only during normal working hours and is subject to our
standard printed service warrmt~~. R~PLACEMJ~N1‘ 01; FILTERS. FIJSES OR EMERGENCY SERVICE CALLS NOT DUE TO
111il;‘I’C’l~ IN WOKKMANSHJP OR MATl:RlAI,S W-11,1. HE 13JLJd:D AT NORMAL SERVICE RATES.
It is tmdcrstood that tins proposal sets tix-th our entire agrecnxnt. Any labor or ecpipnwnt in addition to that required bv this proposal
\\ill bc paid for I>! ! ON as an c\tra at our normal rate. All equipment remains the “personal” propert!; of Seaside Heat& and Air
Conditioning, Inc. until linal pa!nxznt is received. All warranties conunen~e upon date of equipment start-up. and are void in their
entirety in the event full payment is not received tbr the work pcrfornxd under this contract.
Customer agrees to pay reasonable legal and/or collection fees
PURCHASER’S ACCEPTANCE:
By: Date:
(Customer signature)
/Q - /7-d (ti orizeweaside Representative)
QUOTATION GOOD FOR 30 DAYS
Sent By: ; 6195039059; Ott-10-01 2:51PM; Page l/l
Ott 18, 2001
CITY OP CARLSBAD 1200 CARLYBAD VILLAGE DR CARLSBAD CA 92008
Re: # 51 CARLSBAD SENIOR CENTER 799 PINE ST. CARLSBAD CA 92008
Seven thousand four hundred sixty one and 25/100 dollars 7461.25
Work to be performed: Remove and replace corroded condenser coils for the Carrier 30 ton unit.
Job includes: Recovery of refrigerant,removal and disposal of old coils,Installation of 2 coils 27.5~~~102.25~~ with copper tubing and aluminum fins,new filter driers,recharge of refrigerant,all labor and tax.
WaLxanty: One year parts and thirty days labor.
Elel Wn(ltUa ROAD, @AN Darao, CA SZl20 ~elD*lula~7seb (# 818*883’WN* Q WWw.I*LAL*YS.fcrr 0 *a480 i 0
I#wl , t.ll* .A/ .* I, .Innh,i, ‘,‘ l r‘rlkwc. .uw lr~.lrJIcl ,\ , ,,,“,ICI. cT”m,>k. rxrtnph,. ~,n,a.fy~, #b/J vtlw,; I\. ,I\.ll.‘vll.ll): Pa Yl 8‘ I
.- STATE COMPENSATION
P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807
INSURANCE
FU N I=) CERTIFICATE
SEPTEMBER 20, 2001
r
CITY OF CARLSBAD 405 OAK AVE
CARLSlMD CA 92003
L
OF WORKERS’ COMPENSATlON INSURANCE
POLICY NUM3ER: 1608459
CERTfffCATE EXPiRES: 3-l-02
- 01
This is to certify that we have issued a valid Workers’ Compensation insurance policy in a form approved by the California
Insurance Commissioner to the employer named below for the policy period indicated.
30 This policy is not subject to cancellation by the Fund except upon&n days’ advance written notice to the employer.
We will also give you$$N days’ advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the
policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with
respect to which this certificate of insurance may be issued or may pertain, the insurancd ‘afforded by the policies
described herein is subject to all the terms, exclusions and conditions of such policies.
AUTHORIZED REPRESENTATIVE PRESIDENT
EMPLOYER’S LIABILTTY LIflIT INCLUDfW DEFENSE COSTS: 6i~OOO,OUO PER OCCURRENCE.
ENDORSEflENT #OOlS ENTITLED ADDITIONAL INSURED EPIPLOYER EFFECTIVE
09/19/01 IS ATTACHED TO AND FORPIS FI PART OF THIS POLICY.
NAtlE OF ADDITIONAL INSURED: CITY OF CARLSBAD
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS’ NOTICE EFFECTIVE
03/13/01 IS CITTKHED TO AND FURPIS A PART OF THIS POLICY.
EMPLOYER
r
SEASIDE HEATING & AIR CONDITIONING ING
4035 OCEClNSIDE BLVD #A4
OCEANSIDE CA 92056
CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS ISSUED FOR INFORMATION PURPOSES ONLY AND CONFERS NO R&HTS UPON-THE CERTlF&E HOLDER, THIS
CERTIFICATE OF LIABILITY INSURANCE DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED
7.-- -.--~~~--. --- -..---- -~- .--~ ~~~
1~: (MMIDDPP/YY) og/2 j/2001 1 INSURERS: __- . ..__ --- .- -----.--.---.---. -------4
7~0D~CER Marsh USA Inc.
Ior BRoKER’ 800 Market Street Suite 2600 IA: , USF&G
St. Louis, MO 63101
Phone: (314) 512-2415
INSURED:
’ Seaside Heating & Air &
1 Enterprise Rent-A-Car Company et al.
600 Corporate Park Drive
‘B:
-:c: -.
;D: ;
_..__ - .~-- . .._._.. -~~-.- .-.
/E: 1
- ~~--.-_._-.-- _... - _ ~~ . ._.._
L..p..L _..._______..... _.-__.---.__-- ..__ ~_. - _-i---.~=1~-~~~=.~1~~.~~...~~.~~~~~~~:-~: St. Louis MO 63105 :1--c:: .~.-=::I:. : -:. -:--z--:-1 I::: - ~.
THE INSURANCE POLICIES LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD LISTED,
j NOTWlTHSTANDlNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
I CERTIFICATE OF LIABILITY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES LISTED BELOW IS
SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGRATE LIMITS SHOWN MAY HAVE BEEN
i REDUCED BY PAID CLAIMS. ,_-- ..____. -~..--- .-..- _--__. -~-... .._ __-- .-----.--.--.- _.. .--.- - ___
COVERAGES:
j INSURER
\ LETTER
TYPE OF INSURANCE
I GENERAL LIABILITY
/ COMMERCtAL GENERAL LIABILITY
CLAIMS MADE
/ ;OCCURENCE j :
---_-- ._.___. - _.._...__ -.-..-.-.-_
; AUTOMOBILE LIABILITY
! c ANY AUTO
0 ALL OWNED AUTOS
jn j ‘71 SCHEDULED AUTOS
i-
I I
I
i
;====
ti HIRED AUTOS
-A NON-OWNED AUTOS
&$ **SEE BELOW- _._____-_ ~_ ._..... ----.-.--__ ----.
GARAGE LlABlLlTY
ANY AUTO
POLICY NUMBER
, .._-
1
T---- ~~. ..--_ ~_-. -
DRE 3331600
128237
.; . _- _ _..----- ..__ -_. _- ..-
EFFECTIVE DATE EXPIRATION DATE LIMITS
---- ---- -T -- T ---__-
-.
I
I
I
I /
i-
/ /
I
I
I I
+- I
/
I
----I--------
--.-- --.- .-.---..-._
/ Combined Single Limit: $1 ,ooo,ooo
9/19/o 1 I g/l g/02/ Bodily Injury per Person
/ I j Bodily Injury per Act.
Property Damage:
,...._ .---.--.-.-+ .-.. .-~ .~-. . .._.. .-.. -. ..-..
: EXCESS LIABILITY !
1 , UMBRELLA I
OTHER Than UMBRELLA Form I I
I 1
I.... i.- ---- - ..-- ..;- ~___ _._ _ _ 1 ..~~~ -.-I- . . - ..-.. --.- - . . .._..-.. -~ - -.- -. --- ------. __ _ __ _- ~....
’ WORKERS COMPENSATION AND ’
i i EMPLOYERS LIABILITY , 1 i i !
/._ : ..___.. ~. ..~_. _ _~ ______._._ _..._...._. -.-; ..._~ - _......... -.. -..- ..-. i-
, I ! I ~ r----.- ___ .- _..___ .~~ _.___ -.._-.-_--..-- ..__. --I--- --.. - _... _-.. .-- ._ .._.. :-. ..-...
I DESCRIPTION:
I I I -.- ._--- ---, ~~---. - .- ----- . .- --. -..--. ~--~ .- -.- -. -~ -.--
/
Policy provides protection for ANY AND ALL OPERATIONS performed by the named insured.
Blanket Additional insured provided on policy as required by written contract. “Any vehicle leased
from Enterprise Fleet Service where the contract includes auto insurance coverage. / I 1
VENDOR ID: 13061 GPBR: 3267 AUTHORIZED REPRESENTATIVE: ‘I _-. ___.._..... .__ ._.. _ - --. _ ___. . - .-.. - _..-. -.-. ---.- - -
HOLDER: CANCELLATION:
SHOULD ANY OF THE ABOVE POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Carlsbad
405 Oak Avenue
Carlsbad. CA 92008
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MA 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND I UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. i--..-_-.---- __ .-.l- ..__ -_ ___. .-.- .._ _~
8 Copyright MoonLil Enterprizes 1999, All Rights Resewed Farm#CV1a-6/111999
‘.a<- ..*_ y&-..~- \ ‘.ixI” jj*:. :: , ._,,. _.” . x; . . : __ ,_,_ _ i “/ ‘,, _,.
‘RODUCER
Jzit II?5i~z2((1C!e SE?rV i CE?fi
2356 Torb~ance Blvd.
T 0 I” r it rl c e y c a ~Q5Q1. COMPANIES AFFORDlNG COVERAGE
f:?&Ny A ., t,. :I 12 y. p i: +; / - . . . . . ,i i\j 3 +; t q f: i;- i 1. f) E i; (1
NSURED
Seaside Heating W Ciir
C 0 ri cl i t i 0 19 i n g
4035 Ocear?E;ide Blvd. #c14
Oceanside ccl 3 2 (! 5 6
COMPANY
LETTER 6
COMPANY LETTER C
i COMPANY LETTER D _
COMPANY LETTER E
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. ^ .~ ..__, I, _ __ ___ _, .., ^ , ._ _.- _. - ___ ,I.~~ I ..- _.~,,_” _I -. ,. ___ ,. , .,
Di TYPE OF INSURANCE POLICY NUMBER ‘POLICY EFFECTIVE bOLlCY EXPIRATION’ ‘R DATE (MMIDDIYY) DATE (MMIDDIYY) LIMITS
9 j GENERAL LIABILITY __~ ~370000674011 3iii3/#1 : 3/18/02 $,ECJERALAGGREOATE !$ 2Q9.DQQt.2
t x ~C~MMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. I , ..l ..,..., _....__ : $ 20 Q.Q.Q.Q.~ .,_ .,__, ____ .‘
;~,, ,_ ;, I_, ‘CLAIMS MADE $( OCCUR. t
!~WNERS a CONTRACTOR~~ PROT.‘
pERsoNAl 4,PDV~.,‘NJUSY “:$ _ 1 Q4.Q 0 u D
iEACH OCCURRENCE ! :. _ ,__ .., ,, _, .!.” .l.QQOO.I)B
‘FIRE DAMAGE (Any one fire) $ 2._ ,., .,,....... ,, .,“. .“_ .” ,, . 5 Q OQ 65..
MED. EXPENSE (Any one person); $ c (&
’ AUTOMOBILE LIABILITY ..^_ COMBINED SINGLE
ZANY AUTO : LIMIT 6
. .f
‘ALL OWNED AUTOS i””
. . . . . ..I BODILY INJURY
: SCHEDULED AUTOS : (Per person) ‘6
-^. : : .,_ ._^ ..,.., _ .._.. .,. _ _, _.. ,* ._ .^. .~_.
iHIRED AUTOS : ,, : BODILY INJURY
.NON-OWNED AUTOS : (Per accident) 6
; _ .__,. -i ;’ ___ ..“..
~GARAGE LIABILITY .I ,: : PROPERTY DAMAGE :$
t EXCESS LIABILITY EACHOCCURRENCE ,$ --. . __ _ _^ _._ ” ., . -
i iUMBRELLA FORM AGGREGATE 6 ,.I.. ) / ^i ,,,. ,,. ,, ._ . I ,, .., ., . ^ . “_.^ -. ,.I
,OTHER THAN UMBRELLA FORM : ” 2
WORKER’S COMPENSATION : :STATUTORY LIMITS 8 _ -. L-. I. . : .. . _“. ..,, . . . .,“..__.X,. 1 _ .., .L
‘EACH ACCIDENT AND is _., -, __ ,. I ^, .,,
; DISEASE-POLICY LIMIT $
EMPLOYERS’ LIABILITY i ‘. ._ _ ,....... ,I
DISEASE-EACH EMP;OYEE 0
._., ..,. _.
iSCRlPTlON OF OPERATlONS/LOCATlONSNEHlCLES/SPEClAL ITEMS
:ert ho.1 der is named add’i insured per attached endursement as t*cr;pects
tnqoinrr ooerations of the named insured.
Tity of Cavlsbad
Facilities Divicion
1 G 3 5 F: a I” it d it y
Carl fi bad a CR
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR l-0
MAIL ii& DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
AUTHORIZED RE
MLbdB) INSiZED: Seaside Heating & Air &ax!Y NcHFat: 370000674011 __.
THIS ENDCIRSEMENT CHANGES THE POLICY; .PLEAsE READ IT CAREFULLY
BLANKET ADDfTlONAL INSURED(S)
Tiw endorsement mPdifieS rnsunnce provided under tne .following:’
COMMERCIAL GENERAL LlA8lLlTY COVEfUGE PART
WHO IS AN INSURED (Section II) is amended IO inolude as an Insured any person or organization:
1. required to be named as an addltional insured in a written contract or agreement; and
7 w. approved by us as an additional insured. However, this amendment is subjec! to following;
1.
2.
3.
4.
5.
6.
7.
This insurance dnes not apply ta any person or organizatlon not specifically approved by us as an additional
insured;
Any insti’rance afforded an additianal insured unaer this q-tdorsement shall not beglh before 12:lZU A.M. on
the date that person Or Organlzation is appravad by us as an additional insured:
Regardless of the number of additional insureds. the Limits of Insurance under this insurance shall not be
increased;
Any coverage that is no! afforded under an additinnal insured’s liablllty insurance for your acts, errow and
omissions is also not afforded under thus insurance;
No coverage is provided under this insurance for liability betied WI the goods, pmducls, acfs, error5 or omissisns of an additional insured;
To the extem required under wrRten contract, this insurance will apply ID an additional insured as primary
insurance and other insurance which may be avallable to such additional insured snail apply on an excess
basis;
If required by a wrihen COntraCt, we waive OYI right to recovery against any additional insured because of
payments we make for Injury ar damage arising cul of:
a. Your ongoing operations, of b. “Your work” done under L contract with that add&anal insured and included in the “products-completed
operations hazard”.
.
ECC 20 SO2 01 00