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HomeMy WebLinkAboutS and B Engineering Inc; 2020-08-06; PWM21-1171TRANPWM21-1171TRAN Installation and Upgrade of Carlsbad Village Parking Signs Page 1 of 28 City Attorney Approved 1/25/2019 CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT INSTALLATION AND UPGRADE OF CARLSBAD VILLAGE PARKING SIGNS This agreement is made on the ______________ day of _________________________, 2020, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and S & B Engineering, Inc., a California corporation whose principal place of business is 12125 Lakeside Ave., Lakeside, CA 92040 (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 O'Brien (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. DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 6th August PWM21-1171TRAN Installation and Upgrade of Carlsbad Village Parking Signs Page 2 of 28 City Attorney Approved 1/25/2019 FALSE CLAIMS. Contractor hereby agrees that any contract claim submitted to the City must be asserted as part of the contract process as set forth in this agreement and not in anticipation of litigation or in conjunction with litigation. Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act, provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of the information. The provisions of Carlsbad Municipal Code sections 3.32.025, 3.32.026, 3.32.027 and 3.32.028 pertaining to false claims are incorporated herein by reference. Contractor hereby acknowledges that the filing of a false claim may subject the Contractor to an administrative debarment proceeding wherein the contractor may be prevented from further bidding on public contracts for a period of up to five years and that debarment by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor or subcontractor from participating in contract bidding. Signature: ___________________________________ Print Name: _______Joshua Wayne Bridwell_________ REQUIRED INSURANCE. The successful contractor shall provide to the City of Carlsbad, a Certification of Commercial General Liability and Property Damage Insurance and a Certificate of Workers’ Compensation Insurance indicating coverage in a form approved by the California Insurance Commission. The certificates shall indicate coverage during the period of the contract and must be furnished to the City prior to the start of work. The minimum limits of liability insurance are to be placed with California admitted insurers that have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of California’s List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best’s Key Rating Guide of at least “A:X”; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report. Commercial General Liability Insurance of Injuries including accidental death, to any one person in an amount not less than……..$1,000,000 Subject to the same limit for each person on account of one accident in an amount not less than ….…$1,000,000 Property damage insurance in an amount of not less than……..$1,000,000 Automobile Liability Insurance in the amount of $1,000,000 combined single limit per accident for bodily injury and property damage. In addition, the auto policy must cover any vehicle used in the performance of the contract, used onsite or offsite, whether owned, non-owned or hired, and whether scheduled or non- scheduled. The automobile insurance certificate must state the coverage is for “any auto” and cannot be limited in any manner. The above policies shall have non-cancellation clauses providing that thirty (30) days written notice shall be given to the City prior to such cancellation. The policies shall name the City of Carlsbad as an additional insured. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. WORKERS’ COMPENSATION AND EMPLOYER’S LIABILITY. Workers’ Compensation limits as required by the California Labor Code. Workers’ Compensation will not be required if Contractor has no employees and provides, to City’s satisfaction, a declaration stating this. BUSINESS LICENSE. The Contractor and all subcontractors are required to have and maintain a valid City of Carlsbad Business License for the duration of the contract. DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 PWM21-1171TRAN Installation and Upgrade of Carlsbad Village Parking Signs Page 3 of 28 City Attorney Approved 1/25/2019 INDEMNITY. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its officers and employees, from all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the performance of the Contract or work; or from any failure or alleged failure of Contractor to comply with any applicable law, rules or regulations including those related to safety and health; and from any and all claims, loss, damages, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by the Contract, except for loss or damage caused by the sole or active negligence or willful misconduct of the City. The expenses of defense include all costs and expenses including attorneys’ fees for litigation, arbitration, or other dispute resolution method. JURISDICTION. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this agreement is San Diego County, California. Start Work: Contractor agrees to start within five (5) working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within five (5) working days after receipt of Notice to Proceed. CONTRACTOR’S INFORMATION. S & B Engineering, Inc. PO Box 1400 (name of Contractor) 721885 (street address) Lakeside, CA 92040 (Contractor’s license number) Class A, C-13, C-27 6/30/2021 (city/state/zip) 619-922-8572 (license class. and exp. date) 1000005809 (telephone no.) 619-390-6569 (DIR registration number) 6/30/2023 (fax no.) jbridwell@sbgec.com (DIR registration exp. date) (e-mail address) /// /// /// /// /// /// /// DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 PWM21-1171TRAN Installation and Upgrade of Carlsbad Village Parking Signs Page 4 of 28 City Attorney Approved 1/25/2019 AUTHORITY. The individuals executing this Agreement and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Agreement. CONTRACTOR S & B ENGINEERING, INC., a California corporation CITY OF CARLSBAD, a municipal corporation of the State of California By: By: (sign here) Joshua Wayne Bridwell, President & Secretary Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager (print name/title) By: (sign here) (print name/title) If required by City, proper notarial acknowledgment of execution by Contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Group B Chairman, President, or Vice-President Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CELIA A. BREWER, City Attorney BY: _____________________________ Assistant City Attorney DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 PWM21-1171TRAN Installation and Upgrade of Carlsbad Village Parking Signs Page 5 of 28 City Attorney Approved 1/25/2019 EXHIBIT A LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR Set forth below is the full name and location of the place of business of each sub-contractor whom the Contractor proposes to subcontract portions of the Project in excess of one-half of one percent of the total bid, and the portion of the Project which will be done by each sub-contractor for each subcontract. NOTE: The Contractor understands that if it fails to specify a sub-contractor for any portion of the Project to be performed under the contract in excess of one-half of one percent of the bid, the contractor shall be deemed to have agreed to perform such portion, and that the Contractor shall not be permitted to sublet or subcontract that portion of the work, except in cases of public emergency or necessity, and then only after a finding, reduced in writing as a public record of the Awarding Authority, setting forth the facts constituting the emergency or necessity in accordance with the provisions of the Subletting and Subcontracting Fair Practices Act (Section 4100 et seq. of the California Public Contract Code). If no subcontractors are to be employed on the project, enter the word "NONE." SUBCONTRACTORS Portion of Project to be Subcontracted Business Name and Address DIR Registration No. License No., Classification & Expiration Date % of Total Contract NONE Total % Subcontracted: 0% The Contractor must perform no less than fifty percent (50%) of the work with its own forces. DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 PWM21-1171TRAN Installation and Upgrade of Carlsbad Village Parking Signs Page 6 of 28 City Attorney Approved 1/25/2019 EXHIBIT B Installation and Upgrade of Carlsbad Village Parking Signs Contractor shall provide all material (including, but not limited to: signs, posts “telespar,” break-aways, and mounting/posting materials), equipment, labor, traffic control (if needed), to complete the City of Carlsbad “Village” Work Order documents (TR#101284 - Exhibit C). Work includes, but not limited to, removal of signs and or repositioning as indicated, installing new contractor provided signs, consistent with CA-MUTCD, City of Carlsbad and San Diego Regional Standards (M-45), (e.g. reflectivity, sign height, mounting, and post install methods). Contractor will post “No Parking” with minimum 72-hour notification prior to work (if needed), follow appropriate “dig-alert” notifications requirements, and maintaining safe and clean work sites. JOB QUOTATION ITEM NO. UNIT QTY DESCRIPTION PRICE 1 LS 1 Parking Signs Install - Carlsbad Village, TR#101284 $16,945 TOTAL* $16,945 *Includes taxes, fees, expenses and all other costs. DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 EXHIBIT CDocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 DocuSign Envelope ID: DB9351A3-B34B-4FBF-87A7-E0D9621D8328 ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTRINSDWVD PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION$ PER OTH-STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 7/9/2020 License # 0C32169 (619) 937-0164 (619) 937-0168 25682 S & B Engineering Inc P.O. Box 1400 Lakeside, CA 92040 25674 10172 A 1,000,000 X X DT22-CO-9J512412-TCT-19 10/24/2019 10/24/2020 300,000 5,000 1,000,000 2,000,000 2,000,000 1,000,000A X X 810-6N710385-19-26-G 10/24/2019 10/24/2020 15,000,000B CUP-0K089484-19-26 10/24/2019 10/24/2020 15,000,000 B X UB-9J518809-19-26-G 10/24/2019 10/24/2020 1,000,000 1,000,000 1,000,000 C Pollution G46826516003 10/24/2019 Occurence 2,000,000 RE: AGREEMENT # PWM21-1171TRAN- MULTIPLE CARLSBAD VILLAGE PARKING SIGN INSTALL. THE CITY OF CARLSBAD IS INCLUDED AS ADDITIONAL INSURED PER FORM CG D2 46 04 19 ATTACHED. PRIMARY AND NON-CONTRIBUTORY WORDING APPLIES. AUTO ADDITIONAL INSURED APPLIES PER ENDORSEMENT ATTACHED. WAIVER OF SUBROGATION IN FAVOR OF CITY OF CARLSBAD. **30 day notice of cancellation except 10 days for non-pay CITY OF CARLSBAD/CMWD c/o EXIGIS INSURANCE COMPLIANCE SERVICES P.O. BOX 947 MURRIETA, CA 92564 S&BENGI-01 VPAINTER Rancho Mesa Insurance Services, Inc. 250 Riverview Parkway Santee, CA 92071 Travelers Indemnity Co of Ct. Travelers Property Casualty Co Westchester Surplus Lines Ins 1 X 10/24/2020 X X X X X X X X POLICY NUMBER DT22-CO-9J512412-TCT-19 DT22-CO-9J512412-TCT-19 EACH "PROJECT" FOR WHICH YOU HAVE AGREED, IN GENERAL AGGREGATE A WRITTEN CONTRACT WHICH IS IN EFFECT DURING LIMIT SHOWN ON THE THIS POLICY PERIOD, TO PROVIDE A SEPARATE DECLARATIONS. GENERAL AGGREGATE LIMIT; PROVIDED THAT, THE CONTRACT IS SIGNED AND EXECUTED BY YOU BEFORE THE "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURS. COMMERC GENERAL L ITYIALIABIL POLICY :NUMBER THIS ENDORSEMENT CHA OLICY. PLEASE READ I EFULLYNGES THE P T CAR DESIGNATED PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement i ies insurance pro ided under t folmod f v he lowing: COMMERC GENERAL L ITY VERA AIALIABIL CO GE P RT SCHEDULE Designated jectPro Designated Pro General Aggregate(s):ject(s): A.3.COVERAGE A.For al sums which the insured becomes legal Any payments made underlly obligated to pay as damages caused by "occur-for da or under formagesCOVERAGE C. rences" under , and med e shall reduce the DesiCOVERAGE A. (SECT IION )ical xpenses g- for al med e s caused by accidents un-nated Projec General Aggregate Lm forl ical xpense t i it der , which can be that designated "project". Such paymentsCOVERAGE C (SEC I I)TON attr only to operations at a single desig-shall not reduce the General Aggregate Limibutedit nated "project shown in the Schedule abo e:"vshown in the Declarat nor shall they re-ions duce any other Designated Pro Generalject1.A separate Designated Project General Ag-Aggregate Li it fo any other designatedmrgregate Li it app designated "pro-m lies to each "project" n in the dule abo e.show Sche vject" and that l m is equal to the amount of,iit the General Aggregate Li t shown in the The l m shown in the Declarations formii its4.Each Declarat unless separateions,Designated Occurrence, Damage T Premises Reonted Project General Ag T Yo and Me Expegregate(s)o u dical nseare sche continue tod- uled abo .ve apply.Howe instead o be subject tover, f ing the General Aggregate Li t shown in themi2.The Designated Project General Aggregate Declarat such li its will be subject to theions, mLi it is the most we will pay for the sum o almflapplicab Designated Project General Ag-ledamages under , exceptCOVERAGE A.gregate Li itm.damages because of "bodil in " or "prop-yjury erty damage inc in the "products- For al sums which the insured becomes legal" luded l lyB. comp operations hazard , and for med obligated to pay as damages caused by "occur-leted "i- cal expenses under , regar rences" under , andCOVERAGE C COVERAGE A. (SECT Id-ION ) less of the onumber f:for al med e s caused by accidents un-l ical xpense der , which cannotCOVERAGE C. (SEC ON I)TIa.Insureds;be attribu only to operations at a sing desitedle g-b.Clai made or "suits" brought; orms nated "project shown in the Schedule abo e:"v c.Persons or organizations m ing cla msak i or bringing "suits". CG D2 11 01 04 Copyright, Tra elers Inde ity mpany, 2004 Page 1 oThe v mn Co f 2 COMMERC GENERAL L ITYIAL IABIL 1. COVERAGE A.Any payments made under v ded, any pa ments for da because ofi y mages for da or under for "bodily injury or "property damage" inc inmages " ludedCOVERAGE C. med e shall reduce the amount the "products-comp o erat hazard" willical xpenses leted p ions a ilab under the General Aggregate Lim reduce the Products Comp Operat Ag-va le it - leted ions or the Products Completed Operat Ag- gregate Li t, and not reduce the General Aggre-- ions mi gregate Li it ver is applic bm , whiche a le; and gate Li it nor the Designated Pro Generalm ject Aggregate Li itm.2.Such payments shall not reduce any Desig- nated Projec General Aggregate Lm .tiitE. Defi i-For the purposes of this endorsement the n tio Sections n is amended by the addit of theionC. 2. SEC ION I LI T OFPart of T II MI S INSURANCE fo lowing def itl in ion:is deleted and rep folaced by the llowing: "Projec " means an area away fro pre isestmm2.The General Aggregate Li i is the most wemt owned by or rented to you at which you are per-will for o :pay the sum f for ing oper t pursuant to a contract orm a ionsa. Coverage BDamages under ; and agreement. For the purposes of deter ing themin b.Damages f m "occurrences" under applicab aggregate li t o insurance, eachro le mi f COVERAGE A (SECT I)ION and for al "project" that includes prem in l i thelisesvovng med e caused by accidents same or connecting lots, or prem whose con-ical xpenses ises under which nection is interrupted only by a street, roadway,COVERAGE C ( T I)SEC ION cannot be attr buted only to operat at waterway or right of way of a railroad shall bei ions - - considered a single "projec ".ta single designated "project" shown in the SCHEDULE abo e.v F. SEC ION I LIM T OFThe pro ons ofvisi TII IS D. INSURANCEW co erage for liabli arising out o the not otherwise modi ied by this en-hen v i ty f f dorsement shall to applycontinue as stipulated."products-comple operations hazard is pro-ted " Page 2 o Copyright, Tra elers Inde ity mpany, 2004f2 The v mn Co CG D2 11 01 04 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. H. HIRED AUTO PHYSICAL DAMAGE LOSS OFA. BROAD FORM NAMED INSURED USE INCREASED LIMITB. BLANKET ADDITIONAL INSURED I. PHYSICAL DAMAGE TRANSPORTATIONC. EMPLOYEE HIRED AUTO EXPENSES INCREASED LIMIT D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY E. SUPPLEMENTARY PAYMENTS INCREASED K. AIRBAGSLIMITSL. NOTICE AND KNOWLEDGE OF ACCIDENT ORF. HIRED AUTO LIMITED WORLDWIDE COV- LOSS ERAGE INDEMNITY BASIS M. BLANKET WAIVER OF SUBROGATION G. WAIVER OF DEDUCTIBLE GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS PROVISIONS this insurance applies and only to the extent thatA. BROAD FORM NAMED INSURED person or organization qualifies as an "insured"The following is added to Paragraph A.1.,Who Is under the Who Is An Insured provision containedAn Insured,ofSECTION II COVERED AUTOS in Section II.LIABILITY COVERAGE: C. EMPLOYEE HIRED AUTOAny organization you newly acquire or form dur-1.The following is added to Paragraph A.1.,ing the policy period over which you maintain Who Is An Insured,ofSECTION II COV-50% or more ownership interest and that is not ERED AUTOS LIABILITY COVERAGE:separately insured for Business Auto Coverage. An "employee" of yours is an "insured" whileCoverage under this provision is afforded only un-operating an "auto" hired or rented under atil the 180th day after you acquire or form the or-contract or agreement in an "employee's"ganization or the end of the policy period, which-name, with your permission, while performingever is earlier.duties related to the conduct of your busi-B. BLANKET ADDITIONAL INSURED ness. The following is added to Paragraph c.in A.1.,2.The following replaces Paragraph b.in B.5., Who Is An Insured,ofSECTION II COVERED Other Insurance,ofSECTION IV BUSI- NESS AUTO CONDITIONS:AUTOS LIABILITY COVERAGE: b.For Hired Auto Physical Damage Cover-Any person or organization who is required under age, the following are deemed to be cov-a written contract or agreement between you and ered "autos" you own:that person or organization, that is signed and (1)Any covered "auto" you lease, hire,executed by you before the "bodily injury" or rent or borrow; and"property damage" occurs and that is in effect during the policy period, to be named as an addi-(2)Any covered "auto" hired or rented bytional insured is an "insured" for Covered Autos your "employee"under a contract inLiability Coverage, but only for damages to which an "employee's" name, with your CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved.Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. Policy Number : 810-6N710385-19-26-G COMMERCIAL AUTO permission, while performing duties (a)With respect to any claim made or "suit" related to the conduct of your busi- brought outside the United States of America, the territories and possessionsness. of the United States of America, PuertoHowever, any "auto" that is leased, hired,Rico and Canada:rented or borrowed with a driver is not a covered "auto".(i)You must arrange to defend the "in- sured" against, and investigate or set-D. EMPLOYEES AS INSURED tle any such claim or "suit" and keepThe following is added to Paragraph A.1.,Who Is us advised of all proceedings and ac-An Insured,ofSECTION II COVERED AUTOS tions.LIABILITY COVERAGE:(ii)Neither you nor any other involvedAny "employee" of yours is an "insured" while us-"insured" will make any settlementing a covered "auto" you don't own, hire or borrow without our consent.in your business or your personal affairs.(iii)We may, at our discretion, participateE. SUPPLEMENTARY PAYMENTS INCREASED in defending the "insured" against, orLIMITSin the settlement of, any claim or 1.The following replaces Paragraph A.2.a.(2), "suit". of SECTION II COVERED AUTOS LIABIL-(iv)We will reimburse the "insured" forITY COVERAGE:sums that the "insured" legally must (2)Up to $3,000 for cost of bail bonds (in- pay as damages because of "bodily cluding bonds for related traffic law viola- injury" or "property damage" to which tions) required because of an "accident" this insurance applies, that the "in- we cover. We do not have to furnish sured" pays with our consent, but only up to the limit described in Para-these bonds. graph C., Limits Of Insurance, of2.The following replaces Paragraph A.2.a.(4),SECTION II COVERED AUTOSofSECTION II COVERED AUTOS LIABIL-LIABILITY COVERAGE.ITY COVERAGE: (v)We will reimburse the "insured" for(4)All reasonable expenses incurred by the the reasonable expenses incurred"insured" at our request, including actual with our consent for your investiga-loss of earnings up to $500 a day be-tion of such claims and your defensecause of time off from work.of the "insured" against any suchF. HIRED AUTO LIMITED WORLDWIDE COV-"suit", but only up to and includedERAGEINDEMNITY BASIS within the limit described in Para- The following replaces Subparagraph (5)in Para- graph C., Limits Of Insurance, of graph B.7.,Policy Period, Coverage Territory, SECTION II COVERED AUTOS of SECTION IV BUSINESS AUTO CONDI-LIABILITY COVERAGE, and not in addition to such limit. Our duty toTIONS: make such payments ends when we(5)Anywhere in the world, except any country or have used up the applicable limit ofjurisdiction while any trade sanction, em-insurance in payments for damages,bargo, or similar regulation imposed by the settlements or defense expenses.United States of America applies to and pro- hibits the transaction of business with or (b)This insurance is excess over any valid within such country or jurisdiction, for Cov- and collectible other insurance available ered Autos Liability Coverage for any covered to the "insured" whether primary, excess, contingent or on any other basis."auto" that you lease, hire, rent or borrow without a driver for a period of 30 days or less (c)This insurance is not a substitute for re-and that is not an "auto" you lease, hire, rent quired or compulsory insurance in anyor borrow from any of your "employees",country outside the United States, its ter-partners (if you are a partnership), members ritories and possessions, Puerto Rico and(if you are a limited liability company) or Canada.members of their households. Page 2 of 4 © 2015 The Travelers Indemnity Company. All rights reserved.CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO (2)In or on your covered "auto".You agree to maintain all required or compulsory insurance in any such coun-This coverage applies only in the event of a totaltry up to the minimum limits required by theft of your covered "auto".local law. Your failure to comply with No deductibles apply to this Personal Propertycompulsory insurance requirements will coverage.not invalidate the coverage afforded by K. AIRBAGSthis policy, but we will only be liable to the same extent we would have been liable The following is added to Paragraph B.3.,Exclu-had you complied with the compulsory in-sions,ofSECTION III PHYSICAL DAMAGE surance requirements.COVERAGE: Exclusion 3.a.does not apply to "loss" to one or(d)It is understood that we are not an admit- more airbags in a covered "auto" you own that in-ted or authorized insurer outside the flate due to a cause other than a cause of "loss"United States of America, its territories set forth in Paragraphs A.1.b.and A.1.c., butand possessions, Puerto Rico and Can-only:ada. We assume no responsibility for the furnishing of certificates of insurance, or a.If that "auto" is a covered "auto" for Compre-for compliance in any way with the laws hensive Coverage under this policy; of other countries relating to insurance.b.The airbags are not covered under any war- ranty; andG. WAIVER OF DEDUCTIBLE GLASS c.The airbags were not intentionally inflated.The following is added to Paragraph D.,Deducti- ble,ofSECTION III PHYSICAL DAMAGE We will pay up to a maximum of $1,000 for anyCOVERAGE:one "loss". No deductible for a covered "auto" will apply to L. NOTICE AND KNOWLEDGE OF ACCIDENT ORglass damage if the glass is repaired rather than LOSSreplaced.The following is added to Paragraph A.2.a.,ofH. HIRED AUTO PHYSICAL DAMAGE LOSS OF SECTION IV BUSINESS AUTO CONDITIONS: USE INCREASED LIMIT Your duty to give us or our authorized representa- tive prompt notice of the "accident" or "loss" ap-The following replaces the last sentence of Para-plies only when the "accident" or "loss" is knowngraphA.4.b.,Loss Of Use Expenses,ofSEC-to:TION III PHYSICAL DAMAGE COVERAGE: (a)You (if you are an individual);However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of (b)A partner (if you are a partnership);$750 for any one "accident".(c)A member (if you are a limited liability com-I. PHYSICAL DAMAGE TRANSPORTATION pany); EXPENSES INCREASED LIMIT (d)An executive officer, director or insurance manager (if you are a corporation or other or-The following replaces the first sentence in Para-ganization); orgraphA.4.a.,Transportation Expenses,of SECTION III PHYSICAL DAMAGE COVER-(e)Any "employee" authorized by you to give no-AGE:tice of the "accident" or "loss". We will pay up to $50 per day to a maximum of M. BLANKET WAIVER OF SUBROGATION$1,500 for temporary transportation expense in-The following replaces Paragraph A.5.,Transfercurred by you because of the total theft of a cov-Of Rights Of Recovery Against Others To Us,ered "auto" of the private passenger type.of SECTION IV BUSINESS AUTO CONDI- TIONS:J. PERSONAL PROPERTY 5. Transfer Of Rights Of Recovery AgainstThe following is added to Paragraph A.4.,Cover-Others To Usage Extensions,ofSECTION III PHYSICAL DAMAGE COVERAGE:We waive any right of recovery we may haveagainst any person or organization to the ex-Personal Property tent required of you by a written contractWe will pay up to $400 for "loss" to wearing ap-signed and executed prior to any "accident"parel and other personal property which is:or "loss", provided that the "accident" or "loss"arises out of operations contemplated by(1)Owned by an "insured"; and CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO such contract. The waiver applies only to the The unintentional omission of, or unintentionalperson or organization designated in such error in, any information given by you shall notcontract.prejudice your rights under this insurance. How- N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col- lect additional premium or exercise our right ofThe following is added to Paragraph B.2.,Con-cancellation or non-renewal.cealment, Misrepresentation, Or Fraud,ofSECTION IV BUSINESS AUTO CONDITIONS: Page 4 of 4 © 2015 The Travelers Indemnity Company. All rights reserved.CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc. with its permission. ONE TOWER SQUARE HARTFORD, CT 06183 001 02.000 ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 ( A) POLICYNUMBER:8%-9* WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description 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.) PolicyNo.8%-9*Endorsement No.EndorsementEffective9  Insured6 %(QJLQHHULQJ,QFPremium Insurance Company Countersigned by DATE OF ISSUE:ST ASSIGN:Page 1 of 1 5SBWFMFST1SPQFSUZ$BTVBMUZ $PNQBOZPG"NFSJDB