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Southern Contracting Company; 2020-05-11; PWM20-1011TRAN
RA ENGLESON City Clerk DOC# 2020-0492 1 49 1111111111111111111111111111111111111111 111111Pd 11111111 III Aug 27, 2020 01:48 PM OFFICIAL RECORDS Ernest J. Dronenburg, Jr., SAN DIEGO COUNTY RECORDER FEES: $0.00 (SB2 Atkins: $0.00) PAGES: 1 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 July 13, 2020. 6. The name of the contractor for such work or improvement is Southern Contracting Company. 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. PWM20-1011TRAN, Project Name: Induction Street Light Replacement with New-Old Stock LEDS. 8. The street addresses of said properties are at various locations, in the City of Carlsbad. CITY OF CARLSBAD c) Geoff Patnoe, Assistant City Manager VERIFICATION OF CITY CLERK I, the undersigned, say: I am the City Clerk of the City of Carlsbad, 1200 Carlsbad Village Drive, Carlsbad, California, 92008; the City Manager of said City on , 20 accepted the above described work as completed and ordered that a Nice of Completion be filed. RECORDED REQUESTED BY CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 I declare under penalty of perjury that the foregoing is true and correct. Executed on 4 - 20'-at Carlsbad, California. CITY OF CARLSBAD QAPublic Works\General Services\Agreements & Contracts\Southern Contracting Induction Street Light Replacement with New-Old Stock LEDS - PWM20- 1011TRAN \4. NOC12.NOC - Street Light LED Replacement at Various Locations - PWM20-1011TRAN.docx CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS Southern Contracting Company has completed the contract work required for PWM20-1011TRAN - Induction Street Light Replacement with New-Old Stock LEDS. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS VALUE Replace streetlight fixtures. $13,846 CERTIFICATION OF COMPLETION OF IMPROVEMENTS •-o• Tom Frank, Transportation Director 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. 1 -2_ (-z.„.) Geoff Patnoe, Assistant City Manager Date APPROVED AS TO FORM: CELIA BREWER, City Attorney By: A sistant City Attorney atPublic VUorkkaGeneral ServiceslAgreements & ContractstSouthem Contract ng‘Inciuction Street Light Replacement with New-Old Stock LEDS - PWM20-1011TRAN14. NOMAPI -Street Llght LED Replacement at Various Locations - FVVM20-1011TRANstocx PWM20-1011TRAN STREET LIGHT LED REPLACEMENT WITH NEW OLD STOCK LEDS Page 1 of 8 City Attorney Approved 1/25/2019 CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT INDUCTION STREET LIGHT REPLACEMENT WITH NEW-OLD STOCK LEDS This agreement is made on the ______________ day of _________________________, 2020, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and Southern Conctracting Co., a California corporation whose principal place of business is 559 Twin Oaks Valley Road, San Marcos, CA 92079 (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: 8DF00D76-1CEA-466F-A417-C57CA9C72168 11th May PWM20-1011TRAN STREET LIGHT LED REPLACEMENT WITH NEW OLD STOCK LEDS Page 2 of 8 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: _Philip E. Waterman__________________ 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: 8DF00D76-1CEA-466F-A417-C57CA9C72168 PWM20-1011TRAN STREET LIGHT LED REPLACEMENT WITH NEW OLD STOCK LEDS Page 3 of 8 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 twenty-five (25) working days after receipt of Notice to Proceed. CONTRACTOR’S INFORMATION. Southern Conctracting Co. 559 Twin Oaks Valley Road (name of Contractor) 222252 (street address) San Marcos, CA 92079 (Contractor’s license number) A,C-10 12/31/2020 (city/state/zip) 760-744-0760 (license class. and exp. date) 1000002172 (telephone no.) 760-744-6475 (DIR registration number) 6/30/2020 (fax no.) SLawton@southerncontracting.com (DIR registration exp. date) (e-mail address) /// /// /// /// /// /// /// DocuSign Envelope ID: 8DF00D76-1CEA-466F-A417-C57CA9C72168 PWM20-1011TRAN STREET LIGHT LED REPLACEMENT WITH NEW OLD STOCK LEDS Page 4 of 8 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 SOUTHERN CONCTRACTING CO., a California corporation CITY OF CARLSBAD, a municipal corporation of the State of California By: By: (sign here) Philip E. Waterman, President 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: 8DF00D76-1CEA-466F-A417-C57CA9C72168 PWM20-1011TRAN STREET LIGHT LED REPLACEMENT WITH NEW OLD STOCK LEDS Page 5 of 8 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 Traffic Control Cecilia’s Safety Service, Inc. 1000012757 787634, C31 & C61/D42, 11/30/2020 $1,350 Total % Subcontracted: _10%_ The Contractor must perform no less than fifty percent (50%) of the work with its own forces DocuSign Envelope ID: 8DF00D76-1CEA-466F-A417-C57CA9C72168 PWM20-1011TRAN STREET LIGHT LED REPLACEMENT WITH NEW OLD STOCK LEDS Page 6 of 8 City Attorney Approved 1/25/2019 EXHIBIT B INDUCTION STREET LIGHT REPLACEMENT WITH NEW-OLD STOCK LEDS JOB DESCRIPTION Contractor will remove existing street light fixturers (induction and LEDs less than 108W) and install City provided GE Evolve, 108W LED fixtures, at various locations in the City of Carlsbad, as indicated in Exhibit C. Contractor will receive supply of LED fixtures from the City’s facility located at 5815 El Camino Real and transport the lights to the individual street light locations. Contractor will cordinate on-going pick up of LED fixtues in advance with the Contract Administrator. All 108W LED light fixtures currently in operation may be left in place and the Contractor will exclude these locations from the scope. After each individual LED fixture is installed the Contractor will check power and fixture operation of the LED, (e.g. photocell cover test). Contrator will inform the Contract Administrator if any power issues are identified prior to initiating Time and Material (T&M) power troubleshooting. T&M troubleshooting work to include, but not limited to, contractor checking potential interruptions of power (e.g., fuses and photocells replacement). City will provide all photocells and or fuses if required. Contractor will recycle all old induction light fixtures and return all non-108W LEDs to the Contract Administrator. JOB QUOTATION ITEM NO. UNIT EST. QTY DESCRIPTION PRICE 1 $89/each 129 Replace Induction Street Light Fixture with 108 W LED $11,481 2 $203/each 5 Traffic Control Estimated Locations $1,015 3 $135/Hr 10 Time and Material Troubleshooting Cost (for traffic control if needed) $1,350 TOTAL* $13,846 *Includes taxes, fees, expenses and all other costs. DocuSign Envelope ID: 8DF00D76-1CEA-466F-A417-C57CA9C72168 Induction Street Light Replacementw with New-Old Stock LEDs Page 7 of 8 EXHIBIT C INDUCTION STREET LIGHT REPLACEMENT WITH NEW-OLD STOCK LEDS LOCATION LIST AND AREAL MAPS TARGET LIGHTS CIRCLED IN RED AERIAL MAP 1 AERIAL MAP 2 PALOMAR AIRPORT RD. El Camino Real Faraday Ave. Rutherford Ln. DocuSign Envelope ID: 8DF00D76-1CEA-466F-A417-C57CA9C72168 Induction Street Light Replacementw with New-Old Stock LEDs Page 8 of 8 EXHIBIT C INDUCTION STREET LIGHT REPLACEMENT WITH NEW-OLD STOCK LEDS LOCATION LIST AND AREAL MAPS STREET LOCATION LIST Street Name Description Street Light Count Camino Vida Roble South of Palomar Airport Rd. to east of El Camino Real 25 Corte Del Nogal North of Camino Vida Roble 7 Corte Del Abeto North of Camino Vida Roble 5 Las Palmas Dr. South of Camino Vida Roble (loop, two LEDs remain) 9 Yarrow Dr. North of Camino Vida Roble 7 Corte De La Pina East of Yarrow Dr. 2 Corte Del Cedro North of Corte De La Pina 5 Aerial Map 1 Street Light Total 60 Street Name Description Street Light Count Orion St. East of El Camino Real 3 Impala Dr. East of Palmer Way 6 Palmer Way North of Faraday Ave. 4 Cougar Dr. East of El Camino Real 1 Salk Ave. East of College Blvd. 7 Ferm Ct. North of Salk Ave. 2 Rutherford Rd. Full street from Priestly Dr. to beyond Faraday Ave. 19 Priestly Dr. South of Faraday Ave. 6 Fransworth Ct. Two lights in cul-de-sac 2 Balfour Ct. Only light in cul-de-sac 1 Grieger Ct. Only light in cul-de-sac 1 Landau Ct. Only light in cul-de-sac 1 Pascal Ct. Only light in cul-de-sac 1 La Place Ct. Only light in cul-de-sac 1 Aston Ave. West of Rutherford Rd. past College Blvd. 8 Pasteur Ct. Two lights in cul-de-sac 2 Darwin Ct. Two lights in cul-de-sac 2 Van Allen Wy Two lights in cul-de-sac 2 Aerial Map 2 Street Light Total 69 Grand Total 129 DocuSign Envelope ID: 8DF00D76-1CEA-466F-A417-C57CA9C72168 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION$ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 3/16/2020 SullivanCurtisMonroe Insurance Services (COR) 1920 Main Street Suite 600 Irvine, CA 92614 949-250-7172 949-852-9762 www.SullivanCurtisMonroe.com License # 0E83670 Hartford Fire Insurance Company 19682 Hartford Casualty Insurance Company 29424 Sentinel Insurance Company Ltd 11000 Travelers Property Casualty Co of Amer 25674 A 1,000,00072UEAPT057410/1/2019 10/1/2020 300,000 3 10,000 3 1,000,000 3 XCU Included 2,000,000 2,000,0003 A 72UEAPT0696 10/1/2019 10/1/2020 1,000,000 3 3 Comp Ded $1,000 Coll Ded $1,000 3 B 72RHAPT0617 10/1/2019 10/1/2020 5,000,00033 5,000,000 3 10,000 C 72WEAZR3341 10/1/2019 10/1/2020 3 1,000,000N 1,000,000 1,000,000 D Excess over Umbrella ZUP21N8044619NF 10/1/2019 10/1/2020 $5,000,000 Each Occurrence/Aggregate (Following Form) Tien Le Southern Contracting Company P.O. Box 445 San Marcos CA 92079 54618510 3 3 3 Additional Insured applies per attached policy forms to: The City of Carlsbad/CMWD Waivers of Subrogation apply per attached policy form. RE: Agreement #PWL20-1071FAC City of Carlsbad/CMWD c/o EXIGIS Insurance Compliance Services P.O. Box 947 Murrieta CA 92564 RE: Agreement #PWL20-1071FAC - 7176 Avenida Encinas Power Issue Primary & Non-Contributory wording is included. Notice of cancellation applies. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 1 of 36 This certificate cancels and supersedes ALL previously issued certificates. ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: Carrier: Hartford Fire Insurance Company (NAIC #19682) A.M. Best: A+, XV (Admitted) Policy #: 72UUMPT0797 Effective: 10/1/2019 to 10/1/2020 CONTRACTOR'S EQUIPMENT: Leased/Rented Equipment Limit - $2,000,000 (Max. $750,000 Per Item) Scheduled Equipment Limit - $2,081,360 Deductible - $1,000 All other perils Deductible - $5,000 for Theft Deductible - Greater of 2% or $5,000 for Cranes Deductible - 5 Day Wait Period for Rental Expense INSTALLATION: Maximum Limit - $2,500,000 Property in Transit Limit - $750,000 Property at Temporary Storage Limit - $750,000 Deductible - $2,500 ****************************************************************************** Carrier: Hartford Fire Insurance Company (NAIC #19682) A.M. Best Rating: A+, XV (Admitted) Policy #: 72MSPT1923 Effective: 10/1/2019 to 10/1/2020 BUILDERS RISK: Hard Costs Maximum Limit - $1,500,000 Soft Costs Maximum Limit - $150,000 Property at Temporary Storage - $100,000 Property in Transit - $100,000 Flood - $1,000,000 (Flood Zone X/C Only) Deductible – $2,500 Hard Costs Deductible – 72 Hour Wait Soft Costs Deductible – $25,000 Flood ***************************************************************************** A.M. BEST RATING: Hartford Fire Insurance Company: A+, XV (Admitted) Hartford Casualty Insurance Company: A+, XV (Admitted) Sentinel Insurance Company: A+, XV (Admitted) Travelers Property Casualty Company of America: A++, XV (Admitted) SOUTHCON1 SullivanCurtisMonroe Insurance Services (COR)Southern Contracting CompanyP.O. Box 445San Marcos CA 92079 25 Certificate of Liability (03/16) ATTACHMENT HOLDER: ADDRESS: City of Carlsbad/CMWD c/o EXIGIS Insurance Compliance Services P.O. Box 947 Murrieta CA 92564 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 2 of 36 This certificate cancels and supersedes ALL previously issued certificates. 3/16/2020Southern Contracting Company 72UEAPT0574 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 3 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 4 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 5 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 6 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 7 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 8 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 9 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 10 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 11 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 12 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 13 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 14 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 15 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 16 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 17 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 18 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 19 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 20 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 21 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 22 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 23 of 36 This certificate cancels and supersedes ALL previously issued certificates. 3/16/2020Southern Contracting Company 72UEAPT0574 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 24 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 25 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 26 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 27 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 28 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 29 of 36 This certificate cancels and supersedes ALL previously issued certificates. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 30 of 36 This certificate cancels and supersedes ALL previously issued certificates. CG 20 10 04 13 © ISO Properties, Inc., 2012 Page 1 of 2 POLICY NUMBER: Effective Date: COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations 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: 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: 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 performing operations for a principal as a part of the same project. Southern Contracting Company 72UEAPT0574 10/1/2019 3/16/2020 The City of Carlsbad/CMWD 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 31 of 36 This certificate cancels and supersedes ALL previously issued certificates. Page 2 of 2 © ISO Properties, Inc., 2012 CG 20 10 04 13 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 32 of 36 This certificate cancels and supersedes ALL previously issued certificates. POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. 3/16/2020Southern Contracting Company 72UEAPT0574 The City of Carlsbad/CMWD 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 33 of 36 This certificate cancels and supersedes ALL previously issued certificates. ABCDEFGHIJ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional If notice is mailed,proof of mailing to the last known Conditions:mailing address of the certificate holder(s)on file with A.If this policy is cancelled by the Company,other the agent of record or the Company will be sufficient than for nonpayment of premium,notice of such proof of notice. cancellation will be provided at least thirty (30) Any notification rights provided by this endorsement days in advance of the cancellation effective date apply only to active certificate holder(s)who were to the certificate holder(s)with mailing addresses issued a certificate of insurance applicable to this on file with the agent of record or the Company.policy's term. B.If this policy is cancelled by the Company for Failure to provide such notice to the certificate nonpayment of premium,or by the insured,notice holder(s)will not amend or extend the date the of such cancellation will be provided within (10) cancellation becomes effective,nor will it negate days of the cancellation effective date to the cancellation of the policy.Failure to send notice shall certificate holder(s)with mailing addresses on file impose no liability of any kind upon the Company or itswith the agent of record or the Company.agents or representatives. Form IH 03 13 06 11 Page 1 of 1 © 2011, The Hartford 3/16/2020Southern Contracting Company 72UEAPT0696 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 34 of 36 This certificate cancels and supersedes ALL previously issued certificates. PolicyNumber: EffectiveDate: EndorsementNumber: EffectivehouristhesameasstatedontheInformationPageofthepolicy. NamedInsuredandAddress: 2 ANYPERSONORORGANIZATION FROMWHOMYOUAREREQUIRED BYWRITTENCONTRACTOR AGREEMENTTOOBTAINTHIS WAIVEROFRIGHTSFROMUS. ASREQUIREDBYWRITTEN CONTRACT. ALLCALIFORNIALOCATIONS. THISENDORSEMENTCHANGESTHEPOLICY.PLEASEREADITCAREFULLY. Countersignedby AuthorizedRepresentative FormWC040306(1)PrintedinU.S.A. ProcessDate:PolicyExpirationDate: WAIVEROFOURRIGHTTORECOVERFROM OTHERSENDORSEMENT-CALIFORNIA Wehavetherighttorecoverourpaymentsfromanyoneliableforaninjurycoveredbythispolicy.Wewillnot enforceourrightagainstthepersonororganizationnamedintheSchedule.(Thisagreementappliesonlytothe extentthatyouperformworkunderawrittencontractthatrequiresyoutoobtainthisagreementfromus.) Youmustmaintainpayrollrecordsaccuratelysegregatingtheremunerationofyouremployeeswhileengagedin theworkdescribedintheSchedule. Theadditionalpremiumforthisendorsementshallbe%oftheCaliforniaworkers’compensation premiumotherwisedueonsuchremuneration. SCHEDULE PersonorOrganizationJobDescription 3/16/2020 72WEAZR3341 10/01/2019 10/01/2020 Southern Contracting CompanyP.O. Box 445San Marcos CA 92079 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 35 of 36 This certificate cancels and supersedes ALL previously issued certificates. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Form WC 99 03 94 Printed in U.S.A. Process Date: Policy Expiration Date: © 2011, The Hartford NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) Policy Number: Endorsement Number: Effective Date: Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: This policy is subject to the following additional Conditions: A. If this policy is cancelled by the Company, other than for non-payment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. B. If this policy is cancelled by the Company for non-payment of premium, or by the insured, notice of such cancellation will be provided within ten (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy’s term. Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. 3/16/2020 72WEAZR3341 10/1/2020 10/1/2019 Southern Contracting CompanyP.O. Box 445San Marcos CA 92079 54618510 | SOUTHCON1 | 2019 GL CAU UMC XS WCO IM | Tien Le | 3/16/2020 1:03:51 PM (PDT) | Page 36 of 36 This certificate cancels and supersedes ALL previously issued certificates.