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Home My WebLink AboutBear Electrical Solutions Inc; 2021-02-17; PWM21-1357TRANBARBARA ENGLESON City Clerk DocuSig. Envelope ID: 8E78105B-C2AF-48BE-B93E-74AB82AD55E6 RECORDED REQUESTED BY CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 DOC# 2021-0365764 11111111111111111111111 111111 11111 11111 11111 11111 JIll 11111111 1111 May 12, 2021 03:56 PM OFFICIAL RECORDS Ernest J. Dronenburg, Jr., SAN DIEGO COUNTY RECORDER FEES: $0.00 (SB2 Atkins: $0.00) PAGES 2 Space above this line for Recorder's use. PARCEL NO: 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 Feb. 20, 2021. 6.The name of the contractor for such work or improvement is Bear Electrical Solutions, Inc. 7.The property on which said work or improvement was completed is in the City of Carlsbad, County of San Diego, State of California, and is described as follows: Project No.7249, (PWM21-1357TRAN), Signal Repair at Palomar Airport Road and Yarrow Drive. 8.The street address of said property is at intersection of Palomar Airport Road and Yarrow Drive, 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 Assistant City Manager of said City on "/ , 20 (--)- 1, accepted the above described work as completed and ordered that a Notice ofCmpletion be filed. I declare under penalty of perjury that the foregoing is true and correct. Executed on , 2022, at Carlsbad, California. CITY OF CARLSBAD Q: \ Public Works\ PW Common100 PW Formally Approved Documents INIOCs and APIMBEAR ELECTRICAL SOLUTIONS \ NOC - PWM2-1357TRAN Bear Electrical Solutions.doc DocuSign Envelope ID: 8E781059-C2AF-4813E-B93E-74AB82AD55E6 cry OF CARLSBAD ACCEPTANCE OF PUBLiC HIRI'VZOVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS Bear Electrical Solutions, Inc. has completed the contract work required for Project No. 7249 (PVVM21-1357TRAN) Signal Repair at Palomar Airport Road and Yarrow Drive. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS VALUE City of Carlsbad Signal Repair at intersection of Palomar Airport $35,430.97 Road and Yarrow Drive CERTIFICATION OF COMPLETION OF IMPROVEMENTS 4/8/2021 Engineering Manager 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. Geoff Patnoe, Assistant City Manager Date APPROVED AS TO FORM: CELIA BREWER, City Attorney By: Assistant City—A---ft orney Q:\Public WorksVPW Common100_PW Formally Approved Documents\ NOCs and AP1s1BEAR ELECTRICAL SOLUTIONS1API - PWM21-1357TRAN Signal Repair at PAR and Yarrow Dr.doc PWM21-1357TRAN EMERGENCY TRAFFIC SIGNAL REPAIR Page 1 of 9 City Attorney Approved 1/20/2020 CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT EMERGENCY TRAFFIC SIGNAL REPAIR AT PALOMAR AIRPORT ROAD AND YARROW DR. This agreement is made on the ______________ day of _________________________, 20____, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and Bear Electrical Solutions, Inc., a California corporation whose principal place of business is 1341 Archer St, Alviso, CA 95002-0924 (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: Miriam Jim (City Project Manager) PAYMENT. The City shall withhold retention as required by Public Contract Code Section 9203. 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. DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 21 17th February DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 PWM21-1357TRAN EMERGENCY TRAFFIC SIGNAL REPAIR Page 3 of 9 City Attorney Approved 1/20/2020 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. 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 started work on October 1, 2020. Completion: Contractor completed work on October 2. 2020. CONTRACTOR’S INFORMATION. Bear Electrical Solutions, Inc. 1341 Archer St. (name of Contractor) 982079 (street address) Alviso, CA 95002-0924 (Contractor’s license number) A, C-10, C-31 3/31/21 (city/state/zip) 408-449-5147 (license class. and exp. date) 1000002158 (telephone no.) N/A (DIR registration number) 6/30/22 (fax no.) Robert@bear-electrical.com (DIR registration exp. date) (e-mail address) /// /// /// /// /// DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 PWM21-1357TRAN EMERGENCY TRAFFIC SIGNAL REPAIR Page 6 of 9 City Attorney Approved 1/20/2020 EXHIBIT B Emergency Traffic Signal Repair JOB QUOTATION ITEM NO. UNIT QTY DESCRIPTION PRICE 1 LS 1 WO#150666 Emergency Repair (Exhibit D) $9,111.24 2 LS 1 Material for the repair - cabinet along with new BBS external cabinet and units with batteries $25,625.00 3 EA 1 Bond 694.73 TOTAL* $35,430.97 *Includes taxes, fees, expenses and all other costs. DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 PWM21-1357TRAN EMERGENCY TRAFFIC SIGNAL REPAIR Page 9 of 9 City Attorney Approved 1/20/2020 EXHIBIT D CONTRACTOR’S PROPOSAL DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 12/8/2020 WO-00150666 ~ Customer Portal https://bear-electrical.my.salesforce.com/a0o5A00000KOUJw/p?retURL=/a0o5A00000KOUJw 1/2 Close WindowPrint This Page Expand All | Collapse All WO-00150666 Basics Closed City of Carlsbad Service Type Response Maintenance Edd Alberto Knockdown Site Palomar Airport Rd | Yarrow Dr Site ID 86 68 Pole#Client WO # Due Date Status Notes Service Request Information signal repair on transformer damage from collision Caller Name &Department frances 7608025788 Date & Time of Call 10/1/2020 2:08 PM Closure met with art at location, inspected sitecould not work due to sdge closing offcorner, went to storage and picked up cabinet spare and generator. turnedoff breaker at service. got back tolocation and had to wait for waterdepartment sdge and the tow truck to be done with there work, inspected allwires and cables before installingspare cabinet. all good. installedcabinet on base and had set phase wires and detection wires apart fromeach other, had to be on stand byeand wait for sdge to pump out waterfrom there vault. started to bump out wires in cabinet using generator to give power, labeled all wires andstarted to land then on cabinet,identified which dlc was for phase 4 and landed on tb4 spot 9 & 10. after all wires were landed hooked up gento cabinet to get it into flash. all wiresgood, identified all ppb wires and landed on terminal block. spliced in all cameras with fuses and fuse kits.respliced all coax cables with newconnectors installed 3 surge protectors found 1 bad processor swapped out with spare and redrawall zones for phase 8. all good artstood on standbye and waited for power to come back on f/u to check detection for phase 8fixed left turn pocket was offset s bitlet processor learn & covered up Case Order Status Account Contact Order Type Priority Age Problem Description Corrective Action DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 12/8/2020 WO-00150666 ~ Customer Portal https://bear-electrical.my.salesforce.com/a0o5A00000KOUJw/p?retURL=/a0o5A00000KOUJw 2/2 spare cabinet holes with duct tape forweather proofing 10/2/2020 gonzalo went and left shop arrived to storage and loaded up oldts equipment and delivered to shop *****NEED TO ORDER 332 or 352i Per Doug approval + Alpha BBS+BBS cabinet. ******** Created By Dispatch BES, 10/1/2020 2:08 PM Last Modified By Dispatch BES, 12/8/2020 11:17 AM Owner Dispatch BES 10/21/2020 2:58 PM Notes & Attachments VideoCapture_20201003-133932.jpg Type Attachment Last Modified Art Torres Description View file IMG_0877.jpg Type Attachment Last Modified Art Torres Description View file IMG_0874.jpg Type Attachment Last Modified Art Torres Description View file VideoCapture_20201003-133912.jpg Type Attachment Last Modified Art Torres Description View file IMG_0876.jpg Type Attachment Last Modified Art Torres Description View file IMG_0873.jpg Type Attachment Last Modified Art Torres Description View file Closed By Closed On DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 12/8/2020 servlet.FileDownload (1056×1920) https://bear-electrical--c.na49.content.force.com/servlet/servlet.FileDownload?file=00P5A00001HM8lX 1/1 DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 12/8/2020 servlet.FileDownload (1056×1920) https://bear-electrical--c.na49.content.force.com/servlet/servlet.FileDownload?file=00P5A00001HM8lS 1/1 DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 12/8/2020 servlet.FileDownload (4032×3024) https://bear-electrical--c.na49.content.force.com/servlet/servlet.FileDownload?file=00P5A00001HM8lN 1/1 DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 12/8/2020 servlet.FileDownload (4032×3024) https://bear-electrical--c.na49.content.force.com/servlet/servlet.FileDownload?file=00P5A00001HM8l3 1/1 DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 12/8/2020 servlet.FileDownload (4032×3024) https://bear-electrical--c.na49.content.force.com/servlet/servlet.FileDownload?file=00P5A00001HM8ky 1/1 DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 12/8/2020 servlet.FileDownload (4032×3024) https://bear-electrical--c.na49.content.force.com/servlet/servlet.FileDownload?file=00P5A00001HM8kt 1/1 DocuSign Envelope ID: A06358EC-666D-489D-8651-075BFAB69027 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 1/24/2020 Woodruff-Sawyer & Co.50 California Street, Floor 12San Francisco CA 94111 415-391-2141 415-989-9923 Hartford Casualty Insurance Company 29424 BEARELE-01 Hartford Fire Insurance Company 19682Bear Electrical Solutions, Inc.1341 Archer StreetAlviso CA 95002 437749080 B X 1,000,000 X 300,000 10,000 1,000,000 2,000,000 X Y 57UEAFN9382 2/1/2020 2/1/2021 2,000,000 A 1,000,000 X X X 57UEAFN9268 2/1/2020 2/1/2021 A X X 5,000,00057RHAFN93502/1/2020 2/1/2021 5,000,000 RE: Traffic Signal Maintenance & Repair Services. The City of Carlsbad, agents and employees, and volunteers are additional insured, wherein coverage isPrimary and Non-Contributory. Policies contain a 30 day notice of cancellation and a 10 day notice of cancellation for non-payment of premium. City of Carlsbad/CMWDC/O Exigis Insurance Compliance ServicesP.O. 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(5) Property Damage To Borrowed3. Legal Action Against Us Equipment Or Use Of ElevatorsNo person or organization has a right under this If the loss arises out of "property damage"Coverage Part:to borrowed equipment or the use ofa.To join us as a party or otherwise bring us elevators to the extent not subject tointo a "suit" asking for damages from an Exclusion j.of Section I - Coverage A -insured; or Bodily Injury And Property Damageb.To sue us on this Coverage Part unless all of Liability; its terms have been fully complied with.(6) When You Are Added As An Additional A person or organization may sue us to recover Insured To Other Insurance on an agreed settlement or on a final judgment Any other insurance available to youagainst an insured; but we will not be liable for covering liability for damages arising outdamages that are not payable under the terms of of the premises or operations, or productsthis Coverage Part or that are in excess of the and completed operations, for which youapplicable limit of insurance. An agreed have been added as an additional insuredsettlement means a settlement and release of by that insurance; orliability signed by us, the insured and the (7) When You Add Others As Anclaimant or the claimant's legal representative. Additional Insured To This Insurance4. Other Insurance Any other insurance available to anIf other valid and collectible insurance is additional insured.available to the insured for a loss we cover under However, the following provisions apply toCoveragesAorBof this Coverage Part, our other insurance available to any person orobligations are limited as follows:organization who is an additional insureda. Primary Insurance under this coverage part. This insurance is primary except when b.(a) Primary Insurance When Requiredbelow applies. If other insurance is also By Contractprimary, we will share with all that other This insurance is primary if you haveinsurance by the method described in c.agreed in a written contract or writtenbelow.agreement that this insurance beb. Excess Insurance primary. If other insurance is also This insurance is excess over any of the other primary, we will share with all that insurance, whether primary, excess,other insurance by the method contingent or on any other basis:described in c.below. (1) Your Work (b)Primary And Non-Contributory To Other Insurance When Required ByThat is Fire, Extended Coverage, Builder's ContractRisk, Installation Risk or similar coverage for "your work";If you have agreed in a written contract, written agreement, or permit(2) Premises Rented To You that this insurance is primary and non-That is fire, lightning or explosion contributory with the additionalinsurance for premises rented to you or insured's own insurance, this insurancetemporarily occupied by you with is primary and we will not seekpermission ofthe owner;contribution from that other insurance. Page 16 of 21 HG 00 01 09 16 Policy No. 57UEAFN9382 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1/30/2020 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 be endorsed. If SUBROGRATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis Towers Watson 12980 Metcalf Ave Suite 500 Overland Park KS 66213 CONTACT NAME: San Jose PHONE (A/C, No Ext): (408) 321-9901 FAX (A/C, NO): (360) 828-0699 EMAIL ADDRESS: Jerry.Sparks@bbsihq.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:ACE American Insurance Company 22667 INSURED Barrett Business Services, Inc. L/C/F BEAR ELECTRICAL SOLUTIONS, INC. 1341 ARCHER STREET SAN JOSE, CA 95131 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUES OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJ- ECT LOC EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurence)$ MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident)$ BODILY INJURY (Per person)$ BODILY INJURY (Per accident)$ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EXCESS LIAB OCCUR DED RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/ EXECUTIVE OFFICER/MEMBER EXCLUDED? Y (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A X C66386909 Covered states: CA 02/01/20 02/01/2021 9 WC STATU-TORY LIMITS OTH-ER E.L. EACH ACCIDENT $2,000,000 E.L. DISEASE - EA EMPLOYEE $2,000,000 E.L. DISEASE - POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) In the event of any payment under this policy for a Loss for which the named insured has waived the right of recovery in a written contract entered into prior to the Loss, insurer hereby agrees to also waive our right of recovery but only with respect to such Loss. CERTIFICATE HOLDER CANCELLATION City of Carlsbad/CMWD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATA THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 4668 - ECM AUTHORIZED REPRESENTATIVE New York NY 10163 Authorized Rep c) 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05)The ACORD name and logo are registered marks of ACORD.