Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Prime Electrical Services Inc; 2021-07-28; PWM22-1545FAC
PWM22-1545FAC STC Range & Tower Lighting Upgrades Page 1 of 25 City Attorney Approved 1/20/2020 CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT SAFETY TRAINING CENTER RANGE & TOWER LIGHTING UPGRADES This agreement is made on the ______________ day of _________________________, 2021, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and Prime Electrical Services, Inc., a California corporation whose principal place of business is 480 Enterprise St., San Marcos, CA 92078 (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: Jason Kennedy (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. 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: F76B489B-B9D5-402B-B7EC-8F48D19F7569 28th July PWM22-1545FAC STC Range & Tower Lighting Upgrades Page 2 of 25 City Attorney Approved 1/20/2020 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: ________Richard King_________________ 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: F76B489B-B9D5-402B-B7EC-8F48D19F7569 PWM22-1545FAC STC Range & Tower Lighting Upgrades Page 3 of 25 City Attorney Approved 1/20/2020 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 ten (10) working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within twenty (20) working days after receipt of Notice to Proceed. CONTRACTOR’S INFORMATION. Prime Electrical Services, Inc. 480 Enterprise St. (name of Contractor) 818947 (street address) San Marcos, CA 92078 (Contractor’s license number) C-10 4/30/23 (city/state/zip) 760-908-4654 (license class. and exp. date) 1000001790 (telephone no.) 760-471-6636 (DIR registration number) 6/30/24 (fax no.) rbrashear@primeelectrical.net (DIR registration exp. date) (e-mail address) /// /// /// /// /// /// /// DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 PWM22-1545FAC STC Range & Tower Lighting Upgrades Page 4 of 25 City Attorney Approved 1/20/2020 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. CITY OF CARLSBAD, a municipal corporation of the State of California CONTRACTOR PRIME ELECTRICAL SERVICES, INC., a California corporation By: By: (sign here) Richard King, President & CEO Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager (print name/title) By: (sign here) Chris Rozenko, Secretary (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: F76B489B-B9D5-402B-B7EC-8F48D19F7569 PWM22-1545FAC STC Range & Tower Lighting Upgrades Page 5 of 25 City Attorney Approved 1/20/2020 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 Total % Subcontracted: _______________ The Contractor must perform no less than fifty percent (50%) of the work with its own forces. DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 0n/a 0 n/an/a0% PWM22-1545FAC STC Range & Tower Lighting Upgrades Page 6 of 25 City Attorney Approved 1/20/2020 EXHIBIT B SAFETY TRAINING CENTER RANGE & TOWER LIGHTING UPGRADES ITEM NO. UNIT QTY DESCRIPTION PRICE 1 LS 1 25-Yard Range, New Lighting Installation:-Remove three (3) existing sections of fluorescent light fixturesattached to uni-strut above the ceiling deflection baffles numbered 1, 7 & 15. Total fluorescent lights to be removed is thirty-three (33). -Install five (5) new rows of 4' light-emitting diode (LED) fixtures. Atotal of six (6) LED fixtures will be installed at the top edges of ceiling deflection baffles numbered 1, 4, 7, 10 & 13. *City will supply thirty (30)new 4' LED fixtures (See Exhibits D & E). -New LED fixtures will be mounted to the ceiling deflection bafflesand powered from existing switch legs made available from the removal of the three (3) uni-strut sections consisting of thirty-three (33)fluorescent light fixtures. Lighting controls are located at the low voltage control panel in the range control room. -Replace six (6) low pressure sodium and halogen flood lightsmounted to structural beams above the ceiling deflection baffles. *Contractor will supply six (6) new LED flood light fixtures (See Exhibit F). $8,541 2 LS 1 25-Yard Range, Relocation of Target LED Flood Lights: -Relocate three (3) 50' rows of LED track type flood light fixturesby moving them approximately 24 inches back away from the forward edge of the ceiling deflection baffles. Lights are located at baffles numbered 14, 15 & 16. $3,021 3 LS 1 100-Yard Range, Relocation of Target LED Flood Lights: -Relocate three (3) 30' rows of LED track type flood light fixturesby moving them approximately 24 inches back away from the forward edge of the ceiling deflection baffles. Lights are located at baffles numbered 33, 34 & 35. $3,002 4 LS 1 Commercial Tower Lighting (Rappelling Area): -Provide and install two (2) new 4' weather tight, exterior ratedLED fixtures on beams underneath the perforated aluminium screen on the 5th level of the tower (rappelling area). (See Exhibit G). -Provide and install new 2-hour spring timer with weather proofcover for lighting control. $1,609 TOTAL* $16,173 *Includes taxes, fees, expenses and all other costs.*Building permit will be required. DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 PRIME July 2, 2021 SUBJECT: STC Lighting Electrical Quotation Jason, We are pleased to submit our quotation for the above-mentioned project. Our quotation is based on the following: Scope of Work: •25 Yard Range New Lighting Remove and disposal of (3) rows of existing lights, total of (33). Install (5) rows ofcustomer supplied 4’ LED rain tight fixtures, total of (30) new fixtures. All newmounting to ceiling and controlled by (3) existing control room switches. Replace (6)maintenance lights with LED flood lights supplied by Prime $8,541.00 •25 Yard Range Relocate Flood LightsRelocate (3) 50’ rows of flood light fixtures back about 24” form existing location. $3,021.00 •100 Yard Range Relocate Flood LightsRelocate (3) 30’ rows of flood light fixtures back about 24” form existing location. $3,002.00 •Tower LightingProvide and install (2) new 4’ LED rain tight fixtures on beams at top of tower area.Provide and install new 2-hour spring timer with weather proof cover for lighting control. $1,609.00 Exclusions: 1.Permits.2.Engineering.3.Premium time labor.4.Payment/performance bond.5.Work required to bring existing conditions into current code compliance. Clarifications: 1.Pricing is based on prevailing wage.2.This quote is good for 30 days. 3.This quote is based on work performed during regular hours. EXHIBIT C Prime Electrical Services, Inc. 480 Enterprise Street San Marcos, California 92078 Phone: (760) 471-6634 Fax: (760) 471-6636 CA.Lic.# 818947 PWM22-1545FACDocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 Page 2 We thank you for the opportunity to present this proposal and hope that it meets with your approval. Should you have any questions regarding this project, please contact me. Sincerely, PRIME ELECTRICAL SERVICES, INC. Rob Brashear Service Manager PWM22-1545FAC Exhibit C (continued) DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 1 of 3www.naturaLED.com | info@naturaled.com Toll-Free: 855.758.7009 Project Schedule Date Notes DESCRIPTION naturaLED® CSL provides the perfect solution for your lighting needs. The LED commercial strip light maximizes energy savings and is designed for multiple applications including new construction. This fixture can be used for warehouse, parking garages, stairwells, offices, hallways and many other applications in industrial and commercial. Types of installation include ceiling, wall, chain or cable mounting. Our commercial strip light is very versatile, efficient and is available up to 10,000 Lm, with option and availability for pre-installed Bi-level motion sensor. DLC Premium For Damp Location ETL Listed Easy installation clip on Material: Steel and PC lens Available in 2’, 4’ or 8‘ length Microwave motion sensor available Input line voltage: 120-277V Input current: 0.17A Power Factor: >0.9 Dimmable: 1-10V CRI: 80 Operating temperature: -22˚F - 122˚F 50,000 rated life hours COMMERCIAL STRIP LIGHT (CSL) • • • • • • • • • • • • • • © 2020 naturaLED® All rights reserved FX FEATURES EXAMPLE: LED-FXCSL35/48FR/840/MV-SEN CSL 35 840 Series CSL Commercial Strip Light Wattage 35 35W CRI/Color Temp 8 CRI 80 40 4000K Ordering Information Category FX Fixture LED LED WARRANTY 5 Year Warranty APPLICATIONS Warehouse Lighting Retail Lighting Parking Garage Stairwells and Hallways Storage Lighting • • • • • • Emergency Driver ACCESSORIES Pre-installed Microwave Sensor Option Available Emergency Driver (Optional) *Available in 2-ft, 4-ft, & 8-ft of length 2‘ 4‘ 8‘ 66DAMP VDIMMING Clip on 3.25” wide Motion/Daylight Sensor 347-480V to 277 Step Down Driver 48FR Size/ Lens 48 48inch FR Frosted MV Voltage MV 120-277V Multiple Voltage SEN Accessory SEN Sensor Wireguard Photocell Sensor EXHIBIT D PWM22-1545FAC DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 COMMERCIAL STRIP LIGHT (CSL) 2 of 3www.naturaLED.com | info@naturaled.com Toll-Free: 855.758.7009 © 2020 naturaLED® All rights reserved ORDERING Length (L) Width (W) Height(H) 24” (609mm) 48” (1219mm) 96” (2440mm) 3.25” (83mm) 3.25” (83mm) 3.25” (83mm) 3.31” (84mm) 3.31” (84mm) 3.31” (84mm) SPECIFICATIONS SOLD SEPARATELY MOUNTING / ACCESSORIES Emergency Driver • 7334 BAEM15-48BC/MV-A (LED Emergency Backup Driver 120-277V) Motion/Daylight Sensor • P10234 SEN-MC605V-D (Built-In Motion Sensor MV605V D 120-277V) *P= Premium DLC / *S = Standard DLC 35 35 20 20 24 24 34 34 42 43 54 54 67 67 OrderingCode Description ColorTemp (K)Lumens(lm) Equiv.Wattage(W)Size RatedHrs DampLOCATION DLC(S/P)Watts(W) L H W Size 2 ft 4 ft 8 ft Wireguard • P10250 WG-CSL/24/WH (Wireguard for 2ft) • P10251 WG-CSL/48/WH (Wireguard for 4ft and 8ft)* *8-ft strip light requires two P10251 WG-CSL/48/WH Step Down Driver • P10182 BA-10031A-240-22 (347-480V to 277V Step Down Driver) 9344 9345 9259 9260 9261 9262 9263 9264 9265 9266 9267 9268 9350 9351 LED-FXCSL35/48FR/840/MV-SEN LED-FXCSL35/48FR/850/MV-SEN LED-FXCSL20/24FR/840/MV LED-FXCSL20/24FR/850/MV LED-FXCSL25/48FR/840/MV LED-FXCSL25/48FR/850/MV LED-FXCSL35/48FR/840/MV LED-FXCSL35/48FR/850/MV LED-FXCSL42/96FR/840/MV LED-FXCSL42/96FR/850/MV LED-FXCSL56/96FR/840/MV LED-FXCSL56/96FR/850/MV LED-FXCSL68/96FR/840/MV LED-FXCSL68/96FR/850/MV 4000K 5000K 4000K 5000K 4000K 5000K 4000K 5000K 4000K 5000K 4000K 5000K 4000K 5000K 5,412 5,472 3,285 3,357 3,958 4,007 5,412 5,472 6,666 6,797 8,600 8,661 10,644 10,749 3.25”x48” 3.25“x48” 3.25”x24” 3.25”x24” 3.25”x48” 3.25”x48” 3.25”x48” 3.25”x48” 3.25”x96” 3.25”x96” 3.25”x96” 3.25”x96” 3.25”x96” 3.25”x96” 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 P P P P P P P P P P P P P P • • • • • • • • • • • • • • 3x 32W T8 3x 32W T8 3x 17W T8 3x 17W T8 2x 32W T8 2x 32W T8 3x 32W T8 3x 32W T8 4x 32W T8 4x 32W T8 5x 32W T8 5x 32W T8 6x 32W T8 6x 32W T8 Photocell Sensor • P10036 SEN-PHO-BT-MT/MV (Photocell Sensor) PWM22-1545FAC Exhibit D (continued) DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 COMMERCIAL STRIP LIGHT (CSL) 3 of 3www.naturaLED.com | info@naturaled.com Toll-Free: 855.758.7009 © 2020 naturaLED® All rights reserved MOUNTINGS Surface Mount Ceiling / Wall Mount PACKAGE PHOTOMETRICS CHART FXCSL (2’)- 20 Watt DLC Premium FXCSL (4’)- 25 Watt DLC Premium Master Pack: 1 pc 100 150 200 250 300 cd/klm = 100%C0 - C180 C90 - C270 0°15°30°45° 60° 75° 90° 105° 120° 135°150°165°180°165°150°135° 120° 105° 90° 75° 60° 45°30°15°0° 100 150 200 250 300 cd/klm = 100%C0 - C180 C90 - C270 0°15°30°45° 60° 75° 90° 105° 120° 135°150°165°180°165°150°135° 120° 105° 90° 75° 60° 45°30°15°0° FXCSL (4’)- 35 Watt DLC Premium FXCSL (8’)- 42 Watt DLC Premium FXCSL (8’)- 56 Watt DLC Premium FXCSL (8’)- 68 Watt DLC Premium 100 150 200 250 300 cd/klm = 100%C0 - C180 C90 - C270 0°15°30°45° 60° 75° 90° 105° 120° 135°150°165°180°165°150°135° 120° 105° 90° 75° 60° 45°30°15°0° 160 240 cd/klm = 100%C0 - C180 C90 - C270 0°15°30° 45° 60° 75° 90° 105°105° 90° 75° 60° 45° 30°15°0° 160 240 cd/klm = 100%C0 - C180 C90 - C270 0°15°30° 45° 60° 75° 90° 105°105° 90° 75° 60° 45° 30°15°0° 160 240 cd/klm = 100%C0 - C180 C90 - C270 0°15°30° 45° 60° 75° 90° 105°105° 90° 75° 60° 45° 30°15°0° PWM22-1545FACExhibit D (continued) DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 DAMP MADE IN CHINA LED COMMERCIAL STRIP LIGHT (2ft&4ft) 4ft2ft Plastic wall anchor M4 Screw Description Chain Picture Washer Quantity (2 pcs) (2 pcs) (2 pcs) (4 pcs) (4 pcs) (4 pcs) Iron Plate Triangle shape hook 1 EXHIBIT E PWM22-1545FACDocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 LED COMMERCIAL STRIP LIGHT (2ft&4ft) Figure 1 Figure 2 2ft 18.7in(474.2mm) 4ft 17.6in(445.8mm) 32.2in(817.4mm)31.1in(789mm) 1.Drill installation holes.Mark the location of four instailation holes with pencil, according to the dimension on template printed on box. Then drill holes on the locatian you marked.installation holes with pencil. Perforaciones para la instalación. Marque con un lápiz la posición de los cuatro orificios de instalación según el tamaño de la plantilla que se imprima en la Caja.Luego perfora en la posición indicada y golpea con un lápiz el agujero de instalación. Percer les trous d'installation. Marquez l'emplacement de quatre trous d'instailation avec le crayon, selon la dimension sur le modèle imprimé sur la boîte.Puis percer des trous sur le locatian vous marked.installation trous avec un crayon. 2.Then dritl holes on the location you marked Anclas de paredes de plástico en las aberturas del muro/techo Ancrage de mur en plastique dans un trou sur un mur / plafond Anclas de paredes plásticas en los agujeros de paredes y techos Ancrage de mur en plastique dans un trou sur un mur / plafond Perforación subsiguiente en el lugar marcado Puis dritl trous sur l'emplacement que vous avez marqué Wall/Ceiling Plastic wall anchor M4 Screw Iron Plate Wall /Ceiling mount with iron plate 2 PWM22-1545FAC Exhibit E (continued)DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 LED COMMERCIAL STRIP LIGHT (2ft&4ft) Figure 3 Figure 4 Safety cable Safety cablePart B Part A Power cable Wall/Ceiling Iron Plate 5.Pull out Part B from Part A and keep safety cable connecting two parts. Put the power input line throughthe hole in the middle of Part A. Retirar la parte B de la parte a y mantener una conexión segura por cable.Pon la línea de entrada a través del hueco medio de la sección A. La partie B est retirée de la partie a et les câbles de sécurité sont reliés en deux parties. Passage d 'une ligne d' alimentation à travers un trou au milieu de la partie A 6.Snap Part A of the fixture onto iron plates. Colocar la parte a de la abrazadera sobre la plancha. Attache la partie a de la pince sur la plaque. 7.Connect the wire to the power input line. L=BIack.N=White,G=Yellow/Green (Diagram 1) Conectar los cables a la línea de alimentación eléctrica.L=biack.n=White,G=Yellow/Green(gráfi1) Raccordement des fils électriques aux lignes d 'alimentation.L = biack.N = white, G = Yellow / Green (Figure 1) Purple(DIM+) Gray(DIM-) Wall /Ceiling mount with iron plate Wall/Ceiling 8.Insert Part B back to Part A. Inserte la Parte B de nuevo en la Parte A. Insérez la partie B de nouveau à la partie A. 3 PWM22-1545FACExhibit E (continued) DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 LED COMMERCIAL STRIP LIGHT (2ft&4ft) Figure 1 Safety cable Safety cable Part B Part A Power cable Wall/Ceiling Wall /Ceiling mount Iron Plate 21.4in(544.5mm) 35.9in(913mm) 2 ft 4 ft Plastic wall anchor Saca la pieza B de la pieza a y mantén el cable seguro conectado a las dos partes. Retirer la pièce B de la pièce a et maintenir le câble de sécurité reliant les deux pieces 2.Drill installation holes.Put Part A onto the wall /ceiling, mark the location of two installation holes with pencil. Taladre agujeros de instalación.Coloque la Parte A en la pared /techo, marque la ubicación de dos orificios de instalación con lápiz. Percer les trous d'installation.Placez la partie A sur le mur/plafond, marquez l'emplacement de deux trous d'installation avec un crayon. 3.Then drill holes on the location you mark.Luego perfora en el lugar indicado. Et percez le trou à l 'endroit où vous l' avez marqué.4.Put plastic wall anchors into the holes on wall/ ceiling.Anclas de paredes plásticas en los agujeros de paredes y techos.Ancrage de mur en plastique dans un trou sur un mur / plafond. 4 PWM22-1545FACExhibit E (continued) DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 Purple(DIM+) Gray(DIM-) LED COMMERCIAL STRIP LIGHT (2ft&4ft) Wall /Ceiling mount Figure 2 5.Pull the power input line through the hole in the middle of Part A.Pon la línea de entrada a través del agujero central de la parte A. La ligne d 'alimentation électrique est traversée par le trou situé au milieu de la partie A. 6.Secure the fixture with two screws.Fije el aparato con dos tornillos.Fixe le dispositif de serrage avec deux vis. 7.Connect the wire to the power input line. L=BIack.N=White,G=Yellow/Green (Diagram 1)Conecte el cable a la línea de entrada de energía.L=biack.n=White,G=Yellow/Green(gráfico 1)Raccordement des câbles à la ligne d 'entrée d' alimentation l = biack.N = white, G = Yellow / Green (Figure 1) 8.Insert Part B back to PInsértese la parte B en PInsérer la partie B dans la section P. 5 PWM22-1545FAC Exhibit E (continued)DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 LED COMMERCIAL STRIP LIGHT (2ft&4ft) Suspended 1.Install two Iron plate onto the housing.Instalen dos planchas en la carcasa.Monter deux tôles sur le boîtier. 2.Install two triangle shape hook into iron plate behind the housing.Instalen dos ganchos triángulos en la placa detrás de la carcasa.Monter deux crochets triangulaires dans une plaque de fer derrière le boîtier. 3.Put aircraft cable (optional accessory) through the triangle hook,and hang onto the ceiling.Cuelga el cable del avión(accesorios opcionales)en el techo a través del gancho triangular.Le câble d 'avion (éventuellement annexe) est fixé au plafond à travers le crochet triangulaire.4.Connect the wire to the power input line. L=BIack.N=White,G=Yellow/Green (Diagram 1)Conecte el cable a la línea de entrada de energía.L=biack.n=White,G=Yellow/Green(gráfico 1)Connecte le fil à la ligne d 'entrée d' alimentation.L = biack.N = white, G = Yellow / Green (Figure 1) Purple(DIM+) Gray(DIM-) 6 PWM22-1545FAC Exhibit E (continued)DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 Sensor Wire Diagram Emergency Driver Wire Diagram 7 PWM22-1545FACExhibit E (continued)DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 Installation for Sensor and Emergency Driver (4ft) Emergency Driver Battery Emergency Driver Sensor Sensor Head Sensor Head Fixed bracket Emergency Power Supply Indicator Hole 1 3 2 a.Pull out the luminous part of the fixture, and install emergency power supply and sensor related devices with M4 triangulartooth screw at the position shown in the figure.Sacar la parte luminosa de la lámpara,como la ubicación de la imagen,instalando una fuente de energía de emergencia yun dispositivo conexo del sensor con un tornillo Tridente M4Extraction d 'une partie électroluminescente d' un luminaire, telle que la position d 'un diagramme, et installation d' une alimentation d 'urgence et de dispositifs associés à un capteur au moyen d' une vis dentaire triangulaire M4 a. Install the light emitting part of the fixture fitted with the sensor probe and the bracket back into the fixture housingDevuelve a la carcasa la parte de descarga de la lámpara instalada con el sensor y el soporte.Recharger une partie d 'éclairage d' une sonde de capteur et d 'un support de montage dans un boîtier de lampe a.Pull out the luminous part of the fixture. Install the sensor probe and mounting bracket with M3 screw at theposition shown in the figure.Sacar la parte luminosa de la lámpara,como la ubicación de la imagen,instalando sondas de sensores e instalandosoportes con tornillos M3Pull out the luminous part of the lamp. Install the sensor probe and mounting bracket with M3 screw at theposition shown in the figure.b.Open the spare hole of emergency power indicator lamp on the lamp housing, install the indicator fixture through thehole outside the fixture housing, and then insert the plug wire of the indicator lamp into the corresponding emergency power pin.Abro la abertura de emergencia de la lámpara de alimentación de emergencia de la carcasa,pone la luz de guía fuera de lacarcasa,la coloca en la abertura de la lámpara y luego inserta la línea de enchufe en el enchufe correspondiente.Enfoncer le trou de secours de la lampe d 'éclairage au - dessus du boîtier de lampe, installer la lampe d' indication à travers le fil de sortie du boîtier de lampe sur le trou d 'éclairage, puis insérer la fiche d' éclairage sur la broche d 'alimentation d' urgencecorrespondante 8 PWM22-1545FACExhibit E (continued)DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 Emergency Driver Battery Emergency Driver Sensor Sensor Head Sensor Head Fixed bracketEmergency Power Supply Indicator Hole 1 3 2 Installation for Sensor and Emergency Driver (2ft) a. Pull out the luminous part of the fixture, and install emergency power supply and sensor related devices with M4 triangular tooth screw at the position shown in the figure.Sacar la parte luminosa de la lámpara,como la ubicación de la imagen,instalando una fuente de energía de emergencia yun dispositivo conexo del sensor con un tornillo Tridente M4Extraction d 'une partie électroluminescente d' un luminaire, telle que la position d 'un diagramme, et installation d' unealimentation d 'urgence et de dispositifs associés à un capteur au moyen d' une vis dentaire triangulaire M4 a. Install the light emitting part of the installed sensor probe and the mounting bracket back into the fxture housingDevuelve la Sección de iluminación de la sonda del sensor instalada y del soporte instalado a la carcasa Retour dans le boîtier de lampe d 'une sonde de capteur installée et d' une partie de lampe de support installée a.Pull out the luminous part of the fixture. Install the sensor probe and mounting bracket with M3 screw at theposition shown in the figure.Sacar la parte luminosa de la lámpara,como la ubicación de la imagen,instalando sondas de sensores e instalandosoportes con tornillos M3Pull out the luminous part of the lamp. Install the sensor probe and mounting bracket with M3 screw at theposition shown in the figure.b.Open the spare hole of emergency power indicator lamp on the lamp housing, install the indicator fixture through thehole outside the fixture housing, and then insert the plug wire of the indicator lamp into the corresponding emergency power pin.Abro la abertura de emergencia de la lámpara de alimentación de emergencia de la carcasa,pone la luz de guía fuera de lacarcasa,la coloca en la abertura de la lámpara y luego inserta la línea de enchufe en el enchufe correspondiente.Enfoncer le trou de secours de la lampe d 'éclairage au - dessus du boîtier de lampe, installer la lampe d' indication à travers le fil de sortie du boîtier de lampe sur le trou d 'éclairage, puis insérer la fiche d' éclairage sur la broche d 'alimentation d' urgencecorrespondante 9 PWM22-1545FACExhibit E (continued) DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 EXHIBIT F Safety Training Center 25-yard Firearms Range LPS and Halogen Ceiling Light Replacements to LED. PWM22-1545FACDocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 FEATURES & SPECIFICATIONS INTENDED USE — A general purpose and energy-efficient surface-mounted or suspended LED fixture, suitable for wet, damp and/or cold locations. For vapor-tight demanding environments where moisture or dust is a concern and where relatively low fixture mounting heights and wide fixture spacing are com- mon. Typical applications include industrial facilities, parking garages, retail malls, multi-purpose rooms, garden centers, and food processing. Certain airborne contaminants can diminish the integrity of acrylic and/or polycarbonate. Click here for Acrylic-Polycarbonate Compatibility table for suitable use. CONSTRUCTION — One-piece 5VA fiberglass housing with integral perimeter channel utilizing continuous poured-in-place NEMA 4X gasket. Approved as a wireway and for through wiring. Captive polymeric latches are standard. Stainless steel latches (#316) available as an option for food processing or more demanding applications. Power connection is easily accomplished through pre-drilled holes. Fixture easily mounts to ceilings and other solid structures, or can be suspended with chain, cable or rod using stainless steel mounting brackets (included). OPTICS — Injection molded, acrylic lens (.080” thick) provides high impact-resistance comparable to 100% DR. For L48 Medium Distribution, a UV stabilized polycarbonate diffuser is available (.080" thick) in clear or frosted for additional impact strength where vandal protection is desired. Expected service life of 60,000 hours at 80% lumen maintenance (L80); predicted life of more than 100,000 hours. ELECTRICAL — Utilizes high-efficiency LEDs mounted to core circuit boards. High-efficiency drivers operate 120 thru 277V, 347V and 480V offered with 0-10 volt dimming, allowing granular control when coupled with wireless networking controls. Integral 6kV/3kA surge protection, tested in accordance to IEEE/ANSI standards. INSTALLATION — Fixture can be ceiling or suspended mounted. Pre-punched stainless steel mount- ing brackets are included (two per luminaire) for easy field-attachment of bolts, screws and other mounting hardware. A covered ceiling is not required to maintain wet location listing or IP rating. LISTINGS — CSA certified to UL and C-UL standards. Listed for wet locations in ambient temps ranging from -35°C (-31°F) to 25°C (77°F) when fixture is surface mounted or up to 45°C (113°F) when fixture is suspended at least 6" from ceiling. IP65, IP66 and IP67 rated. NSF splash-zone 2 certified and meets FDA/USDA guidelines. Nema 4X rated lens and housing. 1500 PSI hose-down. DesignLights Consortium® (DLC) Premium qualified product and DLC qualified product. Not all versions of this product may be DLC Premium qualified or DLC qualified. Please check the DLC Qualified Products List at www.designlights.org/QPL to confirm which versions are qualified. WARRANTY — 5-year limited warranty. Complete warranty terms located at: www.acuitybrands.com/CustomerResources/Terms_and_conditions.aspx NOTE: Actual performance may differ as a result of end-user environment and application. All values are design or typical values, measured under laboratory conditions at 25 °C. Specifications subject to change without notice. INDUSTRIAL FEM LED Low-Profile Enclosed and Gasketed Industrial FEM LED CEILING/ SUSPENDED MOUNT Deep Lens Low profile with sensor Low profile Capable Luminaire This item is an A+ capable luminaire, which has been designed and tested to provide consistent color appearance and out-of-the-box control compatibility with simple commissioning. • All configurations of this luminaire meet the Acuity Brands’ specification for chromatic consistency • This luminaire is part of an A+ Certified solution for nLight® or XPoint™ Wireless control networks marked by a shaded background* To learn more about A+, visit www.acuitybrands.com/aplus. *See ordering tree for details Stock configurations are offered for shorter lead times: Standard Part Number Stock Part Number FEM L48 4000LM LPAFL MD MVOLT GZ10 40K 80CRI FEM L48 4L MVOLT FEM L48 4000LM LPAFL MD MVOLT GZ10 50K 80CRI FEM L48 4L MVOLT 5K EXHIBIT G PWM22-1545FACDocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 FEM LED Low-Profile Enclosed and Gasketed FEM LED INDUSTRIAL: One Lithonia Way, Conyers, GA 30012 Phone: 800-315-4963 www.lithonia.com © 2012-2018 Acuity Brands Lighting, Inc. All rights reserved. Rev. 08/14/18 Notes 1 Available with 3000LM, 4000LM, 6000LM, 8000LM, and 10000LM lumen packages. Not available with WD when using low profile diffuser. 2 Available with 9000LM, 12000LM, 15000LM, 18000LM, and 20000LM. Not available with low profile diffuser options. 3 Not available with L96. Not available with L48 when ordering WD option. 4 Not availabe with L48 when ordering low-profile lens options. 5 Utilizes step-down transformer. Not available with BGTD. 6 Must specify voltage. 7 Not available with 347 or 480V. 8 For use with ambient temperatures no lower than -20°C. 9 For use in ambient temperatures no lower than -17°C. 10 Available with 120V or 277V only. For use in ambient environments up to 25C. Not available with L48 when ordering 10000LM lumen package. Not available with L96 when ordering 18000LM or 20000LM lumen packages. 11 Not available with Sensor options or cord sets, or MSI controls. Accessories: Order as separate catalog number. MHCH 36 Jack chain 36" (pair) MHHK120 10' single leg air craft cable (ships as pair) MHHK120SS 10' single leg air craft cable, stainless steel (ships as pair) RK1 T10BIT W/PIN U Hex-base driver bit, Torx TX10, for tamper resistant screws with center reject pin FEMDPMB Dual pendant mounting bracket (ships as a pair) ORDERING INFORMATION Lead times will vary depending on options selected. Consult with your sales representative.Example: FEM L48 4000LM IMAFL WD MVOLT GZ10 40K 80CRI Series Length Nominal Lumens Diffuser Distribution Voltage Driver Color temperature CRI FEM L48 48" 1 L96 96" 2 3000LM 3,000 lumens 4000LM 4,000 lumens 6000LM 6,000 lumens 8000LM 8,000 lumens 10000LM 10,000 lumens 9000LM 9,000 lumens 12000LM 12,000 lumens 15000LM 15,000 lumens 18000LM 18,000 lumens 20000LM 20,000 lumens IMAFL Acrylic, lineal ribbed frosted lens IMACD Acrylic, clear deep lens IMAFD Acrylic, deep frosted lens LPAFL Acrylic, low profile frosted lens3 LPACL Acrylic, low profile clear lens3 LPPCL Polycarbonate, low profile clear lens3 LPPFL Polycarbonate, low profile frosted lens3 MD Medium WD Wide 4 MVOLT MVOLT 120 120V 277 277V 347 347V5 480 480V5 GZ10 0 - 10V dimming 30K 3000K 35K 3500K 40K 4000K 50K 5000K 80CRI 80 CRI 90CRI 90 CRI Options SF Single fuse (available with 120, 277, 347)6 DF Double Fusing (available with 347, 480V)6 BSL520 Bodine® emergency LED battery pack for -20°C and up6,7,8 E15WCP Emergency battery pack, 15W constant power, T20C 6,7,9 BGTD Generator transfer device 6,10 SPD Surge protection device, additional 10kV/5kA6 WLF Wet location fitting (two outboard, top) WLFEND Wet location fitting (one end) WLFEND2 Wet location fitting (both ends)11 CS88 6' Brad Harrison 16/3 cord and straight blade plug set6 CS88L12 12' Brad Harrison 16/3 cord and straight blade plug set6 CS88R Brad Harrison receptacle CS89 6' white cord, 16/3, no plug, wet location CS89L12 12' white cord, 16/3, no plug, wet location TRS Tamper Resistant Torx® T10 screws DPMB Dual pendant mounting bracket STSL Stainless steel latches MSI10NWL Low mount 360° integral motion sensor, wet location, On/Off operation6 MSI102L3VWL Low mount 360° integral motion sensor, wet location, High/Low operation (bi-level)6 MSI10NWL DSCNWL Low mount 360° integral motion sensor, wet location, On/Off operation for motion sensing, override Off due to daylight6 MSI10XAWL DSCXAWL Xpoint wireless integral motion sensor, On/Off operation for motion sensing, override Off due to daylight6 XAD XPoint™ wireless controller, 0-10V dimming6 A+ Capable options indicated by this color background. PWM22-1545FAC Exhibit G (continued)DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 FEM LED Low-Profile Enclosed and Gasketed OPERATIONAL DATA Lumen packages Wattage Diffusers 120v 277v 347v 480v Acrylic Lineal Frosted (IMAFL) Frosted (IMAFD, LPAFL, LPPFL) Clear (IMACD, LPACL, LPPCL) L48 Medium Distribution *test results reflect less than 1% difference between acrylic (clear/deep/ low profile) and polycarbonate (low profile) lens Delivered Lumens at 30K 80CRI 3000LM 23 23 24 25 2972 3032 3071 4000LM 31 30 31 32 4019 4100 4153 6000LM 45 44 46 47 5925 6044 6122 8000LM 69 67 70 71 7593 7746 7845 10000LM 80 78 81 82 9781 9979 10107 Delivered Lumens at 35K 80CRI 3000LM 23 23 24 25 3039 3100 3140 4000LM 31 30 31 32 4109 4192 4246 6000LM 45 44 46 47 6057 6179 6258 8000LM 69 67 70 71 7762 7918 8020 10000LM 80 78 81 82 9999 10201 10332 Delivered Lumens at 40K 80CRI 3000LM 23 23 24 25 3086 3148 3189 4000LM 31 30 31 32 4173 4257 4312 6000LM 45 44 46 47 6151 6275 6356 8000LM 69 67 70 71 7883 8042 8145 10000LM 80 78 81 82 10155 10360 10493 Delivered Lumens at 50K 80CRI 3000LM 23 23 24 25 3200 3264 3306 4000LM 31 30 31 32 4326 4414 4470 6000LM 45 44 46 47 6378 6506 6590 8000LM 69 67 70 71 8173 8338 8445 10000LM 80 78 81 82 10529 10741 10879 Lumen packages Wattage Diffusers 120v 277v 347v 480v Acrylic Lineal Frosted (IMAFL) Acrylic Frosted (IMAFD) Acrylic Clear (IMACD) L96 Medium Distribution Delivered Lumens at 30K 80CRI 9000LM 65 64 66 67 8718 8959 9072 12000LM 88 86 89 90 11370 11685 11831 15000LM 120 118 122 124 14263 14657 14841 18000LM 145 141 146 148 16863 17330 17547 20000LM 160 156 162 164 19313 19847 20096 Delivered Lumens at 35K 80CRI 9000LM 65 64 66 67 8913 9159 9274 12000LM 88 86 89 90 11624 11945 12095 15000LM 120 118 122 124 14581 14984 15172 18000LM 145 141 146 148 17239 17716 17938 20000LM 160 156 162 164 19743 20289 20544 Delivered Lumens at 40K 80CRI 9000LM 65 64 66 67 9051 9302 9419 12000LM 88 86 89 90 11805 12131 12284 15000LM 120 118 122 124 14808 15218 15409 18000LM 145 141 146 148 17507 17992 18218 20000LM 160 156 162 164 20051 20605 20864 Delivered Lumens at 50K 80CRI 9000LM 65 64 66 67 9385 9644 9765 12000LM 88 86 89 90 12239 12578 12736 15000LM 120 118 122 124 15353 15778 15976 18000LM 145 141 146 148 18152 18654 18888 20000LM 160 156 162 164 20789 21364 21632 FEM LED INDUSTRIAL: One Lithonia Way, Conyers, GA 30012 Phone: 800-315-4963 www.lithonia.com © 2012-2018 Acuity Brands Lighting, Inc. All rights reserved. Rev. 08/14/18 PWM22-1545FAC Exhibit G (continued)DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 FEM LED Low-Profile Enclosed and Gasketed PHOTOMETRICS See www.lithonia.com for photometry reports. 51-3/4(131.4) 100-1/4(254.6) DIMENSIONS Specifications subject to change without notice. All dimensions are inches (centimeters) unless otherwise indicated. [10.6]4.2 [11.1]4.4 [14.5]5.7 [17.2]6.8 [17.2]6.8 [17.2]6.8 Diffuser Type: LPAFL LPACL LPPFL LPPCL Weight (may vary with options or accessories) FEM L48: 11.9 lbs (5.397kg) FEM L96: 24.3 lbs (11.022kg) Diffuser Type: IMAFL Diffuser Type: IMAFD IMACD FEM LED INDUSTRIAL: One Lithonia Way, Conyers, GA 30012 Phone: 800-315-4963 www.lithonia.com © 2012-2018 Acuity Brands Lighting, Inc. All rights reserved. Rev. 08/14/18 PWM22-1545FACExhibit G (continued)DocuSign Envelope ID: F76B489B-B9D5-402B-B7EC-8F48D19F7569 ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTRINSD WVD 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 5/3/2021 License # 0C32169 (619) 937-0164 (619) 937-0168 20478 Prime Electrical Services, Inc 480 Enterprise St. San Marcos, CA 92078 20494 35289 10855 A 1,000,000 X X 5095128514 5/1/2021 5/1/2022 100,000 15,000 1,000,000 2,000,000 2,000,000 1,000,000B X X 6012621168 5/1/2021 5/1/2022 5,000,000C 6012621154 5/1/2021 5/1/2022 5,000,000 D X PRWC128174 12/1/2020 12/1/2021 1,000,000 1,000,000 1,000,000 RE: OPERATIONS OF THE NAMED INSURED AS CERTIFICATE HOLDERS INTEREST MAY APPEAR. . THE CITY OF CARLSBAD/CMWD, ITS OFFICERS, EMPLOYEES AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED PER FORM CNA75079XX (10-16) ATTACHED. PRIMARY AND NON-CONTRIBUTORY WORDING APPLIES. AUTO ADDITIONAL INSURED APPLIES PER ENDORSEMENT ATTACHED. WAIVER OF SUBROGATION IN FAVOR OF THE CITY OF CARLSBAD/CMWD, ITS OFFICERS, EMPLOYEES AND VOLUNTEERS APPLIES TO GENERAL LIABILITY, AUTO LIABILITY AND WORKERS COMPENSATION. (agcpp) CITY OF CARLSBAD/CMWD c/o EXIGIS INSURANCE COMPIANCE SERVICES P.O. BOX 4668 - ECM #35050 NEW YORK, NY 10163-4668 PRIMELE-02 VPAINTER Rancho Mesa Insurance Services, Inc. 250 Riverview Parkway Santee, CA 92071 National Fire Ins Co of Htfd Transportation Insurance Co Continental Insurance Company Cypress Insurance Company 1 X X X X X X X X X CNA PARAMOUNT Blanket Additional Insured -Owners,Lessees orContractors-with Products-CompletedOperationsCoverageEndorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I.WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required bywrittencontractto add as an additional insured on this coverage part,but only with respect to liability for bodilyinjury,property damage or personal and advertising injury caused in whole or in part by your acts or omissions,or the acts or omissions of those acting on your behalf: A.in the performance of your ongoing operations subject to such written contract;or B.in the performance of your work subject to such written contract,but only with respect to bodily injury or property damage included in the products-completed operations hazard,and only if: 1.the written contract requires you to provide the additional insured such coverage;and 2.this coverage part provides such coverage. II.But if the written contract requires: A.additional insured coverage under the 11-85 edition,10-93 edition,or 10-01 edition of CG2010,or under the 10-01 edition of CG2037;or B.additional insured coverage with "arising out of"language;or C.additional insured coverage to the greatest extent permissible by law; then paragraph I.above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part,but only with respect to liability for bodily injury,property damage or personal and advertising injury arising out of your work that is subject to such writtencontract. III.Subject always to the terms and conditions of this policy,including the limits of insurance,the Insurer will not provide such additional insured with: A.coverage broader than required by the written contract;or B.a higher limit of insurance than required by the written contract. IV.The insurance granted by this endorsement to the additional insured does not apply to bodily injury,propertydamage,or personal and advertising injury arising out of: A.the rendering of,or the failure to render,any professional architectural,engineering,or surveying services, including: 1.the preparing,approving,or failing to prepare or approve maps,shop drawings,opinions,reports,surveys, field orders,change orders or drawings and specifications;and 2.supervisory,inspection,architectural or engineering activities;or B.any premises or work for which the additional insured is specifically listed as an additional insured on anotherendorsementattachedtothiscoveragepart. V.Under COMMERCIAL GENERAL LIABILITY CONDITIONS,the Condition entitled Other Insurance is amended to add the following,which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: Policy No: Endorsement No: Effective Date: 0/01/2021 CNA75079XX (10-16)Page 1 of 2 /"5*0/"-'*3&*/463"/$&0')"35'03% Insured Name: 13*.&&-&$53*$"-4&37*$&4 */$ Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.00020009960244308994219 CNA PARAMOUNT Blanket Additional Insured -Owners,Lessees orContractors-with Products-CompletedOperationsCoverageEndorsement Primary and Noncontributory Insurance With respect to other insurance available to the additional insured under which the additional insured is a named insured,this insurance is primary to and will not seek contribution from such other insurance,provided that a writtencontractrequirestheinsuranceprovidedbythis policy to be: 1.primary and non-contributing with other insurance available to the additional insured;or 2.primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above,this insurance will be excess of all other insurance available to the additional insured. VI.Solely with respect to the insurance granted by this endorsement,the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence,Offense,Claim or Suit is amended with the addition ofthefollowing: Any additional insured pursuant to this endorsement will as soon as practicable: 1.give the Insurer written notice of any claim,or any occurrence or offense which may result in a claim; 2.send the Insurer copies of all legal papers received,and otherwise cooperate with the Insurer in the investigation, defense,or settlement of the claim;and 3.make available any other insurance,and tender the defense and indemnity of any claim to any other insurer orself-insurer,whose policy or program applies to a loss that the Insurer covers under this coverage part.However, if the written contract requires this insurance to be primary and non-contributory,this paragraph 3.does notapplytoinsuranceonwhichtheadditionalinsuredisanamedinsured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receiveswrittennoticeof a claim from the additional insured. VII.Solely with respect to the insurance granted by this endorsement,the section entitled DEFINITIONS is amended toadd the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part,provided the contract or agreement: A.is currently in effect or becomes effective during the term of this policy;and B.was executed prior to: 1.the bodily injury or property damage;or 2.the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers,takes effecton the effective date of said Policy at the hour stated in said Policy,unless another effective date is shown below,andexpiresconcurrentlywithsaidPolicy. Policy No: Endorsement No: Effective Date: 0/01/2021 CNA75079XX (10-16)Page 2 of 2 /"5*0/"-'*3&*/463"/$&0')"35'03%Insured Name: 13*.&&-&$53*$"-4&37*$&4 */$ Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA PARAMOUNT Contractors'General Liability Extension Endorsement B.Solely for the purpose of the coverage provided by this PROPERTY DAMAGE –ELEVATORS Provision,the Other Insurance conditions is amended to add the following paragraph: This insurance is excess over any of the other insurance,whether primary,excess,contingent or on any otherbasisthatisPropertyinsurancecoveringpropertyofothersdamagedfromtheuseofelevators. 23.SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS –COVERAGES A AND B is amended as follows: A.Paragraph 1.b.is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000.limit;and B.Paragraph 1.d.is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a$1,000.limit. 24.UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the NamedInsured's Coverage Part,the Insurer will not deny coverage under this Coverage Part because of such failure. 25.WAIVER OF SUBROGATION -BLANKET Under CONDITIONS,the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended toadd the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because ofpaymentstheInsurermakesforinjuryordamagearisingoutof: 1.the Named Insured's ongoing operations;or 2.your work included in the products-completed operations hazard. However,this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery inawrittencontractorwrittenagreement,and only if such contract or agreement: 1.is in effect or becomes effective during the term of this Coverage Part;and 2.was executed prior to the bodily injury,property damage or personal and advertising injury giving rise to the claim. 26.WRAP-UP EXTENSION:OCIP,CCIP,OR CONSOLIDATED (WRAP-UP)INSURANCE PROGRAMS Note:The following provision does not apply to any public construction project in the state of Oklahoma,nor to any construction project in the state of Alaska,that is not permitted to be insured under a consolidated (wrap-up) insurance program by applicable state statute or regulation. If the endorsement EXCLUSION –CONSTRUCTION WRAP-UP is attached to this policy,or another exclusionaryendorsementpertainingtoOwnerControlledInsurancePrograms(O.C.I.P.)or Contractor Controlled InsurancePrograms(C.C.I.P.)is attached,then the following changes apply: A.The following wording is added to the above-referenced endorsement: With respect to a consolidated (wrap-up)insurance program project in which the Named Insured is or was involved,this exclusion does not apply to those sums the Named Insured become legally obligated to pay as damages because of: 1.Bodily injury,property damage,or personal or advertising injury that occurs during the Named Insured's ongoing operations at the project,or during such operations of anyone acting on the Named Insured'sbehalf;nor Policy No: Endorsement No: 1 Effective Date: 21 CNA74705XX (1-15)Page 16 of 17 /"5*0/"-'*3&*/463"/$&0')"35'03%Insured Name: 13*.&&-&$53*$"-4&37*$&4 */$ Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. WAIVER OF SUBROGATION -BLANKET CNA PARAMOUNT Contractors'General Liability Extension Endorsement claims arising solely out of their capacity or status as such and,in the case of a spouse,where such claim seeksdamagesfrommaritalcommunityproperty,jointly held property or property transferred from such natural personInsuredtosuchspouse.No coverage is provided for any act,error or omission of an estate,heir,legalrepresentative,or spouse outside the scope of such person's capacity or status as such,provided however that thespouseof a natural person Named Insured and the spouses of members or partners of joint venture or partnershipNamedInsuredsareInsuredswithrespecttosuchspouses'acts,errors or omissions in the conduct of the NamedInsured's business. 10.EXPECTED OR INTENDED INJURY –EXCEPTION FOR REASONABLE FORCE Under COVERAGES,Coverage A –Bodily Injury and Property Damage Liability,the paragraph entitledExclusionsisamendedtodeletetheexclusionentitledExpectedorIntendedInjuryandreplaceit with the following: This insurance does not apply to: Expected or Intended Injury Bodily injury or property damage expected or intended from the standpoint of the Insured.This exclusion does notapplytobodilyinjuryorpropertydamageresultingfromtheuseofreasonableforcetoprotectpersonsorproperty. 11.GENERAL AGGREGATE LIMITS OF INSURANCE -PER PROJECT A.For each construction project away from premises the Named Insured owns or rents,a separate ConstructionProjectGeneralAggregateLimit,equal to the amount of the General Aggregate Limit shown in the Declarations, is the most the Insurer will pay for the sum of: 1.All damages under Coverage A,except damages because of bodily injury or property damage included in the products-completed operations hazard;and 2.All medical expenses under Coverage C, that arise from occurrences or accidents which can be attributed solely to ongoing operations at that constructionproject.Such payments shall not reduce the General Aggregate Limit shown in the Declarations,nor theConstructionProjectGeneralAggregateLimitofanyotherconstructionproject. B.All: 1.Damages under Coverage B,regardless of the number of locations or construction projects involved; 2.Damages under Coverage A,caused by occurrences which cannot be attributed solely to ongoing operations at a single construction project,except damages because of bodily injury or property damage included in the products-completed operations hazard;and 3.Medical expenses under Coverage C caused by accidents which cannot be attributed solely to ongoingoperationsat a single construction project, will reduce the General Aggregate Limit shown in the Declarations. C.The limits shown in the Declarations for Each Occurrence,for Damage To Premises Rented To You and forMedicalExpensecontinuetoapply,but will be subject to either the Construction Project General Aggregate LimitortheGeneralAggregateLimit shown in the Declarations,depending on whether the occurrence can beattributedsolelytoongoingoperationsat a particular construction project. D.When coverage for liability arising out of the products-completed operations hazard is provided,any payments for damages because of bodily injury or property damage included in the products-completed operationshazardwillreducetheProducts-Completed Operations Aggregate Limit shown in the Declarations,regardless of the number of projects involved. Policy No: Endorsement No: 1 Effective Date: 21 CNA74705XX (1-15)Page 8of17 /"5*0/"-'*3&*/463"/$&0')"35'03%Insured Name: 13*.&&-&$53*$"-4&37*$&4 */$ Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. GENERAL AGGREGATE LIMITS OF INSURANCE -PER PROJECT CNA PARAMOUNT Contractors'General Liability Extension Endorsement E.If a single construction project away from premises owned by or rented to the Insured has been abandoned andthenrestarted,or if the authorized contracting parties deviate from plans,blueprints,designs,specifications or timetables,the project will still be deemed to be the same construction project. F.The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. 12.IN REM ACTIONS A quasi in rem action against any vessel owned or operated by or for the Named Insured,or chartered by or for theNamedInsured, will be treated in the same manner as though the action were in personam against the NamedInsured. 13.INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE Solely with respect to bodily injury that arises out of a health care incident: A.Under COVERAGES,Coverage A –Bodily Injury and Property Damage Liability,the paragraph entitled Insuring Agreement is amended to replace Paragraphs 1.b.(1)and 1.b.(2)with the following: b.This insurance applies to bodily injury provided that the professional health care services are incidental totheNamedInsured's primary business purpose,and only if: (1)such bodily injury is caused by an occurrence that takes place in the coverage territory. (2)the bodily injury first occurs during the policy period.Allbodily injury arising from an occurrence will be deemed to have occurred at the time of the first act,error,or omission that is part of the occurrence; and B.Under COVERAGES,Coverage A –Bodily Injury and Property Damage Liability,the paragraph entitled Exclusions is amended to: i.add the following to the Employers Liability exclusion: This exclusion applies only if the bodily injury arising from a health care incident is covered by other liability insurance available to the Insured (or which would have been available but for exhaustion of its limits). ii.delete the exclusion entitled Contractual Liability and replace it with the following: This insurance does not apply to: Contractual Liability the Insured's actual or alleged liability under any oral or written contract or agreement,including but notlimitedtoexpresswarrantiesorguarantees. iii.add the following additional exclusions: This insurance does not apply to: Discrimination any actual or alleged discrimination,humiliation or harassment,including but not limited to claims based onanindividual's race,creed,color,age,gender,national origin, religion, disability,marital status or sexualorientation. Dishonesty or Crime Any actual or alleged dishonest,criminal or malicious act,error or omission. Medicare/Medicaid Fraud Policy No: Endorsement No: 1 Effective Date: 21 CNA74705XX (1-15)Page 9of17 /"5*0/"-'*3&*/463"/$&0')"35'03% Insured Name: 13*.&&-&$53*$"-4&37*$&4 */$ Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.00020009960244308994212 CNA63359XX(Ed.04/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS EXTENDED COVERAGE ENDORSEMENT -BUSINESS AUTO PLUS - This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM name,with your permission,while performingI.LIABILITY COVERAGE duties related to the conduct of your business.A.Who Is An Insured "Policy,"as used in this provision A.Who Is AnThefollowing is added to Section II,Paragraph Insured,includes those policies that were in forceA.1.,Who Is An Insured:on the inception date of this Coverage Form but: 1. a.Any incorporated entity of which the 1.Which are no longer in force;orNamedInsuredownsamajorityof the 2.Whose limits have been exhausted.voting stock on the date of inception ofthisCoverageForm;provided that,B.Bail Bonds and Loss of Earnings b.The insurance afforded by this provision Section II,Paragraphs A.2.(2)and A.2.(4)areA.1.does not apply to any such entity revised as follows:that is an "insured"under any other 1.In a.(2),the limit for the cost of bail bonds isliability "policy"providing "auto"coverage.changed from $2,000 to $5,000; and2.Any organization you newly acquire or form,2.In a.(4),the limit for the loss of earnings isotherthan a limited liability company,changed from $250 to $500 a day.partnership or joint venture,and over whichyoumaintainmajorityownershipinterest.C.Fellow Employee The insurance afforded by this provision A.2.:Section II,Paragraph B.5 does not apply. a.Is effective on the acquisition or formation Such coverage as is afforded by this provision C.date, and is afforded only until the end of is excess over any other collectible insurance.the policy period of this Coverage Form,II.PHYSICAL DAMAGE COVERAGEorthenextanniversaryofitsinceptiondate,whichever is earlier.A.Glass Breakage –Hitting A Bird Or Animal –b.Falling Objects Or MissilesDoesnotapplyto: (1)Section III,Paragraph"Bodily injury"or "property damage"The following is added toA.3.caused by an "accident"that :occurred before you acquired or With respect to any covered "auto,"any deductibleformedtheorganization;or shown in the Declarations will not apply to glass(2)Any such organization that is an breakage if such glass is repaired,in a manner"insured"under any other liability acceptable to us,rather than replaced."policy"providing "auto"coverage.B.Transportation Expenses3.Any person or organization that you are Section III,Paragraph A.4.a.is revised,withrequiredbyawrittencontracttonameasanrespecttotransportationexpenseincurredbyyou,additional insured is an "insured"but only with to provide:respect to their legal liability for acts oromissionsof a person,who qualifies as an a.$60 per day,in lieu of $20;subject to"insured"under Section II –Who Is An b.$1,800 maximum,in lieu of $600.Insured and for whom Liability Coverage isaffordedunderthis policy. If required by C.Loss of Use Expenseswrittencontract,this insurance will be primary Section III,Paragraph A.4.b.is revised,withandnon-contributory to insurance on which respect to loss of use expenses incurred by you,the additional insured is a Named Insured.to provide:4.An "employee"of yours is an "insured"while a.$1,000 maximum,in lieu of $600.operating an "auto"hired or rented under acontractoragreementinthat"employee's" CNA63359XX Page 1of3Copyright,CNA Corporation, 2000.(Ed.04/12)Includes copyrighted material of the Insurance Services Office used with its permission.4002000686012621168077810-*$:/6.#&36012621168 A.Who Is An Insured CNA63359XX(Ed.04/12) (2)Excess over any other collectible damage,against any person or organization forinsurance.whom or which you are required by writtencontractoragreementtoobtainthiswaiverfrom2.For purposes of this provision,"executive officer"us.means a person holding any of the officerpositionscreatedbyyourcharter,constitution,by-This injury or damage must arise out of yourlawsoranyothersimilargoverningdocument,activities under a contract with that person orand,while a resident of the same household,organization.includes that person's spouse.You must agree to that requirement prior to anSuch"executive officers"are "insureds"while "accident"or "loss."using a covered "auto"described in this provision.C.Concealment,Misrepresentation or FraudIV.BUSINESS AUTO CONDITIONS The following is added to Section IV,ParagraphA.Duties In The Event Of Accident,Claim,Suit Or B.2.:Loss Your failure to disclose all hazards existing on the dateThefollowing is added to Section IV,Paragraph of inception of this Coverage Form shall not prejudiceA.2.a.:you with respect to the coverage afforded providedsuchfailureoromissionisnotintentional.(4)Your "employees"may know of an"accident"or "loss."This will not mean D.Other Insurancethatyouhavesuchknowledge,unless The following is added to Section IV,Paragraphsuch"accident"or "loss" is known to you B.5.:or if you are not an individual,to any ofyourexecutiveofficersorpartnersoryour Regardless of the provisions of Paragraphs 5.a.insurance manager.and 5.d.above,the coverage provided by thispolicy shall be on a primary non-contributoryThefollowing is added to Section IV,Paragraph basis.This provision is applicable only whenA.2.b.:required by a written contract.That written(6)Your "employees"may know of contract must have been entered into prior todocumentsreceivedconcerningaclaim"Accident"or "Loss."or "suit."This will not mean that you have E.Policy Period,Coverage Territorysuchknowledge,unless receipt of suchdocumentsisknowntoyouorifyouare Section IV,Paragraph B.7.(5).(a).is revised tonot an individual,to any of your executive provide:officers or partners or your insurance a.45 days of coverage in lieu of 30 days.manager. V.DEFINITIONSB.Transfer Of Rights Of Recovery Against OthersToUs Section V.Paragraph C.is deleted and replaced bythefollowing:The following is added to Section IV,ParagraphA.5.Transfer Of Rights Of Recovery Against "Bodily injury"means bodily injury,sickness or diseaseOthersToUs:sustained by a person,including mental anguish,mental injury or death resulting from any of these.We waive any right of recovery we may have,because of payments we make for injury or CNA63359XX Page 3of3Copyright,CNA Corporation, 2000.(Ed.04/12)Includes copyrighted material of the Insurance Services Office used with its permission.4002000686012621168077910-*$:/6.#&36012621168 To Us Of Rights Of Recovery Against OthersB..Transfer D.Other Insurance Endorsement Effective: Policy No.: Insured: WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 04 10 C (Ed. 01-19) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA BLANKET BASIS We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) The additional premium for this endorsement shall be calculated by applying a factor of 2% to the total manualpremium, with a minimum initial charge of $350, then applying all other pricing factors for the policy to this calculatedcharge to derive the final cost of this endorsement. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Blanket Waiver Person/Organization Blanket Waiver – Any person or organization for whom the Named Insured hasagreed by written contract to furnish this waiver. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement No.: Premium $ Insurance Company: WC 99 04 10 C Countersigned by ______________________________________ (Ed. 01-19) Job Description All CA Operations Cypress Insurance Company PRWC128174 Waiver Premium (prior to adjustments) 69 12/01/2020 Prime Electrical Service, Inc. Waiver Premium (prior to adjustments)