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HomeMy WebLinkAboutKL Painting Inc; 2022-01-24; PWM22-1750FACPWM22-1750FAC CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT LIBRARY LEARNING CENTER METAL PAINT REPAIR DESCRIPTION OF WORK. PROVISIONS OF LABOR AND MATERIALS. CONTRACT DOCUMENTS. LABOR. GUARANTEE. PAYMENT. WAGE RATES. PWM22-1750FAC FALSE CLAIMS. REQUIRED INSURANCE. OR OR WORKERS’ COMPENSATION AND EMPLOYER’S LIABILITY. BUSINESS LICENSE. PWM22-1750FAC INDEMNITY. JURISDICTION. CONTRACTOR’S INFORMATION. PWM22-1750FAC AUTHORITY. or or Otherwise PWM22-1750FAC EXHIBIT A LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR NONE SUBCONTRACTORS Portion of Project to be Subcontracted Business Name and Address DIR Registration No. License No., Classification & Expiration Date % of Total Contract PWM22-1750FAC EXHIBIT B Library Learning Center Metal Paint Repair • • • Notes: • • • JOB QUOTATION ITEM NO. UNIT QTY DESCRIPTION PRICE TOTAL* $11,500 *Includes taxes, fees, expenses and all other costs. PWM22-1750FAC EXHIBIT C CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/20/2021 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 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). PRODUCER Phone: (858) 642-0200 Fax: (858) 642-0205 CONTACTNAME:ALL COMMERCIAL INSURANCE SERVICES, LLC.ALL COMMERCIAL INSURANCE SERVICES, LLC. 6790 TOP GUN STREET #3 SAN DIEGO CA 92121 PHONE(A/C, No, Ext):(858) 642-0200 FAX(A/C, No):(858) 642-0205 E-MAILADDRESS:www.2insure.biz INSURER(S) AFFORDING COVERAGE NAIC # Agency Lic#: 0C64552 INSURER A :NATIONWIDE MUTUAL INSURANCE CO 23787 INSUREDKL PAINTING INC 2440 LORNA LANE CARLSBAD CA 92008 INSURER B :INFINITY SELECT INSURANCE COMPANY 20260 NATIONAL UNION FIRE CO OF PITTSBURGH, PA 19445INSURER C : INSURER D: INSURER E : COVERAGES CERTIFICATE NUMBER:3356723 INSURER F : 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 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. INSRLTR TYPE OF INSURANCE ADDLINSD SUBRWVD POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS A X COMMERCIAL GENERAL LIABILITY ACP7805050387 05/27/21 05/27/22 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTEDPREMISES (Ea occurence)$100,000 MED. EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $2,000,000 POLICY X PRO- JECT LOC PRODUCTS - COMP/OP AGG $2,000,000 OTHER:$ B AUTOMOBILE LIABILITY 504590622685001 06/27/21 06/27/22 COMBINED SINGLE LIMIT(Ea accident)1,000,000 ANY AUTO BODILY INJURY (Per person) $ $ ALL OWNED AUTOS X SCHEDULED AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON-OWNED AUTOS PROPERTY DAMAGE(per accident)$ $ C UMBRELLA LIAB X OCCUR EBU080662716 05/27/21 05/27/22 EACH OCCURRENCE $2,000,000 X CLAIMS-MADE AGGREGATE $2,000,000 DED EXCESS LIAB RETENTION $$ WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY PERSTATUTE OTH-ER Y / N E.L. EACH ACCIDENT $ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?N / A E.L. DISEASE-EA EMPLOYEE $(Mandatory in NH)If yes, describe underDESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: ALL PROJECTS The City of Carlsbad is included as Additional Insured with respect to general liability as per the attached endorsement. *10 Day Notice of Cancellation for Non-Payment/30 Day Notice of Cancellation for all other causes CERTIFICATE HOLDER CANCELLATION City of Carlsbad/CMWD c/o EXIGIS Insurance Compliance Services P.O. Box 4668 - ECM #35050 New York, NY 10163-4668 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Attention: Emilyn Ryan Mark Rubin ACORD 25 (2014/01)The ACORD name and logo are registered marks of ACORD© 1988-2014 ACORD CORPORATION. All rights reserved. ACP GLO 7805050387 MACH 21089 INSURED COPY 47 0007426 ACP GLO 7805050387 MACH 21089 INSURED COPY 47 0007427