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HomeMy WebLinkAboutSaturn Electric Inc; 2022-05-09; PKRC22-0401DocuSign Envelope ID: A942D59D-0A14-4D79-89C6-8291 BDDDF239 Tracking#: CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT HOLIDAY PARK -PARK LIGHTING AND SAFETY RETROFIT; CONT. NO. PKRC22-0401 This agreement is made on the 9th day of May , 20.2.2._, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and Saturn Electric, Inc. whose principal place of business is 7552 Trade Street, San Diego, CA 92121 (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: Temujin Matsubara (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. PARK LIGHTING AND SAFETY RETROFIT; CONT. NO. PKRC22-0401 Page 1 of8 City Attorney Approved 1 /2212020 DocuSign Envelope ID: A942D59D-0A14-4D79-89C6-8291 BDDDF239 Tracking#: 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 ubcontractor from participating in contract bidding. Signature: Print Name: -('1~ A. Q,,,& le. 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. INDEMNITY. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and holcl harmless the City, and its officers and employees, from ail claims, loss, damage, injury and liability of PARK LIGHTING AND SAFETY RETROFIT; CONT. NO. PKRC22-0401 Page 2 ofB City Attorney Approved 1/22/2020 DocuSign Envelope ID: A942D59D-0A14-4D79-89C6-8291 BDDDF239 Tracking#: every kind, nature and description, directly or indirectly arising from or in connection with the perfonnance 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 60 working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within 30 working days after receipt of Notice to Proceed. CONTRACTOR'S INFORMATION. Ill Ill Ill Ill Ill Ill Ill Ill Ill Ill Ill Saturn Electric, Inc. ( name of Contractor) 219097 {Contractor's license number) C-10, A, B-1/31/2024 (license class. and exp. date) 1000007128 (DIR registration number) 6/30/2023 (DIR registration exp. date) PARK LIGHTING AND SAFETY RETROFIT; CONT. NO. PKRC22-0401 Page 3of 8 7552 Trade Street (street address) San Diego, CA 92121 (city/state/zip) 858-271-4100 (telephone no.) 858-271-0230 (fax no.) tim@satumelectric.com (e-mail address) City Attorney Approved 1/22/2020 DocuSign Envelope ID: A942D59D-0A14-4D79-89C6-8291BDDDF239 Tracking#: AUTHORITY. The individuals executing this Agreement and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Agreement. CONTRACTOR (sign here) ~'j A· Diid, k .P-r.uncl...e 'at: (print name/title) By: ~\:JotJ> (sign here) ::TJ,orna.a. J. Duak.-:f<-,;1 fpri nt name/title) CITY OF CARLSBAD, a municipal corporation of the State of California By: t'.i;t, 'd-~ Parks & Recreation Director FAVIOLA MEDINA City Clerk Services Manager 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 Chairman, President, or Vice-President Group B 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: aULq:Dv fV'bSf Deputy City Attorney PARK LIGHTING AND SAFETY RETROFIT; CONT. NO. PKRC22-0401 Page4 ofB City Attorney Approved 1/22/2020 DocuSign Envelope ID: A942D59D-0A14-4D79-89C6-8291 BDDDF239 Tracking#: 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 .. Business Name and Address be Subcontracted t'IC6J/1t:bunf /!,lJdJf II rt!,O .p Q..IJL ~ ~~ I UC.. i5g{ Total% Subcontracted: ___ /_' __ _ PARK LIGHTING AND SAFETY RETROFIT; CONT. NO. PKRC22-0401 Page 5 of8 DIR Registration No. IIY-J"-nc·0""-,... •Jnn.r~ License No., %of Classification & Total Expiration Date Contract '?J°?)q,:J75 U/fo/~. \~% City Attorney Approved 1/22/2020 DocuSign Envelope ID: A942D59D-0A14-4D79-89C6-8291 BDDDF239 Labor and Materials EXHIBITB SCOPE OF WORK Remove and replace existing light pole concrete bases, light poles and fixtures ,. Grade and form to pour eight (8) new concrete bases o Concrete base dimensions required per each base 24" diameter 5' long Concrete pole base with (6) #5 vertical rebar basket equally space #3 rebar ties on center (3) #3 Rebar ties, 1 ½" on center Tracking#: • • • • • • Provide bare CU #4 ground from pole to footing connector to rebar cage • #4 conductor to be minimum 20' long • • • Galvanized anchor bolts as required by pole manufacture Provide double locknuts at pole base for pole level adjustment Stainless steel anchor bolts and nuts • Branch circuiting to handle adjacent to pole • Concrete base height; 6" minimum above grade • Install eight (8) new light poles and eight (8) light fixtures o (8) NLS Lighting Fixture: Horizon HRZ-1-32L-53-40K-UNV-T3R (3 Bar color: Bronze) o (8) Pole: Valmont R120045456S4 (color: Bronze) o Light pole height 12' o Base plate with leveling nuts o Aluminum bolts and nut covers o Grout between bottom of pole base and top of concrete base • Each light pole will have one (1) new pull box o (8) concrete pull box; 1 0"W x 15"L x 12"D, marked identification 'electrical' on concrete lid o Pull box installation level to final grade • Remove all existing electrical wires from pull box to light pole and replace with new electrical wires from pull box to light pole • All wire connections shall use dry pack waterproof installation • Contractor shall use plywood protection to protect landscape as needed from equipment and spoils • All spoils shall be hauled off site and disposed by the contractor • Labor and materials bond Total cost not to exceed $59,900 Exclusions • Temporary power and lighting • Electrical permits and fees • Repairs to existing electrical system • Landscape repairs PARK LIGHTING AND SAFETY RETROFIT; CONT. NO. PKRC22-0401 Page 6 of8 City Attorney Approved 1/22/2020 4/1/2022, 9:36:45 AM Street Name -Major Minor Private ArcGIS Web Map Public Access --Alley Dirt Road c::J City Boundary 0 0.01 0 0.01 1:1,128 0.01 0.03mi 0.03 0.05 km Web AppBuBder for ArcGlS Cl 0 g en co· ::, m ::, < (1) 0 -0 (1) q )> 'J;. I\) Cl u, (I) Cl ~ .i,. .I,. Cl --.J (I) CJ (I) (") Ol CJ I\) ~ CD Cl Cl Cl ,, I\) (,.) (I) 4/1/2022, 9:43:31 AM Street Name --Minor -Major ---Private ArcGIS Web Map Public Access Alley Dirt Road Cl City Boundary 0 f 0 0.01 0.03 1:2,257 0.03 I I I I I I 0.05 0.06ml I I I I I I 0.1 km Web AppBuildar for ArcGlS a 0 g (/J u5· :::, m :::, cfi 0 "C (1) q ~ .j>. N a u, <.O a ~ t a -,J <.O m <.O (') It' [ll N ~ [ll a a a "Tl N c.., <.O DocuSign Envelope ID: A942D59D-0A 14-4D79-89C6-B291 BDDDF239 BOND NUMBER: GSM30704 PREMIUM: $899.00 SUBJECT TO ADJUSTMENT BASED ON FINAL CONTRACT PRICE EXHIBIT C LABOR AND MATERIALS BOND Tracking#: WHEREAS, the City Council of the City of Carlsbad, State of California, has awarded to Saturn Electric, Inc. (hereinafter designated as the "Principal"), a Contract for: PARK LIGHTING AND SAFETY RETROFIT CONTRACT NO. PKRC22-04D1 in the City of Carlsbad, in strict conformity with the drawings and specifications, and other Contract Documents now on file in the Office of the City Clerk of the City of Carlsbad and all of which are incorporated herein by this reference. WHEREAS, Principal has executed or is about to execute said Contract and the terms thereof require the furnishing of a bond, providing that if Principal or any of its subcontractors shall fail to pay for any materials, provisions, provender or other supplies or teams used in, upon or about the performance of the work agreed to be done, or for any work or labor done thereon of any kind, the Surety on this bond will pay the same to the extent hereinafter set forth. NOW, THEREFORE, WE, Saturn Electric, Inc., as Principal, (hereinafter designated as the "Contractor''), and The Gray Casualty & Surety Company as Surety, are held firmly bound unto the City of Carlsbad in the sum of fifty-nine thousand nine hundred Dollars ($59,900), said sum being an amount equal to: One hundred percent (100%) of the total amount payable under the terms of the Contract by the City of Carlsbad, and for which payment well and truly to be made we bind ourselves, our heirs, executors and administrators, successors, or assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if the Contractor or his/her subcontractors fail to pay for any materials, provisions, provender, supplies, or teams used in, upon, for, or aboutthe performance of the work contracted to be done, or for any other work or labor thereon of any kind, consistent with California Civil Code section 9100, or for amounts due under the Unemployment Insurance Code with respect to the work or labor performed under this Contract, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of the contractor and subcontractors pursuant to section 13020 of the Unemployment Insurance Code with respect to the work and labor, that the Surety will pay for the same, and, also, in case suit is brought upon the bond, reasonable attorney's fees, to be fixed by the court consistent with Californil;l Civil Code section 9554. This bond shall inure to the benefit of any of the persons named in California Civil Code section 9100, so as to give a right of action to those persons or their assigns in any suit brought upon the bond. Surety stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract, or to the work to be performed hereunder or the specifications accompanying the same shall affect its obligations on this bond, and it does hereby waive notice of any change, extension of time, alterations or addition to the terms of the contract or to the work or to the specifications. PARK LIGHTING AND SAFETY RETROFIT; CONT. NO. PKRC22-0401 Page 7 ofB City Attorney Approved 1/22/2020 DocuSign Envelope ID: A942D59D-0A 14-4D79-89C6-B291 BDDDF239 Alliant Insurance Services, San Diego 04/21/2022 12:49 224248208023 THE GRAY INSURANCE COMPANY THE GRAY CASUALTY & SURETY COMPANY GENERAL POWER OF ATTORNEY Bond Number: GSM30704 Principal: Saturn Electric, Inc. Project: PARK LIGHTING AND SAFETY RETROFIT CONTRACT NO. PKRC22-0401 KNOW ALL BY THESE PRESENTS, THAT The Gray Insurance Company and The Gray Casualty & Surety Company. corporations duly organized and existing under the laws of Louisiana, and having their principal offices in Metairie, Louisiana, do hereby make, constitute, and appoint: Lawrence F. McMahon, Sarah Myers, Ryan E. Warnock, Maria Guise, Janice Martin, and Christopher J. Conte of San Diego, California jointly and severally on behalf of each of the Companies named above its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its deed, bonds, or other writings obligatory in the nature of a bond, as surety, contracts of suretyship as are or may be required or pennitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed the amount of$15,000,000.00. This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both The Gray Insurance Company and The Gray Casualty & Surety Company at meetings duly called and held on the 26lll day of June, 2003. "RESOLVED, that the President, Executive Vice President, any Vice President, or the Secretary be and each or any of them hereby is authorized to execute a power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company ponds, undertakings, and all contracts of surety, and that each or any of them is hereby authorized to attest to the execution of such Power of Attorney, and to attach the seat of the Company; and it is FURTHER RBSOL VED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be binding upon the Company now and in the future when so affixed with regard to any bond, undertaking or contract of surety to which it is attached. IN WITNESS WHEREOF, The Gray Insurance Company and The Gray Casualty & Surety Company have caused their official seals to be hereinto affixed, and these presents to be signed by their authorized officers this 28th day of October, 202 l. State of Louisiana ss: Parish of Jefferson Michael T. Gray President The Gray Insurance Company Of Cullen S. Piske President The Gray Casualty & Surety Company On this 2S1h day of October, 2021, before me, a Notary Public, personally appeared Michael T. Gray, President ofThe Gray Insurance Company, and Cullen S. Piske, President ofThe Gray Casualty & Surety Company, personally known to me, being duly sworn, acknowledged that they signed the above Power of Attorney and affixed the seals of the companies as officers of, and acknowledged said instrument to be the voluntary act and deed, of their companies. • . Leii;;ll Anne Henican Notary Public Notary ID No. 92653 Orleans Parish, Louisiana Leigh Anne Henican Notary Public, Parish of Orleans State of Louisiana My Commission is for Life DocuSign Envelope ID: A942D59D-0A14-4D79-B9C6-B291BDDDF239 Tracking#: In the event that Contractor is an individual, it is agreed that the death of any such Contractor shall not exonerate the Surety from its obligations under this bond. Executed by CONTRACTOR this _..,t,_':,.,.__ __ day • 20~. CONTRACTOR: Saturn Electric, Inc. (name of Contractor) By:~~~-=·:._:&.,~=:!--------- (sign here) Executed by SURElY this __ 2_1_st ___ day of ___ A .... P'-ri_l _____ _, 20~ . SURElY: The Gray Casualty & Surety Company (name of Surety) 1225 West Causeway Approach, Mandeville, LA 70471 (address of Surety) ~40 J.en t._ -:n'Q\ol-b."' &-I?~ _(5_04_) 7_54_-6_71_4 ___ __,...... ____ _ (print name here} of Surety) ~14::0\AA:at Solu.an8.eAh:1,;1Jt. By: ___ -=-~~+ejl-i~h~"'"-.-------,-------,-- (title and organization of signatory) By: --r:: ~,/2--... (sign here) -rhorna.s J. Ou..deK (print name here) V l c..e -Pr12-0 tcle.n.~ ./.s9-C-rL:l:a.t_:j {title and organization of signatory) Lawrence F. McMahon, Attorney-in-Fact {printed name of Attorney-in~Fact)' (attach corporate resolution showing current power of attorney) {Proper notarial acknowledgment of execution by CONTRACTOR and SURETY must be attached.) (President or vice-president and secretary or assistant secretary must sign for corporations. If only one officer signs, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering that officer to bind the corporation.) APPROVED AS TO FORM: CELIA A. BREWER City Attorney By: Ulliq(A, f V't>St Deputy Cit'! Attorne'J PARK LIGHTING AND SAFETY RETROFIT; CONT. NO. PKRC22-0401 Page 8 of8 City Attomey Approved 1/22/2020 DocuSign Envelope ID: A942D59D-0A14-4D79-89C6-8291BDDDF239 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT Civil Code§ 11as A notary public or other officer completing this certificate verifies only the identity of the Individual who signed the document to which this certificate is attached and not the truthfulness accura or valid of that document. STATE OF CALIFORNIA County of San Diego } On Y l t-}1j.¢)..a:: before me, Maria Guise , Notary Public, --,--~..,a-te~--..c==------lns_ert_N_ame_of_N_ota_ry_exacil_y_a_s_1t_ap_pea_1B_on_th_a_ofllc_la_l_sea_l __ personally appeared _____________ L_a.,....w_re_n,..,,c_e=F,,... _M...,c..,..M_a_h_on ___________ _ Name(s) of Signer(s) r:e--_,,,. ..., e ;ARIA GUISE -1 ; ;, COMMISSION# 2283717 3 I: . Notary Publlc -California [ I' ORANGE COUNlY -~--·~=~~,.~~-~-t Place Notary Seal AboVe who proved to me on the basis of satisfactory evidence to be the person~ whose name~ is/#f# subscribed to the within instrument and acknow.:!~~ged to me that hel#WtllfflliV executed the same in hislrfllf!Mf authorized capacity('NNJ, and that by his/fllH!ilNINf signature(AM on the instrument the personW.,, or the entity upon behalf of which the person~ acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness my hand an~:al seal. Signature =--+~+=-'w;-o-.,.,~ ...... ""=-.,...,,....--c-:-......,...---=--,------- signalul'e of Notary Publlc Marla Guise OPTIONAL---------=- Though the information below is not required by la~ it may prove valuable to persons relying on the document and could prevent fraudulent removal ana reattachment of the form to another document. Description of Attached Document Title or Type of Document: ------------------------------ Document Date: ------------------Number of Pages: ________ _ Signer(s) Other Than Named Above: _________________________ _ Capacity(ies) Claimed by Slgner(s) Signer's Name: ____________ _ O Individual □ Corporate Officer -Title(s): _______ _ D Partner D Limited D General ~ Attorney in Fact D Trustee D Guardian or Conservator D Other: ______ _ Signer is Representing: Surety Company RIG!-!: THIJMP.PR:r-H or SlGNER Top of thumb here Signer's Name: -------------□ Individual D Corporate Officer -Title(s): _______ _ D Partner O Limited D General D Attorney in Fact □ Trustee D Guardian or Conservator □ other: ------- Signer is Representing: RIGHT 'iHUr,,sPRIPF OF simJE!":! p ot 111umb here ACORD® CERTIFICATE OF LIABILITY INSURANCE I DA TE (MMIDDMYYY) ~ 08/14/2021 ~ 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 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 riahts to the certificate holder in lieu of such endorsementls\. PRODUCER 2i\1,,"\,~cT CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY r:,iN~o Extl: 888-333-4949 I r:,7' Nol: 507-446-4664 HOME OFFICE: P.O. BOX 328 OWATONNA, MN 55060 t~o~~ss: CLI ENTCONTACTCENTER<nlFEDI NS.COM INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 310-425-4 INSURER B: SATURN ELECTRIC INC INSURER C: 7552 TRADE ST SAN DIEGO, CA 92121-2412 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 49 REVISION NUMBER: 0 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER ,J8,~grv~'Jv1 ,J~M%Yv~Vv, LIMITS LTR INSR WVD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 -~ CLAIMS-MADE 0 OCCUR DAMAGE TO RENTED PREMISES /Ea occurrence\ $100,000 MED EXP (Any one person) $5,000 -A y N 9823175 10/01/2021 10/01/2022 PERSONAL & ADV INJURY $1,000,000 ~N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 □PRO· □ $2,000,000 POLICY JECT LOC PRODUCTS • COMPfOP AGO OTHER: AUTOMOBILE LIABILITY n:~~~~~;~t\SINGLE LIMIT $1,000,000 f-- X ANY AUTO BODILY INJURY (Per person) --SCHEDULED A OWNED AUTOS ONLY AUTOS N N 9823175 10/01/2021 10/01/2022 BODILY INJURY (Per accident) --NON-OWNED HIRED AUTOS ONLY AUTOS ONLY rp~~:~~J:nt?AMAGE f--- X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $2,000,000 f---A EXCESS LIAB CLAIMS-MADE N N 9823176 10/01/2021 10/01/2022 AGGREGATE $2,000,000 DED I I RETENTION WORKERS COMPENSATION IPER STATUTE I I OTH- AND EMPLOYERS' LIABILITY ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE □ E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH► E.L. DISEASE -EA EMPLOYEE If yes, describe under E.L DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS below BUSINESS ERRORS/OMISSIONS N N 9823177 10/01/2021 10/01/2022 PER CLAIM $500,000 A AGGREGATE $500,000 DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) SEE ATTACHED PAGE CERTIFICATE HOLDER CANCELLATION 310-425-4 49 0 CITY OF CARLSBAD/CMWD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE C/O EXIGIS INSURANCE COMPLIANCE SERVICES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 947 ACCORDANCE WITH THE POLICY PROVISIONS. MURRIETA, CA 92564-0947 AUTHORIZED REPRESENTATIVE ~ & JL © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: ~31~0~-4~2~5--4~--------------- LOC #: ADDITIONAL REMARKS SCHEDULE Page of 1 AGENCY NAMED INSURED FEDERATED MUTUAL INSURANCE COMPANY SATURN ELECTRIC INC POLICY NUMBER 7552 TRADE ST SEE CERTIFICATE# 49.0 SAN DIEGO, CA 92121-2412 CARRIER I NAIC CODE SEE CERTIFICATE# 49.0 EFFECTIVE DATE: SEE CERTIFICATE# 49.0 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE CITYWIDE ELECTRICAL MAINTENANCE SERVICES THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR GENERAL LIABILITY. FOR NON-PAYMENT OF PREMIUM, 30 DAYS NOTICE WILL BE PROVIDED TO THE CERTIFICATE HOLDER IN THE EVENT THAT THE ISSUING COMPANY CANCELS THE POLICY BEFORE THE EXPIRATION DATE OF THE POLICY. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reseived. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20 33 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II -Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. © Insurance Services Office, Inc., 2012 Page 1 of 2 CG 20 33 0413 Policy Number: 9823175 Transaction Effective Date: 10-01-2021 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill -Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 33 0413 Policy Number: 9823175 Transaction Effective Date: 10-01-2021 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/29/2021 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 CONTACT NAME: Breckpoint PHONE (A/C, No, Ext): (800) 592-0047 FAX (A/C, No, Ext): (800) 592-2541 Administrator, California Contractors Network, Inc. E-MAIL ADDRESS: service@breckpoint.com 1481 S. Balboa Ave.INSURER(S) AFFORDING COVERAGE NAIC # Ontario, CA 91761 INSURER A: California Contractors Network, Inc.* INSURED INSURER B: Safety National Casualty Corporation 15105 Saturn Electric, Inc.INSURER C: Affiliate of California Contractors Network, Inc.INSURER D: 7552 Trade St. INSURER E: San Diego , CA 92121 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 EQUIREMENT, 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY)LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence)$ MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident)$ ANY AUTO BODILY INJURY (Per person)$ ANY OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident)$ HIRED AUTOS NON- OWNED AUTO PROPERTY DAMAGE (Per accident)$ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N X WC STATU- TORY LIMITS OTH- ER A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED?N N/A X 4503-098 01/01/2022 01/01/2023 E.L. EACH ACCIDENT $5,000,000.00 (Mandatory in NH)E.L. DISEASE - EA EMPLOYEE $5,000,000.00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $5,000,000.00 B EXCESS WORKERS COMPENSATION SP4066022 01/01/2022 01/01/2023 AND EMPLOYERS LIABILITY Applicable to WC Statutory Limits and Employers Liability Limits. DESCRIPTION OF OPERATIONS / LOCATION / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) All California Operations ** Waiver of Subrogation applies - see attached ** ** See Notes ** *Complies with the requirements of the Director of Industrial Relations under the provisions of Sections 3700 to 3705, inclusive, of the Labor Code of the State of California, holder of Master Certificate of Consent to Self-Insure No. 4503 CERTIFICATE HOLDER CANCELLATION City of Carlsbad/CMWD c/o EXIGIS Insurance Compliance Services P.O. Box 4668 - ECM #35050, New York, NY 10163 ACORD 25 (2014/01)The ACCORD name and logo are registered marks of ACORD © 1988-2010 ACORD CORPORATION. All rights reserved 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 A. Seegmiller ~ I ACORD® ~ I f---□ □ f--- f---□ □ f--- ~ □ □ - -~ □ □ -f--- -f--- -□ □ □ -n I I I □ □ □ □ PAGE 2 NOTEPAD: INSURED'S NAME: Saturn Electric, Inc. DATE: 12/29/2021 City of Carlsbad WORKERS COMPENSATION AND EMPLOYERS LIABILITY California Contractors Network, Inc. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS We have the right to recover our payments from anyone liable for a covered injury. 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Name of Person or Organization: City of Carlsbad/CMWD c/o EXIGIS Insurance Compliance Services P.O. Box 4668 - ECM #35050 New York NY 10163 City of Carlsbad Insured: Saturn Electric, Inc. Policy No.: 4503-098