Loading...
HomeMy WebLinkAboutUnited Site Services of California INC DBA Unites Site Services; 2022-06-07; PSALCA-22102CAPSALCA-22102CA City Attorney Approved Version 6/12/18 1 AGREEMENT FOR PORTABLE RESTROOMS AND SANITIZING EQUIPMENT SERVICES FOR 2022 TGIF CONCERTS IN THE PARKS SERIES UNITED SITE SERVICES OF CALIFORNIA, INC. DBA UNITED SITE SERVICES THIS AGREEMENT is made and entered into as of the ______________ day of _________________________, 2022, by and between the CITY OF CARLSBAD, a municipal corporation, ("City"), and UNITED SITE SERVICES OF CALIFORNIA, INC DBA UNITED SITE SERVICES, a California corporation, ("Contractor") (collectively, the “Parties”.) RECITALS A.City requires the professional services of a temporary toilet service provider that is experienced in temporary toilet services, as described in Exhibit “A” and Exhibit “B”. B.Contractor has the necessary experience in providing professional services and advice related to temporary toilet services, as described in Exhibit “A” and Exhibit “B”. C.Contractor has submitted a proposal to City and has affirmed its willingness and ability to perform such work. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contractor agree as follows: 1.SCOPE OF WORK City retains Contractor to perform, and Contractor agrees to render, those services (the "Services") that are defined in attached Exhibit "A" and Exhibit “B”, which is incorporated by this reference in accordance with this Agreement’s terms and conditions. 2.STANDARD OF PERFORMANCE While performing the Services, Contractor will exercise the reasonable professional care and skill customarily exercised by reputable members of Contractor's profession practicing in the Metropolitan Southern California Area and will use reasonable diligence and best judgment while exercising its professional skill and expertise. 3.TERM The term of this Agreement will be effective for a period of three (3) months from the date first above written. The City Manager may amend the Agreement to extend it for three (3) additional one (1) year periods or parts thereof. Extensions will be based upon a satisfactory review of Contractor's performance, City needs, and appropriation of funds by the City Council. The parties will prepare a written amendment including an updated quote, and the effective date and length of the extended Agreement. 4.TIME IS OF THE ESSENCE Time is of the essence for each and every provision of this Agreement. 5.COMPENSATION The total fee payable for the Services to be performed during the initial Agreement term shall not exceed ten thousand five hundred sixty-one dollars ($10,561). No other compensation for the Services will be allowed except for items covered by subsequent amendments to this Agreement. If the City elects to extend the Agreement, the amount shall not exceed eleven thousand dollars ($11,000) per Agreement year. Customer shall pay for services properly performed hereunder within thirty (30) days of receipt of Contractor’s invoice for such services. DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 7th June PSALCA-22102CA City Attorney Approved Version 6/12/18 2 6. STATUS OF CONTRACTOR Contractor will perform the Services in Contractor's own way as an independent contractor and in pursuit of Contractor's independent calling, and not as an employee of City. Contractor will be under control of City only as to the result to be accomplished but will consult with City as necessary. The persons used by Contractor to provide services under this Agreement will not be considered employees of City for any purposes. The payment made to Contractor pursuant to the Agreement will be the full and complete compensation to which Contractor is entitled. City will not make any federal or state tax withholdings on behalf of Contractor or its agents, employees or subcontractors. City will not be required to pay any workers' compensation insurance or unemployment contributions on behalf of Contractor or its employees or subcontractors. Contractor agrees to indemnify City within thirty (30) days for any tax, retirement contribution, social security, overtime payment, unemployment payment or workers' compensation payment which City may be required to make on behalf of Contractor or any agent, employee, or subcontractor of Contractor for work done under this Agreement. At the City’s election, City may deduct the indemnification amount from any balance owing to Contractor. 7. SUBCONTRACTING Contractor will not subcontract any portion of the Services without prior written approval of City. If Contractor subcontracts any of the Services, Contractor will be fully responsible to City for the acts and omissions of Contractor's subcontractor and of the persons either directly or indirectly employed by the subcontractor, as Contractor is for the acts and omissions of persons directly employed by Contractor. Nothing contained in this Agreement will create any contractual relationship between any subcontractor of Contractor and City. Contractor will be responsible for payment of subcontractors. Contractor will bind every subcontractor and every subcontractor of a subcontractor by the terms of this Agreement applicable to Contractor's work unless specifically noted to the contrary in the subcontract and approved in writing by City. 8. OTHER CONTRACTORS The City reserves the right to employ other Contractors in connection with the Services. 9. INDEMNIFICATION Contractor agrees to indemnify and hold harmless the City and its officers, officials, employees and volunteers from and against all claims, damages, losses and expenses including reasonable attorney’s fees arising out of the performance of the work described herein caused by any negligence, recklessness, or willful misconduct of the Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. The parties expressly agree that any payment, reasonable attorney’s fee, costs or expense City incurs or makes to or on behalf of an injured employee under the City’s self-administered workers’ compensation is included as a loss, expense or cost for the purposes of this section, and that this section will survive the expiration or early termination of this Agreement. Notwithstanding the foregoing, Contractor’s indemnity obligations shall not exceed Contractor’s proportional extent of cause. 10. INSURANCE Contractor will obtain and maintain for the duration of the Agreement and any and all amendments, insurance against claims for injuries to persons or damage to property which may arise out of or in connection with performance of the services by Contractor or Contractor’s agents, representatives, employees or subcontractors. The insurance will be obtained from an insurance carrier admitted and authorized to do business in the State of California. The insurance DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 PSALCA-22102CA City Attorney Approved Version 6/12/18 3 carrier is required to 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. 10.1 Coverage and Limits. Contractor will maintain the types of coverage and minimum limits indicated below, unless the Risk Manager or City Manager approves a lower amount. These minimum amounts of coverage will not constitute any limitations or cap on Contractor's indemnification obligations under this Agreement. City, its officers, agents and employees make no representation that the limits of the insurance specified to be carried by Contractor pursuant to this Agreement are adequate to protect Contractor. If Contractor believes that any required insurance coverage is inadequate, Contractor will obtain such additional insurance coverage, as Contractor deems adequate, at Contractor's sole expense. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. 10.1.1 Commercial General Liability (CGL) Insurance. Insurance written on an “occurrence” basis, including personal & advertising injury, with limits no less than $2,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. 10.1.2 Automobile Liability. (if the use of an automobile is involved for Contractor's work for City). $2,000,000 combined single-limit per accident for bodily injury and property damage. 10.1.3 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. 10.1.4 Professional Liability. Errors and omissions liability appropriate to Contractor’s profession with limits of not less than $1,000,000 per claim. Coverage must be maintained for a period of five years following the date of completion of the work. 10.2 Additional Provisions. Contractor will ensure that the policies of insurance required under this Agreement contain, or are endorsed to contain, the following provisions: 10.2.1 The City will be named as an additional insured on Commercial General Liability which shall provide primary coverage to the City. 10.2.2 Contractor will obtain occurrence coverage, excluding Professional Liability, which will be written as claims-made coverage. 10.2.3 This insurance will be in force during the life of the Agreement and any extensions of it and will not be canceled without thirty (30) days prior written notice to City sent by certified mail pursuant to the Notice provisions of this Agreement. 10.3 Providing Certificates of Insurance and Endorsements. Prior to City's execution of this Agreement, Contractor will furnish certificates of insurance and endorsements to City. 10.4 Failure to Maintain Coverage. If Contractor fails to maintain any of these insurance coverages, then City will have the option to declare Contractor in breach or may purchase replacement insurance or pay the premiums that are due on existing policies in order to maintain the required coverages. Contractor is responsible for any payments made by City to obtain or DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 PSALCA-22102CA City Attorney Approved Version 6/12/18 4 maintain insurance and City may collect these payments from Contractor or deduct the amount paid from any sums due Contractor under this Agreement. 10.5 Submission of Insurance Policies. City reserves the right to require, at any time, complete and certified copies of any or all required insurance policies and endorsements. 11. BUSINESS LICENSE Contractor will obtain and maintain a City of Carlsbad Business License for the term of the Agreement, as may be amended from time-to-time. 12. ACCOUNTING RECORDS Contractor will maintain complete and accurate records with respect to costs incurred under this Agreement. All records will be clearly identifiable. Contractor will allow a representative of City during normal business hours to examine, audit, and make transcripts or copies of records and any other documents created pursuant to this Agreement. Contractor will allow inspection of all work, data, documents, proceedings, and activities related to the Agreement for a period of three (3) years from the date of final payment under this Agreement. 13. OWNERSHIP OF DOCUMENTS All work product produced by Contractor or its agents, employees, and subcontractors pursuant to this Agreement is the property of City. In the event this Agreement is terminated, all work product produced by Contractor or its agents, employees and subcontractors pursuant to this Agreement will be delivered at once to City. Contractor will have the right to make one (1) copy of the work product for Contractor’s records. 14. COPYRIGHTS Contractor agrees that all copyrights that arise from the services will be vested in City and Contractor relinquishes all claims to the copyrights in favor of City. 15. NOTICES The name of the persons who are authorized to give written notice or to receive written notice on behalf of City and on behalf of Contractor under this Agreement. For City For Contractor Name Richard Schultz Name Sean McDowell Title Cultural Arts Manager Title Director of Contracts Department Library & Cultural Arts Address 118 Flanders Road, Ste 1000 City of Carlsbad Westborough, MA 01581 Address 1775 Dove Lane Phone No. 508-320-4073 Carlsbad, CA 92011 Email sean.mcdowell@unitedsiteservices.com Phone No. 442-339-2086 Each party will notify the other immediately of any changes of address that would require any notice or delivery to be directed to another address. DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 PSALCA-22102CA City Attorney Approved Version 6/12/18 5 16. CONFLICT OF INTEREST Contractor shall file a Conflict-of-Interest Statement with the City Clerk in accordance with the requirements of the City of Carlsbad Conflict of Interest Code. The Contractor shall report investments or interests in all categories. Yes No 17. GENERAL COMPLIANCE WITH LAWS Contractor will keep fully informed of federal, state and local laws and ordinances and regulations which in any manner affect those employed by Contractor, or in any way affect the performance of the Services by Contractor. Contractor will at all times observe and comply with these laws, ordinances, and regulations and will be responsible for the compliance of Contractor's services with all applicable laws, ordinances and regulations. Contractor will be aware of the requirements of the Immigration Reform and Control Act of 1986 and will comply with those requirements, including, but not limited to, verifying the eligibility for employment of all agents, employees, subcontractors and consultants whose services are required by this Agreement. 18. DISCRIMINATION AND HARASSMENT PROHIBITED Contractor will comply with all applicable local, state and federal laws and regulations prohibiting discrimination and harassment. 19. DISPUTE RESOLUTION If a dispute should arise regarding the performance of the Services, the following procedure will be used to resolve any questions of fact or interpretation not otherwise settled by agreement between the parties. Representatives of Contractor or City will reduce such questions, and their respective views, to writing. A copy of such documented dispute will be forwarded to both parties involved along with recommended methods of resolution, which would be of benefit to both parties. The representative receiving the letter will reply to the letter along with a recommended method of resolution within ten (10) business days. If the resolution thus obtained is unsatisfactory to the aggrieved party, a letter outlining the disputes will be forwarded to the City Manager. The City Manager will consider the facts and solutions recommended by each party and may then opt to direct a solution to the problem. In such cases, the action of the City Manager will be binding upon the parties involved, although nothing in this procedure will prohibit the parties from seeking remedies available to them at law. 20. TERMINATION In the event of the Contractor's failure to prosecute, deliver, or perform the Services, City may terminate this Agreement for nonperformance by notifying Contractor by certified mail of the termination. If City decides to abandon or indefinitely postpone the work or services contemplated by this Agreement, City may terminate this Agreement upon written notice to Contractor. Upon notification of termination, Contractor has five (5) business days to deliver any documents owned by City and all work in progress to City address contained in this Agreement. City will make a determination of fact based upon the work product delivered to City and of the percentage of work that Contractor has performed which is usable and of worth to City in having the Agreement completed. Based upon that finding City will determine the final payment of the Agreement. Either party upon tendering thirty (30) days written notice to the other party may terminate this Agreement. In this event and upon request of City, Contractor will assemble the work product and put it in order for proper filing and closing and deliver it to City. Contractor will be paid for work performed to the termination date; however, the total will not exceed the lump sum fee payable DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 PSALCA-22102CA City Attorney Approved Version 6/12/18 6 under this Agreement. City will make the final determination as to the portions of tasks completed and the compensation to be made. 21. COVENANTS AGAINST CONTINGENT FEES Contractor warrants that Contractor has not employed or retained any company or person, other than a bona fide employee working for Contractor, to solicit or secure this Agreement, and that Contractor has not paid or agreed to pay any company or person, other than a bona fide employee, any fee, commission, percentage, brokerage fee, gift, or any other consideration contingent upon, or resulting from, the award or making of this Agreement. For breach or violation of this warranty, City will have the right to annul this Agreement without liability, or, in its discretion, to deduct from the Agreement price or consideration, or otherwise recover, the full amount of the fee, commission, percentage, brokerage fees, gift, or contingent fee. 22. CLAIMS AND LAWSUITS By signing this Agreement, Contractor agrees that any Agreement claim submitted to City must be asserted as part of the Agreement process as set forth in this Agreement and not in anticipation of litigation or in conjunction with litigation. Contractor acknowledges that if a false claim is submitted to City, it may be considered fraud and Contractor may be subject to criminal prosecution. Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act applies to this Agreement and, 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 information. If City seeks to recover penalties pursuant to the False Claims Act, it is entitled to recover its litigation costs, including attorney's fees. Contractor acknowledges that the filing of a false claim may subject Contractor to an administrative debarment proceeding as the result of which Contractor may be prevented to act as a Contractor on any public work or improvement for a period of up to five (5) years. Contractor acknowledges debarment by another jurisdiction is grounds for City to terminate this Agreement. 23. JURISDICTION AND VENUE Any action at law or in equity brought by either of the parties for the purpose of enforcing a right or rights provided for by this Agreement will be tried in a court of competent jurisdiction in the County of San Diego, State of California, and the parties waive all provisions of law providing for a change of venue in these proceedings to any other county. 24. SUCCESSORS AND ASSIGNS It is mutually understood and agreed that this Agreement will be binding upon City and Contractor and their respective successors. Neither this Agreement nor any part of it nor any monies due or to become due under it may be assigned by Contractor without the prior consent of City, which shall not be unreasonably withheld. 25. ENTIRE AGREEMENT This Agreement, together with any other written document referred to or contemplated by it, along with the purchase order for this Agreement and its provisions, embody the entire Agreement and understanding between the parties relating to the subject matter of it. In case of conflict, the terms of the Agreement supersede the purchase order. Neither this Agreement nor any of its provisions may be amended, modified, waived or discharged except in a writing signed by both parties. DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 PSALCA-22102CA City Attorney Approved Version 6/12/18 7 26.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 CITY OF CARLSBAD, a municipal corporation of the State of California UNITED SITE SERVICES By: By: (sign here) SUZANNE SMITHSON Library & Cultural Arts Director as authorized by the City Manager SEAN MCDOWELL, Director of Contracts (print name/title) ATTEST: By: For FAVIOLA MEDINA (sign here) ANGELA L. FLEMING Governmental Contracts Specialist City Clerk Services Manager (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, Secretary, President, or Assistant Secretary, Vice-President 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: For CELIA A. BREWER, City Attorney BY: _____________________________ Assistant/Deputy City Attorney DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 PSALCA-22102CA City Attorney Approved Version 6/12/18 8 EXHIBIT “A” SCOPE OF SERVICES Contractor has a documented history of providing services at previous City events. Contractor was selected because of their requisite skill and reliable service to provide clean, well-maintained portable toilets and handwashing stations for large crowd-sized events across San Diego County. 1. CONTACT INFORMATION Contractor Sector Account Manager Specials and Events Ahna Covell, 760-445-6086, Ahna.Covell@unitedsiteservices.com City • Cultural Arts Manager Richard Schultz, 442-339-2068, richard.schultz@carlsbadca.gov • Program & Venues Coordinator Thomas Johnston, 442-339-2093, thomas.johnston@carlsbadca.gov • Cultural Arts Administration 442-339-2090 2. SERVICE LOCATIONS Fridays, June 24 through August 19 ALL DAY Dates Locations June 24, and July 1, 2022 Stagecoach Community Park 3420 Camino de los Coches, Carlsbad, CA July 8, July 15 and July 22, 2022 Poinsettia Community Park 6600 Hidden Valley Road, Carlsbad, CA July 29 and August 5, 2022 Calavera Hills Community Park 2997 Glasgow Drive, Carlsbad, CA August 12 and August 19, 2022 Alga Norte Community Park 6565 Alicante Road, Carlsbad, CA 3. CONTRACTOR’s RESPONSIBILITY On-site portable and service plan • Provide portable toilets, hand washing sanitizing, hot/cold sink, and crowd control barricades for nine (9) TGIF concerts. • Deliver equipment listed above three days before each concert. • Maintain the cleanliness and functionality of all portable toilets, hand washing stations, and hot/cold sinks. • Provide padlocks and keys for all portable toilets, locked and unlocked by the TGIF crew and the beginning and conclusion of each concert. • Relocate portable toilets, hand washing stations, hot/cold sink, and crowd control barricades to each park identified in the contract. DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 PSALCA-22102CA City Attorney Approved Version 6/12/18 9 4. CONTRACTOR’s ON-SITE SCHEDULE TIME ACTIVITY 6 a.m. – 12 p.m. Contractor will deliver identified equipment three (3) days prior to the concerts at the four (4) designated locations. The portables and all related equipment must be serviced, maintained, and remain on-site at each location for the duration of two to three weeks, based on the concert schedule. All day Contractor will service the 12 portables and all related equipment over the course of the park-site concert schedule, weekly, at each location. 7:30 a.m. – 12 p.m. Relocate on Tuesday, after the scheduled concerts at each park. Contractor will remove portables and all related equipment from each concert location, within the assigned timeframe, and relocate to the next concert site. 5. CITY’s RESPONSIBILITY • Provide a site event map and on-site contact list. • Provide a location for staging Contractor’s equipment. • Provide a canopy tent, if Contractor requests. 6. HEALTH & SAFETY During the COVID-19 health-related pandemic, all activities occurring at City facilities, all parties must adhere to the guidance from the state, country, and local authorities on health and safety protocols. City staff will inform Contractor what the current guidelines are prior to their arrival and upon entering a City facility. Safety protocols may include, but are not limited to, hand washing, temperature testing, requiring face coverings, and maintaining physical distancing of six (6) feet. \\\ \\\ \\\ \\\ \\\ \\\ \\\ \\\ DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 PSALCA-22102CA City Attorney Approved Version 6/12/18 10 7. FEES SCHEDULE In accordance with United Site Services of California quotes – Exhibit “B” • Quote #414-2347030 • Quote #414-2347063 • Quote #414-2347067 • Quote #414-2347139 8. INVOICING/PAYMENT All invoices shall be submitted monthly for payment to the Cultural Arts Manager or designee and shall be sufficiently detailed to include related activities, location, hours and total costs. Final invoice approval will be completed by the City’s Library & Cultural Arts Director or designee. \\\ \\\ \\\ \\\ \\\ \\\ \\\ \\\ \\\ \\\ \\\ \\\ \\\ \\\ \\\ DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 PSALCA-22102CA City Attorney Approved Version 6/12/18 11 EXHIBIT “B” CONTRACTOR’S QUOTES •Quote #414-2347030 •Quote #414-2347063 •Quote #414-2347067 •Quote #414-2347139 The quotes for each site are attached: DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 United Site Services 7910 Othello Ave SAN DIEGO, CA 92111 Salesperson Contact Sell To:CITY OF CARLSBAD CULTURAL ARTS THOMAS JOHNSTON 1775 DOVE LN CARLSBAD, CA 92011-4048 Ship To:2022 CONCERT SEASON STAGECOACH PARK 3420 CAMINO DEL LOS COCHES CARLSBAD, CA 92008 Site Service Quotation 414-2347030Quote No.:04/06/22Quote Date:05/12/22Quote Expires: Office: 1-800-Toilets Mobile: 760-445-6086 Ahna J. Covell Fax: Ahna.Covell@unitedsiteservices.com LAX-65157 442/339-2090 THOMAS JOHNSTON 442/339-2090 Cust. #:Attn: Terms:Due Upon Receipt Phone:Phone: Comments & Special Instructions THIS QUOTE IS BASED ON: DELIVERY 6-21-22 REMOVEL 7-12-22 SERVICE ALL RESTROOM AND THE HOT/COLD SINK WITH A WATER TANK REFILL - 6/25 301' OF BARRICADES AT 7' EACH THANK YOU AHNA COVELL Item Unit Quantity From Thru Unit Price Total Price Deluxe Restroom EA 10 06/21/22 07/12/22 30.00 300.00 one time Deluxe Restroom Service EA 10 06/21/22 07/12/22 25.00 250.00 one time DELIVERY JUNE 21 REMOVAL JULY 12 DELIVERY 7:30AM-12PM Deluxe Restroom Subtotal:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .550.00 Hand Sanitizer Inide each unit EA 10 06/21/22 07/12/22 8.00 80.00 one time Toilet Seat Cover EA 10 06/21/22 07/12/22 5.00 50.00 one time Containment Trays EA 10 06/21/22 07/12/22 5.00 50.00 one time Lock and Key EA 10 06/21/22 07/12/22 0.00 0.00 one time ADA Wheelchair Accessible EA 2 06/21/22 07/12/22 75.00 150.00 one time ADA Wheelchair Accessible Svc EA 2 06/21/22 07/12/22 50.00 100.00 one time ADA Wheelchair Accessible Subtotal:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250.00 Lock and Key EA 2 06/21/22 07/12/22 0.00 0.00 one time Continued.. PSALCA-22102CA EXHIBIT “B”DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 United Site Services 7910 Othello Ave SAN DIEGO, CA 92111 Salesperson Contact Sell To:CITY OF CARLSBAD CULTURAL ARTS THOMAS JOHNSTON 1775 DOVE LN CARLSBAD, CA 92011-4048 Ship To:2022 CONCERT SEASON STAGECOACH PARK 3420 CAMINO DEL LOS COCHES CARLSBAD, CA 92008 Site Service Quotation 414-2347030Quote No.:04/06/22Quote Date:05/12/22Quote Expires: Office: 1-800-Toilets Mobile: 760-445-6086 Ahna J. Covell Fax: Ahna.Covell@unitedsiteservices.com LAX-65157 442/339-2090 THOMAS JOHNSTON 442/339-2090 Cust. #:Attn: Terms:Due Upon Receipt Phone:Phone: Item Unit Quantity From Thru Unit Price Total Price Hot Water Sink w/ Holding Tank EA 1 06/21/22 07/12/22 100.00 100.00 one time Hot Water Sink Service EA 1 06/21/22 07/12/22 200.00 200.00 one time Delivery, Setup, Removal EA 1 06/21/22 07/12/22 50.00 50.00 one time Hot Water Sink w/ Holding Tank Subtotal:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .350.00 Special Event Service- Restrooms EA 12 06/25/22 07/13/22 25.00 300.00 one time SERVICE IN BEWTEEN CONCERTS Special Event Service- Hot/cold sink EA 1 06/25/22 07/13/22 65.00 65.00 one time SERVICE IN BEWTEEN CONCERTS Fence - Barricades FT 210 06/21/22 06/21/22 2.14 449.40 one time Delivery, Setup, Removal EA 1 06/21/22 07/13/22 100.00 100.00 one time Tax: 62.00 Total: 2,306.40 2,244.40Subtotal: Accepted:_________________________________________Date:_______________ NOTE: Total prices have been calculated for 1 billing period only. Damage Waiver is optional. Please read the terms and conditions on the last page of this document for more information. Remit To: United Site Services, PO Box 660475, Dallas, TX 75266-0475 PSALCA-22102CAEXHIBIT “B”DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 PSALCA-22102CAEXHIBIT “B”DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 United Site Services of California, Inc. 7910 Othello Ave SAN DIEGO, CA 92111 Salesperson Contact Sell To:CITY OF CARLSBAD CULTURAL ARTS THOMAS JOHNSTON 1775 DOVE LN CARLSBAD, CA 92011-4048 Ship To:2022 CONCERT SEASON POINSETTIA COMMUNITY PARK 6600 HIDDEN VALLEY RD CARLSBAD, CA 92008 Site Service Quotation 414-2347063Quote No.:04/06/22Quote Date:05/12/22Quote Expires: Office: 1-800-Toilets Mobile: 760-445-6086 Ahna J. Covell Fax: Ahna.Covell@unitedsiteservices.com LAX-65157 442/339-2090 THOMAS JOHNSTON 442/339-2090 Cust. #:Attn: Terms:Due Upon Receipt Phone:Phone: Item Unit Quantity From Thru Unit Price Total Price Deluxe Restroom EA 10 07/07/22 08/23/22 30.00 300.00 one time Deluxe Restroom Service EA 10 07/07/22 08/23/22 25.00 250.00 one time DELIVER ON JULY 6TH REMOVE ON AUGUST 23RD DELIVERY 7:30AM-12PM Deluxe Restroom Subtotal:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .550.00 Hand Sanitizer Refill EA 10 07/07/22 08/23/22 8.00 80.00 one time Toilet Seat Cover EA 10 07/07/22 08/23/22 5.00 50.00 one time Containment Trays EA 10 07/07/22 08/23/22 5.00 50.00 one time Lock and Key EA 10 07/07/22 08/23/22 0.00 0.00 one time ADA Wheelchair Accessible EA 2 07/07/22 08/23/22 75.00 150.00 one time ADA Wheelchair Accessible Svc EA 2 07/07/22 08/23/22 50.00 100.00 one time ADA Wheelchair Accessible Subtotal:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250.00 Lock and Key EA 2 07/07/22 08/23/22 0.00 0.00 one time Special Event Service- Restrooms EA 12 07/12/22 08/23/22 25.00 300.00 one time SERVICE AFTER JULY 8TH CONCERT SERVICE 10 DXR 2 ADA Special Event Service- Restrooms EA 12 07/16/22 08/23/22 25.00 300.00 one time SERVICE AFTER JULY 15 CONCERT SERVICE THE HOT/COLD SIINK WASTE TANK INCLUDES WATER TANK RE- FILL Continued.. PSALCA-22102CAEXHIBIT “B”DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 United Site Services of California, Inc. 7910 Othello Ave SAN DIEGO, CA 92111 Salesperson Contact Sell To:CITY OF CARLSBAD CULTURAL ARTS THOMAS JOHNSTON 1775 DOVE LN CARLSBAD, CA 92011-4048 Ship To:2022 CONCERT SEASON POINSETTIA COMMUNITY PARK 6600 HIDDEN VALLEY RD CARLSBAD, CA 92008 Site Service Quotation 414-2347063Quote No.:04/06/22Quote Date:05/12/22Quote Expires: Office: 1-800-Toilets Mobile: 760-445-6086 Ahna J. Covell Fax: Ahna.Covell@unitedsiteservices.com LAX-65157 442/339-2090 THOMAS JOHNSTON 442/339-2090 Cust. #:Attn: Terms:Due Upon Receipt Phone:Phone: Item Unit Quantity From Thru Unit Price Total Price Hot Water Sink w/ Holding Tank EA 1 07/07/22 08/23/22 100.00 100.00 one time Hot Water Sink Service EA 1 07/07/22 08/23/22 200.00 200.00 one time Delivery, Setup, Removal EA 1 07/07/22 08/23/22 50.00 50.00 one time Hot Water Sink w/ Holding Tank Subtotal:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .350.00 Special Event Service-Hot/cold sink EA 1 07/12/22 08/23/22 65.00 65.00 one time SERVICE AFTER JULY 8TH CONCERT Special Event Service - Hot/cold sink EA 1 07/16/22 08/23/22 65.00 65.00 one time SERVICE AFTER JULY 5TH CONCERT Fence - Barricades FT 210 07/07/22 08/23/22 2.14 449.40 one time Delivery, Setup, Removal EA 1 07/07/22 08/23/22 100.00 100.00 one time Tax: 62.00 Total: 2,671.40 2,609.40Subtotal: Accepted:_________________________________________Date:_______________ NOTE: Total prices have been calculated for 1 billing period only. Damage Waiver is optional. Please read the terms and conditions on the last page of this document for more information. Remit To: United Site Services, PO Box 660475, Dallas, TX 75266-0475 PSALCA-22102CAEXHIBIT “B”DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 PSALCA-22102CAEXHIBIT “B”DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 United Site Services of California, Inc. 7910 Othello Ave SAN DIEGO, CA 92111 Salesperson Contact Sell To:CITY OF CARLSBAD CULTURAL ARTS THOMAS JOHNSTON 1775 DOVE LN CARLSBAD, CA 92011-4048 Ship To:2022 CONCERT SEASON CALAVERA HILLS PARK 2997 GLASCOW DR CARLSBAD, CA 92008 Site Service Quotation 414-2347067Quote No.:04/12/22Quote Date:05/12/22Quote Expires: Office: 1-800-Toilets Mobile: 760-445-6086 Ahna J. Covell Fax: Ahna.Covell@unitedsiteservices.com LAX-65157 442/339-2090 THOMAS JOHNSTON 442/339-2090 Cust. #:Attn: Terms:Due Upon Receipt Phone:Phone: Item Unit Quantity From Thru Unit Price Total Price Deluxe Restroom EA 10 07/26/22 08/09/22 30.00 300.00 one time Deluxe Restroom Service EA 10 07/26/22 08/09/22 25.00 250.00 one time DELIVER JULY 26 REMOVAL AUG 9 DELIVERY 7:30AM-12PM Deluxe Restroom Subtotal:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .550.00 Toilet Seat Cover EA 10 07/26/22 08/09/22 5.00 50.00 one time Hand Sanitizer Inside EA 10 07/26/22 08/09/22 8.00 80.00 one time Containment Trays EA 10 07/26/22 08/09/22 5.00 50.00 one time Lock and Key EA 10 07/26/22 08/09/22 0.00 0.00 one time ADA Wheelchair Accessible EA 2 07/26/22 08/09/22 75.00 150.00 one time ADA Wheelchair Accessible Svc EA 2 07/26/22 08/09/22 50.00 100.00 one time ADA Wheelchair Accessible Subtotal:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250.00 Lock and Key EA 2 07/26/22 08/09/22 0.00 0.00 one time Special Event Service- Restrooms EA 12 08/02/22 08/09/22 25.00 300.00 one time SERVICE FOR AUG 5TH CONCERT 10 DXR 2 ADA Hot Water Sink w/ Holding Tank EA 1 07/26/22 08/09/22 100.00 100.00 one time Hot Water Sink Service EA 1 07/26/22 08/09/22 200.00 200.00 one time Delivery, Setup, Removal EA 1 07/26/22 08/09/22 50.00 50.00 one time Hot Water Sink w/ Holding Tank Subtotal:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .350.00 Continued.. PSALCA-22102CAEXHIBIT “B”DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 United Site Services of California, Inc. 7910 Othello Ave SAN DIEGO, CA 92111 Salesperson Contact Sell To:CITY OF CARLSBAD CULTURAL ARTS THOMAS JOHNSTON 1775 DOVE LN CARLSBAD, CA 92011-4048 Ship To:2022 CONCERT SEASON CALAVERA HILLS PARK 2997 GLASCOW DR CARLSBAD, CA 92008 Site Service Quotation 414-2347067Quote No.:04/12/22Quote Date:05/12/22Quote Expires: Office: 1-800-Toilets Mobile: 760-445-6086 Ahna J. Covell Fax: Ahna.Covell@unitedsiteservices.com LAX-65157 442/339-2090 THOMAS JOHNSTON 442/339-2090 Cust. #:Attn: Terms:Due Upon Receipt Phone:Phone: Item Unit Quantity From Thru Unit Price Total Price Special Event Service- Hot/cold sink EA 1 07/26/22 08/09/22 65.00 65.00 one time SERVICE Fence - Barricades FT 210 07/26/22 08/09/22 2.14 449.40 one time Delivery, Setup, Removal EA 10 07/26/22 08/09/22 100.00 1,000.00 one time Tax: 131.75 Total: 3,276.15 3,144.40Subtotal: Accepted:_________________________________________Date:_______________ NOTE: Total prices have been calculated for 1 billing period only. Damage Waiver is optional. Please read the terms and conditions on the last page of this document for more information. Remit To: United Site Services, PO Box 660475, Dallas, TX 75266-0475 PSALCA-22102CAEXHIBIT “B”DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 PSALCA-22102CA EXHIBIT “B”DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 United Site Services of California, Inc. 7910 Othello Ave SAN DIEGO, CA 92111 Salesperson Contact Sell To:CITY OF CARLSBAD CULTURAL ARTS THOMAS JOHNSTON 1775 DOVE LN CARLSBAD, CA 92011-4048 Ship To:2022 CONCERT SEASON ALGA NORTE PARK 6565 ALICANTE AVE CARLSBAD, CA 92008 Site Service Quotation 414-2347139Quote No.:04/06/22Quote Date:05/12/22Quote Expires: Office: 1-800-Toilets Mobile: 760-445-6086 Ahna J. Covell Fax: Ahna.Covell@unitedsiteservices.com LAX-65157 442/339-2090 THOMAS JOHNSTON 442/339-2090 Cust. #:Attn: Terms:Due Upon Receipt Phone:Phone: Item Unit Quantity From Thru Unit Price Total Price Deluxe Restroom EA 10 08/09/22 08/16/22 30.00 300.00 one time Deluxe Restroom Service EA 10 08/09/22 08/16/22 25.00 250.00 one time DELIVERY 8-16 REMOVE 8-16 DELIVER 7:30AM-12PM Deluxe Restroom Subtotal:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .550.00 Hand Sanitizer Inside EA 10 08/09/22 08/16/22 8.00 80.00 one time Toilet Seat Cover EA 10 08/09/22 08/16/22 5.00 50.00 one time Containment Trays EA 10 08/09/22 08/16/22 5.00 50.00 one time Lock and Key EA 10 08/09/22 08/16/22 0.00 0.00 one time ADA Wheelchair Accessible EA 2 08/09/22 08/16/22 75.00 150.00 one time ADA Wheelchair Accessible Svc EA 2 08/09/22 08/16/22 50.00 100.00 one time ADA Wheelchair Accessible Subtotal:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250.00 Lock and Key EA 2 08/09/22 08/16/22 0.00 0.00 one time Hot Water Sink w/ Holding Tank EA 1 08/09/22 08/16/22 100.00 100.00 one time Hot Water Sink Service EA 1 08/09/22 08/16/22 200.00 200.00 one time Delivery, Setup, Removal EA 1 08/09/22 08/16/22 50.00 50.00 one time Hot Water Sink w/ Holding Tank Subtotal:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .350.00 Special Event Service- Restrooms EA 12 08/09/22 08/16/22 25.00 300.00 one time SERVICE IN BETWEEN CONCERTS Special Event Service- Hot/cold sink EA 1 08/09/22 08/16/22 65.00 65.00 one time Continued.. PSALCA-22102CAEXHIBIT “B”DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 United Site Services of California, Inc. 7910 Othello Ave SAN DIEGO, CA 92111 Salesperson Contact Sell To:CITY OF CARLSBAD CULTURAL ARTS THOMAS JOHNSTON 1775 DOVE LN CARLSBAD, CA 92011-4048 Ship To:2022 CONCERT SEASON ALGA NORTE PARK 6565 ALICANTE AVE CARLSBAD, CA 92008 Site Service Quotation 414-2347139Quote No.:04/06/22Quote Date:05/12/22Quote Expires: Office: 1-800-Toilets Mobile: 760-445-6086 Ahna J. Covell Fax: Ahna.Covell@unitedsiteservices.com LAX-65157 442/339-2090 THOMAS JOHNSTON 442/339-2090 Cust. #:Attn: Terms:Due Upon Receipt Phone:Phone: Item Unit Quantity From Thru Unit Price Total Price Fence - Barricades FT 210 08/09/22 08/16/22 2.14 449.40 one time Delivery, Setup, Removal EA 1 08/09/22 08/16/22 100.00 100.00 one time Tax: 62.00 Total: 2,306.40 2,244.40Subtotal: Accepted:_________________________________________Date:_______________ NOTE: Total prices have been calculated for 1 billing period only. Damage Waiver is optional. Please read the terms and conditions on the last page of this document for more information. Remit To: United Site Services, PO Box 660475, Dallas, TX 75266-0475 PSALCA-22102CAEXHIBIT “B”DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 PSALCA-22102CAEXHIBIT “B”DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) 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 AGG $JECT OTHER:$ 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 LIMIT $DESCRIPTION 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. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 kctsu@lockton.com UNITED SITE SERVICES OF CALIFORNIA, INC. 118 FLANDERS ROAD, SUITE 1000 WESTBOROUGH MA 01581 Allied World Assurance Company (U.S.) Inc.19489 Safety National Casualty Corporation 15105 XL Specialty Insurance Company 37885 X X 2,000,000 1,000,000 10,000 1,000,000 4,000,000 4,000,000 X 3,000,000 XXXXXXX XXXXXXX XXXXXXX XXXXXXX X X 10,000,000 10,000,000 XXXXXXX N X 1,000,000 1,000,000 1,000,000 ENVIRON. SITE LIAB & CONTRACTORS POLLTUION LIAB $3,000,000 EACH INCIDENT; $6,000,000 AGGREGATE A CA6675838 12/31/2021 12/31/2022 A GL4057787 12/31/2021 12/31/2022 C 0311-5276 9/19/2021 9/19/2024 B US00076933LI21A 12/31/2021 12/31/2022 A LDS4047370 12/31/2021 12/31/2022 12/31/2022 1507679 Y N Y N N N N 5/19/2022 N N 18552649 18552649 XXXXXXX CITY OF CARLSBAD CULTURAL ARTS 1775 Dove Lane Carlsbad CA 92008 TGIF Concerts in the Parks and Library & Cultural Arts Department/ Concert series 2022 June 21st - August 23rd 2022 The City of Carlsbad Redevelopment Agency, Housing Authority the Carlsbad Municipal Water District, its officials, employees and volunteers are named as additional insured as respects to liability coverages arising out of the activities performed by or on behalf of the named insured as per written agreement, subject to policy terms, conditions and exclusions. X See Attachments DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 POLICY NUMBER: GL 4057787 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s)Location(s) Of Covered Operations As required by written contract or agreement when such written contract or agreement is executed prior to an occurrence, offense or loss to which this endorsement applies, but only for the limits agreed to in such contract or the Limits of Liability provided by this policy, whichever is less. Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional insured. Location(s) of operations as per written contract or agreement between you and the Additional Insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 12 19 © Insurance Services Office. Inc. 2018 Attachment Code: D608142 Certificate ID: 18552649 DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL AUTOMOBILE COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization(s): Person(s) or Organization(s) as required by written contract. Any individually scheduled Designated Additional Insured shall not be construed to override nor negate this blanket Designated Additional Insured. CHANGE The person(s) or organization(s) shown in the Schedule above with whom you have agreed in a written contract to provide insurance such as is afforded under this Coverage Form, is included as an Additional Insured subject to the below: (1) Insurance for such Additional Insured(s) scheduled above shall be afforded only to the extent that such Additional Insured is liable for "bodily injury" or "property damage" arising out of your operations and resulting from the ownership, maintenance or use of covered "autos" by you while the covered "autos" are on premises owned or leased by the above scheduled Additional Insured(s). (2) The insurance afforded under this Coverage Form to such Additional Insured(s) applies only: (a)If the "accident" takes place subsequent to the execution and effective date of such written contract: and, (b)While such written contract is in force, or until the end of the policy period, which ever occurs first. (3) How Limits Apply to Additional Insured(s) The most we will pay on behalf of the Additional Insured(s) scheduled above is the lesser of: (a)The limits of insurance specified in the written contract or written agreement; or, (b)The Limits of Insurance provided by the Coverage Form. SNCA 026 10 13 Safety National Casualty Corporation Attachment Code: D607880 Certificate ID: 18552649 DocuSign Envelope ID: B6143588-2BAC-4EDB-84BB-C9BCAF5937A0