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HomeMy WebLinkAboutSeaside Heating & Air Conditioning Inc; 2022-06-20; PWL22-1871FAC PWL22-1871FAC Las Palmas Exhaust Fan Replacement - 1 - City Attorney Approved 2/29/2016 CITY OF CARLSBAD PUBLIC WORKS LETTER OF AGREEMENT Las Palmas Exhaust Fan Replacement This letter will serve as an agreement between Seaside Heating & Air Conditioning, Inc., a California corporation (Contractor) and the City of Carlsbad (City). The Contractor will provide all equipment, material and labor necessary to remove and replace an exhaust fan, per Exhibit A and City specifications, for a sum not to exceed three thousand three hundred dollars ($3,300). This work is to be completed within sixty (60) working days after issuance of a Purchase Order. ADDITIONAL REQUIREMENTS 1. City of Carlsbad business license. 2. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its agents, officers, officials, employees, and volunteers from all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the performance of this Contract or work; or from any failure or alleged failure of the contractor to comply with any applicable law, rules or regulations including those relating to safety and health; except for loss or damage which was caused solely by the active negligence of the City; and from any and all claims, loss, damage, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by this Contract, unless the loss or damage was caused solely by the active negligence of the City. The expenses of defense include all costs and expenses, including attorney’s fees for litigation, arbitration, or other dispute resolution method. 3. Contractor shall furnish policies of general liability insurance, automobile liability insurance and a combined policy of workers compensation and Employers’ Liability in an insurable amount of not less than one million dollars ($1,000,000) each, unless a lower amount is approved by the Risk Manager or the City Manager. Said 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. Insurance is 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. Proof of all such insurance shall be given by filing certificates of insurance with contracting department prior to the signing of the contract by the City. 4. The Contractor shall be aware of and comply with all Federal, State, County and City Statues, Ordinances and Regulations, including Workers Compensation laws (Division 4 California Labor Code) and the “Immigration Reform and Control Act of 1986” (8USC, Sections 1101 through 1525), to include but not limited to, verifying the eligibility for employment of all agents, employees, subcontractors and consultants that are included in this Contract. 5. The Contractor may be subject to civil penalties for the filing of false claims as set forth in the California False Claims Act, Government Code sections 12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. __________ init __________ init DocuSign Envelope ID: F09DEE3D-7DCA-4AC2-89A5-A7E22692949F <JJ sr PWL22-1871FAC Las Palmas Exhaust Fan Replacement - 2 - City Attorney Approved 2/29/2016 6. The Contractor hereby acknowledges that debarment by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor from participating in contract bidding. _______ init _______ init 7. 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. 8. 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 the Section 1770, 1773 and 1773.1 of the California Labor Code. Pursuant to Section 1773.2 of the California Labor code, a current copy of 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 the execution of the work covered by this Letter of Agreement. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// DocuSign Envelope ID: F09DEE3D-7DCA-4AC2-89A5-A7E22692949F PWL22-1871FAC Las Palmas Exhaust Fan Replacement - 3 - City Attorney Approved 2/29/2016 9. City Contact: Brian Bacardi, 442-339-2944 Contractor Contact: Charlie Balcar, 760-643-1100 CONTRACTOR Seaside Heating & Air Conditioning, Inc., a California corporation CITY OF CARLSBAD, a municipal corporation of the State of California 1359 Rocky Point Drive Oceanside, CA 92056 P: 760-643-1100 F: 760-842-5642 cb@seasidehvac.com By: By: (sign here) Charles Balcar, CFO & Secretary Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager (print name/title) By: Dated: (sign here) Jimmie Sebring, CEO & President (print name/title) (Proper notarial acknowledgment of execution by Contractor must be attached. Chairman, president or vice-president and secretary, assistant secretary, CFO or assistant treasurer must sign for corporations. Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation.) APPROVED AS TO FORM: CELIA A. BREWER, City Attorney BY: Assistant City Attorney DocuSign Envelope ID: F09DEE3D-7DCA-4AC2-89A5-A7E22692949F June 20, 2022 ~ PWL22-1871FAC Las Palmas Exhaust Fan Replacement - 4 - City Attorney Approved 2/29/2016 EXHIBIT A Las Palmas Exhaust Fan Replacement SCOPE OF WORK AND FEE Contractor to provide all materials, tools and labor required to remove and replace one exhaust fan serving the facilities located at 2075 Las Palmas Drive, Carlsbad CA 92011. All work to be consistent with the contractor’s proposal dated May 27, 2022, and is attached to this agreement as Exhibit B. Notes: - Contractor to employ good housekeeping practice throughout the duration of the project, and shall haul off all trash, debris, and removed equipment. - Contractor shall verify operation on the newly installed unit. DESCRIPTION PRICE Remove and replace one exhaust fan $3,300 TOTAL* $3,300 *Includes taxes, fees, expenses and all other costs. DocuSign Envelope ID: F09DEE3D-7DCA-4AC2-89A5-A7E22692949F PWL22-1871FAC Las Palmas Exhaust Fan Replacement - 5 - EXHIBIT B DocuSign Envelope ID: F09DEE3D-7DCA-4AC2-89A5-A7E22692949F ~ HEATING & AIR CONDITIONING 1359 Rocky Point Dr. Phone# Fax# 760-643-1100 760-842-5642 Lie. #7905 I 4 City of Carlsbad Facilities 405 Oak Ave Carlsbad, CA 92008 A1TN: Facilities Division Description J ob Location 2075 Las Palmas Drive Carlsbad, CA 9201 1 Restroom exhaust fan has a shorted motor and worn bearings and shaft. Proposal to replace with a new MODEL GB-130 exhaust fan, BIRD SCREEN, CURB ADAPTER 19 X 19 TO 20.5 X 20.5 DISCONNECT, 1/, HP MOTOR 115/ I. Scope of work includes labor, materials and tax. Labor $1,280 MaterialsS2,020 PURCHASER'S ACCEPTANCE: By: Date: Proposal Date Proposal# 5/2712022 5068 Rep CB Total 3,300.00 PWL22-1871FAC Las Palmas Exhaust Fan Replacement - 6 - DocuSign Envelope ID: F09DEE3D-7DCA-4AC2-89A5-A7E22692949F CUTSHEET Job Name: Elevation: (ft) Date: Submitted By: Las Palmas 479 5/24/2022 Tim Mcgrath NORMAN S WRIGHT CLIMATEC MECH 9885 CARROLL CANYON RD SAN DIEGO, CA 92131-1103 us Phone: (858)368-3800 Fax: (619)440-2802 Email Address: tmcgrath@nswcsd.com California Proposition 65 &WARNING This produc:i can expose you to chemicals including cadmium used in the processing of corrosion resistant metal and fasteners, 'Ailich is known to the Staie of California to cause cancer and birth defects or other reproductive harm. For more infonnation visit www.P65Warnings.c-.a.gov [§.GREENHECK "' Building Value in Air. P.O. Box 410 Schofield, WI 54476 (715) 359-6171 FAX (715) 355-2399 www.greenheck.com CAPS 4.38.984 C:\UsersUmcgrath\Documents\CAPS\Jobs\Las Palmas.gfcj Generated by: tmcgrath@nswcsd.com Page 1 of4 PWL22-1871FAC Las Palmas Exhaust Fan Replacement - 7 - DocuSign Envelope ID: F09DEE3D-7DCA-4AC2-89A5-A7E22692949F [{J_GREENHECK • Building Value in Air. Model: GB-130-5 Cut Sheet -Not for Submittal Printed Date: 05/24/2022 Mark: EF-1 Model: GB-130-5 >--028.40- Belt Drive Centrifugal Roof Exhaust Fan I I 2L Previously: GB-131-5 Dimensional Quantity 1 Weight w/o Ace's (lb) 41 Weight w/ Ace's (lb) 81 Max T Molor Frame Size 56 Standard Curb Cap Size (1n.) 19 X 19 Roof Opening (in.) 14.5 X 14.5 Performance Requested Volume (CFM) 2,200 Actual Volume (CFM) 2,200 Total External SP (in. wg) 0.25 Fan RPM 1633 Operating Power (hp) 0.49 Elevation (ft) 479 Airstream Temp.(F) 70 Air Density (lblft3) 0.074 Drive Loss(%) 8.5 Tip Speed (ft/min) 5,612 Static Eff. (%) 19 Misc Fan Data Fan Elf. Index (FEI) Outlet Velocity (ft/min) 1,964 Motor Motor Mounted Yes Size (hp) 1/2 Voltage/Cycle/Phase 115/60/1 Enclosure ODP Motor RPM 1725 Efficiency Rating Standard Windings 1 NEC FLA' (Amps) 9.8 Min. Circuit Ampacily (MCA) 12.25 Max. Overcurrent Protection {MOP) 20 Short Circuit Current Rtg (SCCR} 5 kA Sound Power by Octave Band 1.8 1.5 ci 1.2 ,: ~ 0.9 ::, "' "' ~ ~ 06 iii iii 0.3 0.0 23.80 [1.75 j j I I y:::"~"' 20.SX 20.5 i-- OVERALL HEIGi-iT MAY BE GREATER DEPENDING ON MOTOR, ADAPTER, AND/OR HINGE BASE. ~-----------~-----~-~ 0.6 t 0.4 0.1 '--=---~--'-".c;_c _ __J,....J.. __________ ...,_, 0.0 0 3 6 9 12 15 18 21 24 Volume (CFM) x 100 ,0, Operating Bhp point 0 Operating point at Total External SP --Fan curve - - - -System curve • • • • • • · Brake horsepower curve Notes: All dimensions shown are in unl1s of In, "NEC FlA, MCA and MOP a,e f°' reference ooly -based on tables 430.248 or 430.25 of NatJonal Elecbic Code 2020. Actual motOt" FLA may vary,'°' sizing thermal overk>3d, consult f~tory. ~----7 MCA and MOP valves shOwn only account for the motor, ~ c100essories (c,amper actuat04', field supplied VFD, etc). l wA • A weighted sound power level, based on ANSI S1A HTU'Ki,I dBA • A weighted sound pressure level, based on 11.5 dB IOUftD Sound Data 62.5 125 250 500 1000 2000 4000 8000 LwA dBA Sones by AMCA lntemallonal IIR attenuation per Octave band at 5 fl • OBA levels are no1 lioeosed ~ ~• Sones·"''"'''""' using ANSI/AMCA 301 •t 5 ft ~ Inlet 78 80 82 77 71 CAPS 4.38.984 70 66 62 79 68 16.0 C:\UsersUmcgrath\Documents\CAPS\Jobs\Las Palmas.gfcj Generated by: tmcgrath@nswcsd.com Page 2 of 4 PWL22-1871FAC Las Palmas Exhaust Fan Replacement - 8 - DocuSign Envelope ID: F09DEE3D-7DCA-4AC2-89A5-A7E22692949F [{J_GREENHECK • Building Value in Air. CAPS 4.38.984 Cut Sheet -Not for Submittal Printed Date: 05/24/2022 Mark: EF-1 Model: GB-130-5 Model: GB-130-5 Belt Drive Centrifugal Roof Exhaust Fan Standard Construction Features: -Aluminum housing -Backward inclined aluminum wheel -Curb cap with prepunched mounting holes -Motor and drives isolated on shock mounts - Birdscreen -Ball bearing motors -Adjustable motor pulley -Adjustable motor plate -Fan shaft mounted in ball bearing pillow blocks -Bearings meet or exceed temperature rating of fan -Static resistant belts -Corrosion resistant fasteners - Sizes 141 and larger have internal Lifting lugs Selected Options & Accessories: Standard Curb Cap Size • 19 Square UUcUL 705 Listed -"Power Ventilators" Switch, NEMA-1, Toggle, Shipped with Unit Junction Box Mounted & Wired Adapter-Galv., Curb Cap Adapted to 20.5 x 20.5 (Attached) Birdscreen: Galvanized, nom. 84% Free Area Unit Warranty: 1 Yr (Standard) C:\UsersUmcgrath\Documents\CAPS\Jobs\Las Palmas.gfcj Generated by: tmcgrath@nswcsd.com Page 3 of4 PWL22-1871FAC Las Palmas Exhaust Fan Replacement - 9 - DocuSign Envelope ID: F09DEE3D-7DCA-4AC2-89A5-A7E22692949F [{J_GREENHECK • Building Value in Air. Curb Cap Ad apter Type: Adapter Standard Construction Features: Cut Sheet -Not for Submittal Printed Date: 05/24/2022 Mark: EF-1 Model: GB-130-5 Curb adapters are designed to adapt standard curb cap dimensions to non-standard curb sizes. Adapters may be constructed of either aluminum or galvanized steel. Curb reducers may reduce by a maximum of 10 in. and curb adapters may extend up to 20 in. beyond the standard curb cap size. CURB ADAPTER 20.5+20.5 r.:::- _--!, -I ',....._ I ', 1 -------- EXISTING CURB /"; '' y-- (BY OTHERS) ', I __ :::, I I j ',....._ I --'--l---- Notes: All dimensions shown are in units of in. 2.5 ----v'---- 1 FAN I c:=====:=1 FAN-0.5'' ADAPTER ,------7 I CURB I ___ .1.. ______ _j __ _ CAPS 4.38.984 C:\UsersUmcgrath\Documents\CAPS\Jobs\Las Palmas.gfcj Generated by: tmcgrath@nswcsd.com Page 4 of4 CERTIFICATE HOLDER © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS WC STATU-TORY LIMITS OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe underDESCRIPTION OF OPERATIONS below (Mandatory in NH)OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNEDAUTOSAUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) 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). The ACORD name and logo are registered marks of ACORD COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Wood Gutmann & Bogart Insurance BrokersLicense #067926315901 Red Hill Ave., Suite 100Tustin CA 92780 Bobbie Mace 714-824-8373 714-573-1770 BMace@wgbib.com Middlesex Insurance Company 23434 SEASI-1 Insurance Company of the West 27847Seaside Heating & Air Conditioning, Inc.1359 Rocky Point Dr.Oceanside CA 92056-5864 1970999086 A X 1,000,000 100,000 X 1,000,000 3,000,000 2,000,000 A0112596004 9/18/2021 9/18/2022YY 5,000 A 1,000,000 X X X X Comp $500Ded X Coll $500Ded A0112596001 9/18/2021YY 9/18/2022 A X X 3,000,000 X 3,000,000 NIL A0112596005 9/18/2021 9/18/2022YY B Y WSD5025920 08 3/1/2022 3/1/2023 1,000,000 1,000,000 1,000,000 2/25/2022 X City of Carlsbad/CMWD, its officers, officials, employees, agents and volunteers are named as additional insured on the General Liability per attached CG 2010 04 13 and CG 20 37 04 13 as required by written contract subject to the terms and conditions of the policy. Waiver of Subrogation applies to the Workers'Compensation per attached WC 99 06 34. City of Carlsbad/CMWDAttn: Contract Administration1635 Faraday AvenueCarlsbad CA 92008 DocuSign Envelope ID: F09DEE3D-7DCA-4AC2-89A5-A7E22692949F ACORD® I ~ I ~ ~ D □ ~ ~ n n n ~ ~ ~ ~ ~ ~ ~ ~ H I I I I I □ ~ -I I © Insurance Services Office, Inc., 2012 POLICY NUMBER:COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization you are required to add as an additional insured under a written contract or agreement in effect prior to any accident, injury, loss or damage All locations and jobs performed that have a written contract, agreement or permit 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". 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. B.With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; 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. A0112596004 Page 1 of 1CG 20 37 04 13 08/27/2021A0112596 Middlesex 00001 0000000000 21239 0 N1 516336ea-c79d-45f3-a59f-97b4065b9ef0516336ea-c79d-45f3-a59f-97b4065b9ef0 DocuSign Envelope ID: F09DEE3D-7DCA-4AC2-89A5-A7E22692949F Page 1 of 2CG 20 10 04 13 08/27/2021A0112596 Middlesex POLICY NUMBER: © Insurance Services Office, Inc., 2012 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 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 Any person or organization you are required to add as an additional insured under a written contract or agreement in effect prior to any accident, injury, loss or damage All locations per written contract, agreement or permit Description: All jobs performed that have a written contract, agreement or permit 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. B.With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1.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 2.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. A0112596004 00001 0000000000 21239 0 N1 164f821b-f71f-4cd7-8d0d-f4092c341581164f821b-f71f-4cd7-8d0d-f4092c341581 DocuSign Envelope ID: F09DEE3D-7DCA-4AC2-89A5-A7E22692949F C.With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; 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. © Insurance Services Office, Inc., 2012 CG 20 10 04 13Page 2 of 2 08/27/2021A0112596 Middlesex DocuSign Envelope ID: F09DEE3D-7DCA-4AC2-89A5-A7E22692949F DocuSign Envelope ID: F09DEE3D-7DCA-4AC2-89A5-A7E22692949F WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -BLANKET WC 990634 (Ed. 8-00) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be 2% of the total California Workers' Compensation premium otherwise due. Person or Organization Any person or organization when required by written contract. Policy Number: WSD 5025920 08 Endorsement Effective: 03/01/2022 Issue Date: 02/24/2022 WC 990634 (Ed. 8-00) Schedule Job Description All California operations Insured: Seaside Heating & Air Conditioning Inc Coverage Provided by: Insurance Company of the West Countersigned by: