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HomeMy WebLinkAboutVista Fence Company; 2023-01-09; PKRC22-1118Tracking #: NAME OF PROJECT; CONT. NO. NNNN Page 1 of 6 City Attorney Approved 8/2/2022 CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT LEO CARRILLO RANCH CORRAL FENCE REPLACEMENT: CONTRACT PKRC22-1118 This agreement is made on the 9th day of January, 2023, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and Vista Fence Company whose principal place of business is 1131 South Santa Fe Avenue, Vista, California (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. DocuSign Envelope ID: B2311698-4FBA-45C0-9C8D-8EF77EB6C937 23January9th Tracking #: NAME OF PROJECT; CONT. NO. NNNN Page 2 of 6 City Attorney Approved 8/2/2022 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. FALSE CLAIMS. Contractor hereby agrees that any contract claim submitted to the City must be asserted as part of the contract process as set forth in this agreement and not in anticipation of litigation or in conjunction with litigation. Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act, provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of the information. The provisions of Carlsbad Municipal Code sections 3.32.025, 3.32.026, 3.32.027 and 3.32.028 pertaining to false claims are incorporated herein by reference. Contractor hereby acknowledges that the filing of a false claim may subject the Contractor to an administrative debarment proceeding wherein the contractor may be prevented from further bidding on public contracts for a period of up to five years and that debarment by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor or subcontractor from participating in contract bidding. Signature: ___________________________________ Print Name: ___________________________________ 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. DocuSign Envelope ID: B2311698-4FBA-45C0-9C8D-8EF77EB6C937 JACOB GRIFFITHS Tracking #: NAME OF PROJECT; CONT. NO. NNNN Page 3 of 6 City Attorney Approved 8/2/2022 BUSINESS LICENSE. The Contractor and all subcontractors are required to have and maintain a valid City of Carlsbad Business License for the duration of the contract. INDEMNITY. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its officers and employees, from all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the performance of the Contract or work; or from any failure or alleged failure of Contractor to comply with any applicable law, rules or regulations including those related to safety and health; and from any and all claims, loss, damages, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by the Contract, except for loss or damage caused by the sole or active negligence or willful misconduct of the City. The expenses of defense include all costs and expenses including attorneys’ fees for litigation, arbitration, or other dispute resolution method. JURISDICTION. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this agreement is San Diego County, California. Start Work: Contractor agrees to start within _____ working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within _____ working days after receipt of Notice to Proceed. CONTRACTOR’S INFORMATION. Vista Fence Company 1131 South Santa Fe Avenue (name of Contractor) 519456 (street address) Vista, CA 92083 (Contractor’s license number) C13; 10/31/2023 (city/state/zip) 760-941-1629 (license class. and exp. date) 1000012912 (telephone no.) (DIR registration number) 6/30/2023 (fax no.) info@vistafence.com (DIR registration exp. date) (e-mail address) // // // // // // DocuSign Envelope ID: B2311698-4FBA-45C0-9C8D-8EF77EB6C937 15 30 Tracking #: NAME OF PROJECT; CONT. NO. NNNN Page 4 of 6 City Attorney Approved 8/2/2022 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 By: By: (sign here) Jacob Griffiths, President Assistant City Manager, Deputy City Manager, or Department Director as Authorized by the City Manager (print name/title) By: ATTEST: (sign here) FAVIOLA MEDINA Shawn Hadid, Treasurer 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, President, or Vice-President Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CINDIE K. McMAHON, City Attorney BY: _____________________________ Deputy / Assistant City Attorney DocuSign Envelope ID: B2311698-4FBA-45C0-9C8D-8EF77EB6C937 Tracking #: NAME OF PROJECT; CONT. NO. NNNN Page 5 of 6 City Attorney Approved 8/2/2022 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 Type of Work to be Subcontracted Business Name and Address DIR Registration No. License No., Classification & Expiration Date % of Total Contract Total % Subcontracted: _______________ The Contractor must perform no less than 50% of the work with its own forces. DocuSign Envelope ID: B2311698-4FBA-45C0-9C8D-8EF77EB6C937 None Tracking #: NAME OF PROJECT; CONT. NO. NNNN Page 6 of 6 City Attorney Approved 8/2/2022 EXHIBIT B Scope of Work Labor and Materials • Remove 170 linear feet of existing fence and post footings o Haul off all spoils and dispose • Supply and install o Install 170 linear feet of 5’ high, 4 rail ranch style wood fencing using 4” x 4” posts set 24” deep in concrete o All horizontal rails; 2” x 6” Douglas Fir o All Fence caps; 2” x 6” Douglas Fir o All fastening material; hot dipped galvanized nails o All lumber painted with (1) coat prime and (2) finish coats white exterior paint Exemption: • City staff will remove vegetation 2’ on each side of the fence line. City staff will repair all irrigation sprinklers, laterals, mainline, etc. TOTAL COST: $22,116.00 DocuSign Envelope ID: B2311698-4FBA-45C0-9C8D-8EF77EB6C937 ArcGIS Web Map Esri Community Maps Contributors, SanGIS, California State Parks, © OpenStreetMap, Microsoft, Esri, HERE, Garmin, SafeGraph, City Boundary Parcel Boundary - Existing 11/7/2022, 3:08:03 PM 0 0 0.010 mi 0 0.01 0.010 km 1:282 ArcGIS Web AppBuilder Copyright nearmap 2015 | Earthstar Geographics | SanGIS, California State Parks, Esri, HERE, Garmin, SafeGraph, FAO, METI/NASA, USGS, Bureau of Land Management, EPA, NPS | DocuSign Envelope ID: B2311698-4FBA-45C0-9C8D-8EF77EB6C937 D D Vista Fence Co. 1131 S. Santa Fe Ave Vista, CA 92083 US (760) 941-1629 info@vistafence.com www.vistafence.com Estimate ADDRESS Rodney Nishimoto City of Carlsbad - Parks & Rec 1635 Faraday Ave Carlsbad, CA 92008 United States SHIP TO Rodney Nishimoto City of Carlsbad - Parks & Rec Leo Carrillo Ranch Park 6200 Flying Leo Carrillo Ln Carlsbad, CA 92009 ESTIMATE #4851 DATE 11/04/2022 EXPIRATION DATE 12/02/2022 ESTIMATOR ESTIMATED START Jaime Nino 2-4 Weeks DESCRIPTION QTY AMOUNT Leo Carrillo Parking Lot Fence Supply and install 170 Linear feet of 5 ft high 4 Rail Ranch Style Wood Fencing using 4x4 Posts set 24" in concrete, 2x6 Douglas Fir Rails and 2x6 Douglas Fir Cap. Posts set 24" in concrete. Rails and Caps fastener with Hot Dipped Galvanized Nails. All lumber painted with white primer and white finish coat. Demolition and haul away of existing fence included. 170 22,116.00 Project Bid as Prevailing Wage Work CUSTOMER IS REQUIRED FOR COMPLYING WITH SET-BACK, ZONING, HEIGHTS, REGULATIONS, PROPERTY LINES, AND PERMITS IF REQUIRED. All employees are covered by workers compensation insurance and liability insurance. Vista Fence Co. guarantees all workmanship for 1 year with the following exceptions : Wood warping, splitting, cracking and discoloration. All Final Payments are COD on the day of completion. 1-1/2% interest will be added per month to any unpaid balance. Any attorney's fees incurred as a result of collections will be added to the cost of this contract. Prices are subject to change. SUBTOTAL 22,116.00 TAX 0.00 TOTAL $22,116.00 Accepted By Accepted Date DocuSign Envelope ID: B2311698-4FBA-45C0-9C8D-8EF77EB6C937 THE SIGN OF EXCELLENCE • CSLB #519456 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 10/7/2022 RG Business Insurance Agency, Inc.CDS Insurance Services 2001 E. Financial Way, Suite 201 Glendora, CA 91741 626-214-7900 626-214-7969 Agency License #: 0555729 Sentinel Insurance Company Ltd 11000 AmGUARD Insurance Company 42390 A 1,000,00051 SBA AK4807 10/9/2022 10/9/2023 1,000,000 3 10,000 3 1,000,000 2,000,000 2,000,0003 B VIAU339835 10/29/2022 10/29/2023 1,000,000 3 3 3 A 51 SBA AK4807 10/9/2022 10/9/2023 2,000,00033 2,000,000 3 10,000 Roger Gutierrez Gerry Johnston gjohnston@rgbusinessinsurance.com Vista Fence Company Inc. 1131 S. Santa Fe Ave. Vista CA 92083 70729737 3 3 City of Carlsbad799 Pine Avenue, Suite 200 Carlsbad CA 92008 City of Carlsbad named Additional Insured as respects General Liability per attached. Auto Liability per attached. Project: Hosp Grove Portable Restroom Enclosure 70729737 | 22-23 GL/AUTO/UMB | Staff Certificates | 10/7/2022 9:44:44 AM (PDT) | Page 1 of 3 ACORD® I ~ I ~ □ □ ~ ~ Fl □ □ ~ ~ ~ ~ ~ ~ ~ ~ H I I I I I □ I 51 SBA AK4807 70729737 | 22-23 GL/AUTO/UMB | Staff Certificates | 10/7/2022 9:44:44 AM (PDT) | Page 2 of 3 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 OrAanlzatlonfs): Locatlon(s) Of Covered Operations All persons or organization as required by written Locations where work Is performed by the contract with the named Insured named Insured on behalf of the additional Insured Information reouired to comolete 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 organlzation(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 locatlon(s) designated above. 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. CG 2010 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 □ COMMERCIAL AUTO BA 99 04 06 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BA 99 04 06 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 ADDITIONAL INSURED WHEN REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This provision does not apply in regard to any ownership, maintenance or use of the additional insured’s “autos.” Additional Insured When Required by Contract (1) Paragraph A.1. – WHO IS AN INSURED – of Section II – Liability Coverage is amended to add: d. When you have agreed, in a written contract or written agreement, that a person or organization be added as an additional insured on your business auto policy, such person or organization is an “insured”, but only to the extent such person or organization is liable for “bodily injury” or “property damage” caused by the conduct of an “insured” under paragraphs a. or b. of Who Is An Insured with regard to the ownership, maintenance or use of a covered “auto.” The insurance afforded to any such additional insured applies only if the “bodily injury” or “property damage” occurs: (1) During the policy period, and (2) Subsequent to the execution of such written contract, and (3) Prior to the expiration of the period of time that the written contract requires such insurance be provided to the additional insured. (2) How Limits Apply If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the most we will pay on behalf of such additional insured is the lesser of: (a) The limits of insurance specified in the written contract or written agreement; or (b) The Limits of Insurance shown in the Declarations. Such amount shall be a part of and not in addition to Limits of Insurance shown in the Declarations and described in this Section. (3) Additional Insureds Other Insurance If we cover a claim or “suit” under this Coverage Part that may also be covered by other insurance available to an additional insured, such additional insured must submit such claim or “suit” to the other insurer for defense and indemnity. However, this provision does not apply to the extent that you have agreed in a written contract or written agreement that the insurance is primary and non- contributory with the additional insured’s own insurance. (4) Duties in The Event Of Accident, Claim, Suit or Loss If another person or organization is added as an additional insured on your policy, the additional insured shall be required to comply with the provisions in A. Loss Conditions 2. – Duties In The Event Of Accident, Claim, Suit Or Loss – of SECTION IV – BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. Vista Fence Company Inc. VIAU339835 70729737 | 22-23 GL/AUTO/UMB | Staff Certificates | 10/7/2022 9:44:44 AM (PDT) | Page 3 of 3 ~ VISTA-5 nc 1n-11 ACORD0 CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY) ~ 09/28/2022 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 pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the pollcy, certain pollcles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lleu of such endorsement(s). . PRODUCER 916-364-7380 ~i;.>m;~cT Daniel Brock Sierra Oak Insurance Services ~~g0f>jj00 Ext): 916-364-7380 I iffc, No):916-364-7381 Lie# 0C97528 9700 Business Park Dr. Ste 105 itiJA~~ss: certs@emsurancespec1a11st.com Sacramento, CA 95827 Daniel E. Brock INSURER{Sl AFFORDING COVERAGE NAIC # 1NsURERA: Technology Insurance Co. Inc. 42376 INSURED INSURERB: Vista Fence Company, Inc. 1131 S. Santa Fe Ave INSURERC: Vista, CA 92083 INSURERD: INSURERE : 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. NOlWITHSTANDING ANY REQUIREMENT, TERM OR CONDrTION 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 POLICY EFF POLICY EXP LIMITS LTR INSD wvo I IMMIDDIYVYVl I IMMIDDIYYYYl COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ~ □ CLAIMS-MADE □ OCCUR ~~~,1f%:~J9i=~ENTED 91 $ ~ MED EXP IAnv one oersonl t ~ PERSONAL & ADV IN JURY $ R'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY □ m?f □ LOC PRODUCTS-COMP/OP AGG ¢ OTHER: $ AUTOMOBILE LIABILITY fOMBINED SINGLE LIMIT $ 1--Ea accident] ~ ANY AUTO -BODILY INJURY (Per person! $ OWNED SCHEDULED 1--AUTOS ONLY 1--AUTOS BODILY INJURY (Per accident! $ I--~IMfls ONLY ~ ~8toii~9 FROPERT\t9AMAGE Per accident $ $ 1--UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION XI ~ffrnTE I I OTH-AND EMPLOYERS' LIABILITY <=R YIN X TWC4164470 10/01/2022 10/01/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE □ EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA 1,000,000 (Mandatory In NH) EL DISEASE -EA EMPLOYEE $ ~m:i~if~~ 'b"~8PERATIONS below EL. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Addlllonal Remarks Schedule, may be attached If more space Is required) Waiver of subrogation in favor of City of Carlsbad -- CERTIFICATE HOLDER CANCELLATION CITYCA8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Carlsbad ACCORDANCE WITH THE POLICY PROVISIONS. 799 Pine Avenue, Suite 200 AUTHORIZED REPRESENTATIVE Carlsbad, CA 92008 ~~ I ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 0403 06 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT· CALIFORNIA 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Any person or organization as required by written contract. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Insured Insurance Company WC 04 03 06 (Ed. 04-84) 10/1/2022 Policy No. TWC4164470 Vista Fence Company, Inc. Technology Insurance Company, Inc. Endorsement No. 0 Premium$ 31507 Countersigned by _________________ _