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HomeMy WebLinkAboutSouthern California Precision Concrete Inc dba Precision Concrete Cutting; 2023-02-14; PWM23-2052TRANDocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC 14th February PWM23-2052TRAN CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT CENTRAL BUSINESS DISTRICT SIDEWALK REPAIRS This agreement is made on the ______ day of ___________ , 2023, by the City of Carlsbad, California, a municipal corporation, {hereinafter called "City"), and Southern California Precision Concrete, Inc., dba Precision Concrete Cutting, a California corporation whose principal place of business is 320 State Place, Escondido, CA 92029 (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 Matt Paxson (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. Central Business District Sidewalk Repairs Page 1 of 13 City Attorney Approved 8/2/2022 DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC PWM23-2052TRAN A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, unless currently registered and qualified to perform public work pursuant to Section 1725.5. This project is subject to compliance monitoring and enforcement by the Department of Industrial Relations. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. 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 (5) 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: REQUI RED 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 Central Business District Sidewalk Repairs Page 2 of 13 City Attorney Approved 8/2/2022 DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC PWM23-2052TRAN 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 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. 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 sixty (60) working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within thirty (30) working days after commencing work. Ill /II Ill Ill /II /II Central Business District Sidewalk Repairs Page 3 of 13 City Attorney Approved 8/2/2022 CONTRACTOR'S INFORMATION. Southern California Precision Concrete, Inc. dba Precision Concrete Cutting (name of Contractor) 925449 (Contractor's license number) C-61 /D06 - Concrete Related Services12/31/2024 (license class. and exp. date) 1000003322 / 6/30/2023 (DIR registration number/exp. date) PWM23-2052TRAN 320 State Place (street address) Escondido, CA 92029 (city/state/zip) 760-448-0979 (telephone no.) aaron@pcctriphazardremoval.com (e-mail address) 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 SOUTHERN CALIFORNIA PRECISION CONCRETE CUTTING, INC., dba PRECISION CONCRETE CUTTIN ;E;; nia corporation By /-?� ✓{ . ff"' ' ' (sign re) Ronald William Duma Jr., President CITY OF CARLSBAD, a municipal corporation of the State of California B: Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager (print name/title) By: �[\� Neshtinscka Duma, Seretary (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 Chairman, President, or Vice-President Group B Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CINDIE K. McMAHON, City Attorney BY: -------------City Attorney Central Business District Sidewalk Repairs Page 4 of 13 City Attorney Approved 8/2/2022 DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC None N/A DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC PWM23-2052TRAN EXHIBIT A LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR Set forth below is the full name and location of the place of business of each subcontractor 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 subcontractor for each subcontract. NOTE: The Contractor understands that if it fails to specify a subcontractor 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 Business Name and Address DIR Lice nse No., %of be Subcontracted Registration Classification & Total No. Expiration Date Contract Total% Subcontracted: ______ _ The Contractor must perform no less than 50% of the work with its own forces. Central Business District Sidewalk Repairs Page 5 of 13 City Attorney Approved 8/2/2022 PWM23-2052TRAN Central Business District Sidewalk Repairs Page 6 of 13 City Attorney Approved 8/2/2022 EXHIBIT B Central Business District Sidewalk Repairs Contracor shall provide all equipment, labor and materials perform horizontal slicing (repairs) to 209 sidewalk hazards identified within the Carlsbad Central Business District per PCC estimate dated Sep. 6, 2022. Exact locations are below in Exhibit D, before and after pictures shall be taken by contractorand provided to the Contract Administrator upon completion. Concrete slicing shall be done at the ADA required 12” to 1” specifications. Contractor shall use a HEPA dust suppression system and sweep/remove all other debris left by repair work. Contractor shall apply for a no fee right of permit through the City of Carlsbad before work starts. Contractor shall provide minor pedestrian control as needed in areas that have a large amount of sidewalk traffic. All required traffic control will be provided by the Contractor in accordance with the latest edition of the California Manual on Uniform Traffic Control Devices (CAMUTCD). All work shall be performed in accordance with the City of Carlsbad’s Engineering Standards, the 2018 Standard Specifications for Public Works Construction (Greenbook), and 2018 Caltrans Standard Plans and Caltrans Specifications. JOB QUOTATION ITEM NO. UNIT QTY DESCRIPTION PRICE 1 Ea 160 Horizontal concrete slicing - 1/2 to 7/8 inch hazards $25,193.32 2 Ea 49 Horizontal concrete slicing - 1 to 2 inch hazards $16,645.04 TOTAL* $41,838.36 *Includes taxes, fees, expenses and all other costs. /// /// /// /// /// /// /// /// /// DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC Bond No. S1902928 PWM23-2052TRAN EXHIBIT C LABOR AND MATERIALS BOND WHEREAS, the City Council of the City of Carlsbad, State of California, has awarded to Southern California Precision Concrete, Inc., dba Precision Concrete Cutting (hereinafter designated as the "Principal"), a Contract for: CENTRAL BUSINESS DISTRICT SIDEWALK REPAIRS in the City of Carlsbad, in strict conformity with the drawings and specifications, and other Contract Documents now on file in the Office of the City Clerk of the City of Carlsbad and all of which are incorporated herein by this reference. WHEREAS, Principal has executed or is about to execute said Contract and the terms thereof require the furnishing of a bond, providing that if Principal or any of its subcontractors shall fail to pay for any materials, provisions, provender or other supplies or teams used in, upon or about the performance of the work agreed to be done, or for any work or labor done thereon of any kind, the Surety on this bond will pay the same to the extent hereinafter set forth. NOW, THEREFORE, WE, Southern California Precision Concrete, Inc., dba Precision Concrete Cutting, as Principal, (hereinafter designated as the "Contractor"), and Capitol Indemnity Corporation as Surety, are held firmly bound unto the City of Carlsbad in the sum of forty-one thousand eight hundred thirty-eight dollars and thirty-six cents ($41,838.36), said sum being an amount equal to: One hundred percent (100%) of the total amount payable under the terms of the Contract by the City of Carlsbad, and for which payment well and truly to be made we bind ourselves, our heirs, executors and administrators, successors, or assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if the Contractor or his/ her subcontractors fail to pay for any materials, provisions, provender, supplies, or teams used in, upon, for, or about the performance of the work contracted to be done, or for any other work or labor thereon of any kind , consistent with California Civil Code section 9100, or for amounts due under the Unemployment Insurance Code with respect to the work or labor performed under this Contract, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of the contractor and subcontractors pursuant to section 13020 of the Unemployment Insurance Code with respect to the work and labor, that the Surety will pay for the same, and, also, in case suit is brought upon the bond, reasonable attorney's fees, to be fixed by the court consistent with California Civil Code section 9554. This bond shall inure to the benefit of any of the persons named in California Civil Code _ section 9100, so as to give a right of action to those persons or their assigns in any suit brought upon the bond. Surety stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract, or to the work to be performed hereunder or the specifications accompanying the same shall affect its obligations on this bond, and it does hereby waive notice of any change, extension of time, alterations or addition to the terms of the contract or to the work or to the specifications. Central Business District Sidewalk Repairs Page 7 of 13 City Attorney Approved 8/2/2022 DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC PWM23-2052TRAN In the event that Contractor is an individual, it is agreed that the death of any such Contractor shall not exonerate the Surety from its obligations under this bond. 2023 SIGNED AND SEALED, this 26th day of __ J_a_n_ua_ry~--------'~ _P_re_c_is_io_n_C_o_n_c_re_t_e_C_u_t_ti_n_g ____ (SEAL) (Principal) - By: -+'-.~--', =------'""'---'IH'--------. (S~ _c_a_p_it_o_l_ln_d_e_m_n_it_y_C_o_r_p_or_a_t1_· o_n __ (SEAL) (Surety) By: ____.//.L=----,,...-L--~-H----7 ~ - William Reidinger, Attorney-in-F?.Kt (SEAL AND NOTARIAL ACKNOWLEDGEMENT OF SURETY -ATTACH ATTORNEY-IN- FACT CERTIFICATE) APPROVED AS TO FORM: CINDIE K. McMAHON, City Attorney By: _o_·IA,~Ji_·t-_k_. llt_d\Ak __ lA, _______ _ City Attorney Central Business District Sidewalk Repairs Page 8 of 13 City Attorney Approved 8/2/2022 DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC State of ... Plf!l.~i.s ..................... . County of Y.1!~~~~ ..................... ss.: Surety On this ...... ??!~ ..... day of. ... J~tiµ,a.ry ....... 2023 .. , before me Company Acknowledgment: personally appeared ... W.i!l.i?w.~~j<;iiI}f?:~r ................ , to be known, whom being by me duly sworn, did depose and say: that he/she resides at. .... Sc;liil:t1ml1\lr!!. . .I.L ......................................................... , that he/she is the.-~~<?.~~~~-fA~~ ....... of. ... rap,itqU114~1PP.itY. ~qr,r,qrMi,qq ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , the corporation described in and which executed the annexed instrument; that he/she knows the corporate seal of said corporation that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation; that he/she signed his/her name thereto by like order; and that the liabilities of said corporation do not exceed its assets as ascertained in the manner provided by law. OFFICIAL SEAL JOSEPH HALLERAN NOTARY PUBLIC-STATE OF ILLINOIS MY COMMISSION EXPIRES:07/24/23 ,·, . l '\_~ \_; \'--~ . . . . . . . . . . . . . . . . . . -~\ ....................................... . Notary PubiiJ in and for the above County and State. My commission expires .... ~:!?~'.~~~~-........ ; ..... . DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC CAPITOL INDEMNITY CORPORATION POWER OF ATTORNEY SJ9Q2928 Bond Number KNOW ALL MEN BY THESE PRESENTS, Tirnt the CAPITOL INDEMNITY CORPORATION, a corporation of the State of Wisconsin, having its principal offices in the Cily of Middleton, Wisconsin, does make, constitute and appoint William Reidinger Name of Individual its true and lawful Attomcy(s)-in-fact, to make, execute, seal and deliver for and on its behalf, as surety, and as its act and deed, any and all bonds, undertakings and contracts of suretyship, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount the sum of $ SoeBondFonn for --~S~l9~0~2~92~8 ____________ on behalf of Precision Concrete Cutting Bond Amount Bond Number Principal This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of CAPITOL INDEMNITY CORPORATION at a meeting duly called and held on the 15th day of May, 2002. "RESOLVED, that the President, Executive Vice President, Vice President, Secretary or Treasurer, acting individually or otherwise, be and they hereby arc granted the power and authorization to appoint by a Power of Attorney for the purposes only of executing and attesting bonds and undertakings, and other writings obligatory in the nature thereof, one or more resident vice-presidents, assistant secretaries and attorney(s)-in-fact, each appointee to have the powers and duties usual to such offices to the business of this company; the signature of such officers and seal of the Company may be affixed to any such power of attorney or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company, and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking or other writing obligatory in the nature thereof to which it is attached. Any such appointment may be revoked, for cause, or without cause, by any of said officers, at any time." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of lhc final cslimale to lhc Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Allomey-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner -Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. IN WITNESS WHEREOF, the CAPITOL INDEMNITY CORPORATION has caused these presents to be signed by its officer undersigned and its corporate seal to be hereto affixed duly attested, this !st day of January, 2020 . .. ,.,, P-L J ( (__ Ryan J. Byrnes Senior Vice President, Chief Financial Officer and Treasurer _'-:>~JI\~ Suzanne M. Broadbent Assistant Secretary STATE OF WISCONSIN COUNTY OF DANE } S.S.: CAPITOL INDEMNJTY CORPORATION John L. Sennott, Jr. Chief Excculivc Officer and President On the 1st day of January, 2020 before me personally came John L. Sennott, Jr., to me known, who being by me duly sworn, did depose and say: that he resides in the County of Hartford, Slate of Connecticut; that he is Chief Executive Officer and President of CAPITOL INDEMNITY CORPORATION, the corporation described in and which executed the above instrument; that he knows the seal of the said corporation; thal the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corpora lion and that he signed his name thereto by like order. •""""1111uw1111,,,, #~,O}· REG~~ STATE OF WISCONSIN COUNTY OF DANE } S.S.: / Q'l?~or~;··f\ \ l, -<t-st.\V ... ~ J ~~Jj;oi= ...... ~~.f '04l11111111111m~\\\\\\\~,.,_ David J. Rcgcle Notary Public, Dane Co., WI My Commission Is Permanent I, the undersigned, duly elected to the office slated below, now the incumbent in CAPITOL INDEMNITY CORPORATION, a Wisconsin Corporation, authorized to make this certificate, DO HEREBY CERTIFY that the foregoing attached Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolution of the Board of Directors, set forth in the Power of Attorney is now in force. Signed and sealed at the City of Middleton, Stale of Wisconsin this~ day of __ J_a_n_u_ary=, _2_02_3 __ ~g~fkn,, Andrew B. Diaz-Matos Senior Vice President, General Counsel and Secretary THIS DOCUMENT HAS BEEN GENERATED FOR A Sl'EClFIC BONp. II· \(OU H.A.Vti ANY QUESTIONS CONCERNING THE AUTHENTICITY OF THIS DOCUMENT CALL 800-475-4450. CIC-ePOA (Rel'. 01-2020) DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC Certificate (l})f Acknowled.gem(P;nt State of -l"""',l;SfKJ_"f-L-"-'__,t;-/'-'-------- County of t4.J124-: rf--- On the -:>-: 7 day _of -U~&u 20 ~3 , \__.aQ..,, ,£-<~ eLe. Ut~ . 7 Notary personally appeared, t<.~ \,l\eockv:-:--e.... ~ <'--A 1/\M..._ known by me personally or proven, under oath or signature, to be the person who is subscribed, by name, to the instrument :in question, and that she/he/they executed the insttument within her/his/their authorized cap0city(ies) either on their behalf or upon the behalf of the person who authorized the transaction. I attest; under the penalty of perjury within the state of that the above statement is completely factual and true. Given as witness by my lbJ.aimd and officiiaJl seali~ LORIE WRIGHT NOTARY PUBLIC• STATE OF UTAH t.t, Convnission Expires Ma,, 26, 2024 COMMISSION NUMBER 712184 DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC EXHIBIT D LIST OF SIDEWALK REPAIR AREAS Status number latitude Longitude High {1L8") Low {1L8"l Length {ft) Level 2 Slice 1005 33.16105696 -117.3437563 6 0 5 Level 2 Slice 1003 33.16120459 -117.3471627 5 2 15 Level 2 Slice 1006 33.16117905 -117.3438549 4 0 5 Level 2 Slice 1001 33.16076085 -117 .3480395 5 3 7 Level 2 Slice 336 33.16079958 -117.3491506 4 0 6 Level 2 Slice 430 33.16004008 -117.346227 5 0 4 Level 2 Slice 429 33.16024665 -117.3463926 4 2 5 Level 2 Slice 428 33.16027641 -117.3464174 4 4 5 Level 2 Slice 427 33.16029353 -117.3464332 5 0 4 Level 2 Slice 426 33.16032103 -117.346457 4 1 5 Level 2 Slice 425 33.16033114 -117.346466 6 0 5 Level 2 Slice 423 33.16053434 -117.3466256 6 0 3.5 Level 2 Slice 419 33.16015796 -117.3460258 5 1 5 Level 2 Slice 416 33.15989581 -117.3455306 5 4 5 Level 2 Slice 415 33.16000724 -117.3453419 5 0 5 Level 2 Slice 414 33.16004092 -117.3452882 6 0 5 Level 2 Slice 413 33.16004709 -117.3452714 5 1 5 Level 2 Slice 411 33.16018154 -117.3450418 5 5 5 Level 2 Slice 410 33.16031795 -117.3449435 6 0 5 Level 2 Slice 408 33.1605234 -117.3451189 4 0 5 Level 2 Slice 407 33.16055455 -117.3451373 4 1 5 Level 2 Slice 405 33.16070836 -117.3452621 4 0 4 Level 2 Slice 403 33.16080912 -117.3453445 4 0 5 Level 2 Slice 98 33.16122901 -117.3454475 6 3 3.5 Level 2 Slice 97 33.16122396 -117.3454176 4 0 8.5 Level 2 Slice 95 33.16117877 -117.3453754 3 2 8.5 Level 2 Slice 94 33.16111 -117.3453194 6 3 4 Level 2 Slice 93 33.16108839 -117.3453214 4 2 7 Level 2 Slice 91 33.16108362 -117.3452885 6 1 7 Level 2 Slice 90 33.16082232 -117.3450706 5 0 5 Level 2 Slice 89 33.16061686 -117.3449238 7 3 5 Level 2 Slice 88 33.16059581 -117.344908 4 1 5 Level 2 Slice 87 33.1605481 -117.344852 4 3 5 Level 2 Slice 288 33.16215564 -117.3447615 5 2 5 Level 2 Slice 283 33.16208396 -117.3446023 4 2 5 Level 2 Slice 279 33.1627045 -117.3449975 4 0 5 Level 2 Slice 278 33.16162778 -117.3453706 4 2 3 Level 2 Slice 277 33.16154555 -117 .3454369 4 0 3 Level 2 Slice 276 33.16175929 -117.3459333 5 0 4.5 Level 2 Slice 275 33.16208278 -117 .3458602 4 1 5 Central Business District Sidewalk Repairs Page 9 of 13 DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC Level 2 Slice 272 33.16156119 -117.3457432 4 0 5 Level 2 Slice 269 33.16109695 -117.3462376 5 3 11.5 Level 2 Slice 267 33.16105488 -117.3466416 5 1 8.5 Level 2 Slice 266 33.16103451 -117.3467405 4 0 6.5 Level 2 Slice 265 33.16100492 -117.3467061 4 2 8 Level 2 Slice 264 33.1612177 -117.3468603 6 0 6 Level 2 Slice 263 33.16121956 -117.3469294 5 0 5.5 Level 2 Slice 398 33.15925559 -117.3466474 6 5 5 Level 2 Slice 392 33.16108643 -117.3459014 4 0 8 Level 2 Slice 391 33.16084589 -117.3462957 4 0 8 Level 2 Slice 389 33.15997889 -117.3477941 6 0 5.5 Level 2 Slice 385 33.16037661 -117.3503519 4 0 5.5 Level 2 Slice 383 33.16044397 -117.3502711 4 0 5.5 Level 2 Slice 382 33.16055932 -117.3500511 5 0 10 Level 2 Slice 381 33.16064549 -117.3499338 5 0 10 Level 2 Slice 379 33.16101009 -117.3492636 4 0 7.5 Level 2 Slice 378 33.16103394 -117.3492156 3 0 8 Level 2 Slice 377 33.16103422 -117.3492425 4 0 7 Level 2 Slice 374 33.16125988 -117.3488505 4 0 5.5 Level 2 Slice 373 33.16143671 -117.3485397 5 0 7 Level 2 Slice 372 33.16148835 -117.3484479 6 0 18.5 Level 2 Slice 370 33.16160623 -117.3482695 4 0 8 Level 2 Slice 369 33.16165086 -117.3482061 5 0 8 Level 2 Slice 86 33.16039934 -117.3447072 5 1 6 Level 2 Slice 85 33.1605408 -117.3444597 4 1 5 Level 2 Slice 84 33.16067833 -117.3442358 5 2 5.5 Level 2 Slice 83 33.16070331 -117.3441925 4 2 5 Level 2 Slice 82 33.16073531 -117.3441442 4 0 5 Level 2 Slice 81 33.16074934 -117.3441198 6 2 5 Level 2 Slice 80 33.16084112 -117.3439649 6 0 5 Level 2 Slice 78 33.16088799 -117.3438921 5 0 4.5 Level 2 Slice 76 33.16105752 -117.3440376 6 4 5 Level 2 Slice 74 33.16127055 -117.3442147 4 0 5 Level 2 Slice 73 33.16133061 -117.3442653 5 0 5 Level 2 Slice 72 33.1614499 -117.3443659 7 0 5 Level 2 Slice 70 33 .16153157 -117.3444058 6 4 3 Level 2 Slice 69 33.16149172 -117.344396 6 0 5 Level 2 Slice 67 33.16160146 -117.3444775 6 6 12 Level 2 Slice 66 33.16160595 -117.3444926 7 0 5 Level 2 Slice 65 33.16149003 -117.3441044 4 0 5 Level 2 Slice 56 33.16013382 -117.3448155 4 2 5 Level 2 Slice 55 33.16011502 -117.3448426 6 0 5 Level 2 Slice 53 33.15927327 -117.346291 4 0 5 Level 2 Slice 49 33.15976473 -117.3472114 5 0 5 Central Business District Sidewalk Repairs Page 10 of 13 DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC Level 2 Slice 45 33.1593426 -117.3471453 4 0 2.5 Level 2 Slice 44 33.15958847 -117.3473636 5 1 4 Level 2 Slice 42 33.15971337 -117.3474638 4 1 4 Level 2 Slice 37 33.15826704 -117.3480737 6 0 16 Level 2 Slice 35 33.15752014 -117.3505463 4 0 6 Level 2 Slice 33 33.15714206 -117.3502469 5 0 6.5 Level 2 Slice 32 33.15714066 -117.3502567 7 4 5 Level 2 Slice 30 33.15792881 -117.3506533 4 3 7.5 Level 2 Slice 29 33.15778089 -117.3505919 5 4 5 Level 2 Slice 27 33.15727791 -117.3501946 4 0 5 Level 2 Slice 26 33.15723861 -117.3501517 5 4 8 Level 2 Slice 24 33.15726865 -117 .350034 5 2 5 Level 2 Slice 22 33.15781879 -117.3491563 7 2 5 Level 2 Slice 21 33.15793162 -117.3489042 4 0 5 Level 2 Slice 18 33.15866757 -117.3495043 6 0 4 Level 2 Slice 16 33.158715 -117.3495425 7 0 5 Level 2 Slice 15 33.15873858 -117.3495556 4 0 4 Level 2 Slice 13 33.15878685 -117.3496009 6 1 5 Level 2 Slice 12 33.15885759 -117.3496592 7 4 5 Level 2 Slice 10 33.15786285 -117.3487446 4 2 5 Level 2 Slice 9 33.1578084 -117.3488291 4 0 7 Level 2 Slice 5 33.1570194 -117.3508665 4 2 5 Level 2 Slice 3 33.15738625 -117.3508367 7 3 7 Level 2 Slice 258 33.16121097 -117.3469875 4 2 4.2 Level 2 Slice 262 33.16127419 -117.3469294 5 0 18.5 Level 2 Slice 255 33.16079745 -117.3464208 4 0 4 Level 2 Slice 250 33.16036609 -117.3476437 5 1 6 Level 2 Slice 246 33.16079991 -117.3480778 6 0 7 Level 2 Slice 244 33.16117306 -117.3486159 4 0 4.5 Level 2 Slice 242 33.16126406 -117.3483942 4 0 10 Level 2 Slice 241 33.16102047 -117.3485005 5 0 7.5 Level 2 Slice 240 33.1609939 -117.3484634 6 0 8.5 Level 2 Slice 239 33.16095158 -117.3484497 5 0 5 Level 2 Slice 238 33.16102827 -117.3486043 4 0 3 Level 2 Slice 234 33.15987227 -117.3485399 4 0 5 Level 2 Slice 233 33.15977131 -117.3485556 5 0 6 Level 2 Slice 229 33.15988768 -117.3490034 5 0 9 Level 2 Slice 228 33.15990634 -117.3489713 6 1 4 Level 2 Slice 223 33.159987 -117 .3490875 4 0 8.5 Level 2 Slice 220 33.16038679 -117.3492846 4 0 6.5 Level 2 Slice 218 33.16039335 -117.3493869 6 0 7.5 Level 2 Slice 217 33.16038479 -117.3495114 4 2 10.2 Level 2 Slice 210 33.1592968 -117 .3493089 4 2 6.5 Level 2 Slice 215 33.16019259 -117.3493353 5 4 1.5 Central Business District Sidewalk Repairs Page 11 of 13 DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC Level 2 Slice 214 33.16024786 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18 Level 2 Slice 335 33.16075074 -117.3492361 4 0 9 Level 2 Slice 334 33.1607485 -117.3492696 4 0 11.5 Level 2 Slice 333 33.16074401 -117.3492619 3 3 6 Level 2 Slice 329 33.16051666 -117.3496914 4 3 5 Level 2 Slice 327 33.1604914 -117.3497323 4 0 7.5 Level 2 Slice 323 33.16028623 -117.3500719 4 3 6 Level 2 Slice 322 33.16027051 -117.350082 6 0 8 Level 2 Slice 316 33.15980038 -117.3508759 4 0 5 Level 2 Slice 310 33.15955339 -117.3513128 4 0 5 Level 2 Slice 309 33.15954721 -117.3513242 4 0 5 Level 2 Slice 308 33.15954104 -117.3513426 4 0 7 Level 3 Slice 64 33.16139011 -117.3440142 12 0 5 Level 3 Slice 1002 33.16134773 -117.3439531 7 4 5.5 Level 3 Slice 61 33.16105359 -117.343757 8 0 40 Level 3 Slice 63 33.16118887 -117.3438834 10 6 5 Level 3 Slice 1004 33.16135391 -117.3439733 12 0 5 Level 3 Slice 257 33.16103001 -117.3470209 12 0 10 Level 3 Slice 259 33.16126437 -117.3472053 8 2 9.5 Level 3 Slice 424 33.16035471 -117.3464888 8 0 5 Level 3 Slice 421 33.16057224 -117.3466665 10 0 5 Level 3 Slice 409 33.16041815 -117.3450254 12 10 5 Level 3 Slice 406 33.16066879 -117.3452309 8 1 5 Level 3 Slice 404 33.16072773 -117.3452775 8 1 4 Central Business District Sidewalk Repairs Page 12 of 13 DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC Level 3 Slice 402 33.16085066 -117.3453794 11 0 5 Level 3 Slice 99 33.16124866 -117.3454535 15 15 4 Level 3 Slice 285 33.16229623 -117.3447496 9 4 5 Level 3 Slice 284 33.16214443 -117.3445981 8 4 5 Level 3 Slice 271 33.16145159 -117.3457113 7 1 5.5 Level 3 Slice 395 33.16153045 -117.3451196 6 2 6.5 Level 3 Slice 394 33.16151866 -117.3451246 9 3 8 Level 3 Slice 387 33.15901673 -117.3494369 5 2 10.7 Level 3 Slice 384 33.16038447 -117.3504049 14 0 7.5 Level 3 Slice 376 33.16118691 -117.3489766 8 0 9 Level 3 Slice 79 33.16087199 -117.3439236 11 7 5 Level 3 Slice 71 33.16147516 -117.344384 11 0 5 Level 3 Slice 68 33.16154645 -117.3444403 10 3 5 Level 3 Slice 62 33.16115716 -117.3438455 10 1 5 Level 3 Slice 59 33.1607005 -117.3437946 12 0 5 Level 3 Slice 57 33.16065026 -117 .3438619 16 12 5 Level 3 Slice 54 33.16009032 -117.3448825 10 0 5 Level 3 Slice 46 33.15922864 -117.3470518 16 0 4 Level 3 Slice 47 33.15921236 -117.347041 12 0 4 Level 3 Slice 39 33.1588458 -117.3472911 9 1 4 Level 3 Slice 38 33.15830352 -117.348013 10 0 11.5 Level 3 Slice 25 33.15723384 -117.3501148 8 0 5 Level 3 Slice 251 33.16040935 -117.3477415 8 0 7 Level 3 Slice 249 33.16042904 -117.3477997 9 0 8 Level 3 Slice 248 33.16046827 -117.3478381 7 4 14.5 Level 3 Slice 243 33.1613077 -117.3484835 7 0 9.5 Level 3 Slice 224 33.15998289 -117.3491749 7 2 8.5 Level 3 Slice 211 33.15968201 -117.3490535 7 2 15.5 Level 3 Slice 360 33.16272806 -117.34635 8 7 6 Level 3 Slice 351 33.1616444 -117.3477213 4 0 19 Level 3 Slice 326 33.16047204 -117.3497702 8 0 18.5 Level 3 Slice 319 33.15990535 -117.3507395 8 4 5 Level 3 Slice 318 33.15990479 -117.3507291 8 0 8.5 Level 3 Slice 317 33.15983041 -117.3508213 8 1 5 Level 3 Slice 315 33.15977624 -117 .3509242 8 4 5 Level 3 Slice 312 33.15968586 -117.3510694 9 0 5 Level 3 Slice 311 33.15956153 -117.3512893 8 0 14 AND NO OTHERS (TOTAL 209 items) Central Business District Sidewalk Repairs Page 13 of 13 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 12/27/2022 Burnham WGB Insurance SolutionsCA Insurance License 0F6977115901 Red Hill AvenueTustin CA 92780 Andrea Martin 714-824-8371 714-573-1770 amartin@wgbib.com American Fire and Casualty Co 24066 SOUTH47 Ohio Security Insurance Co 24082Southern California Precision Concrete, Inc.Dba Precision Concrete Cutting32428 Campo DriveTemecula CA 92592 Mesa Underwriters Specialty 36838 Benchmark Insurance Company 41394 1305568974 C X 1,000,000 X 100,000 5,000 1,000,000 2,000,000 MP010401600018906 5/15/2022 5/15/2023 2,000,000 A 1,000,000 X BAA57604891 5/15/2022 5/15/2023 B X X 1,000,000 X BFS61221570 4/11/2022 4/11/2023 1,000,000 D X Y CST5023590 6/2/2022 6/2/2023 1,000,000 1,000,000 1,000,000 City of Carlsbad is named as additional insured on the General Liability per attached MUS 01 01 20128 0316 as required by written contract subject to theterms and conditions of the policy. Waiver of Subrogation applies to the Workers' Compensation per attached WC 04 03 06 City of Carlsbad/CMWDc/o EXIGIS Insurance Compliance ServicesP.O. Box 947Murrieta CA 92564 DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC ACORD® I ~ I ~ □ □ ~ ~ Fl □ □ ~ ~ ~ ~ ~ ~ ~ ~ H I I I I I □ I 6~ WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 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 2.00% 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 Date: 06/02/2022 Policy Effective Dates: 06/02/2022 - 06/02/2023 Insured: Carrier Name / Code: WC 04 03 06 Countersigned by Policy No.: CST5023590 Endorsement No. Benchmark Insurance Company A Southern California Precision Concrete, Inc (Ed. 04-84) Page 1 of 1© Copyright 1984 National Council on Compensation Insurance, Inc. 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A.Cancellation 1.The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2.We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least: a.10 days before the effective date of cancellation if we cancel for nonpayment of premium; or b.30 days before the effective date of cancellation if we cancel for any other reason. 3.We will mail or deliver our notice to the first Named Insured's last mailing address known to us. 4.Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5.If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 6.If notice is mailed, proof of mailing will be sufficient proof of notice. B.Changes This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy. C.Examination Of Your Books And Records We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. D.Inspections And Surveys 1.We have the right to: a.Make inspections and surveys at any time; b.Give you reports on the conditions we find; and c.Recommend changes. 2.We are not obligated to make any inspections, surveys, reports or recommendations and any such actions we do undertake relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not undertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: a.Are safe or healthful; or b.Comply with laws, regulations, codes or standards. 3.Paragraphs 1. and 2. of this condition apply not only to us, but also to any rating, advisory, rate service or similar organization which makes insurance inspections, surveys, reports or recommendations. 4.Paragraph 2. of this condition does not apply to any inspections, surveys, reports or recommendations we may make relative to certification, under state or municipal statutes, ordinances or regulations, of boilers, pressure vessels or elevators. E.Premiums The first Named Insured shown in the Declarations: 1.Is responsible for the payment of all premiums; and 2.Will be the payee for any return premiums we pay. F.Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named insured. If you die, your rights and duties will be transferred to your legal representative but only while acting within the scope of duties as your legal representative. Until your legal representative is appointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. Insured Copy DocuSign Envelope ID: 86369776-BD37-4880-B178-4F29E7FCFAFC