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Home My WebLink AboutGoforth & Marti d.b.a. G/M Business Interiors; 2023-05-23; PSA23-2144FACDocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9B875590618A PSA23-2144FAC AGREEMENT FOR PURCHASE OF ADDITIONAL FURNISHINGS FOR THE POLICE AND FIRE HEADQUARTERS PROJECT, PROJECT NO. 4715 GOFORTH & MARTI D.B.A. GM BUSINESS INTERIORS THIS AGREEMENT is made and entered into as of the 2 � day of n 17\. "j_ , 2023, by and between the City of Carlsbad, California, a municipal c poration ("City") and Goforth & Marti, a California corporation, d.b.a. G/M Business Interiors ("Contractor"). RECITALS A.City requires the services of a consultant that is experienced in procurement, delivery, assembly, locating and alignment of fixtures and furnishings. B.Contractor has the necessary experience in providing services and advice relatedto fixtures and furnishings procurement and delivery. C.Contractor has submitted a proposal to City and has affirmed its willingness and ability to perform such work. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contractor agree as follows: 1.SCOPE OF WORK City retains Contractor to perform, and Contractor agrees to render, those services (the "Services") that are defined in attached Exhibit "A," which is incorporated by this reference in accordance with this Agreement's terms and conditions. 2.ST ANDA RD OF PERFORMANCE While performing the Services, Contractor will exercise the reasonable professional care and skill customarily exercised by reputable members of Contractor's profession practicing in the Metropolitan Southern California area, and will use reasonable diligence and best judgment while exercising its professional skill and expertise. 3.TERM The term of this Agreement will be effective for a period of one (1) year from the date first above written. The City Manager may amend the Agreement to extend it for one (1) additional one (1) year periods or parts thereof. Extensions will be based upon a satisfactory review of Contractor's performance, City needs, and appropriation of funds by the City Council. The parties will prepare a written amendment indicating the effective date and length of the extended Agreement. 4.TIME IS OF THE ESSENCETime is of the essence for each and every provision of this Agreement. 5.COMPENSATIONThe total fee payable for the Services to be performed during the initial Agreement term will be three hundred eight thousand seven hundred sixty-nine dollars sixty-one cents ($308,769.61). No other compensation for the Services will be allowed except for items covered by subsequent amendments to this Agreement. The City reserves the right to withhold a ten percent (10%) retention until City has accepted the work and/or Services specified in Exhibit "A." Incremental payments, if applicable, should be made as outlined in attached Exhibit "A." City Attorney Approved Version 12/28/2022 PSA23-2144FAC City Attorney Approved Version 12/28/2022 2 6. PREVAILING WAGE RATES Any construction, alteration, demolition, repair, and maintenance work, including work performed during design and preconstruction such as inspection and land surveying work, cumulatively exceeding $1,000 and performed under this Agreement are subject to state prevailing wage laws. 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 such workers employed by him or her in the execution of the 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. 7. STATUS OF CONTRACTOR Contractor will perform the Services in Contractor's own way as an independent contractor and in pursuit of Contractor's independent calling, and not as an employee of City. Contractor will be under control of City only as to the result to be accomplished, but will consult with City as necessary. The persons used by Contractor to provide services under this Agreement will not be considered employees of City for any purposes. The payment made to Contractor pursuant to the Agreement will be the full and complete compensation to which Contractor is entitled. City will not make any federal or state tax withholdings on behalf of Contractor or its agents, employees or subcontractors. City will not be required to pay any workers' compensation insurance or unemployment contributions on behalf of Contractor or its employees or subcontractors. Contractor agrees to indemnify City within thirty (30) days for any tax, retirement contribution, social security, overtime payment, unemployment payment or workers' compensation payment which City may be required to make on behalf of Contractor or any agent, employee, or subcontractor of Contractor for work done under this Agreement. At the City’s election, City may deduct the indemnification amount from any balance owing to Contractor. 8. SUBCONTRACTING Contractor will not subcontract any portion of the Services without prior written approval of City. If Contractor subcontracts any of the Services, Contractor will be fully responsible to City for the acts and omissions of Contractor's subcontractor and of the persons either directly or indirectly employed by the subcontractor, as Contractor is for the acts and omissions of persons directly employed by Contractor. Nothing contained in this Agreement will create any contractual relationship between any subcontractor of Contractor and City. Contractor will be responsible for payment of subcontractors. Contractor will bind every subcontractor and every subcontractor of a subcontractor by the terms of this Agreement applicable to Contractor's work unless specifically noted to the contrary in the subcontract and approved in writing by City. 9. OTHER CONTRACTORS The City reserves the right to employ other Contractors in connection with the Services. 10. INDEMNIFICATION Contractor agrees to indemnify and hold harmless the City and its officers, officials, employees and volunteers from and against all claims, damages, losses and expenses including attorney’s fees arising out of the performance of the work described herein caused by any negligence, DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A PSA23-2144FAC City Attorney Approved Version 12/28/2022 3 recklessness, or willful misconduct of the Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. The parties expressly agree that any payment, attorney’s fee, costs or expense City incurs or makes to or on behalf of an injured employee under the City’s self-administered workers’ compensation is included as a loss, expense or cost for the purposes of this section, and that this section will survive the expiration or early termination of this Agreement. 11. INSURANCE Contractor will obtain and maintain for the duration of the Agreement and any and all amendments, insurance against claims for injuries to persons or damage to property which may arise out of or in connection with performance of the services by Contractor or Contractor’s agents, representatives, employees or subcontractors. The insurance will be obtained from an insurance carrier admitted and authorized to do business in the State of California. The insurance carrier is required to have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of California’s List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best’s Key Rating Guide of at least “A:X”; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report. 11.1 Coverage and Limits. Contractor will maintain the types of coverage and minimum limits indicated below, unless the Risk Manager or City Manager approves a lower amount. These minimum amounts of coverage will not constitute any limitations or cap on Contractor's indemnification obligations under this Agreement. City, its officers, agents and employees make no representation that the limits of the insurance specified to be carried by Contractor pursuant to this Agreement are adequate to protect Contractor. If Contractor believes that any required insurance coverage is inadequate, Contractor will obtain such additional insurance coverage, as Contractor deems adequate, at Contractor's sole expense. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. 11.1.1 Commercial General Liability (CGL) Insurance. Insurance written on an “occurrence” basis, including personal & advertising injury, with limits no less than $2,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. 11.1.2 Automobile Liability. (if the use of an automobile is involved for Contractor's work for City). $2,000,000 combined single-limit per accident for bodily injury and property damage. 11.1.3 Workers' Compensation and Employer's Liability. Workers' Compensation limits as required by the California Labor Code. Workers' Compensation will not be required if Contractor has no employees and provides, to City's satisfaction, a declaration stating this. 11.1.4 Professional Liability. Errors and omissions liability appropriate to Contractor’s profession with limits of not less than $1,000,000 per claim. Coverage must be maintained for a period of five years following the date of completion of the work. 11.2 Additional Provisions. Contractor will ensure that the policies of insurance required under this Agreement contain, or are endorsed to contain, the following provisions: 11.2.1 The City will be named as an additional insured on Commercial General Liability which shall provide primary coverage to the City. DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A PSA23-2144FAC City Attorney Approved Version 12/28/2022 4 11.2.2 Contractor will obtain occurrence coverage, excluding Professional Liability, which will be written as claims-made coverage. 11.2.3 This insurance will be in force during the life of the Agreement and any extensions of it and will not be canceled without thirty (30) days prior written notice to City sent by certified mail pursuant to the Notice provisions of this Agreement. 11.3 Providing Certificates of Insurance and Endorsements. Prior to City's execution of this Agreement, Contractor will furnish certificates of insurance and endorsements to City. 11.4 Failure to Maintain Coverage. If Contractor fails to maintain any of these insurance coverages, then City will have the option to declare Contractor in breach, or may purchase replacement insurance or pay the premiums that are due on existing policies in order to maintain the required coverages. Contractor is responsible for any payments made by City to obtain or maintain insurance and City may collect these payments from Contractor or deduct the amount paid from any sums due Contractor under this Agreement. 11.5 Submission of Insurance Policies. City reserves the right to require, at any time, complete and certified copies of any or all required insurance policies and endorsements. 12.BUSINESS LICENSE Contractor will obtain and maintain a City of Carlsbad Business License for the term of the Agreement, as may be amended from time-to-time. 13.ACCOUNTING RECORDS Contractor will maintain complete and accurate records with respect to costs incurred under this Agreement. All records will be clearly identifiable. Contractor will allow a representative of City during normal business hours to examine, audit, and make transcripts or copies of records and any other documents created pursuant to this Agreement. Contractor will allow inspection of all work, data, documents, proceedings, and activities related to the Agreement for a period of three (3) years from the date of final payment under this Agreement. 14.OWNERSHIP OF DOCUMENTS All work product produced by Contractor or its agents, employees, and subcontractors pursuant to this Agreement is the property of City. In the event this Agreement is terminated, all work product produced by Contractor or its agents, employees and subcontractors pursuant to this Agreement will be delivered at once to City. Contractor will have the right to make one (1) copy of the work product for Contractor’s records. 15.COPYRIGHTS Contractor agrees that all copyrights that arise from the services will be vested in City and Contractor relinquishes all claims to the copyrights in favor of City. /// /// /// DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A PSA23-2144FAC City Attorney Approved Version 12/28/2022 5 16. NOTICES The name of the persons who are authorized to give written notice or to receive written notice on behalf of City and on behalf of Contractor under this Agreement. For City For Contractor Name Steven Stewart Name Jason Stierl Title Municipal Projects Manager Title Project Manager Department Public Works Address 110 W. A Street, Suite 140 City of Carlsbad San Diego, CA 92101 Address 1635 Faraday Ave. Phone No. 800-686-6583 Carlsbad, CA 92008 Email jstierl@gmbi.net Phone No. 760-339-2938 Each party will notify the other immediately of any changes of address that would require any notice or delivery to be directed to another address. 17. CONFLICT OF INTEREST Contractor shall file a Conflict of Interest Statement with the City Clerk in accordance with the requirements of the City of Carlsbad Conflict of Interest Code. The Contractor shall report investments or interests in all categories. Yes No 18. GENERAL COMPLIANCE WITH LAWS Contractor will keep fully informed of federal, state and local laws and ordinances and regulations which in any manner affect those employed by Contractor, or in any way affect the performance of the Services by Contractor. Contractor will at all times observe and comply with these laws, ordinances, and regulations and will be responsible for the compliance of Contractor's services with all applicable laws, ordinances and regulations. Contractor will be aware of the requirements of the Immigration Reform and Control Act of 1986 and will comply with those requirements, including, but not limited to, verifying the eligibility for employment of all agents, employees, subcontractors and consultants whose services are required by this Agreement. 19. DISCRIMINATION AND HARASSMENT PROHIBITED Contractor will comply with all applicable local, state and federal laws and regulations prohibiting discrimination and harassment. 20. DISPUTE RESOLUTION If a dispute should arise regarding the performance of the Services the following procedure will be used to resolve any questions of fact or interpretation not otherwise settled by agreement between the parties. Representatives of Contractor or City will reduce such questions, and their respective views, to writing. A copy of such documented dispute will be forwarded to both parties involved along with recommended methods of resolution, which would be of benefit to both parties. The representative receiving the letter will reply to the letter along with a recommended method of resolution within ten (10) business days. If the resolution thus obtained is unsatisfactory to the aggrieved party, a letter outlining the disputes will be forwarded to the City Manager. The DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A □ PSA23-2144FAC City Attorney Approved Version 12/28/2022 6 City Manager will consider the facts and solutions recommended by each party and may then opt to direct a solution to the problem. In such cases, the action of the City Manager will be binding upon the parties involved, although nothing in this procedure will prohibit the parties from seeking remedies available to them at law. 21. TERMINATION In the event of the Contractor's failure to prosecute, deliver, or perform the Services, City may terminate this Agreement for nonperformance by notifying Contractor by certified mail of the termination. If City decides to abandon or indefinitely postpone the work or services contemplated by this Agreement, City may terminate this Agreement upon written notice to Contractor. Upon notification of termination, Contractor has five (5) business days to deliver any documents owned by City and all work in progress to City address contained in this Agreement. City will make a determination of fact based upon the work product delivered to City and of the percentage of work that Contractor has performed which is usable and of worth to City in having the Agreement completed. Based upon that finding City will determine the final payment of the Agreement. City may terminate this Agreement by tendering thirty (30) days written notice to Contractor. Contractor may terminate this Agreement by tendering thirty (30) days written notice to City. In the event of termination of this Agreement by either party and upon request of City, Contractor will assemble the work product and put it in order for proper filing and closing and deliver it to City. Contractor will be paid for work performed to the termination date; however, the total will not exceed the lump sum fee payable under this Agreement. City will make the final determination as to the portions of tasks completed and the compensation to be made. 22. COVENANTS AGAINST CONTINGENT FEES Contractor warrants that Contractor has not employed or retained any company or person, other than a bona fide employee working for Contractor, to solicit or secure this Agreement, and that Contractor has not paid or agreed to pay any company or person, other than a bona fide employee, any fee, commission, percentage, brokerage fee, gift, or any other consideration contingent upon, or resulting from, the award or making of this Agreement. For breach or violation of this warranty, City will have the right to annul this Agreement without liability, or, in its discretion, to deduct from the Agreement price or consideration, or otherwise recover, the full amount of the fee, commission, percentage, brokerage fees, gift, or contingent fee. 23. CLAIMS AND LAWSUITS By signing this Agreement, Contractor agrees that any Agreement claim submitted to City must be asserted as part of the Agreement process as set forth in this Agreement and not in anticipation of litigation or in conjunction with litigation. Contractor acknowledges that if a false claim is submitted to City, it may be considered fraud and Contractor may be subject to criminal prosecution. Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act applies to this Agreement and, provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of information. If City seeks to recover penalties pursuant to the False Claims Act, it is entitled to recover its litigation costs, including attorney's fees. Contractor acknowledges that the filing of a false claim may subject Contractor to an administrative debarment proceeding as the result of which Contractor may be prevented to act as a Contractor on any public work or improvement for a period of up to five (5) years. Contractor acknowledges debarment by another jurisdiction is grounds for City to terminate this Agreement. 24. JURISDICTION AND VENUE Any action at law or in equity brought by either of the parties for the purpose of enforcing a right DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A PSA23-2144FAC City Attorney Approved Version 12/28/2022 7 or rights provided for by this Agreement will be tried in a court of competent jurisdiction in the County of San Diego, State of California, and the parties waive all provisions of law providing for a change of venue in these proceedings to any other county. 25. SUCCESSORS AND ASSIGNS It is mutually understood and agreed that this Agreement will be binding upon City and Contractor and their respective successors. Neither this Agreement nor any part of it nor any monies due or to become due under it may be assigned by Contractor without the prior consent of City, which shall not be unreasonably withheld. 26. ENTIRE AGREEMENT This Agreement, together with any other written document referred to or contemplated by it, along with the purchase order for this Agreement and its provisions, embody the entire Agreement and understanding between the parties relating to the subject matter of it. In case of conflict, the terms of the Agreement supersede the purchase order. Neither this Agreement nor any of its provisions may be amended, modified, waived or discharged except in a writing signed by both parties. /// /// /// /// /// /// /// /// /// /// /// /// DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A 27.AUTHORITY PSA23-2144FAC 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 GOFORTH & MARTI, a California corporation, d.b.a. GM Business Interiors By: (sign here) Laurinda P. Easley, President & Secretary (print name/title) By: (sign here) (print name/title) CITY OF CARLSBAD, a municipal corporation of the State of California By: l Keith Blackburn, Mayor ATTEST: for Sherry Freisinger, City Clerk 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, orVice-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: ___ dlluf __ �_f_V'b_St __ _Assistant City Attorney 8 City Attorney Approved Version 12/28/2022 ~ PSA23-2144FAC City Attorney Approved Version 12/28/2022 9 EXHIBIT “A” Scope of Materials Order Police and Fire Headquarters, CIP Project 4715 Item Description Quote Reference Total Cost Lockers for Men's Locker room Quote 211242 (Exhibit “B”) $246,697.34 Lockers for Property and Evidence Quote 206007 (Exhibit “C”) $37,637.90 Chairs for Dispatch Consoles Quote 203999 (Exhibit “D”) $14,327.53 Miscellaneous furniture items Quote 211124 (Exhibit “E”) $10,106.84 TOTAL (not to exceed) $308,769.61 DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A Project ID / Who & Where STEVE STEWART - PD DUTY MENS LOCKERS 2112423/2/2023 SHIP TO: CARLSBAD (ORION) FIRE DEPT2560 ORION WAY CARLSBAD CA 92010 Phone:Fax: (760)602-7543 BILL TO:3845 CITY OF CARLSBAD1635 FARADAY AVE CARLSBAD CA 92008 Phone:Fax:STEVE STEWARTSTEVE STEWART (760)602-7543 Systems Desk Units Tables Files Chairs Ancillary00000 0Product Counts: QuotationDate: Storage 92 **PER COOPERATIVE PURCHASING WITH SPACESAVERS, THE TERMS OF WHICH ARE INCORPORATED HEREIN BYREFERENCE, THE PRODUCT PRICING LISTED BELOW REFLECTS THE LOWEST PRICES AVAILABLE TO THE CITYOF CARLSBAD THROUGH THE COOPERATIVE AGREEMENT. THIS COOPERATIVE PURCHASING AGREEMENTPRICING STRUCTURE IS CURRENTLY IN PLACE WITH STATE AND LOCAL GOVERNMENT AGENCIES THROUGHSPACESAVERS** CLIENT PO NUMBER: G/M BUSINESS INTERIORS TAX ID: 95-2091271 ***PREVAILING WAGE*** QUOTE FOR: (92) SPACESAVER DUTY LOCKERS FOR MEN FOR: STEVE STEWART - PD DUTY MENS LOCKERS LEAD TIMES: 18 WEEKS DUE TO PANDEMIC AND SUPPLY CHAIN LOGISTICAL CONSTRAINTS, LEAD TIMES QUOTED TODAY WILL BEVARIABLE WITH POTENTIAL TO CHANGE AND ARRIVE LATER OR EARLIER THAN EXPECTED SCOPE OF WORK: 1) G/M TO RECEIVE AND INSPECT PRODUCT. 2) G/M TO COORDINATE THE ASSEMBLY OF (92) EA SPACESAVER DUTY LOCKERS FOR MEN IN PLACE PERDRAWINGS ATTACHED. 3) G/M TO COORDINATE SCHEDULING WITH STEVE STEWART @ 760-602-7543. Product Summary / Scope of Work GRAND TOTAL $246,697.34 Account Executive: Udeshi Weerasekera Project PAS: 800-686-6583 619-236-0500 Fax: 619-236-0550 Page: 1 http://www.gmbi.net (uweerasekera@gmbi.net) AMA:Lyzette Rodriguez (lrodriguez@gmbi.net) 110 W. A Street, Suite 140, San Diego CA, 92101G/M Business Interiors PSA23-2144FAC Exhibit "B"DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A **G/M WILL HOLD PRODUCT FOR UP TO (2) WEEKS AT OUR WAREHOUSE FREE OF CHARGE. ANY PRODUCTREMAINING IN OUR WAREHOUSE AFTER THIS PERIOD WILL INCUR STORAGE FEES **NOTE: QUOTE WILL NEED TO BE ADJUSTED IF SERVICES TO TAKE PLACE AFTER BUSINESS HOURS, OR DURINGTHE WEEKEND** **QUOTE VALID FOR 30 DAYS, THEN WILL NEED TO BE RE QUOTED** CUSTOMER NET INVOICE: $246,697.34 **NOTE: QUOTE WILL NEED TO BE ADJUSTED IF SERVICES TO TAKE PLACE AFTER BUSINESS HOURS, OR DURINGTHE WEEKEND Quotation # 211242G/M 1 223,256.40 223,256.40 202,082.60 Sell ExtSellList ExtList LOT STORAGE Who/What/Where 202,082.60 BOM A BOM: See Attached Bill of Materials 92Piece Count: .00.00.00.00 FreightTaxable Srvcs.Non-Tax Srvcs.Description: (92) SPACESAVER DUTY LOCKERS FOR MEN Design Fee 0 .00 .00 .00 Sell ExtSellList ExtList LOT SPACESAVER INSTALLATION Who/What/Where .00 BOM B BOM: See Attached Bill of Materials Piece Count: .00.00.0029,458.54 FreightTaxable Srvcs.Non-Tax Srvcs.Description: SERVICES TO COMPLETE INSTALLATION OF (92) SPACESAVERS DUTY LOCKERS. INSTALLATION IS ESTIMATED AT 9-10 DAYS DURING NORMAL HOURS. G/M TO COORDINATE SERVICES. Design Fee Account Executive: Udeshi Weerasekera Project PAS: 800-686-6583 619-236-0500 Fax: 619-236-0550 Page: 2 http://www.gmbi.net (uweerasekera@gmbi.net) AMA:Lyzette Rodriguez (lrodriguez@gmbi.net) 110 W. A Street, Suite 140, San Diego CA, 92101G/M Business Interiors PSA23-2144FAC Exhibit "B" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A FabricDateProduct images are representational only. Fabrics, finishes and specifications may be different than what is pictured. G|M Business Interiors Elevate your Workplace TM Please initial & date here as approval CITY OF CARLSBAD Quote# 211242 STEVE STEWART - PD DUTY MENS LOCKERS Page 1FabricInitial COLOR FINISH DG 2 – DESIGNER GREY SPACESAVER DUTY LOCKERS FOR MEN STORAGE PSA23-2144FAC Exhibit "B" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A > Quotation # 211242G/M Product Subtotal: Services (Non-Taxable) Services (Taxable) Freight (Taxable) Design Services (Non-Taxable) Sales Tax (7.500%) $202,082.60 $29,458.54 $0.00 $0.00 $0.00 $15,156.19 $246,697.34Total: Taxable Subtotal: Non-Taxable Subtotal: $202,082.60 $29,458.54 Terms: Net 30 Days, 90% Due at Substantial Delivery 90%$222,027.60 Terms: 10% @ Punchlist 10%$24,669.73 Signed Date I have reviewed the quote, the bill of materials, the drawings (if applicable), the color cards (if applicable), and other associated exhibits for my order. I approve the colors, fabrics, and finishes as previously selected and correct as shown on the attached exhibit. I am satisfied that the product I have selected is the correct size and is suitable and will perform for its intended purpose. I am aware this product is manufactured to order and is not returnable to G/M or to the manufacturer. I understand that legal title to the product will transfer upon delivery to my commercial or residential location and all associated labor is taxable until title transfers. I am aware additional costs charged for inside delivery, staging, setting in place, assembly, leveling, cleaning, polishing, recycling of waste materials are separately stated and are elected as an additional contract option. I am aware of the grand total price of this contract as shown on this quote. Approved by: Signature Print Name/Title Date G/M is ordering your furniture from a variety of manufacturers to be aggregated and received into our G/M operated warehouse. Once the final portion of your order has been received, a “ready to deliver” notification will be sent to you. G/M, at this point, will graciously, store your complete order for up to two weeks at no charge. If for some reason you cannot accept a timely delivery within two weeks, a quote for one month’s handling and storage shall be calculated and forwarded to you. This quote is valid for 30 days. Account Executive: Udeshi Weerasekera Project PAS: 800-686-6583 619-236-0500 Fax: 619-236-0550 Page: 3 http://www.gmbi.net (uweerasekera@gmbi.net) AMA:Lyzette Rodriguez (lrodriguez@gmbi.net) 110 W. A Street, Suite 140, San Diego CA, 92101G/M Business Interiors PSA23-2144FAC Exhibit "B" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A ■ ■ ■ ■ ■ ■ ■ ■ Featured Product of the Month GIM accepts credit cards at 0% for purchases up to $10,000 Purchases over $10,000 requires a surcharge of 2.75% STEVE STEWART - PD DUTY MENS LOCKERS CITY OF CARLSBAD PO # Sales Order # Item Qty Product Unit Extended Unit Extended Discount % List Price Sell Price 3/2/2023 5:53:40 PMAQuote #211242 STORAGEDepartment: Contract SPACESAVER 92 2,426.70 223,256.40 2,196.55 202,082.60 9.481 % SPACESAVER DUTY LOCKERS MENS LOCKERS Qty (91) 24" x 24" x 84" with sloped tops, duplex outlet with 2 receptacles,adjustable hangar shelf, external locking lower drawer with 9”W wood bench Qty (1) 24" x 24" x 84" with sloped tops, duplex outlet with 2 receptacles,adjustable hangar shelf, locking lower drawer, ADA intended COLOR SELECTION DESIGNER GREY (DG 2) STORAGETag: Product Subtotal: $202,082.60 Project DesignerAccount Executive:Udeshi Weerasekera Page: 1 Job Captain Lyzette Rodriguez PSA23-2144FAC Exhibit "B" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A • • • • • • Project ID / Who & Where SAFETY CENTER - EVIDENCE LOCKERS 2060073/2/2023 SHIP TO: CARLSBAD (ORION) FIRE DEPT2560 ORION WAY CARLSBAD CA 92010 Phone:Fax: (760)602-7543 BILL TO:3845 CITY OF CARLSBAD1635 FARADAY AVE CARLSBAD CA 92008 Phone:Fax:STEVE STEWARTSTEVE STEWART (760)602-7543 Systems Desk Units Tables Files Chairs Ancillary00000 1Product Counts: QuotationDate: Storage 0 **PER COOPERATIVE PURCHASING WITH SOURCEWELL CONTRACT# 010920-SPC, THE TERMS OF WHICH AREINCORPORATED HEREIN BY REFERENCE, THE PRODUCT PRICING LISTED BELOW REFLECTS THE LOWESTPRICES AVAILABLE TO THE CITY OF CARLSBAD THROUGH THE COOPERATIVE AGREEMENT. THIS COOPERATIVEPURCHASING AGREEMENT PRICING STRUCTURE IS CURRENTLY IN PLACE WITH STATE AND LOCALGOVERNMENT AGENCIES THROUGH SOURCEWELL CONTRACT# 010920-SPC.** **PER SPACESAVERS THIS IS THE BEST PRICE AVAILABLE THROUGH SOURCEWELL CONTRACT# 010920-SPC** G/M BUSINESS INTERIORS TAX ID: 95-2091271 CLIENT PO NUMBER: ***PREVAILING WAGE*** QUOTE FOR: (01) EA SPACESAVER PASS THRU REFRIGERATED EVIDENCE UNITS W/ 4 DOORS EACH TO MATCHEXISTING EVIDENCE LOCKERS TOTAL OF (17) FOR: SAFETY CENTER - EVIDENCE LOCKERS LEAD TIME: 20 WEEKS.DUE TO PANDEMIC AND SUPPLY CHAIN LOGISTICAL CONSTRAINTS, LEAD TIMES QUOTED TODAY WILL BEVARIABLE WITH POTENTIAL TO CHANGE AND ARRIVE LATER OR EARLIER THAN EXPECTED SCOPE OF WORK: 1) G/M VENDOR TO RECEIVE AND INSPECT PRODUCT. 2) G/M TO COORDINATE SERVICES TO COMPLETE THE PASS-THRU REFRIGERATED EVIDENCE UNITS WITH (4) Product Summary / Scope of Work GRAND TOTAL $37,637.90 Account Executive: Udeshi Weerasekera Project PAS: 800-686-6583 619-236-0500 Fax: 619-236-0550 Page: 1 http://www.gmbi.net (uweerasekera@gmbi.net) AMA:Lyzette Rodriguez (lrodriguez@gmbi.net) 110 W. A Street, Suite 140, San Diego CA, 92101G/M Business Interiors PSA23-2144FAC Exhibit "C"DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A DOORS EACH. PRODUCT TO MATCH EXISTING EVIDENCE LOCKERS AS SHOWN IN DESIGN. TOTAL OF (17)OPENINGS. 2) G/M TO COORDINATE SERVICES TO COMPLETE REMOVAL OF EXISTING INSERTS AND REINSTALLATION OFNEW INSERTS BY SPACESAVER 3) G/M TO COORDINATE SCHEDULING WITH STEVE STEWART @ 760-602-7543. **G/M WILL HOLD PRODUCT FOR UP TO (2) WEEKS AT OUR WAREHOUSE FREE OF CHARGE. ANY PRODUCTREMAINING IN OUR WAREHOUSE AFTER THIS PERIOD WILL INCUR STORAGE FEES **NOTE: QUOTE WILL NEED TO BE ADJUSTED IF SERVICES TO TAKE PLACE AFTER BUSINESS HOURS, OR DURINGTHE WEEKEND** **QUOTE VALID FOR 30 DAYS** **ADDITIONAL/SPECIAL SERVICES BREAKDOWN**PREVAILING WAGE NON TAXABLE LABOR SERVICES: (76.761) HRS @ $47/HR = $3,607.79 SECTION F ADDITIONAL PRODUCTS/SERVICES1. EXPRESS SHIPPING=$1,640.262. OTHER CUSTOMER RELATED SERVICES=$5,830.18 CUSTOMER NET INVOICE: $37,637.90 **NOTE: QUOTE WILL NEED TO BE ADJUSTED IF SERVICES TO TAKE PLACE AFTER BUSINESS HOURS, OR DURINGTHE WEEKEND Quotation # 206007G/M 1 32,066.00 32,066.00 24,112.03 Sell ExtSellList ExtList LOT ANCILLARY Who/What/Where 24,112.03 BOM A BOM: See Attached Bill of Materials 1Piece Count: .00.00.00.00 FreightTaxable Srvcs.Non-Tax Srvcs.Description: (01) EA SPACESAVER PASS THRU REFRIGERATED EVIDENCE UNITS W/ 4 DOORS EACH TO MATCH EXISTING EVIDENCE LOCKERS TOTAL OF (17) Design Fee Account Executive:Udeshi Weerasekera Project PAS: 800-686-6583 619-236-0500 Fax: 619-236-0550 Page: 2 http://www.gmbi.net (uweerasekera@gmbi.net) AMA:Lyzette Rodriguez (lrodriguez@gmbi.net) 110 W. A Street, Suite 140, San Diego CA, 92101G/M Business Interiors PSA23-2144FAC Exhibit "C" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A Quotation # 206007G/M 0 .00 .00 .00 Sell ExtSellList ExtList LOT SPACESAVER Who/What/Where .00 BOM B BOM: See Attached Bill of Materials Piece Count: .00.00.003,607.79 FreightTaxable Srvcs.Non-Tax Srvcs.Description: G/M TO COORDINATE SERVICES FOR SPACESAVER TO COMPLETE REMOVAL OF EXISTING INSERTS AND REINSTALLATION OF NEW INSERTS BY SPACESAVER Design Fee 1 .00 .00 5,830.18 Sell ExtSellList ExtList LOT MATERIAL SURCHARGE Who/What/Where 5,830.18 BOM C BOM: See Attached Bill of Materials Piece Count: .00.00.00.00 FreightTaxable Srvcs.Non-Tax Srvcs.Description: **MATERIAL SURCHARGE IMPOSED BY SPACESAVER** Design Fee Account Executive:Udeshi Weerasekera Project PAS: 800-686-6583 619-236-0500 Fax: 619-236-0550 Page: 3 http://www.gmbi.net (uweerasekera@gmbi.net) AMA:Lyzette Rodriguez (lrodriguez@gmbi.net) 110 W. A Street, Suite 140, San Diego CA, 92101G/M Business Interiors PSA23-2144FAC Exhibit "C" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A Project #: 106368 Drawn by: M.Egbert Date Printed: 11/21/2022 Scale 1:35 Rev level: Project Name: Carlsbad PD APPROVAL This drawing Approved By: Dated Copyright © 2022 Spacesaver Corporation. This material is proprietary and confidential, and the disclosure reproduction by photography, film, blueprint or otherwise or incorporation into any information retrieval system without first receiving written approval from Spacesaver Corporation is expressly prohibited by law. CO P Y R I G H T © 2 0 2 2 S P A C E S A V E R C O R P O R A T I O N . A L L R I G H T S R E S E R V E D E 2-EE 1-E 74" 36" 24" (2) Refridgerator Unit Replacements 72" 36" PSA23-2144FAC Exhibit "C" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A 1111 SPACESAVER INTERMOUNTAIN LLC 249 South 400 Eost (801) 363-5882 main Salt Lake City, UT 84111 (801) 359-4326 fax www.SpacesaverlM.com Project #: 106368 Drawn by: M.Egbert Date Printed: 11/21/2022 Scale 1:35 Rev level: Project Name: Carlsbad PD APPROVAL This drawing Approved By: Dated Copyright © 2022 Spacesaver Corporation. This material is proprietary and confidential, and the disclosure reproduction by photography, film, blueprint or otherwise or incorporation into any information retrieval system without first receiving written approval from Spacesaver Corporation is expressly prohibited by law. CO P Y R I G H T © 2 0 2 2 S P A C E S A V E R C O R P O R A T I O N . A L L R I G H T S R E S E R V E D 09 08 18 09 08 18 07 170717 16061606 15 14 05 04 15 14 05 04 03 02 13 12 03 02 13 12 01 110111 E 2E 1 82" 18 15/32"9 7/32" 83"83" 18 15/32" Elevation 18 15/32" 9 7/32"35 13/16" 82" 18 15/32" 9 7/32" 9 7/32" PSA23-2144FAC Exhibit "C" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A -□ □- -□ -----1 □--□ ~~ _:---I~ I -□ ■ 1111 SPACESAVER INTERMOUNTAIN LLC 249 South 400 Eost (801) 363-5882 main Salt Lake City, UT 84111 (801) 359-4326 fax www.SpacesaverlM.com Quotation # 206007G/M Product Subtotal: Services (Non-Taxable) Services (Taxable) Freight (Taxable) Design Services (Non-Taxable) Sales Tax (7.750%) $29,942.21 $3,607.79 $0.00 $1,640.26 $0.00 $2,447.64 $37,637.90Total: Taxable Subtotal: Non-Taxable Subtotal: $31,582.47 $3,607.79 Terms: Net 30 Days, 90% Due at Substantial Delivery 90%$33,874.11 Terms: 10% @ Punchlist 10%$3,763.79 Signed Date I have reviewed the quote, the bill of materials, the drawings (if applicable), the color cards (if applicable), and other associated exhibits for my order. I approve the colors, fabrics, and finishes as previously selected and correct as shown on the attached exhibit. I am satisfied that the product I have selected is the correct size and is suitable and will perform for its intended purpose. I am aware this product is manufactured to order and is not returnable to G/M or to the manufacturer. I understand that legal title to the product will transfer upon delivery to my commercial or residential location and all associated labor is taxable until title transfers. I am aware additional costs charged for inside delivery, staging, setting in place, assembly, leveling, cleaning, polishing, recycling of waste materials are separately stated and are elected as an additional contract option. I am aware of the grand total price of this contract as shown on this quote. Approved by: Signature Print Name/Title Date G/M is ordering your furniture from a variety of manufacturers to be aggregated and received into our G/M operated warehouse. Once the final portion of your order has been received, a “ready to deliver” notification will be sent to you. G/M, at this point, will graciously, store your complete order for up to two weeks at no charge. If for some reason you cannot accept a timely delivery within two weeks, a quote for one month’s handling and storage shall be calculated and forwarded to you. This quote is valid for 30 days. Account Executive: Udeshi Weerasekera Project PAS: 800-686-6583 619-236-0500 Fax: 619-236-0550 Page: 4 http://www.gmbi.net (uweerasekera@gmbi.net) AMA:Lyzette Rodriguez (lrodriguez@gmbi.net) 110 W. A Street, Suite 140, San Diego CA, 92101G/M Business Interiors PSA23-2144FAC Exhibit "C" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A ■ ■ ■ ■ ■ ■ ■ ■ Featured Product of the Month GIM accepts credit cards at 0% for purchases up to $10,000 Purchases over $10,000 requires a surcharge of 2.75% SAFETY CENTER - EVIDENCE LOCKERS CITY OF CARLSBAD PO # Sales Order # Item Qty Product Unit Extended Unit Extended Discount % List Price Sell Price 1/16/2023 2:49:57 PMAQuote #206007 ANCILLARYDepartment: Contract SPACESAVER 1 32,066.00 32,066.00 24,112.03 24,112.03 24.801 % QTY (2) PASS-THRU REFRIGERATIED EVIDENCE UNITS WITH (4) DOORS EACH. PRODUCT TO MATCH EXISTING EVIDENCE LOCKERS AS SHOWN IN DESIGN. TOTAL OF (17) OPENINGS. ANCILLARYTag: Product Subtotal: $24,112.03 Project DesignerAccount Executive:Udeshi Weerasekera Page: 1 Job Captain Lyzette Rodriguez PSA23-2144FAC Exhibit "C" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A • • Project ID / Who & Where COC FIRE DEPT - DISPATCH SEATING 2039994/4/2023 SHIP TO: CARLSBAD (2560 ORION ) CITY OF CARLSBAD 2560 Orion Way Carlsbad CA 92010 Phone: Fax: (760)602-7543 BILL TO:P22042 CONCEPT SEATING GOVERNMENT 3205 N 124TH ST BROOKFIELD WI 53005 Phone: Fax: STEVE STEWARTLARRY WEBER (818)512-1888 Systems Desk Units Tables Files Chairs Ancillary00008 0Product Counts: QuotationDate: Storage 0 **PER COOPERATIVE PURCHASING WITH CALIFORNIA MULTIPLE AWARD SCHEDULES (CMAS) CONTRACT NUMBER 4-13-71-0086B, DATED 11/12/2021, EXPIRING 07/31/2026, THE TERMS OF WHICH ARE INCORPORATED HEREIN BY REFERENCE, THE PRODUCT PRICING LISTED BELOW REFLECTS THE LOWEST PRICES AVAILABLE TO THE CITY OF CARLSBAD THROUGH THE COOPERATIVE AGREEMENT. THIS COOPERATIVE PURCHASING AGREEMENT PRICING STRUCTURE IS CURRENTLY IN PLACE WITH STATE AND LOCAL GOVERNMENT AGENCIES THROUGH CONTRACT 4-13-71-0086B ATED 11/12/2021, EXPIRING 07/31/2026.** ***PREVAILING WAGE*** QUOTE FOR: CONCEPT SEATING TASK CHAIRS WITH HALF RING FOOT REST FOR: COC FIRE DEPT - DISPATCH SEATING LEAD TIMES: 5-6 WEEKS DUE TO PANDEMIC AND SUPPLY CHAIN LOGISTICAL CONSTRAINTS, LEAD TIMES QUOTED TODAY WILL BE VARIABLE WITH POTENTIAL TO CHANGE AND ARRIVE LATER OR EARLIER THAN EXPECTED SCOPE OF WORK: 1) CONCEPT SEATING TO PROVIDE ASSEMBLY OF (08) EA CONCEPT SEATING AND SHIP TO IRVINE WAREHOUSE. 2) G/M TO RECEIVE AND INSPECT PRODUCT. 2)G/M TO BRING TO SITE AND SET (04) EA CONCEPT SEATING 3142 HIGH BACK CHAIR W/ HALF RING FOOT REST, (04) EA CONCEPT SEATING 3152HR OPERATORS CHAIR W/ HALF RING FOOT REST INTO PLACE. 3) PLEASE CONTACT STEVE STEWART @ 760-602-7543 TO SCHEDULE SERVICES. Product Summary / Scope of Work GRAND TOTAL $14,327.53 Account Executive: Udeshi Weerasekera Project PAS: 800-686-6583 619-236-0500 Fax: 619-236-0550 Page: 1 http://www.gmbi.net (uweerasekera@gmbi.net) AMA:Lyzette Rodriguez(lrodriguez@gmbi.net) 110 W. A Street, Suite 140, San Diego CA, 92101 G/M Business Interiors PSA23-2144FAC Exhibit "D"DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A **G/M WILL HOLD PRODUCT FOR UP TO (2) WEEKS AT OUR WAREHOUSE FREE OF CHARGE. ANY PRODUCT REMAINING IN OUR WAREHOUSE AFTER THIS PERIOD WILL INCUR STORAGE FEES **NOTE: QUOTE WILL NEED TO BE ADJUSTED IF SERVICES TO TAKE PLACE AFTER BUSINESS HOURS, OR DURING THE WEEKEND** ***QUOTE VALID FOR 60 DAYS*** PLEASE MAKE PURCHASE ORDER TO: (ORDERING ADDRESS) CONCEPT SEATING GOVERNMENT C/O G/M BUSINESS INTERIORS 3205 N 124TH ST BROOKFIELD, WI 53005 (FAX TO G/M: 951-684-0837) CMAS CONTRACT# 4-13-71-0086B (PAYMENT ADDRESS) CONCEPT SEATING GOVERNMENT 3205 N 124TH ST BROOKFIELD, WI 53005 Quotation # 203999G/M 1 31,179.44 31,179.44 11,436.00 Sell ExtSellList ExtList LOT SEATING Who/What/Where 11,436.00 BOM A BOM: See Attached Bill of Materials 8Piece Count: .00.00.00.00 FreightTaxable Srvcs.Non-Tax Srvcs.Description: (04) EA CONCEPT SEATING 3142 HIGH BACK CHAIR W/ HALF RING FOOT REST (04) EA CONCEPT SEATING 3152HR OPERATORS CHAIR W/ HALF RING FOOT REST Design Fee 0 .00 .00 .00 Sell ExtSellList ExtList LOT CONCEPT SEATING ASSEMBLY Who/What/Where .00 BOM B BOM: See Attached Bill of Materials Piece Count: .00.00.00695.00 FreightTaxable Srvcs.Non-Tax Srvcs.Description: CONCEPT SEATING TO PROVIDE ASSEMBLY SERVICES OF (08) EA CONCEPT SEATING CHAIRS Design Fee Account Executive: Udeshi Weerasekera Project PAS: 800-686-6583 619-236-0500 Fax: 619-236-0550 Page: 2 http://www.gmbi.net (uweerasekera@gmbi.net) AMA:Lyzette Rodriguez(lrodriguez@gmbi.net) 110 W. A Street, Suite 140, San Diego CA, 92101 G/M Business Interiors PSA23-2144FAC - Exhibit "D" cont'dDocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A Quotation # 203999G/M 0 .00 .00 .00 Sell ExtSellList ExtList LOT Z G/M Services Who/What/Where .00 BOM C BOM: See Attached Bill of Materials Piece Count: .00.00.00.00 FreightTaxable Srvcs.Non-Tax Srvcs.Description: G/M Furniture Planning Services, if applicable, include field measurements, drawing AutoCAD building shells, developing typical workstations and private office standards, space planning typicals into the floorplan, developing furniture color schemes, order specifications and receiving client approvals for all drawings and color schemes for order entry. G/M Project Management Services include drawings and field measure checks, order scheduling & routing, electrical consulting with contractors,field checks,monitoring construction progress along with delivery, assembly, punchlist coordination through final completion. G/M Project Services include receiving and inspecting of each product, shipping damage adjudication with vendors, transporting product if applicable, staging of products, delivery, setting in place of all furniture, level clean and polishing of all items, vacuum floors and recycling of all waste products associated with the furniture project. G/M Punchlist Services include formulation of the project punchlist, ordering and receiving of punchlist products, and delivery and assembly to finalize the punchlist and project. G/M Warranty Services Department is provided to offer clients our no-charge warranty service work for all furniture protected under valid factory warranties. G/M maintains electronic copiesof our Client's invoices for warranty enforcement. For service requests, our Warranty Department may be contacted via e-mail at warranty@gmbi.net Design Fee Account Executive: Udeshi Weerasekera Project PAS: 800-686-6583 619-236-0500 Fax: 619-236-0550 Page: 3 http://www.gmbi.net (uweerasekera@gmbi.net) AMA:Lyzette Rodriguez(lrodriguez@gmbi.net) 110 W. A Street, Suite 140, San Diego CA, 92101 G/M Business Interiors PSA23-2144FAC - Exhibit "D" cont'd PSA23-2144FAC - Exhibit "D" cont'd DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A Quotation # 203999G/M Product Subtotal: Services (Non-Taxable) Services (Taxable) Freight (Taxable) Design Services (Non-Taxable) Sales Tax (7.750%) $11,436.00 $695.00 $0.00 $1,216.00 $0.00 $980.53 $14,327.53Total: Taxable Subtotal: Non-Taxable Subtotal: $12,652.00 $695.00 Terms: Net 30 Days 100% $14,327.53 Signed Date I have reviewed the quote, the bill of materials, the drawings (if applicable), the color cards (if applicable), and other associated exhibits for my order. I approve the colors, fabrics, and finishes as previously selected and correct as shown on the attached exhibit. I am satisfied that the product I have selected is the correct size and is suitable and will perform for its intended purpose. I am aware this product is manufactured to order and is not returnable to G/M or to the manufacturer. I understand that legal title to the product will transfer upon delivery to my commercial or residential location and all associated labor is taxable until title transfers. I am aware additional costs charged for inside delivery, staging, setting in place, assembly, leveling, cleaning, polishing, recycling of waste materials are separately stated and are elected as an additional contract option. I am aware of the grand total price of this contract as shown on this quote. Approved by: Signature Print Name/Title Date G/M is ordering your furniture from a variety of manufacturers to be aggregated and received into our G/M operated warehouse. Once the final portion of your order has been received, a “ready to deliver” notification will be sent to you. G/M, at this point, will graciously, store your complete order for up to two weeks at no charge. If for some reason you cannot accept a timely delivery within two weeks, a quote for one month’s handling and storage shall be calculated and forwarded to you. This quote is valid for 30 days. Account Executive: Udeshi Weerasekera Project PAS: 800-686-6583 619-236-0500 Fax: 619-236-0550 Page: 4 http://www.gmbi.net (uweerasekera@gmbi.net) AMA:Lyzette Rodriguez(lrodriguez@gmbi.net) 110 W. A Street, Suite 140, San Diego CA, 92101 G/M Business Interiors PSA23-2144FAC - Exhibit "D" cont'dDocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A Featured Product of the Month ■ ■ • • • • • • COC FIRE DEPT - DISPATCH SEATING CONCEPT SEATING GOVERNMENT PO # Sales Order # Item Qty Product Unit Extended Unit Extended Discount % List Price Sell Price 2/28/2023 3:08:57 PMAQuote #203999 SEATINGDepartment: Contract CONCEPTSEATING 4 3,575.43 14,301.72 1,315.00 5,260.001 %4207RHLKS07 Concept Seating 3142 High-Back Chair, Black Alt Leather, Swing-away Arms, Half-ring footrestbase, Lumbar SEATINGTag: 4 4,219.43 16,877.72 1,544.00 6,176.002 %5207RALUS07 Concept Seating Model 3152HR OPERATOR'S Chair, Black Alternative Leather, Swing Away ARMS, half-ring footrest base, Lumbar, Articulating Head-Rest SEATINGTag: Product Subtotal: $11,436.00 Project DesignerAccount Executive:Udeshi Weerasekera Page: 1 Job Captain Lyzette Rodriguez PSA23-2144FAC Exhibit "D" (continued)DocuSign Envelope ID: 5C1552CC-64C2-4CEF-B6B5-B67F2D560E9DDocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A • • • • FabricDateProduct images are representational only. Fabrics, finishes and specifications may be different than what is pictured. G|M Business Interiors Elevate your Workplace TM Please initial & date here as approval CITY OF CARLSBAD Quote# 203999 DISPATCH SEATING Page 1FabricInitial BASE FINISH: BLACK SEATING | QTY: 4 BLACK ALTERNATIVE LEATHER: 3142 HIGH BACK W/ HALF RING FOOT REST CONCEPT SEATING PSA23-2144FAC Exhibit "D" (continued)DocuSign Envelope ID: 5C1552CC-64C2-4CEF-B6B5-B67F2D560E9DDocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A Swing Arms FabricDateProduct images are representational only. Fabrics, finishes and specifications may be different than what is pictured. G|M Business Interiors Elevate your Workplace TM Please initial & date here as approval CITY OF CARLSBAD Quote# 203999 DISPATCH SEATING Page 2FabricInitial BASE FINISH: BLACK SEATING |QTY:4 BLACK ALTERNATIVE LEATHER: 3152HR OPERATORS CAHIR W/ HALF RING FOOT REST CONCEPT SEATING PSA23-2144FAC Exhibit "D" (continued)DocuSign Envelope ID: 5C1552CC-64C2-4CEF-B6B5-B67F2D560E9DDocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A Swing Arms Project ID / Who & Where STEVE STEWART - ADD ON ORDERS 2111243/10/2023 SHIP TO: CARLSBAD (ORION) FIRE DEPT2560 ORION WAY CARLSBAD CA 92010 Phone:Fax: (760)602-7543 BILL TO:3845 CITY OF CARLSBAD1635 FARADAY AVE CARLSBAD CA 92008 Phone:Fax:STEVE STEWARTSTEVE STEWART (760)602-7543 Systems Desk Units Tables Files Chairs Ancillary00004 3Product Counts: QuotationDate: Storage 0 PER COOPERATIVE PURCHASING AGREEMENT WTIH OMNIA CONTRACT, THE TERMS OF WHICH AREINCORPORATED HEREIN BY REFERENCE, THE PRODUCT PRICING LISTED BELOW REFLECTS THE LOWERSPRICES AVAILABLE TO THE CITY OF CARLSBAD THROUGH THE COOPERATIVE PURCHASING AGREEMENTPRICING STRUCTURE IS IN PLACE WITH CITY OF SAN DIEGO, AND LOCAL GOVERNMENT AGENCIES THROUGHOMNIA CONTRACT. QUOTE FOR: HERMAN MILLER CANVAS WALL TACKABLE FABRIC PANELS, HERMAN MILLER CANVAS WALL ESTYLE SHELVES, 48W, HERMAN MILLER VARY EASY GALLERY PANELS, HERMAN MILLER AERON SIZE C TASKCHAIRS FOR: STEVE STEWART - ADD ON ORDERS LEAD TIMES: 6-8 WEEKS DUE TO PANDEMIC AND SUPPLY CHAIN LOGISTICAL CONSTRAINTS, LEAD TIMES QUOTED TODAY WILL BEVARIABLE WITH POTENTIAL TO CHANGE AND ARRIVE LATER OR EARLIER THAN EXPECTED SCOPE OF WORK: 1) G/M TO RECEIVE AND INSPECT ALL PRODUCT AT OUR SD WAREHOUSE 2) G/M TO RECONGIFURE AND DISASSEMBLE WORKSTATION AND REASSEMBLE WORKSTATIONS AND SET INPLACE HERMAN MILLER AERON SIZE C TASK CHAIRS PER ATTACHED DRAWINGS. 3) G/M SERVICES QUOTED AS (1) TRIP DURING NORMAL BUSINESS HOURS 4) JOBSITE MUST BE FREE AND CLEAR OF ALL EXISTING FURNITURE AND PERSONAL ITEMS PRIOR TO G/MARRIVAL Product Summary / Scope of Work GRAND TOTAL $10,106.84 Account Executive: Udeshi Weerasekera Project PAS: Heather Miller 800-686-6583 800-686-6583 Fax: 951-684-0837 Page: 1 http://www.gmbi.net (uweerasekera@gmbi.net) AMA:Lyzette Rodriguez (lrodriguez@gmbi.net) 9750 Irvine Blvd, Suite 108, Irvine CA, 92618G/M Business Interiors PSA23-2144FAC Exhibit "E"DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A 5) G/M TO CONTACT STEVE STEWART @ 760-602-7543 TO SCHEDULE SERVICES DATE/TIME ONCE ALL PRODUCTHAS BEEN RECEIVED AT OUR SD WAREHOUSE AND ENTERED INTO OUR SYSTEM **G/M WILL HOLD PRODUCT FOR UP TO (2) WEEKS AT OUR WAREHOUSE FREE OF CHARGE. ANY PRODUCTREMAINING IN OUR WAREHOUSE AFTER THIS PERIOD WILL INCUR STORAGE FEES **NOTE: QUOTE WILL NEED TO BE ADJUSTED IF SERVICES TO TAKE PLACE AFTER BUSINESS HOURS, OR DURINGTHE WEEKEND *QUOTE IS VALID FOR 60 DAYS* Quotation # 211124G/M 1 8,600.00 8,600.00 2,850.52 Sell ExtSellList ExtList LOT ADD-ON Who/What/Where 2,850.52 BOM A BOM: See Attached Bill of Materials 37Piece Count: .00.00.00.00 FreightTaxable Srvcs.Non-Tax Srvcs.Description: (04) EA HERMAN MILLER CANVAS WALL TACKABLE FABRIC PANELS (02) EA HERMAN MILLER CANVAS WALL E STYLE SHELVES, 48W (02) EAHERMAN MILLER VARY EASY GALLERY PANELS Design Fee 1 9,248.00 9,248.00 4,716.48 Sell ExtSellList ExtList LOT SEATING Who/What/Where 4,716.48 BOM B BOM: See Attached Bill of Materials 4Piece Count: .00.00.00.00 FreightTaxable Srvcs.Non-Tax Srvcs.Description: (04) EA HERMAN MILLER AERON SIZE C TASK CHAIRS Design Fee Account Executive: Udeshi Weerasekera Project PAS: Heather Miller 800-686-6583 800-686-6583 Fax: 951-684-0837 Page: 2 http://www.gmbi.net (uweerasekera@gmbi.net) AMA:Lyzette Rodriguez (lrodriguez@gmbi.net) 9750 Irvine Blvd, Suite 108, Irvine CA, 92618G/M Business Interiors PSA23-2144FAC Exhibit "E" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A Quotation # 211124G/M 0 .00 .00 .00 Sell ExtSellList ExtList LOT Z G/M Services Who/What/Where .00 BOM C BOM: See Attached Bill of Materials Piece Count: .00.00160.001,781.00 FreightTaxable Srvcs.Non-Tax Srvcs.Description: G/M Furniture Planning Services, if applicable, include field measurements, drawing AutoCAD building shells, developing typical workstations and private office standards, space planning typicals into the floorplan, developing furniture color schemes, order specifications and receiving client approvals for all drawings and color schemes for order entry. G/M Project Management Services include drawings and field measure checks, order scheduling & routing, electrical consulting with contractors,field checks,monitoring construction progress along with delivery, assembly, punchlist coordination through final completion. G/M Project Services include receiving and inspecting of each product, shipping damage adjudication with vendors, transporting product if applicable, staging of products, delivery, setting in place of all furniture, level clean and polishing of all items, vacuum floors and recycling of all waste products associated with the furniture project. G/M Punchlist Services include formulation of the project punchlist, ordering and receiving of punchlist products, and delivery and assembly to finalize the punchlist and project. G/M Warranty Services Department is provided to offer clients our no-charge warranty service work for all furniture protected under valid factory warranties. G/M maintains electronic copies of our Client's invoices for warranty enforcement. For service requests, our Warranty Department may be contacted via e-mail at warranty@gmbi.net Design Fee Account Executive:Udeshi Weerasekera Project PAS:Heather Miller 800-686-6583 800-686-6583 Fax: 951-684-0837 Page: 3 http://www.gmbi.net (uweerasekera@gmbi.net) AMA:Lyzette Rodriguez (lrodriguez@gmbi.net) 9750 Irvine Blvd, Suite 108, Irvine CA, 92618G/M Business Interiors PSA23-2144FAC Exhibit "E" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A FabricDateProduct images are representational only. Fabrics, finishes and specifications may be different than what is pictured. G|M Business Interiors Elevate your Workplace TM Please initial & date here as approval CITY OF CARLSBAD Quote# 211124 STEVE STEWART - ADD ON PRIVACY PANEL Page 1FabricInitial TACKABLE FABRIC 2I-07 – GRASSCLOTH LEA PANEL FRAME FINISH MS – METALLIC SILVER HERMAN MILLER CANVAS WALL TACKABLE FABRIC PANELS TRAFFIC OFFICE ADD ON PSA23-2144FAC Exhibit "E" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A __ ) FabricDateProduct images are representational only. Fabrics, finishes and specifications may be different than what is pictured. G|M Business Interiors Elevate your Workplace TM Please initial & date here as approval CITY OF CARLSBAD Quote# 211124 STEVE STEWART - ADD ON PRIVACY PANEL Page 2FabricInitial FINISH MS – METALLIC SILVER :HERMAN MILLER CANVAS WALL E STYLE SHELVES, 48W IT ROOM ADD ON PSA23-2144FAC Exhibit "E" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A .. "Table & panels are existing. G/M to install new shelves only• .. _y 1!;-1/2"H 67'H __ ) FabricDateProduct images are representational only. Fabrics, finishes and specifications may be different than what is pictured. G|M Business Interiors Elevate your Workplace TM Please initial & date here as approval CITY OF CARLSBAD Quote# 211124 STEVE STEWART - ADD ON PRIVACY PANEL Page 3FabricInitial LAMINATE FINISH LBC – WALNUT ON ASH END FINISHES MS - METALLIC SILVER TACKABLE FABRIC 2I07 - GRASSCLOTH LEA :HERMAN MILLER CANVAS 42X42 PANELS W/ 84W TRANSACTION SURFACE & GALLERY PANEL PAULA MILIKEN ADD ON PSA23-2144FAC Exhibit "E" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A > FabricDateProduct images are representational only. Fabrics, finishes and specifications may be different than what is pictured. G|M Business Interiors Elevate your Workplace TM Please initial & date here as approval CITY OF CARLSBAD Quote# 211124 STEVE STEWART - ADD ON PRIVACY PANEL Page 4FabricInitial PELLICLE FINISH 23103 - GRAPHITE BASE/FRAME FINISH G1 - GRAPHITE ARM PAD FINISH BK – BLACK HERMAN MILLER AERON SIZE C TASK CHAIR SEATING PSA23-2144FAC Exhibit "E" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A __ ) ---- Quotation # 211124G/M Product Subtotal: Services (Non-Taxable) Services (Taxable) Freight (Taxable) Design Services (Non-Taxable) Sales Tax (7.750%) $7,567.00 $1,781.00 $160.00 $0.00 $0.00 $598.84 $10,106.84Total: Taxable Subtotal: Non-Taxable Subtotal: $7,727.00 $1,781.00 Terms: Net 30 Days 100%$10,106.84 Signed Date I have reviewed the quote, the bill of materials, the drawings (if applicable), the color cards (if applicable), and other associated exhibits for my order. I approve the colors, fabrics, and finishes as previously selected and correct as shown on the attached exhibit. I am satisfied that the product I have selected is the correct size and is suitable and will perform for its intended purpose. I am aware this product is manufactured to order and is not returnable to G/M or to the manufacturer. I understand that legal title to the product will transfer upon delivery to my commercial or residential location and all associated labor is taxable until title transfers. I am aware additional costs charged for inside delivery, staging, setting in place, assembly, leveling, cleaning, polishing, recycling of waste materials are separately stated and are elected as an additional contract option. I am aware of the grand total price of this contract as shown on this quote. Approved by: Signature Print Name/Title Date G/M is ordering your furniture from a variety of manufacturers to be aggregated and received into our G/M operated warehouse. Once the final portion of your order has been received, a “ready to deliver” notification will be sent to you. G/M, at this point, will graciously, store your complete order for up to two weeks at no charge. If for some reason you cannot accept a timely delivery within two weeks, a quote for one month’s handling and storage shall be calculated and forwarded to you. This quote is valid for 30 days. Account Executive: Udeshi Weerasekera Project PAS: Heather Miller 800-686-6583 800-686-6583 Fax: 951-684-0837 Page: 4 http://www.gmbi.net (uweerasekera@gmbi.net) AMA:Lyzette Rodriguez (lrodriguez@gmbi.net) 9750 Irvine Blvd, Suite 108, Irvine CA, 92618G/M Business Interiors PSA23-2144FAC Exhibit "E" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A ■ ■ ■ ■ ■ ■ ■ ■ Featured Product of the Month GIM accepts credit cards at 0% for purchases up to $10,000 Purchases over $10,000 requires a surcharge of 2.75% STEVE STEWART - ADD ON ORDERS CITY OF CARLSBAD PO # Sales Order # Item Qty Product Unit Extended Unit Extended Discount % List Price Sell Price 3/10/2023 3:22:28 PMAQuote #211124 ADD-ONDepartment: Contract HERMANMILLER 2 465.00 930.00 153.45 306.90 67.001 %FT432.1548 +Shelf,E-Style 15-1/2H 48W MS Surface Finish +metallic silver SM End Panel Option +on module ADD-ONTag:GMHARDWARE 1 .00 .00 6.82 6.822 %GMHARDWARE GM WALL ANCHORS PAULA MILIKEN ADD-ONTag: 1 .00 .00 6.82 6.823 %GMHARDWARE GM WALL ANCHORS (1) PER WALL STRIP WALL START OR OH ADD-ONTag:HERMANMILLER 1 1,427.00 1,427.00 470.91 470.91 67.004 %SA878925 Vary Easy Squared-Edge Transaction Surface PAULA MILIKEN Standard Product Reference:FT280V.184LP1TLBCMSFJL Modified Product Reference::FT280V.184LP1TLBCMSFJL Deviation::Depth - Hardware Depth:*:8.7" deep approx, to be single-sided with standard overhang on one side and align with top cap on other side. Width:84:84" wide Surface Material:L:high-pressure laminate top/thermoplastic edge Top Cap Material:P:painted standard top cap Top/Edge Combination:1T:pre-determined top/edge Top/Edge Finish:LBC:walnut on ash Top Cap Finish:MS:metallic silver Stanchion:F:flush-mount stanchion Application:JL:stacking on 42"-high base frame Hardware:**:to have custom mounting hardware to allow for no overhang on one side NOTE:**:Prevents any conflict with height adjustable tables on user side or interference with aisle on visitor side. ADD-ONTag: 1 93.00 93.00 30.69 30.69 67.005 %FT190.42 *Wall Start 42H PAULA MILIKEN ADD-ONTag: Project DesignerAccount Executive:Heather MillerUdeshi Weerasekera Page: 1 Job Captain Lyzette Rodriguez PSA23-2144FAC Exhibit "E" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • STEVE STEWART - ADD ON ORDERS CITY OF CARLSBAD PO # Sales Order # Item Qty Product Unit Extended Unit Extended Discount % List Price Sell Price 3/10/2023 3:22:28 PMAQuote #211124 ADD-ONDepartment: Contract HERMANMILLER 4 267.00 1,068.00 88.11 352.44 67.006 %FT180.3742T *Tile,Full-Height,Tackable Fabric 37H 42W PAULA MILIKEN MS +metallic silver 2I *grasscloth-Pr Cat 1 07 *grasscloth lea ADD-ONTag: 1 67.00 67.00 22.11 22.11 67.007 %FT16G.13P @Finished End, Gallery Panel, Standard Painted Trim 13H PAULA MILIKEN MS @metallic silver ADD-ONTag: 1 36.00 36.00 11.88 11.88 67.008 %FT128.42 *Connection Hardware, Frame-to-Frame 42H PAULA MILIKEN ADD-ONTag: 1 564.00 564.00 186.12 186.12 67.009 %FT115.2930LL @Gallery Panel, Lam/TP Edge, Left Attachment 29H 30W PAULA MILIKEN LBC @walnut on ash LBC @walnut on ash ADD-ONTag: 1 112.00 112.00 36.96 36.96 67.0010 %FT190.68 *Wall Start 68H 68 ADD-ONTag: 4 360.00 1,440.00 118.80 475.20 67.0011 %FT180.6336T *Tile,Full-Height,Tackable Fabric 63H 36W MS +metallic silver 2I *grasscloth-Pr Cat 1 07 *grasscloth lea ADD-ONTag: 4 215.00 860.00 70.95 283.80 67.0012 %FT170.3036T *Lower Tile, Tackable Fabric 30H 36W MS +metallic silver 2I *grasscloth-Pr Cat 1 07 *grasscloth lea ADD-ONTag: 2 80.00 160.00 26.40 52.80 67.0013 %FT160.35BP *Finished End,Base Cover Ptd 35H 35B MS *metallic silver ADD-ONTag: Project DesignerAccount Executive:Heather MillerUdeshi Weerasekera Page: 2 Job Captain Lyzette Rodriguez PSA23-2144FAC Exhibit "E" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • STEVE STEWART - ADD ON ORDERS CITY OF CARLSBAD PO # Sales Order # Item Qty Product Unit Extended Unit Extended Discount % List Price Sell Price 3/10/2023 3:22:28 PMAQuote #211124 ADD-ONDepartment: Contract HERMANMILLER 1 45.00 45.00 14.85 14.85 67.0014 %FT126.1AP *Top Cap, Conn 90-Deg, Connects-1 Frame Top Caps Ptd 1A MS *metallic silver ADD-ONTag: 1 115.00 115.00 37.95 37.95 67.0015 %FT123.333NP *Conn Cover 90-Deg, 3 Sides Covered,No Base Ptd 33H 3/33 MS *metallic silver ADD-ONTag: 1 56.00 56.00 18.48 18.48 67.0016 %FT123.135BP *Conn Cover 90-Deg, 1 Side Covered,Base Cover Ptd 35H 1/35B MS *metallic silver ADD-ONTag: 1 100.00 100.00 33.00 33.00 67.0017 %FT121.346 *Conn 90,Universal,3way-for 46H frames and lower ADD-ONTag: 4 51.00 204.00 16.83 67.32 67.0018 %FT112.36AP *Frame Top Cap,Standard Ptd 36W A MS *metallic silver ADD-ONTag: 2 339.00 678.00 111.87 223.74 67.0019 %FT110.6836N *Frame,Base Covers, no knockouts 68H 36W 68/36N MS *metallic silver ADD-ONTag: 2 285.00 570.00 94.05 188.10 67.0020 %FT110.3536N *Frame,Base Covers, no knockouts 35H 36W 35/36N MS *metallic silver ADD-ONTag: 1 75.00 75.00 23.63 23.63 68.5021 %G1190.01 @Carpet Grippers 25/Pkg (2) PER FRAME (TO GO UNDER THE GLIDE) ADD-ONTag: Project DesignerAccount Executive:Heather MillerUdeshi Weerasekera Page: 3 Job Captain Lyzette Rodriguez PSA23-2144FAC Exhibit "E" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A • • • • • • • • • • • • • • • • STEVE STEWART - ADD ON ORDERS CITY OF CARLSBAD PO # Sales Order # Item Qty Product Unit Extended Unit Extended Discount % List Price Sell Price 3/10/2023 3:22:28 PMAQuote #211124 ADD-ONDepartment: Contract Product Subtotal:$2,850.52 Project DesignerAccount Executive:Heather MillerUdeshi Weerasekera Page: 4 Job Captain Lyzette Rodriguez PSA23-2144FAC Exhibit "E" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A STEVE STEWART - ADD ON ORDERS CITY OF CARLSBAD PO # Sales Order # Item Qty Product Unit Extended Unit Extended Discount % List Price Sell Price 3/10/2023 3:22:31 PMBQuote #211124 SEATINGDepartment: Contract HERMANMILLER 4 2,312.00 9,248.00 1,179.12 4,716.48 49.001 %AER1C23DW +Work Chair,New Aeron,C Size,Std-Hgt Range Adj,Tlt Lim and Seat Angle,Fully Adj Arms,Non-Uphst Armpads PH1-F01-WO ALP Back Support Option+adjustable posturefit SL G1 Frame Finish +graphite G1 Chassis Finish +graphite G1 Base Finish +graphite C7 Casters/Glides +2 1/2" caster, black yoke, hard floors or carpet BK Armpad Finish +black 231 8Z Pellicle +8Z Pellicle-Pr Cat 1 03 231_Colors +8Z Pellicle graphite SEATINGTag: Product Subtotal: $4,716.48 Project DesignerAccount Executive:Heather MillerUdeshi Weerasekera Page: 1 Job Captain Lyzette Rodriguez PSA23-2144FAC Exhibit "E" (continued)DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A • • • • • • • • • • • • • • • • INSR ADDLSUBRLTRINSR WVD DATE (MM/DD/YYYY) PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE INSURER(S) AFFORDING COVERAGE NAIC # Y / N N / A (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? EACH OCCURRENCE $ DAMAGE TO RENTED $PREMISES (Ea occurrence)CLAIMS-MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ PRO- OTHER: LOCJECT COMBINED SINGLE LIMIT $(Ea accident) BODILY INJURY (Per person) $ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS AUTOS ONLYHIRED PROPERTY DAMAGE $AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below POLICY NON-OWNED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) ACORDTM CERTIFICATE OF LIABILITY INSURANCE National Union Fire Ins Co of Pittsburg New Hampshire Insurance Company Hiscox Insurance Company Inc. 02/22/2023 EPIC Insurance Midwest 560 5th Street, Suite 202 Grand Rapids, MI 49504 Sue Nisoff - sue.nisoff@epicbrokers.com Goforth & Marti Inc. dba GM Business GM Business Interiors 1099 W. La Cadena Dr. Riverside, CA 92501 19445 23841 10200 A X X 5180177 03/01/2023 03/01/2024 1,000,000 300,000 25,000 1,000,000 2,000,000 2,000,000 A X X X 2961606 03/01/2023 03/01/2024 1,000,000 A N 80756387 03/01/2023 03/01/2024 X 1,000,000 1,000,000 1,000,000 C Professional Liab ANE405372523 03/01/2023 03/01/2024 $1,000,000 Each Occ $2,000,000 Agg City of Carlsbad is included as Additional Insured with respects to General Liability as required by contract or written agreement. A waiver of subrogation is included for Workers Compensation as required by contract or written agreement. 30 days notice of cancellation. City of Carlsbad / CMWD c/o EXIGIS Insurance Compliance Services PO Box 947 Murrieta, CA 92564 1 of 1 #S5283451/M5283427 GMBUSINClient#: 164812 KWI01 DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A I I t--D □ t-- t-- t-- Fl n n t-- t--~ ~ ~ t--- t--H I I I I I □ I ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTR INSD WVD PRODUCER CONTACTNAME:FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH-STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A(Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 3/1/2023 License # 0757776 (818) 257-7459 25674 GoForth & Marti Inc.; GM Business Interiors1099 West La Cadena Drive Riverside, CA 92501 10,000,000A CUP 0T277407 23 NF 3/1/2023 3/1/2024 10,000,000 10,000 City of Carlsbad/CMWD c/o EXIGIS Insurance Compliance Services P.O. Box 947Murrieta, CA 92564 GOFO&MA-02 JINIGUEZ HUB International Insurance Services Inc.600 Corporate PointeSuite 600Culver City, CA 90230 Jorge Iniguez Jorge.Iniguez@hubinternational.com Travelers Property Casualty Company of America X X X DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A ACORD" I ~ I ~ D □ ~ ~ Fl □ □ ~ ~ - ~ - ~ ~ ~ H I I I I I □ I Ì¸·- »²¼±®-»³»²¬ô »ºº»½¬·ª» ïîæðï ßòÓò º±®³- ¿ °¿®¬ ±º °±´·½§ Ò±ò ·--«»¼ ¬± ¾§ ÌØ×Í ÛÒÜÑÎÍÛÓÛÒÌ ÝØßÒÙÛÍ ÌØÛ ÐÑÔ×ÝÇò ÐÔÛßÍÛ ÎÛßÜ ×Ì ÝßÎÛÚËÔÔÇò ßÜÜ×Ì×ÑÒßÔ ×ÒÍËÎÛÜ ó ÉØÛÎÛ ÎÛÏË×ÎÛÜ ËÒÜÛÎ ÝÑÒÌÎßÝÌ ÑÎ ßÙÎÛÛÓÛÒÌ Ì¸·- »²¼±®-»³»²¬ ³±¼·º·»- ·²-«®¿²½» °®±ª·¼»¼ «²¼»® ¬¸» º±´´±©·²¹æ ÞËÍ×ÒÛÍÍ ßËÌÑ ÝÑÊÛÎßÙÛ ÚÑÎÓ ÍÝØÛÜËÔÛ ßÜÜ×Ì×ÑÒßÔ ×ÒÍËÎÛÜæ èéçëð øïðñðë÷ ß«¬¸±®·¦»¼ Î»°®»-»²¬¿¬·ª» ±®Ý±«²¬»®-·¹²¿¬«®» ø·² Í¬¿¬»- É¸»®»ß°°´·½¿¾´»÷ Ð¿¹» ï ±º ï ×òÍÛÝÌ×ÑÒ ×× ó Ô×ßÞ×Ô×ÌÇ ÝÑÊÛÎßÙÛô ßò Ý±ª»®¿¹»ô ïò ó É¸± ×- ×²-«®»¼ô ·- ¿³»²¼»¼ ¬± ¿¼¼æ ¼òß²§ °»®-±² ±® ±®¹¿²·¦¿¬·±²ô -¸±©² ·² ¬¸» -½¸»¼«´» ¿¾±ª»ô ¬± ©¸±³ §±« ¾»½±³» ±¾´·¹¿¬»¼ ¬± ·²½´«¼» ¿- ¿² ¿¼¼·¬·±²¿´ ·²-«®»¼ «²¼»® ¬¸·- °±´·½§ô ¿- ¿ ®»-«´¬ ±º ¿²§ ½±²¬®¿½¬ ±® ¿¹®»»³»²¬ §±« »²¬»® ·²¬± ©¸·½¸ ®»¯«·®»- §±« ¬± º«®²·-¸ ·²-«®¿²½» ¬± ¬¸¿¬ °»®-±² ±® ±®¹¿²·¦¿¬·±² ±º ¬¸» ¬§°» °®±ª·¼»¼ ¾§ ¬¸·- °±´·½§ô ¾«¬ ±²´§ ©·¬¸ ®»-°»½¬ ¬± ´·¿¾·´·¬§ ¿®·-·²¹ ±«¬ ±º «-» ±º ¿ ½±ª»®»¼ þ¿«¬±þò Ø±©»ª»®ô ¬¸» ·²-«®¿²½» °®±ª·¼»¼ ©·´´ ²±¬ »¨½»»¼ ¬¸» ´»--»® ±ºæ øï÷Ì¸» ½±ª»®¿¹» ¿²¼ñ±® ´·³·¬- ±º ¬¸·- °±´·½§ô ±® øî÷Ì¸» ½±ª»®¿¹» ¿²¼ñ±® ´·³·¬- ®»¯«·®»¼ ¾§ -¿·¼ ½±²¬®¿½¬ ±® ¿¹®»»³»²¬ò ÛÒÜÑÎÍÛÓÛÒÌ ðíñðïñîð23 Ýß 2961606 ÙÑÚÑÎÌØ ú ÓßÎÌ× ó ÜÞßæ ÙÓ ÞËÍ×ÒÛÍÍ ×ÒÌÛÎ×ÑÎÍ ÒßÌ×ÑÒßÔ ËÒ×ÑÒ Ú×ÎÛ ×ÒÍËÎßÒÝÛ ÝÑÓÐßÒÇ ÑÚ Ð×ÌÌÍÞËÎÙØô Ðß ßÒÇ ÐÛÎÍÑÒ ÑÎ ÑÎÙßÒ×ÆßÌ×ÑÒ ÚÑÎ ÉØÑÓ ÇÑË ßÎÛ ÝÑÒÌÎßÝÌËßÔÔÇ ÞÑËÒÜÌÑ ÐÎÑÊ×ÜÛ ßÜÜ×Ì×ÑÒßÔ ×ÒÍËÎÛÜ ÍÌßÌËÍ ÞËÌ ÑÒÔÇ ÌÑ ÌØÛ ÛÈÌÛÒÌ ÑÚ ÍËÝØÐÛÎÍÑÒ ÑÎ ÑÎÙßÒ×ÆßÌ×ÑÒÍ Ô×ßÞ×Ô×ÌÇ ßÎ×Í×ÒÙ ÑËÌ ÑÚ ÌØÛ ËÍÛ ÑÚ ß ÝÑÊÛÎÛÜßËÌÑò DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A ~------------ Ì¸·-»²¼±®-»³»²¬ô»ºº»½¬·ª»ïîæðïßòÓò º±®³-¿°¿®¬±º °±´·½§Ò±ò ·--«»¼¬± ¾§ Ì¸·- »²¼±®-»³»²¬ ³±¼·º·»- ·²-«®¿²½» °®±ª·¼»¼ «²¼»® ¬¸» º±´´±©·²¹æ ÞËÍ×ÒÛÍÍ ßËÌÑ ÝÑÊÛÎßÙÛ ÚÑÎÓ ß´´ ±¬¸»® ¬»®³- ¿²¼ ½±²¼·¬·±²- ®»³¿·² «²½¸¿²¹»¼ò ß«¬¸±®·¦»¼ Î»°®»-»²¬¿¬·ª» ±® éìììë øïðñçç÷ Ý±«²¬»®-·¹²¿¬«®» ø·² Í¬¿¬»- É¸»®»ß°°´·½¿¾´»÷ ÌØ×Í ÛÒÜÑÎÍÛÓÛÒÌ ÝØßÒÙÛÍ ÌØÛ ÐÑÔ×ÝÇò ÐÔÛßÍÛ ÎÛßÜ ×Ì ÝßÎÛÚËÔÔÇò ×ÒÍËÎßÒÝÛ ÐÎ×ÓßÎÇ ßÍ ÌÑ ÝÛÎÌß×Ò ßÜÜ×Ì×ÑÒßÔ ×ÒÍËÎÛÜÍ Í»½¬·±² ×Ê ó Þ«-·²»-- ß«¬± Ý±²¼·¬·±²-ô Þòô Ù»²»®¿´ Ý±²¼·¬·±²-ô ëòô Ñ¬¸»® ×²-«®¿²½»ô ½òô ·- ¿³»²¼»¼ ¾§ ¬¸» ¿¼¼·¬·±² ±º ¬¸» º±´´±©·²¹ -»²¬»²½»æ Ì¸» ·²-«®¿²½» ¿ºº±®¼»¼ «²¼»® ¬¸·- °±´·½§ ¬± ¿² ¿¼¼·¬·±²¿´ ·²-«®»¼ ©·´´ ¿°°´§ ¿- °®·³¿®§ ·²-«®¿²½» º±® -«½¸ ¿¼¼·¬·±²¿´ ·²-«®»¼ ©¸»®» -± ®»¯«·®»¼ «²¼»® ¿² ¿¹®»»³»²¬ »¨»½«¬»¼ °®·±® ¬± ¬¸» ¼¿¬» ±º ¿½½·¼»²¬ò É» ©·´´ ²±¬ ¿-µ ¿²§ ·²-«®»® ¬¸¿¬ ¸¿- ·--«»¼ ±¬¸»® ·²-«®¿²½» ¬± -«½¸ ¿¼¼·¬·±²¿´ ·²-«®»¼ ¬± ½±²¬®·¾«¬» ¬± ¬¸» -»¬¬´»³»²¬ ±º ´±-- ¿®·-·²¹ ±«¬ ±º -«½¸ ¿½½·¼»²¬ò ÛÒÜÑÎÍÛÓÛÒÌ ðíñðïñîð23 Ýß îçêóïêóðê ÙÑÚÑÎÌØ ú ÓßÎÌ× ó ÜÞßæ ÙÓ ÞËÍ×ÒÛÍÍ ×ÒÌÛÎ×ÑÎÍ ÒßÌ×ÑÒßÔ ËÒ×ÑÒ Ú×ÎÛ ×ÒÍËÎßÒÝÛ ÝÑÓÐßÒÇ ÑÚ Ð×ÌÌÍÞËÎÙØô Ðß PDF created with pdfFactory Pro trial version www.pdffactory.com DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A ÌØ×Í ÛÒÜÑÎÍÛÓÛÒÌ ÝØßÒÙÛÍ ÌØÛ ÐÑÔ×ÝÇò ÐÔÛßÍÛ ÎÛßÜ ×Ì ÝßÎÛÚËÔÔÇò ÞËÍ×ÒÛÍÍ ßËÌÑ ÝÑÊÛÎßÙÛ ÚÑÎÓ êîèçé øêñçë÷ ßËÌØÑÎ×ÆÛÜ ÎÛÐÎÛÍÛÒÌßÌ×ÊÛ ÛÒÜÑÎÍÛÓÛÒÌ Ì¸·- »²¼±®-»³»²¬ô »ºº»½¬·ª» ïîæðï ßòÓò º±®³- ¿ °¿®¬ ±º °±´·½§ Ò±ò ·--«»¼ ¬± ¾§ Ì¸·- »²¼±®-»³»²¬ ³±¼·º·»- ·²-«®¿²½» °®±ª·¼»¼ «²¼»® ¬¸» º±´´±©·²¹æ Éß×ÊÛÎ ÑÚ ÌÎßÒÍÚÛÎ ÑÚ Î×ÙØÌÍ ÑÚ ÎÛÝÑÊÛÎÇ ßÙß×ÒÍÌ ÑÌØÛÎÍ ÌÑ ËÍ øî÷ øï÷ Ì¸» ½±²¬®¿½¬ ±® ¿¹®»»³»²¬ ©¿- »²¬»®»¼ ·²¬± °®·±® ¬± ¿²§ þ¿½½·¼»²¬þ ±® þ´±--þò Ò± ©¿·ª»® ±º ¬¸» ®·¹¸¬ ±º ®»½±ª»®§ ©·´´ ¼·®»½¬´§ ±® ·²¼·®»½¬´§ ¿°°´§ ¬± §±«® »³°´±§»»- ±® »³°´±§»»- ±º ¬¸» °»®-±² ±® ±®¹¿²·¦¿¬·±²ô ¿²¼ ©» ®»-»®ª» ±«® ®·¹¸¬- ±® ´·»² ¬± ¾» ®»·³¾«®-»¼ º®±³ ¿²§ ®»½±ª»®§ º«²¼- ±¾¬¿·²»¼ ¾§ ¿²§ ·²¶«®»¼ »³°´±§»»ò Í»½¬·±² ×Ê ó Þ«-·²»-- ß«¬± Ý±²¼·¬·±²-ô ßò ó Ô±-- Ý±²¼·¬·±²-ô ëò ó Ì®¿²-º»® ±º Î·¹¸¬- ±º Î»½±ª»®§ ß¹¿·²-¬ Ñ¬¸»®- ¬± Ë-ô ·- ¿³»²¼»¼ ¬± ¿¼¼æ Ì¸» þ¿½½·¼»²¬þ ±® þ´±--þ ·- ¼«» ¬± ±°»®¿¬·±²- «²¼»®¬¿µ»² ·² ¿½½±®¼¿²½» ©·¬¸ ¬¸» ½±²¬®¿½¬ »¨·-¬·²¹ ¾»¬©»»² §±« ¿²¼ -«½¸ °»®-±² ±® ±®¹¿²·¦¿¬·±²å ¿²¼ Ø±©»ª»®ô ©» ©·´´ ©¿·ª» ¿²§ ®·¹¸¬ ±º ®»½±ª»® ©» ¸¿ª» ¿¹¿·²-¬ ¿²§ °»®-±² ±® ±®¹¿²·¦¿¬·±² ©·¬¸ ©¸±³ §±« ¸¿ª» »²¬»®»¼ ·²¬± ¿ ½±²¬®¿½¬ ±® ¿¹®»»³»²¬ ¾»½¿«-» ±º °¿§³»²¬- ©» ³¿µ» «²¼»® ¬¸·- Ý±ª»®¿¹» Ú±®³ ¿®·-·²¹ ±«¬ ±º ¿² þ¿½½·¼»²¬þ ±® þ´±--þ ·ºæ ðíñðïñîð23 Ýß îçêóïêóðê ÙÑÚÑÎÌØ ú ÓßÎÌ× ó ÜÞßæ ÙÓ ÞËÍ×ÒÛÍÍ ×ÒÌÛÎ×ÑÎÍ ÒßÌ×ÑÒßÔ ËÒ×ÑÒ Ú×ÎÛ ×ÒÍËÎßÒÝÛ ÝÑÓÐßÒÇ ÑÚ Ð×ÌÌÍÞËÎÙØô Ðß PDF created with pdfFactory Pro trial version www.pdffactory.com DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A POLICY NUMBER: ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s)Location And Description Of Completed Operations COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 37 04 13 Page 1 of 1Insurance Services Office, Inc., 2012 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 agree- ment,theinsuranceaffordedtosuchaddi- tional 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 Insu- rance shown in the Declarations; whichever is less. This endorsement shall not increase the appli- cable Limits of Insurance shown in the Decla- rations. GL518-01-77 ANY PERSON OR ORGANIZATION WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR PER THE CONTRACT OR AGREEMENT. AGREEMENT YOU HAVE ENTERED INTO. PDF created with pdfFactory Pro trial version www.pdffactory.com PDF created with pdfFactory Pro trial version www.pdffactory.com DocuSign Envelope ID: C9024606-3E3E-49D7-BA8F-9BB75590618A □ ÐÑÔ×ÝÇÒËÓÞÛÎæ ÝÑÓÓÛÎÝ×ßÔ ÙÛÒÛÎßÔ Ô×ßÞ×Ô×ÌÇ ÝÙðîîìïðçí ÌØ×ÍÛÒÜÑÎÍÛÓÛÒÌ ÝØßÒÙÛÍ ÌØÛ ÐÑÔ×ÝÇò ÐÔÛßÍÛ ÎÛßÜ ×ÌÝßÎÛÚËÔÔÇò ÛßÎÔ×ÛÎÒÑÌ×ÝÛÑÚÝßÒÝÛÔÔßÌ×ÑÒ ÐÎÑÊ×ÜÛÜÞÇËÍ Ì¸·-»²¼±®-»³»²¬³±¼·º·»-·²-«®¿²½»°®±ª·¼»¼«²¼»®¬¸»º±´´±©·²¹æ ÝÑÓÓÛÎÝ×ßÔÙÛÒÛÎßÔÔ×ßÞ×Ô×ÌÇÝÑÊÛÎßÙÛÐßÎÌÔ×ÏËÑÎÔ×ßÞ×Ô×ÌÇÝÑÊÛÎßÙÛÐßÎÌ ÐÑÔÔËÌ×ÑÒÔ×ßÞ×Ô×ÌÇÝÑÊÛÎßÙÛÐßÎÌ ÐÎÑÜËÝÌÍñÝÑÓÐÔÛÌÛÜÑÐÛÎßÌ×ÑÒÍÔ×ßÞ×Ô×ÌÇÝÑÊÛÎßÙÛÐßÎÌ ÍÝØÛÜËÔÛ Ò«³¾»® ±º Ü¿§-ù Ò±¬·½» ø×º²±»²¬®§¿°°»¿®-¿¾±ª»ô·²º±®³¿¬·±²®»¯«·®»¼¬±½±³°´»¬»¬¸·-Í½¸»¼«´»©·´´¾»-¸±©²·²¬¸»Ü»½´¿®¿¬·±²-¿-¿°°´·½¿¾´»¬±¬¸·-»²¼±®-»³»²¬ò÷ Ú±®¿²§-¬¿¬«¬±®·´§°»®³·¬¬»¼®»¿-±²±¬¸»®¬¸¿²²±²°¿§³»²¬±º°®»³·«³ô¬¸»²«³¾»®±º¼¿§-®»¯«·®»¼º±®²±¬·½»±º½¿²½»´´¿¬·±²ô¿-°®±ª·¼»¼·²°¿®¿¹®¿°¸îò ±º»·¬¸»®¬¸»ÝßÒÝÛÔÔßÌ×ÑÒÝ±³³±²Ð±´·½§Ý±²¼·¬·±²±®¿-¿³»²¼»¼¾§¿²¿°°´·½¿¾´»-¬¿¬»½¿²½»´´¿¬·±²»²¼±®-»³»²¬ô·-·²½®»¿-»¼¬±¬¸»²«³¾»® ±º¼¿§--¸±©²·²¬¸»Í½¸»¼«´»¿¾±ª»ò 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