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Home My WebLink AboutGoforth & Marti dba G/M Business Interiors; 2023-08-21; PWM24-2260FIREPWM24-2260FIRE Fire Chief Office Reconfiguration Cont. No. 7550 Page 1 of 20 City Attorney Approved 5/3/2023 CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT FIRE CHIEF OFFICE RECONFIGURATION; CONT. NO. 7550 This agreement is made on the ______________ day of _________________________, 2023, by the City of Carlsbad, California, a municipal corporation (hereinafter called "City") and Goforth & Marti, a California corporation, dba G/M Business Interiors, whose principal place of business is 110 West A Street, Suite 140, San Diego, California 92101 (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, as contained in the Standard Specifications for Public Works Construction “Greenbook,” latest edition and including all errata; Part 1 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: Debbie Donnell (City Project Manager) PAYMENT. The City shall withhold retention as required by Public Contract Code Section 9203. WAGE RATES. The general prevailing rate of wages for each craft or type of worker needed to execute the Contract shall be those as determined by the Director of Industrial Relations pursuant to Sections 1770, 1773 and 1773.1 of the Labor Code. Pursuant to Section 1773.2 of the Labor Code, a current copy of the applicable wage rates is on file in the Office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all workers employed by him or her in execution of the Contract. Contractor shall be responsible for insuring compliance with provisions of section 1777.5 of the Labor Code and section 4100 et seq. of the Public Contracts Code, "Subletting and Subcontracting Fair Practices Act." The City Engineer is the City's "duly authorized officer" for the purposes of section 4107 and 4107.5. The provisions of Part 7, Chapter 1, of the Labor Code commencing with section 1720 shall apply to the Contract for work. A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, unless currently registered and qualified to perform public work pursuant to Section 1725.5. This project is subject to compliance monitoring and enforcement by the Department of Industrial Relations. DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 August21st PWM24-2260FIRE Fire Chief Office Reconfiguration Cont. No. 7550 Page 2 of 20 City Attorney Approved 5/3/2023 Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. FALSE CLAIMS. Contractor hereby agrees that any contract claim submitted to the City must be asserted as part of the contract process as set forth in this agreement and not in anticipation of litigation or in conjunction with litigation. Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act, provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of the information. The provisions of Carlsbad Municipal Code sections 3.32.025, 3.32.026, 3.32.027 and 3.32.028 pertaining to false claims are incorporated herein by reference. Contractor hereby acknowledges that the filing of a false claim may subject the Contractor to an administrative debarment proceeding wherein the contractor may be prevented from further bidding on public contracts for a period of up to five years and that debarment by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor or subcontractor from participating in contract bidding. Signature: ___________________________________ Print Name: ___Laurinda P. Easley_________________ REQUIRED INSURANCE. The successful contractor shall provide to the City of Carlsbad, a Certification of Commercial General Liability and Property Damage Insurance and a Certificate of Workers’ Compensation Insurance indicating coverage in a form approved by the California Insurance Commission. The certificates shall indicate coverage during the period of the contract and must be furnished to the City prior to the start of work. The minimum limits of liability insurance are to be placed with California admitted insurers that have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of California’s List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best’s Key Rating Guide of at least “A:X”; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report. Commercial General Liability Insurance of Injuries including accidental death, to any one person in an amount not less than……..$1,000,000 Subject to the same limit for each person on account of one accident in an amount not less than ….…$1,000,000 Property damage insurance in an amount of not less than……..$1,000,000 Automobile Liability Insurance in the amount of $1,000,000 combined single limit per accident for bodily injury and property damage. In addition, the auto policy must cover any vehicle used in the performance of the contract, used onsite or offsite, whether owned, non-owned or hired, and whether scheduled or non- scheduled. The automobile insurance certificate must state the coverage is for “any auto” and cannot be limited in any manner. The above policies shall have non-cancellation clauses providing that thirty (30) days written notice shall be given to the City prior to such cancellation. The policies shall name the City of Carlsbad as an additional insured. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. WORKERS’ COMPENSATION AND EMPLOYER’S LIABILITY. Workers’ Compensation limits as required by the California Labor Code. Workers’ Compensation will not be required if Contractor has no employees and provides, to City’s satisfaction, a declaration stating this. DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 PWM24-2260FIRE Fire Chief Office Reconfiguration Cont. No. 7550 Page 3 of 20 City Attorney Approved 5/3/2023 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 forty (40) working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within sixty (60) working days after receipt of Notice to Proceed. CONTRACTOR’S INFORMATION. Goforth & Marti dba G/M Business Interiors 110 W. A Street, Suite 140 (name of Contractor) 944352 (street address) San Diego, CA 92101 (Contractor’s license number) C61 & D34 3/31/2024 (city/state/zip) 800-686-6583 (license class. and exp. date) 1000001979 (telephone no.) 619-236-0550 (DIR registration number) 6/30/2025 (fax no.) uweerasekera@gmbi.net (DIR registration exp. date) (e-mail address) [Signatures on following page] DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 PWM24-2260FIRE Fire Chief Office Reconfiguration Cont. No. 7550 Page 4 of 20 City Attorney Approved 5/3/2023 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 GOFORTH & MARTI, a California corporation dba G/M Business Interiors CITY OF CARLSBAD, a municipal corporation of the State of California By: By: (sign here) Laurinda P. Easley, President & Secretary Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager (print name/title) By: (sign here) (print name/title) If required by City, proper notarial acknowledgment of execution by Contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Group B Chairman, President, or Vice-President Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CINDIE K. McMAHON, City Attorney BY: _____________________________ Deputy City Attorney DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 PWM24-2260FIRE Fire Chief Office Reconfiguration Cont. No. 7550 Page 5 of 20 City Attorney Approved 5/3/2023 EXHIBIT A LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR Set forth below is the full name and location of the place of business of each sub-contractor whom the Contractor proposes to subcontract portions of the Project in excess of one-half of one percent of the total bid, and the portion of the Project which will be done by each sub-contractor for each subcontract. NOTE: The Contractor understands that if it fails to specify a sub-contractor for any portion of the Project to be performed under the contract in excess of one-half of one percent of the bid, the contractor shall be deemed to have agreed to perform such portion, and that the Contractor shall not be permitted to sublet or subcontract that portion of the work, except in cases of public emergency or necessity, and then only after a finding, reduced in writing as a public record of the Awarding Authority, setting forth the facts constituting the emergency or necessity in accordance with the provisions of the Subletting and Subcontracting Fair Practices Act (Section 4100 et seq. of the California Public Contract Code). If no subcontractors are to be employed on the project, enter the word "NONE." SUBCONTRACTORS Type of Work to be Subcontracted Business Name and Address DIR Registration No. License No., Classification & Expiration Date % of Total Contract Total % Subcontracted: _______________ The Contractor must perform no less than 50% of the work with its own forces. DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 NONENONENONENONE NONE NONE PWM24-2260FIRE Fire Chief Office Reconfiguration Cont. No. 7550 Page 6 of 20 City Attorney Approved 5/3/2023 EXHIBIT B The Contractor will reconfigure the fire chief office located at the Police and Fire Headquarters. All work will be performed in accordance with quotation 209511 dated July 25, 2023. JOB QUOTATION ITEM NO. DESCRIPTION PRICE 1 Private Office (1) with Table (1) $11,001.56 2 Chairs (3) $1,097.01 3 Storage Credenza (1) $2,860.31 4 Design Fee $669.34 5 Non-Taxable Planning Services $2,169.25 6 Taxable Planning Services $489.83 7 Sales Tax $1,197.28 TOTAL* $19,484.58 *Includes taxes, fees, expenses and all other costs. DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 Project ID / Who & Where CHIEF OF FIRE OFFICE 2095117/25/2023 SHIP TO: CARLSBAD (ORION) FIRE DEPT2560 ORION WAY CARLSBAD CA 92010 Phone:Fax: (442)339-2141 BILL TO:3845 CITY OF CARLSBAD1635 FARADAY AVE CARLSBAD CA 92008 Phone:Fax:DEBBIE DONNELDEBBIE DONNEL (442)339-2141 Systems Desk Units Tables Files Chairs Ancillary01003 0Product Counts: QuotationDate: Storage 2 QUOTE FOR: (01) EA HERMAN MILLER PRIVATE OFFICE (01) EA NATIONAL RENO TABLE (01) EA HERMAN MILLERVERUS SIDE CHAIR (01) EA NATIONAL WAVEWORKS CREDENZA ***PREVAILING WAGE*** FOR: CHIEF OF FIRE OFFICE LEAD TIME: 6-8 WEEKS SCOPE OF WORK: 1) G/M TO RECEIVE AND INSPECT PRODUCT. 2) G/M TO BRING TO SITE AND SET (01) EA HERMAN MILLER PRIVATE OFFICE (01) EA NATIONAL RENO TABLE (01)EA HERMAN MILLER VERUS SIDE CHAIR (01) EA NATIONAL WAVEWORKS CREDENZA INTO PLACE PER ATTACHEDDRAWINGS. 3) PLEASE CONTACT DEBBIE DONNEL @ 442-339-2141 TO SCHEDULE SERVICES. **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 PRICED WITH HERMAN MILLER PRICE INCREASE EFFECTIVE 07.05.2023**** Product Summary / Scope of Work GRAND TOTAL $19,484.58 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 PWM24-2260FIRE Exhibit "B" (Cont.) Page 7 of 20 DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 Quotation # 209511G/M 1 30,163.00 30,163.00 11,001.56 Sell ExtSellList ExtList LOT PRIVATE OFFICE Who/What/Where 11,001.56 BOM A BOM: See Attached Bill of Materials 40Piece Count: .00.00.00.00 FreightTaxable Srvcs.Non-Tax Srvcs.Description: (01) EA HERMAN MILLER PRIVATE OFFICE (01) EA NATIONAL RENO TABLE Design Fee 1 2,151.00 2,151.00 1,097.01 Sell ExtSellList ExtList LOT SEATING Who/What/Where 1,097.01 BOM B BOM: See Attached Bill of Materials 3Piece Count: .00.00.00.00 FreightTaxable Srvcs.Non-Tax Srvcs.Description: (01) EA HERMAN MILLER VERUS SIDE CHAIR Design Fee 1 6,004.00 6,004.00 2,860.31 Sell ExtSellList ExtList LOT STORAGE Who/What/Where 2,860.31 BOM C BOM: See Attached Bill of Materials 3Piece Count: .00.00.00.00 FreightTaxable Srvcs.Non-Tax Srvcs.Description: (01) EA NATIONAL WAVEWORKS CREDENZA 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 PWM24-2260FIRE Exhibit "B" (Cont.) Page 8 of 20 DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 Quotation # 209511G/M 0 .00 .00 .00 Sell ExtSellList ExtList LOT Z G/M Services Who/What/Where .00 BOM D BOM: See Attached Bill of Materials Piece Count: 669.34.00489.832,169.25 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: 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 PWM24-2260FIRE Exhibit "B" (Cont.) Page 9 of 20 DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 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# 209511 CHIEF OF FIRE OFFICE Page 1FabricInitial LAMINATE FINISHES LBR – PHANTOM ECU BASE FINISHES SNC – SATIN CARBON STORAGE FINISHES LBR – PHANTOM ECU NATIONAL TABLE FINSIH 457 - DAPPLE HERMAN MILLER / NATIONAL PRIVATE OFFICE PRIVATE OFFICE NATIONAL LEG FINISH 463 – IRON PWM24-2260FIRE Exhibit "B" (Cont.) Page 10 of 20 DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 > 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# 209511 CHIEF OF FIRE OFFICE Page 2FabricInitial FRAME FINISH BK –BLACK LEG FINISH SNC – SATIN CARBON INTWERWEAVE FABRIC 36506 – SHALE SEAT FABRIC IHA 23 – MEDLEY PEWTER HERMAN MILLER VERUS SIDE CHAIR SEATING PWM24-2260FIRE Exhibit "B" (Cont.) Page 11 of 20 DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 ------> I~--_ _____, 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# 209511 CHIEF OF FIRE OFFICE Page 3FabricInitial LAMINATE FINISH 457 – DAPPLE NATIONAL WAVEWORKS CREDENZA STORAGE PWM24-2260FIRE Exhibit "B" (Cont.) Page 12 of 20 DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 Quotation # 209511G/M Product Subtotal: Services (Non-Taxable) Services (Taxable) Freight (Taxable) Design Services (Non-Taxable) Sales Tax (7.750%) $14,958.88 $2,169.25 $489.83 $0.00 $669.34 $1,197.28 $19,484.58Total: Taxable Subtotal: Non-Taxable Subtotal: $15,448.71 $2,838.59 Terms: Net 30 Days, 90% Due at Substantial Delivery 90%$17,536.12 Terms: 10% @ Punchlist 10%$1,948.46 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 PWM24-2260FIRE Exhibit "B" (Cont.) Page 13 of 20 DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 VISA ■ ■ ■ ■ ■ ■ ■ ■ Featured Product of the Month 0/1 NaughtOne PIPPIN GIM accepts credit cards at 0% for purchases up to $10,000 Purchases over $10,000 requires a surcharge of 2.75% CHIEF OF FIRE OFFICE CITY OF CARLSBAD PO # Sales Order # Item Qty Product Unit Extended Unit Extended Discount % List Price Sell Price 7/25/2023 11:11:02 AMAQuote #209511 PRIVATE OFFICEDepartment: Contract ELEVATE 1 305.00 305.00 96.98 96.981 %ELDPB Elevate™ Desk Mount Power BLACK PRIVATE OFFICETag: 1 82.00 82.00 26.09 26.092 %GMSPB Elevate™ Surge Protector BLACK PRIVATE OFFICETag: GMHARDWARE 2 .00 .00 6.82 13.643 %GMHARDWARE GM WALL ANCHORS (1) PER WALL STRIP WALL START OR OH PRIVATE OFFICETag: 1 .00 .00 .80 .804 %GM HARDWARE GM L-BRACKET FOR MODESTY & UNUSUAL APPLICATIO NS PRIVATE OFFICETag:HERMANMILLER 1 2,213.00 2,213.00 1,062.24 1,062.24 52.005 %Y7232.S3648M +White Board, Glass, Square Corner, Magnetic 36H 48W WB/36/48 2 Attachment Method+rear hanger bracket PRIVATE OFFICETag: 2 396.00 792.00 190.08 380.16 52.006 %Y1113.54NL +Modesty Panel,w/o added cable trough,Lam Top/TP Edge 54W 54 LBR +phantom ecru LBR +phantom ecru PRIVATE OFFICETag: 1 51.00 51.00 16.83 16.83 67.007 %FV982. +Surface Grommet Kit BK Grommet Finish +black PRIVATE OFFICETag: Project DesignerAccount Executive:Udeshi Weerasekera Page: 1 Job Captain Lyzette Rodriguez PWM24-2260FIRE Exhibit "B" (Cont.) Page 14 of 20 DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 • • • • • • • • • • • • • • • • CHIEF OF FIRE OFFICE CITY OF CARLSBAD PO # Sales Order # Item Qty Product Unit Extended Unit Extended Discount % List Price Sell Price 7/25/2023 11:11:02 AMAQuote #209511 PRIVATE OFFICEDepartment: Contract HERMANMILLER 1 6,144.00 6,144.00 2,150.40 2,150.40 65.008 %SA887668 Extended Corner Table with C-Foot Standard Product Reference:DV6ECS.2424B7248LDSTSLBRLBRSSNCNC57 Modified Product Reference::DV6ECS.2424B7272L Deviation::Shape - Width - Grain Direction - Power Access Cutout Shape:*:extended corner with round end peninsula left - back corner cut to have radius corners Leg Type:C:C-leg Type:3:3 legged Released for Production:T:true Edge:S.:squared-edge Depth:2424:24" deep left x 24" deep right (23" surface size) Back Corner Cut:B:back corner cut Width:**:72" wide left x 72" wide right (70" x 70" surface size) - 2-piece top with tight joint fasteners (seam on RH side approx 22" in from end) Surface Material:L:high-pressure laminate top/thermoplastic edge Mechanism:D:electric extended range Switch Option:STS:simple up/down touch switch Top Finish:LBR:phantom ecru Edge Finish:LBR:phantom ecru Grain Direction:**:Grain direction to run non-seamed side Base Finish:SNC:satin carbon Power Access Cutout:**:cutout for FV982 grommet (purch sep) near back corner (behind center post leg) Glides:57:glides PRIVATE OFFICETag: 1 3,558.00 3,558.00 1,252.42 1,252.42 64.809 %L2WR.7242241LNTK @Wardrobe, Base, Lam Case, No Top, Bar Pull 72H 42W 24D 72/42 LBR Case/Front Finish +phantom ecru SNC Pull Finish @satin carbon CR Interior +coat rod with fixed shelf KA Lock +keyed alike PRIVATE OFFICETag: 2 37.00 74.00 13.02 26.04 64.8010 %L2UT.906 @Utility Tray, Pedestal, for 15W Metal Dwr PRIVATE OFFICETag: 1 1,517.00 1,517.00 533.98 533.98 64.8011 %L2PM.20BFL02K @Mobile Pedestal, Box/File, Lam Case/Front, 3/4 Lam Top, Bar Pull 20D M Interior Drawer Mate+metal LBR Case/Front Finish +phantom ecru LBR Top/Edge Finish +phantom ecru G1 Pull Finish @graphite KA Lock Option +keyed alike PRIVATE OFFICETag: Project DesignerAccount Executive:Udeshi Weerasekera Page: 2 Job Captain Lyzette Rodriguez PWM24-2260FIRE Exhibit "B" (Cont.) Page 15 of 20 DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • CHIEF OF FIRE OFFICE CITY OF CARLSBAD PO # Sales Order # Item Qty Product Unit Extended Unit Extended Discount % List Price Sell Price 7/25/2023 11:11:02 AMAQuote #209511 PRIVATE OFFICEDepartment: Contract HERMANMILLER 1 1,517.00 1,517.00 533.98 533.98 64.8012 %L2PM.20BFL02K @Mobile Pedestal, Box/File, Lam Case/Front, 3/4 Lam Top, Bar Pull 20D BF M +metal LBR +phantom ecru LBR +phantom ecru G1 Pull Finish @graphite KA +keyed alike PRIVATE OFFICETag: 1 2,059.00 2,059.00 724.77 724.77 64.8013 %L2EW.36241FFLK +Lam Ext Width Surf-Att Pedestal, Base, File/File, Lam Case/Front, Bar Pull 36W 24D M Interior Drawer Mate+metal LBR Case/Front Finish +phantom ecru SNC Pull Finish +satin carbon CB Counterweight +counterweight KA Lock Option +keyed alike PRIVATE OFFICETag: 1 497.00 497.00 156.56 156.56 68.5014 %G6160.CB +Twist LED Task Light,Add-on unit,Brkt Att PRIVATE OFFICETag: 1 690.00 690.00 217.35 217.35 68.5015 %G6160.BB +Twist LED Task Light,Starter unit,Brkt Att PRIVATE OFFICETag: 1 32.00 32.00 10.08 10.08 68.5016 %G1331. +Cord Cleat 2/Pkg PRIVATE OFFICETag: 2 707.00 1,414.00 233.31 466.62 67.0017 %FV980.WM2954R +Tackboard,wall mntd,Tckble Fabric,Hrzntl 28 1/2H 54W TBW30/54 8T Fabric +crossing-Pr Cat 1 23 8T_Colors +crossing graphite PRIVATE OFFICETag: 1 96.00 96.00 31.68 31.68 67.0018 %FV696.39 *Stiffener, 38 5/8W STF39 PRIVATE OFFICETag: Project DesignerAccount Executive:Udeshi Weerasekera Page: 3 Job Captain Lyzette Rodriguez PWM24-2260FIRE Exhibit "B" (Cont.) Page 16 of 20 DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • CHIEF OF FIRE OFFICE CITY OF CARLSBAD PO # Sales Order # Item Qty Product Unit Extended Unit Extended Discount % List Price Sell Price 7/25/2023 11:11:02 AMAQuote #209511 PRIVATE OFFICEDepartment: Contract HERMANMILLER 2 2,098.00 4,196.00 692.34 1,384.68 67.0019 %FV43H.WM1554HWTL @OH Stg Cabinet, Hinged Doors,wall mount,15" h,54" w,high-pressure lam case & dr,fin case top,lock KA Lock Option @keyed alike LBR Case/Edge Finish @phantom ecru LBR Door/Edge Finish @phantom ecru PRIVATE OFFICETag: 1 395.00 395.00 130.35 130.35 67.0020 %FV2E2.S24FL *Closed Support Leg,for Sq-Edge Surface, 24"D,Fxd Hght, Lam CL24 LBR +phantom ecru PRIVATE OFFICETag: 1 241.00 241.00 79.53 79.53 67.0021 %FV2E2.S2AFL +Closed Support Leg,for Sq-Edge Surface, 12"D Shared,Fxd Hght, Lam LBR Surface Finish +phantom ecru PRIVATE OFFICETag: 2 448.00 896.00 147.84 295.68 67.0022 %FTS10.2454LS *Rectangular Surface,Sq-Edge, Lam Top/Thermo Edge, 24D 54W, No Brkts 24/54 LBR +phantom ecru LBR *phantom ecru PRIVATE OFFICETag: 1 34.00 34.00 11.22 11.22 67.0023 %FT29B.1 +Surface Ganging Bracket,single PRIVATE OFFICETag: 1 165.00 165.00 57.75 57.75 65.0024 %DU15S.E @Ht-Adj Vert Cable Manager,worksurface att,electric std range (1) PER TABLE MS Finish +metallic silver PRIVATE OFFICETag: 1 1,427.00 1,427.00 499.45 499.45 65.0025 %DT1DS.3060LP +Everywhere Oval Table,Squared Edge,Lam Top/Thermo Edge,Post Leg 30D 60W 30/60 LBR Top Finish +phantom ecru LBR Edge Finish +phantom ecru SNC Leg/Base Finish +satin carbon 57 Casters/Glides +glides NTG Grommets +no grommet PRIVATE OFFICETag: Project DesignerAccount Executive:Udeshi Weerasekera Page: 4 Job Captain Lyzette Rodriguez PWM24-2260FIRE Exhibit "B" (Cont.) Page 17 of 20 DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 • • • • • • • • • • • • • • • • • • • • • • • • • • • • CHIEF OF FIRE OFFICE CITY OF CARLSBAD PO # Sales Order # Item Qty Product Unit Extended Unit Extended Discount % List Price Sell Price 7/25/2023 11:11:02 AMAQuote #209511 PRIVATE OFFICEDepartment: Contract HERMANMILLER 8 .00 .00 .00 .0026 %232092-226 Lock Plug & Keys PRIVATE OFFICETag:NATIONAL 1 1,768.00 1,768.00 842.28 842.28 52.3627 %N32T2448MGL RENO,24DX48W,MAGAZINE TABLE,LAMINATE T2448MGL X SURFACE GROMMETNO SURFACE GROMMET X SIDE GROMMET NO SIDE GROMMET 457 LAMINATE DAPPLE 463 PAINT IRON PRIVATE OFFICETag: Product Subtotal: $11,001.56 Project DesignerAccount Executive:Udeshi Weerasekera Page: 5 Job Captain Lyzette Rodriguez PWM24-2260FIRE Exhibit "B" (Cont.) Page 18 of 20 DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 • • • • • • • • • • CHIEF OF FIRE OFFICE CITY OF CARLSBAD PO # Sales Order # Item Qty Product Unit Extended Unit Extended Discount % List Price Sell Price 7/25/2023 11:11:06 AMBQuote #209511 SEATINGDepartment: Contract HERMANMILLER 3 717.00 2,151.00 365.67 1,097.01 49.001 %PIA4S1SP +Verus Side Chair, 4-Leg Base,4-leg base,Interweave 2 suspension back,fixed arms,not fire retardant BK Frame Color +black SNC Leg Finish +satin carbon 36506 Interweave 2 Suspens+shale U5 Casters +soft wheel caster, carpet or hard floors 1HA Seat Fabric +medley-Pr Cat 2 23 1HA_Colors +medley pewter SEATINGTag: Product Subtotal: $1,097.01 Project DesignerAccount Executive:Udeshi Weerasekera Page: 1 Job Captain Lyzette Rodriguez PWM24-2260FIRE Exhibit "B" (Cont.) Page 19 of 20 DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 • • • • • • • • • • • • CHIEF OF FIRE OFFICE CITY OF CARLSBAD PO # Sales Order # Item Qty Product Unit Extended Unit Extended Discount % List Price Sell Price 7/25/2023 11:11:06 AMCQuote #209511 STORAGEDepartment: Contract NATIONAL 2 28.00 56.00 13.34 26.68 52.361 %NCCB001 CASEGOODS,LOCK CORE WITH KEY,BLACK,NO 001 STORAGETag: 1 5,948.00 5,948.00 2,833.63 2,833.63 52.362 %WWN287236CBFLL WAVEWORKS,28DX72WX36H,CREDENZA,REFRIGERATOR LEFT,HPL N287236CBF LL V457 RIM PROFILE SOFTENED,DAPPLE 87IR PULL BEAM,IRON KS1B LOCK SPECIFY 1 BLACK CORE SEPARATE STD TOP LAMINATE GROUPSTANDARD LAMINATE 457 LAMINATE COLORDAPPLE 457 DRAWER/DOOR LAMINATEDAPPLE 457 CHASSIS LAMINATE COLDAPPLE STORAGETag: Product Subtotal: $2,860.31 Project DesignerAccount Executive:Udeshi Weerasekera Page: 1 Job Captain Lyzette Rodriguez PWM24-2260FIRE Exhibit "B" (Cont.) Page 20 of 20 DocuSign Envelope ID: F7EDD934-EC9A-4387-A517-6EB3617E7B59 • • • • • • • • • • • • • • • • 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: F7EDD934-EC9A-4387-A517-6EB3617E7B59 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: F7EDD934-EC9A-4387-A517-6EB3617E7B59 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: F7EDD934-EC9A-4387-A517-6EB3617E7B59 ~------------ 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: F7EDD934-EC9A-4387-A517-6EB3617E7B59 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: F7EDD934-EC9A-4387-A517-6EB3617E7B59 ~11 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. 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