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Intersect Technology Institute Inc dba ITI Cabling Inc; 2024-04-19;
City Hall Refresh – Fiber Optic Cable Page 1 of 10 City Attorney Approved 5/3/2023 CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT CITY HALL REFRESH: FIBER OBTIC CABLE ($60,000 or Less) This agreement is made on the ______________ day of _________________________, 2024, by the City of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and Intersect Technology Institute, Inc. d/b/a ITI Cabling Inc., whose principal place of business is 1200 S. Escondido, Escondido, California 92025 (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: Gary Hornby (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. % "# City Hall Refresh – Fiber Optic Cable Page 2 of 10 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: ___________________________________ 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. !" $ City Hall Refresh – Fiber Optic Cable Page 3 of 10 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. CALIFORNIA AIR RESOURCES BOARD ADVANCED CLEAN FLEETS REGULATIONS. Contractor’s vehicles with a gross vehicle weight rating greater than 8,500 lbs. and light-duty package delivery vehicles operated in California may be subject to the California Air Resources Board (CARB) Advanced Clean Fleets regulations. Such vehicles may therefore be subject to requirements to reduce emissions of air pollutants. For more information, please visit the CARB Advanced Clean Fleets webpage at https://ww2.arb.ca.gov/our-work/programs/advanced-clean-fleets. 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 30 working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within 30 working days after receipt of Notice to Proceed. CONTRACTOR’S INFORMATION. Intersect Technology Institute, Inc. d/b/a ITI Cabling 1200 S. Escondido Blvd. (name of Contractor) 849343 (street address) Escondido, CA 92025 (Contractor’s license number) C-7 11/30/2024 (city/state/zip) 858.240.6670 (license class. and exp. date) 1000001685 (telephone no.) 888.816.0686 (DIR registration number) 6/30/2024 (fax no.) Kharbridge@iticabling.com (DIR registration exp. date) (e-mail address) /// /// /// /// City Hall Refresh – Fiber Optic Cable Page 4 of 10 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 CITY OF CARLSBAD, a municipal corporation of the State of California By: By: (sign here) IT Director (print name/title) By: ATTEST: (sign here) SHERRY FREISINGER City Clerk (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: _____________________________ Assistant City Attorney !" $!"#% ! $ #$$ !# VtUA, ftbr{:il,\,I ------------- _ tt-11/A, PMf-____________ _ City Hall Refresh – Fiber Optic Cable Page 5 of 10 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 None Total % Subcontracted: _______________ The Contractor must perform no less than 50% of the work with its own forces. City Hall Refresh – Fiber Optic Cable Page 6 of 10 City Attorney Approved 5/3/2023 EXHIBIT B STATEMENT OF WORK City Hall Refresh: Fiber Optic Cable ITI Quote #: 02F5465-I-KH - REVISION 4 Date: 1/16/2024 Scope: Telecommunications Fiber Optic Cabling City of Carlsbad City Hall Refresh: Fiber Optic Cabling ● Provide and install new Armored 12 Strand OS2 Single-mode fiber optic cable from the MDF to the MPOE. ● At the MDF, provide a new 2U fiber housing, Corning CCH-02U. ● At the MPOE, Provide a new wall mount fiber housing Corning WCH-02P. ● Terminate all 12-Strands on both sides, MDF & MPOE. ● Label, & Test to industry standards. City of Carlsbad City Hall Refresh: Park Maintenance Fiber, 1166 Carlsbad Village Dr ● Provide and install new OSP rated 12 Strand OS2 Single-mode fiber optic cable from the MDF at City Hall to Park Maintenance IDF. ● At the City Hall MDF, Terminate fiber with LC Connectors and install in housing. ● At the Park Maintenance IDF, Provide a new wall mount single panel fiber housing, Corning SPH-01P. ● Terminate all 12-Strands on both sides, MDF & IDF. ● Label, & Test to industry standards. City of Carlsbad City Hall Refresh: Sculpture Garden “Elmwood”, 2955 Elmwood St ● Provide and install new OSP rated 12 Strand OS2 Single-mode fiber optic cable from the MDF to the MPOE. ● At the City Hall MDF, Terminate fiber with LC Connectors and install in housing. ● At the Elmwood IDF, Provide a new wall mount single panel fiber housing, Corning SPH-01P. ● Terminate all 12-Strands on both sides, MDF & MPOE. ● Label, & Test to industry standards. City of Carlsbad City Hall Refresh: Cole Library, 1250 Carlsbad Village Dr ● Provide and install new OSP rated 12 Strand OS2 Single-mode fiber optic cable from the MDF of City Hall to the Cole IDF. ● At the MDF, provide a new 2U fiber housing, Corning CCH-02U. ● At the IDF, Provide a new coupler panel for the existing fiber housing. . ● Terminate all 12-Strands on both sides, MDF & Cole IDF. ● Label, & Test to industry standards. Scope Reference Documents: ● None Provided. ● Site walk with Gary Hornby. City Hall Refresh – Fiber Optic Cable Page 7 of 10 City Attorney Approved 5/3/2023 Scope Assumptions: ● Permits and Bonds are not included. ● ITI does not carry Professional Liability insurance nor Pollution insurance and will not be required to provide additional insured coverage for either insurance. ● The Project will commence and materials ordered ** upon receipt of a purchase order. ● When required by written contract or agreement, endorsements included with this certificate are issued on a Blanket basis. Any changes to the status of provided endorsements will be at the expense of the Contractor. ● ** Due to current manufacturing shortages, ITI will not be liable for delays or price increases longer than 30 days due to product lead times. ● Fiber cable may require a minimum qty order if not available at the time of request. ● Work outside of the above mentioned scope of work may be billed in addition to the given price. ● Slow-downs and or acceleration of the installation out of ITI’s direct control may be billed via a change order. ● Demolition of existing Telecommunications Inter-Intra building horizontal or backbone cabling, MPOE/TR or Equipment is excluded unless otherwise written. ● Hourly rate is based on State Prevailing Wages, Second Shift Differential. ● Clear and unobstructed cable paths for all cable runs. ● Floor monuments and surface mounted raceway if needed to be provided and installed by others. ● All conduits, Telecommunication Boxes (Nema 4X, 3R etc) to be provided by others and to have pull rope in place. ● All Communication Outside Plant Manholes, Handholes, Manholes, Handholes & Hardware, Duct Bank Conduits all with pull rope in place to be provided and installed by others. ● Telecom Room Entrance or Exit Conduit Sleeves, Cores, penetrations, or power poles to be provided by others. ● Telecom Raceway, Cable Tray, Ladder Rack or Wire Basket Cable Tray outside of Telecommunication Rooms to be provided by others. ● Interconnections between all TGBs and the TMGB with the telecommunications backbone conductor, Bonding to each TGB and TMGB to Bond the equipment grounding busbar to the TGB with a No. 2 AWG bonding conductors and Bonding of each TGB and TMGB to Vertical steel of the building frame to be provided by others. ● Rigidly fixed, 3/4" void free, fire rated AC plywood to be provided by others. ● Fire stopping outside of Telecom Room installation to include materials and labor to be provided by others ● Network equipment provided, installed and configured by others ● WAP’s (Wireless Access Point), Cabling, Installation, Mounting Brackets, Network Switches, Device Patch Cords, programming or commissioning by others. ● It is assumed there is enough length to relocate cabling from the Krones Blocks to New Panels. ● Cabling that does not have adequate length to relocate to the new patch panels will need to be replaced at an additional cost. ● It is assumed the existing pathways are sufficient to perform the above mentioned work effort, if the existing pathway is obstructed, over fill capacity, damaged, etc. ITI will not be responsible for correcting existing pathway issues. Project Exclusions: ● BIM (Building Information Modeling) Services using Autodesk Revit or the like to include 3D Modeling ● Phone or Data Service (Cox, AT&T etc.) extensions into building(s) to include MPOE, MDF or IDF. ● Communication Outside Plant Buried Cable other than feed cable City Hall Refresh – Fiber Optic Cable Page 8 of 10 City Attorney Approved 5/3/2023 ● No specialty permits included. ● Replacing any cabling that is too short to relocate is not included. ● Replacing or installing new fiber optic cabling pathways due to over fill, damage, etc. Hours to Complete Project: 105 Project Schedule: 5-6 Working Days Fiber Optic Cabling Price: $5,749.00 Park Maintenance Fiber Price: $5,302.00 Sculpture Garden “Elmwood” Price: $6,919.00 Cole Library Price: $6,714.00 Total Project Price: $24,684.00 City Hall Refresh – Fiber Optic Cable Page 9 of 10 City Attorney Approved 5/3/2023 EXHIBIT C CALIFORNIA AIR RESOURCES BOARD REGULATIONS The California Air Resources Board (“CARB”) implemented amendments to the In-Use Off-Road Diesel Fueled Fleets Regulations (“Regulation”) which are effective on January 1, 2024, and apply broadly to all self-propelled off-road diesel vehicles 25 horsepower or greater and other forms of equipment used in California. A copy of the Regulation is available at: https://ww2.arb.ca.gov/sites/default/files/barcu/regact/2022/off- roaddiesel/appa-1.pdf. Contractors are required to comply with all CARB and Regulation requirements, including, without limitation, all applicable sections of the Regulation, as codified in Title 13 of the California Code of Regulations section 2449 et seq. throughout the term of the Project. Contractor must provide copies of Contractor’s and all listed subcontractors most recent valid Certificate of Reported Compliance (“CRC”) issued by CARB. The City of Carlsbad is a Public Works Awarding Body, as that term is defined under Title 13 California Code of Regulations section 2449(c)(46). Accordingly, Contractor must submit, with their pre-award contract documents, valid Certificates of Reported Compliance (“CRC”) for the Contractor’s fleet, and for the fleets of any listed subcontractors (including any applicable leased equipment or vehicles). Contractor’s must complete and submit the Fleet Compliance Certification, on the form provided on the next page. Failure to provide a CRC for the Contractor, and for all listed subcontractors, or failure to complete the Fleet Compliance Certification, will cause the city unable to proceed with the awarding of this contract. COMPLIANCE WITH CARB REGULATIONS Contractor shall comply, and shall ensure all subcontractors comply, with all applicable requirements of the most current version of the California Air Resources Board (“CARB”) regulations including, without limitation, all applicable terms of Title 13, California Code of Regulations Division 3, Chapter 9 and all pending amendments (“Regulation”). Throughout the Project, and for three (3) years thereafter, Contractor shall make available for inspection and copying any and all documents or information associated with Contractor’s and subcontractors’ fleet including, without limitation, Certificates of Reported Compliance (“CRC”), fuel/refueling records, maintenance records, emissions records, and any other information the Contractor is required to produce, keep or maintain pursuant to the Regulation upon two (2) calendar days’ notice from the City of Carlsbad. Contractor shall be solely liable for any and all costs associated with complying with the Regulation as well as for any and all penalties, fines, damages, or costs associated with any and all violations, or failures to comply with the Regulation. Contractor shall defend, indemnify and hold harmless the City of Carlsbad, its officials (appointed and elected), officers, and employees from any claims, liabilities, costs, penalties or interest arising out of any failure or alleged failure to comply with the Regulation. City Hall Refresh – Fiber Optic Cable Page 10 of 10 City Attorney Approved 5/3/2023 FLEET COMPLIANCE CERTIFICATION Contractor hereby acknowledges that they have reviewed the CARB’s policies, rules and regulations and are familiar with the requirements of Title 13, California Code of Regulations, Division 3, Chapter 9, effective on January 1, 2024 (the “Regulation”). Contractor hereby certifies, subject to the penalty of perjury, that the option checked below relating to the Contractor’s fleet, and/or that of their subcontractor(s) (“Fleet”) is true and correct: ܆The Fleet is subject to the requirements of the Regulation, and the appropriate Certificate(s) of Reported Compliance have been attached hereto. ܆The Fleet is exempt from the Regulation under Section 2449.1(f)(2), and a signed description of the subject vehicles, and reasoning for exemption has been attached hereto. ܆Contractor and/or their subcontractor is unable to procure R99 or R100 renewable diesel fuel as defined in the Regulation pursuant to Section 2449.1(f)(3). Contractor shall keep detailed records describing the normal refueling methods, their attempts to procure renewable diesel fuel and proof that shows they were not able to procure renewable diesel (i.e., third party correspondence or vendor bids). ܆The Fleet is exempt from the requirements of the Regulation pursuant to Section 2449(i)(4) because this Project has been deemed an “emergency”, as that term is defined in Section 2449(c)(18). Contractor shall only operate the exempted vehicles in the emergency situation and records of the exempted vehicles must be maintained, pursuant to Section 2449(i)(4). ܆The Fleet does not fall under the Regulation or are otherwise exempt and a detailed reasoning is attached to this certification. Name of Contractor: Signature: Name: Title: Date: !" $ !"#% ! $ ACORb® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 09/12/2023 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ellen Lu NAME: Paul Dole Insurance Agency riiN:o Extl: (619) 475-5200 I FAX (AJC, Nol: (619) 475-5258 5130 Bonita Road, Suite A E-MAIL ellen@doleandsons.com ADDRESS: Mailing: P.O. Box 400 INSURER(S) AFFORDING COVERAGE NAIC# -Bonita -------~ ---·~ €A 91908-INSURER A:-West American Insurance Company ------- - 44393 - INSURED INSURER B : American Fire and Casualty Company 24066 Intersect Technology Institute, Inc., OBA: ITI Cabling Inc INSURER C: Insurance Company of the West 27847 1200 S Escondido Blvd. INSURER D : INSURER E: Escondido CA 92025 INSURER F : COVERAGES CERTIFICATE NUMBER· 23-24GL.BA,EX,WC REVISION NUMBER· THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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. INSR TYPE OF INSURANCE ,:~16%~1 '~~TJ%~ LTR INSD WVD POLICY NUMBER LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 -D CLAIMS-MADE [81 OCCUR DAMAGE TO ~"" 1 t:u PREMISES IEa occurrencel s 500,000 -MED EXP (Any one person) $ 15,000 A BKW56688892 09/20/2023 09/20/2024 PERSONAL & ADV INJURY $ 1,000,000 -GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 R POLICY [81 FJ:8r □ LOG PRODUCTS • COMP/OP AGG $ 2,000,000 OTHER: Deductible $1 ,000{PD) $ AUTOMOBILE LIABILITY ~~~~~~~~llNGLE LIMIT $ 1,000,000 -X ANY AUTO BODILY INJURY (Per person) $ --A OWNED SCHEDULED BAW56688892 09/20/2023 09/20/2024 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS x HIRED x NON-OWNED rp~~~Zc~d~t?AMAGE $ AUTOS ONLY AUTOS ONLY Liab Deductible $0 $ UMBRELLA LIAB ~OCCUR EACH OCCURRENCE $ 5,000,000 -B X EXCESS LIAB CLAIMS-MADE ESA56688892 09/20/2023 09/20/2024 5,000,000 AGGREGATE $ OED I I RETENTION $ follow form GUAuto/EL $ Deductible $0 WORKERS COMPENSATION Xl ~ff ruTE I IOTH-Deductible $0 AND EMPLOYERS' LIABILITY ER YIN C ANY PROPRIETOR/PARTNER/EXECUTIVE ~ NI A WSD 5067386 01 09/20/2023 09/20/2024 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE· EA EMPLOYEE $ 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE· POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached ii more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Carlsbad ACCORDANCE WITH THE POLICY PROVISIONS. 1635 Faraday Ave AUTHORIZED REPRESENTATIVE tb Carlsbad CA 92008 I ,-1,1~ ,x,... © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: BKW56688892 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following : COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): / Blanket as r equired by written contract , agreement , or permi t Blanket Applies Location(s) Of Covered Operations Blanket as required by written contract, agreement or permit Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to include as an add itional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily in- jury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. You r acts or omissions; or 2. The acts or om issions of those acting on your behalf; in the performance of your ongoing oper- ations for the additional insured(s) at the lo- cation(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the exterit permit- ted by law; and 2. If coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance afforded to such additional insured will not be broader than tha t which you are required by the contract or agreement to provide for such additional insured. 8. With respect to the insurance afforded to these additional insureds, the following addi- tional exclusions apply: Th is insurance does not apply to "bod ily in- jury" or" property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than ser- vice , maintenance or repairs) to be per- formed by or on behalf of the additional insured(s) at the location of the covered operati ons has been completed; or 2. That portion of "you r work" out of wh ich the injury or damage arises has been put to its intended use by any person or or- gan ization other than another contractor or subcontractor engaged in performi ng operations for a principal as a part of the same project. CG 20 10 04 13 © Insurance Services Office, Inc., 201 2 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill -Limits Of Insurance: If coverage provided to the additional insured is requ ired by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Requ ired by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the ap- plicable Limits of Insurance shown in the Dec- larations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 POLICY NUMBER: BKW56688892 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization{s) Blanket as required by written contract, agreement, or permit Blanket Applies Location And Description Of Completed Operations Blanket as required by written contract, agreement or permit Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to include as an additional insured the person{s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily in- jury" or "property damage" caused, in whole or in part, by "your work" at the location des- ignated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-com- pleted operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permit- ted by law; and 2. If coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill -Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the ap- plicable Limits of Insurance shown in the Dec- larations. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE POLICY WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -BLANKET WC 99 06 34 (Ed . 8-00) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain th is agreement from us). The additional premium for this endorsement shall be 2% of the total California Workers' Compensation premium otherwise due. Person or Organization Any person or organization when required by written contract. Policy Number: WSD 5067386 00 Endorsement Effective: 9/20/2022 Issue Date: 9/13/2022 WC 99 06 34 (Ed. 8-00) Schedule Job Description All California operations Insured: Alpaca Enterprises, Inc. Coverage Provided by: Insurance Company of the West Countersigned by: