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Rocket Johns Inc; 2024-06-05; PSALCA-24017CA
PSALCA-24017CA Page 1 City Attorney Approved Version 12/22/2023 AGREEMENT FOR PORTABLE RESTROOM RENTAL AND SERVICES FOR TGIF CONCERTS IN THE PARKS SERIES ROCKET JOHNS, INC. THIS AGREEMENT is made and entered into as of the ________ day of ___________, 20___, by and between the City of Carlsbad, California, a municipal corporation ("City") and Rocket Johns, Inc., a California corporation, ("Contractor") (collectively, the “Parties”). RECITALS A. City requires the professional services of a portable restroom rental service that is experienced in providing portable restroom units, routine serving, and barricades, as described in Exhibit “A” and Exhibit “B.” B. Contractor has the necessary experience in providing professional services and advice related to portable restroom services and barricades, as described in Exhibit “A” and Exhibit “B”. 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. To the extent any of the terms in any exhibit or attachment to this Agreement conflict, in whole or in part, with the terms of this Agreement, the terms of this Agreement shall control. 2. STANDARD 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 four (4) additional one (1) year 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 ESSENCE Time is of the essence for each and every provision of this Agreement. 5. COMPENSATION The total fee payable for the Services to be performed during the initial Agreement term shall not exceed fifteen thousand dollars ($15,000). No other compensation for the Services will be allowed except for items covered by subsequent amendments to this Agreement. If the City elects to extend the Agreement, PSALCA-24017CA Page 2 City Attorney Approved Version 12/22/2023 the amount shall not exceed fifteen thousand dollars ($15,000) per Agreement year. 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" and Exhibit “B.” Incremental payments, if applicable, should be made as outlined in attached Exhibit "A." 6. 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. 7. 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. 8. OTHER CONTRACTORS The City reserves the right to employ other Contractors in connection with the Services. 9. INDEMNIFICATION Contractor agrees to defend (with counsel approved by the City), indemnify, and hold harmless the City and its officers, elected and appointed officials, employees and volunteers from and against all claims, damages, losses and expenses including attorneys fees arising out of the performance of the work described herein caused by any negligence, 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 PSALCA-24017CA Page 3 City Attorney Approved Version 12/22/2023 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. 10. 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. 10.1 Coverages and Limits. Contractor will maintain the types of coverages and minimum limits indicated below, unless 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. 10.1.1 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. 10.1.2 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. 10.1.3 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. 10.1.4 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. 10.2 Additional Provisions. Contractor will ensure that the policies of insurance required under this Agreement contain, or are endorsed to contain, the following provisions: 10.2.1 The City will be named as an additional insured on Commercial General Liability which shall provide primary coverage to the City. 10.2.2 Contractor will obtain occurrence coverage, excluding Professional Liability, which will be written as claims-made coverage. PSALCA-24017CA Page 4 City Attorney Approved Version 12/22/2023 10.2.3 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. 10.3 Providing Certificates of Insurance and Endorsements. Prior to City's execution of this Agreement, Contractor will furnish certificates of insurance and endorsements to City. 10.4 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. 10.5 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. 11. 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. 12. 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. 13. 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. 14. 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. 15. 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 are: PSALCA-24017CA Page 5 City Attorney Approved Version 12/22/2023 For City: For Contractor: Name Fiona Everett Name Natasha Walls Title Sr. Management Analyst Title President, Rocket Johns, Inc. Dept Library & Cultural Arts Address 1260 Distribution Way CITY OF CARLSBAD Vista, CA 92081 Address 1775 Dove Lane Phone 760-520-5902 Carlsbad, CA 92011 Email natasha@rocketjohns.com Phone 442-339-2014 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. 16. 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 as required in the City of Carlsbad Conflict of Interest Code. Yes տ No ܈ If yes, list the contact information below for all individuals required to file: Name Email Phone Number 17. 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. 18. CALIFORNIA AIR RESOURCES BOARD (CARB) 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. PSALCA-24017CA City Attorney Approved Version 12/22/2023 Page 6 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 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 PSALCA-24017CA City Attorney Approved Version 12/22/2023 Page 7 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 This Agreement will be governed by the laws of the State of California regardless of conflict of laws principles. Any action at law or in equity brought by either of the parties for the purpose of enforcing a right 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. This Agreement may be executed in counterparts. PSALCA-24017CA City Attorney Approved Version 12/22/2023 Page 8 27. 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. Executed by Contractor this___________ day of _______________________, 20____. CONTRACTOR CITY OF CARLSBAD, a municipal corporation of the State of California ROCKET JOHNS, INC., a California Corporation By: By: (sign here) SUZANNE SMITHSON Library & Cultural Arts Director as authorized by the City Manager NATASHA WALLS, President (print name/title) ATTEST: By: FOR SHERRY FREISINGER, City Clerk (sign here) By: JOHN WALLS, Secretary Deputy 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, Secretary, President, or Assistant Secretary, Vice-President 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: FOR CINDIE K. McMAHON, City Attorney BY: _____________________________ Deputy City Attorney .:3~ R.. --w,t:-'M.it,A, PSALCA-24017CA City Attorney Approved Version 12/22/2023 Page 9 EXHIBIT A SCOPE OF SERVICES AND FEE Contractor will provide well-maintained portable toilets, hand washing stations, hot/cold sink, and crowd control barricades for nine (9) TGIF Concert in the Parks 2024 summer series. ϭ͘CONTACT INFORMATION Contractor Office Manager Betty Fonseca, 760-520-5902, betty@rocketjohns.com City x Sr. Management Analyst&ŝŽŶĂ ǀĞƌĞƚƚ, 442-339-2014, fiona.everett@carlsbadca.gov x Program & Venues Coordinator Thomas Johnston, 442-339-2093, thomas.johnston@carlsbadca.gov x Cultural Arts Administration 442-339-2090 Ϯ͘GENERAL REQUIREMENTS 2.1. The premises shall be maintained with a crisp, clean appearance and all work shall be performed in a professional manner, workmanlike manner using quality equipment and material. 2.2. Contractor is expected to have the appropriate staff and equipment available to perform all portions of this Agreement within the given time frames. 2.3. Contractor shall clearly identify each piece of riding/driving equipment used at areas of service with decals, noting Contractor’s name (including logo), and phone number. 2.4. Contractor shall comply with the provisions of the Immigration Reform and Control Act of 1986, Public Law 99-603. 2.5. Contractor shall provide the labor, materials, equipment, tools, services, and special skills necessary for the provision of maintenance services, except as otherwise specified hereinafter. The premises shall be maintained to the highest of standards at no less than the minimum frequencies set forth herein. 2.6. Contractor shall employ only workers who are competent to perform the work assigned to them, and in the case of skilled labor, who are adequately trained and experienced in their respective trades and who do satisfactory work. Should the City notify Contractor that any person(s) employed by Contractor is, in the City’s opinion, incompetent, unfaithful, or insufficiently skilled while on the work site, such person shall be immediately discharged from the work site and shall not be re-deployed thereon except with the written consent of City. 2.7. Contractor is hereby required to render and provide services as described. 2.8. Upon commencement of work under this Agreement, Contractor shall be fully equipped and staffed; thoroughly familiar with Agreement requirements and prepared to provide all services required. 2.9. Contractor accepts the sites of services in their present physical condition and physical condition at the time of this Agreement and agrees to make no demands upon City for any improvements or alterations thereof. 2.10. Contractor shall document and report to City all observations of graffiti and other vandalism to the portable restrooms. Contractor shall immediately replace any portable restrooms that have been vandalized in any manner. PSALCA-24017CA City Attorney Approved Version 12/22/2023 Page 10 2.11. Contractor shall incorporate and comply with all applicable Storm Water pollution prevention Best Management Practices (BMPs) during the performance of this Agreement. All parks maintenance services must be in compliance with the most current San Diego Regional Water Quality Control Board (RWQCB) municipal permit, City of Carlsbad Jurisdictional Urban Runoff Management Plan (JURMP), and Carlsbad Municipal Code (CMC); RWQCB municipal permit and JURMP are on file with City. Said permits and plans, as may be amended from time to time, are incorporated herein by reference. 2.12. Contractor shall indicate in their proposal methods of compliance, equipment utilized to ensure compliance, training of staff and experience in compliance with environmental regulations. If in the opinion of City, Contractor is not in compliance with this provision, City reserves the right to implement BMPs to the maximum extent practical and deduct payment due or back charge Contractor for implementation. 3. REQUIRED CERTIFICATIONS/LICENSES 3.1. Contractor shall have and maintain a valid County of San Diego Department of Environmental Health Sewage Hauler Operating Permit as well as a City of San Diego Trucked Domestic Waste Hauler Permit throughout the term of this Agreement. License must be in good standing without any unresolved official record of complaints registered or filed with the California Department of Consumer Affairs. 3.2. Contractor shall possess the most recent California Highway Patrol Commercial Vehicle Inspection (BIT) report for all commercial equipment used throughout the term of this Agreement and possess all required County of San Diego Department of Environmental Health inspection records. 4. CONTRACTOR'S STAFF 4.1. Contractor shall provide sufficient personnel to perform all work in accordance with the Agreement. 4.2. Contractor’s personnel shall present a neat, clean, and professional appearance at all times. Contractor’s personnel shall be equipped with proper shoes and other gear required by Cal-OSHA and other State safety regulations. Brightly colored traffic vests or reflectors shall be worn when personnel are working near vehicular traffic. 4.3. Contractor shall designate a person (Contract Manager) who can communicate effectively both in written and oral English and who shall be present at all times during Agreement operations as described in this Agreement. Any order or communication given to Contractor's Contract Manager shall be deemed as delivered to Contractor. 5. EQUIPMENT 5.1. Contractor shall only use equipment identified in the proposal, or thereafter with written City approval, during the term of this Agreement. 5.2. Contractor shall have, or be able to acquire through rental, back-up equipment necessary to complete that day's routine and/or specialty tasks. This back-up equipment must be on site and ready to continue service within two (2) hours from the time the existing equipment has failed to work properly. 5.3. All equipment shall be generally clean, void of significant body damage, in good working order, leak-free, and regularly maintained. 5.4. Each piece of riding/driving equipment used at areas of service shall be clearly identified with decals, noting Contractor’s name (including logo), and phone number. PSALCA-24017CA City Attorney Approved Version 12/22/2023 Page 11 5.5. Contractor must use appropriate equipment suitable for commercial applications in completing all required tasks in this Agreement. 6. COMMUNICATIONS AND EMERGENCY RESPONSE All complaints shall be addressed as soon as possible after notification; but in all cases within 24 hours, to the satisfaction of City. If any complaint is not addressed within 24 hours, City shall be notified immediately of the reason for not addressing the complaint followed by a written report to City within five (5) working days. If the complaints are not abated within the time specified or to the satisfaction of City, City may correct the specific complaint and the total cost incurred by City will be deducted from payments owing to Contractor from City. 7. CONTRACTOR’s RESPONSIBILITY x Deliver equipment before each concert as specified in the attached quote (Exhibit “B”.) x Provide padlocks and keys for all portable toilets, locked and unlocked by the TGIF crew at the beginning and conclusion of each concert. x Relocate portable toilets, hand washing stations, hot/cold sink, and crowd control barricades to each park identified in the contract. 8. SERVICE LOCATIONS Fridays, June 21 through August 16 ALL DAY Event Dates Locations June 21, June 28 and July 5, July 12, 2024 Stagecoach Community Park 3420 Camino de los Coches, Carlsbad, CA July 19, July 26, and Aug. 2, 2024 Calavera Hills Community Park 2997 Glasgow Drive, Carlsbad, CA Aug. 9, Aug. 16, 2024 Alga Norte Community Park 6565 Alicante Road, Carlsbad, CA 9. CONTRACTOR’s ON-SITE SCHEDULE SERVICE TIMES ACTIVITY 6 a.m. – 12 p.m. Contractor will deliver identified equipment three (3) days prior to the concerts at the four (4) designated locations. The portables and all related equipment must be serviced, maintained, and remain on-site at each location for the duration of two to three weeks, based on the concert schedule. As indicated Contractor will service the 12 portables and all related equipment over the course of the park-site concert schedule, weekly, at each location. 7:30 a.m. – 12 p.m. Relocate on Tuesday, after the scheduled concerts at each park. Contractor will remove portables and all related equipment from each concert location, within the assigned timeframe, and relocate to the next concert site. PSALCA-24017CA City Attorney Approved Version 12/22/2023 Page 12 10. HOURS AND DAYS OF MAINTENANCE SERVICES 10.1. The hours of maintenance service shall be 7:00 a.m. to 4:00 p.m. daily for all sites. No exceptions are approved, nor anticipated, by the City. 10.2. Contractor shall provide staffing to perform the required maintenance services. 10.3. The use of all power tools is prohibited daily between 7:00 p.m. and 7:00 a.m., except under emergency circumstances as approved by City. 11. CITY’s RESPONSIBILITY x Provide a site event map and on-site contact list. x Provide a location for staging Contractor’s equipment. x Provide a canopy tent if Contractor requests. 12. HEALTH & SAFETY 12.1. All activities occurring at City facilities, all parties must adhere to the guidance from the state, country, and local authorities on health and safety protocols. City staff will inform Contractor what the current guidelines are prior to their arrival and upon entering a City facility. Safety protocols may include, but are not limited to, hand washing, temperature testing, requiring face coverings, and maintaining physical distancing of six (6) feet. 12.2. Contractor agrees to perform all Services outlined in this Agreement in such a manner as to meet all accepted standards for safe practices during the maintenance operation and to safely maintain stored equipment, machines, and materials or other hazards consequential or related to the Services; and agrees additionally to accept the sole responsibility for complying with all City, County, State or Federal requirements at all times so as to protect all persons, including Contractor's employees, agents of City, Contractors, members of the public or others from foreseeable injury, or damage to their property. 12.3. It shall be Contractor's responsibility to inspect, and identify, any condition(s) that renders any portion of the premises unsafe, as well as any unsafe practices occurring thereon. Contractor shall immediately notify City of any unsafe condition that it observes which requires correction outside the scope of this Agreement. However, Contractor shall be responsible for making minor corrections including, but not limited to; filling holes in ground, turf or paving; using barricades or traffic cones to alert patrons of the existence of hazards, including trip, slip or fall hazards; replacing valve box covers; and the like, so as to protect members of the public or others from injury. 12.4. Contractor shall notify City immediately of any occurrence on the premises of accident, injury, or persons requiring emergency services and, if so requested, shall prepare a written report thereof to City within three (3) calendar days following the occurrence. Contractor shall cooperate fully with City in the investigation of any such occurrence. 13. DISPOSAL All waste shall be disposed at a legally authorized disposal site at the sole cost of the Contractor. 14. STANDARD AND ADA ACCESSIBLE PORTABLE RESTROOM SPECIFICATIONS 14.1. Contractor shall deliver rental unit(s) to locations as specified on the delivery order. Each unit must be delivered in a clean, properly functioning and useable condition. Contractor must ensure that each unit is adequately stocked with the appropriate supplies. 14.2. Each standard unit shall be a high-capacity polyethylene construction with vent stack, self-closing door with interior lock and “occupied” indicator. Sufficient paper capacity to coincide with base cleaning schedule replenishment. Units shall be equipped with sink, urinal and stool, tissue paper and seat cover PSALCA-24017CA City Attorney Approved Version 12/22/2023 Page 13 holder firmly attached to the unit, seat cover to be hinged and in working order. ADA models shall be the same configuration with ADA compliant grab bars and turning space. Portable toilets are to be compliant with all applicable codes, regulations, and industry standards specifically the Americans with Disabilities Act, Americans with Disabilities Act Accessibility Guidelines and ANSI A117.1 specifications for making buildings and facilities accessible to and usable by physically handicapped people. 14.3. All units shall be consistent in color, appearance and age. These units are for public use and must represent a positive image. 14.4. Contractor shall empty, clean and restock each unit per the frequency selected as specified and shall be specified on the delivery order. Contractor shall perform additional scheduled service upon request at the rate established in this contract. 14.5. Regular maintenance to be completed on each service of the portable toilets shall include, but not be limited to the following: x Empty holding tank completely and replace with chemically treated water. x Clean and sanitize all interior surfaces of each portable toilet. x Refill toilet paper and seat covers. x Deodorize each portable toilet. x Clean the outside of each portable toilet. x Remove water and debris from the containment pan. x Repairs to units and equipment x All other services necessary to maintain a neat and sanitary unit. 14.6. Contractor shall provide delivery and pick-up of the portable toilets within twenty-four (24) hours of notification for standard rentals and special events and four (4) hours notice for emergencies and on-call requests as may arise. The cost for delivery and pick-up shall be included in the base bid. 14.7. Contractor shall ensure that each unit is removed promptly at the end of the rental period. The City shall incur no additional charges after Contractor is notified to remove a particular unit. 14.8. Upon request, at the time of servicing, Contractor shall relocate units within the same site area at no additional charges to the City. 14.9. Contractor shall ensure proper handling and disposal of all waste material from the rental units, strictly adhering to OSHA, CalEPA and San Diego County Department of Environmental Regulations for waste disposal. Contractor shall keep an accurately detailed and dated log documenting when and where waste is pumped, when and where waste is disposed. This log shall cover all activity being invoiced and shall be attached to the invoice. Payment will be delayed without this log. 14.10. Units shall be anchored, at the expense of the Contractor, if determined necessary. 14.11. Units that have been overturned shall be up righted by the Contractor, any spilled contents cleaned, and the unit cleaned at no charge to the City. 15. DAMAGE TO PUBLIC OR PRIVATE PROPERTY Extreme care shall be taken to safeguard all existing facilities, site amenities, irrigation systems and vehicles on or around the job site. Damage to public and/or private property shall be the responsibility of Contractor and shall be repaired and/or replaced at no cost to the City. PSALCA-24017CA City Attorney Approved Version 12/22/2023 Page 14 16. FEES SCHEDULE In accordance with Rocket Johns quotes – Exhibit “B” x Quote #5197 x Quote #5198 x Quote #5199 17. INVOICING/PAYMENT All invoices shall be submitted monthly for payment to the Sr. Management Analyst or designee and shall be sufficiently detailed to include related activities, location, hours and total costs. Final invoice approval will be completed by the City’s Library & Cultural Arts Director or designee. /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// PSALCA-24017CA City Attorney Approved Version 12/22/2023 Page 15 EXHIBIT “B” CONTRACTOR’S QUOTES The quotes for each site are attached: x Quote #5197 dated March 25, 2024, Alga Norte Community Park x Quote #5198 dated March 25, 2024, Calavera Hills Community Park x Quote #5199 dated March 25, 2024, Stagecoach Community Park Rocket Johns PO BOX 2566, OCEANSIDE, CA, 92051 Tel: (760) 520-5902 Email: betty@rocketjohns.com Sales Rep.: Betty Fonseca Phone No.: (760) 520-5902 Quotation No: 5197 Job Details Quoted to : CITY OF CARLSBAD LIBRARY & CULTURAL ARTS (Cust. No. 000944) Attn: TERRI TOOLEY Address: , Carlsbad, CA 92009 Tel: 442-339-2064 Email: TERRI.TOOLEY@CARLSBADCA.GOV Date: 0/25/2024 Job Type: Special Event Job Name: Delivery Date: 08/08/2024 Pickup Date: 08/19/2024 Del. Addr.: Cross Street: City: Carlsbad ST: CA Zip: 92008 Contact: TERRI TOOLEY Phone: No Description Qty Service Portion Rent Portion Product Total T 1 EVENT PUMPING SERVICE SERVICE AUG 15, 2024 17 30.00 510.00 2 DELIVERY/REMOVAL FEE DELIVERY/REMOVAL FEE 17 25.00 425.00 Y 3 EVENT DANNY SPECIAL RESTROOM WITH HAND SANITIZER INSIDE, CONTAINMENT TRAY, TOILET PAPER, HAND SANITIZER INSIDE, SEAT COVERS 12 10.00 120.00 Y Service 12 100.78 1,209.36 4 EVENT DUAL BASIN SINK SOAP, WATER AND PAPER TOWELS 3 10.00 30.00 Y Service 3 90.78 272.34 5 EVENT DUAL BASIN SINK DONATED 1 10.00 10.00 Y Service 1 -20.00 -20.00 6 EVENT ADA RESTROOM TOILET PAPER 2 10.00 20.00 Y Service 2 135.78 271.56 7 911 LOCK 911 COMBO LOCK 14 5.00 0.00 70.00 Y 8 BARRICADES BARRICADES 70 20.00 1,400.00 Y Subtotal 4,318.26 Fuel Surcharge (0.00%)0.00 Tax (Carlsbad 7.7500%) 160.81 Services are at the option of the lessee.Grand Total (USD) 4,479.07 Note(s):ALL RESTROOMS AND SINK WILL BE SERVICED BEFORE EACH CONCERT Buyer: CITY OF CARLSBAD LIBRARY & CULTURAL ARTS ROCKET JOHN.S Sign and date to accept quote and terms and conditions. Rocket Johns Quotation No: 5197 Continued Terms and Conditions: * PAYMENT TERMS: Payment is due upon placement of order. We accept Visa, MC, AMEX as methods of payment. Monthly billing is based on a 28 day billing cycle. We process credit cards automatically every 28 days. A $15.00 reinstatement charge will be applied for any declined credit cards. A declined credit card payment will result in immediate removal of equipment. If equipment is removed due to a declined credit card payment, a delivery charge will apply to redeliver equipment once credit card payment issue is resolved. We do not prorate invoices. unless it's passed 1st month. ** 1 Month minimum charge upfront*** * CHANGES TO ORDER: Your order will be prepped the day before delivery. All changes must be made by noon the day before delivery to avoid additional charges. * STAND-BY TIME: When we arrive to deliver your order, if we are forced to wait more than 15 minutes, a stand-by charge of $75.00 per hour per truck will be applied for all time we are on stand-by until we are allowed to deliver your order. * CANCELLATIONS: a $50.00 fee will be charged for ALL cancellations. If cancelled the day of delivery, you will be charged the full amount of invoice. Cancellations on any restroom or shower trailers will result in charge of full amount of invoice. * ORDER VERIFICATION: Customer is advised to have a representative on site to verify and sign for the equipment upon delivery and pick up to verify equipment quantity and condition. Customer assumes all liability for missing or damaged equipment. * LIABILITY: Customer agrees to be responsible for any damage caused by fire, theft, negligence, abuse or vandalism, and agrees to pay all costs and expenses necessary to restore or replace said equipment. A police report must be filed for stolen units. * TOILET INSTALLATION: Customer warrants and represents that due diligence and care have been exercised when selecting the location designated for the placement of portable toilet(s), and agrees to give directions and supervise the placement of the said equipment. Units requiring service must be placed within 25 feet of truck access. * INJURY/DAMAGE: Rocket Johns, Inc. is not responsible for damage to driveways, landscape or land caused by vehicle entering or exiting any location at any time. Rocket Johns, Inc. shall not be held responsible for any personal injuries or property damage arising from use, operation, or maintenance of equipment under this agreement. Rocket Johns PO BOX 2566, OCEANSIDE, CA, 92051 Tel: (760) 520-5902 Email: betty@rocketjohns.com Sales Rep.: Betty Fonseca Phone No.: (760) 520-5902 Quotation No: 5198 Job Details Quoted to : CITY OF CARLSBAD LIBRARY & CULTURAL ARTS (Cust. No. 000944) Attn: TERRI TOOLEY Address: , Carlsbad, CA 92009 Tel: 442-339-2064 Email: TERRI.TOOLEY@CARLSBADCA.GOV Date: 0/25/2024 Job Type: Special Event Job Name: Delivery Date: 07/18/2024 Pickup Date: 08/05/2024 Del. Addr.: Cross Street: City: Carlsbad ST: CA Zip: 92008 Contact: TERRI TOOLEY Phone: No Description Qty Service Portion Rent Portion Product Total T 1 EVENT PUMPING SERVICE SERVICE JULY 25 17 30.00 510.00 2 EVENT PUMPING SERVICE SERVICE AUG 1 17 30.00 510.00 3 DELIVERY/REMOVAL FEE DELIVERY/REMOVAL FEE 17 25.00 425.00 Y 4 EVENT DANNY SPECIAL RESTROOM WITH HAND SANITIZER INSIDE, CONTAINMENT TRAY, TOILET PAPER, HAND SANITIZER INSIDE, SEAT COVERS 12 10.00 120.00 Y Service 12 100.78 1,209.36 5 EVENT DUAL BASIN SINK include soap dispenser, paper towels, and water 3 10.00 30.00 Y Service 3 90.78 272.34 6 EVENT DUAL BASIN SINK DONATED 1 10.00 10.00 Y Service 1 -20.00 -20.00 7 EVENT ADA RESTROOM TOILET PAPER INCLUDED 2 10.00 20.00 Y Service 2 135.78 271.56 8 911 LOCK 911 COMBO LOCK 14 5.00 0.00 70.00 Y 9 BARRICADES BARRICADES 70 20.00 1,400.00 Y Subtotal 4,828.26 Fuel Surcharge (0.00%)0.00 Tax (Carlsbad 7.7500%) 160.81 Services are at the option of the lessee.Grand Total (USD) 4,989.07 Note(s):ALL RESTROOMS AND SINKS WILL BE SERVICED BEFORE EACH CONCERT ROCKET JOHN.S r I Buyer: CITY OF CARLSBAD LIBRARY & CULTURAL ARTS Sign and date to accept quote and terms and conditions. Rocket Johns Quotation No: 5198 Continued Terms and Conditions: * PAYMENT TERMS: Payment is due upon placement of order. We accept Visa, MC, AMEX as methods of payment. Monthly billing is based on a 28 day billing cycle. We process credit cards automatically every 28 days. A $15.00 reinstatement charge will be applied for any declined credit cards. A declined credit card payment will result in immediate removal of equipment. If equipment is removed due to a declined credit card payment, a delivery charge will apply to redeliver equipment once credit card payment issue is resolved. We do not prorate invoices. unless it's passed 1st month. ** 1 Month minimum charge upfront*** * CHANGES TO ORDER: Your order will be prepped the day before delivery. All changes must be made by noon the day before delivery to avoid additional charges. * STAND-BY TIME: When we arrive to deliver your order, if we are forced to wait more than 15 minutes, a stand-by charge of $75.00 per hour per truck will be applied for all time we are on stand-by until we are allowed to deliver your order. * CANCELLATIONS: a $50.00 fee will be charged for ALL cancellations. If cancelled the day of delivery, you will be charged the full amount of invoice. Cancellations on any restroom or shower trailers will result in charge of full amount of invoice. * ORDER VERIFICATION: Customer is advised to have a representative on site to verify and sign for the equipment upon delivery and pick up to verify equipment quantity and condition. Customer assumes all liability for missing or damaged equipment. * LIABILITY: Customer agrees to be responsible for any damage caused by fire, theft, negligence, abuse or vandalism, and agrees to pay all costs and expenses necessary to restore or replace said equipment. A police report must be filed for stolen units. * TOILET INSTALLATION: Customer warrants and represents that due diligence and care have been exercised when selecting the location designated for the placement of portable toilet(s), and agrees to give directions and supervise the placement of the said equipment. Units requiring service must be placed within 25 feet of truck access. * INJURY/DAMAGE: Rocket Johns, Inc. is not responsible for damage to driveways, landscape or land caused by vehicle entering or exiting any location at any time. Rocket Johns, Inc. shall not be held responsible for any personal injuries or property damage arising from use, operation, or maintenance of equipment under this agreement. Rocket Johns PO BOX 2566, OCEANSIDE, CA, 92051 Tel: (760) 520-5902 Email: betty@rocketjohns.com Sales Rep.: Betty Fonseca Phone No.: (760) 520-5902 Quotation No: 5199 Job Details Quoted to : CITY OF CARLSBAD LIBRARY & CULTURAL ARTS (Cust. No. 000944) Attn: TERRI TOOLEY Address: , Carlsbad, CA 92009 Tel: 442-339-2064 Email: TERRI.TOOLEY@CARLSBADCA.GOV Date: 0/25/2024 Job Type: Special Event Job Name: Delivery Date: 06/20/2024 Pickup Date: 07/15/2024 Del. Addr.: Cross Street: City: Carlsbad ST: CA Zip: 92008 Contact: TERRI TOOLEY Phone: No Description Qty Service Portion Rent Portion Product Total T 1 EVENT PUMPING SERVICE SERVICE JUNE 27, 2024 17 30.00 510.00 2 EVENT PUMPING SERVICE SERVICE JULY 3, 2024 17 30.00 510.00 3 EVENT PUMPING SERVICE SERVICE JULY 11, 2024 17 30.00 510.00 4 DELIVERY/REMOVAL FEE DELIVERY/REMOVAL FEE 17 25.00 425.00 Y 5 EVENT DANNY SPECIAL RESTROOM WITH HAND SANITIZER INSIDE, CONTAINMENT TRAY, TOILET PAPER, HAND SANITIZER INSIDE, SEAT COVERS 12 10.00 120.00 Y Service 12 100.78 1,209.36 6 EVENT DUAL BASIN SINK WATER, PAPER TOWELS, SOAP 3 10.00 30.00 Y Service 3 90.78 272.34 7 EVENT DUAL BASIN SINK DONATED 1 10.00 10.00 Y Service 1 -20.00 -20.00 8 EVENT ADA RESTROOM TOILET PAPER 2 10.00 20.00 Y Service 2 135.78 271.56 9 911 LOCK 911 COMBO LOCK 14 5.00 0.00 70.00 Y 10 BARRICADES BARRICADES 70 20.00 1,400.00 Y Subtotal 5,338.26 Fuel Surcharge (0.00%)0.00 ROCKET JOHN.S r No Description Qty Service Portion Rent Portion Product Total T Tax (Carlsbad 7.7500%) 160.81 Services are at the option of the lessee. Grand Total (USD) 5,499.07 Note(s):ALL RESTROOMS AND SINKS WILL BE SERVICED BEFORE EACH CONCERT Buyer: CITY OF CARLSBAD LIBRARY & CULTURAL ARTS Sign and date to accept quote and terms and conditions. Rocket Johns Quotation No: 5199 Continued Terms and Conditions: * PAYMENT TERMS: Payment is due upon placement of order. We accept Visa, MC, AMEX as methods of payment. Monthly billing is based on a 28 day billing cycle. We process credit cards automatically every 28 days. A $15.00 reinstatement charge will be applied for any declined credit cards. A declined credit card payment will result in immediate removal of equipment. If equipment is removed due to a declined credit card payment, a delivery charge will apply to redeliver equipment once credit card payment issue is resolved. We do not prorate invoices. unless it's passed 1st month. ** 1 Month minimum charge upfront*** * CHANGES TO ORDER: Your order will be prepped the day before delivery. All changes must be made by noon the day before delivery to avoid additional charges. * STAND-BY TIME: When we arrive to deliver your order, if we are forced to wait more than 15 minutes, a stand-by charge of $75.00 per hour per truck will be applied for all time we are on stand-by until we are allowed to deliver your order. * CANCELLATIONS: a $50.00 fee will be charged for ALL cancellations. If cancelled the day of delivery, you will be charged the full amount of invoice. Cancellations on any restroom or shower trailers will result in charge of full amount of invoice. * ORDER VERIFICATION: Customer is advised to have a representative on site to verify and sign for the equipment upon delivery and pick up to verify equipment quantity and condition. Customer assumes all liability for missing or damaged equipment. * LIABILITY: Customer agrees to be responsible for any damage caused by fire, theft, negligence, abuse or vandalism, and agrees to pay all costs and expenses necessary to restore or replace said equipment. A police report must be filed for stolen units. * TOILET INSTALLATION: Customer warrants and represents that due diligence and care have been exercised when selecting the location designated for the placement of portable toilet(s), and agrees to give directions and supervise the placement of the said equipment. Units requiring service must be placed within 25 feet of truck access. * INJURY/DAMAGE: Rocket Johns, Inc. is not responsible for damage to driveways, landscape or land caused by vehicle entering or exiting any location at any time. Rocket Johns, Inc. shall not be held responsible for any personal injuries or property damage arising from use, operation, or maintenance of equipment under this agreement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY *RRGZLQ ,QVXUDQFH $JHQF\ &DOLIRUQLD 6WUHHW 6WH 5HGODQGV &$ 7DPDUD ' 'XUHQWH PILW]SDWULFN#JRRGZLQLQVFRP (PSOR\HUV 0XWXDO &DVXDOW\ &R 52&.-2+6HFXULW\ 1DWLRQDO ,QV &R 5RFNHW -RKQV ,QF 6DLQW +HOHQ &W2FHDQVLGH &$ $; ; <<; $ ; ;; <<; $;; ; %;<613 $3ROOXWLRQ /LDELOLW\;,QFOXGHG &LW\ RI &DUOVEDG LV QDPHG DV DGGLWLRQDO LQVXUHG SHU WKH DWWDFKHG IRUP 3ULPDU\ 1RQ&RQWULEXWRU\ ZRUGLQJ DSSOLHV $OO 3URMHFWV &LW\ RI &DUOVEDG )DUDGD\ $YH&DUOVEDG &$ '--D '--□ ~ f---------- L____J R □ □ '--' f--~ ~ '--'-- f--f--- f--H I l - I I I □ - WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) Schedule Person or Organization Job Description Any person or organization as required by written contract. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) 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