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HomeMy WebLinkAboutBear Electrical Solutions Inc; 2017-09-07; PWL18-15TRANCITY OF CARLSBAD PUBLIC WORKS LETTER OF AGREEMENT Cannon & Frost 352i: CONTRACT 7249 TRACKING #PWL18-15TRAN This letter will serve as an agreement between Bear Electrical Solutions, Inc., a California corporation (Contractor) and the City of Carlsbad (City). The Contractor will provide all equipment, material and labor necessary to pick up 352i cabinet, establish traffic control, black out intersection, remove 332 cabinet and install new city provided 352i cabinet at Cannon and Frost intersection, per the Contractor's proposal dated July 24, 2017 and City specifications, for a sum not to exceed two thousand two hundred dollars ($2,200). This work is to be completed within seven (7) working days after issuance of a Purchase Order. ADDITIONAL REQUIREMENTS 1. City of Carlsbad Business License. 2. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its agents, officers, officials, employees, and volunteers 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 this Contract or work; or from any failure or alleged failure of the contractor to comply with any applicable law, rules or regulations including those relating to safety and health; except for loss or damage which was caused solely by the active negligence of the City; and from any and all claims, loss, damage, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by this Contract, unless the loss or damage was caused solely by the active negligence of the City. The expenses of defense include all costs and expenses, including attorney's fees for litigation, arbitration, or other dispute resolution method. 3. Contractor shall furnish policies of general liability insurance, automobile liability insurance and a combined policy of workers compensation and Employers' Liability in an insurable amount of not less than one million dollars ($1,000,000) each, unless a lower amount is approved by the Risk Manager or the City Manager. Said 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. Insurance is 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. Proof of all such insurance shall be given by filing certificates of insurance with contracting department prior to the signing of the contract by the City. 4. The Contractor shall be aware of and comply with all Federal, State, County and City Statues, Ordinances and Regulations, including Workers Compensation laws (Division 4 California Labor Code) and the "Immigration Reform and Control Act of 1986" (8USC, Sections 1101 through 1525), to include but not limited to, verifying the eligibility for employment of all agents, employees, subcontractors and consultants that are included in this Contract. 5. The Contractor may be subject to civil penalties for the filing of false claims as set forth in the California False Claims Act, G~· m1£_t Code sections 12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. _ Qi2_ init f¥:' init . r 6. The Contractor hereby acknowledges that debarment by another jurisdictio~~nds fo~. C Ciilty of Carlsbad to disqualify the Contractor from participating in contract bidding. ~init *f-init 7. 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. Cannon & Frost 352i 7249 - 1 -City Attorney Approved 2/29/2016 TRACKING #PWL18-1STRAN 8. The general prevailing rate of wages, for each craft or type of worker needed to execute the contract, shall be those as determined by the Director of Industrial Relations pursuant to the Section 1770, 1773 and 1773.1 of the California Labor Code. Pursuant to Section 1773.2 of the California Labor code, a current copy of applicable wage rates is on file in the office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all workers employed by him or her in the execution of the work covered by this Letter of Agreement. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. 9. City Contact: Tam Tran 760-602-2736 Contractor Contact: Robert Asuncion 408-449-5147 CONTRACTOR Bear Electrical Solutions, Inc., a California corporation CITY OF CARLSBAD, a municipal corporation of the State of California 1341 Archer St Alviso, CA 95002-0924 P: 408-449-5147 robert@bear-electrical.com By~ By: (sign here) 80Bt1<.,T A--SllNOQt,J YI((> P/4Si{)!Vl (print name/title) ~----Dated: (sign here) (print name/title) f{.1, ~7 Elaine Lukey, F¥c Works Director as authorized by the City Manager (Proper notarial acknowledgment of execution by Contractor must be attached. Chairman, president or vice-president and secretary, assistant secretary, CFO or assistant treasurer must sign for corporations. 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: CELIA A. BREWER, City Attorney BY: Deputy City Attorney Cannon & Frost 352i 7249 -2 -City Attorney Approved 2/29/2016 BES. 11• B.Ul'IDI sm.11111! 12520 Kirkham Ct, Ste. 4, Poway, CA 92064 Tel: 619-348-7739 PROPOSAL Contractors License No. 982079 A -General Engineering C-10 High Voltage Electrical C-31 -Work Zone Traffic Control LBE# CMD121616779/ SBE# 1752478 DATE: 7/24/2017 TO: Tam Tran FROM: PHONE: FAX: Christina Hlavac 619-348-7739 BID/PROJECT: JOB# Our quote is valid for: Location: c Cannon / Frost Work to do: COMPANY: City of Carlsbad PHONE: 760-602-2736 EMAIL: Tam.Tran@carlsbadca.gov Per Tam Tran, BES to assist STC with removal of 332 Cabinet at Cannon/ Frost and install City Provided 352i Cabinet. 30 Thirty days, expiring on: 8/23/2017 BES to pick up 352i Cabinet, establish traffic control, black out intersection, remove 332 Cabinet and install new City Provided 352i Cabinet at Cannon/ Frost. TERMS & CONDITIONS Labor $ Equipment/Truck $ 1,700.00 500.00 Total ~$ __ ~2=,2=0=0=.0=0 This proposal is an estimate, if unexpected problems arise, we will notify you before we proceed and a change order for the extra work will be provided. Additionally, the price listed above does not include any bond or permit fees. This offer shall expire 30 days from the date hereof and may be withdrawn by us at any time prior thereto with or without notice. The resulting contract shall not be modified except by formal written amendment. This offer shall be accepted by delivery to us or a copy of this offer duly signed by you in the space provided. BES would like to thank you for the opportunity to provide you with this proposal. Please give us a call with any questions or concerns. APPROVED SIGNATURE PRINTED NAME and DATE page 1 of 1 ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY) ~ 03/31/2017 THIS CERTIFICATE iS llSSUED 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 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 LIC #0056172 1-888-845-2248 CONTACT NAME: Mcsherry & Hudson PHONE I FAX /A/C No Extl: 408-550-2130 /A/C Nol: 408-550-2119 160 West Santa Clara Street E-MAIL ADDRESS: Suite 715 San Jose, CA 95113 INSURER(S) AFFORDING COVERAGE NAIC# Vince Scolari INSURER A: BERKLEY ASSUR co 39462 INSURED INSURER B: WEST AMERICAN INS co 44393 Bear Electrical Solutions, Inc. 36056 INSURERC: NAVIGATORS SPECIALTY INS CO 1341 Archer Street INSURER D: THE OHIO CASUALTY INS CO. 24074 Alviso, CA 95002 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER· 49511008 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 ADDL SUBR POLICY EFF POLICY EXP LTR '"""' l,Mtr> POLICY NUMBER /MM/DD/YYYYl /MM/DD/YYYYl LIMITS A GENERAL LIABILITY X X VUMB0142000 04/01/17 04/01/18 EACH OCCURRENCE $1,000,000 -X COMMERCIAL GENERAL LIABILITY DAMAGE.Tu Kt::NTED $100,000 PREMISES /Ea occurrence\ -D CLAIMS-MADE ~ OCCUR -MED EXP (Any one person) $5,000 I--PERSONAL & ADV INJURY $1,000,000 X Per Project Aggregate GENERAL AGGREGATE $2,000,000 I-- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2,000,000 n POLICY \xl j'tc§l-i' n LOC $ B AUTOMOBILE LIABILITY X X BAW57113287 04/01/17 04/01/18 COMBINED SINGLE LIMIT $1,000,000 ~ (Ea accident\ X ANY AUTO BODILY INJURY (Per person) $ ~ ALL OWNED ~ SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ -I-- X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS f Per accident) -I-- $ C UMBRELLA LIAS MOCCUR LA17EXC900785IC 04/01/1 04/01/18 EACH OCCURRENCE $5,000,000 -X EXCESS LIAS CLAIMS-MADE AGGREGATE $5,000,000 OED I I RETENTION$ $ WORKERS COMPENSATION I WCSTATU-I 10,ni-AND EMPLOYERS' LIABILITY TC\RYI IMITS: Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 0 E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? Y N/A (Mandatory: in NH) E.L. DISEASE -EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ D Rented/Leased Equipment BM057113287 04/01/1 04/01/18 Limit 157,000 D Scheduled Equipment BM057113287 04/01/1 04/01/18 Limit 207,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES {Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Traffic Signal Maintenance & Repair Services. Additional Insureds: The City of Carlsbad, its officers, agents and employees. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad 1635 Faraday Avenue Carlsbad, CA 92008 I ACORD 25 (2010/05) wendyl5178 49511008 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE USA ~ © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ~ 0 0 Policy Number: BA W57113287 --. = -. {2) If the limits of lnsuranc.e of any other insurance policy have been exhauste.d; or {3) To "bodily injury" or "property damage" that occurred before you acquired or. formed th'e organization. 2: EIVIEl'LOYEES AS lNSUf{:EDS 3. SECTION II. -LIABILITY COVERAGE, paragraph A.1. -WHO IS AN INSURED is. amended to ihdude the following as an insured: f, Any "employee" of yollrs '\Nhile using a covered "auto" you c:lo not own, hire or borrow, but only for acts within the scope of their employment by You. lnsuranc;e provided by this endorse:- ment is excess rnrer any other insurance available to any "employee". g: An "empJoyee" ,of yours \Nhile operafir:lg an "auto" h'ired .or borrowed under a written 9or1traci or agreement in that "employee's" name, with your pei:rnission, while perform.irig duties re- lated to the conduct of your business and within the scope of their employment Insurance. provided by this endorsement is excess over any other insurance available to the. "employee". ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT SECTION II a. LIABILITY CbVERAGE, paragraph A.1. -WHO IS AN INSURED is amended to include the following as an insured: h. Any persciri or organization with respect to. the operation, rnaintenance or use of a covered "auto", provided that you and such person or organization have agreed in a written contract; agreement, or permit issued toyou by governmental or: public authority, to add such person, or organization, or governmental or public authority to this poiicy asan "insured". However, such person or organization is an "insured":. (1) Orily with re:spect fo the operation, maintenance or use, of a covered: "auto"; {2) Only for "bodily injury" or "property damage" caused by .an "accident'' which takes ~ place after you executed the written contract or agreement; or the permit .has been issued to. you; and 0 {3) Only'for the duration ofthat contract, agreement or permit 4. SUPPLEMENTARY PAYMENTS SECTION II -LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments,. para- gr:-aphs .(2). and (4) are replaced by the following: (2) Up to $3,000 for cost bf bail bonds (.including bonds for related traffic: violations ), required because.of an "accident" we cover:. We do not have to furriish these bonds. {4) All reas~inable expenses incurred by the insured at our request; iricluding actual loss of .earn- ings up to $500 a day becaus.e oftime off from work. 5. AMEN.OED FELLOW EMPLOYEE EXCLUSION In those jurisdictions where, by law,. fellow employees are,,nqt entitled to the pro:tection afforded to the employer by the workers compensation exclusivrty' rufo, or similar protec:;tibi:r, the. following provision is added: SECTION' II -LIABILITY; exclusio.n B.5. FELLOW EMPLOYEE dqes. not apply if the "b'odily injury'.' results from the use of a covereQ "auto" you own or hire. S1':CTION Iii -PHYSICAL DAMAGE COVERAGE is amended as follows: S HIRED Alff0 PHYSIC'AL DAMAGE Paragraph AA, Coverage Extensions of SECTION .111 -PHYSICAL DAMAGE CO\(ER.A;GE; is amended by adding. the following: If hired "autos" are covered: "autos" for Liability Coverage, and if Comprehensive; Specified Causes of Loss or Collision coverage are provided under the Business ~uto Coverage For!J) for any "auto" yo~ own, then the Physical Damage coverages provided an~ extended to-''autos';·: a. You hire, rent or borrow; or CA 88 10 01 1:f © 2013 Liberty MutuaL insu.ran_ce Includes copyrighted materi.:,l of Insurance Services Office •. Inc., with its permission_ Page 2 ot7 0 Policy Number: BA W57113287 To the extent possible, notice to us should include: {1) How, :when. and where the "accident" or "loss'' to.ok place; (2) The "insureds"' name and address; and {3) The names and addresses of any injured persons an.d w,itnesses. 20. WAIVER OFTRJ\NSFER OF RIGHTS OF REC0VERYAGAINST. OTHERS'TO US SECTION IV -BUSINESS AUTO CONDITIONS, paragraph A.5., Transfer of Righ1s of Recovery Against Others to Us1 is amended by the addition ofthefollowing: lfthe person or:organization has waived those rights before an "accident" or "loss\ our rights are waived also. 21. HIRED Auro COVERAGE TERRITORY SECTION IV -BUSINESS AUTO CONDITIONS, paragraph B.7., Policy Period0 Coverage Territory, is amended by the addition of the following: f. For "autos" hired 3_0 days or less, the coverage territory is anywriere in the. world, provided that the insured's responsibility to pay for damages is determined in a: "suit", on the merits, in :the United States, the territories .and possessions of the United States of America, Puerto Rico or Canada or in asettlement we agree to. This extension of coverage does not apply to an "auto" hired, leased, rented or bormwed with a driver. SECTION V -DEFINITIONS is amended as follows: . ' 22. BOIJ!l Y INJURY REDEFINED Under SECTION V -DEF IN TIO NS, definition C. is replaced by the following: "B?dily injury" means p.hysical injury, sickness or disease sustained by a person, including mental. anguish, mental injury, -shock; fright or death resulting from any of these at any time. COMM MON POLICY CONDITIONS 23. EXTENDED CANCELLATION CO'NDfflON COMMON POLICY CONDITIONS, paragraph A. -CANCELLATION condition applie,s except as fol:. lows: If we cancel for any reason other than nonpayment of p~emium, w_e will mail to the first Named Insured written notice of cancellation at least 60 days before the. effective date of ranc.ellation. Thi:S provision does not apply in those states which require more than 60 days prior notice of cancella~ tion. © 2013 Liberty Mutual. Insurance CA88 10 illi 13 Includes copyrighted material of lnsuranceServices·Office,. Inc., with its permission. Page .7 of7 JPolicy Number: VUl\180142000 THIS ENDORSEMENT CHANGES THEPOUCY~ PLEASE READ IT CAREFlJLI..Y. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -COMPLETED OPERATlONS This endorsement modifies insu@nce. provided ur,der the following: COrylMERC!AL GEl'JERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional lnsured Person(sJ Or Oa:ganization(s): Location And.Description<Ofr Completed _Operations As required by written contract executed prior to the date· of occurrence but only to ~he extent· Constructio.n project £,ites, at which you performed work permitt~ by law and the insurance afforded to such additi<mal insured will not be broad.er than that which for such additi.onal insureds you are required by the C{)ntract or agreement to provide for such additional insured. . . Information required to complete this Scheduie; ifnot shown above, will be shown in the O~clarations. Section II -Who. !s An Insured is. amended to include :qs an additional insured the person(s) or orgapization(~) shown in the SchedtJle; t>ut 9nly. with r~pect t<f liability for ~bodiiy injury,,; or "property damage" caused, in who!(:) 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- complete:d operations hazard". CG 20370704 © ISO Properties, Inc., 2004 Page 1 of1 D ·v Policy Number: VUMB0142000 COMMERCIAL GENERAL. LIABILITY CG 20. 33 07 04 THIS ENDORSEMENT CHANGE$ THE POLICY: PLEASE READ IT CAREFUL(Y. ADDITIO.··· NAL INSURED -OWNERS. LESSEES. OR· .. . . . . ,. .· . . . CONTRACTORS -AUTOMATIC STATUS WH:.EN REQUIRED IN co·NSTRUCTION AGREE:MENT WITH YOU This endorsement modifies insurance, provided under the following: COMMERCIAL.GENERAL LIABILJTY COVERAGE PART A. S~ction ii -Who is An Insured is amended to include as · an additional' insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is .. an additional insured only with respect to liability for "bodily injuryN, Nproperty damage" or' "personal and advertising· injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additionaliilsured. · A person's or organization's status as an additional insured under this. endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the f91lowing additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "pr9perty daniage" or "pe.rsqnal and advertising injury" ansing out of the. rendering of, or the failure to render, any professional architectural, engineering or surveying sef\lices, including: a. The preparing, approvfng, or failing -to prepare or approve, maps, shop drawinijs, opinions, reports, surveys, fiijfd orders, change .orders or drawings and specifications; or b. Supervisory, i11spection, architectural or engineering activities. 2. "Bodily injµry" or "property damage" occurring after: · · · · · a. All work, including materials, parts or equipment furnished in . connection with such. work, on the project (other than service, maintenance or repairs) to be perfonned by or on behalfoftfte additional insur-ed(s) at the location of. the. covered operatior,s; has been 90mpleted; or b. That portion of 'your worrout ofwhich-the injury or damage arises has been put to its intended use by any person or organization other than another conµactor or subcontractor engaged in performing operations for a principal as a part of-the same project. · · CG 2033 0704 © ISO Properties, Inc., 2004 Page 1 of 1 D Policy Number: VUMB0142000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND. NONCONTRIB'UTORY WORDING This endorsement modifies insurance providedunderthe following.: COMMERCIAL GENERAL LIABILITY COVERAGE PRODUCTS/COMPLETED.OPERATIONS LIABILITY COVERAGE Wfth respect to coverage provided to an additional insured via attachment,ofan Additionallnsured endorsementfo. this policy, such coverage is primary insurance and we will not seek contribution from any other.insurance available to that additional insured. ALL OTHER TERMS.AND C.ONDITIONS .OF THIS POLICY REM41N UNCHANGED VCAS2035 11 10 Page 1 of 1 Policy Number: VlJl\1B0 142000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, WAIVER OF TRANSFER OF RlGHTS OF RECOVERY AGAINST OTHERS T,Q US This e11dorsementmodifiEIB)risurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of f>erson or Organization: To al)y person or organization provided you entered into the contract-with that person oror-ganizationprior to any daim or loss to which this insurance applies_ (!f no entry appears above, information required to complete tliis endorsement will be shown in the Declarations as applicable to this endorsement} The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV- COMMERCIALGENERAL LIABILITY CONDITIONS) is amended by the addition of the following:. We waive any right of recovery we may have against the person or organization shown in the Schedule abo~e because of payments we make for injury or damage arising out of your ongoing operations or "your work" don·e under a contract with that pel"$on or organization and inch.ided in the nproducts-completed operations hazafd"_ Th1s waiver applies only to the person or organization shown in the Schedule above. CG 24 041093 Copyright, insurance Services Office, Inc_, 1992 Page 1 off b SUPPLEMENT TO CERTIFICATE OF INSURANCE NAME OF INSURED: Bear Electrical solutions, Inc_ Additional Description of Operations/Remarks from Page 1: Additional Information: Includes: Additional Insured -ongoing operations per attached CG20330704_ Additional Insured -completed operations per attached CG20370704_ Primary and Noncontributory Wording per attached VCAS2035lll0_ Waiver of Subrogation per attached form CG24041093- Auto Liability: Additional Insured per attached for.m CA88100l13- Waiver of Subrogation per attached form CA88100113- SUPP (05/04) DATE 03/31/2017 ~ ACORD® CERTIFICATE OF LIABILITY INSURANCE L y -1 DAiE (1\111\f\/DDIYYYY) 2)2)?0 7 - THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMA TIVEl Y OR NEGATIVEl Y 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: ff the certificate holder is an ADDITIONAL INSURED, the po!icy(ies) must be endorsed. If SUBROGRA TION 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 eridorsement(s). PRODUCER OnPoint Underwriting Inc. CONTACT NAME: Steven McComb 8390 E Crescent Pkwy, Suite 200 PHONE (.AJC, No Ext): (360) 828-0644 iFAX (A/C, NO): (360) 828-0699 Greenwood Village, CO 80111 EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE INAIC# I INSURER A: :ACE American Insurance Company \22667 INSURED INSURER B: ! I I Barrett Business Services, Inc. UC/F INSURER C: BEAR ELECTRICAL SOLUTIONS, INC. INSURER D: ' I I 1341 ARCHER STREET INSURER E: I SAN JOSE, CA 95131 INSURER F: -.. -~-·-··· i COVERAGES CERTIFlCA TE NUMBER: 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. NOTWTHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUES 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR wvo (MM/00/YYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE s ,-- DAMAGE TO RENTED PREMISES (Ea COMMERCIAL GENERAL LIABILITY occurence) s i CLAIMS.MADE D OCCUR MED EXP (Any one person) s PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ n POLICY n :~~J-n LOC PRODUCTS -COMP/OP AGG s s AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ t--(Ea accident) ANY AUTO -BODILY INJURY (Per person) s ALL OWNED AUTOS B SCHEDULED AUTOS ~ BODILY INJURY (Per accident) s HIRED AUTOS NON-OWNED AUTOS i-----PROPERTY DAMAGE s t--s UMBRELLA LI~ OCCUR EACH OCCURRENCE s -AGGREGATE s EXCESS LIAB OCCUR -s OED RETENTIONS A WORKERS COMPENSATION AND EMPLOYERS' RWC 02/01/17 02/01/2018 -./ IWCSTATU· l IOTH· ER LIABILITY YIN C64374242 TORY LIMITS ANY PROPRIETOR/PARTNER/ EXECUTIVE L E.L EACH ACCIDENT $2,000,000 OFFICER/MEMBER EXCLUDED? N/A Covered states: E.L DISEASE· EA EMPLOYEE S2.000,000 / (Mandatory in NH) Jf yes, describe under CA E.L. DISEASE· POLICY LIMIT £2,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) In the event of any payment under this policy for a Loss for which the named insured has waived the right of recovery in a written contract entered into prior to the Loss, insurer hereby agrees to also waive our right of recovery but only with respect to such Loss. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATA THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE City of Carlsbad POLJCV PROVISIONS. 1635 Faraday Avenue AUTHORIZED REPRESENTATIVE Carlsbad CA 92008 <;I~~ Richard Poling c) 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD. -------~~---------------~--- AGENCY CUSTOMER ID: _____________ _ LOC:#: -------------- ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED OnPoint Underwriting Inc. Barrett Business Services, Inc. 8100 NE Parkway, Suite 200 POLICY NUMBER Vancouver WA 98662 RWC C6437 4242 CARRIER NAICCOOE ACE American Insurance Company 22667 EFFECTIVE DATE: 02/01/17 · ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability (01/14) CERTIFICATE HOLDER: City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad CA 92008 RE: Traffic Signal Maintenance & Repair Services. ACORD 101 (2008/01) c) 1988-2010ACORD CORPORATION._All nghts reserved. The ACORD name and logo are registered marks of ACORD.